Plasmapheresis: Dab Tsi Yuav Cia Siab

Zoo Siab

• Lub hom phiaj ntawm plasmapheresis yog dab tsi?
• Yuav siv plasmapheresis li cas?
• Kuv yuav npaj li cas rau plasmapheresis?
• Cov txiaj ntsig ntawm plasmapheresis yog dab tsi?
• Dab tsi yog qhov txaus ntshai ntawm plasmapheresis?
• Puas yog plasmapheresis kev pov hwm?
• Dab tsi yog qhov kev xam pom tom qab plasmapheresis?

Plasmapheresis yog dab tsi?

Plasmapheresis yog txheej txheem uas cov kua ua feem ntawm cov ntshav, lossis ntshav muaj ntshav, cais tawm ntawm cov qe ntshav. Feem ntau, cov ntshav ntshav hloov nrog lwm txoj hauv kev daws xws li dej qab ntsev lossis albumin, lossis cov ntshav ntshav tau kho thiab mam li rov qab mus rau koj lub cev.

Yog tias koj mob, koj cov ntshav yuav muaj cov tshuaj tiv thaiv lub cev tiv thaiv kab mob. Ib lub tshuab tuaj yeem siv tau los tshem tawm cov ntshav plasma cuam tshuam thiab hloov nws nrog plasma zoo lossis plasma hloov chaw. Qhov no tseem muaj npe hu ua plasma pauv. Cov txheej txheem zoo ib yam li lub raum lim ntshav.

Plasmapheresis tseem tuaj yeem xa mus rau txheej txheem ntshav pub ntshav, cov ntshav tshem tawm thiab cov ntshav xa rov qab mus rau koj lub cev.

Lub hom phiaj ntawm plasmapheresis yog dab tsi?

Plasmapheresis tuaj yeem siv los kho ntau yam mob autoimmune nrog rau:

• myasthenia gravis
• Guillain-Barre mob
• mob voos mob siab mob ntsws tso kua mis
• Lambert-Eaton myasthenic syndrome

Nws kuj tseem siv tau los kho qee yam mob hnyav ntawm sickle cell disease, as Well as qee hom ntawm neuropathy.

Hauv txhua qhov kev cuam tshuam no, lub cev tau txhim kho cov protein hu ua cov tshuaj tiv thaiv ua kom muaj txheej txheem los txheeb cov hlwb thiab rhuav tshem lawv. Cov tshuaj no nyob hauv ntshav. Nquag, cov tshuaj tiv thaiv kab mob no yog hais rau cov kab mob txawv teb chaws uas tuaj yeem tsim kev puas tsuaj rau lub cev, xws li tus kab mob.

Hauv cov neeg muaj kab mob autoimmune, txawm li cas los xij, cov tshuaj tiv thaiv kab mob yuav teb rau cov hlwb hauv lub cev uas ua cov haujlwm tseem ceeb. Piv txwv, hauv ntau tus sclerosis, lub cev tiv thaiv kab mob thiab cov tshuaj tiv thaiv kab mob hauv lub cev yuav tawm tsam kev tiv thaiv cov hlab ntshav. Qhov kawg ntawd ua rau lub cev tsis muaj zog. Plasmapheresis tuaj yeem nres cov txheej txheem no los ntawm kev tshem tawm cov ntshav ntshav uas muaj cov tshuaj tiv thaiv thiab hloov nws nrog cov ntshav tshiab.

Xyoo tsis ntev los no, txoj kev kho tau siv ntau dua los kho cov tib neeg uas mob hnyav nrog rau kev kis kab mob thiab lwm yam teeb meem xws li Wilson's mob thiab thiav thiav thom tso ntshav purpura. Nws kuj tau raug siv los pab rau cov neeg uas tau txais kev hloov khoom nruab nrog cev los tiv thaiv kev ua haujlwm ntawm lub cev hauv kev tsis kam txais.

Yuav siv plasmapheresis li cas?

Thaum lub sijhawm plasmapheresis pub dawb, koj yuav tau so ntawm lub txaj. Tom qab ntawd ib rab koob lossis cov raj yas yuav muab tso rau hauv txoj hlab ntsha hauv lub nkoj qhov sib txig ntawm caj npab muaj cov leeg feem ntau muaj zog. Qee qhov xwm txheej, tus tso raj tso rau hauv qhov puab tais lossis xwb pwg.

Hloov ntshav lossis rov qab ntshav plasma ntws mus rau hauv koj lub cev los ntawm txoj yas tub ob uas tau muab tso rau sab caj npab lossis txhais taw.

Raws li tsoomfwv cov cai, ib tus neeg tuaj yeem pub ntshav plasma ntau txog 2 zaug hauv ib asthiv. Kev pub sijhawm feem ntau siv li ntawm 90 feeb.

Yog tias koj tau txais plasmapheresis raws li kev kho mob, txoj kev kho mob no tuaj yeem ntev txog li ib thiab peb teev. Koj yuav tsum muaj ntau li tsib yam kev kho mob tauj ib lim tiam. Txoj kev kho kom haum yuav sib txawv los ntawm qhov mob mus rau lwm yam, thiab kuj yog nyob ntawm koj kev noj qab haus huv tag nrho.

Qee zaum yuav tsum tau mus pw hauv tsev kho mob. Lwm lub sijhawm sab nraud kev kho mob yog ua tau.

Kuv yuav npaj li cas rau plasmapheresis?

Koj tuaj yeem ua kom zoo txoj kev ua tiav thiab txo qis cov tsos mob thiab kev pheej hmoo ntawm plasmapheresis los ntawm kev ua cov kauj ruam no:

• Nco ntsoov tias koj muaj zaub mov noj kom zoo ua ntej kev kho lossis pub dawb.
• Pw kom zoo hmo ua ntej yuav pw koj txoj kev.
• Haus dej kom ntau.
• Tau mus txog hnub uas txhaj tshuaj tiv thaiv kab mob rau kis. Ua haujlwm nrog koj tus kws kho mob txhawm rau nrhiav seb hom tshuaj tiv thaiv twg koj xav tau.
• Zam kev haus luam yeeb thiab luam yeeb.
• Noj zaub mov muaj protein ntau thiab tsis muaj phosphorous, sodium, thiab potassium nyob rau hauv lub hnub ua rau plasmapheresis.

Cov txiaj ntsig ntawm plasmapheresis yog dab tsi?

Yog tias koj tau txais plasmapheresis yog kev kho mob rau qhov ua kom tsis muaj zog lossis mob qog ib ce, koj yuav hnov ​​zoo ib zaug li ob peb hnub. Rau lwm cov xwm txheej, nws yuav siv sijhawm li ob peb lub lis piam ua ntej koj pom cov kev hloov pauv hauv koj tus tsos mob.

Plasmapheresis yuav tsuas muab kho kom luv-luv. Feem ntau cov txheej txheem yuav xav tau ua dua. Qhov qhia tau ntau zaus thiab qhov ntev tau yog nyob ntawm koj tus mob thiab qhov mob hnyav. Koj tus kws kho mob lossis tus kws saib xyuas neeg mob tuaj yeem muab cov lus qhia dav dav rau koj tias ntev npaum li cas plasmapheresis yuav siv tau ntev npaum li cas thiab koj yuav tsum tau siv ntau npaum li cas.

Dab tsi yog qhov txaus ntshai ntawm plasmapheresis?

Plasmapheresis puas muaj kev pheej hmoo ntawm phiv. Feem ntau, lawv tsis tshua muaj thiab feem ntau me. Feem ntau cov tsos mob feem ntau yog poob ntshav siab. Qhov no feem ntau nrog:

• tsaus muag
• qhov muag plooj
• kiv taub hau
• hnov txias
• mob plab zom mov

Plasmapheresis kuj tseem tuaj yeem nqa cov kev pheej hmoo hauv qab no:

• Kev kis mob: Feem ntau cov txheej txheem hais txog kev hloov ntshav mus rau hauv lossis tawm ntawm lub cev muaj kev pheej hmoo kis mob.
• Cov ntshav txhaws: Koj tus kws kho mob yuav sau ntawv tawm lub tshuaj coagulant kom pab txo koj cov ntshav txhaws.
• Ua xua: Qhov no feem ntau yog cov tshuaj tiv thaiv rau cov kev daws teeb meem siv los hloov ntshav.

Cov teeb meem loj dua tab sis tsis tshua pom tshwm sim suav nrog los ntshav, uas tshwm sim los ntawm cov tshuaj tiv thaiv txhaws. Lwm yam kev pheej hmoo txaus ntshai ntxiv xws li qaug dab peg, plab zom zaws, thiab mob caj dab hauv nqua.

Plasmapheresis tej zaum yuav tsis yog kev kho mob tsim nyog rau qee tus neeg, suav nrog:

• cov neeg uas hemodynamically tsis khov
• cov neeg uas tsis tuaj yeem tiv taus kev muab tso rau kab nruab nrab
• cov neeg ua xua rau heparin
• cov neeg muaj tus mob hypocalcemia
• cov neeg muaj kev fab tshuaj rau khov albumin lossis ntshav dej

Puas yog plasmapheresis kev pov hwm?

Plasmapheresis feem ntau yog pab them los ntawm lub tuam txhab nyiaj txiag rau cov mob feem ntau. Nws yog ib qho tseem ceeb nrog koj lub chaw muag tsheb kom nkag siab ntau npaum li cas thiab nyob rau hauv cov xwm txheej dab tsi. Piv txwv, cov ntawv faj seeb khomob sib txawv yuav them rau cov txheej txheem sib txawv. Ib qho ntxiv, cov neeg yuav kev pov hwm tsuas yog pab them plasmapheresis rau qee kis, xws li qhov chaw kawg rau mob rheumatoid vasculitis.

Yog xav paub ntxiv txog koj cov kev fajseeb khomob, hu rau koj lub chaw fajseeb khomob. Yog tias koj muaj kev txhawj xeeb txog tus nqi, tham nrog koj tus kws kho mob. Lawv tuaj yeem pab koj nkag siab koj cov kev xaiv thiab muab cov ntaub ntawv uas koj xav tau rau koj tus muab kev pov hwm.

Dab tsi yog qhov kev xam pom tom qab plasmapheresis?

Qee tus neeg tshaj tawm nkees tom qab ua tiav, tab sis feem ntau zam nws zoo. Txog qhov zoo tshaj plaws, nco ntsoov npaj rau txheej txheem thiab ua raws li koj tus kws kho mob tau txiav txim tom qab tau ua tiav.

Xav txog kev ua cov hauv qab no kom ntseeg tau tias koj qhov teem caij tau mus raws tau zoo:

• Pw kom txaus.
• Mus txog sijhawm teem sijhawm tsawg kawg 10 feeb ua ntej.
• Hnav khaub ncaws xis nyob.
• Nqa ib phau ntawv lossis lwm yam los ua kom lom zem rau koj thaum ua tus txheej txheem.