Kan taksaa thisen hi tui mak tak a ni tak zet a ni lawm ni? He thisen hian kan taksa peng zawng zawngah ei leh in leh oxygen a phur a, natna laka min vengtu a ni. Mahse a chang chuan, he thisen chhunga thil thenkhat hian kan taksa tan harsatna a thlen tan thin. Chutih hunah chuan enkawlna kawng eng emaw chen buaithlak tak, mahse pawimawh tak, chhanchhuahna atana lo thleng tur kan sawi dawn a ni.
A hmasain, he plasma hi eng nge ni?
Thisen chungchang kan sawi hian tui sen (red liquid) kan ngaihtuah thin. Mahse he thisenah hian pêng lian pali a awm a.
1. Thisen sen (Red blood cells): Taksa pum puia oxygen phurtu cell.
2. White blood cells: Natna thlentu hrik dotu kan sipaite.
3. Platelets: Hliam a awm chuan thisen chhuah tawp thei thil te te.
4. Plasma: Hei hi tui sen (yellow liquid) a ni a, chutah chuan a chunga kan sawi tak cell zawng zawngte chu an inphah vek a. Soup-a thlai chi hrang hrang a inphah ang mai a ni. He plasma hi a tam zawk chu tui a ni. Mahse kan taksa tana thil pawimawh tak tak, protein leh electrolyte te pawh a pai tel bawk. Kan taksa natna laka vengtu protein (antibody) thenkhat te pawh he plasma ah hian a awm bawk.
Tunah chuan plasma chungchangah hian rough idea i nei tawh a, heng treatment pahnih hi han en ila.
Plasmapheresis leh Plasma Exchange inthlauhna
Heng hming pahnih hi i hriat chuan inang deuhin ri mah se, a danglamna tlem a awm.
- Plasmapheresis: A awlsam zawngin, hei hi thisen atanga plasma chauh thliar hran dan a ni. A tam zawkah chuan he hmanrua hi mi hrisel thisen lak a, chuta tang chuan plasma then hran a, damlo dang pek nan hman a ni. Thisen pek ang chiah hian plasma donation a ni.
- Plasma Exchange: Hei hi damdawi hman tlanglawn ber a ni. Hei hian damlo thisen lak a, machine bik hmanga buaina nei plasma , chu chu plasma hrisel emaw, chutiang chi tui dang emaw hmanga thlak a, chu thisen thianghlim chu mi hnenah pek kir leh a huam a ni. Tui bawlhhlawh engemaw zat paih chhuakin tui thianghlim dah belh ang mai a ni.
He enkawlna hmang hian eng natna nge tihdam theih?
Plasma exchange hi natna engemaw zat enkawlna atana hman thin a ni. A bik takin autoimmune diseases tan a tangkai hle a, chutah chuan kan taksa immune system hian kan taksa peng hrisel tak tak a bei thin. Hei hi a chhan chu plasma-ah hian protein (antibody) a awm a, chu chuan taksa a bei dik lo a ni. Chuvangin harsatna nei plasma chu lakchhuah a nih chuan a symptoms chu nasa takin a tlahniam thin.
He damdawi hmanna atana hmanraw pawimawh ber berte chu eng nge ni tih hriat nan a hnuaia table hi han en ila.
| Natna chi hrang hrang | Natna hming | Enkawlnain a puih dan |
|---|---|---|
| Neurologic Disorder awm thei te | Multiple Sclerosis (MS) natna a awm thei lo. | Symptoms a zual thut chuan taksa ngeiin a self-attacking proteins te chu plasma atanga lakchhuah a ni a, symptoms te chu control a ni. |
| Myasthenia Gravis natna a ni | Muscle chak lo leh tissue hrisel beitu antibodies pangngai lo chu plasma atang hian filter a ni. | |
| Guillain-Barré natna a ni | Immune system hian nerve a beih chuan chu antibody tha lo tak takte chu plasma atangin a paih chhuak thin. | |
| Thisen lama harsatna awm thei | Cryoglobulinemia a awm thin | Thisen protein te chu a inzawm khawm loh nan leh thisen kalna kawng a block loh nan chu protein tha lo tak takte chu a paih chhuak thin. |
| Thrombotic thrombocytopenic purpura a awm thin | Thisen kalna kawng te tak tea thisen zam siamtu plasma tha lo tak chu paih chhuakin plasma hrisel tak pek a ni. | |
| Cancer chi hrang hrang | Waldenström chu a natna hrik (macroglobulinemia) a ni | Plasma atanga lakchhuah niin, antibody (immunoglobulin M) siam chhuah dan pangngai lo (abnormally produced antibody) zat control nan an hmang thin. |
| Multiple myeloma a awm thei | Ruhro chhunga plasma cell pangngai lo, cancer nei protein siam chhuah protein tha lo tak takte a paih chhuak thin. |
Enkawlna kalpui dan: a hma, a lai leh a hnuah
Hetiang enkawlna chi hi hriat hian hlauhna tlem a awm hi thil pangngai a ni. Mahse, a hnathawh dan dik tak i hriatthiam chuan chu hlauhna chu a bo ta a ni.
Enkawl hmaa inbuatsaihna
I doctor-in he enkawlnaah hian a refer che a nih chuan, hetiang hian tips thenkhat chu hetiang hi a ni:
- Enkawl hmain darkar 72 vel non-carbonated fluids (tui, thei tui) tam tak in thin tur a ni.
- Enkawl hma darkar khat vel chaw ei tur tha tak ei thin ang che.
- Thawmhnaw nuam tak ha rawh . Enkawlna hi darkar engemaw zat a daih dawn avangin lehkhabu chhiar tur emaw, ngaihthlak tur emaw keng tel a tha.
- Inenkawl zawha in lama hruai tur che neih a pawimawh hle .
Enkawl laiin eng nge thleng
Hei hi i ngaihtuah angin a buaithlak lo tak zet a ni.
1. A hmasa berin, medical staff te chuan i kut chhunga vein pakhatah emaw, i kawr emaw, i kawrfual emaw vein lian takah emaw special tube (catheter) an dah ang.
2. Tichuan, chu tube kaltlangin i taksa atangin thisen tlem te te chu lakchhuah a ni.
3. Thisen chu machine bik ah a lut nghal a. He machine hian i thisen atanga plasma chu a then hrang a.
4. Tichuan, i plasma zawhna awm thei chu lakchhuah a ni a, paih a ni.
5. Tunah chuan i red cells, white cells, leh platelets la awmte chu plasma hrisel emaw, albumin tih protein awmna tui bik emaw nen an inhmeh tawh a ni.
6. A tawp berah chuan he thisen thianghlim hi chu tube kaltlangin i taksaah a rawn let leh thin.
The entire process can take several hours , chutih chhung chuan khumah emaw, armchair emaw-ah i chawl thei a ni.
Hei hi a hrehawm em?
No. He enkawlna hi a hrehawm lo . Mahse, i kutah catheter dah a nih chuan harsatna engemaw chen i nei thei. Chumi piah lamah chuan hrehawmna a awm lo. Mahse, mi ṭhenkhat chuan a hnuaia mite hi an tawng thei a ni:
- A taksa peng hrang hrangah a hring deuh ang maiin a lang.
- LuhaiA lo kal chu.
- Luak chhuak ang maia awm .
- A vawt tih hriatna .
Hetiang thil i hriat chuan nurse emaw doctor emaw hnenah hrilh nghal a pawimawh hle.
Enkawl hnuah
Mi tam tak chuan inenkawl hnuah an chau hle niin an hria. Hei hi thil pangngai a ni. Plasma hi kan taksa tana tui petu ber a ni. Chuvangin i doctor chuan enkawl hnu ni engemaw zat chu a tlangpui aia tui leh tui in tam turin a fuih ang che .
Enkawlna hlawkna leh hlauhawmna
Damdawi dang ang bawkin hlawkna leh hlauhawmna tenau tak tak a awm bawk.
| Hlawkpuina | Risk emaw Complication emaw a awm thei |
|---|---|
|
|
Remember that these risks are very rare , leh medical team te chuan enkawl laiin an lo enkawl reng dawn che a, chuvangin harsatna a awm chuan enkawl nghal an ni ang.
Zawhna i nei thei bawk
Hei hi dialysis ang chi a ni em?
Zawhna tha tak a ni. Thil tih dân pahnih hnuaia thu bul chu a inang vek a ni: thisen aṭanga thil duh loh, hlauhawm tak takte filter chhuah. Mahse, danglamna a awm.
Dialysis hi kidney failure nei mi thisen atanga bawlhhlawh paih chhuah nan hman a ni.
Plasma exchange hi thisen atanga antibody tha lo emaw protein emaw paih chhuah nan an ti thin.
Enkawlna hnuah a dam leh theih nan eng chen nge a duh ang?
I dinhmun a zirin a danglam thei. Entirnan, myasthenia gravis vei chu kar tlemte enkawl a nih hnuah thla engemaw zat chhung chu symptoms nei lovin a awm thei. Chumi hnuah chuan enkawl a ngai leh mai thei. Hei hi natna tidam ai chuan , natna lan chhuah dan (symptoms) control-na leh nun awlsam zawka enkawltu a ni.
Plasma exchange hi natna tam tak damdawi a ni lo tih hre reng ang che. Mahse symptom na tak tak control theihna leh i nunphung tihchangtlun theihna a nei a ni. He damdawi hi i lo hrilh tawh a nih chuan zawhna emaw, i ngaihtuahna emaw i neih chuan i doctor nen sawiho rawh.
Take-Home Thuchah a ni
- Plasma exchange hi damdawi bik a ni a, thisen atanga plasma tha lo tak tak paih chhuakin tui hrisel hmanga thlak a, taksaah a thawn kir leh thin a ni.
- Autoimmune natna, thisen natna thenkhat, cancer enkawlna atan hman a ni.
- Procedure hi a hrehawm lo va, a tlangpuiin a him hle. Side effect tenau lo awm thei apiang chu doctor-te chuan awlsam takin an enkawl thei a ni.
- Hei hi natna lan chhuah dan thunun thei leh nun ti awlsamtu damdawi a ni a, mahse natna tam tak tidam kim thei damdawi a ni lo.
- He enkawlna chungchang hi doctor nen zalen taka sawi dun a, i ngaihtuahna zawng zawng chinfel a pawimawh hle.











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