{"id":9217,"date":"2020-04-23T03:31:39","date_gmt":"2020-04-23T00:31:39","guid":{"rendered":"https:\/\/www.synevo.ro\/product\/d-dimeri\/"},"modified":"2026-02-18T23:55:45","modified_gmt":"2026-02-18T21:55:45","slug":"d-dimeri","status":"publish","type":"product","link":"https:\/\/old.synevo.md\/ru\/shop\/d-dimeri\/","title":{"rendered":"\u0414-\u0434\u0438\u043c\u0435\u0440\u044b"},"content":{"rendered":"<p><span style=\"font-size: medium;\"><strong><em>Informatii generale si recomandari<\/em><\/strong><\/span><\/p>\n<p><span style=\"font-size: medium;\">In cursul procesului de degradare a cheagului de fibrina sub influenta plasminei sunt generate fragmente ce contin D-dimeri. D-dimerii sunt astfel considerati un marker al starii de hipercoagulabilitate si al fibrinolizei endogene, niveluri crescute fiind inregistrate la pacientii afectati de tromboze<sup>1;4<\/sup>.<\/span><\/p>\n<p><span style=\"font-size: medium;\">D-dimerii sunt mai specifici pentru fibrinoliza decat produsii de degradare ai fibrinei care detecteaza de asemenea si produsii proteolizei directe a fibronogenului (fibrinogenoliza)<sup>4<\/sup>.<\/span><\/p>\n<ul>\n<li><span style=\"font-size: medium;\">testul are valoare predictiva negativa pentru <strong>tromboza venoasa profunda a<\/strong> <strong>membrelor inferioare si tromboembolismul pulmonar<\/strong> in sensul ca obtinerea unui rezultat negativ la pacientii suspectati de aceste afectiuni exclude prezenta acestora intr-un procent de &gt;90%. La pacientii din ambulator acest test constituie un instrument suplimentar, inclus in majoritatea algoritmelor, pentru excluderea\u00a0 diagnosticului de tromboza venoasa profunda. O mentiune speciala trebuie facuta cu privire la utilitatea marker-lui in timpul sarcinii. Nivelurile plasmatice ale D-dimerilor cresc progresiv in cursul sarcinii si au o valoare predictiva slaba in excluderea diagnosticului de tromboza venoasa profunda dupa 20 saptamani de gestatie. In cursul travaliului D-dimerii cresc de obicei foarte mult, dupa care scad rapid la 3 zile post-partum si revin lent la valorile normale dupa aproximativ 4 saptamani. Incepand din acest moment testul isi recapata utilitatea sa<sup>5<\/sup>.<\/span><\/li>\n<li><span style=\"font-size: medium;\">D-dimerii pot avea de asemenea <strong>valoare predictiv<\/strong><strong>a asupra riscului de recurenta a trombozei<\/strong> la pacientii cu un episod de tromboza venoasa profunda neprovocata in antecedente si fara defecte trombofilice majore; in conformitate cu algoritmul dezvoltat\u00a0 recent \u201eVienna Prediction Model\u201d, sexul pacientului, localizarea initiala a trombozei si nivelul D-dimerilor sunt luati in calcul pentru stratificarea pacientilor in functie de riscul scazut sau crescut de tromboza; astfel, persoanele de sex feminin, cu tromboza venoasa profunda localizata la nivelul gambei si nivelurile reduse de D-dimeri (masurate la scurt timp dupa intreruperea tratamentului anticoagulant) au risc scazut de recurenta a trombozei si nu prezinta indicatie de tratament anticoagulant de lunga durata; dimpotriva, sexul masculin, tromboza venoasa proximala si nivelurile crescute de D-dimeri se asociaza cu un risc crescut de recurenta a trombozei<sup>6<\/sup>.<\/span><\/li>\n<li><span style=\"font-size: medium;\">D-dimerii constituie un marker sensibil pentru <strong>coagularea intravasculara diseminata (CID),<\/strong> fiind recomandati pentru confirmarea\/ infirmarea unei suspiciuni de diagnostic, estimarea riscului potential la pacientii cu CID existent cat si pentru monitorizarea terapiei initiate<sup>3;4<\/sup>.<\/span><\/li>\n<li><span style=\"font-size: medium;\">testul poate fi util pentru <strong>monitorizarea gradului de liza a cheagului in cursul terapiei trombolitice<\/strong>;<\/span><\/li>\n<li><span style=\"font-size: medium;\">determinarea D-dimerilor reprezinta o analiza utila in investigarea pacientilor cu suspiciune de <strong>disectie acuta de aorta<\/strong><sup>3<\/sup>.<\/span><\/li>\n<li><span style=\"font-size: medium;\">o singura determinare de D-dimeri are o valoare predictiva importanta in ceea ce priveste supravietuirea in urmatorii 2 ani a pacientilor cu <strong>fibrilatie atriala<\/strong> <strong>cronica<\/strong>. Poate contribui de asemenea la alegerea unei terapii mai sustinute la pacientii cu niveluri initiale crescute de DD<sup>2<\/sup>.<\/span><\/li>\n<li><span style=\"font-size: medium;\">s-a constatat ca DD constituie un factor de risc independent pentru mortalitatea cardiovasculara ce poate fi folosit pentru stratificarea pe grupe de risc a pacientilor cu <strong>insuficienta cardiaca<\/strong><sup>2<\/sup>.<\/span><\/li>\n<li><span style=\"font-size: medium;\">D-dimerii impreuna cu alti factori trombotici pot constitui factori de risc potentiali pentru <strong>boala coronariana<\/strong><sup>2<\/sup>.<\/span><\/li>\n<li><span style=\"font-size: medium;\">DD au fost identificati de asemenea ca markeri pentru trombofilia subclinica fiind utili in investigarea pacientelor cu <strong>infertilitate primara sau secundara neexplicata si trombofilie<\/strong><sup>1;3<\/sup>.<strong>\u00a0<\/strong><\/span><\/li>\n<li><span style=\"font-size: medium;\">DD prezinta niveluri crescute la pacientele cu <strong>neoplasm mamar<\/strong> in concordanta cu stadiul tumorii, fiind utili in identificarea metastazelor ganglionare la pacientele cu neoplasm mamar operabil<sup>1;4<\/sup>.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-size: medium;\"><strong><em>Pregatire pacient<\/em><\/strong> <em>- <\/em>nu este necesara<sup>3<\/sup>.<\/span><\/p>\n<p><span style=\"font-size: medium;\"><strong><em>Specimen recoltat <\/em><\/strong>\u2013 sange venos<sup>3<\/sup>.<strong>\u00a0<\/strong><\/span><\/p>\n<p><span style=\"font-size: medium;\"><strong><em>Recipient de recoltare <\/em><\/strong><em>- <\/em>vacutainer cu citrat de Na 0.105 M (1\/9),capac bleu\/verde<sup>3<\/sup>.<\/span><\/p>\n<p><span style=\"font-size: medium;\"><strong><em>Cantitatea recoltata <\/em><\/strong>\u2013 cat permite vacuumul<sup>3<\/sup>.<\/span><\/p>\n<p><span style=\"font-size: medium;\"><strong><em>Cauze de respingere a probei<\/em><\/strong><\/span><\/p>\n<p style=\"padding-left: 30px;\"><span style=\"font-size: medium;\"><em>-<\/em>specimen hemolizat<\/span><\/p>\n<p style=\"padding-left: 30px;\"><span style=\"font-size: medium;\">-specimen coagulat<\/span><\/p>\n<p style=\"padding-left: 30px;\"><span style=\"font-size: medium;\">-vacutainer care nu este plin<\/span><\/p>\n<p style=\"padding-left: 30px;\"><span style=\"font-size: medium;\">-specimen care nu a sosit la laborator in maxim 4 ore de la recoltare<\/span><\/p>\n<p style=\"padding-left: 30px;\"><span style=\"font-size: medium;\">-specimen contaminat cu heparina<sup>3<\/sup>.<\/span><\/p>\n<p><span style=\"font-size: medium;\"><strong><em>Prelucrare necesara dupa recoltare<\/em><\/strong><\/span><\/p>\n<p><span style=\"font-size: medium;\">Se separa plasma prin centrifugare si se lucreaza imediat.\u00a0 Daca acest lucru nu este posibil, plasma se poate stoca la -20\u00b0C<sup>3<\/sup>.<\/span><\/p>\n<p><span style=\"font-size: medium;\"><strong><em>Stabilitate proba<\/em><\/strong> \u2013 plasma este stabila <em>8 ore<\/em> la 18-25\u00b0 C; <em>1 luna<\/em> la -20C<sup>4<\/sup>; se va evita decongelarea\/recongelarea<sup>3<\/sup>.<\/span><\/p>\n<p><span style=\"font-size: medium;\"><strong><em>Metoda <\/em><\/strong><em>- <\/em><span style=\"text-decoration: underline;\">latex-aglutinare automat<\/span><span style=\"text-decoration: underline;\">a cu detectie fotometrica <\/span>(test cantitativ)<sup>3<\/sup>.<strong><em>\u00a0<\/em><\/strong><\/span><\/p>\n<p><span style=\"font-size: medium;\"><strong><em>Valori de referinta <\/em><\/strong>\u2013 &lt;0.5 \u03bcg\/mL FEU<sup>3<\/sup>.<\/span><\/p>\n<p><span style=\"font-size: medium;\"><strong><em>Limita de detectie<\/em><\/strong> \u2013 0.27 \u03bcg\/mL FEU<sup>3<\/sup>.<\/span><\/p>\n<p><span style=\"font-size: medium;\"><strong><em>Interpretarea rezultatelor<\/em><\/strong><\/span><\/p>\n<p><span style=\"font-size: medium;\">Concentratiile de D-dimeri sunt exprimate in \u03bcg\/mL echivalenti de fibrinogen, fiind corelate cu cantitatea de fibrinogen folosita pentru prepararea D-dimer standardului. Cantitatea efectiva de D-dimeri este aproximativ 50% din aceasta valoare. Astfel:<\/span><\/p>\n<p><span style=\"font-size: medium;\">0.5 \u03bcg\/mL FEU=0.25 \u03bcg\/mL D-dimeri.<\/span><\/p>\n<p><span style=\"font-size: medium;\">Cresteri ale D-dimerilor sunt asociate cu: CID (fibrinoliza secundara); tromboze arteriale sau venoase; insuficienta renala sau hepatica; embolism pulmonar; preeclampsie; infarct miocardic; tumori; inflamatii; infectii severe; terapie cu activator tisular al plasminogenului<sup>1<\/sup>.<\/span><\/p>\n<p><span style=\"font-size: medium;\"><strong><em>Limite si interferente<\/em><\/strong><\/span><\/p>\n<p><span style=\"font-size: medium;\">Valori crescute de D-D pot fi intalnite in sarcina normala, terapia cu estrogeni, contraceptive orale, la persoane varstnice, dupa traumatisme si stres postoperator.<\/span><\/p>\n<p><span style=\"font-size: medium;\">Concentratia de D-D creste in paralel cu cresterea markerului CA-125 pentru cancerul ovarian<sup>1<\/sup>.<\/span><\/p>\n<p><span style=\"font-size: medium;\">Prezenta factorului reumatoid poate interfera cu determinarea DD si produce rezultate fals pozitive.<\/span><\/p>\n<p><span style=\"font-size: medium;\">Un nivel plasmatic al fibrinogenului&gt;900 mg\/dL poate conduce la o supraestimare a concentratiei de D-dimeri<sup>3<\/sup>.<\/span><\/p>\n<p><span style=\"font-size: small;\">\u00a0<\/span><\/p>\n<p><span style=\"font-size: small;\">\u0411\u0438\u0431\u043b\u0438\u043e\u0433\u0440\u0430\u0444\u0438\u044f<\/span><\/p>\n<p><span style=\"font-size: small;\">1. Frances Fischbach. Blood Studies; Hematology and Coagulation. In A Manual of Laboratory and Diagnostic Tests. Lippincott Williams &amp; Wilkins, USA, 8 ed. 2009, 173.<\/span><\/p>\n<p><span style=\"font-size: small;\">2. John Danesh et.al. Fibrin D-Dimer and Coronary Heart Disease. In Circulation, 2001; 103:2323.<\/span><\/p>\n<p><span style=\"font-size: small;\">3. Laborator Synevo. Referinte specifice tehnologiei de lucru utilizate 2010. Ref Type: Catalog<\/span><\/p>\n<p><span style=\"font-size: small;\">4. Laboratory Corporation of America.Directory of Services and Interpretive Guide. D-Dimer. www.labcorp.com 2010. Ref Type: Internet Communication<\/span><\/p>\n<p><span style=\"font-size: small;\">5. Richard Sadovski. D-Dimer Assays for Prediction of Venous Thrombosis. In American Family Physician, febr. 2005.<\/span><\/p>\n<p><span style=\"font-size: small;\">6. Sabine Eichinger, Georg Heinze, Lisanne M. Jandeck, Paul A. Kyrle. Risk Assessment of Recurrence in Patients With Unprovoked Deep Vein Thrombosis or Pulmonary Embolism, The Vienna Prediction Model. In Circulation, 2010; 121:1630-1636.<\/span><\/p>","protected":false},"excerpt":{"rendered":"<p>D-\u0434\u0438\u043c\u0435\u0440 \u2013 \u0431\u0435\u043b\u043a\u043e\u0432\u044b\u0439 \u0444\u0440\u0430\u0433\u043c\u0435\u043d\u0442, \u043a\u043e\u0442\u043e\u0440\u044b\u0439 \u043e\u0431\u0440\u0430\u0437\u0443\u0435\u0442\u0441\u044f \u0432 \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u0435 \u0440\u0430\u0441\u043f\u0430\u0434\u0430 \u043a\u0440\u043e\u0432\u044f\u043d\u043e\u0433\u043e \u0441\u0433\u0443\u0441\u0442\u043a\u0430. \u041f\u0440\u0438 \u043f\u043e\u0432\u0440\u0435\u0436\u0434\u0435\u043d\u0438\u0438 \u0441\u043e\u0441\u0443\u0434\u0430 \u0438\u043b\u0438 \u0442\u043a\u0430\u043d\u0438 \u0432 \u043e\u0440\u0433\u0430\u043d\u0438\u0437\u043c\u0435 \u0437\u0430\u043f\u0443\u0441\u043a\u0430\u0435\u0442\u0441\u044f \u043f\u0440\u043e\u0446\u0435\u0441\u0441 \u0441\u0432\u0435\u0440\u0442\u044b\u0432\u0430\u043d\u0438\u044f \u043a\u0440\u043e\u0432\u0438 \u2013 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