Plasmapheresis - kobufakazi nesineke futhi uchwepheshe umbono

I impumelelo wokuphila emkhakheni wamuva wezokwelapha kanye kudalwa amasampula entsha ubuchwepheshe kwenza ukuba beze kulesi siqondiso esisha njengoba ukuhlinzwa igazi. Kuhlanganisa ultrafiltration, hemosorption, plasmapheresis, okuyinto libuyekeza asivumela ukusho ukuthi izindlela ezinjalo yokwelashwa - esizayo. Ukusebenzisa lezi zinhlelo ukwelashwa ukunciphisa umthwalo iphilisi isiguli, futhi ngenxa yalokho, nokwandisa uhlelo yokwelapha yezifo of the system zemisipha, izinso, isibindi, isimiso sokugaya ukudla bungene, inhliziyo nemithambo yegazi, umgudu wokuphefumula.

Iyini inqubo?

Umuntu ngamunye oza ukubamba plasmapheresis, izibuyekezo ezihlukahlukene amahlamvu - injabulo umphumela ukwelashwa nokuthi ayenqaba ezijulile inqubo njengoba enjalo. Isimiso yokwelapha wenziwa ukuthi kusukela isimiso sokujikeleza kwegazi isiguli (emithambo yegazi) kususwe ethile yegazi, okuyinto ke ibekwe endaweni apharathasi ekhethekile. It is eyenziwa zihlukaniswa wesabelo ketshezi kwegazi - plasma, angasetshenziswa ukwenziwa imikhiqizo ethile igazi izakhi ukwakha wabuyela kwegazi emva centrifugation.

Kulahleke ketshezi ivolumu incephezeliswa usebenzisa crystalline (bokuphila isixazululo sodium chloride, futhi ikhambi "Disol", "Trisol") noma izixazululo colloidal, okuyinto akhethiwe TRANSFUSIOLOGY kudokotela nesineke ngayinye. Yingakho, ephendula umbuzo - yini plasmapheresis ochwepheshe bathi lokhu yindlela entsha okudonsa ukuhlinzwa igazi, ukusetshenziswa elenza kukwazeke athutha ususe umzimba izakhi nesineke ezinobuthi futhi imikhiqizo ethile umzimba.

Lapho inqubo kuyadingeka ngempela?

Ukuqhuba plasmapheresis, ukubuyekezwa yayo ayifani ngisho phakathi kweziguli ezine-izifo ezifanayo, odokotela banethemba ukuze ahlanze igazi amanyela sokugembula noma lokuhlala ngokweqile komzimba imfucumfucu. Ukunquma yini noma cha lena inqubo okudonsa ukuhlinzwa igazi esimweni ngasinye, uhlukanisa Uchwepheshe ukumpontshelwa isiguli ngasinye inquma inani edingekayo zokwelapha, imvamisa ukuphindaphindwa kanye ivolumu emithambo yegazi wegazi ezingaba asuswe egazini isiguli ngaphandle nemiphumela enqala.

Ngokwemvelo, plasmapheresis, kungase kuphakame izinkomba okuyiwona practice, owelapha, futhi udokotela ohlinzayo futhi wesikhumba, ngisho i Udokotela Wabesifazane, njalo kwenziwe endaweni esibhedlela. Kwezinye izimo, isiguli kumele esibhedlela ukuze bathole ukwelashwa (uma izinkinga nge igazi ekunqandeni, isimo jikelele, uma izinkinga ngokufinyelela emithambo yegazi) noma alandele izinqubo sinenkonzo yokunakekela iziguli emakhaya Yiqiniso, ungenisile umtholampilo ngesikhathi inqubo plasmapheresis futhi ngemva kwamahora ambalwa ngemuva kokuphela kweseshini elilandelayo kuphela.

Kakhulu akuvamile, isiguli kokwenza plasmapheresis, izibuyekezo mayelana nokuthi iziphi izinhlelo iziguli kaningi kakhulu ezimweni yesimanje yokukhangisa kumawebhusayithi ahlukahlukene noma izincomo labangane, udokotela sibhekene nenselele - yini isikhathi kahle le nkambo. Impendulo isobala ingucha akukwazi: kwezinye izimo nezinqubo plasmapheresis kufanele kwenziwe njalo ezinsukwini ezingu-3-4, kodwa izifundo ezimfushane kakhulu 3-4 izikhathi, ezifana ezinzima sibi komzimba. Ngezinye izikhathi, udokotela uncoma inqubo yesikhathi esisodwa, nge imvamisa 1 njalo 15-20 izinsuku - ngakho ukuchitha ukwelashwa of syndrome antiphospholipid futhi kwesisu yansukuzonke, kodwa kuseshini uyaqhubeka zonke ingane isikhathi sokulinda ngaphansi kokulawula imingcele laboratory kanye kokuqondisa ochwepheshe.