Plasmapheresis - he ... Cascade plasmapheresis. ʻili lahilahi plasmapheresis

Plasmapheresis - he ano o ka wehe mai i ka holo ana o ke koko wai koko. Ma ka papa o ke kaʻina hana ka mea, i weheʻia ke koko keena, a me ka wai koko ua auou caiaiai krovozamenyayuschimi ke kinowai. Kēia, a me ka wai koko, mai ke kino wehe 'ia nā palapala' ona (uao o ka li nui, naʻokoko, lipids, endotoxins), ke koko (viscosity) ua hoʻemi, mahuahua lāʻau pā lonoaʻili, e hoʻonele e hooponopono ia lŘlŘ.

He aha ka wai koko?

Ua ua ike ia i ke koko maupaʻa ulaula, a keʻokeʻo koko keena, platelets (thrombocytes) a me ka wai i loko o i ka ikepili hehee wale i makana i loko o ka halepaahao mai paha. Kēia wai He He kākoʻo pāʻoihana o nā polokina, a electrolytes, a ua kapaia "wai koko" (Hawaii photo i loaʻa i loko o ka 'atikala).

Nā Papahana O Ka wai koko huikala

Wai koko huikala hiki ke lawe mai i ka mana o gravitational koa a me kūikawā kānana. Ma ka hihia mua, ua hala ke koko ma ka centrifuge, i loko o ka lua o ka hihia, he porous ʻili lahilahi kānana.

I mea e hoʻokaʻawale wai koko, mai ke koko ka hoʻohana 'ana i kaʻili lahilahi plasmapheresis. Ma ka papa o ke kaʻina hana, e wehe 'ia i ke keena koko ballast a me kaʻawahia waiwai. E hana i kēia, i ka wai koko ua puhi ia ma kūikawā kānana. ʻili lahilahi plazmeferez - i lawa pono ka hana no ka hana maikaʻi i kela maʻi, i loli aʻe aie i ka mea maloko 'ia o ke kanaka kino. Lapaʻauʻia i loko o keia kulana, ua powerless.

Mau maʻi puʻuwai nā:

• trauma;

• nui'ā;

• huʻi li nui o na nā loko;

• intoxication;

• loa nā mea palahēhē.

Me ke kōkua o kaʻili lahilahi plasmapheresis maʻamau e hoʻonele, ho'ā 'hematopoietic keena, hōʻeleu i ka hoola ana kaʻina hana, na capillaries i loko o ka neʻeʻana o ke koko ua hōʻeleu i, ka likelihood o ka make ua nui hoemiia.

I ka koko huikala ma ka'ōnaehana paleʻea keena eliminated na symptoms o autoimmune ka maʻi. E hoʻomaʻemaʻe i ke koko o ka oi momona, hiki ke kōkua ai i nā mea atherosclerosis. ʻili lahilahi plasmapheresis hiki hoʻoikaika 'ana i ke ahonui o ka moku'āina o ke ola ma hope o ka pāhawewe a chemotherapy kūlana kanaka. Loa mana no ka rula e like me hoʻohana pākela ', RH kue hapai, urogenital maʻiʻaʻai, ke ola manawa ma hope o mea hoʻomaʻi hepatitis. Plasmapheresis apono 'oe e kń i ka likelihood o kiʻekiʻe complications o mimikō.

Cascade plasmapheresis - he ano o ka hoomaemae i ke koko, e laʻa i loko o ka wai koko e hele ma ka kūikawā Kānana me ka ili uuku kupono. Iloko o ke kaʻina hana, i ka wai koko ua i hooakea ai i ka nui nā lātoma o ka mea momona a me ka kumuʻiʻo. Ulu i keʻano hana i loko o ka makahiki 1980 ma Japaneseʻepekema. I kēia ka mea, ua lohe nui ia no ka iapaau ana o ka atherosclerosis me ka hailonaʻana o lipids i loko o ke koko, e like me ka pono me no ka Kāohiʻana o nā pathologies e like me hahauʻana, aneurysm, hahau ana. Ai pomaikai o ka plasmapheresis Cascade ma systemic lupus erythematosus, rheumatoid arthritis, Crohn ka maʻi, ulcerative colitis, mau myeloma , a ua nui no hoi na maʻi puʻuwai.

Mau pou a me ka 'inikua plazmeferez

Mau pou plasmapheresis - he kaʻina hana i ninoieo i loko o ka wai koko ua ohi mai i kekahi mau pou (oa ola kanaka). Helu kupono mea ua ikaika na na ma ke kānāwai ma luna o ka donation. I haalele iho mai Ua hala he kanaka koko ma ka kūikawā i hoʻomākaukauʻia, i hanaʻia oihana mua ua nininiʻia hoʻi, a ua hoolilo i ka kūpono wai koko a hiki i ka malama ana, a ua hoʻohana 'ia paha ke koko huahana a mahope transfusion.

I loko o ka 'inikua kaʻina hana i kekahi manawa ua hoʻokō' ia a me ka 30% hoomanawanui ka koko. Kona wahi i wehe 'ia mai ke kino, a kaahele lakou ma ka nakeke, a ninini hoʻi i loko o ka moku'āina maloko.

Nāʻikepili no ke kaʻina hana

Wai koko mail mea,ʻaʻole he lapaʻau, i hiki ke lawe mai a pau i loko o ka lalani. Ua koho kākoʻo lapaʻau iaoia, i ka wa a ka papa kuhikuhiE Inc 'aʻole e haawi aku i ka makemake hopena.

Kaawale mai o ka maʻi ma luna, i ka iapaau ana o ka plasmapheresis i hoikeia ia:

• alcoholism;

• ka lāʻau 'ino;

• bronchial asthma;

• oncology;

• coronary naau maʻi;

• angina;

• hypertension;

• thromboembolism;

• trophic ulcers o ka digestive'āpana;

• cirrhosis;

• ake ole;

• glomerulonephritis me nephrotic maʻi pale ;

• hypertension refractory i ka 'inikua lapaʻau;

• septic hawewe i loko o purulent kaʻina;

• dermatological maʻi puʻuwai.

Contraindications

Loa contraindications i keia ina hana e duodenal ulcer a me ka opu, ai ukali e kahe ana ke koko a me ka clotting kāna hana.

No ka pili contraindications loaʻa:

• traumatic, anaphylactic hawewe a me nā ano;

• loa ake maʻi, he huʻi ano o infectious hepatitis;

• E hoomanawanui i mua o ka 70 o kona mau makahiki, e loaa ana mai ka anaemia i loko o ka huipūʻana me ka naau maʻi;

• insufficiently loaʻike ākea venous i ulanaʻia.

Hikiʻaoʻao waiwai

Holo nōhie, ke kaʻina hana ua hala loa maikaʻi tolerated. migraine ano hiki ke hana loa kākaʻikahi paha mehana nausea. Eia naʻe ka meaʻawaʻawa loa hanana mea ia lakou iho i loko o ka pōkole manawa.

Ke kaʻina hana o ka nui hoʻoweliweli wale nō i loko o ka hihia o ka poʻeʻilihune koko clotting i loko o ka hoomanawanui: kahe ana ke koko ke kānāwai. I ka aaioee i ke koko, e pale ia mai ka ape ka hoʻohana 'ana anticoagulants. I ka hewa clotting ia mea hoʻonui hiki i piha nesvorachivaniya koko.

hoʻohana 'ia lako a

Maalea ma i ka wai koko ua kaawale (pono), e lawe a me ka wahi. Ka mua kau ahaolelo o ka plasmapheresis ae no hoi ka hoʻomanawanui i ka hale. Hoikehonua, manaʻo lawe i ka hapa uuku o ke koko a me ka maemae ia kekahi e kekahi. Lawe lako a mea kūpono no ka mea, hiki ke hoopuni hoolilo, a hoonoho iho la ma ka moe, me ka hali 'ia i ke kaʻina hana ma nā' ē aʻe lumi.

Ma hope iho o ka huina o 40 ml o ka haalele iho i ke koko, koko ua wahi kūikawā kiwikā. Ua huikala nō hoʻi lākou i ke koko, a hoi mai i loko o ke kino. Alaila, hele mai kekahi hou hapa o ka pa. No laila, i loko o ka papa o ke kaʻina hana, aole ia i haha aku i kekahi discomfort.

Good mīkini hiki wale no, i ka hoʻomaʻemaʻe minuke, a hoi aku la i ke ahonui o ka kino 100 ml o ke koko. Penei kekahi hola hiki paka ma kahi o 800 ml o ka wai koko.

? Ac? O ke kaʻina hana

Duration o ka lapaʻau mea ma kahi o 90 minuke. No discomfort oiai e paa ana ka mea, ua i ikeia. Ke hoomanawanui Ua waiho ia ma ka kūikawā noho, na aa koko o nā lima catheter hookomo. Next, i ka hoʻomanawanui ke hoolohe i ka mele a me ka wati TV, ina he mea kekahi i loko o ka? Aaieou. Na mea a pau e ae, e hana i ka noonoo o kanaka. A hope kaʻina hana, i ka hoʻomanawanuiʻanaʻano ua mau ua hoʻonānā: ana i kona koko,, hanu, naʻau ana a me ke alo o ke o oxygen i loko o ke koko.

Ma kekahi kau ahaolelo ke huikala mai ia 25-30% o ke koko, no laila, i ka hoʻokolokolo pono, i ka hoʻomaʻemaʻe pono i ka palena iki o ke 3 kūlana kanaka. I ka nui o ke koko e e ua holoiʻia i ka Ahaolelo, ke kauka hoʻoholo he kanaka kumu, e lawe i ka mooolelo o ka paona o ka hoomanawanui, me kona mau makahiki a me ka nui ana o ke kino.

Hoʻomaʻemaʻe i ke koko o ka huikau kaʻina hana, no laila, ma hope o kona paʻa i ka hoʻomanawanui pono iaʻu ke noho ma lalo o ka hooponopono ana o ka hoʻomalu o 30-60 minuke.

Plasmapheresis ke hana me kekahi hana aʻo. A me ia mea i pono, e hoopili aku i ke kaʻina hana ma hope o kekahi mau hoike. Naʻe, i loko o kekahi mau hihia, i kou kauka ke haawi aku i kekahi mau'ōlelo aʻo.

Plasmapheresis i hāpai keiki

Ka hana hiki e lawelawe i loko o ko lakou hoomakaukau ana no ka hapai ana, a me ka Kāohiʻana, e like me ka pono me kekahi o nā kūlana kanaka. Ma mua o hāpai keiki, i kēiaʻano hana ua hoʻohana 'ia e wehe toxins mea i loaa i loko o ke kino o ka wahine e uwahi ana. Inā i ka wā o ka e hali ana i ke keiki i kekahi wahine i hoomainoino ia ma kekahi toxicosis ikaika, ua mau kau o ka plasmapheresis kōkua me ka nui loa hoʻoikaika i ka ano o ka expectant makuwahine.

Plasmapheresis mau hiʻohiʻona nō wahine me ka loa a me ka toxicosis placental insufficiency ana e lawe aku a me ka hanau i ka olakino bebe.

Kēia kaʻina hana ho'ēmi i kā ka pilikia o ka pilikia e like me intrauterine maʻiʻaʻai, LBW a me anoxia, 1.5 manawa. Plasmapheresis minimizes i ka manawa o ke kahe ana ke koko i ka nahunahu hanau, e like me ka mea maʻamau haku mele 'ana o ke koko a me ka emi ka likelihood o thrombus ho okumu.

I Ina o loa preeclampsia, i kēia iaoia haawi loa maikaʻi hopena. I ka hoʻohana ana o plasmapheresis ho'āʻo ai i loko o ka kēia hihia.

• recurrent ke ano o ka preeclampsia;

• Lawa ka hoʻokōʻana o ka ai ';

• loa nani.

Per Ahaolelo e hoʻokō 'ia 40% o ke koko. He mea pono e lawe mai 2 a oi kūlana kanaka maʻanuʻu o 3-4 lā.

Ua ke kaʻina hana pilikia loa?

Plasmapheresis - heʻaneʻane palekana ina hana.

1. E hoʻohana i wale disposable paipu, catheters. All He poho mau loa sterile, a hōʻailonaʻia.

2. Ke hoomanawanui mea mau ma lalo o 'inikua hooponopono.

3. Ke hana Ua painless. Circulatory ka pioloke Aʻole e ana i loko o ke kaʻina hana: ka ka ho'ēmiʻana o myocardial koko aʻe mai ke kino, ka wā hoʻonui - e kahe hoʻi.

4. Ma plasmapheresis Aʻole i pili ka lapaʻauʻia e iʻaoʻao waiwai, aole hoi complications. Saline hoʻohana no ka holoi na paipu, ma i ae i ke koko.

Plasmapheresis: kāki o ke kaʻina hana

Ma mua ka hoʻoholo 'ana ma luna o ka plasmapheresis ke kaʻina hana no ka pono e hoʻopaʻa i ke kaulana maikai o ka? Aaieou. Hoʻokaʻaʻike e ia wale nō ma ka hana kūikawā 'inikua kulanui me ka paa ka hoao ana i ka hooko ana mai keia ina hana. Ua pono lawe mai wale ma ka hoao ana i ka 'Oihana pela hoʻomaʻamaʻa. Oe E Alert suspiciously haʻahaʻa kumukūʻai no plasmapheresis. Ke kāki o ka hookahi Ahaolelo ma Moscow nā keʻena lāʻau lapaʻau mea ma waena o 4-5 tausani. Rubles. Papa kumukuai o 5 plasmapheresis kaʻina hana ma ka awelika 19-22 tausani. Rubles.