D-Dimer Xeem

Zoo Siab

• D-dimer kev xeem yog dab tsi?
• Nws siv rau dab tsi?
• Vim li cas kuv thiaj xav tau D-dimer kev xeem?
• Yuav ua li cas thaum lub sijhawm D-dimer kuaj?
• Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?
• Puas muaj kev pheej hmoo rau D-dimer kuaj?
• Cov txiaj ntsig li cas?
• Puas muaj lwm yam ntxiv uas kuv xav paub txog D-dimer kev kuaj?
• Ua tim khawv

D-dimer kev xeem yog dab tsi?

Kev ntsuam xyuas D-dimer zoo rau D-dimer hauv cov ntshav. D-dimer yog ib qho protein zom (daim me me) uas tau ua thaum ntshav txhaws hauv koj lub cev.

Kev txhaws ntshav yog ib qho txheej txheem tseem ceeb uas tiv thaiv koj kom tsis txhob los ntshav ntau dhau thaum koj raug mob. Nquag, koj lub cev yuav yaj tag hauv cov ntshav ib ce tom qab koj qhov mob zoo tas. Nrog ib qho kev mob ntshav txhaws, cov ntshav txhaws tuaj yeem tsim thaum koj tsis muaj qhov raug mob lossis tsis ploj thaum lawv yuav tsum. Cov xwm txheej no yuav ua tau mob nyhav thiab ua rau tuag tau. D-dimer kuaj tuaj yeem qhia tau yog tias koj muaj ib ntawm cov xwm txheej no.

Lwm lub npe: thooj D-dimer, fibrin degradation fragment

Nws siv rau dab tsi?

Kev ntsuam xyuas D-dimer feem ntau siv los xyuas seb koj puas muaj ntshav txhaws. Cov kev tsis zoo no suav nrog:

• Kev mob ntsws txoj hlab ntshav sib luag (DVT), ntshav txhaws uas nyob hauv cov hlab ntshav sab hauv. Cov phiaj xwm no feem ntau cuam tshuam rau sab ceg qis, tab sis lawv kuj tuaj yeem tshwm sim hauv lwm qhov chaw ntawm lub cev.
• Mob ntsws embolism (PE), thaiv cov hlab ntsha hauv lub ntsws. Feem ntau nws tshwm sim thaum ntshav txhaws hauv lwm qhov ntawm lub cev tsoo xoob thiab ncig mus rau lub ntsws. DVT clots yog qhov ua kom muaj feem rau PE.
• Kev nthuav tawm ntawm qhov nqaij ntshav sib luag (DIC), qhov xwm txheej ua rau ntau cov ntshav txhaws. Lawv tuaj yeem tsim nyob thoob plaws lub cev, ua rau muaj kev puas tsuaj hauv nruab nrog cev thiab muaj lwm cov kev mob hnyav. DIC tuaj yeem tshwm sim los ntawm kev raug mob lossis qee yam kev kis lossis mob qog ntshav.
• Mob stroke, txhaws ntshav hauv lub hlwb xa mus rau lub hlwb.

Vim li cas kuv thiaj xav tau D-dimer kev xeem?

Tej zaum koj yuav xav tau qhov kev ntsuas no yog tias koj muaj cov tsos mob ntawm ntshav txhaws, xws li mob hlab ntsha ntsws (DVT) lossis mob ntsws ntsig (PE).

Cov tsos mob ntawm DVT suav nrog:

• Mob ceg lossis mob siab
• Mob ceg o
• Liab lossis liab txoj kab ntawm ob txhais ceg

Cov tsos mob ntawm PE suav nrog:

• Teeb meem ua pa
• Hnoos
• Kev mob hauv siab
• Lub plawv dhia ceev ceev

Qhov kev ntsuas no feem ntau tau ua nyob hauv chav xwm txheej kub ntxhov lossis lwm qhov chaw kuaj mob. Yog tias koj muaj DVT cov tsos mob thiab tsis nyob hauv qhov chaw kho mob, hu rau koj tus kws kho mob. Yog tias koj muaj cov tsos mob ntawm tus mob PE, hu 911 lossis nrhiav kev kho kom sai.

Yuav ua li cas thaum lub sijhawm D-dimer kuaj?

Tus kws kho mob yuav kuaj ntshav ntawm txoj hlab ntshav hauv koj txhais caj npab, siv rab koob me me. Tom qab cov koob raug tso nkag, cov ntshav me me yuav raug sau rau hauv lub khob kuaj lossis vial. Koj tuaj yeem hnov ​​me ntsis thaum cov koob nkag mus lossis tawm. Qhov no feem ntau yuav siv sijhawm tsawg dua tsib feeb.

Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?

Koj tsis tas yuav npaj tshwj xeeb rau kev kuaj mob D-dimer.

Puas muaj kev pheej hmoo rau D-dimer kuaj?

Txoj kev kuaj ntshav muaj feem me me. Koj yuav muaj mob me lossis doog ntshav ntawm qhov chaw tso rab koob, tab sis feem ntau cov tsos mob ploj mus sai.

Cov txiaj ntsig li cas?

Yog tias koj cov txiaj ntsig pom tau qis qis los yog ib txwm muaj D-dimer hauv cov ntshav, nws txhais tau tias tej zaum koj tsis muaj kab mob txhaws.

Yog tias koj cov txiaj ntsig pom tau siab dua li ib txwm muaj ntawm D-dimer, nws yuav txhais tau tias koj muaj kab mob txhaws. Tab sis nws tsis tuaj yeem qhia qhov twg txhaws yog nyob lossis hom kev tiv thaiv txhaws koj muaj. Kuj, cov qib D-dimer tsis tau tshwm sim los ntawm teeb meem txhaws. Lwm yam mob uas tuaj yeem ua rau D-dimer siab suav nrog kev xeeb tub, kab mob plawv, thiab kev phais sai. Yog tias koj cov txiaj ntsig D-dimer tsis zoo li qub, koj tus kws kho mob yuav xaj kuaj ntau dua los ua kev kuaj mob.

Yog koj muaj lus nug txog koj cov txiaj ntsig, nrog koj tus kws kho mob tham.

Kawm paub ntau ntxiv txog cov kev sim hauv chaw soj ntsuam, cov chaw siv ntsuas, thiab nkag siab cov txiaj ntsig tau.

Puas muaj lwm yam ntxiv uas kuv xav paub txog D-dimer kev kuaj?

Yog tias koj cov txiaj ntsig D-dimer tsis zoo li qub, koj tus kws kho mob yuav xaj ib lossis ntau qhov kev ntsuam xyuas los ntsuas seb koj puas muaj ntshav txhaws. Cov no suav nrog:

• Doppler ultrasound, ib qho kev sim uas siv lub suab ua suab los tsim cov duab ntawm koj cov leeg.
• CT angiography. Hauv qhov kev ntsuas no, koj tau txhaj nrog lub zas xim tshwj xeeb uas pab koj cov roj ntsha ua kom pom lub tshuab xoo hluav taws xob tshwj xeeb.
• Cua dim pa-perfusion (V / Q) scan. Nov yog ob qhov kev sim uas yuav ua tau nyias los yog ua ke. Nkawd ob leeg siv tshuaj tsawg tsawg los pab lub tshuab ntsuas kom pom kev huab cua thiab ntshav mus los hauv koj lub ntsws.

Ua tim khawv

1. American Heart Association [Internet]. Dallas (TX): Asmeskas Lub Koom Haum Koom Siab Inc .; c2020. Cov tsos mob thiab kev kuaj mob ntawm tus mob Venous Thromboembolism (VTE); [hais tawm 2020 Jan 8]; [txog 3 ntxaij]. Muaj los ntawm: https://www.heart.org/en/health-topics/venous-thromboembolism/symcepts-and-diagnosis-of-venous-thromboembolism-vte
2. American Society of Hematology [Internet]. Washington D.C .: Asmeskas haiv neeg Hematology; c2020. Ntshav; [hais tawm 2020 Jan 8]; [txog 3 ntxaij]. Muaj los ntawm: https://www.hematology.org/Patients/Clots
3. Clot Care Online Resource [Is Taws Nem]. San Antonio (TX): ClotCare; c2000–2018. Kev ntsuam xyuas d-Dimer yog dab tsi ?; [hais tawm 2020 Jan 8]; [txog 4 ntxaij]. Muaj los ntawm: http://www.clotcare.com/faq_ddimertest.aspx
4. Kev Tshuaj Ntsuam Xyuas online [Internet]. Washington D.C .: Koom Haum Asmeskas Rau Chaw Kuaj Mob; c2001–2020. D-dimer; [hloov tshiab 2019 Nov 19; raug nplua 2020 Jan 8]; [txog 2 ntxaij]. Muaj los ntawm: https://labtestsonline.org/tests/d-dimer
5. Kev Tshuaj Ntsuam Xyuas online [Internet]. Washington D.C .: Koom Haum Asmeskas Rau Chaw Kuaj Mob; c2001–2020. Mob stroke; [hloov tshiab 2019 Nov 12; raug nplua 2020 Jan 8]; [txog 2 ntxaij]. Muaj los ntawm: https://labtestsonline.org/conditions/stroke
6. Lub Teb Chaws Cov Koom Tes Tsoos Ntshav [Internet]. Gaithersburg (MD): Lub Tebchaws Cov Ntshav Sib Luag; Yuav kuaj li cas ntawm DVT? [hais tawm 2020 Jan 8]; [txog 3 ntxaij]. Muaj los ntawm: https://www.stoptheclot.org/learn_more/signs-and-symhma-of-blood-clots/how_dvt_is_diagnosed
7. Teb Chaws Lub Plawv, Lub Ntsws, thiab Koom Haum Ntshav [Internet]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Kuaj ntshav; [hais tawm 2020 Jan 8]; [txog 3 ntxaij]. Muaj los ntawm: https://www.nhlbi.nih.gov/health-topics/blood-tests
8. RadiologyInfo.org [Is Taws Nem]. Radiological Society ntawm North America, Inc .; c2020. Ntshav; [hais tawm 2020 Jan 8]; [txog 3 ntxaij]. Muaj los ntawm: https://www.radiologyinfo.org/en/info.cfm?pg=bloodclot
9. Schutte T, Thijs A, Smulders YM. Tsis txhob tsis quav ntsej txog qhov tsim nyog D-dimer ntau ntau; lawv tshwj xeeb txog mob hnyav. Neth J Med [Internet]. 2016 Dec [hais tawm 2020 Jan 8]; 74 (10): 443-448. Muaj los ntawm: https://www.ncbi.nlm.nih.gov/pubmed/27966438
10. University of Rochester Medical Center [Internet]. Rochester (NY): Tsev kawm qib siab Rochester Medical Center; c2020. Kev Noj Qab Nyob Zoo Encyclopedia: Xam Tomography Angiography; [hais tawm 2020 Jan 8]; [txog 2 ntxaij]. Muaj los ntawm: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=135&contentid=15
11. University of Rochester Medical Center [Internet]. Rochester (NY): Tsev kawm qib siab Rochester Medical Center; c2020. Cov Ntawv Kho Mob Noj Qab Haus Huv: D-Dimer; [hais tawm 2020 Jan 8]; [txog 2 ntxaij]. Muaj los ntawm: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=d_dimer
12. Kev Noj Qab Haus Huv UF: University of Florida Health [Is Taws Nem]. Gainesville (IBCE): University of Florida Kev Noj Qab Haus Huv; c2020. D-dimer kev xeem: Txheej txheem cej luam; [kho tshiab 2020 Jan 8; raug nplua 2020 Jan 8]; [txog 2 ntxaij]. Muaj los ntawm: https://ufhealth.org/d-dimer-test
13. Kev Noj Qab Haus Huv UF: University of Florida Health [Is Taws Nem]. Gainesville (IBCE): University of Florida Kev Noj Qab Haus Huv; c2020. Pulmonary embolus: Txheej txheem cej luam; [kho tshiab 2020 Jan 8; raug nplua 2020 Jan 8]; [txog 2 ntxaij]. Muaj los ntawm: https://ufhealth.org/pulmonary-embolus
14. Kev Noj Qab Haus Huv UF: University of Florida Health [Is Taws Nem]. Gainesville (IBCE): University of Florida Kev Noj Qab Haus Huv; c2020. Pulmonary ventilation / perfusion scan: Txheej txheem cej luam; [kho tshiab 2020 Jan 8; raug nplua 2020 Jan 8]; [txog 2 ntxaij]. Muaj los ntawm: https://ufhealth.org/pulmonary-ventilationperfusion-scan
15. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2020. D-Dimer: Qhov Tseeb; [kho tshiab 2019 Apr 9; raug nplua 2020 Jan 8]; [txog 8 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/d-dimer-test/abn2838.html#abn2845
16. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2020. D-Dimer: Kev ntsuam xyuas lub ntsiab; [kho tshiab 2019 Apr 9; raug nplua 2020 Jan 8]; [txog 2 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/d-dimer-test/abn2838.html#abn2839
17. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2020. D-Dimer: Vim Li Cas Nws Ua; [kho tshiab 2019 Apr 9; raug nplua 2020 Jan 8]; [txog 3 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/d-dimer-test/abn2838.html#abn2840

Cov ntaub ntawv ntawm lub xaib no yuav tsum tsis txhob siv los hloov chaw kho mob lossis tswv yim kho mob. Hu rau kws kho mob yog tias koj muaj lus nug txog koj txoj kev noj qab haus huv.