Impilo, Imithi
Hemocorrection Extracorporeal: incazelo inqubo, izici kanye nokubuyekeza
Igazi - uketshezi begazi, esakhiwa plasma bese izakhi kwakhiwa. Kuyinto ezicutshini, kwakheka imithambo yegazi sokuhamba kwegazi ngosizo Kufinyeta komqondo imisipha yenhliziyo. Igazi ivolumu incike yobudala kanye ocansini. Kunezindlela eziningana pathologies eziholela izinguquko ukubunjwa uketshezi begazi. Eyodwa yezindlela ezintsha zokubuyiselwa imingcele bokuphila kuyinto extracorporeal hemocorrection.
Hlobo luni inqubo?
Indlela Kusekelwe eyinkimbinkimbi yezindlela zesimanje igazi uhlanzekile alikho nomzimba womuntu, kodwa ngaphandle kwalo. ukukhuluma Cishe, igazi lesiguli esithathwayo, it is nahlanza kusukela okweqa nezilwanyana ezincane sokugembula, imikhiqizo cholesterol umzimba, ubuthi, antigen kanye namasosha omzimba, bese babuyela emzimbeni.
Extracorporeal igazi hemocorrection ikuvumela ukuba ushintshe nemingcele ezilandelayo:
- isakhiwo solwazi;
- isilinganiso electrolyte;
- inani amaprotheni izakhiwo;
- Ukwakheka enzyme;
- Amapharamitha mzimba.
hemocorrection Extracorporeal eyenziwa ngokuxosha we uketshezi begazi oluxube yayo kwakhiwa noma uketshezi olungenambala olusegazini ulwelwesi kuphela ngokusebenzisa ekhethekile wabuka kwegazi, lo Centrifuge, uhlobo sorption.
izinqubo Umlando izigaba yentuthuko
Hemocorrection igazi extracorporeal, intengo zazo kuncike esetshenziswa, yaqala lo nomkhuba wokuchitha igazi evamile. Ngasekuqaleni kwaleli indlela sasibhekwa njengophawu lokuthi usebenzisa nakangaka ezilandelayo:
- Isithombe esiqoshiwe inzululwane;
- ukuqedwa ikhanda;
- ukuqedwa ubuthi nezinye ezinobuthi;
- ukususwa isinyathelo of izinto ezithwala izifo;
- ingcindezi ukuncishiswa;
- kwamaphaphu izimpawu fever.
Isizathu for indlela babefana: udokotela encishisiwe umthamo wegazi, okwabangela nokwehlisa ingcindezi ukunciphisa kanye lokuhlushwa ejenti sokugembula. Kodwa zifana kuya ukwehla enanini lama-elementi kwakhiwa namaprotheni, ukuthi inomphumela omubi phezu isimo lesiguli, okwenezela inqubo yokwelapha.
Imizamo yokuqala ukuba "imali etholakale ngokungemthetho yamukeleke" amaseli weengazi plasma abuyele kubo uvele ekuqaleni kwekhulu XX, kodwa baba yimpumelelo kuphela-yalolucwaningo 50. Eyokuqala lwengqamuzana yegazi isihlukanisi, ezisebenza mode ezizimele iye yaba nelungelo lobunikazi e ngasekupheleni kwawo-60 e-United States. Kusukela ngaleso sikhathi waqala isigaba asebenzayo emisha e hemocorrection.
Izici nezingozi indlela
hemocorrection Extracorporeal esekelwe umthamo wegazi lesiguli ngokusebenzisa ziphuzo zazihluzwa apharathasi ekhethekile, okuyinto yakhiwa micro-izihlungi. izakhi obengeziwe uketshezi lomzimba ayegcwele, okuyinto ezingeni enganele, kodwa umzimba iyazidinga for ukusebenza kahle. ezicutshini mjikelezo emgudwini wegazi isiguli.
Noma yimuphi manipulation uketshezi lomzimba ezihlobene nokusebenzelana izingozi ezithile. Ngoba igazi extracorporeal izinqubo ukulungiswa zimi kanje:
- kungenzeka ukungcoliswa nezifo ezithathelwanayo (ukusha kwesibindi, ugcunsula, human immunodeficiency virus);
- komzimba nezinto edonsa amaprotheni angaphandle noma izakhi kwakhiwa, esizibonakalisa isikhumba ukulunywa, encishisiwe blood pressure, ubuhlungu bemisipha, imfiva, ukuqubuka, isifuba;
- thrombosis kwemithambo emikhulu yenhliziyo;
- oluhambisana syndrome - anda ukopha ka nolwelwesi lwamafinyila ngemuva izinguquko hemostasis amayunithi;
- emoyeni embolism kwenzeka ngokumelene isizinda emoyeni ohlelweni imoto, futhi eminye ku isimiso sokujikeleza kwegazi isiguli.
Izinkomba inqubo
hemocorrection Extracorporeal, ukubuyekezwa zazo ifakazela kusebenta kahle kanye nekuphumelela indlela has izimpawu ezilandelayo ezindaweni ezihlukahlukene:
- Nezenhliziyo: isifo senhliziyo, umfutho wegazi ophakeme, isifo sokuqina kwemithambo yegazi.
- Rheumatology: antiphospholipid syndrome, vasculitis, samathambo, scleroderma, periarteritis periarthritis, myositis.
- Toxicology: ukudakwa yanoma yimuphi umsuka, ukuba umlutha wotshwala, ukuluthwa izidakamizwa eziyingozi, futhi radionuclide emisebeni ukuchayeka.
- Zabesifazane: gestosis, Rhesus ukungqubuzana, izifo urogenital.
- Endocrinology: isifo sikashukela, isifo yegilo.
- Neurology: yi-multiple sclerosis, myasthenia gravis, isifo i-Parkinson.
- Awezesikhumba: psoriasis, eczema, dermatitis atopic.
- Pulmonology: isifuba somoya bronchial, inyumoniya, iphaphu ithumba.
- Gastroenterology: dysbiosis, isibindi egunjini lokuhlolwa kwezifo.
- Urology: glomerulonephritis, ezingamahlalakhona ukwehluleka kwezinso.
Buyekeza yezindlela ezisetshenziswa
Zonke izindlela extracorporeal igazi ukulungiswa anezici yabo, emihle nemibi, njengoba ngempela, noma yiziphi izinqubo zokwelapha.
Limfotsitaferez - zokukhwabanisa, esakhiwa ekususeni lymphocyte cytotoxic kusukela egazini, ethwele photopheresis futhi kusebenze by cytokines, interleukin. Inani isevisi kuphezulu - kusukela ama-ruble ayizigidi 28.
Plasmapheresis - indlela extracorporeal igazi ukulungiswa, intengo zazo kuhluka ruble 3 kuya kwezingu-12. engavamile yayo itholakala igazi esigulini, ukwehlukana izakhi kwakhiwa ne-plasma. zici ezime phinda isimo sokuqala, futhi asuswe autoantibodies plasma, balamuli ukuvuvukala, ubuthi imikhiqizo umzimba.
Hemosorption indlela uhlanzekile igazi usebenzisa sorbents. Lezi izinto zimunce ubuthi ubuthi. I sorbents lingasetshenziswa njengoba carbon isebenze noma ion exchange resin. Indlela isetshenziswa kwale mibandela elandelayo:
- imithi poisoning (barbiturates, "elenium", "Noksiron");
- ukudakwa ubuthi embonini chemical;
- isibindi ukulimala;
- izifo letindzala kanye nezifo dermatological (lupus letindzala erythematosus, psoriasis).
Intengo ye inqubo - ruble 4 kuya kwezingu-12.
Photopheresis - indlela esekelwe ukuz ukuba imisebe ultraviolet yezingxenye igazi ngaphambi reinfusion. Intengo isilinganiso service - ruble ayizigidi 35.
Immunoadsorption ukususa amasosha omzimba noma antigen kusukela egazini phakathi ndima yayo ngokusebenzisa immunoabsorbent. I lokuhlushwa izakhi kwakhiwa futhi plasma imingcele zihlala zinjalo. Asetshenziswa izifo kwezinso, komzimba zasezindaweni ezihlukahlukene, pathologies sokuhlasela kwamasosha omzimba. Le ndlela eyaziwayo angaphandle nezikhungo hemocorrection.
Krioaferez - hemocorrection extracorporeal, intengo zazo kuhluka ruble 6 kuya kwezingu-14. Stroke zokukhwabanisa efana plasmapheresis. Kusukela chilled centrifuged kanye cryoprecipitate plasma isuswe, engase iqukathe ethile igciwane, immunoglobulin, amagciwane, isikhunta.
Cascade filtration - indlela lephatselene nesicephu plasma yegazi ngokusebenzisa izihlungi ulwelwesi. Esehlanjululwe uketshezi komzimba emagciwaneni, lipids, fibrinogen immunoglobulin. Ngenxa yalokho, i-plasma ukuhlanzwa ebuyiselwa umnikazi. Intengo ye inqubo - kuze kube ama-ruble ayizigidi 55.
Izimo
hemocorrection Extracorporeal enezinto eziningi Izimo. Ukuze afeze khona ngokuphelele ezophayo okwamanje noma emlandweni kumaviki ambalwa wokugcina, khona ebalulekile ubovu ukutheleleka emzimbeni, ukusabela iguliswa yezingxenye ezisetshenziswa ngesikhathi sale nqubo.
Izimo Isihlobo:
- izitsha isifo senhliziyo kanye igazi decompensated;
- umfutho ophansi wegazi;
- nokulinganisela igazi kakhulu;
- hypoproteinemia;
- ukuvuvukala okukhulu ohlelweni emithambo yegazi;
- utshwala ukudakwa;
- izifo ezithathelwanayo ngo esigabeni acute;
- yezifo zengqondo;
- ukuya esikhathini;
- sokukhulelwa ekuseni.
ukulungiselela isiguli
Amapharamitha saziso kunqunywa ezivamile ukuhlolwa emitholampilo, igazi ekunqandeni, khona izifo ezithathelwanayo (HIV, ugcunsula, ukusha kwesibindi kohlobo B).
yazi Sibekezele nezibonakaliso isivumelwano ukufeza inqubo. Enye ukuqeqeshwa okukhethekile umzimba lesiguli akadingi. Uma kudingekile, ukuyiswa laboratory impahla ngezinhloso zokuxilonga phambi manipulation isidingo ukulahla ukudla ekuseni.
Ukuthuthukisa inqubo
Extracorporeal igazi ukulungiswa isikhungo - yezokwelapha isikhungo zokuxilonga, okuyinto ochwepheshe ukwenza hhayi kuphela inqubo uhlanzekile igazi izingxenye zalo kodwa imisebenzi elandelayo:
- ukuqhuba laboratory nowezinsimbi ukuhlola izifo;
- usebenzisa zokwelapha ezihlukahlukene, kuhlanganise nama-T-cell lokugoma;
- ubenosuku nasezibhedlela;
- Ukwenza ukuthuthukiswa kwezinhlelo zokwelapha esibanzi.
Kuyinto ezikhungweni ezikhethekile ezifana kukhona izinqubo uhlanzekile igazi. inaliti Sibekezele ufakwa emthanjeni. Phakathi manipulation isiguli singenakukwazi ukubuka ithelevishini, ukulalela umsakazo, incwadi noma umagazini, ukhuluma ocingweni. Lwenza isimo enokuthula futhi aziphumulele.
Ngemva zokukhwabanisa yemigoqo ethile eminyangweni kahulumeni isandla sakhe, ukuze isayithi wokubhoboza akuyona hematoma, isiguli isalokhu observation for 1-2 amahora. Wabe angashiya esibhedlela. Ubude inqubo kanye inani elidingekayo kunqunywa ukuya zokuqapha Uchwepheshe amagugu laboratory ngokuhamba kwesikhathi.
Izibuyekezo
Ngokusho ukubuyekezwa, le nqubo kunzima kakhulu, kodwa umphumela kuwufanele. Dlulisa ubuhlungu bamalunga zesifo sokuqaqamba kwamalunga. Kubikwe ukuthi uba nemiphumela emihle nabantu ukuvuvukala wamathumbu isifo.
isiphetho
Izindlela wegazi uhlanzekile kusetshenziswa ubuchwepheshe banamuhla ngokunenzuzo, kodwa ngenxa izindleko aphezulu ezinye zazo azisetshenziswa kulo lonke nezinqubo. Emazweni hemocorrection phesheya kuyinto zokukhwabanisa kuvamile begodu owaziwa evumela ubuyisele impilo kanye nokugcina ezingeni lelisetulu ukusebenza.
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