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Kev ntsuam xyuas D-dimer yog siv los kuaj xyuas cov ntshav txhaws teeb meem. Cov ntshav txhaws tuaj yeem ua rau muaj mob, xws li:

  • Kev mob ntsws txoj hlab ntshav sib luag (DVT)
  • Mob ntsws embolism (PE)
  • Mob stroke
  • Kev nthuav tawm ntawm qhov nqaij ntshav sib luag (DIC)

Kev ntsuam xyuas D-dimer yog kev kuaj ntshav. Koj yuav tsum tau tso ntshav ntsuas.

Tsis muaj kev npaj tshwj xeeb yog tsim nyog.

Thaum cov koob tau tso rau hauv cov ntshav, qee cov neeg hnov ​​mob me ntsis. Lwm tus neeg tsuas hnov ​​tus cwj pwm lossis lub qhov ncauj. Tom qab ntawd, tej zaum yuav muaj qee qhov thos lossis me me sib duav.

Koj tus kws kho mob yuav xaj D-dimer yog tias koj pom cov ntshav txhaws, xws li:

  • O o, mob, sov so, thiab hloov xim ntawm koj sab ceg
  • Ntse mob hauv siab, ua pa nyuaj, hnoos tau ntshav, thiab plawv dhia ceev
  • Cov pos hniav los ntshav, xeev siab thiab ntuav, qaug dab peg, mob plab thiab cov leeg mob heev, thiab tso zis tsawg

Koj tus kws kho mob kuj tseem yuav siv D-dimer kev tshuaj ntsuam xyuas seb puas yog kev kho mob rau DIC ua haujlwm.


Ib qho kev kuaj qub yog qhov tsis zoo. Qhov no txhais tau tias tej zaum koj tsis muaj teeb meem ntshav txhaws.

Yog tias koj tau txais D-dimer kev ntsuam xyuas kom pom tias kev kho mob ua haujlwm rau DIC, ib qho li qub lossis qis dua ntawm D-dimer txhais tau hais tias qhov kev kho mob ua haujlwm.

Txoj kev kuaj pom tseeb txhais tau tias koj yuav ua cov ntshav txhaws. Qhov kev kuaj ntawd tsis qhia txog qhov txhaws ntawm qhov twg lossis vim li cas koj txhaws. Koj tus kws kho mob yuav hais kom txiav txim siab mus saib seb thaj chaw nyob qhov twg.

Txoj kev kuaj pom zoo yuav tshwm sim los ntawm lwm yam, thiab koj yuav tsis muaj kev txhaws. Qib D-dimer tuaj yeem ua tau zoo vim yog:

  • Cev xeeb tub
  • Mob siab
  • Tsis ntev los no phais lossis mob
  • Siab lipid lossis triglyceride ntau ntau
  • Kab mob plawv
  • Los laus lawm 80 xyoo

Qhov no ua rau kev ntsuam xyuas feem ntau muaj txiaj ntsig thaum nws tsis zoo, thaum ntau yam ntawm cov saum toj no tuaj yeem tawm tsam.

Txoj leeg muaj qhov sib txawv ntawm ib tus neeg mus rau lwm qhov thiab ntawm ib sab ntawm lub cev mus rau lwm qhov. Mus nqa cov ntshav los ntawm ib cov neeg tej zaum yuav nyuaj tshaj li los ntawm lwm tus.


Kev phom sij ntawm kev tso ntshav tawm me ntsis, tab sis yuav suav nrog:

  • Los ntshav ntau
  • Ntau cov punctures los nrhiav cov leeg ntshav
  • Tsaus muag lossis hnov ​​nkaus lub teeb
  • Cov ntshav ntau zuj zus hauv qab daim tawv nqaij (hematoma)
  • Kev kis tus kab mob (muaj kev pheej hmoo me me txhua lub sijhawm ntawm daim tawv tawg)

Fragment D-dimer; Fibrin kev ua xeb ntawm cov ntawv; DVT - D-dimer; PE - D-dimer; Kev mob hlab ntsha qhov tob - D-dimer; Pulmonary embolism - D-dimer; Cov ntshav txhaws rau lub ntsws - D-dimer

Goldhaber SZ. Pulmonary embolism. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 84.

Kline JA. Pulmonary embolism thiab hlab ntsha sib nqus. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 78.

Lim W, Le Gal G, Bates SM, li al. American Society of Hematology 2018 cov lus qhia rau kev tswj hwm ntawm txoj kev mob venous thromboembolism: kev kuaj mob ntawm tus mob txha caj qaum. Ntshav Siab AdvCov. 2018; 2 (22): 3226-3256. PMID: 30482764 pubmed.ncbi.nlm.nih.gov/30482764/.


Siegal D, Lim W. Venous thromboembolism. Hauv: Hoffman R, Benz EJ, Silberstein LE, li al, eds. Hematology: Qhov Ntsiab Cai thiab Kev Coj UaCov. 7 tus ed. Philadelphia, PA: Elsevier; 2018: chap 142.

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