Plasmapheresis - ndi ... kugwa plasmapheresis. Kakhungu plasmapheresis

Plasmapheresis - njira ya akuchotsa kufalitsa ya madzi a m'magazi. M'kupita kwa ndondomeko si kuchotsedwa maselo magazi, ndi madzi a m'magazi m'malo zakumwa krovozamenyayuschimi. Izi, pamodzi ndi madzi m'thupi kuchotsedwa zinthu zoipa (amkhalapakati a kutupa, mafuta m'thupi, lipids, endotoxins), magazi kukhuthala utachepa, kuchuluka mankhwala tilinazo, chitetezo chokwanira kudzudzulidwa amapezeka.

plasma ndi chiyani?

Amadziwika kuti magazi limapangidwa ndi maselo ofiira ndi oyera, maselo othandiza magazi kuundana (thrombocytes) ndi madzi amene zinthu deta alipo mu kuyimitsidwa selo. madzi ili ndi njira mapulotini electrolytes ndipo amatchedwa "plasma" (chithunzi m'nkhani).

Njira ya chiyeretso plasma

kuyeretsedwa madzi a m'magazi angathe kuchitidwa ndi mphamvu ya mphamvu yokoka kapena Zosefera wapadera. Mbali yoyamba, magazi anadutsa centrifuge akagwidwa ndi wachiwiri, porous Zosefera Kakhungu.

Mmalo mwa kupatutsa madzi a magazi ntchito Kakhungu plasmapheresis. M'kupita kwa ndondomeko, maselo magazi amachotsedwa ballast ndi poizoni. Kuti tichite zimenezi, madzi a m'magazi ndi otchezedwa kudzera Zosefera wapadera. Kakhungu plazmeferez - mokwanira ogwira njira kuchiza matendawo, amene zimasiyanasiyana chifukwa chilengedwe mkati mwa thupi la munthu. Mankhwala imeneyi alibe mphamvu.

matenda njirazi ndi izi:

• zoopsa;

• amayaka yaikulu;

• pachimake kutukusira kwa ziwalo;

• kuledzera;

• matenda akulu.

Mothandizidwa ndi chitetezo chokwanira Kakhungu plasmapheresis wabwinobwino, adamulowetsa maselo hematopoietic, Iyamba lipole, capillaries mu kayendedwe ka magazi ndi inapita patsogolo, mosavuta imfa yafupika kwambiri.

Pamene mwazi kuyeretsedwa ndi maselo mthupi kwathetsa zizindikiro za matenda autoimmune. Sambani mwazi wa mafuta owonjezera, akhoza ntchito kwa atherosclerosis. Kakhungu plasmapheresis kusintha ukupeza wodwalayo pambuyo cheza kapena mankhwala amphamvu mankhwala. kwambiri zinthu monga kumwa mankhwala osokoneza bongo, RH mkangano pakati, matenda urogenital, kuchira nthawi pambuyo chiwindi tizilombo. Plasmapheresis limakupatsani kuchepetsa mosavuta mavuto yachiwiri ya shuga.

Kugwa plasmapheresis - njira ya ayeretsedwe magazi, wopangidwa mu plasma chikudutsa mu fyuluta wapadera ndi pores laling'ono mokwanira. Pa ndondomeko, madzi a m'magazi imayeretsedwa mamolekyulu lalikulu la mafuta ndi mapuloteni. Yopangidwa njira anali mu 1980 asayansi Japanese. Lero chimagwiritsidwa ntchito zochizira atherosclerosis ndi zambiri lipids mu magazi, komanso kupewa pathologies monga sitiroko, aneurysm, sitiroko. Kutsimikiziridwa ubwino plasmapheresis kugwa mu zokhudza zonse lupus erythematosus, nyamakazi, matenda amene amatupitsa, anam'peza matenda a m'matumbo, myeloma angapo , ndi matenda ena ambiri.

Wodwala ndi mankhwala plazmeferez

Wodwala plasmapheresis - ndondomeko chomwe mu madzi ndi Akusonkhanitsa kuchokera mwiniwake (ie wathanzi anthu). zakuthupi Number magazi ndi mosamalitsa motsatira lamulo pogwiritsa. Kodi achoka magazi anthu chinaperekedwa kudzera zida yapadera, anapanga zinthu udzathiridwa kumbuyo, ndi madzi a m'magazi chifukwa chinaperekedwa ku kuteteza ndi ntchito kupanga mankhwala magazi kapena wotsatira magazi.

Pa chamankhwala pa nthawi kukonzedwa ndi magazi 30% wodwalayo. magawo ake kuchotsedwa thupi, anadutsa zida ndi anatsanulira kumbuyo mu mkhalidwe woyeretsedwa.

Zikuonetsa kuti ndondomeko

Madzi a m'magazi kuwombola si chithandizo, zomwe angathe kuchitidwa onse mu mzere. Izi optional wothandiza mankhwala njira, pamene mankhwala waukulu sapereka chifukwa ankafuna.

Kupatula pa matenda pamwamba, mankhwalawa plasmapheresis amasonyeza:

• uchidakwa;

• mankhwala osokoneza bongo;

• bronchial mphumu;

• Oncology;

• inatsekeratu matenda a mtima;

• angina;

• oopsa;

• thromboembolism;

• zilonda trophic pa mundawo m'mimba;

• matenda enaake;

• chiwindi kulephera;

• glomerulonephritis ndi matenda nephrotic ;

• oopsa refractory mankhwala;

• septic mantha mu purulent ndondomeko;

• dermatological matenda.

contraindications

contraindications mtheradi njirayi ndi mmatumbo chilonda ndi m'mimba pamodzi ndi magazi ndi clotting matenda.

Pakuti contraindications wachibale monga:

• zoopsa, anaphylactic mantha ndi zina;

• aakulu chiwindi matenda, ndi pachimake mawonekedwe a chiwindi opatsirana;

• Odwala zaka wamkulu kuposa 70, kuvutika kwa magazi m'thupi molumikizana ndi matenda a mtima;

• insufficiently aakulu zotumphukira venous maukonde.

chingachitike mbali

Kwenikweni, ndondomeko ndi bwino analekerera. migraine chikhalidwe angayambe kwambiri kawirikawiri kapena kunyansidwa wofatsa. Komabe ngati zimenezi zosasangalatsa ali okha mu nthawi yochepa.

Ndondomeko ndi loopsa kwambiri okha nkhani ya wosauka clotting magazi wodwalayo: magazi angayambe. Pamene processing magazi pofuna kuti anagubuduza ntchito anticoagulants. Pamene zoipa clotting zina zimenezi zingachititse wathunthu nesvorachivaniya magazi.

zida ntchito

Zipangizo zimene plasma ndi wosiyana (kumanja), ali m'manja ndipo n'kupuma. Chigawo choyamba cha plasmapheresis mpata kunyumba ngakhale wodwalayo. zipangizo zamakono kutenga gawo laling'ono la magazi ndi kuyeretsa iwo mmodzi ndi mmodzi. zida kunyamula yabwino chifukwa zikhoza anasamutsidwa ndi kuyamba mbali ya kama, popanda posamutsa kuti ndondomeko mu chipinda china.

Pambuyo okwana 40 ml ya magazi kudzipatula, magazi ali oletsedwa vavu wapadera. magazi lidzayeretsedwa ndipo anabwereranso mu thupi. Kenaka pakubwera gawo latsopano la mpanda. Choncho, mu njira ya ndondomeko asaone kusapeza iliyonse.

makina abwino okhaokha amatha mphindi kuyeretsa ndi anabwerera ku thupi wodwalayo 100 ml magazi. Choncho ola limodzi zingabweretse za 800 ml ya madzi a m'magazi.

Development wochita

Nthawi mankhwala pafupifupi mphindi 90.. No kusapeza pamene akugwira si anamva. Wodwala aikidwa pa mpando wapadera, mitsempha ya onse mayikidwe manja catheter. Kenako, wodwala nyimbo kapena wotchi TV, ngati pali wina ku chipatala. Chinthu chirichonse kupanga chipangizo. Mpaka ndondomeko otsiriza, alili nthawi zonse kuunikira: kuyeza kuthamanga wake magazi, kupuma, kugunda kwa mtima ndi kukhalapo kwa mpweya magazi.

Umodzi akhoza kuyeretsa kwa 25-30% ya m'magazi, kotero kuyeretsa mokwanira amafuna osachepera 3 mankhwala. Kuchuluka kwa magazi kulitsuka kwa gawoli, dokotala Mzimuyo maziko munthu, kutenga nkhani kulemera kwa wodwalayo, m'badwo wake ndi chikhalidwe ambiri a thupi.

Kuyeretsa magazi ndi njira zosavuta, choncho nditamaliza ake wodwala ayenera kukhala kuyang'aniridwa ndi katswiri wa mphindi 30-60.

Plasmapheresis angachite popanda kuphunzitsidwa mwapadera. Ndipo si koyenera kutsatira ndondomeko pambuyo pamawu iliyonse. Komabe, nthawi zina, dokotala anu akhoza kupereka malangizo.

Plasmapheresis pa mimba

Ndondomeko angathe kuperekedwa pokonzekera mimba ndi kapewedwe, komanso wina wa mankhwala. Pamaso mimba, njira imeneyi ntchito kuchotsa poizoni amene anapeza mu thupi la mkazi kusuta. Ngati m'nthawi ya onyamula mwana mkazi adzazunzidwa ndi toxicosis amphamvu, kale magawo awiri a plasmapheresis thandizo kwambiri kusintha mkhalidwe wa mayi woyembekezera.

Plasmapheresis chimathandiza akazi ndi toxicosis kwambiri ndi placental insufficiency mopambana n'kubereka mwana wathanzi.

njirayi amachepetsa mavuto monga matenda intrauterine, LBW ndi anoxia, nthawi 1.5. Plasmapheresis minimizes mwayi wa magazi pobereka, ngati zikuchokera yachibadwa magazi ndi amachepetsa imabwera thrombus mapangidwe.

Mu nkhani ya preeclampsia kwambiri, njira imeneyi amapereka zotsatira zabwino kwambiri. Ntchito plasmapheresis anatsimikizira milandu zotsatirazi:

• mawonekedwe kobwereza wa preeclampsia;

• Osakwanira dzuwa la mankhwala;

• aakulu kutupa.

Per zokambirana ndi kukonzedwa kwa 40% ya magazi. M'pofunika kuchita mankhwala 2 kapena zambiri pa intervals wa masiku 3-4.

Kodi ndondomeko oopsa?

Plasmapheresis - ndondomeko pafupifupi otetezeka.

1. Gwiritsani yekha disposable timachubu, catheters. zida zonse wosabala kwathunthu ndi kusindikizidwa.

2. Wodwalayo nthawi moyang'aniridwa ndi achipatala.

3. zimatenga sabweretsa chisoni. Magazi chisokonezo zimachokeradi mu ndondomeko: kuchepetsa magazi m'mnyewa wamtima achoka thupi, pamene kuwonjezera - wasefukira kumbuyo.

4. Mu plasmapheresis sizikhudza mankhwala akhoza kuyambitsa zotsatira zoyipa kapena mavuto. Saline ntchito wochapira machubu, kudzera wakupambana magazi.

Plasmapheresis: mtengo wochita

Musanasankhe pa ndondomeko ndi plasmapheresis pofuna mbiri yabwino ya kuchipatala. Contact akhale yekha mu apadera mabungwe kuchipatala zinachitikira olimba pochita njirayi. Izo azinyamula kokha akatswiri odziwa ophunzitsidwa mwapadera. Muyenera kuchenjeza mitengo diso loipa otsika kwa plasmapheresis. Mtengo wa gawo limodzi mu zipatala Moscow ndi pakati 4-5 zikwi. Rubles. Ndithudi mtengo wa 5 njira plasmapheresis pafupifupi 19-22 zikwi. Rubles.