Plasmapheresis - murefu uchapupu uye nyanzvi pfungwa

Nokubudirira mushonga ano uye pakusika chitsva michina ivhu zvaiita kuuya murayiridzo mutsva uyu sezvo kuvhiyiwa ropa. Zvinosanganisira ultrafiltration, hemosorption, plasmapheresis, izvo akaongororazve achititadzisa kutaura kuti nzira dzakadai kurapwa - remangwana. Kushandisa kurapwa Mapurogiramu aya kuderedza piritsi mutoro murwere uye, naizvozvo, optimize papurogiramu yokurapa zvirwere zviri zvetsandanyama nemapfupa ezvinhu, itsvo, chitaka, zvomudumbu maitiro, mwoyo nemidziyo ropa, kufema hurongwa.

Chii nzira?

Mumwe munhu anouya kubata plasmapheresis, akaongororazve zvakasiyana siyana mashizha - kubva anofarira kushanda ari kurapwa rakadzika kuramba nzira sezvo vakadaro. Nheyo ARV kuitwa kuti kubvira kweropa gadziriro murwere (venous) akabvisa mumwe yakawanda ropa, iro zvino raizoiswa chaiyo midziyo. Voitakura pamusoro fractionation nemvura chikamu ropa - plasma, izvo zvinogona kushandiswa pakugadzira zvimwe zvinogadzirwa neropa nokuita zvinhu akadzokera systemic riparadzirwe pashure centrifugation.

Chitima mvura inzwi ndanyarara hangu nokushandisa crystalline (vasiri yavaibvisa chloride mhinduro, uye mushonga "Disol", "Trisol") kana colloidal zvinogadzirisa, izvo vanosarudzwa TRANSFUSIOLOGY chiremba nerimwe murwere nomumwe. Ndokusaka, mukupindura mubvunzo - chii plasmapheresis vanamazvikokota vanoti iri nzira itsva rinokweva kuvhiyiwa ropa, kushandiswa izvo zvinoita mechanically kubvisa pamuviri murwere chepfu okunze uye zvimwe zvigadzirwa metabolic.

Kana nzira zvinokosha chaizvoizvo?

Kuitisa plasmapheresis, wongororo iyo kwakasiyana kunyange pavarwere zvakafanana diagnoses, vanachiremba vanotarisira kuti vanatse ropa nouipi pathological kana kunyanyisa kuwanda muviri tsvina. Pakusarudza kana kana kwete uyu Nzira ropa rinokweva kuvhiya neimwe nyaya, kupatsanura mazvikokota kuisira nerimwe murwere anosarudza runodiwa nhamba nokurapwa, kakawanda kudzokorora uye venous Vhoriyamu ropa zvinogona kubviswa muropa murwere pasina kwazvo nemigumisiro.

Sezvingatarisirwa, plasmapheresis, zviratidzo idzo ingamuka tsika, mumwe chiremba, uye chiremba uye dermatologist, uye kunyange obstetrician-gayinakorojisiti, nguva dzose kuitwa muchipatara ezvinhu. Mune zvimwe zviitiko, murwere unofanira muchipatara kurapwa (kana matambudziko pamwechete pakugwamba ropa, vakawanda ezvinhu, kana matambudziko pamwe venous kuwana) kana kumbotambudzika outpatient nzira Chokwadi, kugara kukiriniki chete panguva nedanho plasmapheresis uye maawa mashoma pashure kuguma chinotevera.

Very kashoma, murwere achiita plasmapheresis, akaongororazve pamusoro izvo varwere vanowanzobatwa mumamiriro ezvinhu ano okushambadza pamusoro Websites siyana kana vanorumbidza shamwari, mumwe chiremba nomubvunzo wokuti - chii Zvakanyanya Kunaka Panguva Yepamuviri ya kosi. Mhinduro unequivocal haisi uye haagoni kuva: mune zvimwe zviitiko plasmapheresis nzira inofanira kuitwa ose 3-4 mazuva, asi pfupi chaizvo mararamiro 3-4 Purogiramu, akadai zvikuru chakasimba neutachiona. Dzimwe nguva chiremba anokurudzira mumwe-nguva nokutongwa, aine kakawanda 1 ose 15-20 mazuva - saka kupedza mishonga ine antiphospholipid chirwere uye idzokororo zvinoguma nokupfupfudzika, asi yechirongwa mberi mwana zvose vakamirira nguva kutongwa Murabhoritari parameters uye pokudzora unyanzvi.