Plasmapheresis - baqinisekiswa nomonde kunye nengcali uluvo

Le mpumelelo zezonyango namhlanje kunye nokudalwa iisampulu zobuchwepheshe obutsha wenza kube lula ukuba beze kule ndlela entsha utyando igazi. Oku kuquka ultrafiltration, hemosorption, plasmapheresis, nto leyo kwakhona ukuvumela ukuba sithi ukuba zindlela unyango - elizayo. Ukusebenzisa la ngeenkqubo zonyango ukunciphisa umthwalo ipilisi kwi isigulane kwaye, ngenxa yoko, ukusebenzisa inkqubo yonyango xa izifo kwinkqubo musculoskeletal, izintso, isibindi, inkqubo yokucola, intliziyo kunye nempahla yegazi, isixokelelwano sokuphefumla.

Yintoni le nkqubo?

Umntu ngamnye oza ukubamba plasmapheresis, buyekezwa amagqabi - nesiphumo uyakholiswa yonyango uyalahlwa nzulu inkqubo njengoko enjalo. Umgaqo unyango oluqhutywa ukuba inkqubo yokujikeleza yesigulana (lwemithambo) Ususe umlinganiselo othile wegazi, nto leyo ke ngoko ibekwe kwindawo izixhobo ezikhethekileyo. Kuliwa phezu fractionation wesahlulo engamanzi igazi - plasma, enokusetyenziselwa ukwenzela ukuvelisa iimveliso zegazi ezithile kunye nezinto ezenza babuyela kule kwegazi emva centrifugation.

Missing volume ulwelo uyabhatalwa ngokusebenzisa crystalline (umxube sodium chloride bokuphila, kwaye nesisombululo "Disol", "Trisol") okanye izisombululo colloidal, ezo ezikhethiweyo TRANSFUSIOLOGY kugqirha ukuze isigulane ngamnye. Yiyo loo nto, xa ephendula umbuzo - yintoni iingcali plasmapheresis bathi oku indlela entsha utyando igazi omxhuzulane, ukusetyenziswa leyo eyenza kube lula zoomatshini ukususa nomzimba eziqalelo yezigulane ziyityhefu kwaye iimveliso ezithile metabolic.

Xa nkqubo iyimfuneko ngokwenene?

Ndiqhuba plasmapheresis, ncomo yayo ayifani phakathi izigulane iSifo ezifanayo, oogqirha banethemba kucoca igazi elimsulwa zophendlo lwezifo okanye zoqhaphelo ngokugqithiseleyo umzimba bezinto ezingasafunekiyo. Ukwenza isigqibo sokuba ingaba oko yinto ubuchule igazi uqhaqho omxhuzulane kwimeko nganye, eyahlula lweengcali ukutofelwa igazi ukuba isigulane ngasinye kugqiba inani elifunekayo unyango, rhoqo phindo kunye umthamo lwemithambo igazi asuswe wegazi yomguli ngaphandle emibi.

Ngokuqhelekileyo, plasmapheresis, imbonakaliso apho ezinokuvela practice, a therapist, yaye ugqirha kunye wesikhumba, kwaye nkqu i obstetrician-ugqirha, lusoloko luqhutywa bume esibhedlele. Kwezinye iimeko, isigulane kufuneka esibhedlele unyango (xa iingxaki igazi ekunqandeni, imeko jikelele, xa iingxaki ukufikelela lwemithambo) okanye bangenele izifundo iinkqubo ezingalaliswayo, ukuhlala ekliniki kuphela ngethuba lenkqubo plasmapheresis kunye kweeyure ezimbalwa emva kokugqitywa kweseshoni elandelayo.

kunqabile kakhulu, isigulane ukwenza plasmapheresis, ukubuyekeza apho izigulane ngokufuthi iimeko zale mihla zentengiso kwiiwebhusayithi ezahlukeneyo okanye iingcebiso ze abahlobo, ugqirha ngalo mbuzo - yintoni na ixesha ngokupheleleyo kwekhosi. Impendulo kucacile akukho kwaye ukuba: kwezinye iimeko iinkqubo plasmapheresis kufuneka kwenziwa yonke imihla 3-4, kodwa izifundo ezifutshane kakhulu iiseshoni 3-4, ezifana iintshukumo eziqatha zosulele komzimba. Ngamanye amaxesha ugqirha ukuba usebenzise inkqubo ngexesha elinye-, kunye rhoqo 1 elowo 15-20 iintsuku - ukuze bachithe unyango lwe syndrome antiphospholipid kunye kwesisu nezolo, kodwa ke iseshoni iqhubeka yonke umntwana ixesha lokulinda phantsi kolawulo parameters elebhu kunye kweliso labezempilo.