Plasmapheresis: Chii Chaunotarisira

Zvemukati

• Chii chiri chinangwa cheplasmapheresis?
• Plasmapheresis inoitiswa sei?
• Ndingaite sei kugadzirira plasmapheresis?
• Ndeapi mabhenefiti eplasmapheresis?
• Ndeipi njodzi dzeplasmapheresis?
• Plasmapheresis yakafukidzwa neinishuwarenzi here?
• Ndeapi maonero kunze kweplasmapheresis?

Chii chinonzi plasmapheresis?

Plasmapheresis inzira iyo chikamu chemvura, kana plasma, chakaparadzaniswa nemasero eropa. Kazhinji, iyo plasma inotsiviwa neimwe mhinduro senge saline kana albumin, kana iyo plasma inorapwa yobva yadzoserwa mumuviri wako.

Kana iwe uchirwara, yako plasma inogona kuve nema antibodies anorwisa immune system. Mushini unogona kushandiswa kubvisa plasma yakakanganiswa ndokuitsiva ne plasma yakanaka kana chinotsiva plasma. Izvi zvinozivikanwawo sekutsinhana kweplasma. Maitiro acho akafanana neitsvo dialysis.

Plasmapheresis zvakare inogona kureva maitiro ekupa plasma, uko iyo plasma inobviswa uye masero eropa anodzorerwa kumuviri wako.

Chii chiri chinangwa cheplasmapheresis?

Plasmapheresis inogona kushandiswa kurapa akasiyana siyana autoimmune kusagadzikana kusanganisira:

• myasthenia gravis
• Guillain-Barre chirwere
• chisingaperi chisingaperi chinodzvinyirira polyneuropathy
• Lambert-Eaton myasthenic chirwere

Inogona zvakare kushandiswa kurapa mamwe matambudziko echirwere chesero, pamwe nedzimwe nzira dzeeuropathy.

Mune rimwe nerimwe rematambudziko aya, muviri wakagadzira mapuroteni anonzi ma antibodies akagadzirirwa kuona maseru nekuaparadza. Ma antibodies aya ari mu plasma. Kazhinji, masoja ekudzivirira chirwere aya anonangidzirwa kumasero ekunze anogona kukuvadza muviri, senge hutachiona.

Mune vanhu vane autoimmune chirwere, zvisinei, maantibhakitiriya anopindura kune maseru mukati memuviri anoita mabasa akakosha. Semuenzaniso, mu multiple sclerosis, masoja ekudzivirira muviri uye masero ezvirwere anodzivirira kuvhara kwekudzivirira kwemitsipa. Izvo pakupedzisira zvinotungamira mukukanganisa kushanda kwemhasuru. Plasmapheresis inogona kumisa maitiro aya nekubvisa iyo plasma ine ma antibodies uye kuitsiva neplasma nyowani.

Mumakore achangopfuura, kurapwa kwave kuchinyanya kushandiswa kurapa vanhu vanorwara zvakanyanya nezvirwere uye mamwe matambudziko senge chirwere cheWilson uye thrombotic thrombocytopenic purpura. Yakave zvakare yakashandiswa kubatsira vanhu avo vakagashira chiumbwa chekurwisa kupokana nemhedzisiro yemaitiro echisimba ekuramba maitiro.

Plasmapheresis inoitiswa sei?

Munguva yeplasmapheresis mupiro, iwe unozorora pamubhedha. Ipapo tsono kana catheter inozoiswa mutsinga mune crux yechero ruoko rune tsinga yakasimba kwazvo. Mune zvimwe zviitiko, catheter inoiswa mumagaro kana pabendekete.

Kutsiva kana kudzorera plasma inoyerera ichienda mumuviri wako kuburikidza neyechipiri chubhu inoiswa paruoko kana mutsoka.

Zvinoenderana nemitemo yemubatanidzwa, munhu anogona kupa plasma kusvika kaviri pasvondo. Zvikamu zvemipiro zvinowanzo kutora maminetsi makumi mapfumbamwe.

Kana iwe uri kugamuchira plasmapheresis sekurapa, maitiro acho anogona kugara pakati peye kusvika matatu awa. Iwe ungangoda anosvika mashanu ekurapwa pavhiki. Kurapa kwehuwandu kunogona kusiana zvakanyanya kubva padanho nemamiriro, uye zvakare kunoenderana nehutano hwako hwese.

Dzimwe nguva kugara muchipatara kunodiwa. Dzimwe nguva kurapwa kwekunze kunogoneka.

Ndingaite sei kugadzirira plasmapheresis?

Unogona kuwedzera kubudirira uye kudzikisira zviratidzo uye njodzi dzeplasmapheresis nekutora matanho aya:

• Ita shuwa kuti une chikafu chine hutano usati warapwa kana kupihwa.
• Iva nehusiku hwakanaka hwekurara husiku usati waita maitiro ako.
• Inwa zvinwiwa zvakawanda.
• Simukai nepari zvino nenjodzi dzezvirwere zvakajairika. Shanda nachiremba wako kuti uone kuti ndeapi majekiseni aunoda.
• Dzivisa kusvuta uye kushandisa fodya.
• Idya chikafu chakazara muprotein uye chakaderera mu phosphorus, sodium, uye potasium mumazuva anotungamira kune plasmapheresis.

Ndeapi mabhenefiti eplasmapheresis?

Kana iwe uri kugamuchira plasmapheresis sekurapa kwekushaya simba kana autoimmune kusagadzikana, unogona kutanga kunzwa kuzorodzwa mune mashoma semazuva mashoma. Kune mamwe mamiriro, zvinogona kutora mavhiki mashoma usati waona chero shanduko muzviratidzo zvako.

Plasmapheresis inongopa zororo-renguva pfupi. Kazhinji maitiro acho anoda kuzodzokororwa. Iyo frequency uye kureba kwemhedzisiro kunoenderana zvakanyanya nemamiriro ako uye kuomarara kwayo. Chiremba wako kana mukoti anogona kukupa pfungwa yakajairika yekuti plasmapheresis ichashanda kwenguva yakareba sei uye kangani kaunoda kuishandisa.

Ndeipi njodzi dzeplasmapheresis?

Plasmapheresis inotakura njodzi yemhedzisiro. Kazhinji, ivo havawanzo uye kazhinji vanyoro. Chiratidzo chakajairika kudonha kweropa. Izvi zvinowanzo kuperekedzwa ne:

• kupera simba
• kuona kwakadzikama
• dzungu
• kunzwa kutonhora
• kurwadziwa nemudumbu

Plasmapheresis inogona zvakare kutakura zvinotevera njodzi:

• Kutapukirwa: Maitiro mazhinji anosanganisira kuendesa ropa mukati kana kunze kwemuviri rinotakura hutachiona.
• Kuvhara ropa: Chiremba wako anogona kunyorera anti-coagulant kuti ubatsire kudzikisa njodzi yako yekugwamba kweropa.
• Allergic reaction: Izvi zvinowanzoitika kune mhinduro dzinoshandiswa kutsiva plasma.

Njodzi dzakakomba asi dzisina kujairika dzinosanganisira kubuda ropa, izvo zvinobva kumishonga inorwisa-kugwamba. Dzimwe njodzi dzakakomba dzinosanganisira kubatika, kurwadza mudumbu, uye kurira mumakumbo.

Plasmapheresis inogona kunge isiri yekurapa kwakakodzera kune vamwe vanhu, kusanganisira:

• vanhu vane hemodynamically vasina kugadzikana
• vanhu vasingakwanise kushivirira yepakati mutsetse kuiswa
• vanhu vane allergies kune heparin
• vanhu vane hypocalcemia
• vanhu vane allergies kune chando albumin kana plasma

Plasmapheresis yakafukidzwa neinishuwarenzi here?

Plasmapheresis inowanzo kufukidzwa neinishuwarenzi kune akawanda mamiriro. Izvo zvakakosha kuti utarise neinishuwarenzi yako kuti unzwisise kuti yakawanda sei uye pasi pemamiriro api maitiro acho achafukidzwa. Semuenzaniso, akasiyana einishuwarenzi zvirongwa zvinofukidza akasiyana huwandu hwemaitiro. Pamusoro pezvo, mainishuwarenzi anogona kungovhara plasmapheresis mune zvimwe zviitiko, senge yekupedzisira rheumatoid vasculitis.

Kuti udzidze zvakawanda nezve yako kufukidza, fonera wako inishuwarenzi mupi. Kana iwe uine chero zvinonetsa pamusoro pemutengo, taura nachiremba wako. Vanogona kukubatsira kuti unzwisise zvaunogona kusarudza uye nekukupa iwe chero ruzivo iwe rwaunoda kugovera neako inishuwarenzi mupi.

Ndeapi maonero kunze kweplasmapheresis?

Vamwe vanhu vanotaura vachinzwa kuneta mushure mekuita, asi vazhinji vanozvitsungirira zvakanaka. Pamhedzisiro yakanaka, yeuka kugadzirira maitiro uye uteedzere mirairo yachiremba wako mushure mekuita.

Funga kuita zvinotevera kuti uve nechokwadi chekuti musangano wako unofamba mushe sezvazvinogona.

• Wana nguva yakakwana yokurara.
• Svika kune yakasarudzika ingangoita maminetsi gumi pamberi penguva.
• Pfeka mbatya dzakanaka.
• Uya nebhuku kana chimwe chinhu chinokuvaraidza panguva yekuita.