Plasmapheresis yog ib txoj hau kev uas tsim los lim ntshav. Muaj ntau ntau yam kab mob uas yuav tsum tau siv ntawm hom no, thiab nce rau hauv kev kho mob, muaj mob thaum nws yeej pab tshem tawm ntawm tus kab mob.
Tab sis plasmapheresis, yog ib txoj kev nyuaj, tsis tau tsuas yog indications, tab sis kuj contraindications. Ua ntej kawm txog lawv, cia peb saib cov hom plasmapheresis.
Cov plasmapheresis
Pib, plasmapheresis yog muab faib rau kev kho mob thiab pub dawb. Qhov txawv ntawm lawv yog tias nrog txoj kev kho zoo, tib neeg cov ntshav tom qab kev kho mob rov qab, thiab yog li lwm tus neeg cov ntshav tsis siv. Thaum pub plasmapheresis nrog cov ntshav ntawm lwm tus neeg.
Raws li lub koom haum thiab cov hau kev ntawm kev ua ntshav, plasmapheresis kuj tau muab faib ua pawg:
- Centrifugal (ntxiv cov npe - gravitational, discrete, sib quas ntus) - nyob rau hauv cov ntaub ntawv no centrifuges koom nrog cov txheej txheem kev ua.
- Filtration - cov ntshav lim yog siv cov ntxaij lim dej tshwj xeeb.
- Membrane plasmapheresis - ob lub vas sab yuav muab siv cais cov plasma collection chambers thiab blood chamber; ib txoj kev nrov tshaj plaws rau hnub tim.
- Cascade plasmapheresis tau siv txij li xyoo 1980, thiab nws qhov tshwj xeeb feature yog pom ntawm cov ntshav nrog kev pab ntawm ib lub microporous lim, uas retards loj-cov kabmob proteins thiab xa cov qis-molecular proteins.
Cov kev qhia rau kev ntxuav ntshav nrog plasmapheresis
Thawj thiab thawj, plasmapheresis yog siv los ntxuav cov ntshav ntawm cov co toxins, thiab pib los ntawm qhov no, nws tsis yooj yim los twv seb cov kab mob dab tsi yog qhov tseem ceeb.
Qhov tshwj xeeb tshaj yog nthuav ntawm cov kev xyaum ntawm kev kho plasmapheresis nrog atypical tsis haum tshuaj, uas yuav ua tau ntawm ib qhov oob khab autoimmune. Feem ntau, nws tau sau thaum tsis fab tshuaj tiv thaiv ua tsis tau los ntawm kev siv tshuaj - kev noj haus thiab tshuaj. Tab sis, hmoov tsis, nws tsis yog ib txwm ib txoj kev zoo los kho autoimmune kab mob.
Muaj ib lub tswv yim uas nyob rau hauv cov txheej txheem autoimmune plasmapheresis ua ib qho pom tshwm thaum xub thawj, tab sis, ces tus kab mob activates nrog renewed vigor.
Nws tuaj yeem xav tias nyob rau thaj tsam dermatological plasmapheresis siv ntau dua. Ntawm qhov laj thawj feem ntau, plasmapheresis tau sau rau psoriasis, furunculosis thiab eczema. Ntawm no 4 pathologies, qhov feem ntau cov nyhuv muaj txiaj ntsim zoo tuaj yeem pom hauv cov neeg mob uas muaj plab hnyuv.
Hauv gastroenterology, plasmapheresis yog siv nyob rau hauv cov kab mob uas ua rau cov kab mob hauv lub cev nrog co toxins - cholecystitis , pancreatitis, kab mob siab. Qee ntseeg hais tias plasmapheresis tshiab tag nrho lub cev, thiab tshwj xeeb tshaj yog lub cev tsis muaj zog.
Hauv endocrinology, plasmapheresis yog siv nyob rau hauv cov neeg mob ntawm cov thyroid kab mob, nyob rau hauv kev, nrog thyrotoxicosis nyob rau hauv remission, thiab nrog rau ntshav qab zib mellitus.
Lwm hom mob autoimmune uas yog kho nrog cov qauv no yog ntau yam sclerosis. Plasmapheresis nyob rau ntau yam sclerosis tsis tas ua rau kev pabcuam, tab sis nws yuav hais tias nws yuav qeeb tus mob ntawm tus kab mob.
Kev qhib lub zog hauv lub cev, qee zaum muaj kev mob plasmapheresis hauv lub plawv ntawm kev mob nkeeg , tab sis ua ntej xws li kev cuam tshuam loj hauv lub cev nws tsim nyog ua cov kev cai kho mob.
Tsis tas li, plasmapheresis yuav pab tshem tawm ntau cov kab mob sib kis tau.
Contraindications los ntxuav ntshav nrog plasmapheresis
Ua ntej koj ua plasmapheresis, nco ntsoov tias tsis muaj ib yam ntawm cov khoom nram qab no tsim rau koj:
- hlau deficiency anemia;
- tshuaj txhim kho syndrome;
- oncological kab mob;
- mob loj heev;
- mob theem ntawm cov kab mob khaub thuas muaj ceem;
- ib tug peptic ulcer.