Plasmapheresis: nws yog dab tsi, nws tiav li cas thiab muaj teeb meem tshwm sim

Zoo Siab

• Dab tsi yog nws rau
• Yuav ua li cas nws ua tiav
• Muaj teeb meem tshwm sim ntawm plasmapheresis

Plasmapheresis yog ib hom kev kho mob siv rau feem ntau ntawm cov kabmob uas muaj ntau ntawm cov tshuaj uas yuav ua rau muaj kev phom sij rau kev noj qab haus huv, xws li cov protein, enzymes lossis tshuaj tiv thaiv kab mob, piv txwv.

Yog li, plasmapheresis tuaj yeem pom zoo nyob rau hauv kev kho mob ntawm Thrombotic Thrombocytopenic Purpura, Guillain-Barré Syndrome thiab Myasthenia Gravis, uas yog tus kabmob autoimmune los ntawm cov kev ua tsis taus ntawm cov leeg ua haujlwm vim kev tsim khoom ntawm autoantibodies.

Txoj kev ua no yog txhawm rau tshem cov tshuaj uas muaj nyob rau hauv cov ntshav los ntawm cov txheej txheem pom. Plasma sib raug li ntawm 10% ntawm cov ntshav thiab muaj cov protein, piam thaj, zaub mov, tshuaj hormones thiab ntshav txhaws, piv txwv. Kawm paub ntxiv txog cov ntshav thiab ua haujlwm.

Dab tsi yog nws rau

Plasmapheresis yog txheej txheem uas muaj lub hom phiaj txhawm rau lim ntshav, tshem tawm cov khoom uas nyob hauv ntshav thiab rov qab ntshav mus rau hauv lub cev yam tsis muaj cov tshuaj uas ua rau lossis txuas ntxiv rau tus mob.

Yog li, cov txheej txheem no tau qhia rau kev kho cov kab mob uas tshwm sim nrog qhov nce ntawm qee qhov sib txuam ntawm cov ntshav, xws li tshuaj tiv thaiv kab mob, albumin lossis ntshav khov, xws li:

• Lupus;
• Myasthenia gravis;
• Ntau myeloma;
• Waldenstrom's macroglobulinemia;
• Guillain-Barré mob;
• Ntau yam sclerosis;
• Ua kom pom cov kab mob thrombocytopenic purpura (PTT);

Txawm hais tias plasmapheresis yog ib txoj kev kho kom zoo rau kev kho cov kab mob no, nws yog ib qho tseem ceeb uas tus neeg txuas ntxiv ua cov tshuaj kho mob tau qhia los ntawm tus kws kho mob, vim tias qhov kev ua tau zoo ntawm cov txheej txheem no tsis tiv thaiv kev tsim cov tshuaj uas cuam tshuam nrog tus kabmob.

Ntawd yog, nyob rau hauv cov ntaub ntawv ntawm cov kabmob autoimmune, piv txwv li, plasmapheresis txhawb nqa kev tshem tawm ntawm cov kabmob autoantibodies ntau, txawm li cas los tsim cov tshuaj tiv thaiv kab mob no tsis ua rau tuag tes tuag taw, thiab tus neeg yuav tsum siv cov tshuaj tiv thaiv tshuaj raws li kws kho mob tau qhia.

Yuav ua li cas nws ua tiav

Plasmapheresis yog ua los ntawm kev ntsuas lub raj yas uas tso rau hauv jugular lossis femoral thiab txhua ntu muaj qhov nruab nrab ntev li 2 teev, uas tuaj yeem ua tau txhua hnub lossis rau lwm hnub, raws li kws kho mob qhia. Nyob ntawm cov kab mob raug kho, tus kws kho mob yuav qhia ntau lossis tsawg dua kev sib tham, nrog 7 ntu qhia tau feem ntau.

Plasmapheresis yog kev kho mob zoo ib yam li hemodialysis, nyob rau hauv tus neeg ntawd cov ntshav raug tshem tawm thiab cov ntshav sib cais. Qhov ntshav ntshav no hla tawm txheej txheem, nyob rau hauv cov tshuaj uas muaj tam sim no raug tshem tawm thiab cov ntshav tsis muaj cov yeeb-tshuaj tau rov qab los rau hauv lub cev.

Cov txheej txheem no, txawm li cas los xij, lim tawm txhua yam tshuaj uas muaj nyob hauv cov ntshav, ob qho tib si muaj txiaj ntsig thiab muaj kev phom sij, thiab, yog li ntawd, qhov ntim ntawm cov tshuaj muaj txiaj ntsig tseem hloov los ntawm kev siv lub hnab ntshav tshiab uas muab los ntawm lub tsev kho mob cov ntshav hauv txhab nyiaj, zam kev cuam tshuam rau tus neeg.

Muaj teeb meem tshwm sim ntawm plasmapheresis

Plasmapheresis yog ib qho txheej txheem nyab xeeb, tab sis ib yam li lwm tus txheej txheem sib cav, nws muaj kev pheej hmoo, qhov tseem ceeb yog:

• Tsim ntawm hematoma rau ntawm qhov chaw ntawm nkag tau ntawm kev nkag;
• Kev pheej hmoo ntawm kev kis mob ntawm qhov chaw nkag mus rau lub tsev;
• Kev muaj ntshav siab dua, vim tias tshem tawm cov ntshav txhaws hauv qhov ntshav;
• Kev pheej hmoo ntawm kev txhab ntshav, xws li kev tsis haum tshuaj rau cov protein nyob hauv ntshav uas tau hloov ntshav.

Yog li, txhawm rau kom ntseeg tau tias nws muaj kev pheej hmoo tsawg dua, nws yog ib qho tseem ceeb uas cov txheej txheem no tau ua los ntawm tus kws tshaj lij uas saib txoj kev nyiam huv txog kev nyab xeeb rau cov neeg mob. Tsis tas li ntawd, nws yog ib qho tseem ceeb uas hloov ntshav ntawm cov ntshav tshiab kuj tau nqa tawm, vim li no txoj kev tuaj yeem lav tias cov tshuaj yeeb yaj kiab uas tsim nyog rau kev ua haujlwm ntawm lub cev tseem nyob rau hauv qhov zoo tagnrho.