He huarahi whakamiharo ki te rongoā i ngā mate ki ō ake toto: Ngā mea katoa mō te Plasmapheresis me te Plasma Exchange

He mea whakamiharo te toto i roto i tō tātou tinana, kāore? Kei roto ngā toto whero, ngā toto mā, me te maha atu o ngā mea. I roto i ēnei, ko te wāhanga wai o te toto e kiia ana ko te 'plasma'. I ētahi wā, nā te mate o roto i tō tātou ake tinana, ka raru pea tēnei plasma. I ēnei wā, ka kōrero tātou mō tētahi tikanga maimoatanga motuhake e tango ana i taua plasma raruraru, e pure ana hoki i te toto.

Kia titiro tuatahi tātou, he aha tēnei plasma?

He whakarāpopototanga noa iho, ko te toto toto te wāhanga wai kōwhai mārama o ō tātou toto. Neke atu i te haurua o ō tātou toto he toto toto. Ahakoa he wai te nuinga, he maha ngā matū nui kei roto e hiahiatia ana e ō tātou tinana. Ina koa ko ngā pūmua me ngā electrolytes , arā, ko ngā tote rewa.

Whakaarohia he rite tō tātou tinana ki tētahi whenua. Kātahi ka rite ētahi o ngā pūmua i roto i tēnei plasma ki te ope taua i taua whenua. Ka tiakina tātou e rātou mai i ngā hoariri pērā i ngā huaketo me ngā huakita e puta mai ana i waho. Ka kiia hoki ēnei he paturopi . Ko tētahi atu momo pūmua ka āwhina i te aukati i te toto ina he patunga. Nō reira ka kite koe i te hiranga o te plasma, tika?

Nā, he aha te plasmapheresis me te plasma exchange?

He āhua ōrite ēnei ingoa e rua, nō reira he āhua pōhēhē pea. Kia māmā noa iho.

• Plasmapheresis: Ko te tikanga tēnei ko te wehe i te plasma mai i te toto anake. He tikanga tēnei e whakamahia ana hei tango i te plasma mai i tētahi tangata hauora (plasma kaituku) hei rongoā i tētahi atu tūroro.

• Whakawhitinga Plasma: Koinei te tikanga maimoatanga e whakamahia whānuitia ana. Ko te mea e tupu ana i konei ko te tango i te plasma raruraru, e puta ai te mate i roto i tō tinana, ka whakakapia ki te plasma pai, ki tētahi wai rite tonu te pai. He rite ki te tango i ētahi wai paru me te tāpiri i te wai ma. I roto i tēnei tuhinga, ka kōrerohia te nuinga mō tēnei maimoatanga Whakawhitinga Plasma.

He aha ngā mate ka taea te rongoā mā tēnei rongoā?

He maimoatanga te Plasma Exchange hei rongoā i ētahi āhuatanga. Ina koa, ka whai hua ki te rongoā i ngā mate pūnaha ārai mate, ngā mate toto, me ētahi momo mate pukupuku.

He aha ngā mea ka tupu i mua atu, ā, i te wā hoki e rongoatia ana?

Te whakarite i mua i te maimoatanga

Ki te tohua tēnei maimoatanga e tō tākuta māu, māna e kōrero atu ki a koe ngā mea pēnei hei whakarite i a koe mō taua maimoatanga.

• Inumia he nui o ngā inu kore-waro (wai, inu hua) mō ngā rā e toru i mua i te maimoatanga.
• Kai māmā i te kai i te haora i mua i te maimoatanga, kaua e hiakai.
• Haere mai me ngā kākahu whakamarie, korekore hoki. Nā te mea ka roa te maimoatanga mō ngā hāora maha, he mea pai kia mauria mai he mea hei pānui, pērā i te pukapuka, i te waea rānei hei whakarongo waiata.
• Tērā pea ka paku ngenge koe i muri i te maimoatanga, nō reira he uaua pea ki te taraiwa. Nō reira, he mea nui kia mauria mai he tangata hei kawe i a koe ki te kāinga.

I te wā o te maimoatanga

He tino māmā ngā mahi e whai wāhi ana ki te maimoatanga Plasma Exchange.

1. Tuatahi, ka whakauruhia e te tākuta, e te nēhi rānei he aho IV ki roto i tētahi uaua i tō ringa. Tērā pea ka whakauruhia he catheter aho pokapū ki roto i tētahi uaua nui i tō kaki, i tō hope rānei.

2. Kātahi ka tangohia māriretia he toto iti i tō tinana mā roto.

3. Ka tukuna te toto ki tētahi mīhini motuhake, ko te parāuma anake ka wehea ki reira.

4. Ka tangohia te toto toto raruraru i puta ai tō mate .

5. Kātahi ka tāpirihia he wai motuhake pērā i te plasma hou, te albumin rānei ki ngā toto whero me ngā toto mā e toe ana.

6. Hei whakamutunga, ka whakahokia te toto kua horoia ki roto i tō tinana mā taua pūwero anō.

He mamae tēnei? He tūponotanga kei reira?

He pātai kei te nuinga o te tangata, mehemea ka mamae tēnei. Kāo, ehara tēnei i te maimoatanga mamae. Heoi anō, tera pea ka pāngia koe e te ngau kino ina werohia te cannula ki tō ringa. Tērā pea ka pāngia ētahi e ēnei i te wā e rongoatia ana:

• Te ahua kei te ngau kino ō ringaringa me ō waewae
• Te whakapairuaki
• He āhua pouri
• Te mātao

Ki te pā mai tēnei āhuatanga ki a koe, me kōrero tonu atu koe ki te tākuta, ki te nēhi rānei i reira. E mōhio ana rātou ki ngā mea ngāwari ka taea e koe te mahi.

Ahakoa he maimoatanga tino haumaru te whakawhiti plasma, tera ano etahi paanga taha ka tino onge te puta.

• Te ngoikore o te konupūmā: Ka puta tēnei nā te mea ka ngaro pea te konupūmā i te wā e rongoatia ana. Ka rongoatia mā te konupūmā werohanga ā-uaua.
• Te korehau wera: Tērā pea ka mātao te tinana nā te mea ka whakahokia mai ngā wai ki roto. Ka taea te whakahaere i tēnei mā te hoatu wai mahana, mā te takai rānei i te tinana ki te paraikete.
• Te toto toto iti (hypotension):Ki te tika, ka hoatu he tote, he wai rānei hei mahi i tēnei.

He rite tonu te dialysis me tēnei rongoā plasma?

Ka pōhēhē ētahi tāngata nā te mea he tikanga pure toto ēnei e rua. Heoi, e rua ngā kaupapa o ia rua.

• Dialysis: Ka mahia tēnei mā te hunga kāore e mahi tika ana ā rātou whatukuhu. Ko te dialysis he tātari i ngā para mai i te toto kāore e taea e ngā whatukuhu te tango.

• Whakawhitinga Plasma: Kāore tēnei e tango i ngā para i te tinana. Ka tangohia e ia ngā pūmua, ngā paturopi rānei e puta ai ngā mate kino kei roto i te plasma toto .

Ki te kī māmā noa, ko te dialysis te tukanga tango i ngā 'para' mai i te toto. Ko te whakawhiti plasma te tukanga hopu me te tango i ngā 'mea kino' (ngā pūmua kino) mai i te toto.

Ko te roa o te wā e marino ai koe i muri i te maimoatanga, kei runga i tō āhua. Hei tauira, ko te tangata e pāngia ana e te Myasthenia Gravis, tērā pea ka kore he tohu mō ngā marama i muri i ētahi wiki o te maimoatanga.