Plasmapheresis - a ... Cascade plasmapheresis. membrane plasmapheresis

Plasmapheresis - mai Hanyar cire daga wurare dabam dabam na jini jini. A cikin shakka daga hanya ba cire maikacin jini, da kuma jini ana maye gurbin krovozamenyayuschimi taya. Wannan, tare da jini daga jiki cire abubuwa masu cutarwa (shiga tsakani na kumburi, cholesterol, lipids, endotoxins), jini danko rage, ya karu da miyagun ƙwayoyi ji na ƙwarai, rigakafi gyara faruwa.

Mene ne jini?

An sani cewa jini qunshi ja da fari da maikacin jini, platelets (thrombocytes) da ruwa a cikin abin da data abubuwa ne ba a cikin cell dakatar. Wannan ruwa ne wani bayani da sunadaran da Wutan da ake kira "jini" (photo samuwa a cikin labarin).

Hanyoyin da jini tsarkakewa

Jini tsarkakewa za a iya da za'ayi tare da ikon gravitational tsaro ko musamman tacewa. A cikin farko case, jini yana wuce ta hanyar yara, a karo na biyu idan, wani porous membrane tacewa.

Domin ware jini daga jini amfani da wani membrane plasmapheresis. A cikin shakka daga hanya, da jini Kwayoyin suna cire ballast da guba abubuwa. Don yin wannan, da jini ne distilled ta musamman tacewa. Matattarar plazmeferez - isasshe tasiri Hanyar zalunta cututtuka daban-daban, wanda dabam saboda da ciki yanayi na jikin mutum. Magunguna a cikin wannan halin da ake ciki ne m.

Wadannan ailments sun hada da:

• rauni.

• m konewa.

• m kumburi ciki gabobin.

• maye.

• mai tsanani cututtuka.

Da taimakon membrane plasmapheresis al'ada rigakafi, kunna hematopoietic Kwayoyin, accelerates da waraka tsari, da capillaries a cikin yunkuri na jini da aka kara, da alama na mutuwa ne ƙwarai rage.

Lokacin da jini tsarkakewa ta rigakafi Kwayoyin shafe ta da bayyanar cututtuka na autoimmune cututtuka. Tsarkake jini wuce haddi mai, za a iya yuwuwa ga atherosclerosis. Matattarar plasmapheresis iya inganta haƙuri ta jihar kiwon lafiya bayan radiation ko jiyyar cutar sankara jiyya. Matukar tasiri ga yanayin kamar abu zagi, RH rikici ciki, urogenital kamuwa da cuta, dawo da lokaci bayan kwayar hepatitis. Plasmapheresis ba ka damar rage girman da alama na sakandare da rikitarwa da ciwon sukari.

Cascade plasmapheresis - da hanyar da yana tsarkake cikin jini, kunsha a cikin jini izinin ta hanyar wani na musamman tace da pores kananan isa. A lokacin da hanya, da jini ne barrantar da manyan kwayoyin na kitse da kuma gina jiki. Bunƙasa da dabara ya a 1980 da Japan masana kimiyya. Yau an yadu amfani domin lura da atherosclerosis da yawa lipids a cikin jini, kazalika don rigakafin pathologies kamar bugun jini, aneurysm, bugun jini. Tabbatar da amfanin plasmapheresis Cascade a tsari lupus erythematosus, rheumatoid amosanin gabbai, Crohn ta cuta, ulcerative colitis, mahara myeloma , da kuma da yawa sauran magunguna.

Bayarwa da kuma kiwon lafiya plazmeferez

Bayarwa plasmapheresis - wata hanya wadda ta ƙunshi a cikin jini da aka tattara daga wani mai bayarwa (watau lafiya mutane). Number jinni abu ne tsananin kayyade ta dokar a kyauta. An janye daga wani mutum jini da aka wuce ta musamman inji, kafa abubuwa da aka zuba baya, da kuma sakamakon jini da aka hõre a adana da kuma ake amfani da su samar da jini kayayyakin ko m transfussion.

A lokacin da likitanci hanya a lokaci da aka sarrafa da kuma 30% haƙuri ta jini. Its rabo suna cire daga jiki, haƙĩƙa, sun shige ta cikin na'ura da kuma zuba baya cikin wani tataccen jihar.

Alamomi ga hanya

Jini musayar ne ba a magani, wadda za a iya za'ayi duk a jere. Wannan tilas karin magani hanya, a lokacin da babban far ba ya ba da ake so sakamakon.

Baya daga sama cututtuka, da magani daga plasmapheresis nuna a lokacin da:

• shan barasa.

• miyagun ƙwayoyi buri.

• Bronchial fuka.

• Oncology.

• jijiyoyin zuciya da cututtukan zuciya.

• angina.

• hauhawar jini.

• thromboembolism.

• trophic ulcers na narkewa kamar fili.

• cirrhosis.

• hanta gazawar;

• glomerulonephritis da nephrotic ciwo .

• hauhawar jini tsaurin zuwa shan magani;

• kwamin na tara buga a surkin jini tsari.

• dermatological ailments.

contraindications

Cikakkar contraindications to wannan hanya ne duodenal miki da ciki, tare da zub da jini da kuma clotting cuta.

Domin zumunta contraindications sun hada da:

• traumatic, anaphylactic buga da sauran iri.

• mai tsanani cutar hanta, wani m nau'i na dauke da kwayar cutar hepatitis.

• Marasa lafiya girmi shekaru 70 da haihuwa, da shan wahala daga anemia a tare da cututtukan zuciya.

• arancinsu tsanani gefe venous cibiyar sadarwa.

Zai yiwu illa

M, da hanya ne quite da jure. migraine yanayin na iya faruwa sosai da wuya ko m tashin zuciya. Duk da haka irin wannan m events ne kansu a cikin wani gajeren lokaci.

A hanya ne mai tsanani barazana kawai a yanayin saukan matalauta jini clotting a wani haƙuri: zub da jini zai iya faruwa. Lokacin da sarrafa abin da jini don a hana shi daga mirgina amfani anticoagulants. Lokacin bad clotting Irin wannan Additives za a sa cikakken nesvorachivaniya jini.

used kayan aiki

Na'urorin a cikin abin da jini da aka raba (dama), suna šaukuwa da tukwãne. A zaman farko na plasmapheresis damar domin ko da haƙuri da gida. Modern na'urorin daukar wani kananan rabo daga jini da kuma tsabtace su daya bayan daya. Fir kayan aiki ne dace domin za a iya samun sauƙin canjawa wuri da kuma kafa game da bedside, ba tare da canja wurin shi zuwa ga hanya a cikin sauran dakin.

Bayan da duka na 40 ml na janye jini, jini ya kwarara da aka katange musamman bawul. A jini ake tsarkake da kuma koma baya a cikin jiki. Sa'an nan ya zo da wani sabon yanki na shinge. Saboda haka, a cikin shakka daga cikin hanya ba ji wani rashin jin daɗi.

Good inji kawai iya tsaftacewa minti daya da kuma koma ga mãsu haƙuri ta jiki 100 ml na jini. Kamar wancan ne wanda hour iya nuna game da 800 ml na jini.

Ci gaban da hanya

Duration na lura shi ne game da minti 90. Babu rashin jin daɗi yayin da rike da shi ba a ji. A haƙuri aka sanya a cikin wani na musamman kujera, da jijiyoyinmu daga hannayensa biyu catheter sa. Next, da mãsu haƙuri iya sauraron kiɗa ko watch TV, idan akwai daya a cikin asibitin. Komai zai sa na'urar. Har karshe hanya, haƙuri da yanayin ne kullum kula: aunawa da jini, da numfashi, zuciya kudi da kuma gaban oxygen a cikin jini.

A lokacin daya zaman iya tsarkake har zuwa 25-30% na jini, saboda haka a tsaftace bukatar wani m 3 jiyya. The adadin jini da za a tsabtace a zaman, likita kayyade mutum akai, shan la'akari da nauyin da haƙuri, ya haihuwa da kuma janar yanayin jiki.

Tsarkakewa cikin jini ne mai rikitarwa hanya, don haka bayan ta kammala da mãsu haƙuri dole ne ya zauna a karkashin kulawar wani gwani na 30-60 minti.

Plasmapheresis iya yi ba tare da wani horo na musamman. Kuma ba lallai ba ne su bi zuwa ga hanya bayan wani musamman shawarwarin. Duk da haka, a wasu lokuta, likita zai iya ba da wasu shawarwari.

Plasmapheresis a lokacin daukar ciki

A hanya za a iya gudanar a shiri na ganewa da kuma rigakafin, kazalika da daya daga cikin jiyya. Kafin ciki, wannan dabara ake amfani da su cire gubobi da cewa sun tara a cikin jikin mace shan taba. Idan a lokacin da suke ɗauke da jariri a mace shan azaba da wani karfi toxicosis, riga biyu zaman na plasmapheresis taimako muhimmanci inganta da yanayin expectant uwa.

Plasmapheresis sa mata tare da m toxicosis da placental insufficiency nasarar kawo, kuma bã ta haihuwa, to da lafiya baby.

Wannan hanya rage hadarin da matsaloli kamar intrauterine kamuwa da cuta, LBW da anoxia, 1.5 sau. Plasmapheresis minimizes samu damar zub da jini a lokacin haihuwa, kamar yadda al'ada abun da ke ciki na jini da kuma rage-rage da alama na thrombus samuwar.

A hali mai tsanani preeclampsia, wannan hanyar bada sosai sakamako mai kyau. A amfani da plasmapheresis tabbatar a cikin wadannan lokuta:

• maimaita nau'i na preeclampsia.

• Ƙarancin yadda ya dace da kwayoyi.

• m kumburi.

Per zaman ake sarrafa to 40% na jini. Wajibi ne a gudanar da 2 ko fiye jiyya a kan jinkiri na 3-4 kwanaki.

Ne hanya m?

Plasmapheresis - a kusan hadari hanya.

1. Yi amfani kawai yarwa shambura, catheters. All kaya ne gaba daya bakararre da kuma shãfe haske.

2. A haƙuri ne ko da yaushe a karkashin likita dubawa.

3. A hanya ne m. Sistem tsangwama ba ya faruwa a cikin tsari: rage tsokar jini janye daga jiki, a lokacin da fadada - yana tafiya da baya.

4. A plasmapheresis bai shafi magani na iya haifar da illa ko rikitarwa. Saline amfani ga wanka da shambura, ta hanyar abin da ya wuce da jini.

Plasmapheresis: kudin da hanya

Kafin yankan shawara a kan wani plasmapheresis hanya wajibi ne don tabbatar da kyau suna daga cikin asibitin. Contact ya zama na musamman a cikin na musamman kiwon lafiya cibiyoyin da m kwarewa a dauke da fitar da wannan hanya. Yana dole ne gudanar da wani kawai ta gogaggen kwararru musamman horar da. Ya kamata ka faɗakar da suspiciously low farashin plasmapheresis. A kudin guda zaman a Moscow kananan dakunan shan magani ne tsakanin 4-5 dubu. Rubles. Course farashin 5 plasmapheresis hanyoyin kan talakawan 19-22 dubu. Rubles.