Plasmapheresis a cikin nau'in ciwon sukari na 2

Plasmapheresis - hanyar tsarkake jinin mutum

A cikin aiwatarwa, jini ya kasu kashi biyu: abubuwan da ke tattare da kwayar halitta da plasma. Sannan na karshen, tare da abubuwa masu cutarwa, an cire shi gaba daya kuma an gabatar da wani maimakon. Kwayoyin jini sun dawo kuma jinin ya zama mai tsabta gaba ɗaya, ba shi da gubobi.

Jinin mai ciwon sukari yana mamaye shi da sinadarin lipoproteins, basa barin mai haƙuri ya rage sukari gwargwadon iko. Sabili da haka, ta amfani da plasmapheresis, an cire su tare da plasma. Wannan yana inganta yanayin janar na haƙuri, yana ba da damar haɓaka tasiri na jiyya da ƙara haɓaka ƙwayoyi.

Hanyoyin Plasmapheresis

Hanyoyin sun dogara da hanyar da ake amfani da ita don hanya:

Centrifugal
Cascading - yawanci ana amfani da shi don atherosclerosis. Anan, plasma da sel suna ɗauka suna fuskantar tsari biyu
Membrane
Hanyar cryo ta ƙunshi daskarewa cikin plasma sannan kuma dumama shi. Bayan wannan, za a gudanar da shi a cikin centrifuge, to, za a cire labulen. Amma sauran za a koma wurin.
Sedimentation - ya danganta da karfin nauyi kuma ana yin shi ba tare da amfani da fasaha ba. Amfani da kasancewar hanyar: farashin yana da daidaituwa sosai idan aka kwatanta da wasu. Amma akwai babban rabe-raben abubuwa: rashin iya aiwatar da jini gaba daya.

M kaddarorin beets a cikin ciwon sukari. Kara karantawa a wannan labarin.

Menene lipodystrophy? Ta yaya wannan cutar ke da alaƙa da ciwon sukari da kuma yadda za a guje shi?

saurin
karko kwayar halitta,
da yiwuwar zalunta oncology,
cikakken kariya daga kamuwa da cuta,
kiyaye ƙwayoyin lafiya lokacin rabuwa.

Yaya hanya take tafiya? Kudinsa. Yawaita

Don zuwa wannan hanya mai yiwuwa ne kawai a kan nadin kwararru. Kodayake horo na musamman ba lallai ba ne, mai haƙuri dole ne ya wuce karamin gwaji. Bayan wannan, mutumin ya dace da shi cikin nutsuwa, an shigar da catheter sterile a cikin jijiyoyin. Ba mai jin zafi idan kwararrun ma'aikacin jinya. Sannan an haɗa na'urar kuma an fara tuki.

An tsara hanya har tsawon mintuna 90, gwargwadon yawan jini da hanyar magani. Har zuwa 30% na jini za'a iya dawo da su lokaci guda. Idan kuna buƙatar cikakken tsabtacewa, to kuna buƙatar ziyarci hanya sau biyu.

Daya daga cikin manyan rikice-rikice na ciwon sukari shine lalacewar ƙafa. Wani cututtuka na kafafu suka taso da yadda za a magance su?

Manufar hanyar da nau'ikanta

Plasmapheresis - da plasmapheresis da plasmapheresis, aiki ne na kashewa wanda aka yi shi musamman don tsarkake jinin abubuwa masu guba. Tushen hanyar mai sauki ne: an sanya jinin da aka ɗora daga mai haƙuri a cikin kwandon hemo, a cikin shi ya kasu kashi-jini da abubuwan da aka kafa - sel jini, farar farin jini da platelet. Sannan kwayoyin halittar jini sun koma jiki, kuma ana amfani da plasma ko kuma amfani dashi don wasu bukatu - zubarwa, samar da kayayyakin jini, da sauransu.

Komawa mara lafiya mara lafiyar kwatankwacin abin da aka karɓa, ƙarancin plasma an yi shi ne da ruwan sirinji ko wani ruwa, idan maganin cutar ya buƙace shi. Saboda haka, jinin yana tsarkaka daga dukkan gubobi da ke rushewa a cikin plasma, kuma baya asarar ƙwayoyin aikin sa.

Plasmapheresis an rarraba shi bisa ga ka'idoji da yawa.

Da alƙawari

Ana amfani da hanyar don magance matsaloli 2:

plasmapheresis warkewa - manufarta shine ainihin tsarkakewar jini daga abubuwa masu guba. A wannan yanayin, ana amfani da plasma, kodayake hakan yana faruwa bayan da aka sake wasu abubuwa da yawa, ana mayar da plasma din da jini,
mai ba da gudummawa - a wannan yanayin, ana aiwatar da aikin don samun tsararren mai ba da gudummawa mai tsabta. Kwayoyin jini sun dawo, kuma ana amfani da plasma don juyawa ko don wasu magunguna.

Hakanan an bambanta shi da bambancin cuta. A wannan yanayin, sakamakon plasma na farko mai sanyi ne, kuma ya dawo bayan daskarewa.

Ta hanyar tsabtatawa

Duk hanyoyin amfani da hanyoyin tsarkake jini an kasu kashi biyu: manual da atomatik.

Manual - ko kuma mai hankali. Ana ɗaukar jini mai yawa kwatankwacin lokaci, wanda aka sanya shi cikin akwati mai zubar da ruwa mai tsafta kuma tsabtace shi. Kwayoyin da suka rage bayan cirewar plasma suna narkewa tare da saline kuma ana gudanar dasu ga mai haƙuri. Hanyar mai amfani ya kasu kashi biyu:
- sedimentation - plasma rabu da tantanin halitta taro ta hanyar daidaitawa, na ƙarshen precipitates,
- gravitational - ko centrifugal. Ana sanya jini a cikin akwati a cikin centrifuge, inda ya kasu kashi abubuwa, tunda saurin juyawarsu ya sha bamban. Ana daukar wannan hanyar bata lokaci kuma ana amfani dashi sau da dama.
Kayan aiki tsari ne na shinge. Tsaftacewa da dawowar jini yana faruwa koyaushe. Ana ɗaukar jini a cikin ƙananan yankuna, an ciyar dashi ga kayan rabuwa sannan a dawo cikin ƙananan rabo ma. Wannan hanyar tana da sauƙin sauƙin haƙuri ga marasa lafiya, saboda ba ya haifar da kaya.

Akwai nau'ikan plasmapheresis kayan masarufi - membrane, cascade, da sauransu.

A cikin na'urori da hadaddun kayan aiki, ana aiwatar da hanyoyin 2 na tsarkake jini, sabili da haka, dukkanin hanyoyin sun kasu kashi biyu.

Centrifugation - wanda aka yi amfani dashi sau da yawa. An tsara santimin na zamani ta hanyar shirye-shirye na musamman waɗanda suke ba ku damar lura da ainihin saurin juyawa da braking. Saboda haka, ƙwayoyin jini, da furotin da kuma tsarin ƙwayoyin plasma na carbohydrate ana kiyaye su. Bayan centrifugation, sel sel tare da musanya jini ko tare da plasma da aka tsarkake ta hanyar matatun an koma jikin mai haƙuri. A yau, ana aiwatar da irin wannan tsari da sauri kuma baya ɗaukar nauyi a jikin ɗan adam. Tsabtace jini ta hanyar centrifugation ana amfani dashi sosai a cikin huhu don cututtuka da dama na jijiyoyin bugun zuciya na sama, a cikin endocrinology don lura da ciwon sukari na mellitus, alal misali, cutar Addison, kuma, ba shakka, a cikin cututtukan fata don cututtukan ƙwayar cuta da cututtukan fata, tsokani yana haifar da cuta ta hanyar rigakafi.
Rarrabewa ta hanyar tacewa membrane hanya ce mara zafi da cikakkiyar kariya. Jini yana shiga cikin akwati na jini ya wuce ta tsaftacewa. A wannan yanayin, ana rabuwa da plasma tare da gutsuttsuran ganuwar tantanin halitta, gubobi, ƙwayoyin cuta, abubuwan lipoproteins da sauran su.

Hanyoyi iri-iri na membrane shine kashin kansar. A wannan yanayin, jinin ya wuce cikin matattara 2: a kan na farko, ana riƙe da tantanin halitta, akan na biyu, manyan kwayoyin halitta. Plasma ya tsarkaka ta wannan hanyar za'a iya shigar da shi cikin jikin mai haƙuri. Ana daukar plasmapheresis na Cascade mafi inganci a cikin cututtukan autoimmune masu nauyi.

Abubuwan kwantar da hankali don yin amfani da plasmapheresis

Plasmapheresis tsari ne na tsarkake jini wanda ana yin shi a bayan jiki. Ana yinsa don cire abubuwa masu guba waɗanda ke cutar da jiki ko don amfani da plasma a gaba - plasmapheresis mai ba da gudummawa.

Plasmapheresis yana da yawan contraindications. Wasu daga cikinsu ba za a iya keta doka a kowane yanayi; a wasu halaye, haɗarin haɗari da fa'ida dole ne a tantance su.

Cikakken contraindications sun hada da:

zub da jini - na ciki ko na waje. Irin wannan nauyin ya fi karfin jiki,
ba a canzawa canje-canje a cikin zuciya da kwakwalwa,
rauni mai rauni na gabobin ciki,
suturar jini yasa aikin ba zai yiwu ba.

Ba da shawarar yin amfani da plasmapheresis don irin waɗannan cututtukan ba:

arrhythmia da saukar karfin jini, saboda bayan zaman matsa lamba zai ragu,
ciwon hanta
anemia, musamman ma a cikin tsufa,
m cututtuka
jihar bugawa.

Magnetotherapy

Hydrotherapy yana gwada dacewa tare da sauran hanyoyin maganin tare da isa da sauƙi. Irin wannan magani ya dace sosai ga masu fama da cutar siga ta farko da ta biyu. Yawanci, a cikin cibiyoyin likitanci, ana ba da shawarar hanyoyin da ke gaba:

shawa
kayan wanka
balneotherapy
maganin ruwan zafi
hydrokinesis far,
shafa, dousing,
gidan wanka, sauna.

Mahimmin magani game da ciwon sukari tare da shawa shine sakamako mai amfani a jikin jet na ruwa a ƙarƙashin wani zazzabi da matsi. Wanke zai iya zama daban: ƙura, allura, hawa sama, Scottish, ruwan sama da sauransu.

Hakanan wanka zai iya zama daban, likita na iya ba da wanka na yau da kullun, wanda a cikin jikin duk mai ciwon sukari ke nutsuwa cikin ruwa, amma ban da kan kai. Wani lokaci wanka na gida yana barata ne yayin da wani sashin jiki ya nitse (hannu, kafa, ƙashin ƙugu). Yayin aiwatarwa, ruwan da yake cikin wanka koyaushe ana kiyaye shi a wani matakin rawar jiki da zafin jiki.

Balneotherapy ya kamata a fahimta shi azaman magani tare da ruwan ma'adinai, kuma hydrokinesitherapy hadaddun motsa jiki ne na motsa jiki a cikin ruwa da iyo.

Ruwan sanyi mai zafi (zazzabi a cikin tazara daga digiri 37 zuwa 42), shafa, douse (ruwan sanyi), saunas da wanka (tururi mai zafi) suna da tasirin gaske a jiki.

Dukkanin hanyoyin kwantar da hankali don cututtukan ƙwayar cutar sukari nau'in 1 da 2 suna ƙarfafa samuwar da lalata sel, wanda ke haifar da al'ada waɗannan ayyukan. Ana samar da tasirin hydrotherapy na ƙarancin ruwan zafi ta hanyar haɓakar metabolism a jikin mai ciwon sukari, amma wannan tasirin ba ya daɗe.

Jiki yana ba da sakamako mai kyau godiya ga irin waɗannan hanyoyin:

increasedarin tafiyar matakai na rayuwa yana ƙara buƙatar aiki na jiki,
Inganta yanayin mai haƙuri yana taimakawa wajen farfado da tsarin metabolism na gaba ɗaya.

Lokacin da aka gudanar da magani tare da ruwan dumi, irin wannan tasirin akan jikin mai haƙuri ba ya faruwa. Lokacin aiwatar da hanya tare da ruwa mai yawan zafin jiki, wanda ke haifar da zafi sosai, ana haɓaka metabolism.

Duk da bayyane yake a saukake, likitan ilimin motsa jiki ga masu ciwon siga na iya ɗaukar wata haɗari. Misali, hydrotherapy ya fi kyau idan ba'a yi amfani da shi ba idan akwai cin zarafin ƙwayar cuta, ƙonewar jini, haɓaka hauhawar jini, angina pectoris mai ƙarfi, fashewar cututtukan kumburi, thrombophlebitis na kullum, gazawar wurare dabam dabam, mataki na 1-B ko sama.

Ya kamata ka san cewa marasa lafiya da masu fama da cutar siga mai nau'in cuta 2 da nau'in 1 an haramta su sosai don aiwatar da hanyoyin gaggawa, wato shawa:

Kula da ciwon sukari da ruwa yana buƙatar tattaunawa tare da likita idan mai haƙuri ya sha wahala daga cututtukan zuciya na atherosclerosis yayin daukar ciki.

Cikakken magani na ciwon sukari shima ya ƙunshi amfani da magnetotherapy, mahimmin hanyar shine amfanin fa'idodin magnetic a cikin masu ciwon sukari. A matsayinka na mai mulki, an wajabta magnetotherapy don maganin cututtukan fata.

A matsakaici, tsawon lokacin jiyya shine hanyoyin 10-12, kuma bayan zaman farko na 3-5, mai ciwon sukari zai lura da raguwa a cikin matakan glucose na jini akai-akai.

Magnetotherapy magani ne mai kyau idan an kamu da mara lafiyar mai ciwon sukari, tunda filin magnetic yana ƙarfafa tasoshin jini sosai, yana maganin jiki kuma yana ba da sakamako mai hanawa.

Inductometry na kafafu yana taimakawa wajen magance neuropathy da angiopathy, wannan hanyar ta ƙunshi amfani da filin magnetic mita.

Hanyar tana taimakawa wajen haɓaka microcirculation na jini, lymph, inganta yanayin masu ciwon sukari.

Ba shi yiwuwa a wuce gona da iri sakamakon aikin jiyya na acupuncture a cikin cututtukan ciwon sukari, godiya ga tsarin:

inganta ci gaban jijiya,
itiara yawan abin lura ga gabar jiki,
saukar da jin zafi.

Acupuncture, acupuncture, acupuncture da sukari ana bada shawarar ga masu ciwon sukari da yawa.

Lokacin da matsaloli tare da sukari na jini suna haɗuwa tare da rikicewar ƙwaƙwalwar hanji da kuma rashin cin nasara na koda, ana ba da shawarar cewa masu ciwon sukari su shiga cikin ƙwayar plasmapheresis. Wannan hanyar tana taimakawa wajen tsarkake jini, an maye gurbin plasma na jini na mara lafiya ta abubuwa na musamman.

A lokacin da ake warkar da sinadarin ozone ga masu ciwon sukari, raunin ganuwar sel zuwa glucose yana karuwa, wanda ke rage hawan jini. Ozone zai inganta hawan sukari a cikin sel jini, a sakamakon haka, kyallen takarda za su sami isashshen sunadarin oxygen, kuma za a kawar da hypoxia akan lokaci.

Wannan dabarar magani na taimaka wajan hana rikice-rikice masu haɗari:

Bugu da kari, mai ciwon sukari yana karbar sakamako mai immunomodulatory. Kowa ya san cewa tare da nau'in ciwon sukari na 1, marasa lafiya suna da tsinkaye don tafiyar matakai masu kumburi da cututtukan fata na yau da kullun saboda raunin garkuwar jiki mai rauni. A saboda wannan dalili, maganin lemo yana daya daga cikin hanyoyin ingantattun hanyoyin kawar da ciwon sukari na 1. Bidiyo a cikin wannan labarin yana ci gaba da taken kula da ciwon sukari tare da ilimin motsa jiki.

Jinin jini - Tsabtace jini hanya ce mai haɗari

- Yuri Alexandrovich, don Allah gaya mana yadda ake yin plasmapheresis.

Ana amfani da na'urar ta musamman don aiwatar da aikin plasmapheresis - Ina aiki ne ga Hemos-PF. Kayan aiki ne na Ma'aikatar gaggawa game da taimakon gaggawa.

Mai haƙuri ya kwanta a kan kujera, Likita ya sanya catheter ɗin filastik ta hanyar jijiya a jikinsa wanda za a zana jini.

- Jijiya daya kawai ya shiga?

Akwai hanyoyi daban-daban: a cikin wasu, ɗayan jijiya tana aiki, a cikin wasu - biyu, alal misali, yanki da tsakiya. Maganar plasmapheresis membrane wanda nake aiwatarwa ya shafi jijiya daya kawai. Kamar yadda likitoci suka ce, wannan ba karamin mamayewa bane.

Gaba kuma, jinin mara lafiya “yana gudana” ta wurin kayan aiki.

Yawan adadin jinin da aka karɓa ya koma. Kowane mutum yana da ƙarar jini nasu. Saboda haka, adadin jinin da yake “bibiya” a cikin zama ɗaya, ga kowane mara lafiya, likita ya lissafta daban-daban, yana la’akari da ƙididdigar asibiti na jini, nauyin jiki da tsayi. Akwai shirin komputa don irin wannan lissafin.

- Yaya tsawon lokaci ake aiwatar da aikin?

Kimanin awa daya. A wannan lokacin, ana kulawa da yanayin mai haƙuri: ana auna karfin karfin jini, yawan kumburin numfashi, bugun zuciya da jijiyar oxygen. Wato, mai haƙuri ba kawai a ƙarƙashin kulawar likita ba, har ma a ƙarƙashin ikon kayan aiki.

- Shin zan iya yin plasmapheresis akan tsarin marasa lafiya?

Plasmapheresis ba mai sauki bane hanyar da za'ayi a lokacin abincin rana. Wannan ba allura bane: allura - kuma ya tafi. Mutane suna yin haƙuri da plasmapheresis ta hanyoyi daban-daban, don haka akwai wani lokaci na lokaci bayan aikin (daga rabin sa'a zuwa awa ɗaya) a cikin lokacin da nake lura da yanayin mai haƙuri. Idan dukkan alamu sun tabbata - mutum zai iya komawa gida.

Tsarin tsarkake jini - plasmapheresis, ya zama sananne sosai, kalmar "tsarkakewa" tana kawo kudin shiga ga masu scammers a farin suttura, suna aiki kamar hypnosis, maimakon "share" wallet ɗin 'yan ƙasarmu, saboda hanyar tana da tsada sosai, ƙari, bisa ga tabbacin "likitocin", kuna buƙatar wucewa aƙalla matakai 5. . Don haka, ana wadatar da MED - Cibiyoyin.

Plasmapheresis - tsarkakewar jinin haila. An rarraba shi zuwa centrifugal, kayan aiki da membrane.

Membrane Gudun jini na jini, ta amfani da membrane na musamman wanda kwayoyin sunadaran sunadaran da ke ciki suke zaune: hadaddun hanyoyin rigakafi, abubuwan lipoproteins, kwayoyin.

An ɗauka, an dauki gram 450-500 na jini kuma aka rarrabe shi a cikin centrifuge cikin plasma da cell cell. A cikin abu na salula, an ƙara saline ko kuma wani madadin jini sannan an sake zuba mai haƙuri. Kuma an lalata plasma.

Gabaɗaya, jigon hanyar shine an karɓi jini daga mai haƙuri kuma an rarraba shi cikin plasma da erythrocyte taro. Yana da plasma wanda ya ƙunshi sunadarai na pathogenic, ƙwayoyin cuta, sel da suka mutu, da sauransu. Ana zubar da jini (idan wannan ba hanyar membrane ne na tsarkake jiki ba), kuma jinin da aka haɗe da kwayoyi ko jinin gudummawa ana saka shi maimakon. Moreara koyo game da hanyoyin plasmapheresis daga Wikipedia.

A lokaci guda, an cire kusan ¼ na jimlar nauyin plasma na jini daga jikin mutum.Duk plasma yana ɗaukar fiye da rabin jini, yayin da ƙarar jini da kanta ya dogara da nauyin da mai haƙuri ke ɗauka. Don haka, a cikin haƙuri tare da nauyin jiki na 70 kilogiram, kusan 700 g na jini plasma za a cire yayin aiwatar da aikin plasmapheresis. Yawan zaman an ƙaddara su ta hanyar ganewar cutar da tsananin cutar, amma mafi yawa daga 2 zuwa 3 zuwa 12 zaman.

Tsarin iska. Yin amfani da matattara na musamman, abubuwan da ke cikin tantanin halitta da abubuwan plasma suna ware daga jini. Bayan haka, an narke sashin tantanin halitta tare da 0.9% sodium chloride bayani kuma an koma cikin jiki, an cire sashin plasma.
Girma Mai haƙuri ya ba da nauyin 0,5 na jini daga jijiya zuwa akwati na musamman, wanda daga nan sai aka aika shi zuwa sashin ƙarni. A wurin, sel sel suka zauna, daga baya sai a mayar dasu ga jikin mai haƙuri a matsayin wani ɓangare na saline na kimiyyar lissafi. Don cimma sakamako mai warkewa, ya zama dole a gudanar da aƙalla sau 3 na aikin plasmapheresis na gravitational.
Shakar jini. Wannan nau'in plasmapheresis bai dogara ne akan hakar plasma ba, amma kan tsarkakewar shi cikin jini. Ana amfani da carbon mai aiki azaman sorbent na musamman don tsarin tsabtacewa.

Idan aka nuna, duk hanyoyin da ake tsarkakewa na jini ana iya karuwa dasu ta hanyar aiki yayin da sel ke cikin jini tare da hasken ultraviolet.

Abin takaici, har ma da irin wannan hanyar da ake amfani da ita kamar yadda plasmapheresis ke da sakamako masu illa. Muna magana ne game da gaskiyar cewa a cikin abun da ke cikin jini na plasma jini jikin mutum shima ya bar abubuwan da suke da amfani ga jiki: sunadarai (gami da immunoglobulins) da kuma kayan aikin coagulation na jini (prothrombin, fibrinogen). A saboda wannan dalili, ba a yin amfani da tsarkakewar jini idan an gano mara lafiyar yana da karancin furotin a cikin jini, sannan kuma da babban yiwuwar zub da jini (yawanci yakan faru ne idan hanta ta kamu).

Loadaukar nauyin tsarin zuciya da jijiyoyin jini (musamman, zuciyar da ta dace).
Mutuwar cututtukan ƙwayar cuta saboda tasirin ƙwaƙwalwar ƙwayar cuta.
Yawan hauhawar jini.
Magungunan kwayoyi da sauran rikice-rikice na neuropsychiatric.
Cutar amai da gudawa
Yayi kauri sosai.
Cutar sankarau ko ta koda.

A zaman tsarkakewa a gaban cututtukan da aka lissafa na iya haifar da mutuwa ga mai haƙuri.

Kamar yadda al'adar ta nuna, jikin mutum, wanda bashi da rigakafi ga plasmapheresis, zai iya amsa wannan hanyar tsarkake jini ta hanya gaba daya wanda ba a iya hango shi ba. Anan akwai rikice-rikice da aka bayyana a cikin marasa lafiya sakamakon magani:

Murmushi Anaphlactic. Ana nuna rashin lafiyan ƙwayar cuta ta hanyar jin sanyi, rikice-rikice daban-daban na ikon kansa, rikicewar hemodynamic kuma yana haifar da mutuwa a cikin 60% na lokuta.
Hypotension. Hawan jini ya ragu sosai, wanda ke haifar da karancin oxygen a cikin kwakwalwa. Kimanin kashi 60% na lokuta suna haifar da nakasa ko tsawon rayuwa.
Yawan zubar jinni (tare da lalacewa da ciwo na narkewa), wanda wani lokacin mawuyacin hali ne a daina, don haka a gaggauta sake mai haƙuri. An ba da rahoton munanan raunuka.
Citring maye. Hakan ba ya faruwa sau da yawa - mara lafiya ya faɗi cikin rashin lafiya kuma ya mutu.

Ba a ba da shiri na musamman kafin a ba da tsarin tsarkake jini na yau da kullun ba, kamar yadda kuma babu wasu shawarwari na musamman bayan sa.

Shin ina bukatar in nemi shawarar wani kwararren masanin cututtukan zuciya?
Yadda ake fahimtar cewa fadan ya fara
Barasa da tasirin sa ga halayen mutane

Musamman don: ƙirar likita - http://pomedicine.ru

An ba shi izinin yin amfani da kayan yanar gizon, idan har an sanya juyi, mai aiki mai ƙarfi a cikin shafin yanar gizon pomedicine.ru. Labaran likita masu ban sha'awa

mu sanya don dalilai na bayanai kawai. Kada ku sami magani na kai. Ana buƙatar shawarar likita! Tuntuɓi | Game da wurin | Hadin gwiwa | Ga masu talla

A gaskiya shirya don riƙewa yana da sauqi. Bayan 'yan kwanaki kafin a fara zaman, kuna buƙatar daina shan barasa da kofi kuma ku sha ruwa sosai. Kafin zaman yana buƙatar cin abinci - haske da daidaita.

Plasmapheresis tsari ne mai tsayi, amma mara azanci, aiwatarwa wanda baya haifar da wata damuwa. An gudanar da zaman ne a cikin ofishin da aka kware.

An sanya mara haƙuri a kan babban kujera ko kujera - kwance ko a kwance game da wurin zama.
An saka allura ko catheter a cikin jijiya wanda aka dauki jini. Mafi sau da yawa, shinge yana daga jijiya a lanƙwashin gwiwar hannu.
A cikin na'urori na zamani, ya zama dole don shigar da allura 2: ta farko akwai samfurin jini, ta hanyar jini na biyu ya koma jikin mai haƙuri.
An canza jini zuwa kwandon hemo sannan kuma ya kasu kashi. Hanyar rabuwa yana dogara da nau'in kayan aikin da aka yi amfani da shi. A wannan yanayin, an cire plasma, wanda aka maye gurbinsa da gishiri, mafita na glucose, potassium chloride, plasma da aka bayar ko wasu maye gurbin jini, cikin ƙimar da ya dace.
Ta hanyar allura ta biyu, ana mayar da jini ga mai haƙuri daidai daidai girman da aka karɓa. Yana yiwuwa a shigar da magunguna da aka tsara a layi daya tare da dawowar jini.

Tsawon lokacin zama 1-2 sa'o'i. Yawan adadin jinin tsarkakakke an ƙaddara shi ta hanyar tsarkakewa da shawarar likita. Ana yin wannan aikin ne ta hanyar likitan kwantar da hankalin dabbobi wanda ya sami horo na musamman ko kuma masanin ƙwaƙwalwar ƙwayar cuta. Matsakaicin, 1 zaman yana share har zuwa 30% na jini.

A yayin zaman, likita ko likitan mata koyaushe yana kusa da mara lafiya. Ana kulawa da yanayin a koyaushe: alamomi masu ƙarfi, ƙimar zuciya, abun da ke cikin jini da sauransu.

Duk da gaskiyar cutar plasmapheresis ba shi da haɗari, amma duk da haka yana shafar yanayin haƙuri, sabili da haka, don rage sakamako mai yiwuwa, dole ne a bi ka'idodi masu sauƙi.

Bayan zaman, an bada shawarar kasancewa cikin matsayi na supine har zuwa awa 1, gwargwadon yanayin gaba ɗaya.
Kashegari ba za ku iya ɗaukar wanka masu zafi ba, kamar yadda ku guji yin ɗumi da rana.
Yana da kyau a cire abinci mai zafi da abin sha.
A wasu halayen, an wajabta hutawa a gado.

Matsaloli da ka iya faruwa a cikin aikin

Dalilin hanyar shine tsarkakewar jini. Plasmapheresis yana ba ku damar kawar da ƙwayoyin rigakafi, magungunan rigakafi, hadaddun ƙwayoyin cuta, kayan lalata, matsakanci na kumburi, da sauransu. Saboda haka, yana yiwuwa a rabu da maye da sauri cikin jiki, a maido da rigakafi, a soke halayen halayen da yawa.

Bugu da ƙari, plasmapheresis yana inganta wurare dabam dabam na jini, gami da gefe, kuma yana haɓaka magudanar lymphatic, rage adadin edema. Yayin cikin haihuwa, plasmapheresis galibi ana wajabta shi azaman matakan hanawa. Wannan gaskiya ne ga mata masu shan taba.

Koyaya, hanyar tana iya samun sakamako mara kyau:

tare da gabatarwar magunguna wadanda ke hana samuwar jini, da kuma plasma mai bayar da gudummawa, rashin lafiyan zai yiwu har zuwa tashin hankalin anaphylactic,
hypotension - tare da karɓar babban adadin jini, raguwa mai ƙarfi yana yiwuwa. Wannan galibi ana amfani da hanyoyin manual,
zub da jini - na iya faruwa tare da gabatarwar magunguna waɗanda ke rage ikon yin yaduwa,
jini clots - tare da isasshen kashi na irin wannan kwayoyi, jini clots na iya yada da kuma shiga cikin tasoshin tare da karami diamita,
kamuwa da cuta - mai yiwuwa a ƙetare hanya. A cikin hanyoyin kayan aikin, ana iya kawar da irin wannan yiwuwar,
gazawar koda - zai yiwu idan aka yi amfani da plasma mai ba da gudummawa maimakon ruwan gishiri, saboda akwai haɗarin rashin jituwa.

Plasmapheresis: sake dubawa, fa'idodi da cutarwa, alamomi da maganin hana haifuwa

Babu shakka, yana da amfani a cikin ikon hanzarta tsarkake jinin mutum

Tabbas, a cikin kyakkyawan asibitin ku

, kuma an gwada shi saboda ɗaukar hoto. Koyaya, kuna buƙatar zaɓar asibitin a hankali, don kar ku iya zuwa ga kwararru na mediocre.

Akwai hanyoyin bincike wanda Plasmapheresis ke da mahimmanci. Wasu lokuta a cikin wannan yanayin, wannan shine kawai bege, alal misali, ya zama dole a rabu da furotin na kwayar cuta idan akwai damuwa na myeloma ko tare da gammopathy monoclonal (wannan jerin cututtukan da ke cikin rigakafin immunoglobulins wanda aka haɗu a cikin jikin), cutar sikila, ko tare da cutar Julian-Barré. Dukda cewa har yanzu akwai jerin cututtukan cututtukan da aka bada shawarar aikin, amma wannan shine farkon kwararru masu niyya, ba kowane likita bane zai fahimta.

Mutumin da ya yi niyyar tsarkake jini ya juya zuwa Intanet don niyya (kamar yadda yake a gare shi). Injin binciken zai ba da daruruwan hanyoyin haɗin bayanai don: tambayoyin: "tsarkakewar jini" ko "plasmapheresis" da tallace-tallace na cibiyoyin kiwon lafiya suna ba da hanya mai haɗari ga kowa, yana kwatanta plasmapheresis a zaman lafiya kuma 100% yana tasiri a kusan dukkanin cututtukan yau da kullun: cututtukan fata da sauran cututtukan fata, ciwon sukari , da sauransu. Haka kuma, sun nuna cewa ana iya aiwatar da hanyar ba tare da bincike na farko da kuma nazarin yanayin lafiyar ba.

Likitocin sun yi shuru game da gaskiyar cewa hanyar tana da contraindications da yawa kuma tana da mutuƙar mutuwa. Duk wani magani koyaushe yana da nasa shawarwari da contraindications. Daga cikin jerin cututtukan da ake amfani da plasmapheresis, ya zama bayyananne cewa hanya ba mai sauƙi ba ce, amma gaskiyar cewa wasu "kwararru" suna ba da agaji don kawar da matsananciyar wahala, zafin haɗin gwiwa ko tsarkakewa daga gubobi yana da haɗari sosai ga rayuwar mai haƙuri kuma ba mai da'a ga The "likita".

Don fahimtar wannan, bari mu juya zuwa ƙididdigar: kuma ta ce 0.05% na marasa lafiya waɗanda suka sami aikin tsarkake jini suna mutuwa daga gare ta.

Yawan mace-mace a tsakanin wadanda ke fama da cutar sankara ta haihuwar jini ya fi 30%, kuma daya daga cikinsu zai mutu daga tsarin tsarkake jini. Amma, tare da irin wannan babbar mace-mace, wannan ƙaramin abu ne, saboda plasmapheresis abu ne wanda zai taimaka don ceton rai.

Amma, bari mu dauki mutane 10,000 lafiya, 5 daga cikinsu zasu mutu daga aikin. Wannan laifi ne mai yawa, dole ne ku yanke hukunci.

Kwararrun (charlatans, suna shirye don kare kudi don komai), waɗanda suka san alamun tsabtace jini da ƙididdigar kisa, har yanzu suna tallata shi ga kowa, ta hanyar fallasa mutum cikin haɗarin mutum.

Farashin plasmapheresis an kafa shi daban-daban a cikin kowace ma'aikatar lafiya. Ko ta yaya, ana daukar matakan da tsada sosai.

Misali, a cikin Moscow, ana aiwatar da plasmapheresis a yawancin asibitocin multidisciplinary. Amfanin ƙungiyoyi masu zaman kansu shine samar da tsarin sassauci na ragi ga abokan cinikin yau da kullun. Kudin plasmapheresis a Moscow yana kan matsakaicin 5-8 dubu rubles. A wasu garuruwa, ƙananan ƙofofin ƙasa ba su da yawa. Misali, matsakaicin farashin plasmapheresis a Khabarovsk shine 3-7 dubu rubles.

A matsayinka na mai mulki, likitoci sun bada shawarar daukar hanya guda 5 don cimma nasarar warkewar cutar. Dangane da wannan, farashin ƙarshe na zaman da yawa na iya zama duka 15 da 40 dubu rubles.

Kudin wannan hanyar shine zaman 1, daga 4300 zuwa 7000 p. A hanya koyaushe ta ƙunshi matakai da yawa. A matsayinka na mai mulkin, asibitocin suna ba da rangwame idan yawan zaman sun fi 5.

Plasmapheresis tsarin aikin likita ne wanda likitoci ne kawai zasu iya yin hukunci game da tasirin. Koyaya, kai tsaye bayan zaman, yawancin mutane suna lura da babban ci gaba a cikin kwanciyar hankali, raguwa mai ƙarfi, ko kuma ɓacewar alamun cututtukan da suke gudana.

Plasmapheresis yana daya daga cikin hanyoyin ingantattun hanyoyin tsarkake jini da kuma cire cututtukan. Koyaya, wannan hanyar tana da taimako, tunda a kanta bata da wani tasiri na warkewa. An haɗa plasmapheresis a cikin hadaddun jiyya kuma, a wasu yanayi, cikin matakan kariya.

Ba a ba da umarnin plasmapheresis har sai an gama amfani da hanyoyin magani marasa amfani. Duk abin da yake iyawa, ana ɗaukar hanyar a matsayin analog na maganin tiyata, sabili da haka, yana da hankali a rubuta wannan kayan aikin kawai tare da alamun da suka dace.

Amfana da cutarwa

Tare da plasmapheresis, jini yana tsarkakakke daga abubuwan gina jiki da magungunan rigakafi masu gudana, ƙarancin rigakafi.

Hanyar tana tallafawa jiki tare da cututtuka na tsarin zuciya da wasu cututtukan da yawa: colitis, atherosclerosis, huhu, asma. Taimaka tare da kodan marasa lafiya da cututtukan ƙwayar cuta.

Ana tsabtace jini daga jijiya daga abubuwa masu lahani wadanda ke taimakawa ci gaban cututtuka da kumburi. Bayan wankewa, jinin zai koma kan jijiya.

Yana da mahimmanci a tuna cewa plasmapheresis ba zai iya kammalawa da niyya ba. Waɗannan hanyoyin suna buƙatar kiran likita. Tunda tsarin da yake da alaƙa da cire jini daga jiki koyaushe yana da alaƙa da haɗari, wannan hanyar ba za a ɗauke ta azaman zaman nishaɗi ba.

A cikin zama daya, an 'yantar da jinin mutum daga kashi 20% na abubuwanda suke cutarwa. A wannan batun, hanya ba koyaushe tana ba da tasiri ba idan akwai rashin lafiyar ci gaba.

Rashin kyawun wannan hanyar ita ce, ban da plasma, abubuwa masu mahimmanci don aikin jiki na yau da kullun, kamar fibrinogen, immunoglobulins, da sauransu, an cire su daga jini. A wannan batun, ba za a iya amfani da wannan hanyar magani ba tare da karancin sunadarai a cikin jini da abubuwan coagulation ba. Bayan hanyoyin, raguwa a matakin rigakafi, ba a kafa binciken ba.

Tare da ciwon sukari

Halin yanayin sarrafa kansa na mellitus na ciwon sukari na nau'in farko zai zama alama ga ɗayan matakan plasmapheresis. Tare da nau'in ciwon sukari na 2, ana iya amfani da wannan dabarar, amma tare da nadin likita.

Ta wannan hanyar, a cikin ciwon sukari mellitus, an cire lipoproteins daga jini kuma an shawo kan juriya na insulin.

Akwai ci gaba a cikin jijiyoyin jini gaba ɗaya a cikin haƙuri, sakamakon magunguna waɗanda ke rage matakin sukari, da sauran magunguna waɗanda aka ɗauka tare da cutar, suna ƙaruwa.

A lokacin daukar ciki

A lokacin daukar ciki, ana yin amfani da tsabtace jini sau da yawa don iko da kuma rigakafin cututtukan abubuwa daban-daban da cututtukan autoimmune (galibi rikice-rikice rhesus) kuma tare da ƙarancin ƙwayar cuta.

An bada shawarar yin amfani da hanyar don tsabtace jiki, lokacin shirya don yanayin ciki. Wannan yana da mahimmanci musamman ga matan da suke shan taba.

Ana amfani da plasmapheresis don dalilai na kariya, don hana karuwar halayen ƙwayar cuta a lokacin daukar ciki ga jikin matar.

Babban fa'idodin beets ya ta'allaka ne da kyakkyawan tsarinsa da tasirin laxative mai laushi.

Tare da ciwon sukari, an yarda da shinkafa mai launin ruwan kasa. Karin bayanai game da wannan an rubuta su anan.

Hanyar tana da mahimmanci a gaban cututtukan cututtuka, masu haɗari ga jariri wanda ba a haife shi ba, irin su herpes, chlamydia, cytomegalovirus, toxoplasmosis.

Hanyar hanya

Don hanya, shiri wajibi ne. Ya kamata ku ci daidai kuma kuna da isasshen lokacin hutu, duka biyu kafin aikin plasmapheresis da bayan. Kafin zaman farko, likita dole ne ya yanke shawarar abin da ya kamata a dakatar da shi.

Tsarin da kansa ya ƙunshi matakai da yawa:

Samun adadin jinin da ake buƙata daga mai haƙuri,
Abubuwan da ke cikin jini a cikin abubuwanda ke faruwa shine sashin ruwa, wanda shine ƙwayar jini, da abubuwa, kamar su farin farin sel da sauran sel,
Barin kayan a cikin ruwa mai maye gurbin jini da dawowar su cikin tsarin jijiyoyin jini.

Don wannan hanyar, ana buƙatar katako mai shiga cikin ciki. Magunguna na musamman, maganin ƙwarin da ke warkar da jini, baya ƙyale shi ya yi daskarewa a hakar.

Sau nawa ne za'a iya aiwatar da aikin plasmapheresis?

Mutanen da ba sa fama da kowace cuta, ba a buƙatar wannan sabis ɗin likita. A fagen kiwon lafiya, ana gudanar da karatun ne sau daya ko sau biyu a shekara.

Side effects da rikitarwa

Masana sun ce tsarkake jinin baya haifar da wata barazana ga rayuwa, muddin aka yi duk gwajin da aka bukata a baya, gami da gwajin jini.

Mene ne haɗarin plasmapheresis da sakamakonsa:

Aukuwa na huhu.
Bayyanar da halayen rashin lafiyan mutum da kuma farkon girgiza kwalar cutar anaphylactic.
Eterwarkewar ƙwayar jini da faruwar zubar jini.
Aukuwa da haɓakar kamuwa da cuta.
Raguwar raguwa a cikin karfin jini.
Yuwuwar mace-mace: daya a cikin 5,000 hanyoyin.

A cewar masana, rikice-rikice na yiwuwa yayin da ba a yin gwaje-gwajen da ake buƙata ba kafin hanyoyin, ko mai haƙuri bai faɗi labarin duk cututtukan da yake da shi ba.

Manuniya da contraindications

Ana amfani da plasmapheresis don rikicewar rayuwa, rashin dacewar su daga jiki. Irin waɗannan rikice-rikice suna faruwa a cikin cututtukan hanta, kodan, huhu da jijiyoyi ko kuma ana iya haifar da su ta hanyar ƙonewa mai zafi, ilimin halittar tsarin rigakafi, cututtukan cututtuka daban-daban, da kuma bayyanar radion.

Ana amfani da plasmapheresis don ciwon sukari, cutar sankarar bargo, mashako na kullum, rashin lafiyan halayen magunguna, da sauransu. Tare da waɗannan cututtukan, hanya tana ƙara tasirin magani, sakamakon magani yana da kyau.

Ba mutane da yawa sun san yadda ake yin tinket na propolis, saboda haka galibi sukan sayi magani a shirye-shiryen magani.

Hanyoyin da za a bi don magance lipodystrophy a cikin ciwon sukari an bayyana su a wannan shafin. Wannan babban rikicewa ne wanda yakan faru a wasu lokuta yayin maganin insulin mai zurfi.

Ba za ku iya ɗaukar tafarkin tsarkakewar jini ba don rikice-rikicen da ke da alaƙa da haɓaka jini, tare da gazawar zuciya, na koda - rashin wadatar zuciya da kuma siffofin matsananciyar wahala.

Yin amfani da plasmapheresis wajen lura da ciwon sukari

A cikin marasa lafiya da ciwon sukari, tsarin keɓaɓɓun wurare shine mafi yawan tabo. Yawanci, nau'in 1 na ciwon sukari yana haɗuwa da halayen autoimmune. Mutanen da ke fama da ciwon sukari na 2 suna yawan haɗarin atherosclerosis da cututtuka masu alaƙa. Bugu da ƙari, jininsu ya ƙunshi ƙara yawan taro na lipoproteins mai yawa da triglycerides. Sabili da haka, plasmapheresis yana da ikon samun tasiri mai tasiri a cikin maganin cutar.

Bayan hanya ta plasmapheresis:

poisons, abubuwa masu guba, gishirin, lipoproteins da sauran abubuwan cutarwa ana cire su daga jiki,
hadarin rikitarwa yana rage: angiopathy da retinopathy,
metabolism na lipid an saba dashi,
An dawo da maida hankali na glucose,
jurewar insulin ya gushe
yana ƙaruwa da saurin hauhawar jini,
ganuwar jini yana raguwa kuma yana fitowa sosai,
an dawo da hankalin fatar,
ƙanshin nama yana ƙaruwa
rauni da raunuka suna warkarwa,
yanayin fata yana inganta
Magungunan marasa lafiya marasa aiki
sensara ƙarfin jiyya ga magungunan da ke rage matakan sukari,
tsarin na rigakafi yana karfafa
yana inganta aikin hanta, koda, zuciya, huhu da fata,
jiki ya sabunta.

A cikin ciwon sukari na mellitus, ana maye gurbin plasma (25-40%) ta mafitsarar Crystalloid (saline ko wasu musanya). A cikin zama guda ɗaya, jikin mutum yana kawar da kashi 10-15% na abubuwa masu guba, wanda yake daidai da aikin magunguna mafi inganci. Saboda haka, bayan aikin farko, yanayin mai haƙuri yana inganta sosai.

Don samun sakamako mai ɗorewa, ya zama dole don aiwatar da matakan 3-12, ɗaukar hutu na kwanaki 2-3 tsakanin su.

Don dalilai na hanawa, ana bada shawarar plasmapheresis a shekara.

An wajabta maganin Plasmapheresis a cikin ciwon sukari idan an gano mai haƙuri da:

mai cuta metabolism, haɗe shi da babban raunin jini,
levelsara yawan matakan kiba, kiba ko yawan kumburi, wanda ke tattare da juriya ta insulin,
kara dankowar jini
yanayin autoimmune na nau'in 1 ciwon sukari,
masu ciwon sukari,
mai ciwon sukari nephropathy,
ciwon sukari polyneuropathy,
ciwon sukari da sauran cuta,
rashin lafiyan mutum
fata cututtuka
cututtukan koda da hanta.

Plasmapheresis yana cikin contraindicated a:

rashin lafiyan abubuwan da aka yi amfani dasu,
zuciya, koda, ko gazawar hanta,
m hemodynamics,
mai tsananin rauni,
jini na ciki
yanayin bugun-jini da yanayin bayan-rauni.

Plasmapheresis kawai za'a iya yin shi kamar yadda likita ya umurce shi kuma a cikin asibiti tare da suna mai ma'ana. In ba haka ba, magani na iya haifar da rashin ingantacciyar lafiya.

Abvantbuwan amfãni na aikin plasmapheresis a cikin Clinics mafi kyawun:

Kafin a aiwatar da aikin, likita zai gudanar da bincike don tantance kasancewar ko rashin maganin. Sannan ya zaɓi ɗaya cikin adadin zaman, yin la'akari da matakin cutar, da shekarun mai haƙuri, yanayin lafiya da kasancewar wasu cututtuka.
Hanyar tana faruwa ne a gaban kwararren mai bada jini wanda ke lura da tsari da yanayin haƙuri. Kullum yana auna karfin jini, bugun jini, da kuma yawan numfashi.
Ma'aikatan asibitin kwantar da hankali wadanda ke aiki a cibiyarmu ta likitanci sun sami horo na musamman kuma sun sami takaddun shaida.
Idan ana so, zaku iya hada plasmapheresis tare da wasu gwaje-gwaje da kuma shawarwari na ƙwararru.
Mafi kyawun rabo daga ingancin magani da farashi.

Don yin alƙawari, kira +7 (495) 530-1-530 ko danna maɓallin “Yi alƙawari” kuma barin lambar wayar ku. Za mu sake kiran ku a wani lokaci da ya dace.

Alamu don plasmapheresis a cikin ciwon sukari

Rashin lafiyar metabolism yana da tsayayya ga maganin cututtukan ƙwayar cuta, musamman tare da raunin hypertriglyceridemia mai ƙarfi, haɓaka Lp (a) da hypoalpha-cholesterolemia, tare da raunin hyperviscosity da juriya na insulin.
Kasancewar autoantibodies a cikin marasa lafiya tare da nau'in 1 mellitus na ciwon sukari.
Rashin maganin ciwon sukari.
Cutar masu fama da ciwon sukari.
Kwayar cutar ciwon sukari.
Footunsar ciwon sukari da sauran raunin jijiyoyin jini.

Ka'idodin aiki

Rage raguwar tsananin alamun bayyanannu na cututtukan cututtukan da ke sama na ciwon sukari.
Gyara cututtukan metabolism, kawar da hyperviscosity, rikicewar microcirculation, kawar da juriya na insulin tare da daidaita matakan glucose na jini.
Inganta ƙanshin nama, warkad da jijiyoyi a cikin haƙuri tare da ƙafar ciwon sukari.
Tare da tsawaita amfani da hanyoyin PA, kwantar da hankali da / ko tayar da jijiyar wuya na allurar atherosclerotic bisa ga duban dan tayi ko angiography.

Konovalov G.A., Voinov V.A.

Plasmapheresis a cikin ciwon sukari mellitus da sauran kayan kan taken "A cikin hanyoyin magani na vitro"