Today, medicine has stepped far forward. New drugs, new diagnostic methods and methods, new treatment approaches.
The discovery of modern diagnostic methods allows us to identify emerging diseases at earlier stages and to carry out their effective treatment.
Thrombosis of deep veins of the extremities (mainly lower), as well as complications of this disease, which are most often manifested by thromboembolism. The consequences of the latter are often fatal (with pulmonary embolism), thromboembolism of the arteries of the intestines or kidneys leads to a deterioration in the quality of life of the patient due to constant pain and the need for surgery. The effectiveness of the surgical intervention in this case is extremely low if the blood clots still continue to break away from the walls of the vessels.
This problem is most relevant for the elderly in the postoperative period, especially if surgery was performed on the pelvic organs.
The emergence of new indicators, such as D - dimer, allowed us to improve and optimize diagnostic procedures.
Dimer indicates the ability of human blood to thrombosis. So, when the dimer decreases, the activity of thrombosis decreases and the coagulation activity of the system weakens. An increase in the value of this indicator indicates enhanced fibrinolysis (which can be caused by the presence of hemorrhagic complications, rheumatoid factor, as well as various infections).
D - dimer is, first of all, an indicator that is the main one in the diagnosis of thrombosis of any etiology.
The analysis is carried out in the morning, on an empty stomach.
In the determination of such an indicator as D - dimer, first of all, people with coronary heart disease, impaired lipid metabolism, as well as people with hypertension need it.
It is relevant to prescribe test data to patients and without corresponding violations. So the analysis for D - dimer is performed in preparation for the operation, as well as for pregnant women. I would like to note that at the present stage, the old routine methods for determining thrombogenic activity have lost their diagnostic value. Today, clinicians all over the world use a new modern method for the diagnosis of thrombosis, which is not only inferior to the old ones in terms of informativeness, but also surpasses them in many ways.
D - dimer is formed during the cleavage of polymer-bound fibrin, the formation of which occurs under the action of thrombin. The duration of the dimer in the blood is about six hours, which is very convenient for diagnosing pathologies from the blood coagulation system.
D - dimer increased at values of more than five hundred nanograms of FEU / ml. In this case, the risk of developing thrombosis is extremely high and a complex of therapeutic measures is required to restore the normal state of the coagulation system.
This indicator is indispensable in the diagnosis of deep vein thrombosis of the extremities, embolism (thrombi) of various arteries (pulmonary, intestinal, renal and others).
In addition, based on the determination of the dimer level, this diagnostic method allows to detect various pregnancy complications (caused by changes in the rheological properties of the blood), as well as disseminated intravascular coagulation syndrome.
Thus, the emergence of new diagnostic methods not only simplified the latter and increased their information content, but also led to an increase in the detection of certain pathologies in the early stages. The latter led to an increase in the effectiveness of the therapy, as well as to the improvement of methods for the prevention of thrombotic complications (after surgery or pregnancy).