Imtixaanka D-Dimer

Qanacsan

• Waa maxay tijaabada 'D-dimer'?
• Maxaa loo adeegsadaa?
• Maxaan ugu baahanahay baaritaanka D-dimer?
• Maxaa dhacaya inta lagu jiro baaritaanka 'D-dimer'?
• Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?
• Ma jiraan wax khatar ah oo ku iman kara tijaabada 'D-dimer'?
• Maxay natiijooyinka ka dhigan yihiin?
• Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado baaritaanka 'D-dimer'?
• Tixraacyo

Waa maxay tijaabada 'D-dimer'?

Tijaabada 'D-dimer' waxay raadineysaa D-dimer dhiig ah. D-dimer waa qayb protein ah (gabal yar) oo la sameeyo marka xinjirowga dhiiggu ku milmo jirkaaga.

Xinjirowga dhiiggu waa hab muhiim ah oo kaa horjoogsanaya inaad lumiso dhiig badan markii aad dhaawacanto. Caadi ahaan, jirkaaga ayaa kala diri doona xinjirowga markii dhaawacaagu bogsado. Ciladda xinjirowga dhiigga, xinjirowga ayaa sameysmi kara marka aanad lahayn dhaawac muuqda ama ha milmin markii ay ahayd. Xaaladahaani waxay noqon karaan kuwo aad u daran oo xitaa nafta halis geliya. Tijaabada 'D-dimer' ayaa muujin karta haddii aad leedahay mid ka mid ah xaaladahaas.

Magacyada kale: jajabka D-dimer, jajabka nabaad-guurka fibrinka

Maxaa loo adeegsadaa?

Baadhitaanka 'D-dimer' ayaa badiyaa loo isticmaalaa in lagu ogaado in aad leedahay cillad xinjirowga dhiigga ah iyo in kale. Cilladahaas waxaa ka mid ah:

• Xinjirowga dhiigga ee qoto dheer (DVT), xinjir dhiig oo ku jirta gudaha xididka. Xinjirooyinkaasi waxay badanaa saameeyaan lugaha hoose, laakiin waxay kaloo ka dhici karaan qaybaha kale ee jirka.
• Xanuunka sanbabada (PE), xannibaadda halbowlaha sanbabada. Waxay badanaa dhacdaa markii xinjirowga dhiigga ee qayb kale oo jirka ka mid ahi jabo oo uu u safro sambabaha. Xinjirooyinka 'DVT' waa sababaha ugu badan ee keena PE.
• Xanjirowga xididdada dhiigga ku faafa (DIC), xaalad sababa xinjirowga dhiigga oo aad u badan inuu sameeyo. Waxay ku sameysmi karaan jirka oo dhan, iyagoo sababa dhaawac soo gaara xubnaha iyo dhibaatooyin kale oo daran. DIC waxaa sababi kara dhaawacyo argagax leh ama noocyada infekshannada qaarkood ama kansarka.
• Faalig, xannibaadda dhiiga ee maskaxda.

Maxaan ugu baahanahay baaritaanka D-dimer?

Waxaad u baahan kartaa baaritaankaan haddii aad leedahay calaamado cillad xinjirowga dhiigga ah, sida xinjirowga dhiigga ee xididka (DVT) ama sambabada sambabka (PE).

Calaamadaha DVT waxaa ka mid ah:

• Lug xanuun ama danqasho
• Lug barar
• Casaan ama xariijimo cas oo lugaha ah

Astaamaha PE waxaa ka mid ah:

• Neefsashada oo dhib ah
• Qufac
• Laab xanuun
• Wadna garaac dhakhso leh

Tijaabadani waxaa badanaa lagu sameeyaa qolka xaaladaha degdegga ah ama goobaha kale ee daryeelka caafimaadka. Haddii aad leedahay astaamaha DVT oo aadan kujirin goob daryeel caafimaad, wac daryeel caafimaad bixiyahaaga. Haddii aad leedahay calaamadaha cudurka 'PE', wac 911 ama raadso daryeel caafimaad oo degdeg ah.

Maxaa dhacaya inta lagu jiro baaritaanka 'D-dimer'?

Xirfadlaha daryeelka caafimaadka ayaa tijaabo dhiig ka qaadi doona xididka gacantaada, isagoo isticmaalaya cirbad yar. Kaddib cirbada la geliyo, qadar yar oo dhiig ah ayaa lagu ururin doonaa tuubada baaritaanka ama fijaan. Waxaa laga yaabaa inaad dareento xoog wax yar ah markii irbadda ay soo galayso ama ay ka baxeyso. Tani badanaa waxay qaadataa in ka yar shan daqiiqo.

Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?

Uma baahnid wax diyaargarow gaar ah oo loogu talagalay baaritaanka D-dimer.

Ma jiraan wax khatar ah oo ku iman kara tijaabada 'D-dimer'?

Khatar aad u yar baa jirta in dhiig lagaa qaado. Waxaa laga yaabaa inaad xanuun yar ama nabar ku yeelato barta irbadda lagu muday, laakiin astaamaha badankood si dhakhso leh ayey u baxaan.

Maxay natiijooyinka ka dhigan yihiin?

Haddii natiijooyinkaagu muujiyaan heerarka D-dimer ee dhiigga hooseeya ama caadiga ah, waxay ka dhigan tahay inaadan qabin cillad xinjirowga xinjirowga.

Haddii natiijooyinkaagu muujiyaan wax ka sarreeya heerarka caadiga ah ee D-dimer, waxay noqon kartaa inaad leedahay cillad xinjirowga. Laakiin ma muujin karto meesha xinjirowgu ku yaal ama nooca cilladda xinjirowga ee aad qabtid. Sidoo kale, heerarka 'D-dimer sare' had iyo jeer ma keenaan dhibaatooyinka xinjirowga. Xaaladaha kale ee sababi kara heerarka 'D-dimer sare' waxaa ka mid ah uurka, cudurada wadnaha, iyo qalliin dhowaan la sameeyay. Haddii natiijooyinkaaga 'D-dimer' aysan caadi ahayn, bixiyahaada ayaa laga yaabaa inuu dalbado baaritaanno dheeri ah si loo ogaado cudurka.

Haddii aad su'aalo ka qabtid natiijooyinkaaga, la hadal daryeel caafimaad bixiyahaaga.

Wax badan ka baro baaritaanka shaybaarka, kala duwanaanshaha tixraaca, iyo fahamka natiijooyinka.

Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado baaritaanka 'D-dimer'?

Haddii natiijooyinka baaritaankaaga 'D-dimer' aysan caadi ahayn, adeeg bixiyahaagu wuxuu dalban karaa hal ama in kabadan baaritaannada sawirka si loo ogaado haddii aad qabto cillad xinjirowga. Kuwaas waxaa ka mid ah:

• Ultrasoundka 'Doppler', Imtixaan isticmaala mowjado dhawaaq si loo abuuro sawirrada xididdadaada.
• CT angiography. Baaritaankaan, waxaa lagugu duraa dheeh qaas ah oo ka caawiya xididdada dhiiggaaga inay ku soo baxaan nooc gaar ah oo mashiinka raajada ah.
• Skaanka-hawo-qaadashada (V / Q). Kuwani waa laba imtixaan oo si gooni gooni ah ama wadajir ah loo samayn karo. Labadooduba waxay isticmaalaan qadar yar oo walxo shucaac ah si ay uga caawiyaan mashiinka iskaanka inuu arko sida wanaagsan ee hawada iyo dhiiggu ugu dhex wareegaan sanbabadaada.

Tixraacyo

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Macluumaadka ku yaal boggan waa in aan loo isticmaalin beddel daryeel caafimaad oo xirfad leh ama talo. La xiriir bixiye daryeel caafimaad haddii aad su'aalo ka qabtid caafimaadkaaga.