He ala kupaianaha e mālama ai i nā maʻi me kou koko ponoʻī: Nā mea āpau e pili ana i ka Plasmapheresis a me ka Plasma Exchange

He mea kupanaha ke koko i loko o ko kākou kino, ʻeā? Aia i loko nā ʻulaʻula, nā keʻokeʻo, a me nā mea ʻē aʻe he nui. I waena o kēia mau mea, ua kapa ʻia ka ʻāpana wai o ke koko ʻo 'plasma'. I kekahi manawa, ma muli o kahi maʻi i loko o ko kākou kino ponoʻī, hiki i kēia plasma ke hoʻoulu i nā pilikia. I ia mau manawa, e kamaʻilio mākou e pili ana i kahi ʻano lapaʻau kūikawā e wehe ai i kēlā plasma pilikia a hoʻomaʻemaʻe i ke koko.

E nānā mua kākou, he aha kēia plasma?

I ka ʻōlelo maʻalahi, ʻo ka plasma ka ʻāpana wai melemele māmā o ko kākou koko. ʻOi aku ma mua o ka hapalua o ko kākou koko i hana ʻia me ka plasma. ʻOiai he wai ka hapa nui, aia nō hoʻi i loko nā mea nui he nui e pono ai ko kākou kino. ʻOi aku hoʻi, nā protein a me nā electrolytes , ʻo ia hoʻi nā paʻakai i hoʻoheheʻe ʻia.

E noʻonoʻo e like ko kākou kino me kahi ʻāina. A laila, ua like kekahi o nā protein i loko o kēia plasma me ka pūʻali koa ma ia ʻāina. Mālama lākou iā kākou mai nā ʻenemi e like me nā virus a me nā bacteria e hele mai ana mai waho. Kāhea pū mākou i kēia mau antibodies . ʻO kekahi ʻano protein e kōkua i ka hoʻōki ʻana i ke kahe koko ke loaʻa kahi ʻeha. No laila hiki iā ʻoe ke ʻike i ke koʻikoʻi o ka plasma, ʻeā?

No laila he aha ka plasmapheresis a me ka hoʻololi plasma?

Ua like iki kēia mau inoa ʻelua, no laila hiki ke huikau iki. E mālama kākou i ka maʻalahi.

• Plasmapheresis: ʻO kēia ka hoʻokaʻawale ʻana i ka plasma mai ke koko wale nō. Hoʻohana pinepine ʻia kēia ʻano hana e lawe i ka plasma mai kahi kanaka olakino (plasma mea hāʻawi) a mālama i kahi maʻi ʻē aʻe.

• Plasma Exchange: ʻO kēia ke ʻano lapaʻau i hoʻohana nui ʻia. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka wehe ʻia ʻana o ka plasma pilikia a hoʻoulu i ka maʻi i loko o kou kino a hoʻololi ʻia me ka plasma maikaʻi a i ʻole kahi wai like maikaʻi. Ua like ia me ka wehe ʻana i kahi wai lepo a me ka hoʻohui ʻana i ka wai maʻemaʻe. Ma kēia ʻatikala, e kamaʻilio nui mākou e pili ana i kēia lāʻau lapaʻau Plasma Exchange.

He aha nā maʻi e hiki ke ho'ōla ʻia me kēia lāʻau lapaʻau?

He lāʻau lapaʻau ʻo Plasma Exchange i hoʻohana ʻia e mālama i kekahi mau maʻi. ʻOi aku ka maikaʻi, hiki ke lilo i mea pono i ka mālama ʻana i nā maʻi autoimmune, nā maʻi koko, a me kekahi mau ʻano maʻi kanesa.

He aha ka mea e hana ʻia ma mua a i ka wā o ka mālama ʻana?

Hoʻomākaukau ma mua o ka mālama ʻana

Inā kuhikuhi kāu kauka i kēia lāʻau lapaʻau nou, e haʻi aku ʻo ia iā ʻoe i nā mea e like me kēia e hoʻomākaukau ai iā ʻoe no ia.

• E inu nui i nā mea inu ʻaʻohe kalapona (wai, nā mea inu huaʻai) no kahi o ʻekolu lā ma mua o ka mālama ʻana.
• E ʻai i kahi meaʻai māmā ma kahi o hoʻokahi hola ma mua o ka lāʻau lapaʻau, me ka ʻole o ka pōloli.
• E hele mai me nā lole ʻoluʻolu a palupalu. No ka mea e mau ana ka mālama ʻana no kekahi mau hola, he manaʻo maikaʻi e lawe mai i kahi mea e heluhelu ai, e like me ka puke a i ʻole ke kelepona e hoʻolohe ai i ke mele.
• E luhi iki paha ʻoe ma hope o ka mālama ʻana, no laila he mea paʻakikī paha ke hoʻokele. No laila, he mea nui e lawe mai i kekahi e lawe iā ʻoe i ka home.

I ka wā o ka mālama ʻana

He maʻalahi loa nā ʻanuʻu e pili ana i ka mālama ʻana o Plasma Exchange.

1. ʻO ka mea mua, e kau ke kauka a kahu maʻi paha i kahi laina IV i loko o kahi aʻa koko ma kou lima. Hiki paha iā lākou ke kau i kahi catheter laina waena i loko o kahi aʻa koko nui ma kou ʻāʻī a i ʻole ka ʻūhā.

2. A laila, lawe mālie ʻia kahi koko liʻiliʻi mai kou kino ma o ia mea.

3. Hoʻouna ʻia ke koko i kahi mīkini kūikawā, kahi e hoʻokaʻawale ʻia ai ka plasma wale nō.

4. Ua wehe ʻia ka plasma pilikia i hoʻokumu i kou kūlana .

5. A laila, hoʻohui ʻia kahi wai kūikawā e like me ka plasma hou a i ʻole albumin i nā keena ʻulaʻula a me nā keena keʻokeʻo i koe.

6. ʻO ka mea hope loa, ua hoʻihoʻi ʻia kēia koko i hoʻomaʻemaʻe ʻia i loko o kou kino ma o kēlā cannula like.

He mea ʻeha kēia? Aia kekahi mau pilikia?

ʻO kahi nīnau a ka poʻe he nui, inā paha e ʻeha kēia. ʻAʻole, ʻaʻole kēia he lāʻau ʻeha. Eia nō naʻe, hiki iā ʻoe ke manaʻo i kahi ʻeha iki ke hoʻokomo ʻia ka cannula i loko o kou lima. Hiki i kekahi poʻe ke ʻike i kēia mau mea i ka wā o ka lāʻau:

• Manaʻo e like me ke kani ʻana o kou mau lima a me kou mau wāwae
• Manaʻo luaʻi
• He manaʻo kaumaha
• Ke anu nei

Inā manaʻo ʻoe i kekahi mea e like me kēia, pono ʻoe e haʻi koke i ke kauka a i ʻole ke kahu maʻi ma laila. Ua ʻike lākou i nā mea maʻalahi hiki iā ʻoe ke hana.

ʻOiai he lāʻau palekana loa ka hoʻololi plasma, aia kekahi mau hopena ʻaoʻao e hiki ke hana pinepine ʻole ʻia.

• Hypocalcemia: Hana ʻia kēia no ka mea hiki ke nalowale ka calcium i ka wā o ka mālama ʻana. Hoʻōla ʻia me ka calcium intravenous.
• Hypothermia: Hiki i ke kino ke anu ma muli o ka hoʻihoʻi ʻia ʻana o nā wai iā ia. Hiki ke kāohi ʻia kēia ma ka hāʻawi ʻana i nā wai mehana a i ʻole ke kāʻei ʻana i ke kino i loko o kahi pākeke.
• Ke koko haʻahaʻa (Hypotension):Inā pono, e hāʻawi ʻia ka saline a i ʻole nā ​​​​wai ʻē aʻe no kēia.

He like anei ka dialysis a me kēia plasma therapy?

Huikau kekahi poʻe no ka mea he mau ʻano hoʻomaʻemaʻe koko kēia mau mea ʻelua. Eia nō naʻe, ʻelua mau kumu o lāua ʻelua.

• Dialysis: Hana ʻia kēia no ka poʻe i hana pono ʻole ko lākou mau puʻupaʻa. Pili ka Dialysis i ka kānana ʻana i nā huahana ʻōpala mai ke koko i hiki ʻole i nā puʻupaʻa ke wehe.

• Hoʻololi Plasma: ʻAʻole kēia e wehe i nā huahana ʻōpala mai ke kino. Wehe ia i nā protein a i ʻole nā ​​​​​​antibodies e hoʻoulu ai i nā maʻi i loko o ka plasma koko .

I ka ʻōlelo maʻalahi, ʻo ka dialysis ke kaʻina hana o ka wehe ʻana i nā 'ʻōpala' mai ke koko. ʻO ka hoʻololi plasma ke kaʻina hana o ka hopu ʻana a me ka wehe ʻana i nā 'mea ʻino' (nā protein ʻino) mai ke koko.

ʻO ka lōʻihi o kou manaʻo i ka hōʻoluʻolu ma hope o ka mālama ʻana, ma muli ia o kou kūlana. No ka laʻana, ʻo kekahi me Myasthenia Gravis hiki ke ʻole nā ​​hōʻailona no nā mahina ma hope o kekahi mau pule o ka mālama ʻana.