Hemocorrection Extracorporeal: inkcazelo yenkqubo, iimpawu kunye nohlolo

Igazi - ulwelo zebhayoloji, nto leyo equka plasma kunye nezinto kwakhiwa. It is a kwizicwili, imithambo yegazi inkqubo yokujikeleza ngoncedo izishunqulelo zesingqisho imisipha yenhliziyo. Umthamo wegazi kuxhomekeke yobudala kunye ngesondo. Kukho inani ezimbi ezikhokelela utshintsho ekubhalweni kulwelo eziphilayo. Enye iindlela ezintsha okubuyiswa komzimba iparameters na extracorporeal hemocorrection.

Luhlobo luni inkqubo?

Le ndlela isekelwe oluntsonkothileyo iindlela zale mihla zokwenza nyulu igazi ayikho emzimbeni womntu, kodwa ngaphandle kuyo. Lwaba ethetha, igazi nomonde amkelwe, yento ukusuka elingaphaya Cya lwezidumbu, iimveliso cholesterol metabolic, buthi, awakwazi kunye izilwa-buhlungu, waza ke waphinda wabuya kwi emzimbeni.

hemocorrection igazi Extracorporeal likuvumela ukuba utshintshe imida zilandelayo:

• isakhiwo yeselula;
• umlinganiselo electrolyte;
• inani izakhiwo protein;
• kuqamba enzyme;
• mzimba iparameters.

hemocorrection Extracorporeal olwenziwe eziqhuba kulwelo zebhayoloji sezulu eyakhiwe okanye kuphela inwebu plasma ngokusebenzisa yakhiwe ezizodwa ejikeleza, lo icentrifuge, uhlobo sorption.

Iinkqubo History kunye izigaba zophuhliso

Hemocorrection igazi extracorporeal, ixabiso elandelwayo exhomekeke Ngokwendlela leyo isetyenzisiweyo, wafumana imvelaphi yayo nomkhuba eqhelekileyo. Ekuqaleni le ndlela kucingwe ngokusebenzisa ezi zenzo zilandelayo:

• ukukhululeka vertigo;
• kubulawe intloko ebuhlungu;
• ngokupheliswa tyhefu kunye nezinye izinto eziyityhefu;
• Ukususwa isenzo izinto ezosulelayo;
• zokucutha;
• ukukhululeka iimpawu fever.

Ingqiqo ukuba indlela enjalo kwafuneka: ugqirha kunciphise umthamo wegazi, nto leyo eyabangela ukuncitshiswa zokucutha lwee- arhente zophendlo lwezifo. Kodwa ehamba ngaxeshanye yokuncipha kwenani lweziqalelo ibunjiwe iiprothini, leyo iba nefuthe elibi kwi imeko yesigulane, esongeza inkqubo unyango.

Imizamo yokuqala ukuba 'launder "iiseli igazi plasma abuyele kubo wabonakala ekuqaleni kwenkulungwane XX, kodwa baba nempumelelo kuphela imi--50. Umahluli legazi yokuqala, ukusebenza kwimo elizenzekelayo iye yaba nelungelo ekupheleni-60 eUnited States. Ukususela ngoko waqalisa kwisigaba esebenzayo yophuculo hemocorrection.

Iimpawu kunye nemingcipheko yale ndlela

hemocorrection Extracorporeal esekelwe igazi yomguli ngokusebenzisa izixhobo neyanamhlanje olulodwa, nto leyo ubunjwe micro-izihluzi. Eminye imiba kulwelo yendalo ifumile, nto leyo kwinqanaba asanelanga, kodwa umzimba kufuneka kwabo nokusebenza ngendlela efanelekileyo. kwizicwili ke kwimo egazini lomguli.

Nayiphi usetyenziso neencindi zomzimba anxulunyaniswa iingozi ezithile. Kuba igazi extracorporeal iinkqubo ulungiso zimi ngolu hlobo lulandelayo:

• Ungcoliseko kunokwenzeka kwezifo ezosulelayo (hepatitis, negcushuwa, human immunodeficiency virus);
• ziyabagulisa ukuba ukuthathwa iiproteni amazwe okanye izinto ukusekwa, esizibonakalisa isikhumba ukurhawuzelela, kunciphise uxinzelelo lwegazi, iintlungu kwezihlunu, ifiva, irhashalala, ezindlwini;
• thrombosis kwemithambo enkulu;
• sophele syndrome - landa ukopha of inwebu yangaphakathi kwi imvelaphi lutshintsho units hemostasis;
• air Embolism kwenzeka ngokuchasene nemvelaphi umoya kwinkqubo isithuthi, kwaye ngakumbi inkqubo yokujikeleza yesigulana.

Izinto ezibonisa ukuba inkqubo

hemocorrection Extracorporeal, nokubuyekezwa zona zingqina ukuba ukusebenza ngokukuko indlela unalo iziboniso zilandelayo kwiinkalo ezahlukeneyo:

1. Cardiology: isifo sentliziyo, lwegazi, yegazi.
2. Zokutyatyamba: antiphospholipid syndrome, vasculitis, samathambo, scleroderma, periarteritis periarthritis, myositis.
3. Kwisidumbu: i ukunxila okanye nawuphi na imvelaphi, butywala, ngamakhoboka eziyobisi, nokuba sesichengeni kwemitha radionuclide.
4. Ne G: gestosis, Rhesus-impixano, usulelo enzala.
5. Hormone: isifo seswekile, isifo lengqula.
6. Neurology: multiple, myasthenia gravis, isifo Parkinson kaThixo.
7. Dermatology: ukhwekhwe, nangokhwekhwe, dermatitis atopic.
8. Pulmonology: isifuba inyumoniya, inyumoniya, lung ithumba.
9. Gastroenterology: dysbiosis, isibindi ngezifo.
10. Nomchamo: glomerulonephritis, ukusilela ezinganyangekiyo kwezintso.

Uphengululo ndlela ezisetyenzisiweyo

Zonke iindlela ulungiso igazi extracorporeal babe neempawu zabo, ezilungileyo nezingalunganga, njengoko, eneneni, naziphi na iinkqubo zonyango.

Limfotsitaferez - ukuxhaphaza, nezibabandakanya ekumfuduseni lymphocyte cytotoxic egazini, zithwele photopheresis lokuvula ngu cytokines, interleukin. Price of inkonzo eliphezulu --28 amawaka engange.

Plasmapheresis - indlela yokukhuza igazi extracorporeal, ixabiso apho yahluka ukusuka engange-3 ukuya ku-12 amawaka. peculiarity yayo siyifumana igazi kwisigulana, ukwahlulwa lweziqalelo ibunjiwe plasma. izinto ezibusazinge ibuyiselwe embusweni yokuqala, kwaye lisuswe autoantibodies plasma, mediators ukudumba, ubuthi iimveliso metabolic.

Hemosorption yindlela entlambululo igazi usebenzisa sorbents. Ezi izinto ukufunxa ityhefu, ibinza. Ezi sorbents lungasetyenziswa carbon iyasebenza okanye nentlaka ion exchange. Indlela esetyenziswa ngayo le miqathango ilandelayo:

• iyeza Ityhefu (barbiturates, "elenium", "Noksiron");
• Ityhefu ukunxila lweshishini lemichiza;
• ukulimala isibindi;
• izifo systemic kunye nezifo dermatological (lupus zomzimba, ukhwekhwe).

Ixabiso inkqubo - ukusuka engange-4 ukuya ku-12 amawaka.

Photopheresis - indlela esekelwe sesichengeni elide yelanga eyingozi yeekhomponenti igazi phambi reinfusion. I-avareji ixabiso le nkonzo - amawaka 35 engange.

Immunoadsorption kukususa izilwa okanye awakwazi egazini ngexesha sicatshulwa layo ngokusebenzisa immunoabsorbent. Ukufumaneka lweziqalelo ibunjiwe parameters plasma kuhlala ingatshintshanga. Used in izifo kwezintso, uxabana of imvelaphi ezahlukeneyo, ezimbi sokuhlasela. Le ndlela yaziwa kakuhle kwezinye iikliniki kunye namaziko hemocorrection.

Krioaferez - hemocorrection extracorporeal, ixabiso apho yahluka ukusuka engange-6 ukuya ku-14 amawaka. Stroke izakhi efana plasmapheresis. Ukusuka ugodole centrifuged kwaye cryoprecipitate plasma isusiwe, leyo esenokuba isixa esithile zentsholongwane, immunoglobulin, iintsholongwane, nezinye izinto.

Yehlisa product - indlela esekelwe kwisicatshulwa plasma yegazi ngokusebenzisa izihluzi ndizayo. Wahlambuluka ulwelo emzimbeni yibhaktheriya, iintsholongwane, lipids, lwefibrinogen, immunoglobulin. Ngenxa yoko, i-plasma okuhlamba ibuyiselwe kumniniyo. Ixabiso le nkqubo - up to 55 lamawaka engange.

Izimo

hemocorrection Extracorporeal lineqela Izimo. Ukwenza ubukho olungagungqiyo ukopha ngalo mzuzu okanye kwimbali veki zimbalwa zidlulileyo, ubukho usuleleko focal ubovu emzimbeni, ukusabela bagulayo izakhi asetyenziswa ngexesha le nkqubo.

Izimo ahlobene:

• iimpahla decompensated isifo sentliziyo kunye negazi;
• wegazi;
• eliphakathi kunye igazi kakhulu;
• hypoproteinemia;
• ukukrala zale nkqubo lwemithambo;
• ukunxila okanye utywala;
• Izifo ezosulelayo kwinqanaba oyingozi;
• abagula ngengqondo;
• sexesheni;
• yokumitha ekuqaleni.

ukulungiselela ogulayo

I inyanzelekile iparameters zimiselwa iimvavanyo eziqhelekileyo lwezonyango, igazi ekunqandeni, ubukho kwezifo ezosulelayo (HIV, negcushuwa, hepatitis B).

ukuqhelanisa Nomonde kunye nemiqondiso isivumelwano iqalise le nkqubo. Enye uqeqesho olulodwa akadingi emzimbeni wakhe. Ukuba kuyimfuneko, ukwenziwa kwezinto elebhu ngenjongo yoxilongo phambi ukusetyenziswa imfuneko ashiye isidlo kusasa.

Ukuphuhliswa kwenkqubo

Extracorporeal iziko ulungiso igazi - medical iziko diagnostic, apho iingcali musa kuphela inkqubo yokucoca igazi kwanangamacandelo alo kodwa le misebenzi ilandelayo:

• ukuqhuba laboratory zomculo izifo uxilongo;
• usebenzisa amayeza ezahlukeneyo, kuquka T-cell ugonyo;
• kuba nosuku kunye nezibhedlela;
• Ethatha inxaxheba kuphuhliso lweenkqubo ezibanzi zonyango.

Kungenxa kula maziko ezizodwa iinkqubo zokwenza nyulu igazi. inaliti Nomonde lifakwa emthanjeni. Ngexesha manipulation isigulane ubukele umabonwakude, umamele unomathotholo, funda incwadi okanye iphephancwadi, ukuthetha emnxebeni. Oku kudala umoya yoxolo nokuphumla.

Emva ukuphululwa tape isandla sakhe, ngoko ukuba isiza okuhlatywa ayilo hematoma, isigulana lihlala phantsi koqwalaselo iiyure 1-2. Andule ke uphuma esibhedlele. Ixesha lokwenziwa kolhlolo inani elifunekayo emiselwe khona amaxabiso zelebhu esweni specialist ngokuhamba kwexesha.

reviews

Ngokutsho reviews, le nkqubo kunzima kakhulu, kodwa umphumo ubaluleke ngayo. Candani intlungu ngokubambisana samathambo. Ingxelo iziphumo HIV kunye nabantu abane isifo wamathumbu arhabaxa.

isiphelo

Iindlela zokwenza nyulu igazi usebenzisa ubugcisa ezintsha mihla, kodwa ngenxa yeendleko eziphezulu inxenye yabo ayisetyenziselwa kuzo zonke iinkqubo. Kumazwe hemocorrection kwelinye izakhi eqhelekileyo ngakumbi yaye yaziwa kakuhle evumela ukubuyisela impilo kunye nokugcina inqanaba eliphezulu yokusebenza.