Tekereza ko wagize impanuka ikomeye cyangwa urimo kuva amaraso menshi nyuma yo kubagwa. Hari igihe gutanga amaraso nk'uko bisanzwe bidahagije. Cyane cyane niba amaraso yawe adafashe neza, muganga wawe ashobora gufata icyemezo cyo kuguha ubuvuzi bwihariye bwitwa FFP. Ushobora kugira ubwoba gato iyo wumvise izina. Ariko ntugahangayike. Uyu munsi, turaganira kuri FFP icyo ari cyo, impamvu itangwa, n'ibyo ukeneye kumenya byose kuri yo mu buryo bworoshye cyane.
FFP (Plasma Ishya Ikonjeshejwe) ni iki?
Mu magambo make, FFP ni igice cy'amazi cy'umuhondo gisigara nyuma yo gukuraho ibice bigize uturemangingo nk'uturemangingo dutukura tw'amaraso n'uturemangingo twera tw'amaraso mu maraso umuntu yatanze. Ibi ni byo twita plasma .
Iyi plasma ikomeza ingano y'amaraso yacu. Irimo kandi poroteyine zidasanzwe zitwa "ibintu bigabanya amaraso" bifasha guhagarika kuva amaraso iyo twakomeretse.
Rero, iyo umuntu adafite kimwe cyangwa byinshi muri ibi bintu bituma amaraso adakora neza kandi akava amaraso menshi, FFP itangwa kugira ngo igarure ingano y'amaraso yatakaye kandi yongere kuzuza ibyo bintu bituma amaraso adakora neza.
Ibi byitwa "Fresh Frozen Plasma" kuko iyo plasma itandukanijwe n'amaraso atangwa, irakonjeshwa cyane mu masaha 8 ku bushyuhe bwa dogere selisiyusi -18 cyangwa munsi yayo kugira ngo igumane ibintu by'agaciro bitera kuvura amaraso birimo.
Ese hari andi mazina y'ibi?
Yego, abaganga bashobora gukoresha andi mazina iyo bavuga kuri ubu buryo bwo kuvura. Ayo mazina yerekeza ku buryo bwakoreshejwe mu kububungabunga. Urugero, hari amazina nka PF24, PF24RT24.
Ntugahangayikishwe cyane n'aya mazina n'ibisobanuro bya tekiniki. Muganga wawe azaguhitiramo ubwoko bukwiye bwa plasma bujyanye n'uburwayi bwawe kandi burimo ibintu bituma amaraso agwa.
Ni nde ukeneye kuvurwa na FFP?
FFP si uburyo bwo kuvura abantu bose bava amaraso. Ubusanzwe ikoreshwa mu bihe runaka aho ubundi buryo bwo kuvura butagize icyo bukora. Dore bimwe mu bihe by'ingenzi FFP ishobora gukenerwa:
- Ibura ry'ibitera amaraso kuvura: Iyo umuntu ufite ikibazo cy'amaraso avukana, nka hemophilia, ava amaraso menshi cyane.
- Ku bafata Warfarin: Warfarin igabanya amaraso. Iyo umuntu ufata uyu muti atangiye kuva amaraso, akenshi igenzurwa no gutanga vitamine K. Ariko, iyo vitamine K idafite ingaruka zihuse, FFP ishobora gutangwa nk'uburyo bwo kuvura bufasha .
- Mu gihe cy'indwara yitwa TTP (Thrombotic Thrombocytopenic Purpura):Iyi ni indwara idasanzwe. Itera amaraso kuzura mu mubiri. Mu gutanga FFP, aba barwayi bahabwa indi enzyme ibura.
- Kuva amaraso menshi: Iyo amaraso menshi atakaye mu mubiri ako kanya bitewe n'impanuka ikomeye, kubagwa, cyangwa indi mpamvu, FFP itangwa nk'igice cy'inzira yo guterwa amaraso.
FFP itangwa ite?
Ubu buryo bwo kuvura bukunze gukorerwa mu bitaro. Agafuka ka FFP gakonje karashongeshwa kugeza ku bushyuhe bw'icyumba mbere yo guterwa mu mubiri wawe. Uburyo bukorwa ni ubu bukurikira:
1. Gushyiramo kanula: Muganga cyangwa umuforomo azashyiramo kanula (umurongo wa IV) mu mutsi uri mu kuboko kwawe.
2. Gutanga FFP: Iyo agafuka ka FFP gahujwe n'iyi cannula, plasma yinjira buhoro buhoro mu mubiri wawe binyuze mu mitsi yawe.
3. Gukurikirana: Muri iki gihe, ibimenyetso by'ingenzi byawe, nk'umuvuduko w'umutima n'umuvuduko w'amaraso, bizakurikiranwa buri gihe. Ibipimo by'amaraso, nka PT / INR na PTT, bishobora no gukorwa kugira ngo harebwe uko amaraso yawe yifashe neza.
4. Igipimo: Agapfunyika kamwe ka FFP (igipimo) karimo mililitiro 200-250. Bifata iminota 30 kuyiha umubiri. Bitewe n'ingano y'amaraso watakaje, muganga wawe ni we uzagena umubare w'udupfunyika twa FFP ukeneye n'igihe uzamara.
Ni izihe ngaruka n'ingorane bya FFP?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka nto cyane zishobora guterwa no gutanga FFP. Ariko abaganga bazi neza izo ngaruka kandi bafata ingamba zose zo kuzirinda. Kandi kubera ko buri gakapu k'amaraso yatanzwe gapimwa neza, ibyago byo kurwara indwara zandura ubu biri hasi cyane.
| Ingaruka/Ingorane | Ibisobanuro byoroshye |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Ubudahangarwa bw'umubiri busubiza plasma yinjira mu mubiri. Ibi bishobora gutera ibimenyetso bito nko kurwara uduheri no kwishimagura ku ruhu. |
| Indwara zandurira mu mubiri | Hari amahirwe make cyane yo kwandura virusi iturutse mu maraso y'uwatanze. Ariko, ibi ni gake cyane kuko amaraso yose atangwa n'amabanki y'amaraso muri Sri Lanka apimwa neza. |
| TRALI (indwara y’ibihaha iterwa no guterwa amaraso) | Iyi ni indwara idakunze kubaho cyane ariko ikomeye ishobora gutera kubyimba mu bihaha no kugorwa no guhumeka. |
| TACO (umuvuduko w'amaraso ujyanye no guterwa amaraso) | Imiyoboro y'amaraso irushaho kuba umutwaro bitewe n'amazi menshi cyane (plasma) yinjira mu mubiri icyarimwe. Ibi bishobora gutuma umuvuduko w'amaraso wiyongera ndetse n'amazi yuzura mu bihaha. |
Bigenda bite nyuma yo kuvurwa kandi ni ryari ugomba gushaka inama kwa muganga?
Igihe bifata kugira ngo ukire biterwa n'impamvu ya FFP. Ubusanzwe, uzatangira kumva umeze neza nyuma y'umunsi umwe nyuma yo kuvurwa. Ni ingenzi cyane kuruhuka bihagije .
Hari igihe ingaruka zimwe na zimwe zishobora kubaho ndetse na nyuma yo kuva mu bitaro. Bityo rero, witondere ibi bikurikira.
| Imiterere | Icyo gukora |
|---|---|
| Niba ufite ibi bimenyetso, vugana na muganga wawe. | |
| Ibi bishobora kuba ibimenyetso by'uburwayi bw'uruhu. Ni ngombwa kubimenyesha muganga wawe. |
| Niba ufite ibi bimenyetso, jya mu Ishami ry’Ubuvuzi bw’Ingoboka (ETU) ry’ibitaro vuba. | |
| Ibi bishobora kuba ibimenyetso by'indwara ikomeye nka TRALI cyangwa TACO. Ibi bishobora kubaho mu masaha 6 ya mbere nyuma yo kuvurwa. Ni ngombwa guhita uvurwa udapfushije igihe. |
Ubutumwa bwo kujyana mu rugo
- FFP ni ubuvuzi bw'ingenzi cyane bushobora kurokora ubuzima mu gihe habayeho kuva amaraso menshi.
- Ibi ahanini bikubiyemo kugarura ibintu bituma amaraso agwa ndetse no kugabanya ingano y'amaraso mu mubiri.
- Ubu buvuzi butangwa mu bitaro kandi bukurikiranwa n'abaganga, bityo nta mpamvu yo kugira ubwoba butari ngombwa.
- Nk’uko bigenda kuri buri buryo bwose bwo kuvura, hari ingaruka ntoya, ariko abaganga biteguye kuzikemura.
- Niba ugize ikimenyetso gikomeye, nko kugorwa no guhumeka, nyuma yo kuvurwa, jya kwa muganga wita ku barwayi ba ETU (ETU) byihutirwa.
- Niba ufite ikibazo cyangwa impungenge kuri ibi, ntugatinye kubiganiraho na muganga wawe.
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