Ubusazi na ngovavanyo lwe-D-Dimer? (Uvavanyo lwe-D-Dimer) Makhe sithethe ngale nto ngokulula.

Ngaba wakha weva ngovavanyo lwegazi olubizwa ngokuba yi-'D-Dimer'? Mhlawumbi ugqirha wakho ukucelile ukuba wenze olu vavanyo, okanye mhlawumbi umntu omaziyo ulwenzile. Igama lisenokuvakala liyinkimbinkimbi kancinci. Kodwa yintoni kanye kanye i-D-Dimer? Kutheni ibaluleke kangaka? Namhlanje, siza kuthetha ngayo ngendlela elula kakhulu onokuyiqonda.

Masiqale sibone, yintoni i-D-Dimer?

Ngamafutshane, i-D-Dimer sisiqwenga esincinci seprotheyini esenziwa xa igazi linyibilika emzimbeni wethu. Ngokwesiqhelo, inqanaba le-D-Dimer egazini lomntu ophilileyo kufuneka libe phantsi kakhulu, okanye lingabonakali.

Cinga ngayo, isandla sakho siyeka njani ukopha xa usisika? Ihlwili legazi lenzeka apho, akunjalo? Yindlela yokuzikhusela yomzimba wethu. Eli hlwili legazi lifana ne-mesh encinci. Le mesh yenziwe ngemisonto yeproteni ebizwa ngokuba yi-fibrin . Le mesh yiyo evala inxeba kwaye iyeke ukopha.

Emva kokuba inxeba lipholile, ihlwili akufuneki lihlale apho. Ngoko ke umzimba wethu usebenzisa i-enzyme ebizwa ngokuba yiPlasmin ukuqhekeza ihlwili, ukulinyibilikisa, nokulisusa. Xa linyibilika, kusala iziqwenga ezincinci zehlwili leproteni. Elinye lala maqhekeza libizwa ngokuba yi-D-Dimer.

Nangona kunjalo, ngamanye amaxesha, nokuba akukho monakalo, amahlwili egazi anokwenzakala emithanjeni emzimbeni. Ezi zezona zinto ziyingozi. Uvavanyo lwe-D-Dimer lujonga ikakhulu ezi ntlobo zamahlwili egazi angafunekiyo.

Kutheni ugqirha angacebisa uvavanyo lwe-D-Dimer?

Oogqirha basebenzisa olu vavanyo ikakhulu xa bekrokrela iimeko ezininzi ezinxulumene nokujiya kwegazi.

• I-Deep Vein Thrombosis (DVT): Oku kwenzeka xa igazi liqhekeka emthanjeni ongaphakathi emzimbeni, ingakumbi emlenzeni.
• I-Pulmonary Embolism (PE): Le yimeko eyingozi kakhulu. Yenzeka xa ihlwili legazi elenziwe emlenzeni, njenge-DVT, liqhekeka lize lihambe negazi lize lihlale emthanjeni emaphashini.
• I-Disseminated Intravascular Coagulation (DIC): Le yimeko enzima apho amahlwili egazi amaninzi ayenzeka kwiindawo ezahlukeneyo emzimbeni.
• Istroke: Olu vavanyo ngamanye amaxesha luluncedo ekufumaneni ukukhubazeka okubangelwa kukuqhekeka kwegazi okuvalela umthambo othwala igazi liye engqondweni.

Zeziphi iimpawu ekufuneka ndizifumanele olu vavanyo?

Olu vavanyo ludla ngokwenziwa kwigumbi likaxakeka (ETU) kuba kubalulekile ukwenza ngokukhawuleza xa kuvela iimpawu zehlwili legazi. Ukuba unayo nayiphi na kwezi mpawu zingezantsi, ugqirha wakho unokugqiba ekubeni enze uvavanyo lwe-D-Dimer.

Ingxelo yovavanyo ithini?

Kulapho abantu abaninzi benza khona iimpazamo. Kubaluleke kakhulu ukuqonda ingxelo ye-D-Dimer.

Ukuba inqanaba le-D-Dimer 'liqhelekile' okanye 'libi'

Ezi ziindaba ezimnandi kakhulu. Ukuba inqanaba lakho le-D-Dimer liqhelekile, oko kuthetha ukuba awufumani ukwakheka okukhulu kwe-blood clot kunye nokuqhekeka emzimbeni wakho. Oku kuthetha ukuba akunakwenzeka ukuba ube nemeko efana ne-DVT okanye i-PE.Oogqirha basebenzisa olu vavanyo ukuqinisekisa ukuba ezi meko azikho.

Ukuba inqanaba le-D-Dimer 'liphezulu' okanye 'lilungile'

Kulapho abantu abaninzi bayoyika khona. Kodwa eyona nto ibalulekileyo ekufuneka uyiqonde apha kukuba ukuba nenqanaba eliphezulu le-D-Dimer akuthethi ukuba unesifo esiyingozi sokugabha igazi.

Kunokubakho ezinye izizathu ezininzi zokuba amanqanaba e-D-Dimer anyuke. Umzekelo:

• Ukukhulelwa: Amanqanaba e-D-Dimer ayanda ngokwendalo ngexesha lokukhulelwa.
• Utyando lwakutshanje: I-D-Dimer inokwanda njengenxalenye yenkqubo yokuphiliswa komzimba emva kotyando.
• Ukonzakala: Le meko inokwenzeka nasemva kwengozi.
• Iintsholongwane: Amanqanaba e-D-Dimer ayanda nakwezinye iimeko ezibangela izifo.
• Isifo sentliziyo: Kwezinye iimeko zentliziyo.
• Iimeko zomhlaza: Kwezinye iintlobo zomhlaza.
• Ukwaluphala: Amanqanaba e-D-Dimer ayanda kancinci ngokwendalo njengoko sikhula.

Ukuba i-D-Dimer iphezulu, zeziphi iimvavanyo ezenziwayo emva koko?

Ukuba ingxelo ye-D-Dimer ithi ilungile, ugqirha wakho unokukuthumela kwiimvavanyo zemifanekiso (iiskeni) ukuze kukhangelwe ukuba igazi liqhekekile na.

• I-Doppler Ultrasound: Oku kusebenzisa amaza esandi ukujonga ukuhamba kwegazi kunye namahlwili egazi, ingakumbi kwimithambo yemilenze.
• I-CT Angiography: Olu luhlobo olukhethekileyo lwe-CT scan. Idayi ekhethekileyo ifakwa emzimbeni ize ihlolwe njengoko idayi ihamba ngemithambo yegazi ukuze ikhangele naziphi na izinto ezivalelekileyo, ezifana namahlwili egazi. Oku kudla ngokusetyenziselwa ukukhangela amahlwili egazi (PE) emiphungeni.
• Iskeni yokungenisa umoya emiphungeni (V/Q): Esi sesinye iskeni esikhethekileyo esijonga indlela umoya kunye nokuhanjiswa kwegazi emiphungeni.

Kuphela emva kwezi mvavanyo apho ugqirha uya kugqiba ngokuchanekileyo ukuba ngaba unegazi eliqhekekileyo okanye akunjalo, kwaye ukuba kunjalo, indlela yokulinyanga.