He wai whakamiharo te toto i roto i tō tātou tinana, kāore? Koinei te toto e kawe ana i ngā matūkai me te hāora ki ngā wāhanga katoa o tō tātou tinana, ā, e tiaki ana i a tātou i ngā mate. Engari i ētahi wā, ka tīmata ētahi o ngā mea o roto i tēnei toto ki te whakararu i tō tātou tinana. Koinei te wā ka kōrerohia ai tētahi tikanga maimoatanga uaua engari he tino nui hei āwhina.
Tuatahi, kia kite tātou, he aha tēnei plasma?
Ina kōrero tātou mō te toto, ka whakaarohia he wai whero. Engari e whā ngā wāhanga matua o tēnei toto.
1. Ngā pūtau toto whero: Ngā pūtau e kawe ana i te hāora puta noa i te tinana.
2. Ngā toto mā: Tō tātou ope taua e whawhai ana ki ngā iroriki e puta ai te mate.
3. Ngā pereti toto: Ngā matūriki iti e mutu ai te toto ina he patunga.
4. Parahi: Koinei te wai kōwhai e mānu ana ngā pūtau katoa kua whakahuatia i runga ake nei. He rite ki ngā wahi huawhenua e mānu ana i roto i te hupa. He wai te nuinga o tēnei parahi. Engari he maha ngā mea kei roto e tika ana mō tō tātou tinana, pērā i ngā pūmua me ngā electrolytes. Kei roto hoki i tēnei parahi ētahi o ngā pūmua (antibodies) e tiaki ana i tō tātou tinana mai i ngā mate.
Nā te mea kua mōhio whānuitia e koe te pā o te plasma, me titiro tātou ki ēnei maimoatanga e rua.
Te rerekētanga i waenga i te Plasmapheresis me te Plasma Exchange
Ahakoa he rite te tangi o ēnei ingoa e rua ina rangona, he iti noa te rerekētanga.
- Plasmapheresis: Ki te whakarāpopototanga, koinei te tukanga o te wehe i te plasma anake mai i te toto. I te nuinga o te wā, ka whakamahia tēnei tikanga hei tango toto mai i tētahi tangata hauora, ka wehe i te plasma mai i roto, ka hoatu ki tētahi atu tūroro. He koha plasma tēnei, he rite tonu ki te koha toto.
- Whakawhitinga Plasma: Koinei te maimoatanga e whakamahia whānuitia ana. Ko te tango toto mai i te tangata mate, te whakamahi i tētahi mīhini motuhake hei tango i te plasma raruraru , te whakakapi ki te plasma hauora, ki tētahi atu wai rite rānei, kātahi ka whakahokia te toto kua parakore ki te tangata. He rite ki te tango i ētahi wai paru ka tāpirihia he wai ma ki roto.
He aha ngā mate ka taea te rongoā mā tēnei rongoā?
He maimoatanga te whakawhiti toto toto hei rongoā i ētahi mate. He tino whai hua mō ngā mate pūnaha ārai mate, ina whakaekea e te pūnaha ārai mate o te tinana ō tātou ake wāhanga hauora. Nā te mea kei roto i te toto toto ngā pūmua (antibodies) e whakaeke hē ana i te tinana. Nō reira, ina tangohia te toto toto raruraru, ka tino whakaitihia ngā tohu.
Me titiro tātou ki te ripanga i raro nei kia kite ai he aha ngā mate hauora matua e whakamahia ai tēnei maimoatanga.
| Kāwai mate | Ingoa o te mate | Me pēhea te āwhina a te maimoatanga |
|---|---|---|
| Ngā Mate Pūnaha | Te Mate Pukupuku Maha (MS) | Ina kino haere ngā tohu, ka tangohia ngā pūmua e whakaeke ana i a ia anō i te toto toto, ā, ka whakahaeretia ngā tohu. |
| Te Maistenia Gravis | Ka tātarihia mai i te parāoa ngā paturopi rerekē e ngoikore ai ngā uaua me te whakaeke i ngā kiko hauora. | |
| Te mate Guillain-Barré | Ina whakaekea e te pūnaha ārai mate ngā io, ka tangohia aua paturopi kino mai i te toto. | |
| Ngā Mate Toto | Te tangi o te wherikotanga | Hei ārai i te piri tahi o ngā pūmua toto me te aukati i ngā oko toto, ka tangohia aua pūmua kino. |
| Te purpura thrombocytopenic thrombotic | Ka tangohia te toto kino e puta ai ngā totoka i roto i ngā oko toto iti, ā, ka whakaratohia he toto hauora. | |
| Ngā momo mate pukupuku | Waldenström macroglobulinemia | Ka tangohia mai i te toto hei whakahaere i te nui o ngā paturopi i puta mai i te āhua rerekē (immunoglobulin M). |
| myeloma maha | Ka tangohia e ia ngā pūmua kino i hangaia e ngā pūtau plasma matepukupuku rerekē i roto i te hinu wheua. |
Te haere o te maimoatanga: i mua, i te wā, me muri i te
He mea noa te mataku ina rongo koe mō tēnei momo maimoatanga. Engari ina mārama koe ki tana mahi, ka ngaro atu taua mataku.
Te whakarite i mua i te maimoatanga
Mena ka tohua koe e tō tākuta ki tēnei maimoatanga, anei ētahi tohutohu:
- Inumia he nui o ngā wai kāore i te waro (wai, wai hua) mō te 72 hāora i mua i te maimoatanga.
- Kai i tētahi kai pai i te haora i mua i te maimoatanga.
- Kia pai te kakahu . Nā te mea ka roa te maimoatanga mō ētahi haora, he mea pai kia mauria mai he pukapuka hei pānui, he mea rānei hei whakarongo.
- He mea nui kia whai tangata hei kawe i a koe ki te kāinga i muri i te maimoatanga.
Ngā mea ka tupu i te wā e maimoatanga ana
Ehara tēnei i te mea uaua pērā i tō whakaaro.
1. Tuatahi, ka whakaurua e te hunga hauora he ngongo motuhake (he catheter) ki roto i tētahi uaua i tō ringa, i tētahi uaua nui rānei i tō kaki, i tō hope rānei.
2. Kātahi ka tangohia he toto iti i roto i tō tinana mā roto i taua ngongo.
3. Ka tukuna tika te toto ki roto i tētahi mīhini motuhake. Mā tēnei mīhini ka wehea te parāuma mai i tō toto.
4. Kātahi ka tangohia tō plasma e pāngia ana e te pātai, ka maka atu.
5. Kua konatunatua ngā toto whero e toe ana, ngā toto mā, me ngā pereti toto ki te toto toto hauora, ki tētahi wai motuhake rānei kei roto he pūmua e kiia nei ko te albumin .
6. Hei whakamutunga, ka whakahokia tēnei toto kua horoia ki tō tinana mā roto i taua ngongo.
Ka roa pea te tukanga katoa mō ētahi haora , ā, i taua wā ka taea e koe te okioki i runga i te moenga, i te tūru rānei.
He mamae tēnei?
Kāo. Kāore tēnei maimoatanga i te mamae . Heoi, tera pea ka pāngia koe e te mamae ina werohia te catheter ki tō ringa. Haunga tēnā, kāore he mamae. Heoi, tera pea ētahi tāngata ka pāngia e ēnei e whai ake nei:
- He rite ki te ngoikore o ngā peka me ngā waewae.
- WhakapairuakiKo te tangata e haere mai ana.
- Te āhua o te whanoke .
- Te mātao .
Ki te pā mai tētahi mea pēnei ki a koe, he mea nui kia kōrero tonu atu koe ki te nēhi, ki te tākuta rānei.
I muri i te maimoatanga
He tokomaha te hunga e tino ngenge ana i muri i te maimoatanga. He mea noa tēnei. Ko te toto toto te puna matua o te wai mō ō tātou tinana. Nō reira, ka tohutohu tō tākuta kia nui ake te wai me te wai e inuhia ana e koe i ngā rā torutoru i muri i te maimoatanga.
Ngā painga me ngā mōrearea o te maimoatanga
Pērā i ngā maimoatanga hauora katoa, he painga kei reira, engari he iti noa iho ngā mōrearea.
| Ngā Painga | Ngā Tūponotanga, Ngā Āhuatanga rānei |
|---|---|
|
|
Kia maumahara he tino onge ēnei mōrearea, ā, ka aroturuki tonu te tīma hauora i a koe i te wā e rongoatia ana, nō reira, ki te puta he raruraru, ka rongoatia tonutia.
Ngā pātai ka pā mai pea ki a koe
He rite tēnei ki te dialysis?
He pātai pai. He rite tonu te kaupapa matua o ngā tikanga e rua: te tātari i ngā matū kino, kāore e hiahiatia ana i roto i te toto. Engari he rerekētanga anō kei reira.
Ka whakamahia te dialysis hei tango i ngā para i roto i te toto o te tangata e pāngia ana e te ngoikore o ōna whatukuhu.
Ka mahia te whakawhiti parāoa hei tango i ngā paturopi kino, i ngā pūmua rānei i roto i te toto.
Kia pēhea te roa ka ora ake i muri i te maimoatanga?
Ka rerekē i runga i tō āhua. Hei tauira, ko te tangata e pāngia ana e te myasthenia gravis, tērā pea kāore he tohu mō ētahi marama i muri i ētahi wiki o te maimoatanga. Whai muri i tēnā, tera pea ka hiahiatia anō he maimoatanga. He maimoatanga tēnei e whakahaere ana i ngā tohu, e whakangawari ake ana i te oranga, kaua e whakaora i te mate.
Kia maumahara, ehara te whakawhiti plasma i te rongoā mō ngā mate maha. Engari he kaha tōna ki te whakahaere i ngā tohu kino me te whakapai ake i te kounga o tō oranga. Mena kua tohua tēnei maimoatanga ki a koe, kaua e mangere ki te kōrero ki tō tākuta mō ō pātai, ō āwangawanga rānei.
Karere Tangohia ki te Kāinga
- He maimoatanga motuhake te whakawhiti parāuma e tango ana i te parāuma kino mai i te toto, ka whakakapia ki te wai hauora, ka whakahokia ki te tinana.
- E whakamahia ana hei rongoā i ngā mate pūnaha ārai mate, ētahi mate toto, me te mate pukupuku.
- Kāore he mamae o te tikanga, ā, he tino haumaru te nuinga. Mā ngā tākuta ka taea te whakahaere i ngā pānga taha iti e pā mai ana.
- He maimoatanga tēnei e whakahaere ana i ngā tohumate, e whakamāmā ake ana hoki i te oranga, engari ehara i te maimoatanga e whakaora katoa ana i ngā mate maha.
- He mea tino nui kia kōrero mārama koe mō tēnei maimoatanga ki tō tākuta, kia whakatauhia hoki ō āwangawanga katoa.
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