Cov ntshav hauv peb lub cev yeej yog ib yam kua dej zoo kawg nkaus li, puas yog? Yog cov ntshav no uas nqa cov khoom noj khoom haus thiab cov pa oxygen mus rau txhua qhov ntawm peb lub cev, thiab tiv thaiv peb ntawm cov kab mob. Tab sis qee zaum, qee yam hauv cov ntshav no pib ua teeb meem rau peb lub cev. Thaum ntawd peb yuav tham txog ib txoj kev kho mob nyuaj me ntsis tab sis tseem ceeb heev uas los cawm.
Ua ntej, cia peb saib, cov plasma no yog dab tsi?
Thaum peb tham txog ntshav, peb xav txog cov kua liab. Tiam sis muaj plaub feem tseem ceeb ntawm cov ntshav no.
1. Cov qe ntshav liab: Cov qe ntshav uas nqa cov pa oxygen thoob plaws lub cev.
2. Cov qe ntshav dawb: Peb cov tub rog uas tawm tsam cov kab mob uas ua rau muaj kab mob.
3. Cov ntshav txhaws: Cov khoom me me uas tsis los ntshav thaum muaj qhov txhab.
4. Plasma: Qhov no yog cov kua daj uas tag nrho cov cell uas tau hais los saum toj no ntab. Nws zoo li cov zaub uas ntab hauv kua zaub. Cov plasma no feem ntau yog dej. Tab sis nws kuj muaj ntau yam uas tseem ceeb rau peb lub cev, xws li cov protein thiab electrolytes. Qee cov protein (antibodies) uas tiv thaiv peb lub cev ntawm cov kab mob kuj pom muaj nyob hauv cov plasma no.
Tam sim no koj muaj lub tswv yim txog plasma, cia peb saib ob txoj kev kho mob no.
Qhov txawv ntawm Plasmapheresis thiab Plasma Exchange
Txawm hais tias ob lub npe no suab zoo ib yam thaum koj hnov lawv, muaj qhov sib txawv me ntsis.
- Plasmapheresis: Hais yooj yim xwb, qhov no yog txheej txheem ntawm kev cais tsuas yog cov plasma ntawm cov ntshav. Feem ntau, txoj kev no yog siv los coj cov ntshav ntawm ib tus neeg noj qab haus huv, cais cov plasma ntawm nws, thiab muab rau lwm tus neeg mob. Nws yog kev pub ntshav plasma, ib yam li kev pub ntshav.
- Kev Sib Hloov Plasma: Qhov no yog kev kho mob uas siv ntau tshaj plaws. Qhov no suav nrog kev rho ntshav ntawm tus neeg mob, siv lub tshuab tshwj xeeb los tshem tawm cov plasma uas muaj teeb meem , hloov nws nrog cov plasma noj qab haus huv lossis lwm yam kua dej zoo sib xws, thiab tom qab ntawd xa cov ntshav huv rov qab rau tus neeg. Nws zoo li tshem tawm qee cov dej qias neeg thiab ntxiv dej huv rau nws.
Cov kab mob twg kho tau los ntawm kev kho mob no?
Kev pauv plasma yog ib txoj kev kho mob siv los kho ntau yam kab mob. Nws muaj txiaj ntsig zoo rau cov kab mob autoimmune, qhov twg peb lub cev tiv thaiv kab mob tawm tsam peb cov khoom noj qab haus huv. Qhov no yog vim tias cov plasma muaj cov protein (antibodies) uas tawm tsam lub cev tsis raug. Yog li thaum cov plasma uas muaj teeb meem raug tshem tawm, cov tsos mob yuav txo qis heev.
Cia peb saib lub rooj hauv qab no kom pom cov mob tseem ceeb uas siv txoj kev kho mob no.
| Pawg kab mob | Lub npe ntawm tus kab mob | Kev kho mob pab tau li cas |
|---|---|---|
| Kev Mob Hlwb | Kab mob Multiple Sclerosis (MS) | Thaum cov tsos mob hnyav zuj zus tuaj, lub cev cov protein uas tawm tsam nws tus kheej raug tshem tawm ntawm cov ntshav thiab cov tsos mob raug tswj. |
| Myasthenia Gravis | Cov tshuaj tiv thaiv kab mob txawv txav uas ua rau cov leeg tsis muaj zog thiab tawm tsam cov nqaij noj qab haus huv raug lim tawm ntawm cov ntshav. | |
| Guillain-Barré syndrome | Thaum lub cev tiv thaiv kab mob tawm tsam cov hlab ntsha, nws tshem tawm cov tshuaj tiv thaiv kab mob phem ntawm cov ntshav. | |
| Kev Mob Ntshav | Cryoglobulinemia | Yuav kom tiv thaiv cov protein hauv cov ntshav kom tsis txhob sib sau ua ke thiab thaiv cov hlab ntsha, nws tshem tawm cov protein uas ua rau mob. |
| Thrombotic thrombocytopenic purpura | Cov plasma uas ua rau cov ntshav txhaws tsim nyob rau hauv cov hlab ntsha me me raug tshem tawm thiab cov plasma noj qab haus huv raug muab. | |
| Hom Mob Cancer | Waldenström macroglobulinemia | Lawv raug tshem tawm ntawm cov ntshav kom tswj tau qhov ntau ntawm cov tshuaj tiv thaiv kab mob uas tsim tawm tsis zoo (immunoglobulin M). |
| ntau yam mob myeloma | Nws tshem tawm cov protein phem uas tsim los ntawm cov qe ntshav dawb tsis zoo, mob qog noj ntshav hauv cov pob txha. |
Yuav ua li cas kev kho mob mus: ua ntej, thaum lub sijhawm thiab tom qab
Nws yog ib qho ib txwm muaj kev ntshai me ntsis thaum hnov txog hom kev kho mob no. Tab sis thaum koj nkag siab meej tias nws ua haujlwm li cas, qhov kev ntshai ntawd ploj mus.
Kev npaj ua ntej kev kho mob
Yog koj tus kws kho mob xa koj mus rau qhov kev kho mob no, ntawm no yog qee cov lus qhia:
- Haus dej ntau ntau uas tsis muaj roj carbonated (dej, kua txiv hmab txiv ntoo) li ntawm 72 teev ua ntej kev kho mob.
- Noj ib pluag mov zoo li ib teev ua ntej kev kho mob.
- Hnav khaub ncaws xis nyob . Vim tias kev kho mob yuav siv sijhawm ntau teev, nws yog ib lub tswv yim zoo kom coj ib phau ntawv los nyeem lossis ib yam dab tsi los mloog.
- Nws yog ib qho tseem ceeb kom muaj ib tus neeg coj koj mus tsev tom qab kho mob tas.
Muaj dab tsi tshwm sim thaum lub sijhawm kho mob
Qhov no yeej tsis nyuaj li koj xav.
1. Ua ntej, cov neeg ua haujlwm kho mob yuav ntxig ib lub raj tshwj xeeb (catheter) rau hauv cov hlab ntsha hauv koj txhais caj npab lossis tej zaum cov hlab ntsha loj hauv koj lub caj dab lossis qhov chaw mos.
2. Tom qab ntawd, yuav muab ib qho ntshav me me tawm ntawm koj lub cev los ntawm lub raj ntawd.
3. Cov ntshav mus ncaj qha rau hauv ib lub tshuab tshwj xeeb. Lub tshuab no cais cov plasma tawm ntawm koj cov ntshav.
4. Tom qab ntawd, koj cov ntshav uas tsis meej pem raug tshem tawm thiab pov tseg.
5. Koj cov qe ntshav liab, cov qe ntshav dawb, thiab cov ntshav platelets uas tseem tshuav tam sim no raug sib xyaw nrog cov ntshav plasma noj qab haus huv lossis cov kua tshwj xeeb uas muaj cov protein hu ua albumin .
6. Thaum kawg, cov ntshav uas tau ntxuav lawm no rov qab los rau hauv koj lub cev los ntawm lub raj ntawd.
Tag nrho cov txheej txheem tuaj yeem siv sijhawm ntau teev , thaum lub sijhawm ntawd koj tuaj yeem so hauv txaj lossis lub rooj zaum.
Qhov no puas mob?
Tsis yog. Kev kho mob no tsis mob . Txawm li cas los xij, koj yuav hnov qee qhov tsis xis nyob thaum lub catheter raug ntxig rau hauv koj txhais caj npab. Dua li ntawm qhov ntawd, tsis muaj mob. Txawm li cas los xij, qee tus neeg yuav muaj cov hauv qab no:
- Nws zoo li me ntsis loog ntawm ob txhais ceg.
- Xeev siabTus uas los.
- Zoo li kiv taub hau .
- Mob khaub thuas .
Yog koj xav li no, nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau tus kws saib mob lossis tus kws kho mob tam sim ntawd.
Tom qab kev kho mob
Muaj ntau tus neeg xav tias nkees heev tom qab kho mob. Qhov no yog ib txwm muaj. Plasma yog qhov chaw tseem ceeb ntawm dej rau peb lub cev. Yog li koj tus kws kho mob yuav qhia koj kom haus dej thiab kua dej ntau dua li niaj zaus rau ob peb hnub tom qab kho mob.
Cov txiaj ntsig thiab kev pheej hmoo ntawm kev kho mob
Ib yam li kev kho mob, muaj cov txiaj ntsig thiab muaj kev pheej hmoo me me.
| Cov txiaj ntsig | Kev Pheej Hmoo lossis Teeb Meem |
|---|---|
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Nco ntsoov tias cov kev pheej hmoo no tsis tshua muaj , thiab pab pawg kho mob yuav saib xyuas koj tas li thaum lub sijhawm kho mob, yog li ntawd yog tias muaj teeb meem tshwm sim, lawv yuav raug kho tam sim ntawd.
Cov lus nug uas koj kuj tseem muaj
Qhov no puas zoo li kev ntxuav ntshav?
Lo lus nug zoo. Lub hauv paus ntsiab lus ntawm ob txoj kev no zoo ib yam: lim cov tshuaj tsis xav tau thiab cov tshuaj lom tawm ntawm cov ntshav. Tab sis muaj qhov sib txawv.
Kev ntxuav ntshav yog siv los tshem tawm cov khoom pov tseg ntawm cov ntshav ntawm ib tus neeg uas muaj mob raum tsis ua haujlwm.
Kev pauv pauv ntshav yog ua los tshem tawm cov tshuaj tiv thaiv kab mob lossis cov protein tsis zoo ntawm cov ntshav.
Yuav siv sijhawm ntev npaum li cas thiaj rov zoo tom qab kho tas?
Nws txawv nyob ntawm koj tus mob. Piv txwv li, ib tug neeg uas muaj myasthenia gravis tej zaum yuav tsis muaj tsos mob li ob peb lub hlis tom qab ob peb lub lis piam ntawm kev kho mob. Tom qab ntawd, tej zaum yuav xav tau kev kho mob dua. Qhov no yog kev kho mob uas tswj cov tsos mob thiab ua rau lub neej yooj yim dua, es tsis yog kho tus kab mob.
Nco ntsoov tias, kev pauv plasma tsis yog kev kho tau txhua yam kab mob. Tab sis nws muaj peev xwm tswj tau cov tsos mob hnyav thiab txhim kho koj lub neej zoo. Yog tias koj tau txais kev kho mob no, xav tias dawb los tham txog cov lus nug lossis kev txhawj xeeb uas koj muaj nrog koj tus kws kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev pauv plasma yog ib txoj kev kho mob tshwj xeeb uas tshem tawm cov plasma phem tawm ntawm cov ntshav thiab hloov nws nrog cov kua dej zoo thiab xa rov qab mus rau lub cev.
- Nws yog siv los kho cov kab mob autoimmune, qee cov kab mob ntshav, thiab mob qog noj ntshav.
- Cov txheej txheem no tsis mob thiab feem ntau muaj kev nyab xeeb heev. Cov kev mob tshwm sim me me uas yuav tshwm sim tuaj yeem tswj tau yooj yim los ntawm cov kws kho mob.
- Qhov no yog kev kho mob uas tswj cov tsos mob thiab ua rau lub neej yooj yim dua, tab sis nws tsis yog kev kho mob uas kho tau ntau yam kab mob tag nrho.
- Nws yog ib qho tseem ceeb heev uas yuav tsum tham qhib siab txog qhov kev kho mob no nrog koj tus kws kho mob thiab daws tag nrho koj cov kev txhawj xeeb.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus