Ukunaka okukhethekile kubhalwa indebe ye-D-dimer ngesikhathi sokukhulelwa, njalo, njalo ngeviki, ngokuqhathanisa nesimiso sayo egazini. Cabanga ngalokhu kumaka ngokuningiliziwe, bese uzama ukuchaza ngokuningiliziwe ukuthi kufanele ushintshe kanjani ukubeletha kwengane.
Amazinga we-D-dimer we-trimester wokukhulelwa
Okokuqala, ngingathanda ukuphawula ukuthi lo maki ngokwayo akakwazi ukukhombisa ukuthuthukiswa kwanoma yikuphi ukuphulwa. Ngakho-ke, ushintsho ekugxilweni kwegazi lwezingcezu ze-fibrin fibers kungacatshangwa nje njengesibonakaliso. Yingakho odokotela njalo emva kokuthola umphumela wokuhlaziywa kukaD-dimer ekukhulelwe, okungahambisani nokujwayelekile, ukubeka izifundo ezengeziwe. Njengoba kunikezwe leli qiniso, owesifazane okhulelwe akufanele neze azame ukuthola umphumela ngokwakhe, tk. kungathembela ezintweni eziningi (ukuthi yikuphi ukukhulelwa ku-akhawunti, isithelo esisodwa noma eziningana, njll).
Uma sikhuluma ngesimiso sikaD-dimer ekukhulelweni, okukhulunywa ngakho ku-ng / ml, ngakho-ke kufanele kuqala kuthiwa ngalesi sikhathi kukhona ukwanda kule nkomba. Lokhu kuhlobene ngokuqondile nokuthi lapho kuqaliswa inqubo yokugaya, ukusebenza kwe-system clotting kwenzeka emzimbeni wesifazane - ngakho-ke, ixwayisa ngokumelene nokuphuma kwegazi kwangaphakathi.
Kakade kusukela emasontweni okuqala okuzala umntwana, ukuhlushwa kweD-dimer egazini lomfazi okhulelwe kuyanda. Kulolu cala, kukholelwa ukuthi ku-trimester yokuqala, ukuhlushwa kwayo kukhuliswa yi-factor of 1.5. Ngakho-ke, ekuqaleni kwenqubo yokubeletha umntwana, angeke angaphansi kwama-500 ng / ml, futhi ekupheleni kwe-trimester yokuqala-750.
Esikhathini sesibili sesibili sokukhulelwa, le nkhomba iyaqhubeka ikhula. Ekupheleni kwalesi sikhathi, ukuhlushwa kwalo kufinyelela ku-900 Ng / ml. Noma kunjalo, ingadlula ngaphezu kwe-1000 ng / ml.
Ku-trimester yesithathu yokukhulelwa uma kungekho ukuphulwa, isb. ngokujwayelekile, ukuhlushwa kweD-dimer egazini kufinyelela ku-1500 ng / ml. Ngakho-ke, njengoba kulula ukubala, izinga lalezi zinto egazini liphindwe kathathu kunombalo owawubonakala ekuqaleni kokukhulelwa.
Ukuhlolwa kwenziwa kanjani?
Njengoba kuboniswe ngenhla, lesi sibonakaliso asivumeli ukuhlola ngokunembile isimo, futhi ezimweni eziningi sisetshenziswa njengesifundo esengeziwe ku- coagulogram.
Into yukuthi imvelo ngayinye ingumuntu ngamunye futhi izinqubo zayo zezinto eziphilayo zenziwa ngamanani ahlukene. Yingakho izinyathelo ezingenhla ze-D-dimer zinemibandela futhi zingadlulela emkhawulweni osungulwe.
Ngaphezu kwalokho, ukuhlola izinkomba, odokotela bahlale beqaphela inkambo yenqubo yokugaya, ukutholakala komlando wezifo ze-blood coagulation. Isibonelo, esimweni sokukhulelwa kwamabili, izinga likaD-dimer alihambisani nokujwayelekile, futhi lidlula kakhulu. Ukuchazwa kwalesi simo kungasebenza njengenguquko ohlelweni lomzimba lwe-hormonal.
Ngakho-ke, njengoba kungabonakala kulesi sihloko, uphawu olufana ne-D-dimer lisetshenziswe njengesifundo esengeziwe. Lapho uhlola imiphumela, umuntu akakwazi ukuqhathanisa ukugxilwa kwawo emithethweni emisiwe, hhayi ukucabangela izici zokukhulelwa.