Hloov los ntawm lub cai "D-dimer" thaum lub sij hawm cev xeeb tub

Ib tug ntawm cov nyiam ua tshaj plaws cov txheej xwm nyob rau hauv lub neej ntawm tus poj niam yog cev xeeb tub. Nws yog tab tom nrhiav rau pem hauv ntej rau cov me nyuam yug ntawm tus me nyuam thiab nws ua txhua yam ua tau kom nws zoo nkaus li noj qab nyob zoo. Ib qho tseem ceeb ntsuas no yog qhov cov ntshav ntawm nws niam. Nyob rau hauv thiaj li tsis txhaws cov leeg, kws kho mob, ib tug loj tus naj npawb ntawm analyses. Ib qho ntawm feem ntau yog cov "D-dimer". Norma cev xeeb tub nws yeej ib txwm tsub kom. Cov no yog cov fibers ntawm fibrin, los ntawm cov uas nws tseem tau los mus txiav txim seb puas muaj ib tug uas yuav ntawm cov ntshav txhaws. Thaum nqa tus me nyuam mos ib tug ntau ntawm cov kev hloov mus rau nyob rau hauv lub hemostatic system. Physiological kom yog tshwj xeeb yog hnov lub sij hawm no.

RESPONSIBILITIES tsom xam rau cov poj niam

Cai "D-dimer" nyob rau hauv ib tug muab lub sij hawm yog tsis raws nraim paub. Peb yuav confidently hais tias lawv loj hlob tag nrho cov sij hawm. Heev zoo tau yuav ntxias heev txaus ntshai teeb meem. Nyob rau hauv xws li ib tug cov ntaub ntawv yog muab rau ib tug tshwj xeeb kev kho mob, thaum lub sij hawm uas tus neeg mob yuav tsum tau nyob rau hauv nruj kho mob saib xyuas. Nyob rau hauv cov poj niam uas muaj kev txawv txav uas cev xeeb tub, tshaj ntawm kev cai "D-dimer" tshwm sim ntau heev. Qhov no yuav ua rau miscarriage. Feem ntau, xws cov neeg mob yuav kho nrog kev pab los ntawm cov tshuaj. Lawv muab tso rau hauv lub tsev kho mob thiab muab kev tsim nyog kho mob. Nws feem ntau yog kav li ntawm ib lub lim tiam. Ib tug cev xeeb tub poj niam yuav tsum coj ib tug loj tus naj npawb ntawm kev ntsuam xyuas, nyob rau hauv lub sij hawm kom tsis txhob ib tug ua tau kev hem thawj rau lub noj qab haus huv ntawm tus me nyuam. Nws yuav tsum tau siv sij hawm ib tug ntshav kuaj ntau tshaj li kaum lub sij hawm. Ntawm kev tseem ceeb yog xav kom coagulation. Nws yog ib yam ntawm cov laboratory diagnostics, uas yog paub tus uas yuav muaj ntshav txhaws thiab los ntshav. A "D-dimer" yog nws cov ntsiab exponent. Yog vim li cas tus nqi yog li ntawd ib qho tseem ceeb.

Peb to taub nrog cov ntsiab lus

Thaum txog hlab ntsha phab ntsa yog puas, pib generating ib lub teeb liab uas ceeb toom hais tias cov tau los ntshav. Situated nyob rau hauv cov ntshav fibrinogen rau fibrin yog pib hloov. Qhov no daim ntawv yog insoluble. Nws pib kho rau lub puas cheeb tsam thiab ntaub ntawv ib daim phiaj. Nws tog erythrocytes thiab platelets uas tsim ib tug los khov rau ntawd. Yog li ntawd, yog ib tug ntshav los khov rau ntawd uas tsis los ntshav. Puas pib loj hlob, thiab cov ntshav los khov rau ntawd so li mus rau hauv nyias muaj nyias ib thooj. Yog li ntawd, yog "D-dimer". Tej cov poj niam feem ntau yog tsis ntau tshaj li 500ng / ml. Cov kws kho mob ntsuas qhov nqi mus kaws pathological dab nyob rau hauv tib neeg lub cev. Yog hais tias nws yog siab tshaj lub Performance index, nws pib hauv lub xeev no, uas yog nrog los ntawm thrombosis.

Mob ntawm cev xeeb tub cov poj niam

Thaum lub sij hawm hnub tus me nyuam estrogens cuam tshuam rau circulatory system ntawm lub neej yav tom ntej leej niam. Nws yuav kom meej meej pom thaum lub sij hawm ntau cov ntawv tshawb fawb. Yog li, muaj zog fibrinogen, prothrombin thiab "D-dimer". Cai IVF nws yog tib yam li cov pa fertilization. Thaum lub sij hawm lub sij hawm no lub sij hawm, ntshav yog heev zog. Yog li ntawd, cov poj niam yuav tsum tau ceev faj heev.

indications cai

Cov thawj peb lub hlis uas cev xeeb tub yog tsiag ntawv los ntawm qhov tseeb hais tias qhov no daim duab yog ib nyuag ntau zog. Cov kws kho mob ntseeg tau hais tias lub sij hawm no nws yuav tsum tsis muaj ntau tshaj li 750ng / ml. Feem ntau cov poj niam nws yog qhov chaw nyob rau hauv lub 1.5 lub sij hawm tsawg. Yus muaj los ntawm ib qho kev nce rau hauv "D-dimer" 2 peb lub hlis. Norma nws yog tseem loj hlob, tiam sis tsis ntau tshaj li 2 lub sij hawm. 3 peb lub hlis yog yus nyob rau hauv hais tias qhov no daim duab nce mus rau 3 lub sij hawm tus thawj. Tej kev pauv hloov li qub thiab tsis yuav tsum tau tas li saib xyuas thiab kho.

kom

Txawm hais tias txoj kev loj hlob ntawm no Performance index tus nqi yog hais tias yuav tsis pub dhau lub cev ntau, ib tug muaj zog surge tej zaum yuav qhia ib co teeb meem loj. Qhov no qhia tias lub chaw ua hauj lwm ntawm lub coagulation system yog tawg. Qhov no feem ntau yog tshwm sim nyob rau hauv cov neeg mob uas mob ntshav qab zib. Tsis tas li ntawd, feem ntau nws yog ib qho hais txog ntawm lub raum teeb meem, kis kab mob thiab lwm yam ailments. Cai "D-dimer" tej zaum yuav muab tau ntau zog yog hais tias muaj yog ib tug uas yuav ntawm placental abruption thaum ntxov. Tom qab tus foundations ntawm qhov teeb meem no yuav tsum tau sai li sai tau muab tso rau qhov kev tsim nyog kho mob. Nws tseem yog tsim nyog los ua tib zoo saib xyuas tus coagulation thiab sab laj ib tug hematologist. Ib tug cev xeeb tub poj niam yuav tsum kho nws heev tiag, raws li qhov teeb meem no tej zaum yuav txawm ua rau koj tsis ntawm tus me nyuam. Uas yog vim li cas nws yuav tsum tau ib qhov kev tswj ntawm tus kws kho mob. Zoo txhais tus neeg mob mus rau lub tsev kho mob yuav tsum tau kho "D-dimer" nrog anticoagulants. Rau lub hom phiaj no, siv txhaj tshuaj "Fraksiparin" uas yog nkag tau rau hauv lub plab mog los yog tus ncej puab subcutaneously rau 7 hnub. Tsis tas li ntawd muab cov tshuaj "Reopoliglikin". Nws yog tsim los siv intravenously ntawm droppers. Solutions "chimes" thiab "Actovegin" kuj pab los txhim kho cov ntshav khiav.

txo tau

Nws yog ib qho tseem ceeb yuav tau nco ntsoov hais tias tus nqi yog hauv qab no ib txwm "D-dimer" - ib tug heev yooj yim thiab tsis tshua muaj thaum lub sij hawm cev xeeb tub. Txawm li cas los, nyob rau hauv cov qauv nws yog heev yooj yim mus hais, vim hais tias tag nrho cov indicators pom tau hais tias tus kwv tij. Qhov no tshwm sim yog tsis yog li ntawd txaus ntshai raws li nws cov lus rov. Txawm li cas los, nws yog tsim nyog sau cia hais tias lub ua txhaum cai nyob rau hauv lub coagulation system yog tseem muaj. Tos niam no tseem tsim nyog rau qhov chaw nyob mus rau ib tug hematologist yuav tsum tau soj ntsuam thiab tsim kom muaj qhov yuav tsum tau rau kev kho mob. Yog hais tias tus nqi yog significantly txo, lub coagulation txheej txheem yog obviously ua txhaum. Nyob rau hauv cev xeeb tub cov poj niam, yog ib tug uas yuav ntawm ib tug loj tsis ntawm cov ntshav, uas muaj peev xwm txawm ua rau tuag.

Yog li, yog tsim nyog sau cia hais tias lub theem ntawm qhov tseem ceeb "D-dimer" yog qho tseem ceeb heev rau txhua tus tib neeg, thiab rau cev xeeb tub cov poj niam - nyob rau hauv particular. Tej yam nws variations yuav qhia tej loj ua txhaum uas yuav ua rau ntau yam kab mob. Nws yog pom tseeb hais tias tos niam yuav tsum tau tshwj xeeb tshaj attentive mus rau lawv tus kheej noj qab haus huv thaum lub sij hawm lub sij hawm no. Nws yuav tsum tau lub sij hawm mus coj tus tsim nyog kev ntsuam xyuas rau raws sij hawm teb mus rau lub slightest ua txhaum cai. Xws li ib tug cwj pwm yuav ua rau nws tau mus kho rau theem ntawm cov qhov taw qhia, thiab tsis txhob ua teeb meem loj.