Hōʻike D-Dimer

Anter

• He aha ka hōʻike D-dimer?
• No ke aha ia e hoʻohana ai?
• No ke aha e pono ai iaʻu kahi hōʻike D-dimer?
• He aha ka hana ma kahi hōʻike D-dimer?
• Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
• Aia kekahi mau pōpilikia i kahi hōʻike D-dimer?
• He aha ke ʻano o nā hopena?
• Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i kahi hōʻike D-dimer?
• Nā kūmole

He aha ka hōʻike D-dimer?

Nānā kahi hōʻike D-dimer no D-dimer i ke koko. ʻO D-dimer kahi ʻāpana protein (ʻāpana liʻiliʻi) i hana ʻia i ka wā e hoʻoheheʻe ʻia ai kahi kōkō koko i kou kino.

ʻO ke kāpili ʻana i ke koko kahi hana nui e pale ai iā ʻoe mai ka lilo ʻana i ke koko ke ʻeha ʻoe. ʻO ka maʻamau, e hoʻopau kou kino i ka ʻōpala ke hoʻōla kou ʻeha. Me kahi maʻi maʻi koko, hiki ke hana i nā clots ke loaʻa ʻole kahi ʻeha maopopo a ʻaʻole hoʻi e hoʻoheheʻe i ka wā e pono ai. Hiki ke koʻikoʻi loa kēia mau ʻano a hoʻoweliweli hoʻi i ke ola. Hiki i kahi hōʻike D-dimer ke hōʻike inā loaʻa iā ʻoe kekahi o kēia mau ʻano.

Nā inoa ʻē aʻe: ʻāpana D-dimer, ʻāpana degradation fibrin

No ke aha ia e hoʻohana ai?

Hoʻohana pinepine ʻia kahi hoʻāʻo D-dimer e ʻike inā loaʻa ʻoe i kahi maʻi maʻi koko. Loaʻa kēia mau maʻi i:

• Trombosis o ke aʻa hohonu (DVT), he hāpule koko i loko loa o ka aa. Hoʻopili pinepine kēia mau clots i nā wāwae lalo, akā hiki pū kekahi i nā wahi ʻē aʻe o ke kino.
• Pulmonary embolism (PE), kahi paʻa i ke aʻa i loko o nā akemāmā. Hana ʻia ia ke kō ke koko i loko o kahi ʻāpana o ke kino i haki a hele i nā māmā. ʻO nā clots DVT kahi kumu maʻamau o PE.
• Hoʻomaʻamaʻa intravascular coagulation (DIC), kahi kumu e hoʻokumu ai i nā kahe koko he nui. Hiki iā lākou ke hana a puni ke kino, e hōʻino ana i nā mea a me nā pilikia koʻikoʻi ʻē aʻe. Hoʻokumu ʻia ʻo DIC e nā ʻeha hōʻeha a i ʻole kekahi ʻano o nā maʻi a i ʻole ke kanesa.
• Hahau, kahi paʻa i ke kahe o ke koko i ka lolo.

No ke aha e pono ai iaʻu kahi hōʻike D-dimer?

Pono paha ʻoe i kēia hōʻoia inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi koko, e like me ka thrombosis hohonu (DVT) a i ʻole embolism pulmonary (PE).

Nā ʻōuli o DVT me:

• ʻEha wāwae a palupalu paha
• Huʻi wāwae
• ʻO nā ʻulaʻula a ʻulaʻula paha i nā wāwae

ʻO nā ʻōuli o PE me:

• Hī pilikia
• Cough
• ʻEha ʻeha
• Kuʻi puʻuwai wikiwiki

Hana pinepine ʻia kēia hoʻāʻo i loko o kahi lumi pilikia a i ʻole kahi hoʻonohonoho mālama olakino ʻē aʻe. Inā loaʻa iā ʻoe nā hōʻailona DVT a ʻaʻole ma kahi hoʻonohonoho olakino, e kāhea i kāu mea mālama ola. Inā loaʻa nā ʻōuli o PE, e kāhea iā 911 a i ʻole e ʻimi koke i ka lāʻau.

He aha ka hana ma kahi hōʻike D-dimer?

E lawe kahi ʻoihana mālama ola i kahi laʻana koko mai kahi aa i kou lima, e hoʻohana ana i kahi nila kuʻikuʻi. Ma hope o ka hoʻokomo ʻia ʻana o ka nila, e hōʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi pahu hoʻāʻo a ipu paha. Hiki paha iā ʻoe ke ʻoni iki i ka wā e hele ai a kuʻi paha ka nila. Lōʻihi kēia ma mua o ʻelima mau minuke.

Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?

ʻAʻole pono ʻoe i kahi hoʻomākaukau kūikawā no ka hoʻāʻo D-dimer.

Aia kekahi mau pōpilikia i kahi hōʻike D-dimer?

ʻAʻohe liʻiliʻi loa i ka hōʻoia ʻana o ke koko. Loaʻa paha iā ʻoe ka ʻeha a ʻeha paha ma kahi o ka nila i hoʻokomo ʻia ai, akā ʻo ka hapa nui o nā ʻōuli e hele wikiwiki aku.

He aha ke ʻano o nā hopena?

Inā hōʻike kāu mau hualoaʻa i nā pae D-dimer haʻahaʻa a maʻamau paha i ke koko, ʻo ia hoʻi ʻaʻole paha ʻoe i loaʻa i kahi maʻi ʻōpala.

Inā hōʻike kāu mau hualoaʻa i ke kiʻekiʻe ma mua o nā pae maʻamau o D-dimer, manaʻo paha ia he maʻi kāpili kāu. Akā ʻaʻole hiki iā ia ke hōʻike i kahi o ka ʻaʻai a i ʻole ke ʻano o ka maʻi ʻōpala āu. Eia kekahi, ʻaʻole i hoʻokumu pinepine ʻia nā pae D-dimer kiʻekiʻe e nā pilikia ʻōpala. ʻO nā kūlana ʻē aʻe i hiki ke kumu i nā pae D-dimer kiʻekiʻe e pili ana i ka hāpai ʻana, nā maʻi puʻuwai, a me nā ʻoki hou. Inā ʻaʻole maʻamau kāu mau hopena D-dimer, e kauoha paha kāu mea hāʻawi i nā hoʻokolohua hou aku e hana i kahi hōʻailona.

Inā he mau nīnau kāu e pili ana i kāu hopena, e kamaʻilio me kāu kauka olakino.

E aʻo hou aʻe e pili ana i nā hoʻokolohua hoʻokolohua, nā pae kuhikuhi, a me ka hoʻomaopopo ʻana i nā hopena.

Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i kahi hōʻike D-dimer?

Inā ʻaʻole maʻamau kāu mau hopena hōʻike D-dimer, e kauoha paha kāu mea hāʻawi i hoʻokahi a ʻoi paha nā hoʻokolohua kiʻi ʻana e ʻike inā loaʻa ʻoe i kahi maʻi maʻi. Pākuʻi ʻia kēia mau mea:

• ʻO ultrasound Doppler, kahi hōʻike e hoʻohana ana i nā nalu kani e hana i nā kiʻi o kou veins.
• CT angiography. I kēia hoʻāʻo, ua injected ʻoe me ka kala make kūikawā e kōkua i kāu kīʻaha koko e hōʻike ma kahi ʻano kūikawā o ka mīkini x-ray.
• Ventilation-perfusion (V / Q) scan NineManga.com ʻO kēia nā hoʻokolohua ʻelua e hana ʻokoʻa a hui pū paha. Hoʻohana lāua ʻelua i nā mea radioactive e kōkua i kahi mīkini ʻimi e ʻike i ke ʻano o ka ea a me ke koko e neʻe ai i loko o kāu mau māmā.

Nā kūmole

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ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.