Di blɔd we de na wi bɔdi na wɔndaful tin, nɔto so? I gɛt rɛd sɛl, wayt sɛl, ɛn bɔku ɔda tin dɛn. pan dεn tin ya, dεn kכl di likwid pat pan di bכdi ‘plasma’. Sɔntɛnde, bikɔs ɔf wan sik we de na wi yon bɔdi, dis plasma kin mek wi gɛt prɔblɛm. Dɛn kayn tɛm dɛn de, wi go tɔk bɔt wan spɛshal tritmɛnt we de pul da prɔblɛm de we de mek di blɔd klin.
Lɛ wi si fɔs, wetin na dis plasma?
Fɔ tɔk am simpul wan, plasma na di layt yɔlɔ wata we de na wi blɔd. I pas af pan wi blɔd we dɛn mek wit plasma. Pan ɔl we na wata mɔ, i gɛt bɔku impɔtant tin dɛn bak we wi bɔdi nid. spεshal wan, di protin dεm εn εlektrolayt dεm , we na sכlt dεm we dεn sכlv.
Imajin se wi bɔdi tan lɛk kɔntri. Dɔn sɔm pan di prɔtin dɛn we de insay dis plasma tan lɛk di ami na da kɔntri de. Dɛn kin protɛkt wi frɔm ɛnimi dɛn lɛk vayrɔs ɛn baktri dɛm we kin kɔmɔt na do. Wi kin kɔl dɛn antibodi ya bak . Wan ɔda kayn prɔtin kin ɛp fɔ stɔp blɔd we wund de. So yu kin si aw plasma impɔtant, nɔto so?
So wetin na plasmapheresis ɛn plasma exchange?
Dɛn tu nem ya fiba smɔl, so i kin mek pɔsin kɔnfyus smɔl. Mek wi kip am simpul.
- Plasmapheresis: Dis min se na di plasma nɔmɔ de kɔmɔt frɔm di blɔd. Bɔku tɛm dɛn kin yuz dis we fɔ tek plasma frɔm pɔsin we gɛt wɛlbɔdi (dona plasma) ɛn trit ɔda pɔsin we sik.
- Plasma Exchange: Dis na di tritmɛnt we dɛn kin yuz mɔ. Wetin kin apin ya na dat, dɛn kin pul di plasma we gɛt prɔblɛm ɛn we kin mek yu gɛt sik na yu bɔdi ɛn put gud plasma ɔ wan wata we ikwal to am. I tan lɛk we yu pul sɔm dɔti wata ɛn ad klin wata. Insay dis atikul, wi go tɔk mɔ bɔt dis Plasma Exchange tritmɛnt.
Us sik dɛn kin mɛn wit dis tritmɛnt?
Plasma Exchange na tritmɛnt wae dɛn kin yuse fɔ trit bɔrku sik dɛm. Mɔtalman, i kin fayn fɔ trit sik dɛn we pɔsin kin gɛt we i de fɛt insɛf, blɔd dizayd, ɛn sɔm kayn kansa.
| Di sik kategori | Nem fɔ di sik | Aw dis tritmɛnt kin ɛp? |
|---|---|---|
| Nyurolɔjik Disɔda dɛn | Mɔltipɛl Sklɛrosis (MS) . | I de pul di bad bad prɔtin dɛn na di plasma we de atak di bɔdi insɛf, ɛn i de kɔntrol di sayn dɛn we kin apin wantɛm wantɛm ɛn we kin rili bad. |
| Myasthenia Gravis we gɛt di sik | I de pul di rɔng antibodi dɛm we de atak di wɛlbɔdi tisu dɛm, we de mek di mɔsul dɛn wik. | |
| Di sik we dɛn kɔl Guillain-Barré Syndrome | di antibodi dεm we de atak di nεv dεm de kכmכt frכm di plasma, we de mek di hεlכ kwik kwik wan. | |
| Blɔd Dizayd | Krayoglɔbulinemia | I de pul di abnɔmal protin dɛm (cryoglobulins) we de blok di blɔd vesel dɛm, we de mek di blɔd flɔ bak. |
| Trombotik Trombosaytopenik Purpura (TTP) . | I de pul di plasma we gɛt prɔblɛm we de mek blɔd klɔt na smɔl smɔl blɔd vesel dɛn. | |
| Kansa dɛn we gɛt kansa | Waldenström Makroglobulinemia we de mek pɔsin gɛt sik | wan abnכmal kayn antibodi (immunoglobulin M) we dεn prodyuz pasmak dεn de filt am frכm di plasma. |
| Mɔltipɛl Mayloma | I de pul di bad tin dɛn we di plasma sɛl dɛn we nɔmal we dɔn bi kansa de mek. |
Wetin kin apin bifo ɛn we dɛn de trit am?
Fɔ pripia bifo dɛn gɛt tritmɛnt
If yu dɔktɔ gi yu dis tritmɛnt, i go tɛl yu tin dɛn lɛk dis fɔ rɛdi yu fɔ am.
- Drink bɔku tin dɛn we nɔ gɛt kabon (wata, frut drink) fɔ lɛk tri dez bifo yu trit yu.
- It layt it lɛk wan awa bifo di tritmɛnt, ɛn nɔ fil angri.
- Kam wit kɔmfyut klos we nɔ gɛt natin fɔ du wit am. Bikɔs di tritmɛnt go las fɔ sɔm awa, i go fayn fɔ mek yu kam wit sɔntin fɔ rid, lɛk buk ɔ fon fɔ lisin to myuzik.
- Yu kin fil taya smɔl afta di tritmɛnt, so i kin at fɔ drayv. So, i impɔtant fɔ mek yu kam wit pɔsin we go kɛr yu go na os.
We dɛn de du tritmɛnt
Di step dɛm we de insay di tritmɛnt fɔ Plasma Exchange rili simpul.
1. Fɔs, dɔktɔ ɔ nɔs go put IV layn na wan vein na yu an. Dɛn kin put sɛntral layn kateshɔn bak na big vein na yu nɛk ɔ yu groin.
2. Dɔn, dɛn kin pul smɔl blɔd na yu bɔdi smɔl smɔl tru am.
3. Dɛn kin sɛn di blɔd to wan spɛshal mashin, usay na di plasma nɔmɔ dɛn kin separet.
4. Dɛn kin pul di prɔblɛm plasma we bin mek yu gɛt di sik .
5. Dɔn, dɛn kin ad spɛshal wata lɛk nyu plasma ɔ albumin to di ɔda rɛd sɛl dɛn ɛn di wayt sɛl dɛn we lɛf.
6. Fɔ dɔn, dɛn kin put dis blɔd we dɛn dɔn klin bak insay yu bɔdi tru da sem kanula de.
Dis ɔl dis kin tek sɔm awa, bɔt ɔl wetin yu fɔ du insay dis tɛm na fɔ ledɔm na bed ɛn rilaks.
Yu tink se dis kin mek pɔsin fil pen? Ɛni risk dɛn de we kin apin?
Wan kwɛstyɔn we bɔku pipul dɛn gɛt na if dis go mek pɔsin fil bad. Nɔ, dis nɔto tritmɛnt we de mek pɔsin fil pen. Bɔt yu kin fil smɔl we yu put di kanula insay yu an. Sɔm pipul dɛn kin gɛt dɛn tin ya we dɛn de du di tritmɛnt:
- Fɔ fil lɛk se yu an ɛn yu fut de tingling
- Fɔ fil lɛk se yu de fil lɛk yu nɔs
- Wan filin fɔ fil bad
- Fɔ fil kol
If yu fil sɔntin lɛk dis, yu fɔ tɛl di dɔktɔ ɔ nɔs we de de wantɛm wantɛm. Dɛn no simpul tin dɛn we yu go ebul fɔ du.
Pan ɔl we plasma exchange na tritmɛnt we rili sef, sɔm sayd ɛfɛkt dɛn de we nɔ kin apin so ɔltɛm.
- Hypocalcemia: Dis kin apin bikɔs di kalsiɔm kin lɔs we dɛn de trit am. Dɛn kin trit am wit kalsiɔm we dɛn kin put insay di bɛlɛ.
- Hypothermia: Di bɔdi kin fil kol bikɔs ɔf di wata we de kam bak to am. Yu kin kɔntrol dis bay we yu gi di bɔdi wam wata ɔ rap di bɔdi wit blankit.
- Lɔw blɔd prɛshɔn (Hypotension): .If nid de, dɛn go gi salin ɔ ɔda wata fɔ dis.
Yu tink se dayalaysis ɛn dis plasma tɛrapi na di sem tin?
Sɔm pipul dɛn kin kɔnfyus bikɔs dɛn tu tin ya na we fɔ klin blɔd. Bɔt, dɛn ɔl tu gɛt tu rizin.
- Dayalaysis: Dɛn kin du dis fɔ pipul dɛn we dɛn kidni nɔ de wok fayn. Dayalaysis min fɔ filta dɔti tin dɛn we de kɔmɔt na di blɔd we di kidni dɛn nɔ ebul fɔ pul.
- Plasma Exchange: Dis nɔ de pul dɔti tin dɛn na di bɔdi. I de pul di prɔtin ɔ antibodi dɛn we de insay di blɔd plasma we de mek pɔsin sik .
Fɔ tɔk am simpul wan, dayalaysis na di prɔses fɔ pul ‘west’ na di blɔd. Plasma εkshεnj na di prכsεs we dεn de kech εn pul di ‘bad gεt’ (harmful protin dεm) frכm di bכdi.
Aw lɔng yu kin fil fri afta tritmɛnt kin dipen pan yu kɔndishɔn. Fɔ ɛgzampul, pɔrsin wae gɛt Myasthenia Gravis kin nɔr gɛt ɛni sik fɔ sɔm mɔnt afta sɔm wiks wae dɛn dɔn trit am.
Mɛsej we dɛn kin kɛr go na os
- Plasma Exchange na spɛshal tritmɛnt we de klin di blɔd bay we i de pul di plasma we gɛt prɔblɛm frɔm di blɔd ɛn put wɛlbɔdi wata insay.
- Dɛn kin yuse am fɔ trit bɔku sik dɛn we gɛt fɔ du wit di imyun sistɛm, lɛk nyurolɔjik sik, blɔd sik, ɛn sɔm kayn kansa.
- Di tritmɛnt nɔ kin mek pɔsin fil pen, bɔt i kin tek sɔm awa. Yu kin fil taya afta di tritmɛnt, so i impɔtant fɔ rɛst.
- Bɔrku tɛm dis tritmɛnt kin ɛp fɔ kɔntrol di sayn dɛm ɛn fɔ mek yu liv bɛtɛ layf, pas fɔ mɛn wan sik ɔltogɛda.
- Na yu dɔktɔ nɔmɔ go no if dis tritmɛnt fayn fɔ yu ɛn wetin go bɛnifit yu. So tɔk to yu dɔktɔ fɔ no mɔ.
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