ka D-dimers mai ka hoʻohaʻahaʻa ʻana o ka fibrin, kahi pūmua e pili ana i ke koko koko.

I ka wā e hoʻopaʻa ai ke koko, no ka laʻana inā loaʻa kahi ʻeha, hoʻopili kekahi o kona mau mea iā lākou iho i kekahi i kekahi, ʻoiai me ke kōkua o ka fibrin.

Ke lawa ʻole ke koko koko, hiki ke hoʻokahe koko ʻole (nā hemorrhages). ʻO ka mea ʻē aʻe, ke hoʻonui ʻia, hiki ke pili me ka hoʻokumu ʻana o koko clots hiki ke loaʻa nā hopena pōʻino (deep vein thrombosis, pulmonary embolism). I kēia hihia, ua hoʻokomo ʻia kahi mīkini pale e hoʻohaʻahaʻa i ka fibrin keu a hoʻemi i nā ʻāpana, ʻo kekahi o lākou he D-dimer. No laila hiki i ko lākou hele ʻana ke hōʻike i ka hoʻokumu ʻana o kahi koko koko.

Na ke kauka e kuhikuhi i kahi ho'āʻo D-dimer inā kānalua ʻo ia i ka loaʻa ʻana o ke koko koko. Hiki i kēia mau mea ke hana i nā pilikia koʻikoʻi, e like me:

• a thrombosis uaua vein (i kapaʻia hoʻi phlebitis hohonu, ka hopena ma muli o ka hoʻokumu ʻia ʻana o kahi clot i loko o ka pūnaewele venous o nā lālā haʻahaʻa)

• pulmonary embolism (ke alo o kahi clot me ka ʻole o ke aʻa pulmonary)

• ai ole ia, he hahauʻana

Lawe ʻia ke ʻano o D-dimers e kahi laʻana koko venous, maʻamau e lawe ʻia ma ke kiʻekiʻe o ka pā o ka kuʻekuʻe. ʻIke pinepine ʻia lākou e nā ʻano immunological (hoʻohana ʻana i nā antibodies).

ʻAʻole pono ka hoʻomākaukau kūikawā.

ʻO ka nui o ka D-dimer i loko o ke koko ma lalo o 500 µg / l (micrograms no ka lita).

Loaʻa i ka D-dimer assay kahi waiwai wānana maikaʻi ʻole kiʻekiʻe. I nā huaʻōlelo ʻē aʻe, hiki i kahi hopena maʻamau ke kāpae ʻia o ka ʻike o ka thrombosis vein hohonu a me ka pulmonary embolism. Ma kekahiʻaoʻao, ināʻikeʻia he kiʻekiʻe ke kiʻekiʻe o D-dimer, aia ka manaʻo kānalua no ka loaʻaʻana o kahi clot e hōʻike ana i kahi thrombosis vein hohonu a iʻole ka pulmonary embolism. Pono e hōʻoia ʻia kēia hopena e nā hoʻokolohua ʻē aʻe (e pili ana i ke kiʻi kiʻi): no laila pono e unuhi ʻia ka loiloi me ka akahele.

Aia kekahi mau hihia o ka piʻi ʻana o ke kiʻekiʻe o D-dimer pili ʻole i ka hiki ʻana o ka thrombosis vein hohonu a me ka embolism pulmonary. E haʻi kākou:

• hāpai keiki

• ake mai

• lilo ke koko

• ka hoʻihoʻi ʻana o kahi hematoma,
• ʻoki kino hou

• ʻO ka maʻi ʻeha (e like me ka rheumatoid arthritis)

• a i ʻole ka ʻelemakule (ma luna o 80)

E hoʻomaopopo i ka hoʻoholo ʻana o D-dimers he kaʻina hana hou loa ia (mai ka hopena o nā makahiki 90), a ʻo nā kūlana ke kumu o ka nīnau. No laila ma Farani, ua hoʻokumu ʻia ka pae ma lalo o 500 µg / l, akā ma ʻAmelika Hui Pū ʻIa ua hoʻohaʻahaʻa ʻia kēia paepae i 250 µg / l.