Extracorporeal hemocorrection: kufotokoza ndondomeko, mbali ndi ndemanga

Magazi - magazi zamoyo chomwe plasma ndi zinthu anapanga. Ndi minofu connective, mitsempha ya magazi a m'thupi mothandizidwa ndi contractions rhythmic a minofu mtima. buku magazi zimadalira msinkhu ndi kugonana. Pali zingapo pathologies chopatsa kusintha zikuchokera madzimadzi kwachilengedwenso. Imodzi mwa njira nzeru za kukonzanso magawo thupi ndi extracorporeal hemocorrection.

Kodi mtundu wa ndondomeko?

njira zachokera kuipidwa njira zamakono za kuyeretsedwa magazi si mu thupi, koma kunja. Ziri kulankhula, mwazi wodwala adzatengedwa, ndi mwayeretsa ku muyeso wa tizilombo pathological, mankhwala mafuta kagayidwe kachakudya, poizoni, antigens ndi chitetezo, ndiyeno kachiwiri anabwerera mu thupi.

Extracorporeal magazi hemocorrection amalola kusintha magawo zotsatirazi:

• Kapangidwe ma;
• chiŵerengero cha electrolyte;
• chiwerengero cha nyumba mapuloteni;
• enzyme zikuchokera;
• magawo m'thupi.

Extracorporeal hemocorrection ikuchitika ndi galimoto la madzimadzi kwachilengedwenso ndi zinthu ake anapanga kapena plasma Kakhungu kokha kupyolera wapadera makope contours, ndi centrifuge, mtundu wa sorption.

njira History ndi magawo a chitukuko

Hemocorrection extracorporeal magazi, mtengo wa potsata njira ntchito, anapeza amachokera ku magazi m'mitsempha mwachizolowezi. Kale njira imeneyi ankaona ntchito anachita zotsatirazi:

• mpumulo wa vertigo;
• Kupha mutu;
• Kupha ziphe ndi zinthu zina poizoni;
• kuchotsa kanthu za wothandizila opatsirana;
• kuchepetsa kuthamanga;
• mpumulo mwa zizindikiro za malungo.

The chowaloleza zoterozo njira anali: dokotala yafupika magazi buku, chimene chinapangitsa kuchepetsa kuchepetsa kuthamanga ndi ndende ya wothandizila pathological. Koma ikufanana ndi kuchepa kwa chiwerengero cha zinthu anapanga ndi mapuloteni, kuti ali kungasokoneze alili, kuwonjezera ndondomeko mankhwala.

Zoyesayesa choyamba 'zosungira "maselo magazi ndi madzi a m'magazi n'kubwerera nawo anaonekera pa chiyambi cha m'ma XX, koma iwo anakhala bwino okha ndi 50 ntchentche. Woyamba olekanitsa maselo a magazi, kugwira ntchito mu mode yoyenda yokha wakhala okhala mu mochedwa 60 mu United States. Kuyambira nthawi yomwe inayamba gawo yogwira luso mu hemocorrection.

Features ndi kuopsa njira

Extracorporeal hemocorrection chifukwa cha mwazi wa wodwala kudzera wapadera distillation zida, amene wapangidwa ndi yaying'ono-Zosefera. zinthu winanso wa madzimadzi kwachilengedwenso ladzala, ndiwo mlingo osakwanira, koma thupi akuwafuna ntchito moyenera. minofu Connective ndi zobwezerezedwanso mu m'magazi a wodwala.

mpheto aliyense wa mthupi imakhudzana ndi mavuto ena. Magazi extracorporeal njira kudzudzulidwa ndi izi:

• zotheka kuipitsidwa matenda opatsirana (chiwindi, chindoko, kamene kamawononga chitetezo m'thupi);
• thupi lawo siligwirizana ndi zakudya zomanga thupi zinyalala kapena zinthu kupangidwa, amene amadera khungu kuyabwa, yafupika magazi, kupweteka kwa minofu, malungo, zotupa pa ming'oma;
• thrombosis ya mitsempha zazikulu;
• hemorrhagic matenda - kuchuluka magazi a nembanemba mucous ku maziko a kusintha mayunitsi hemostasis;
• mpweya embolism amapezeka ndi maziko a mpweya dongosolo galimoto, ndi zina mu mitsempha ya magazi a wodwalayo.

Zikuonetsa kuti ndondomeko

Extracorporeal hemocorrection, ndemanga imene umboni kwa dzuwa ndi mphamvu ya njira ali ndi zizindikiro zotsatirazi m'madera osiyanasiyana:

1. Cardiology: inatsekeratu matenda a mtima, matenda oopsa, atherosclerosis.
2. Rheumatology: antiphospholipid syndrome, vasculitis, nyamakazi, matendawa, periarteritis periarthritis, myositis.
3. Toxicology: ndi kuledzera chiyambi aliyense, uchidakwa, mankhwala osokoneza bongo, ndi radionuclide cheza kukhudzana.
4. Matenda achikazi: gestosis, Rhesus-nkhondo, matenda urogenital.
5. Endocrinology: shuga, matenda a chithokomiro.
6. Ubongo: angapo sclerosis, myasthenia gravis, matenda Parkinson.
7. Pakhungu: psoriasis, chikanga, atopic dermatitis.
8. Pulmonology: bronchial mphumu, chibayo, m'mapapo abscess.
9. Gastroenterology: dysbiosis, chiwindi kudwala.
10. Urology: glomerulonephritis, aakulu aimpso kulephera.

Review njira ntchito

njira zonse extracorporeal kudzudzulidwa magazi ndi makhalidwe awo, ubwino ndi kuipa, monga, ndithudi, njira iliyonse zachipatala.

Limfotsitaferez - mpheto, chomwe pochotsa lymphocytes cytotoxic kwa magazi, onyamula photopheresis ndi kutsegula ndi cytokines, interleukins. Mtengo wa utumiki ndi mkulu - kuchokera rubles 28 chikwi.

Plasmapheresis - njira ya extracorporeal kudzudzulidwa magazi, mtengo umene umasiyana rubles 3 12 chikwi. peculiarity ake lagona magazi kuchokera wodwala, kulekana kwa zinthu zinapangidwa plasma. zinthu zooneka adzabwezedwa kwa boma pachiyambi, ndi kuchotsedwa ku autoantibodies plasma, owayimira yotupa, poizoni ndi mankhwala kagayidwe kachakudya.

Hemosorption ndi njira kuyeretsa magazi ntchito sorbents. zinthu izi kuyamwa poizoni ndi ziphe. The sorbents akhoza kugwiritsidwa ntchito ngati adamulowetsa mpweya kapena ion kuwombola utomoni. Njira ntchito zinthu zotsatirazi:

• mankhwala poizoni (barbiturates, "elenium", "Noksiron");
• Kuledzela ziphe makampani mankhwala;
• kuvulala chiwindi;
• matenda zokhudza zonse ndi matenda dermatological (zokhudza zonse lupus erythematosus, psoriasis).

Mtengo wa ndondomeko - kuchokera rubles 4 ndi 12 zikwi.

Photopheresis - njira zochokera kukhudzana yaitali cheza ultraviolet zigawo zikuluzikulu magazi asanayambe reinfusion. Mtengo avareji utumiki - 35 zikwi rubles.

Immunoadsorption ndi kuchotsa chitetezo kapena antigens mwazi pa ndime ake kudzera immunoabsorbent lapansi. The ndende ya zinthu zinapangidwa magawo plasma kukhala sichinasinthe. Ntchito matenda aimpso, chifuwa cha magwero osiyanasiyana, autoimmune pathologies. njira izi zodziwika bwino mu zipatala ndi malo achilendo hemocorrection.

Krioaferez - extracorporeal hemocorrection, mtengo umene umasiyana rubles 6 mpaka 14 chikwi. mpheto sitiroko ofanana plasmapheresis. Kuyambira chilled centrifuged ndi plasma cryoprecipitate chikutha amene anyamula wina kuchuluka kwa kachilombo immunoglobulin, mabakiteriya, nkhungu.

Kugwa kusefera - njira zochokera ndime ya madzi a m'magazi kudzera Zosefera nembanemba. Lidzayeretsedwa wa madzimadzi thupi ku tizilombo toyambitsa matenda,, lipids, fibrinogen, immunoglobulin. Chifukwa cha zimenezi, madzi a m'magazi woyeretsedwa amagwanso mwini. Mtengo wa ndondomeko - mpaka 55 zikwi rubles.

contraindications

Extracorporeal hemocorrection angapo a contraindications. Kunyamula pamaso mtheradi wa magazi pa nthawi kapena zochitika za masabata angapo apitawa, pamaso pa matenda focal purulent mu thupi, ndi matupi awo sagwirizana anachita zigawo zikuluzikulu zimene zimagwiritsidwa ntchito pa ndondomeko.

Wachibale contraindications:

• decompensated matenda a mtima ndi magazi zotengera;
• otsika magazi;
• lochepa magazi m'thupi chaukali;
• hypoproteinemia;
• pachimake kutukusira kwa dongosolo venous;
• mowa kuledzera;
• matenda opatsirana mu gawo pachimake;
• mavuto a m'maganizo;
• kusamba;
• oyambirira gestation.

kukonzekera mtima

Magawo kuvomerezedwa ofunitsitsa ndi wamba matenda mayesero, magazi clotting, pamaso pa matenda (HIV, chindoko, matenda a chiwindi B).

Wodwala dziŵani ndi zizindikiro mgwilizano kuchita ndondomeko. maphunziro china chapadera m'thupi lake sichifunika. Ngati ndi kotheka, kudya zinthu zasayansi zolinga matenda pamaso pa mpheto za kufunika kusiya m'mawa chakudya.

Development wochita

Extracorporeal pakati kudzudzulidwa magazi - mankhwala matenda bungwe, zomwe akatswiri kuchita osati kuyeretsedwa magazi ndondomeko ndi mbali zake komanso zinthu zotsatirazi:

• kuchititsa zasayansi zoimbidwa diagnostics matenda;
• ntchito njira zosiyanasiyana, kuphatikizapo katemera T-selo;
• ndi tsiku ndi zipatala;
• Chinkhoswe mu chitukuko cha mapulogalamu mabuku chithandizo.

Ndi mabungwe awa apadera ndi ndondomeko kuyeretsedwa magazi. Wodwala singano ndi anaikapo mu mtsempha wa. Pa mpheto kwa wodwala kuonera TV, kumvetsera wailesi, kuwerenga buku kapena magazini, akulankhula pa foni. Iwo amalenga chikhalidwe cha mtendere ndiponso zosangalatsa.

Pambuyo mpheto ya tepi mmwamba dzanja lake, kotero kuti puncture malo si hematoma, wodwalayo akhalabe pansi kuonerera kwa maola 1-2. Ndiye iye akhoza kuchoka ku chipatala. Kutalika kwa ndondomeko ndi chiwerengero chofunika anatsimikiza ndi kupezeka katswiri polojekiti mfundo zasayansi pa nthawi.

Reviews

Malinga ndi ndemanga, njirayi n'kovuta koma zotsatira n'kosathandiza. Pochitika molumikizana mafupa nyamakazi. Umboni zotsatira zabwino ndi anthu matenda yotupa matumbo.

Pomaliza

Njira ya chiyeretso magazi ntchito nzeru zamakono, koma chifukwa cha kukwera mtengo kwa ena a iwo ntchito mu njira. M'mayiko kunja hemocorrection ndi ambiri ndi odziwika mpheto kuti amalola mwakale ndi kukhala mkulu mlingo wa ntchito.