Plasmapheresis ndi njira yatsopano yomwe ikugwiritsidwa ntchito kwambiri masiku ano. Koma ndizotetezeka bwanji ndipo ndi liti? Zochepa ndizodziwika bwino pamenepa.
Kodi plasmapheresis ndi chiyani ndipo ndichifukwa chiyani ndimatenda a shuga
Mwazi wa munthu wodwala matenda ashuga umachulukana ndi lipoproteins, samalola wodwalayo kuchepetsa shuga momwe angathere. Chifukwa chake, pogwiritsa ntchito plasmapheresis, amachotsedwa ndi plasma. Izi zimathandizira wodwalayo, zimapangitsa kuti chithandizo chithandizire komanso zimawonjezera chidwi cha mankhwala.
Koma kupezeka kwa shuga sikutanthauza kuti njirayi ikuthandizira. Zizindikiro zofunika:
- kukhalapo kwa autoimmune ndondomeko m'magazi;
- nephropathy;
- retinopathy
- kuchuluka kwa lipids;
- ndi zovuta zamagazi.
Njira za Plasmapheresis
Njira zimatengera luso lomwe limagwiritsidwa ntchito pochita:
- Centrifugal;
- Cascading - nthawi zambiri amagwiritsidwa ntchito ngati atherosulinosis. Apa, plasma ndi maselo amasinthana ndikuchitika magawo awiri
- Membrane
- Njira ya cryo imakhala pakuzizira kozizira kenako ndikuwotha. Pambuyo pake, imayendetsedwa mu centrifuge, ndiye kuti phompho lidzachotsedwa. Koma enawo adzabwezeretsa malowo.
- Kukonza - kutengera mphamvu yokoka ndipo kumachitika popanda kugwiritsa ntchito ukadaulo. Ubwino pakupezeka kwa njirayi: mtengo wake ndi wochepetsetsa kwambiri poyerekeza ndi ena. Koma pali zofunika zina: kulephera kwake kusanja magazi onse nthawi yomweyo.
- liwiro
- kukomoka kwa khungu lililonse;
- kuthekera kochizira oncology;
- chitetezo chathunthu ku matenda;
- kukhala ndi maselo athanzi panthawi yopatukana.
Ubwino ndi kuvulaza kwa plasmapheresis
- anaphylactic mantha;
- pachimake pachimake;
- matenda kuchokera kwa woperekayo;
- sepsis
- thrombosis
- magazi.
Kodi njira zimayenda bwanji? Mtengo. Kuchulukitsa
Kufika njirayi ndizotheka pokhapokha poika akatswiri. Ngakhale kuti kuphunzitsidwa kwapadera sikofunikira, wodwalayo ayenera kupititsa mayeso ochepa. Zitatha izi, munthuyo amakwanira bwino, ma catheter osalimba amawaika m'mitsempha. Sizopweteka ngati namwino wodziwa zambiri. Kenako chipangizocho chimalumikizidwa ndipo distillation imayamba.
Ndondomeko idapangidwa kwa mphindi 90, kutengera kuchuluka kwa magazi ndi njira yamankhwala. Mpaka 30% yamagazi imatha kubwezeretsedwanso panthawi. Ngati mukufuna kuyeretsa kwathunthu, ndiye kuti muyenera kuyendera njirayi kawiri.
Contraindication
Pali ochepa a iwo, popeza njirayi imasinthidwa ndikuyesedwa kwambiri.
- odwala ndi magazi amtundu uliwonse;
- anthu omwe ali ndi zilonda zam'mimba;
- odwala ndi osauka coagulation;
- odwala arrhasmia kapena angina pectoris;
- ndi magazi m'thupi, kupanikizika kosakhazikika;
- kusamba kwa msambo;
- Mitsempha "yoyipa";
- kuvulala kwambiri kwa chiwindi.