Plasmapheresis inzira inogadzirirwa kuchenesa ropa. Kune zvirwere zvakawanda zvinoda kushandiswa kweiyo nzira, uye zvichiwedzera mukurapa, kune zviitiko apo zvakabatsira chaizvo kubvisa chirwere chacho.
Asi plasmapheresis, kuva nzira yakanyanyisa yakaoma, haisi zviratidzo chete, asiwo zvinopesana. Usati wadzidza nezvazvo, rega titarise mhando dze plasmapheresis.
Mhando dze plasmapheresis
Pakutanga, plasmapheresis yakakamurwa kuva mushonga uye mupiro. Kusiyana pakati pavo ndechokuti nenzira yekurapa, ropa revanhu mushure mekurapa rinodzorerwa, uye naizvozvo ropa revanhu varo harisi kushandiswa. Apo anopa plasmapheresis anosanganisira ropa romumwe munhu.
Maererano nesangano uye nzira dzekushandura ropa, plasmapheresis inogoverwawo mumapoka:
- Centrifugal (mamwe mazita - maitiro, maitiro, midittent) - munyaya iyi centrifuges inobata muitiro wekuitisa.
- Kusvibiswa - ropa rinonatswa nekushandisa zvidimbu zvakananga.
- Membrane plasmapheresis - membrane inoshandiswa iyo inoparadzanisa dzimba dzekuunganidza plasma nedzimba reropa; imwe yenzira dzakakurumbira kudarika.
- Cascade plasmapheresis yakashandiswa kubvira muna 1980, uye iyo inokosha inoshandiswa ropa rinoshandiswa neropa reruzivo, iyo inokonzera huru-molecule mapuroteni uye inotumira mapuroteni e-molecular.
Zviratidzo zvekuchenesa ropa ne plasmapheresis
Chokutanga uye chinonyanya kukosha, plasmapheresis inoshandiswa kuchenesa ropa rehupfu, uye kubva pane izvi, hazvisi zvakaoma kufungidzira pane zvirwere zvakakosha.
Kunyanya kufadza zviitiko zvekurapa plasmapheresis neatypical allergic reactions, iyo inogona kuva yehupenyu hwemhuka. Muzviitiko zvakawanda, zvinorayirwa kana zvinetso zvisingakwanisi kubviswa nemaitiro ekirasi - kudya uye mishonga. Asi, zvinosuruvarisa, haisi nguva dzose nzira inobatsira yekurapa zvirwere zvemoto.
Iko kune pfungwa yokuti mumagadzirirwo emapurogiramu plasmapheresis anounza maitiro anooneka pakutanga, asi zvino chirwere chinoshandisa simba rakavandudzwa.
Inogona kufungidzirwa kuti mune dermatological nzvimbo plasmapheresis inoshandiswa kakawanda. Pamusoro pezvikonzero zvinowanzo, plasmapheresis inorayirwa ye psoriasis, furunculosis uye eczema. Pakati pemakumbo mana aya, iyo inoramba ichinge yakaita zvakanaka inowanikwa kune varwere vane furunculosis.
Mu gastroenterology, plasmapheresis inoshandiswa muzvirwere zvinotungamirira mukusvibiswa kwemuviri neukisi- cholecystitis , pancreatitis, hepatitis. Vamwe vanodavira kuti plasmapheresis inovandudza muviri wose, uye kunyanya masimba epanyama.
Mu endocrinology, plasmapheresis inoshandiswa munyaya dzechirwere chetachiona, kunyanya, ne thyrotoxicosis mukuregererwa, uyewo nechirwere cheshuga mellitus.
Chimwe chirwere chekudzivirira chinoshandiswa nenzira iyi is multiple sclerosis. Plasmapheresis mune multiple sclerosis haisi iyo inotungamirira kumubatsiro, asi zvinogona kunge zvichange zvishoma nezvishoma kufambira mberi kwechirwere.
Kuita kuti hurumende ichengetedzwe mumutumbi, dzimwe nguva inoshandisa plasmapheresis mune chirwere chekushushikana kusingaperi , asi kusati kwapindira kwakanyanya mumuviri kunokosha kuedza nzira dzechirongwa zvekurapa.
Uyewo plasmapheresis inobatsira kubvisa zvirwere zvisingagumi zvinotapukira.
Contraindications kuchenesa ropa ne plasmapheresis
Usati waita plasmapheresis, iva nechokwadi chokuti hapana chimwe chezvinhu zvinotevera zvakakodzera kwauri:
- iron kusakwanira anemia;
- edematous syndrome;
- zvirwere zvepachikafu;
- chiropa chakakomba;
- chikamu chikuru chezvirimwa-vascular disease;
- peptic ulcer.