An kula da hankali sosai ga alƙallar D-dimer a yayin daukar ciki, kullum, a mako-mako, kwatanta da na al'ada a jini. Ka yi la'akari da wannan alamar ta ƙarin bayani, kuma ka yi ƙoƙarin bayyana cikakken yadda ya kamata ya canza a lokacin yarinyar.
D-dimer standards for trimester na ciki
Da farko, ina so in lura cewa wannan alamar ta kanta ba zai iya nuna ci gaba da duk wani cin zarafin ba. Sabili da haka, canji a cikin ƙaddamarwa a cikin jinin ƙwayoyin fibrin za a iya la'akari da shi azaman alamar. Wannan shine dalilin da ya sa likitoci ko da yaushe bayan sun karbi sakamakon bincike na D-dimer a cikin ciki, wanda bai dace da al'ada ba, sanya wasu binciken. Idan aka ba wannan hujja, mace mai ciki ba za a gwada shi ba don ya yanke sakamakon ta kanta, tk. yana iya dogara da dalilai da yawa (irin nau'in ciki a cikin asusu, ɗayan 'ya'yan itace ko dama, da dai sauransu).
Idan mukayi magana game da al'ada na D-dimer a cikin ciki, wanda aka nuna a cikin m / ml, to farko dole ne a ce a wannan lokacin akwai karuwa a wannan alamar. Wannan yana da alaƙa da alaka da gaskiyar cewa tare da farawar aiwatarwar gestation, kunna tsarin clotting yana faruwa cikin jikin mace - don haka, yayi gargadi akan yiwuwar zub da jini na ciki.
Tuni daga farkon makonni na haihuwa, jaririn D-dimer a cikin jinin mace mai ciki tana karuwa. A wannan yanayin, an yi imanin cewa a farkon farkon watanni, ƙaddamarwa tana ƙaruwa da kashi 1.5. Sabili da haka, a farkon tsari na haihuwar jariri, bai kasance kasa da 500 ng / ml, kuma bayan ƙarshen farkon watanni uku - 750.
A cikin shekaru biyu na ciki, wannan alamar ta ci gaba da girma. A ƙarshen wannan lokacin, maida hankali ya kai 900 ng / ml. Duk da haka, zai iya sau da yawa wuce 1000 ng / ml.
A cikin uku trimester na ciki a cikin rashin hakkoki, i.e. a cikin al'ada, maida hankali akan D-dimer cikin jini ya kai 1500 ng / ml. Saboda haka, kamar yadda sauƙi ne a lissafta, matakin wannan abu a cikin jini kusan kusan sau uku ne fiye da adadi wanda aka lura a farkon fara ciki.
Yaya aka yi kimantawa?
Kamar yadda aka ambata a sama, wannan alamar ba ta ƙyale yin nazarin halin da ake ciki ba, kuma a mafi yawancin lokuta ana amfani dashi a matsayin ƙarin binciken a cikin coagulogram.
Abinda yake shine cewa kowace kwayar halitta ce ta mutum kuma tsarin tafiyar da kwayoyin halittu yana faruwa a hanyoyi daban-daban. Wannan shine dalilin da ya sa ka'idodin D-dimer na sama ya dace kuma zai iya sau da yawa wuce iyaka.
Bugu da ƙari, tantance masu nuna alamun, likitoci suna kulawa da yadda ake gudanar da tsarin gestation, kasancewar tarihin cutar cututtukan jini. Alal misali, a cikin yanayin ciki na biyu, matakin D-dimer bai dace da na al'ada ba, kuma ya fi girma ya wuce . Ma'anar wannan sabon abu zai iya zama canji a tsarin tsarin kwayoyin halitta.
Saboda haka, kamar yadda za'a iya gani daga labarin, ana amfani da alamar tamkar D-dimer a matsayin ƙarin binciken. Idan aka tantance sakamakon, wanda ba zai iya kwatanta yawancinta zuwa ka'idoji ba, ba la'akari da halaye na ciki.