Kusamala kwakukulu kumaperekedwa kwa ndondomeko ya D-dimer pa nthawi ya mimba, nthawi zonse, mlungu uliwonse, poyerekeza ndi kachitidwe ka magazi. Ganizirani chilemba ichi mwatsatanetsatane, ndipo yesetsani kufotokozera mwatsatanetsatane momwe ziyenera kusintha pakubereka mwana.
D-dimer miyezo ya trimester ya mimba
Choyamba, ndikufuna kukumbukira kuti chizindikiro ichi palokha sichingasonyeze chitukuko cha kuphwanya kulikonse. Choncho, kusintha kwa magazi m'magawo a fibrin fibers kungangotengedwa ngati chizindikiro. Ndicho chifukwa madokotala nthawi zonse atalandira zotsatira za kufufuza D-dimer pa mimba, zomwe sizigwirizana ndi chizoloŵezi, amaika maphunziro ena. Chifukwa cha ichi, mayi woyembekezera sayenera kuyesa zotsatira zake yekha, tk. Zingadalire pazinthu zambiri (mtundu wa mimba mu akaunti, zipatso imodzi kapena zingapo, etc.).
Ngati tilankhula za chikhalidwe cha D-dimer panthawi yomwe ali ndi mimba, omwe amavomerezedwa ndi ng / ml, ndiye choyamba chiyenera kunenedwa kuti panthawiyi pali kuwonjezeka kwa chizindikiro ichi. Izi zikugwirizana kwambiri ndi kuti poyambitsa njira yothandizira, kutsegulira kwadongosolo kumachitika mu thupi la mkazi - motere, limachenjeza kuti sangathe kutuluka m'magazi.
Kuyambira pa masabata oyambirira a kubala mwana, chiwerengero cha D-dimer m'magazi a amayi oyembekezera chikuwonjezeka. Pachifukwa ichi, akukhulupirira kuti m'zaka zitatu zoyambirira, chiwerengero chake chikuwonjezeka ndi chiwerengero cha 1.5. Choncho, kumayambiriro kwa nthawi yobereka mwanayo, iye sali osachepera 500 ng / ml, ndipo pamapeto a 1 trimester - 750.
Mu trimester yachiwiri ya mimba, chizindikiro ichi chikupitiriza kukula. Pakutha pa nthawi ino, anthu amatha kufika 900 ng / ml. Komabe, imatha kupitirira 1000 ng / ml.
Mu gawo lachitatu la mimba ngati palibe kuphwanya, i.e. Mwachizolowezi, D-dimer m'magazi amafika 1500 ng / ml. Choncho, popeza n'zosavuta kuwerengera, msinkhu wa mankhwalawa m'magazi ndi oposa katatu kuposa chiwerengero chomwe chinawonedwa kumayambiriro kwa mimba.
Kodi kuyesa kwachitidwa bwanji?
Monga tafotokozera pamwambapa, chizindikiro ichi sichilola kuwona molondola mkhalidwewo, ndipo nthawi zambiri amagwiritsidwa ntchito monga phunziro lowonjezera mu coagulogram.
Chinthucho ndi chakuti thupi lirilonse liri lokha ndipo njira zake zamagetsi zimayambira pamitundu yosiyanasiyana. Ndicho chifukwa chake zida za D-dimer zomwe zili pamwambazi zimakhala zovomerezeka ndipo zingathe kupitirira malire.
Kuonjezerapo, kuyesa zizindikiro, madokotala nthawi zonse amaonetsetsa kuti njira yothetsera mimba imakhalapo, kukhalapo kwa mbiri ya matenda a magazi. Mwachitsanzo, pa nkhani ya mimba yamapasa, mlingo wa D-dimer sufanana ndi chizoloŵezi, ndipo umadutsa kwambiri. Kulongosola kwa chodabwitsa ichi kungakhale ngati kusintha kwa mahomoni a thupi.
Motero, monga momwe tikuonera m'nkhaniyi, chilemba monga D-dimer chimagwiritsidwa ntchito ngati phunziro lapadera. Poyesa zotsatira, munthu sangathe kuyerekezera zofunikira zake, osalingalira zomwe zimakhalapo mimba.