Ingqwalasela ekhethekileyo ihlawulwa kwi-index ye-D-dimer ngexesha lokukhulelwa, rhoqo, ngeveki, ngokuthelekisa nomgangatho wayo kwigazi. Khawuqwalasele lo mmakishi ngokubanzi, kwaye uzame ukuchaza ngokucacileyo ukuba kufuneka utshintshe njani ngexesha lokuthwala umntwana.
Imigangatho ye-D-dimer ye-trimester yokukhulelwa
Okokuqala, ndingathanda ukuphawula ukuba lo mmakishi ngokwakhe akakwazi ukubonisa uphuhliso lwaluphi na ukuphulwa. Ngaloo ndlela, utshintsho kwixinzelelo kwigazi leziqwenga ze-fibrin fibers kuphela lunokuthathwa njengophawu. Yingakho oogqirha besoloko befumana isiphumo sokuhlalutya kweD-dimer ekukhulelweni, okungahambisani nesiqhelo, ukutyumba izifundo ezongezelelweyo. Ngenxa yoko, umfazi okhulelweyo akumele akwazi ukuchazela umphumo ngokwakhe, tk. inokuxhomekeka kwiimeko ezininzi (uhlobo luni lokukhulelwa kwi-akhawunti, esinye isiqhamo okanye ezininzi, njl.).
Ukuba sithetha ngokuqhelekileyo kwe-D-dimer ekukhulelweni, ingxubusho yayo iboniswe ng / ml, okokuqala oko kufuneka kuthiwe ngeli xesha kukho ukwanda kwoluphawu. Oku kuhambelana ngqo nelokuba ukuqala kwenkqubo yokuthotyelwa komzimba, ukusetyenziswa kwenkqubo yokucima i-body clotting kwenzeka kumzimba wowesifazane - ngoko, uxwayisa malunga nokuphuma kwamanzi kwangaphakathi.
Sekuqaleni kweiveki zokuqala zokuzala umntwana, ukuxinwa kweD-dimer egazini lomfazi okhulelweyo uyanda. Kule meko, kukholelwa ukuba kwi-trimester yokuqala, ingqwalaselo yayo ikhuliswa ngumlinganiselo we-1.5. Ngoko, ekuqaleni kwenkqubo yokuzala umntwana, akayi ngaphantsi kwama-500 ng / ml, kwaye ekupheleni kwekota yokuqala-750.
Kwi-trimester yesibini yokukhulelwa, esi sibonakaliso siyaqhubeka sikhula. Ekupheleni kweli xesha, i-concentration ye-900 ng / ml. Nangona kunjalo, inokudlula ngaphezu kwe-1000 ng / ml.
Kwi-trimester yesithathu yokukhulelwa ngaphandle kokuphulwa, kwinqanaba, ukuxinwa kweD-dimer egazini kufinyelela ku-1500 ng / ml. Ngaloo ndlela, njengoko kulula ukubala, iqondo le nkunkuma egazini liphantse liphindwe kathathu ngaphezu komfanekiso owawubonwa ekuqaleni kokukhulelwa.
Uvavanyo luyenziwe njani?
Njengoko kuchazwe ngasentla, esi sibonakaliso asivumeli ukuba sihlole imeko ngokufanelekileyo, kwaye kwiimeko ezininzi zisetyenziswe njengesifundo esongezelelweyo kwi- coagulogram.
Le nto yinto yokuba nganye yimizimba yodwa kwaye iinkqubo zayo ze-biochemical zenzeka kwiirhafu ezahlukeneyo. Kungenxa yoko iinkqubo ezingentla zeD-dimer zixhomekeke kwaye zinokudlulela kwimida esekelwe.
Ukongezelela, ukuvavanya iisalathisi, oogqirha bahlala beqwalasela inkqubo ye-gestation process, ubukho bembali yezifo zesifo segazi. Ngokomzekelo, kwimeko yokukhulelwa kwamawele, inqanaba likaD-dimer alihambelani nesiqhelo, kwaye lukhulu kakhulu. Inkcazo yale nzeka ingasebenza njengenguqu kwi-hormonal system yomzimba.
Ngaloo ndlela, njengoko kubonakala kwinqaku, umakishi onjengeD-dimer isetyenziswe njengesifundo esongezelelweyo. Xa uvavanya iziphumo, umntu akakwazi ukuthelekisa ukugxininiswa kwimiqathango ebekiwe, ingqalelo ingqalelo iimpawu zokukhulelwa.