Plasmapheresis - mua manawanui me te tohunga whakaaro

hanga nga whakatutukitanga o rongoā hou, me te hanga o te tauira hangarau hou reira taea ki te haere mai ki tenei aronga hou rite pokanga toto. Kei roto te reira i ultrafiltration, hemosorption, plasmapheresis, e arotake tukua ki a tatou mea e i roto i taua tikanga o te maimoatanga - te heke mai. Mā te whakamahi i enei hōtaka maimoatanga ki te whakaiti i te pikaunga pire i runga i te manawanui me te, no reira, te arotau i te hōtaka o te therapy i mate o te pūnaha musculoskeletal, whatukuhu, ate, pūnaha kūnatu, ngakau me oko toto, pūnaha romahā.

He aha te mea te tukanga?

Ia tangata e haere mai ana ki te pupuri plasmapheresis, arotake i te whānuitanga o ngā rau - i pānga ahuareka o te maimoatanga ki te makanga hohonu o te tukanga rite taua. kawea te parau tumu o te therapy i roto i roto i taua i te pūnaha circulatory o te manawanui (venous) nekehia te nui etahi o te toto, ka e i whakanohoia i roto i te taputapu motuhake. Kei te kawea te reira i roto i runga i te fractionation o te wahi wai o te toto - wē, e taea te whakamahi mo te hanga o etahi hua toto me te āhuatanga hanga hoki i roto i te tohanga nahanaha i muri i centrifugation.

utua te ngaro te rōrahi wai e te whakamahi i tioata (whaiaroaro otinga konutai pūhaumāota, me te otinga "Disol", "Trisol") ranei rongoā colloidal, e kua tīpakohia TRANSFUSIOLOGY rata mo ia manawanui takitahi. Ko te aha, i roto i te whakautu ki te pātai - he aha te mea tohunga plasmapheresis mea e ko te tikanga hou o te pokanga toto tō tenei, te whakamahi o nei hanga taea reira mihini tango i te tinana o nga āhuatanga paitini manawanui me te etahi hua pūkoro.

A, no te Ko te tino tika te tukanga?

Whakahaere plasmapheresis, arotake o e rerekē noa i roto i tūroro ki tātaritanga rite, tumanako kaiwhakaako ki te pure i te toto o poke pathological ranei ngä nohanga nui o te tinana o ngā hua ururua. Whakatau ahakoa te kore ranei ko te tikanga o te toto tafa kalāvité i roto i ia take, me te wehe i mātanga tenei huhu mo ia manawanui whakatau te maha e hiahiatia o maimoatanga, auau o te tāruarua, me te rōrahi venous o te toto e taea te nekehia atu i te bloodstream o te manawanui, kahore hopearaa kino.

Noatia, plasmapheresis, kia ara ake tohu mo e i roto i te mahi, he kaihaumanu, me taote, me te dermatologist, a tae noa te obstetrician-rata mātai, kei te tonu kawea atu i roto i te taiao hōhipera. I roto i ētahi wā, me kia falemahaki te manawanui mō te maimoatanga (i roto i te take o ngā raruraru ki te toto upoo-, huru whānui, i roto i te take o ngā raruraru ki te whai wāhi venous) mamae ngā tukanga tūroro akoranga, noho i roto i te whare hauora i roto i te tukanga o te plasmapheresis me te torutoru haora i muri i te mutunga o te Paremete e haere ake anake ranei.

Tino uaua, he plasmapheresis manawanui e mahi ana, arotake e pā ana ki nei he tino maha tūroro i roto i ngā āhuatanga hou o te pānuitanga i runga i ngā paetukutuku tūtohutanga o hoa ranei, he tākuta fehangahangai ki te pātai - he aha te mea te roanga ikeiketanga o te akoranga. Ko te whakahoki ta'e he kahore a kore e taea e: i roto i ētahi wā kia ngā tukanga plasmapheresis kia whakamana i nga 3-4 ra, engari he akoranga poto rawa o 3-4 wā, pērā i nui tauhohe mate pāwera whakapeka. I te tahi taime taunaki ana te tākuta tikanga kotahi-wā, ki te auau o te 1 nga 15-20 ra - na noho maimoatanga o te syndrome antiphospholipid me materoto recurrent, engari tonu te wātū tamaiti katoa e tatari ana te wā i raro i te mana o ngā tawhā taiwhanga me te mātakitaki o ngā tohunga.