T-Dimer Tofotofoga

Anotusi

• O le a le suʻega D-dimer?
• O le a le mea e faʻaaoga ai?
• Aisea ou te manaʻomia ai se suʻega D-dimer?
• O le a le mea e tupu i le taimi o le D-dimer test?
• Mata e tatau ona ou faia se mea e sauniuni ai mo le suʻega?
• E i ai ni lamatiaga i le D-dimer tofotofoga?
• O le a le uiga o faʻaiuga?
• E i ai seisi mea e tatau ona ou iloa e uiga i le D-dimer suʻega?
• Faʻamatalaga

O le a le suʻega D-dimer?

O le D-dimer tofotofoga vaʻai mo D-dimer i le toto. D-dimer o se polotini vaega (laʻititi fasi) lena na faia pe a faʻamaligiina se toto i lou tino.

O le tuiina o le toto o se mea taua e puipuia ai oe mai le soʻona tele o le toto pe a e manua. E masani lava, o lou tino o le a faʻavaivaia le ofu pe a maeʻa lou manuʻa. Faʻatasi ai ma se faʻamaʻi toto, e mafai ona tupu ai ni toʻotoʻo peʻa leai sau manuʻa manino pe e te leiloa pe a latou tatau ai. O nei tulaga e mafai ona ogaoga ma e lamatia ai foi le ola. E mafai ona faʻaalia se suʻega D-dimer pe a fai e iai sau faʻamatalaga.

Isi igoa: fasi D-dimer, fibrin degradation fragment

O le a le mea e faʻaaoga ai?

O se suʻega D-dimer e masani ona faʻaaoga e iloa ai pe o iai sau faʻamaʻi toto. O nei faʻalavelave e aofia ai:

• Trombosis o le uaua loloto (DVT), o le toto toto e loloto i totonu o le uaua. O nei toʻotoʻo e masani ona aʻafia ai vae pito i lalo, ae mafai foi ona tutupu i isi vaega o le tino.
• Pulmonary embolism (PE), poloka i se alatoto i totonu o mama. E masani ona tupu pe a gagau le toto i seisi itu ole tino ua gagau ma alu ile mama. O le DVT clots o se mafuaʻaga masani a le PE.
• Faʻalauteleina faʻamaʻi pipisi (DIC), o se tulaga e mafua ai ona tele faʻaputuga toto. E mafai ona fausia i le tino atoa, e mafua ai le faʻaleagaina o totoga ma isi faʻalavelave matuia. O le DIC e ono mafua mai i ni manuaga tuga poʻo ni ituaiga o faʻamaʻi poʻo le kanesa.
• Pa, poloka i le toto sapalai i le faiʻai.

Aisea ou te manaʻomia ai se suʻega D-dimer?

Oe ono manaʻomia lenei suʻega pe a fai oe iai faʻailoga o se faʻamaʻi toto, e pei o le deep vein thrombosis (DVT) poʻo le pulmonary embolism (PE).

Faʻailoga o le DVT aofia ai:

• Paʻu vae poʻo le agamalu
• Fula vae
• Mūmū poʻo mūmū laina i luga o vae

Faʻailoga o le PE aofia ai:

• Faʻalavelave manava
• Mama
• Tiga o le fatafata
• Ose fatu tata

O lenei faʻataʻitaʻiga e masani ona faia i totonu o se potu faʻafuaseʻi poʻo seisi nofoaga faʻafomaʻi. Afai e iai sau faʻailoga o le DVT ma e te le o i ai ile falemaʻi, valaʻau lau fomaʻi. A maua oe ile faʻamaʻi ole PE, vili le 911 pe vave saili se togafitiga faafomaʻi.

O le a le mea e tupu i le taimi o le D-dimer test?

O le polofesa mo le soifua maloloina o le a ave se toto faʻataʻitaʻiga mai se uaua i lou lima, faʻaaoga ai se tamaʻi nila. A maeʻa ona tuʻu i totonu le nila, o le a faʻaputuputuina se vaega laʻititi o le toto i totonu o se faʻamaoniga poʻo se ipu. Atonu e te lagonaina sina tiga pe a alu le nila i totonu pe fafo. Lenei masani ona alu ifo i lalo o le lima minute.

Mata e tatau ona ou faia se mea e sauniuni ai mo le suʻega?

E te le manaʻomia ni sauniuniga faʻapitoa mo se suʻega D-dimer.

E i ai ni lamatiaga i le D-dimer tofotofoga?

E laʻititi lava le aʻafia ile faia ole suʻega ile toto. E i ai sina tiga poʻo se tiga i le mea na tuu ai le nila, ae o le tele o faʻailoga e vave ona alu ese.

O le a le uiga o faʻaiuga?

Afai o au faʻaiuga faʻaalia maualalo pe masani ai D-dimer tulaga i le toto, o lona uiga oe ono leai se faʻamaʻi toto.

Afai o au faʻaiuga faʻaalia maualuga atu nai lo tulaga masani o le D-dimer, atonu o lona uiga o loʻo ia oe se faʻamaʻi fale. Ae le mafai faʻailoa mai le mea o loʻo tu ai le 'ofu pe o le a le ituaiga o faʻaletonu oe maua. Faʻapea foi, maualuga D-dimer tulaga e le o taimi uma e mafua mai i le faʻaputuputuina o faʻafitauli. O isi tulaga e mafai ona mafua ai le maualuga D-dimer tulaga aofia ai maitaga, fatu fatu, ma talu ai nei taotoga. Afai o lau D-dimer iʻuga e le masani ai, e ono faʻatonu e lau tautua le tele o suʻega e faia ai se faʻamaoniga.

A iai ni au fesili e uiga i au iʻuga, talanoa i lau fomaʻi.

Aʻoaʻo atili e uiga i suʻesuʻega falesuesue, vaitau o faʻasino, ma malamalamaaga i iʻuga

E i ai seisi mea e tatau ona ou iloa e uiga i le D-dimer suʻega?

Afai o lau D-dimer suʻega iʻuga e le masani ai, e ono faʻatonuina e lau tautua se tasi pe sili atu faʻataʻitaʻiga faʻataʻitaʻiga e iloa ai pe o iai sau faʻamaʻi fale. E aofia ai:

• Doppler ultrasound, o se suʻega e faʻaaogaina ai galu leo ​​e fausia ai ata o ou uaua.
• CT angiography. I le suʻega lea, e tuiina oe i se vali faʻapitoa e fesoasoani ai i ou alatoto e faʻaali i luga o le ituaiga masini x-ray faʻapitoa.
• Ventilation-perfusion (V / Q) faitau vave. Nei o ni suʻega se lua e mafai ona faia eseese pe faʻatasi foʻi. Latou te faʻaaogaina uma laʻititi ni vailaʻau o le leitio e fesoasoani ai i se masini suʻesuʻe ia iloa le lelei o le ea ma le toto e alu i totonu o ou mama.

Faʻamatalaga

1. American Heart Association [Initaneti]. Dallas (TX): American Heart Association Inc. c2020. Faʻailoga ma faʻamaoniga o Venous Thromboembolism (VTE); [taʻua 2020 Jan 8]; [pe tusa ma le 3 pupuni] Avanoa mai: https://www.heart.org/en/health-topics/venous-thromboembolism/symptoms-and-diagnosis-of-venous-thromboembolism-vte
2. American Society of Hematology [Initaneti]. Uosigitone D.C .: American Society of Hematology; c2020. Toto toto; [taʻua 2020 Jan 8]; [pe tusa ma le 3 pupuni] Avanoa mai: https://www.hematology.org/Patients/Clots
3. Clot Care Online Resource [Initaneti]. San Antonio (TX): ClotCare; c2000–2018. O le a le suʻega d-Dimer?; [taʻua 2020 Jan 8]; [tusa o le 4 pupuni] Avanoa mai: http://www.clotcare.com/faq_ddimertest.aspx
4. Lab Tofotofoga lugalaina [Initaneti]. Washington D.C .: American Association mo Vailaʻau Togafitiga; c2001–2020. D-dimer; [faʻafouina 2019 Nov 19; taʻua le 2020 Ian 8]; [pe a ma le 2 pupuni] Avanoa mai: https://labtestsonline.org/tests/d-dimer
5. Lab Tofotofoga lugalaina [Initaneti]. Washington D.C .: American Association mo Vailaʻau Togafitiga; c2001–2020. Taʻi; [faafou 2019 Nov 12; taʻua le 2020 Ian 8]; [pe a ma le 2 pupuni] Avanoa mai: https://labtestsonline.org/conditions/stroke
6. National Blood Clot Alliance [Initaneti]. Gaithersburg (MD): National Blood Clot Alliance; Faʻafefea ona faʻailoaina le DVT ?; [taʻua 2020 Jan 8]; [pe tusa ma le 3 pupuni] Avanoa mai: https://www.stoptheclot.org/learn_more/signs-and-symptoms-of-blood-clots/how_dvt_is_diagnosed
7. National Heart, Lung, and Blood Institute [Initaneti]. Bethesda (MD): U.S. Matagaluega o le Soifua Maloloina ma Tagata Auaunaga; Tofotofoga Toto; [taʻua 2020 Jan 8]; [pe tusa ma le 3 pupuni] Avanoa mai: https://www.nhlbi.nih.gov/health-topics/blood-tests
8. RadiologyInfo.org [Initaneti]. Radiological Society o Amerika i Matu, Inc. c2020. Toto toto; [taʻua 2020 Jan 8]; [pe tusa ma le 3 pupuni] Avanoa mai: https://www.radiologyinfo.org/en/info.cfm?pg=bloodclot
9. Schutte T, Thijs A, Smulders YM. Aua neʻi le amanaʻiaina maualuga maualuga D-dimer tulaga; e faʻapitoa mo maʻi tuga. Neth J Med [Initaneti]. 2016 Tesema [taʻua 2020 Jan 8]; 74 (10): 443-448. Avanoa mai: https://www.ncbi.nlm.nih.gov/pubmed/27966438
10. Iunivesite o Rochester Medical Center [Initaneti]. Rochester (NY): Iunivesite o Rochester Medical Center; c2020. Soifua Maloloina Encyclopedia: Compute Tomography Angiography; [taʻua 2020 Jan 8]; [pe a ma le 2 pupuni] Avanoa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=135&contentid=15
11. Iunivesite o Rochester Medical Center [Initaneti]. Rochester (NY): Iunivesite o Rochester Medical Center; c2020. Soifua Maloloina Encyclopedia: D-Dimer; [taʻua 2020 Jan 8]; [pe a ma le 2 pupuni] Avanoa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=d_dimer
12. UF Soifua Maloloina: Iunivesite o Florida Soifua Maloloina [Initaneti]. Gainesville (FL): Iunivesite o Florida Soifua Maloloina; c2020. D-dimer tofotofoga: Vaaiga aoao; [faafou 2020 Ian 8; taʻua le 2020 Ian 8]; [pe a ma le 2 pupuni] Avanoa mai: https://ufhealth.org/d-dimer-test
13. UF Soifua Maloloina: Iunivesite o Florida Soifua Maloloina [Initaneti]. Gainesville (FL): Iunivesite o Florida Soifua Maloloina; c2020. Pulmonary embolus: Vaaiga aoao; [faafou 2020 Ian 8; taʻua le 2020 Ian 8]; [pe a ma le 2 pupuni] Avanoa mai: https://ufhealth.org/pulmonary-embolus
14. UF Soifua Maloloina: Iunivesite o Florida Soifua Maloloina [Initaneti]. Gainesville (FL): Iunivesite o Florida Soifua Maloloina; c2020. Faʻamamaina ea [faafou 2020 Ian 8; taʻua le 2020 Ian 8]; [pe a ma le 2 pupuni] Avanoa mai: https://ufhealth.org/pulmonary-ventilationperfusion-scan
15. UW Soifua Maloloina [Initaneti]. Madison (WI): Iunivesite o Wisconsin Falemai ma Falemai Pulega; c2020. D-Dimer: Iʻuga; [faafou 2019 Aperila 9; taʻua le 2020 Ian 8]; [pe a ma le 8 pupuni] Avanoa mai: https://www.uwhealth.org/health/topic/medicaltest/d-dimer-test/abn2838.html#abn2845
16. UW Soifua Maloloina [Initaneti]. Madison (WI): Iunivesite o Wisconsin Falemai ma Falemai Pulega; c2020. D-Dimer: Vaaiga Aoao Aotelega; [faafou 2019 Aperila 9; taʻua le 2020 Ian 8]; [pe a ma le 2 pupuni] Avanoa mai: https://www.uwhealth.org/health/topic/medicaltest/d-dimer-test/abn2838.html#abn2839
17. UW Soifua Maloloina [Initaneti]. Madison (WI): Iunivesite o Wisconsin Falemai ma Falemai Pulega; c2020. D-Dimer: Aisea E Faia Ai; [faafou 2019 Aperila 9; taʻua le 2020 Ian 8]; [pe tusa ma le 3 pupuni] Avanoa mai: https://www.uwhealth.org/health/topic/medicaltest/d-dimer-test/abn2838.html#abn2840

O faʻamatalaga i luga o lenei 'upega tafaʻilagi e le tatau ona faʻaaogaina e fai ma sui o fomaʻi faʻapitoa togafitiga poʻo fautuaga. Faʻafesoʻotaʻi le au tausi soifua pe a iai ni au fesili e uiga i lou soifua maloloina.