Plasmapheresis: He aha e manaʻo ai

Anter

• He aha ke kumu o ka plasmapheresis?
• Pehea e lawelawe ʻia ai ka plasmapheresis?
• Pehea wau e hoʻomākaukau ai no ka plasmapheresis?
• He aha nā pono o ka plasmapheresis?
• He aha nā pilikia o ka plasmapheresis?
• Uhi ʻia ka plasmapheresis e ka ʻinikua?
• He aha ke kuanaʻike ma hope o ka plasmapheresis?

He aha ka plasmapheresis?

ʻO Plasmapheresis kahi hana e hoʻokaʻawale ʻia ai ka ʻāpana wai o ke koko, a i ʻole ka plasma, mai nā hunaola koko. ʻO ka maʻamau, pani ʻia ka plasma me kahi hopena ʻē aʻe e like me saline a albumin paha, a i ʻole mālama ʻia ka plasma a laila hoʻi i kou kino.

Inā maʻi ʻoe, hiki i kāu plasma ke komo i nā mea ʻino e hoʻouka i ka ʻōnaehana pale. Hiki ke hoʻohana ʻia kahi mīkini e hemo i ka plasma loli a hoʻololi iā ia me ka plasma maikaʻi a i ʻole kahi pani plasma. ʻO kēia ka mea i ʻike ʻia ʻo ka pānaʻi plasma. Ua like ke kaʻina me ka dialysis kidney.

Hiki i ka Plasmapheresis ke kuhikuhi i ka hana hāʻawi plasma, kahi e hemo ai ka plasma a hoʻihoʻi ʻia nā hunaola i kou kino.

He aha ke kumu o ka plasmapheresis?

Hiki ke hoʻohana ʻia ka Plasmapheresis e mālama i nā ʻano maʻi autoimmune me:

• myasthenia gravis
• ʻO Guillain-Barre Syndrome
• polyneuropathy hōʻeleu hoʻohaʻahaʻa maʻi
• ʻO Lambert-Eaton myasthenic syndrome

Hiki nō ke hoʻohana ʻia e mālama ai i kekahi mau pilikia o ka maʻi cell sickle, a me kekahi ʻano o ka neuropathy.

I kēlā me kēia mau maʻi, ua hoʻomohala ke kino i nā protein i kapa ʻia he antibodies i hoʻolālā ʻia e ʻike ai i nā hunaola a luku iā lākou. Aia kēia mau mea ʻino i loko o ka plasma. ʻO ka maʻamau, kuhikuhi ʻia kēia mau mea ʻino i nā hunaola ʻē i hiki ke hōʻeha i ke kino, e like me ka maʻi.

I ka poʻe me ka maʻi autoimmune, eia nō naʻe, e pane nā antibodies i nā hunaola i loko o ke kino e hoʻokō i nā hana koʻikoʻi. ʻO kahi laʻana, i loko o nā sclerosis he nui, e hōʻeha nā kino a me nā hunaola o ke kino i ka uhi pale o nā ʻalolo. ʻO ia ka mea e alakaʻi i ka hana nāwaliwali o nā mākala. Hiki i ka Plasmapheresis ke hoʻōki i kēia kaʻina hana i ka hemo ʻana i ka plasma i loaʻa nā mea ʻino a hoʻololi iā ia me ka plasma hou.

I nā makahiki i hala iho nei, ua hoʻohana nui ʻia ka hoʻomaʻamaʻa e mālama i ka poʻe maʻi nui me nā maʻi a me nā pilikia ʻē aʻe e like me ka maʻi o Wilson a me thrombotic thrombositopenic purpura. Hoʻohana ʻia ia e kōkua i ka poʻe i loaʻa i kahi transplant organ e pale i ka hopena o ke kaʻina hana kūlohelohe o ke kino.

Pehea e lawelawe ʻia ai ka plasmapheresis?

Ma ka hāʻawi plasmapheresis, e hoʻomaha ʻoe ma kahi moe. A laila e hoʻokomo i kahi nila a i ʻole ka catheter i loko o kahi aa i loko o ka pahu o ka mea nona ka aʻa ikaika loa. I kekahi mau hihia, hoʻonoho ʻia kahi catheter i ke aʻa a i ʻole ka poʻohiwi.

Hoʻohuli a hoʻi ʻia ʻo plasma i loko o kou kino ma o ka lua o ka paipu i kau ʻia i ka lima a i ʻole ka wāwae.

Wahi a nā lula pekelala, hiki i ke kanaka ke hāʻawi manawaleʻa i ka plasma a i ʻelua mau manawa o ka pule. Ma kahi o 90 mau minuke e noho ai nā kau manawaleʻa.

Inā loaʻa iā ʻoe ka plasmapheresis ma ke ʻano he lapaʻau, hiki ke hana ma waena o hoʻokahi a ʻekolu mau hola. Pono paha ʻoe i ʻelima mau lapaʻau i kēlā me kēia pule. Hiki ke loli ākea ka hoʻomaʻamaʻa pinepine ʻana mai kahi kūlana ai kahi kūlana, a hilinaʻi hoʻi i kou olakino holoʻokoʻa.

I kekahi manawa koi ʻia ka haukapila. ʻO nā manawa ʻē aʻe hiki ke hoʻomaʻamaʻa i waho.

Pehea wau e hoʻomākaukau ai no ka plasmapheresis?

Hiki iā ʻoe ke hoʻonui i ka kūleʻa a hoʻēmi i nā ʻōuli a me nā pilikia o ka plasmapheresis ma o ka lawe ʻana i kēia mau kaʻina hana.

• E ʻike pono he papaʻai momona kou ma mua o ka mālama ʻana a i ʻole ka hāʻawi manawaleʻa ʻana.
• E hiamoe maikaʻi i ka pō ma mua o kāu kaʻina hana.
• E inu nui i nā wai.
• E kiʻi i kēia lā me nā lāʻau āpau no nā maʻi maʻamau. Hana pū me kāu kauka e ʻike i nā lāʻau āpau āu e pono ai.
• Hōʻalo i ka puhi a me ka paka.
• ʻAi i kahi papaʻai kiʻekiʻe i ka protein a haʻahaʻa i ka phosphorous, sodium, a me ka potassium i nā lā e hiki mai ana i ka plasmapheresis.

He aha nā pono o ka plasmapheresis?

Inā loaʻa iā ʻoe ka plasmapheresis ma ke ʻano he lapaʻau no ka nāwaliwali a i ʻole kahi maʻi autoimmune, hoʻomaka paha ʻoe e hōʻoluʻolu i kahi mau lā liʻiliʻi. No nā kūlana ʻē aʻe, he mau pule paha ka hala ma mua o kou ʻike ʻana i nā loli i kāu mau ʻōuli.

E hāʻawi wale ʻo Plasmapheresis i kahi hoʻomaha manawa pōkole. ʻO ka hana pinepine e pono ai e hana hou. ʻO ke alapine a me ka lōʻihi o nā hopena e hilinaʻi nui i kou ʻano a me kona koʻikoʻi. Hiki i kāu kauka a kahu wahine paha ke hāʻawi iā ʻoe i kahi manaʻo ākea o ka lōʻihi o ka pono o ka plasmapheresis a me ka manawa hea ʻoe e pono ai e hoʻohana.

He aha nā pilikia o ka plasmapheresis?

Hāpai ka Plasmapheresis i kahi hopena o nā hopena ʻaoʻao. ʻO ka maʻamau, kākaʻikahi lākou a akahai hoʻi. ʻO ka hōʻailona maʻamau ka hāʻule o ke kahe o ke koko. Hele pū kēia me:

• maule
• ʻike hihi
• ʻūpā
• ʻano anuanu
• ʻōpū o ka ʻōpū

Hiki i ka Plasmapheresis ke hali i kēia mau pilikia aʻe:

• Maʻi ʻaʻai: ʻO ka hapa nui o nā kaʻina hana e pili ana i ka hoʻoili ʻana o ke koko i loko a i waho o ke kino.
• ʻO ke kāpili koko ʻana: hiki i kāu kauka ke kuhikuhi i kahi anti-coagulant e kōkua ai i ka hōʻemi ʻana i kou makaʻi no ke koko koko.
• Ka hopena hoʻowali: He hopena maʻamau kēia i nā hopena i hoʻohana ʻia e pani i ka plasma.

ʻO nā pilikia ʻoi aku ka nui a koʻikoʻi ʻole e pili ana i ka kahe ʻana o ke kahe, nā hopena mai nā lāʻau anti-clotting. ʻO nā pilikia ʻē aʻe i ʻoi aku ka nui me ka hopu ʻana, ka ʻōpū o ka ʻōpū, a me ka ʻūlū ʻana i nā lālā.

ʻAʻole kūpono kūpono ʻo Plasmapheresis no kekahi poʻe, e like me:

• ka poʻe hemodynamically kūpaʻa
• ka poʻe hiki ʻole ke ʻae i ka hoʻonohonoho laina waena
• ka poʻe me nā maʻi ʻino i ka heparin
• poʻe me ka hypocalcemia
• ka poʻe me nā maʻi ʻino i ka albumin paʻahau a i ʻole ka plasma

Uhi ʻia ka plasmapheresis e ka ʻinikua?

Uhi pinepine ʻia ʻo Plasmapheresis e nā poʻe inikua no ka nui o nā ʻano. He mea nui e nānā me kāu ʻinikua e hoʻomaopopo i ka nui a ma lalo o nā ʻano hea e uhi ʻia ai ke kaʻina hana. ʻO kahi laʻana, e uhi nā hoʻolālā ʻinikua like ʻole i nā ʻokoʻa o ke kaʻina hana. Hoʻohui ʻia, uhi wale nā ​​mea hoʻopaʻa i ka plasmapheresis i kekahi mau hihia, e like me kahi ala hope loa no ka vasculitis rheumatoid.

E aʻo hou ai e pili ana i kāu uhi ʻana, e kāhea i kāu ʻoihana inikua. Inā he hopohopo kāu e pili ana i ke kumukūʻai, e kamaʻilio me kāu kauka. Hiki iā lākou ke kōkua iā ʻoe e hoʻomaopopo i kāu mau koho a hāʻawi iā ʻoe i ka ʻike e pono ai e kaʻana like me kāu mea ʻinikua.

He aha ke kuanaʻike ma hope o ka plasmapheresis?

Hōʻike kekahi poʻe i ka luhi ma hope o ke kaʻina hana, akā hoʻomanawanui ka hapa nui iā ia. No ka hopena maikaʻi loa, e hoʻomanaʻo e hoʻomākaukau no ke kaʻina hana a hāhai i nā kauoha a kāu kauka ma hope o ke kaʻina hana.

E noʻonoʻo e hana i kēia mau mea e hōʻoia i ka maikaʻi o kāu koho ʻana.

• E lawa ka hiamoe.
• E hōʻea i ka manawa i koho ʻia ma ka liʻiliʻi he 10 mau minuke ma mua o ka manawa.
• E komo i nā lole ʻoluʻolu.
• Lawe mai i kahi puke a i ʻole mea ʻē aʻe e hoʻokipa ai iā ʻoe i ke kaʻina hana.