Hōʻoia D-dimer

Hoʻohana ʻia nā hoʻokolohua D-dimer e nānā no nā pilikia pili ʻana i ke koko. Hiki i nā kahe koko ke hana i nā pilikia olakino, e like me:

• Trombosis o ke aʻa hohonu (DVT)
• Pulmonary embolism (PE)
• Hahau
• Hoʻomaʻamaʻa intravascular coagulation (DIC)

ʻO ka hōʻike D-dimer kahi hōʻike koko. Pono ʻoe e kiʻi i kahi laʻana koko.

ʻAʻole pono kahi hoʻomākaukau kūikawā.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻO ka manaʻo ʻē aʻe he prick a wīwī wale paha ka manaʻo. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ka ʻūlū iki.

E kauoha paha kāu mea mālama ola i kahi hoʻokolohua D-dimer inā ʻoe e hōʻike nei i nā ʻōuli o ke koko clots, e like me:

• ʻO ka pupuhi, ʻeha, mahana, a me nā loli i ka ʻili o kou wāwae i kou wāwae
• ʻEha ka umauma ʻoi, pilikia ka hanu ʻana, ka huʻi ʻana i ke koko, a kuʻi ka puʻuwai wikiwiki
• ʻO ke kāpili kahe, kahe a me ka luaʻi, ka hopu ʻana, ka ʻōpū nui a me ka ʻehaʻeha, a me ka mimi i hoʻemi ʻia

Hiki paha i kāu mea hoʻolako ke hoʻohana i ka hoʻāʻo D-dimer e ʻike ai ke holo nei ka lāʻau no DIC.

He maikaʻi ʻole kahi hōʻike maʻamau. ʻO ka manaʻo ʻaʻole paha ou pilikia me ke kāpili ʻana i ke koko.

Inā ʻoe e kiʻi nei i ka hoʻāʻo D-dimer e ʻike inā ke hana nei ka lāʻau no DIC, kahi pae maʻamau a hōʻemi paha o D-dimer ʻo ia hoʻi ke hana nei ka lāʻau.

ʻO kahi hōʻoia maikaʻi e hana ana paha ʻoe i nā huʻa koko. ʻAʻole hōʻike ka hōʻike i kahi o nā clots a no ke aha ʻoe e hana nei i nā clots. E kauoha paha kāu mea hāʻawi i nā hoʻokolohua ʻē aʻe e ʻike i kahi o nā clots.

Hoʻokumu ʻia kahi hōʻoia maikaʻi e nā kumu ʻē aʻe, a ʻaʻohe ou clots. Hiki ke maikaʻi nā pae D-dimer ma muli o:

• Hapai keiki
• Maʻi maʻi ate
• ʻO ke kahakaha hou a trauma paha
• Nā pae lipid kiʻekiʻe a i ʻole triglyceride
• Maʻi maʻi puʻuwai
• Aia ma mua o 80 mau makahiki

Hoʻohana kēia i ka hōʻoia ma ka hapa nui inā maikaʻi ʻole ia, ke hiki ʻole ke hōʻole ʻia nā kumu i luna aʻe.

Kūlike ka nui o nā uaua i kekahi a i kekahi a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka loaʻa ʻana o kahi laʻana koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pōʻino o ke kaomi ʻana i ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Nā punctures he nui e ʻimi i nā uaua
• Pāleʻale a ʻoluʻolu paha
• Ke hōʻiliʻili nei ke koko ma lalo o ka ʻili (hematoma)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Pākuʻi D-dimer; Māhele hoʻoliʻiliʻi Fibrin; DVT - D-dimer; PE - D-dimer; Trombosis o ka aa hohonu - D-dimer; ʻO ka pulmonary embolism - D-dimer; ʻO ke kōkō ʻana o ke koko i nā hāhā - D-dimer

ʻO Goldhaber SZ. Emperor pulmonary. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 84.

Kline JA. ʻO ka pulmona embolism a me ka thrombosis hohonu o ke aʻa. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 78.

Lim W, Le Gal G, Bates SM, et al. ʻAmelika Hui Pū ʻIa o Hematology 2018 mau alakaʻi no ka mālama ʻana i ka thromboembolism venous: diagnose of venous thromboembolism. Kumu Adv. 2018; 2 (22): 3226-3256. PMID: 30482764 pubmed.ncbi.nlm.nih.gov/30482764/.

ʻO Siegal D, Lim W. Venombo thromboembolism. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 142.