Plasmapheresis: Zomwe Muyenera Kuyembekezera

Zamkati

• Kodi cholinga cha plasmapheresis ndi chiyani?
• Kodi plasmapheresis imayendetsedwa bwanji?
• Kodi ndingakonzekere bwanji plasmapheresis?
• Ubwino wa plasmapheresis ndi chiyani?
• Kodi kuopsa kwa plasmapheresis ndi chiyani?
• Kodi plasmapheresis ili ndi inshuwaransi?
• Kodi malingaliro pambuyo pa plasmapheresis ndi otani?

Kodi plasmapheresis ndi chiyani?

Plasmapheresis ndi njira yomwe gawo lamadzi lamagazi, kapena plasma, limasiyanitsidwa ndi maselo amwazi. Nthawi zambiri, plasma imasinthidwa ndi yankho lina monga saline kapena albumin, kapena plasma imathandizidwa ndikubwezeretsedwanso m'thupi lanu.

Ngati mukudwala, plasma yanu ikhoza kukhala ndi ma antibodies omwe amalimbana ndi chitetezo chamthupi. Makina atha kugwiritsidwa ntchito kuchotsa plasma yomwe yakhudzidwa ndikuisintha ndi plasma yabwino kapena cholowa m'malo mwa plasma. Izi zimatchedwanso kusinthana kwa plasma. Njirayi ndi yofanana ndi dialysis ya impso.

Plasmapheresis amathanso kutanthauza njira yoperekera plasma, komwe plasma imachotsedwa ndipo maselo amabwezeretsedwa mthupi lanu.

Kodi cholinga cha plasmapheresis ndi chiyani?

Plasmapheresis itha kugwiritsidwa ntchito kuthana ndi zovuta zosiyanasiyana zama autoimmune kuphatikiza:

• myasthenia gravis
• Matenda a Guillain-Barre
• Matenda osachiritsika amachotsa polyneuropathy
• Matenda a Lambert-Eaton myasthenic

Itha kugwiritsidwanso ntchito kuthana ndi zovuta zina zamatenda am'magazi, komanso mitundu ina ya matenda amitsempha.

M'mavuto onsewa, thupi limapanga mapuloteni otchedwa ma antibodies omwe adapangidwa kuti azindikire maselo ndikuwononga. Ma antibodies awa ali mu plasma. Nthawi zambiri, ma antibodies awa amapita kuma cell akunja omwe amatha kuvulaza thupi, monga virus.

Kwa anthu omwe ali ndi matenda omwe amadzichitira okhaokha, ma antibodies amayankha maselo amkati mwa thupi omwe amachita ntchito zofunika. Mwachitsanzo, mu multiple sclerosis, ma antibodies a thupi ndi maselo amthupi amateteza chophimba choteteza mitsempha. Izi pamapeto pake zimabweretsa vuto la minofu. Plasmapheresis ikhoza kuyimitsa njirayi pochotsa plasma yomwe imakhala ndi ma antibodies ndikuyikanso ndi plasma yatsopano.

M'zaka zaposachedwapa, mankhwalawa akhala akugwiritsidwa ntchito kwambiri pochiza anthu omwe akudwala kwambiri matenda opatsirana komanso mavuto ena monga matenda a Wilson ndi thrombotic thrombocytopenic purpura. Amagwiritsidwanso ntchito kuthandiza anthu omwe alandila chiwalo kuti athane ndi zomwe thupi lingakane.

Kodi plasmapheresis imayendetsedwa bwanji?

Pakati pa zopereka za plasmapheresis, mupuma pa machira. Kenako singano kapena catheter idzaikidwa mu mtsempha mwa crux ya mkono uliwonse womwe uli ndi mtsempha wolimba kwambiri. Nthawi zina, catheter imayikidwa mu kubuula kapena paphewa.

Plasma yobwezeretsa kapena yobwezera imalowa mthupi lanu kudzera mu chubu chachiwiri chomwe chimayikidwa mmanja kapena kuphazi.

Malinga ndi malamulo aboma, munthu amatha kupereka plasma mpaka kawiri pamlungu. Gawo lazopereka limatenga pafupifupi mphindi 90.

Ngati mukulandira plasmapheresis ngati chithandizo, ndondomekoyi imatha kukhala pakati pa ola limodzi kapena atatu. Mungafunike mankhwala osachepera asanu pa sabata. Nthawi zambiri chithandizo chamankhwala chimatha kusiyanasiyana pamikhalidwe, komanso zimadalira thanzi lanu lonse.

Nthawi zina kuchipatala kumafunika. Nthawi zina chithandizo chamankhwala chimatha.

Kodi ndingakonzekere bwanji plasmapheresis?

Mutha kupititsa patsogolo kupambana ndikuchepetsa zizindikiritso ndi zoopsa za plasmapheresis potenga izi:

• Onetsetsani kuti muli ndi chakudya chopatsa thanzi musanalandire chithandizo kapena chithandizo.
• Mugone tulo tofa nato usiku usanachitike.
• Imwani madzi ambiri.
• Dziwani za katemera wa matenda opatsirana. Gwiritsani ntchito ndi dokotala kuti mupeze katemera amene mukufuna.
• Pewani kusuta fodya komanso kugwiritsa ntchito fodya.
• Idyani chakudya chokhala ndi mapuloteni ambiri komanso otsika mu phosphorous, sodium, ndi potaziyamu m'masiku akutsogolera plasmapheresis.

Ubwino wa plasmapheresis ndi chiyani?

Ngati mukulandira plasmapheresis ngati chithandizo chofooka kapena matenda am'thupi, mutha kuyamba kumva kupumula m'masiku ochepa. Pazinthu zina, zimatha kutenga milungu ingapo musanazindikire kusintha kwanu.

Plasmapheresis imangopereka chithandizo chakanthawi kochepa. Nthawi zambiri njirayi imayenera kubwerezedwa. Pafupipafupi ndi kutalika kwa zotsatira zimadalira kwambiri momwe mulili komanso kuwopsa kwake. Dokotala wanu kapena namwino angakupatseni lingaliro la kutalika kwa plasmapheresis yomwe ingagwire ntchito komanso momwe muyenera kuigwiritsira ntchito pafupipafupi.

Kodi kuopsa kwa plasmapheresis ndi chiyani?

Plasmapheresis imakhala ndi zovuta zoyipa. Kawirikawiri, iwo amakhala ochepa ndipo nthawi zambiri amakhala ofatsa. Chizindikiro chodziwika kwambiri ndikutsika kwa magazi. Izi nthawi zambiri zimatsagana ndi:

• kukomoka
• kusawona bwino
• chizungulire
• kumva kuzizira
• kukokana m'mimba

Plasmapheresis amathanso kukhala ndi zoopsa izi:

• Kutenga: Njira zambiri zokhudzana ndi kusamutsa magazi kulowa kapena kutuluka mthupi zimatha kutenga matenda.
• Kutseka magazi: Dokotala wanu akhoza kukupatsani mankhwala odana ndi coagulant kuti muchepetse chiopsezo chamagazi.
• Thupi lawo siligwirizana: Izi ndizomwe zimachitika chifukwa cha mayankho omwe amagwiritsidwa ntchito m'malo mwa plasma.

Zowopsa zowopsa koma zosazolowereka zimaphatikizapo kutuluka magazi, komwe kumabwera chifukwa cha mankhwala odana ndi magazi. Zowopsa zina zazikulu ndi monga kugwidwa, kukokana m'mimba, ndi kulira m'miyendo.

Plasmapheresis sangakhale chithandizo choyenera kwa anthu ena, kuphatikiza:

• anthu omwe ali osakhazikika mthupi
• anthu omwe sangalolere kuyika mizere yapakati
• anthu omwe ali ndi chifuwa chachikulu cha heparin
• anthu omwe ali ndi hypocalcemia
• anthu omwe ali ndi chifuwa cha albin kapena plasma

Kodi plasmapheresis ili ndi inshuwaransi?

Plasmapheresis nthawi zambiri imaphimbidwa ndi inshuwaransi pazinthu zambiri. Ndikofunika kuti mufunsane ndi inshuwaransi wanu kuti mumvetsetse momwe zingakhalire ndi njirayi. Mwachitsanzo, mapulani osiyanasiyana a inshuwaransi amatenga njira zosiyanasiyana. Kuphatikiza apo, ma inshuwaransi amatha kuphimba plasmapheresis nthawi zina, monga njira yomaliza ya rheumatoid vasculitis.

Kuti mudziwe zambiri zokhudza kufalitsa kwanu, imbani foni kwa omwe amakupatsani inshuwaransi. Ngati muli ndi nkhawa zamitengo, lankhulani ndi dokotala wanu. Amatha kukuthandizani kumvetsetsa zomwe mungasankhe ndikukupatsani chidziwitso chilichonse chomwe mungafune kugawana ndi omwe amakupatsani inshuwaransi.

Kodi malingaliro pambuyo pa plasmapheresis ndi otani?

Anthu ena amafotokoza kuti atopa pambuyo pa njirayi, koma ambiri amalekerera bwino. Kuti zinthu zikuyendereni bwino, kumbukirani kukonzekera ndondomekoyi ndikutsatira malangizo a dokotala mukatha.

Ganizirani kuchita zotsatirazi kuti muwonetsetse kuti kusankhidwa kwanu kukuyenda bwino momwe mungathere:

• Muzigona mokwanira.
• Fikani pamsonkhanowu osachepera mphindi 10 nthawi isanakwane.
• Valani zovala zabwino.
• Bweretsani buku kapena china chake kuti musangalatse panthawiyi.