Plasmapheresis: he aha ia, pehea e hana ai a hiki i nā pilikia

Anter

• No ke aha ia
• Pehea e hana ai
• Nā pilikia kūpono o ka plasmapheresis

ʻO Plasmapheresis kahi ʻano lapaʻau i hoʻohana nui ʻia i ka hihia o nā maʻi kahi e hoʻonui ʻia ai ka nui o nā mea i hoʻopōʻino paha i ke olakino, e like me nā protein, nā ʻenemona a me nā mea ʻino paha.

No laila, hiki ke koi ʻia i ka plasmapheresis i ka mālama ʻana iā Thrombotic Thrombositopenic Purpura, Guillain-Barré Syndrome a me Myasthenia Gravis, kahi maʻi autoimmune i hōʻike ʻia e ka nalowale holomua o ka hana muscle ma muli o ka hana o autoantibodies.

Kuhi kēia hana e hemo i nā mea i loaʻa i ka plasma ma o ke kaʻina kānana. Kūlike ka Plasma ma kahi o 10% o ke koko a pili pū me nā protein, glucose, minerals, hormones a me nā kumu ʻōpala, no ka laʻana. E aʻo hou aʻe e pili ana i nā ʻāpana o ke koko a me kā lākou mau hana.

No ke aha ia

ʻO Plasmapheresis kahi hana e manaʻo e kānana i ke koko, e hoʻoneʻe i nā mea i loaʻa i ka plasma a hoʻihoʻi i ka plasma i ke kino me ka ʻole o nā mea e hoʻomau a hoʻomau paha i ka maʻi.

No laila, hōʻike ʻia kēia kaʻina hana no ka mālama ʻana i nā maʻi e kū nei me ka hoʻonui ʻana o kekahi o nā mea i koho ʻia o ka plasma, e like me nā antibodies, albumin a i ʻole nā ​​mea hoʻopili, e like me:

• Lupus;
• Myasthenia gravis;
• Myeloma lehulehu;
• Walcrenstrom's macroglobulinemia;
• Maʻi ʻo Guillain-Barré;
• Sclerosis maha;
• Thrombotic thrombositopenic purpura (PTT);

ʻOiai he lāʻau lapaʻau maikaʻi loa ka plasmapheresis i ka mālama ʻana i kēia mau maʻi, he mea nui e hoʻomau ka hana a ke kanaka i ka lāʻau lapaʻau i hōʻike ʻia e ke kauka, ʻoiai ka hana o kēia kaʻina hana ʻaʻole ia e pale i ka hana ʻana o nā mea pili i ka maʻi.

ʻO ia, i ka hihia o nā maʻi autoimmune, no ka laʻana, hoʻolaha ka plasmapheresis i ka hemo ʻana o nā autoantibodies i ʻoi aku, akā ʻaʻole hana ʻia ka hana ʻana o kēia mau mea ʻino, a pono i ke kanaka e hoʻohana i nā lāʻau immunosuppressive e like me ke alakaʻi a ke kauka.

Pehea e hana ai

Hana ʻia ka Plasmapheresis e kahi catheter i hoʻonoho ʻia i loko o ka jugular a i ʻole femoral tract a ʻo kēlā me kēia kau ʻana ma waena o 2 mau hola, hiki ke hana ʻia i kēlā me kēia lā a i ʻole nā ​​lā ʻokoʻa, e like me ke alakaʻi a ke kauka. Kaukaʻi ʻia i ka maʻi e mālama ʻia, hiki i ke kauka ke koi aku i nā kau ʻoi aku a ʻoi paha, me nā kau 7 e hōʻike mau ʻia.

ʻO Plasmapheresis kahi lapaʻau e like me ka hemodialysis, kahi e hemo ai ke koko o ke kanaka a hoʻokaʻawale ʻia ka plasma. Hana kēia plasma i kahi kaʻina hana kānana, kahi e hemo ai nā mea i loaʻa a hoʻihoʻi ʻia ka plasma waiwai ʻole i ke kino.

Eia naʻe kēia kaʻina hana, kānana i nā mea āpau i loko o ka plasma, nā mea pōmaikaʻi a me nā mea ʻino, a no laila, ua hoʻololi ʻia ka nui o nā mea pono ma o ka hoʻohana ʻia ʻana o kahi ʻeke plasma hou i hāʻawi ʻia e ka panakō koko o ka haukapila, e pale ana i nā pilikia no ka kanaka

Nā pilikia kūpono o ka plasmapheresis

ʻO Plasmapheresis kahi hana palekana, akā e like me nā kaʻina hana invasive ʻē aʻe, loaʻa iā ia nā pilikia, ʻo nā mea nui:

• Ke hoʻokumu ʻana o ka hematoma ma ke kahua o ke komo ʻana o ka venous;
• Pilikia o ka maʻi ma ka venous ke kahua komo;
• ʻO ke kiʻekiʻe o ke kahe o ke kahe ʻana, ma muli o ka hemo ʻana o nā kumu paʻa i loko o ka plasma;
• ʻO ka makaʻu i nā hopena transfusion, e like me ka hopena maʻi maʻi i nā protein i loko o ka plasma i hoʻololi ʻia.

No laila, e hōʻoia i ka liʻiliʻi o ka makaʻu o nā pilikia, he mea nui e hana ʻia kēia kaʻina hana e kahi loea i aʻo ʻia e mahalo i nā kūlana hoʻomaʻemaʻe e pili ana i ka palekana o ka mea maʻi. Eia kekahi, he mea nui e lawe ʻia ke transfusion o ka plasma hou, no ka mea ʻo kēia ala e hiki ai ke hōʻoia i nā mea pono no ka hana kūpono o ke kino i nā nui kūpono.