Mahni thisen hmanga natna enkawl dan mak tak: Plasmapheresis leh Plasma Exchange chungchang zawng zawng

Kan taksaa thisen awm hi thil mak tak a ni lawm ni? Red cells, white cells leh thil dang tam tak a pai a ni. Chung zingah chuan thisen a tui (liquid part) chu ‘plasma’ an ti a. A châng chuan keimahni taksaa natna awm vangin he plasma hian harsatna a thlen thei a ni. Chutiang hunah chuan chu plasma buaithlak tak chu paih chhuakin thisen tithianghlimtu enkawlna bik kan sawi dawn a ni.

I en hmasa ang u, he plasma hi eng nge ni?

A awlsam zawngin plasma chu kan thisen a light yellow liquid part a ni. Kan thisen a chanve aia tam hi plasma atanga siam a ni. Tui tam zawk ni mah se, kan taksa mamawh thil pawimawh tam tak a pai bawk. A bik takin protein leh electrolyte , chu chu dissolved salt a ni.

Kan taksa hi ram ang maiin han ngaihtuah teh. Tichuan he plasma-a protein thenkhat hi chu ram sipai ang mai a ni. Pawn lam atanga lo chhuak virus leh bacteria ang chi hmelma lakah min venghim thin. Heng antibodies te hi kan ti bawk . Protein chi dang pakhat chuan hliam a awm chuan thisen chhuah a titawp thei a ni. Chuvangin plasma a pawimawh zia chu i hmu thei a ni lawm ni?

Chuti a nih chuan plasmapheresis leh plasma exchange te hi eng nge ni?

Heng hming pahnih hi a inang deuh avangin a buaithlak deuh thei. A awlsam zawngin i vawng ang u.

• Plasmapheresis: Hei hian thisen atanga plasma chauh thliar hran a huam a ni. Hetiang method hi mi hrisel (donor plasma) atanga plasma lak a, damlo dang enkawl nan an hmang fo thin.

• Plasma Exchange: Hei hi enkawl dan hman tlanglawn ber a ni. Heta thil thleng hi i taksaa harsatna awm thei, natna thlen thei plasma chu paih chhuakin plasma tha emaw, chutiang bawka tui tha emaw hmangin thlak a ni. Tui bawlhhlawh thenkhat paih a, tui thianghlim dah belh ang a ni. He thuziak ah hian he Plasma Exchange treatment chungchang hi kan sawi ber dawn a ni.

He damdawi hmang hian eng natna nge tihdam theih?

Plasma Exchange hi natna hrang hrang enkawlna atana hman thin a ni. A bik takin, autoimmune natna, thisen lama harsatna, leh cancer chi thenkhat enkawlnaah a tangkai thei hle.

Enkawl hma leh enkawl lai hian eng nge thleng?

Enkawl hmaa inbuatsaihna

I doctor-in he damdawi hi a rawn pe che a nih chuan, a inbuatsaih nan hetiang thil hi a hrilh ang che.

• Enkawl hma ni thum vel chu non-carbonated beverages (tui, thei in tur) tam tak in thin tur a ni.
• Enkawl hma darkar khat vel chawhmeh tui tak ei la, riltamna nei lovin.
• Thawmhnaw nuam leh hlim lo tak tak ha chungin lo kal rawh. Enkawlna hi darkar engemaw zat a daih dawn avangin chhiar tur thil, lehkhabu emaw, music ngaihthlakna tur phone emaw keng tel a tha.
• Inenkawl zawhah i chau deuh mai thei a, chuvangin lirthei khalh a harsa mai thei. Chuvang chuan in lama hruai tur mi rawn hruai a pawimawh.

Enkawl lai hian

Plasma Exchange enkawlna atana step hrang hrangte hi a awlsam hle.

1. A hmasain doctor emaw nurse emaw chuan i kut vein pakhatah IV line a dah ang. I kawr emaw, i kawr emaw vein lian takah central line catheter an dah thei bawk.

2. Tichuan, chumi kaltlangin i taksa atangin thisen tlem te te chu zawi zawiin a chhuak thin.

3. Thisen chu machine bik ah an thawn a, chutah chuan plasma chauh an inthen a.

4. I dinhmun thlentu plasma buaina chu lakchhuah a ni .

5. Tichuan, tui bik, plasma thar emaw albumin emaw ang chi chu red cell leh white cell la awmteah dah a ni.

6. A tawp berah chuan he thisen thianghlim hi chu cannula hmang vek chuan i taksaah dah leh a ni.

Hei hi a hrehawm em? Risk a awm em?

Mi tam takin zawhna an neih chu hei hian a ti na dawn em tih hi a ni. Ni lo, hei hi enkawlna hrehawm tak a ni lo. Mahse, i kut chhunga cannula dah a nih chuan stinging sensation tlem i nei thei. Mi thenkhat chuan enkawlna an neih chhung hian a hnuaia mite hi an tawng thei a ni:

• I kut leh ke a tingling ang maia hriat
• Nauseous tih hriatna
• Lungngaihna rilru put hmang
• Khua a vawt tih hriatna

Hetiang thil i hriat chuan chuta doctor emaw nurse emaw hnenah i hrilh nghal tur a ni. I tih theih thil awlsam tak tak an hre chiang hle.

Plasma exchange hi enkawlna him tak ni mahse, side effect thenkhat chu a awm tlem hle.

• Hypocalcemia: Hei hi enkawl laiin calcium a bo theih avangin a awm thin. Intravenous calcium hmanga enkawl a ni.
• Hypothermia: Taksa chu a chhunga tui a lo kir leh avangin a vawt thei. Hei hi tui lum pek emaw, taksa chu blanket-a khuh emaw hmangin control theih a ni.
• Thisen sang hniam (Hypotension): 1.1.A tul chuan hei atan hian saline emaw tui dang emaw pek tur a ni.

Dialysis leh he plasma therapy hi thil inang a ni em?

Mi thenkhat chu an buai thin a, a chhan chu heng pahnih hi thisen tihthianghlimna hmanrua a nih vang a ni. Mahse, an pahnih hian thil tum pahnih an nei a.

• Dialysis: Hei hi kal (kidney) a thawk tha lo tan tih a ni. Dialysis tih hian thisen atanga bawlhhlawh, kal (kidney)-in a paih chhuah theih lohte chu filter-na a ni.

• Plasma Exchange: Hei hian taksa atanga bawlhhlawh a paih chhuak lo. Thisen plasma-a awm natna thlen thei protein emaw antibody emaw a paih chhuak .

A awlsam zawngin sawi ila, dialysis hi thisen atanga ‘bawlhhlawh’ paih chhuahna a ni. Plasma exchange chu thisen atanga ‘bad guys’ (protein tha lo) te man leh lakchhuahna a ni.

Enkawlna hnua hahdamna i hriat rei zawng chu i dinhmun a zirin a ni. Entirnan, Myasthenia Gravis vei chu kar tlemte enkawl a nih hnuah thla tam tak chhung chu natna lanchhuahna nei lovin a awm thei.