Pofuna kuyang'anitsitsa chikhalidwe cha mkazi, madokotala amapereka mayeso angapo mwezi uliwonse - maphunziro ena amapangidwa kamodzi kokha, ena amalinganiza kuti apereke mwezi uliwonse. Chimodzi mwa maphunziro amenewa ndi kuyesa magazi kwa D-Dimer pa mimba, zomwe zimathandiza kudziwa momwe zilili ndikudziwika kuti palipo kapena kupezeka kwa magazi kuti athetse mitsempha, ndipo chifukwa chake, kutseka mitsempha. Ndi zotsatira zovuta, dokotala samaphatikizapo kupweteka. Ngati zotsatirazo ndi zabwino, maphunziro ena akuchitidwa kuti apeze chifukwa chotheka. Kuti mupeze nthawi yeniyeni yothandizira ndi kupewa thromboembolism ndi DIC (syndrome ya vascular coagulation), m'pofunika kuyesa D-dimer mkazi aliyense pa nthawi ya mimba.
D-dimer ndi chiyani?
Amayi ambiri samadziwa kumene D-dimer amachokera kapena chomwe chiri. Madokotala akulongosola: pofuna kupewa matendawa ngati maonekedwe a thrombosis, matenda a impso, shuga ndi mapuloteni a pulmonary, m'pofunika kufufuza momwe mlingo wa D-dimer ulili pa mimba.
Pogwiritsa ntchito mankhwalawa, timapanga timadzi timene timatulutsa timadzi timene timatulutsa m'madzi. Pamene fibrin imatsekedwa, D-dimers amapangidwa ndi amayi apakati. Kufufuza kwa D-dimer mukutenga nthawi zonse kumagwiritsidwa ntchito kuphunzira coagulogram, popeza imapangika m'thupi pokhapokha ngati chiyambi cha njira ziwirizi zimayambira.
D-Dimer pa mimba ndi mapuloteni omwe amapanga pakutha kwa magazi omwe amapezeka pamene magazi atsekedwa. Izi zidutswa za fibrin cleavage, malinga ndi zotsatira za kuyesedwa kwa magazi, zingathe kudziwa kuti pangakhale chiopsezo cha thrombosis. Nthawi ya moyo wa D-dimers si oposa 6 hours.
Kufufuza kwa D-dimer pa mimba
Kuzindikira kwa miyeso ya D-dimer pakukonzekera mimba ndikofunikira kwambiri, popeza kupatuka kwachilendo ndi koopsa kwa amayi oyembekezera ndi fetus ndipo wadzala ndi matenda monga preeclampsia ndi gestosis . Ngati chizindikiro chake m'magazi a mayi wam'tsogolo chiwonjezeka - zikutanthauza kuti magazi ndi ofiira, ndipo akhoza kupanga tizilombo toyambitsa matenda, kutseka ma capillaries, zomwe zimachititsa kuti magazi asagwidwe m'mimba. Poyamba kusokonekera kumapezeka, zidzakhala zosavuta kupeŵa mavuto.
Immunoturbidimetry ndi njira yobweretsera D-dimer. Kuti mukonzekere bwino phunziroli muyenera:
- Musamadye chakudya chambiri maola 24 musanayese;
- Kulepheretsa maganizo ndi thupi kupitirira theka la ora musanayambe kusanthula;
- Musasute musanapereke magazi kwa mphindi 30.
D-dimer - ndi chiani nthawi yomwe ali ndi pakati?
Chizoloŵezi cha chiwerengero cha D-dimer mu magazi pamene ali ndi mimba sichiyenera kukhala chapamwamba kuposa 248 ng / ml. Pa "malo okondweretsa" a mkazi, chizindikiro ichi chikhoza kuwonjezeka katatu kapena kanayi nthawi zonse. Mndandanda wapamwamba wa D-dimer pa mimba ndiloledwa. Ichi ndi chifukwa chakuti kusintha kwakukulu kumachitika mu hemostatic system chifukwa cha kusintha kwa thupi kwa njira yotsekemera.
Amakhulupirira kuti m'zaka zitatu zoyambirira, mlingo wa D-dimer umawonjezeka kawiri ndi theka, mu trimester yachiwiri, monga pa trimester lachitatu - katatu (osapitirira 1500 ng / ml), poyerekeza ndi msinkhu woyenera. Timawonetsera chiwerengero chachikulu, kotero ngati chiwerengero cha D-dimer (d-dimer) chili chochepa kapena chochepa poyembekezera, osadandaula.
D-Dimer pa IVF
Zindikirani kuti mankhwala omwe adayikidwa pa IVF amachititsa kukula kwa D-dimer pathupi. Choncho, m'pofunika kuti nthawi ya IVF iwonetseke kuti m'mimba mwa magazi a mayi wapakati.