D - dimers are fragments of fibrin fibers, by their level determine the risk of thrombus formation. The process occurs approximately as follows: the blood coagulates, thrombin produces a soluble fibrin in the plasma, it binds to the walls of the vessels, when the fibrin is cleaved, the products - D-dimers are formed. The period of life of the D-dimers is about 6 hours.
With the help of the analysis, the doctor evaluates the risk of thrombus formation and fibrinolysis (dissolution of intravascular thrombus and extravascular fibrin deposits) and for monitoring thrombolytic therapy. In addition, the analysis of D-dimer is also important for the study of a coagulogram, because it is formed in the blood only if both processes take place in the body.
When pregnancy, the level of D-Dimer increases significantly. This is due to the fact that significant changes occur in the system of hemostasis, because during physiological activation of the clotting system is noted. But the norms of D-dimer for pregnant women, unfortunately, are not established. However, it is said behind the scenes that in the first trimester it is physiologically increased one and a half times, in the second - in 2 times and in the third - in 3 times in comparison with the level before pregnancy.
If the indications are even higher, then they can be fraught with serious complications. A scrupulous medical observation is prescribed for a pregnant woman, since an increase in the value of D-dimer may indicate the development of gestosis, preeclampsia, kidney disease. All these diseases are characterized by tissue damage, extensive hematomas. A serious increase in D-dimer is typical for women who suffer from a pathological pregnancy. In these cases, miscarriage, premature detachment of the placenta is possible.
The most common method of treatment in cases of determining elevated levels of D-dimer is the prescription of medications. As a rule, a doctor puts a woman in a hospital and conducts a course of treatment. In most cases, put a dropper of Reopoliglyukin and injected Fraksiparin. So about a week. Fraksiparin is injected into the abdomen - near the navel: the drug promotes rapid resorption of blood. Reopoglyukin in the dropper drip about 40 minutes absolutely painless. Often Reopoliglyukin is combined with Actovegin intravenously.
The analysis for the level of D-dimer is carried out by taking blood fasting in vacuum tubes with sodium citrate.