Plasmapheresis - he ... Cascade plasmapheresis. plasmapheresis membrane

Plasmapheresis - he tikanga o te tango i te tohanga o te wē toto. I roto i te akoranga o te tukanga e kore e nekehia atu pūtau toto, ka whakakapia wē te wai krovozamenyayuschimi. Tenei, tahi ki te wē i te tinana nekehia matū kino (kaiwhakaako o mumura, cholesterol, lipids, endotoxins), pokey toto heke, nui haere tūtohutanga tarukino, puta wātea i te mate ako.

He aha te mea wē?

Kei te mohiotia te reira e Kei roto i te toto pūtau whero me te ma toto, platelets (thrombocytes) me te wai i roto i nei e reira i roto i te whakatārewatanga pūtau te huānga raraunga. Tenei wai Ko te otinga o pūmua me electrolytes me te huaina "wē" (whakaahua e wātea ana i roto i te tuhinga).

Methods o wē purenga

Ka taea te kawea wē purenga i ki te mana o ope tō whiriwhiringa motuhake ranei. I roto i te take tuatahi, haere te toto e i roto i te centrifuge, i roto i te take tuarua, he maiengi whiriwhiringa membrane.

I roto i te tikanga ki te wehe wē i te toto te whakamahi i te plasmapheresis membrane. I roto i te akoranga o te tikanga, e nekehia atu nga pūtau toto whakataimaha, me matū paitini. Ki te mahi i tenei, maturuturu te wē kei roto i whiriwhiringa motuhake. plazmeferez membrane - tikanga feunga whai hua mō te rongoā tini o nga mate, e rerekē e tika ana ki te taiao ā-o te tinana tangata. He kaha rongoā i roto i tenei āhuatanga.

Ēnei ma'i ngā:

• whētuki;

• weranga whānui;

• mumura whakapeka o whekau;

• haurangi;

• mate kino.

Ki te awhina o membrane plasmapheresis wātea i te mate noa, whakahohe pūtau hematopoietic, whakatere te tukanga whakaora, te tōiti i te kaupapa o te toto whakatere te, kei te nui heke te tūponotanga o te mate.

A, no te toto purenga i ngā pūtau ārai whakakorea nga tohu o mate autoimmune. Pure i te toto o te ngako i te taikaha, e taea te whakahaerehia hoki atherosclerosis. Ka taea e membrane plasmapheresis whakapai ake āhua o te manawanui o te hauora i muri radiation te hahau ranei maimoatanga. Tino whai hua mō ngā āhuatanga pērā i taonga tūkino, rH pakanga hapu, urogenital mate, whakaora wā i muri i kakā viral. Plasmapheresis taea ki a koe te whakaiti i te tūponotanga o pōauautanga tuarua o te mate huka.

Cascade plasmapheresis - he tikanga o te pure i te toto, arā, i roto i te haere wē i roto i te tātari motuhake ki kōputaputa iti nui. I roto i te tukanga, whakawāteatia te wē e o rāpoi nui o te ngako me te pūmua. i whakawhanakehia te tikanga i roto i 1980 e pūtaiao Japanese. Kei te whānui teie mahana whakamahia ai mo te maimoatanga o te atherosclerosis ki te rota o lipids i te toto, me te mo te ārai o pathologies pērā i patu, aneurysm, patunga. hua kï o plasmapheresis Cascade i erythematosus lupus pūnahanaha, kaikōiwi, mate a Crohn, colitis ulcerative, myeloma maha , me te maha atu mau ma'i.

Kaituku me te plazmeferez hauora

Kaituku plasmapheresis - he tukanga e ngā i roto i te wē kohia te i te kaituku (iwi arā hauora). Kei te tino rauemi Tau toto whakaritea e te ture i runga i te takoha. E mawehe i haere he toto tangata i roto i te taputapu motuhake, i hanga huānga kua ringihia hoki, a ka waiho i raro i te wē hua ki te tiaki me te te whakamahia ki te whakaputa ngā hua toto huhu muri ranei.

I roto i te hātepe hauora i te wa tukatuka te me te toto 30% o te manawanui. E nekehia atu ona wahi i te tinana, haere i roto i te taputapu, ka ringihia hoki ki te āhua tuku.

Tuhinga mo te tukanga

e kore he utu wē he maimoatanga, e taea te kawea i roto i te katoa i roto i te rarangi. Tenei tikanga kōwhiringa pŭpŭ tauturu maimoatanga, ka kore e hoatu e te therapy matua te hua e hiahiatia ana.

I tua atu i nga mate i runga, i te maimoatanga o te plasmapheresis whakaaturia ina:

• waipiro;

• waranga tarukino;

• huangō arahau;

• matepukupuku;

• mate ngakau coronary;

• angina;

• takawhita;

• thromboembolism;

• tuwhenua arataukai o te wahi kūnatu;

• cirrhosis;

• rahunga ate;

• glomerulonephritis ki syndrome nephrotic ;

• takawhita tutu ki te maimoatanga hauora;

• ru ero i roto i te tukanga purulent;

• mau ma'i Dermatological.

contraindications

contraindications Absolute ki tenei tikanga he whewhe duodenal me puku, tahi e toto, me te ua tuli disorders.

Hoki contraindications whanaunga ngā:

• ngaukino, ru anaphylactic me ētahi atu momo;

• mate ate kino, he puka whakapeka o kakā hopuhopu;

• Tūroro pakeke atu i te 70 tau tau, e mate ana i te anemia roto i te taha ki te mate te ngakau;

• rawaka te nui whatunga venous piringa.

pānga taha pea

Fele, Kei te tino pai te nohotahi te tukanga. Ka taea e migraine huru puta rawa uaua whakapairuaki ngawari ranei. Heoi e ratou taua ngā kino i roto i te wa poto.

Ko te tukanga ko te riri nui anake i roto i te take o te mafiti toto rawakore i roto i te manawanui: Ka taea e toto puta. A, no te tukatuka i te toto ki te ārai i te reira i te okeoke anticoagulants te whakamahi i. A, no te taea upoo- kino taua tāpiritanga meinga oti toto nesvorachivaniya.

taputapu whakamahia

Pūrere i roto i i wehea te wē e (tika), he kawe, me te pahoho. Ko te wātū tuatahi o te plasmapheresis tukua hoki te kāinga tae noa o te manawanui. pūrere Modern tango te wahi iti o te toto, me te horoi ratou tetahi i tetahi. Ko watea taputapu kawe hoki e taea te ngāwari whakawhiti reira, ka whakaturia e pā ana ki te ro'i, i waho te whakawhiti i te reira ki te tukanga i roto i te tahi atu i te piha.

I muri i te katoa o 40 ml o toto mawehe atu, āraia rere toto te piha motuhake. Te toto te pure te ka hoki hoki ki te tinana. Na ka haere mai te wahi hou o te taiepa. Na reira, i roto i te akoranga o te tukanga e kore e ite tetahi hūhi.

mīhini pai anake nehenehe o te meneti horoi, ka hoki ki te tinana o te manawanui 100 ml o te toto. Ko te kupu e taea kotahi haora hua e pā ana ki 800 ml o wē.

Whanaketanga o te tikanga

Roanga o te maimoatanga he e pā ana ki 90 meneti. e kore te No hūhi i pupuri i te reira ua ite. whakanohoia ana te manawanui kei roto i te parahiraa motuhake, te uaua o e rua kōkuhu ringa pū tōngāmimi. Next, Ka taea e te manawanui whakarongo ki te waiata mataaratanga ranei TV, ki te mea he kotahi i roto i te whare hauora. Mea katoa atu ka meinga te pūrere. Tae noa tukanga whakamutunga, kua aroturukitia tonu huru o te manawanui: whanganga tona pēhanga toto, manawa, auau ngakau me te aroaro o te hāora i roto i te toto.

I roto i tetahi wātū taea pure ake ki te 25-30% o te toto, na titau te horoi tino he iti o 3 maimoatanga. Ko te nui o te toto ki te kia horoia mo te wātū, i te tākuta whakatau he pūtake takitahi, tango ki pūkete te taimaha o te manawanui, tona tau me te huru whānui o te tinana.

Ma te toto ko te tukanga uaua, na i muri i tona otinga me noho te manawanui i raro i te mātakitaki o te mātanga o 30-60 meneti.

Ka taea e Plasmapheresis mahi, kahore tetahi whakangungu motuhake. A ehara i te mea e tika ana ki te piri ki te tukanga i muri i tetahi kupu tohutohu ngā. Heoi, i roto i ētahi wā, i tō tākuta e taea te hoatu etahi tohutohu.

Plasmapheresis i roto i te hapū

Ka taea te whakahaere i te tukanga i roto i te faaineineraa no te te haputanga me te ārai, me te ki tetahi o nga maimoatanga. I mua i te hapū, whakamahia tenei tikanga te ki te tango tāoke e kua whiwhi i roto i te tinana o te wahine paowa. Ki te i roto i te wā o mau ana i te tamaiti he wahine whakamamaetia e te toxicosis kaha, kua rua ngā wā o plasmapheresis tokoni tino whakapai ake i te huru o te whaea expectant.

Plasmapheresis āhei wahine ki toxicosis nui, me te iti hoki placental pai kawe ka hoatu whanau ki te tamaiti hauora.

Tenei tukanga whakaiti te mōrea o ngā raruraru pērā i intrauterine mate, LBW me anoxia, 1.5 wa. Plasmapheresis whakaiti te tupono o toto i roto i whanau ana, rite te hanganga noa o te toto, me te heke te tūponotanga o te thrombus hanganga.

I roto i te take o te preeclampsia nui, tenei tikanga homai hua tino pai. Ko te whakamahi o te plasmapheresis whakamatauria i te wā e whai ake nei:

• puka recurrent o preeclampsia;

• kakama iti o taero;

• tetere nui.

Per wātū e tukatuka ki 40% o te toto. Ko reira e tika ana ki te kawe i roto i 2 atu ranei maimoatanga i wā o 3-4 ra.

He mōrearea te tukanga?

Plasmapheresis - he tukanga haumaru tata.

1. Whakamahia korere tuku anake, catheters. He tino horomata me te hiri kete katoa.

2. Ko nga wa katoa te manawanui i raro i te tirotiro hauora.

3. He ongonoa te tukanga. e kore e ngangau circulatory puta i roto i te tukanga: te whakaiti o te toto myocardial mawehe atu i te tinana, ina whakawhānui - rere reira hoki.

4. I roto i te plasmapheresis kore e tono rongoā kia meinga pānga taha pōauautanga ranei. Saline whakamahia mō te horoi i te ngongo, i roto i nei haere te toto.

Plasmapheresis: utu o te tikanga

I mua i whakatau i runga i te tukanga plasmapheresis he tika ki te whakarite i te ingoa pai o te whare hauora. kia anake Whakapā i roto i te pūtahi hauora motuhake ki wheako mārō i roto i te kawe i tenei tikanga. Me kawe te reira i roto i anake e ngaio mātanga rawa whakangungua. kia mōhio koe utu parikārangaranga iti mō te plasmapheresis. Ko te utu o te wātū kotahi i roto i haumanu Moscow ko waenganui i 4-5 mano. Moni. utu akoranga o 5 ngā tukanga plasmapheresis runga toharite 19-22 mano. moni.