Monga mukudziwa, panthawi ya mimba mu thupi la mkazi pali kusintha kwakukulu komwe kumakhudza ntchito pafupifupi ziwalo zonse ndi machitidwe. Magazi sali osiyana.
Pogwiritsa ntchito chiwerengero chachikulu cha estrogens m'magazi a mayi wapakati, homeostatic dongosolo nthawi zonse ili "mcheru". Mfundoyi ikuwonetsedwa mwachindunji pamaganizidwe: kuchuluka kwa fibrinogen m'magazi, prothrombin ndi antithrombin kumawonjezeka. Chifukwa chake, nthawi zambiri mkazi amalembedwa kuti azisanthula D-dimer kuti ayang'ane zomwe zimakhala bwino kapena pali zolakwika.
Kodi "D-dimer" ndi chiyani?
Kufufuza uku kumatithandiza kuzindikira momwe magazi aliri m'magazi a zinthu zotayirira za fibrinogen, zomwe zimagwira ntchito yotseka. I. mkulu D-dimer amasonyeza kuti thupi la mayi wapakati limakhala lopanda magazi.
Mu EU, njirayi imagwiritsidwa ntchito kuti isasokoneze kupezeka kwa thrombosis. Kotero, ngati zoyenera za phunziro lino zatsika kapena sizikhala zachilendo, ndiye kuti zikhoza kukhala 100% zoganiza kuti thrombosis si chifukwa cha chitukuko chakumangika kwadzidzidzi. Choncho, nthawi zambiri D-dimer imagwiritsidwa ntchito pokonzanso, pamene nthawi ndi yofunika kwambiri.
Kodi D-dimer ayesa bwanji?
Kufufuza uku sikuli kosiyana ndi kafukufuku wamagazi wochokera m'mitsempha. Musanayambe kutenga D-dimer, maola 12 musanaloledwe kudya, ndipo kusanthula kumachitika kokha m'mimba yopanda kanthu.
Magazi omwe amasonkhanitsidwa amayamba kufufuza bwino mankhwala pogwiritsa ntchito zizindikiro zapadera zomwe zimatsimikizira kupezeka kapena kupezeka kwa mankhwala opangidwa ndi fibrinogen. Kawirikawiri sizikutengera mphindi khumi ndi ziwiri kuti mutenge zotsatira, zomwe zimapangitsa kuti muyambe kufufuza kuti muwonetse mayesero.
Makhalidwe a D-dimer mwa anthu abwino
Kawirikawiri, chizoloŵezi cha D-dimer mwa amayi omwe alibe ana amasiyanasiyana pakati pa 400-500 ng / ml. Ndipo imakhala ikusintha nthawi zonse, ndipo imadalira gawo la msambo. Pakadutsa 500 ng / ml amalankhula za kukula kwa matenda.
Makhalidwe a D-dimer pa mimba
Chizoloŵezi cha D-dimer mwachindunji chimadalira nthawi ya mimba ndikusintha ndi kuyambira kwa trimester yotsatira. Choncho kawirikawiri m'miyezi itatu yoyamba chizindikiro ichi chikuwonjezeka ndi 1.5 nthawi ndipo chingatenge mtengo wofanana ndi 750 ng / ml. Powonjezerapo ndi kuwonjezeka kwa mawu, mtengowo umasintha ku mbali yaikulu.
Mu 2 trimester, ma values a D-Dimer akhoza kufika 1000 ng / ml, ndipo pamapeto pake - kuwonjezeka katatu poyerekeza ndi chizoloŵezi, - kufika 1500 ng / ml.
Ngati chikhalidwe cha D-dimer chiposa izi, ndiye amalankhula zowonjezereka kwa thrombosis.
Makhalidwe a D-dimer mu IVF
Nthaŵi zambiri, IVF imayendetsedwa ndi njira yowonongeka, zomwe zimabweretsa kuwonjezeka kwa estrogen m'magazi. Kuwonjezeka kwawo kungawononge chitukuko cha amai. Choncho, kuyesa magazi nthawi zonse kwa D-dimer, yomwe ili pambaliyi, ndiyofunika kwambiri.
Kawirikawiri, pambuyo pa IVF yopambana, mlingo wa D-dimer wochulukirapo umadziwika. Komabe, mfundo zake ndizofanana ndi zomwe zimayendera magazi a amayi omwe amakhala ndi mimba mwachibadwa.
Choncho, kufotokoza kwa D-dimer ndi njira yabwino kwambiri yofufuza kafukufuku, yomwe idzathetseratu chitukuko cha thrombosis, chomwe chimafuna chithandizo msanga ndipo nthawi zambiri chimatsogolera ku chitukuko cha zinthu zovuta. Choncho, amayi onse omwe ali ndi pakati ayenera kutengapo mbali izi, zomwe zimathandiza kuzindikira zolakwira m'magazi opukuta magazi .