Njira yabwino kwambiri yochiritsira matenda ndi magazi anu: Zonse zokhudza Plasmapheresis ndi Plasma Exchange

Magazi m'thupi lathu ndi chinthu chodabwitsa, sichoncho? Ali ndi maselo ofiira, maselo oyera, ndi zina zambiri. Pakati pa izi, gawo lamadzimadzi la magazi limatchedwa 'plasma'. Nthawi zina, chifukwa cha matenda m'thupi mwathu, plasma iyi ingayambitse mavuto. Nthawi zina, tikambirana za njira yapadera yothandizira yomwe imachotsa plasma yovutayo ndikuyeretsa magazi.

Choyamba tiyeni tiwone, kodi plasma iyi ndi chiyani?

Mwachidule, plasma ndi gawo lamadzimadzi achikasu lopepuka m'magazi athu. Magazi athu opitilira theka amapangidwa ndi plasma. Ngakhale kuti nthawi zambiri ndi madzi, alinso ndi zinthu zambiri zofunika zomwe matupi athu amafunikira. Makamaka, mapuloteni ndi ma electrolyte , omwe ndi mchere wosungunuka.

Tangoganizani kuti thupi lathu lili ngati dziko. Kenako mapuloteni ena omwe ali mu plasma iyi ali ngati gulu lankhondo m'dzikolo. Amatiteteza ku adani monga mavairasi ndi mabakiteriya omwe amachokera kunja. Timatchanso ma antibodies awa. Mtundu wina wa puloteni umathandiza kuletsa kutuluka magazi pakakhala bala. Kotero mutha kuwona kufunika kwa plasma, eti?

Kodi plasmapheresis ndi kusinthana kwa plasma ndi chiyani?

Mayina awiriwa ndi ofanana pang'ono, kotero zingakhale zosokoneza pang'ono. Tiyeni tisunge zinthu mosavuta.

• Plasmapheresis: Izi zimaphatikizapo kupatula plasma yokha kuchokera ku magazi. Njirayi nthawi zambiri imagwiritsidwa ntchito kutenga plasma kuchokera kwa munthu wathanzi (plasma yopereka) ndikuchiza wodwala wina.

• Kusinthana kwa Magazi: Iyi ndiyo njira yochizira yomwe imagwiritsidwa ntchito kwambiri. Chomwe chimachitika apa ndichakuti plasma yomwe imayambitsa matenda m'thupi lanu imachotsedwa ndikusinthidwa ndi plasma yabwino kapena madzi abwino. Zili ngati kuchotsa madzi odetsedwa ndikuwonjezera madzi oyera. Munkhaniyi, tikambirana makamaka za chithandizo ichi cha Kusinthana kwa Magazi.

Ndi matenda ati omwe angachiritsidwe ndi chithandizochi?

Kusinthanitsa kwa Plasma ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda angapo. Makamaka, amatha kukhala othandiza pochiza matenda odziteteza ku matenda a autoimmune, matenda a magazi, ndi mitundu ina ya khansa.

Kodi chimachitika ndi chiyani musanalandire chithandizo komanso mukalandira chithandizo?

Kukonzekera musanalandire chithandizo

Ngati dokotala wanu akupatsani chithandizo ichi, adzakuuzani zinthu ngati izi kuti akukonzekeretseni.

• Imwani zakumwa zambiri zopanda carbonated (madzi, zakumwa za zipatso) kwa masiku atatu musanayambe kulandira chithandizo.
• Idyani chakudya chopepuka pafupifupi ola limodzi musanalandire chithandizo, osamva njala.
• Bwerani mutavala zovala zomasuka komanso zomasuka. Popeza chithandizochi chimatenga maola angapo, ndi bwino kubweretsa china chake choti muwerenge, monga buku kapena foni kuti mumvere nyimbo.
• Mungamve kutopa pang'ono mukatha kulandira chithandizo, kotero zingakhale zovuta kuyendetsa galimoto. Chifukwa chake, ndikofunikira kubweretsa munthu woti akutengereni kunyumba.

Pa nthawi ya chithandizo

Njira zomwe zimagwiritsidwa ntchito pochiza Plasma Exchange ndizosavuta kwambiri.

1. Choyamba, dokotala kapena namwino adzaika mzere wa IV mu mtsempha m'dzanja lanu. Akhozanso kuyika katheta wapakati mu mtsempha waukulu m'khosi kapena m'mimba mwanu.

2. Kenako, magazi ochepa amatuluka pang'onopang'ono m'thupi lanu kudzera mmenemo.

3. Magazi amatumizidwa ku makina apadera, komwe plasma yokha ndi yomwe imalekanitsidwa.

4. Plasma yomwe ili ndi vuto lomwe linayambitsa vuto lanu yachotsedwa .

5. Kenako, madzi apadera monga plasma yatsopano kapena albumin amawonjezeredwa ku maselo ofiira otsala ndi maselo oyera.

6. Pomaliza, magazi oyerawa amabwezeretsedwanso m'thupi lanu kudzera mu kanula yomweyi.

Kodi izi zimapweteka? Kodi pali zoopsa zilizonse?

Funso lomwe anthu ambiri ali nalo ndi lakuti kodi izi zingakupwetekeni? Ayi, iyi si njira yochizira yopweteka. Komabe, mungamve kupweteka pang'ono pamene cannula yaikidwa m'dzanja lanu. Anthu ena angakumane ndi zotsatirazi panthawi ya chithandizo:

• Kumva ngati manja ndi mapazi anu akukupwetekani
• Kumva nseru
• Kumva chisoni
• Kumva kuzizira

Ngati mukumva ngati izi, muyenera kuuza dokotala kapena namwino nthawi yomweyo. Amadziwa zinthu zosavuta zomwe mungachite.

Ngakhale kusinthana kwa plasma ndi njira yotetezeka kwambiri yochiritsira, pali zotsatirapo zina zomwe sizingachitike kawirikawiri.

• Hypocalcemia: Izi zimachitika chifukwa chakuti calcium imatha kutayika panthawi ya chithandizo. Imachiritsidwa ndi calcium m'mitsempha.
• Kuzizira kwa thupi: Thupi likhoza kumva kuzizira chifukwa cha madzi omwe abwezedwa mmenemo. Izi zitha kulamulidwa popereka madzi ofunda kapena kukulunga thupi mu bulangeti.
• Kuthamanga kwa magazi kotsika (Hypotension):Ngati pakufunika, saline kapena madzi ena adzaperekedwa pa izi.

Kodi dialysis ndi plasma therapy iyi ndi chinthu chimodzi?

Anthu ena amasokonezeka chifukwa zonsezi ndi njira zoyeretsera magazi. Komabe, zonse ziwiri zili ndi zolinga ziwiri.

• Kuyeretsa magazi: Izi zimachitika kwa anthu omwe impso zawo sizikugwira ntchito bwino. Kuyeretsa magazi kumaphatikizapo kusefa zinyalala kuchokera m'magazi zomwe impso sizingathe kuchotsa.

• Kusinthana kwa Magazi: Izi sizichotsa zinyalala m'thupi. Zimachotsa mapuloteni owopsa kapena ma antibodies omwe amayambitsa matenda omwe ali mu plasma yamagazi .

Mwachidule, dialysis ndi njira yochotsera 'zinyalala' m'magazi. Kusinthana kwa plasma ndi njira yopezera ndikuchotsa 'anthu oipa' (mapuloteni owopsa) m'magazi.

Kutalika kwa nthawi yomwe mumamva mpumulo mutatha kulandira chithandizo kumadalira vuto lanu. Mwachitsanzo, munthu amene ali ndi Myasthenia Gravis akhoza kukhala wopanda zizindikiro kwa miyezi ingapo atatha kulandira chithandizo kwa milungu ingapo.