Ana amfani da Plasmapheresis a wasu lokuta a matsayin magungunan cututtuka da dama da suka hada da MS, musamman a yayin da aka sake komawa baya wanda baya amsawa ga corticosteroids . Yana da hanya mara kyau, kuma illa masu lahani suna da wuya.
Menene Plasmapheresis?
Plasmapheresis, wanda aka fi sani da fataucin plasma warkewa, wani hanya ne wanda na'urar da ke waje da jikin jikin mutum ya kawar da jini daga mutumin sannan ya raba sashin plasma na jini - plasma kasancewan ruwa ko sashi na jini.
Sa'an nan kuma a jefa jima'i da maye gurbinsu tare da nau'in ruwa, yawanci plasma mai bayarwa ko albumin bayani, kafin a dawo da shi.
Mene ne Manufar Plasmapheresis?
Makasudin plasmapheresis shine cire kayan cutarwa ko "mummunar" daga jini. A cikin yanayin MS, waɗannan zasu iya zamawa ga abubuwan da ke tattare da tsarin da ke kai hare-haren tsarin na tsakiya.
Tsarin aiki
A lokacin plasmapheresis, za a sanya allurar a cikin makamai biyu, ko kuma wani lokaci zuwa wani wuri, kamar wuyansa, idan ba a iya samun sutura cikin hannu ba. Za a zubar da jini daga jikinka ta hanyar allura a cikin hannu daya. An anticoagulant (yawanci citrate) an kara wa jini don hana shi daga clotting. Jininku zai shiga cikin bututu a cikin "mai rabawa na jini." Mai raba jini mai sukar kwayar halitta ne wanda ke cire plasma daga wasu sassan jinin ku, wanda shine sassan salula (kunshe da kwayoyin jini mai launin jini, da jini mai launin jini, da kuma waxanda ke dauke da jini).
An haɗa naurorin haɗin salula tare da gilashin mai ba da gudummawar maye gurbin kuma ya sake dawowa zuwa gare ku ta hanyar allura a wani bangaren. A wasu lokuta, ana yin wannan ta hanyar allura ɗaya kuma rabuwa da rakewa suna aikatawa a kananan batches.
Yaya Yasa Yayi?
Dukkan matakai da aka ambata a sama sun faru a atomatik da ci gaba.
Gwaninta ga mai haƙuri yana kama da samun nau'o'in buƙatu masu nau'in IV / catheters a wurin kuma kallon jini ya fito daga gefe daya, ta hanyar injin, kuma ya koma cikin wancan gefe. Dukan hanya take tsakanin 2 zuwa 4 hours zuwa kammala.
Mutane na iya jin dadi kadan ko hasken haske daga hanya. Har ila yau, wasu mutane sun bayar da rahoton cewa kwayar cutar da aka hada da jini ko wasu daga cikin maye gurbin amfani da tingling ko damuwa-da-needles jijiyoyin a cikin yatsunsu da yatsun kafa. Akwai kuma iyawa mai ban sha'awa a bakin. Akwai ƙananan tashin hankali da gajiya.
Risks
Abubuwa masu illa mai tsanani daga plasmapheresis suna da wuya. Mafi ban mamaki daga cikin wadannan shine anafilaxis, wanda shine rashin lafiyar mai tsanani mai sauƙin maye gurbin plasma. Wannan shi ne daya daga cikin dalilan da yasa za'a canza musayar plasma a cikin tsarin kulawa.
Cutar daga plasmapheresis rare ne, musamman ta amfani da sabon fasaha da kuma maye gurbin sifa. Duk da haka, mutane na iya zama dan kadan don kama wani abu bayan plasmapheresis, kamar yadda aka cire yawan kwayoyin jikinsu, kuma mutum zai iya zama mai rikitarwa sosai.
Sauran cututtuka masu illa sun haɗa da:
- Maganin rashin lafiyar rashin lafiyar, wanda ke jin kamar ciwo, zazzaɓi ko ƙananan raguwa
- Cutar jini mai tsanani
- Kwancin jini
- Ƙwararren zuciya mai ban dariya
- Drop a cikin karfin jini
- Rawancin numfashi
- Zamawa ko kumburi
Layin Ƙasa
Plasmapheresis yana da lafiya kuma an riga an aiwatar da shi mai kyau. Wannan an ce, ba a amfani dashi sau da yawa a cikin MS - kawai lokacin da mutum ya sake dawo da MS yana da tsanani kuma bai amsa da tsarin kula da maganin steroid na al'ada ba. Ba a yi amfani da Plasmapheresis don magance na farko da na biyu na MS.
Sources
Cortese I et al. Shaida ta jagoranci mai nuna alamar: Plasmapheresis a cikin cututtukan neurologic: Rahoton Cibiyar Nazarin Harkokin Kiwon Lafiyar Harkokin Kimiyya da Fasahar Cibiyar Nazari ta Amirka. Ma'anar ilimin halitta . 2011 Janairu 18, 76 (3): 294-300.
Fridey JL, Kaplan AA. "Rubutun kalmomi da fasaha na musayar cutar plasma." Na zamani. Updated Maris 31, 2010.