I-Plasmapheresis: Ongakulindela

-Delile

• Yini injongo ye-plasmapheresis?
• Ilawulwa kanjani i-plasmapheresis?
• Kufanele ngiyilungiselele kanjani i-plasmapheresis?
• Ziyini izinzuzo ze-plasmapheresis?
• Ziyini izingozi zeplasmapheresis?
• Ingabe i-plasmapheresis imbozwe umshwalense?
• Uyini umbono ngemuva kwe-plasmapheresis?

Yini i-plasmapheresis?

I-Plasmapheresis inqubo lapho ingxenye engamanzi yegazi, noma i-plasma, ihlukaniswa namaseli egazi. Ngokuvamile, i-plasma ithathelwa indawo esinye isixazululo esifana nosawoti noma i-albhamuin, noma iplasma iyelashwa bese ibuyiselwa emzimbeni wakho.

Uma ugula, i-plasma yakho ingaqukatha amasosha omzimba ahlasela amasosha omzimba. Umshini ungasetshenziselwa ukususa i-plasma ethintekile bese uyifaka esikhundleni se-plasma enhle noma into engafakwa esikhundleni se-plasma. Lokhu kwaziwa nangokuthi ukushintshaniswa kwe-plasma. Le nqubo ifana ne-dialysis yezinso.

I-Plasmapheresis nayo ingabhekisa kunqubo yokunikela nge-plasma, lapho i-plasma isuswa khona bese amaseli egazi abuyiselwa emzimbeni wakho.

Yini injongo ye-plasmapheresis?

I-Plasmapheresis ingasetshenziselwa ukwelapha izifo ezahlukahlukene ezizimele ezibandakanya:

• myasthenia gravis
• Isifo se-Guillain-Barre
• i-polyneuropathy engapheli yokuvuvukala
• I-Lambert-Eaton myasthenic syndrome

Ingasetshenziselwa ukwelapha izinkinga ezithile zesifo se-sickle cell, kanye nezinhlobo ezithile ze-neuropathy.

Kokukodwa kwalokhu kuphazamiseka, umzimba wakhe amaprotheni abizwa ngama-antibodies ahlelelwe ukukhomba amaseli nokuwaqeda. La ma-antibody ase-plasma. Imvamisa, lama-antibodies aqondiswe kumaseli angaphandle angalimaza umzimba, njengegciwane.

Kubantu abanesifo esizimele, noma kunjalo, amasosha omzimba azophendula kumaseli angaphakathi komzimba enza imisebenzi ebalulekile. Isibonelo, ku-multiple sclerosis, amasosha omzimba namaseli omzimba azohlasela isembozo sokuvikela imizwa. Lokho kugcina kuholele ekusebenzeni okungafanele kwemisipha. I-Plasmapheresis ingamisa le nqubo ngokususa i-plasma equkethe amasosha omzimba bese iyifaka nge-plasma entsha.

Eminyakeni yamuva nje, le ndlela yokwelapha isetshenziswe kakhulu ukwelapha abantu abagula kakhulu ngezifo nezinye izinkinga ezifana nesifo sikaWilson kanye ne-thrombotic thrombocytopenic purpura. Iphinde yasetshenziswa ukusiza abantu abathole ukufakelwa isitho ukuphikisana nomphumela wenqubo yokwenqaba yemvelo komzimba.

Ilawulwa kanjani i-plasmapheresis?

Ngesikhathi somnikelo we-plasmapheresis, uzophumula embhedeni. Ngemuva kwalokho inaliti noma ipayipi lizofakwa emthanjeni ku-crux yanoma iyiphi ingalo enamandla athambile. Kwezinye izimo, i-catheter ifakwa emgodini noma ehlombe.

Ukushintshwa noma ukubuyiselwa kwe-plasma kungena emzimbeni wakho ngepayipi lesibili elibekwe engalweni noma enyaweni.

Ngokwemigomo yombuso, umuntu anganikela nge-plasma kuze kube kabili ngesonto. Izikhathi zomnikelo ngokuvamile zithatha cishe imizuzu engama-90.

Uma uthola i-plasmapheresis njengokwelashwa, inqubo ingahlala phakathi kwehora elilodwa kuya kwamathathu. Ungadinga ukwelashwa okungaba yisihlanu ngesonto. Imvamisa yokwelashwa ingahluka kakhulu kuye ngesimo, futhi futhi kuya ngempilo yakho yonke.

Kwesinye isikhathi kuyadingeka ukuthi ulaliswe esibhedlela. Ezinye izikhathi ukwelashwa kweziguli kungenzeka.

Kufanele ngiyilungiselele kanjani i-plasmapheresis?

Ungayandisa impumelelo futhi unciphise izimpawu nobungozi be-plasmapheresis ngokuthatha lezi zinyathelo:

• Qiniseka ukuthi unokudla okunomsoco ngaphambi kokwelashwa noma ukunikelwa.
• Lala kahle ebusuku ngaphambi kwenqubo yakho.
• Phuza uketshezi oluningi.
• Thola usesikhathini ngemigomo yokuthola izifo ezivamile. Sebenza nodokotela wakho ukuthola ukuthi yimiphi imigomo oyidingayo.
• Gwema ukubhema nokusebenzisa ugwayi.
• Yidla ukudla okunamaprotheni amaningi kanye ne-phosphorus, i-sodium ne-potassium ephansi ezinsukwini eziholela ku-plasmapheresis.

Ziyini izinzuzo ze-plasmapheresis?

Uma uthola i-plasmapheresis njengokwelashwa kobuthakathaka noma isifo se-autoimmune, ungaqala ukuzwa ukukhululeka ezinsukwini ezimbalwa nje. Kwezinye izimo, kungathatha amasonto ambalwa ngaphambi kokuthi ubone noma yiziphi izinguquko ezimpawu zakho.

I-Plasmapheresis izonikeza kuphela ukukhululeka kwesikhashana. Imvamisa inqubo izodinga ukuphindwa. Imvamisa nobude bemiphumela buxhomeke kakhulu kusimo sakho nobukhali baso. Udokotela wakho noma umhlengikazi angakunika umbono ojwayelekile wokuthi i-plasmapheresis izosebenza isikhathi esingakanani nokuthi udinga ukuyisebenzisa kaningi kangakanani.

Ziyini izingozi zeplasmapheresis?

I-Plasmapheresis ithwala ubungozi bemiphumela emibi. Imvamisa, azivamile futhi ngokuvamile zimnene. Uphawu oluvame kakhulu ukwehla komfutho wegazi. Lokhu kuvame ukuhambisana nalokhu:

• ukuquleka
• ukungaboni kahle
• isiyezi
• ngizwe kubanda
• amajaqamba esiswini

I-Plasmapheresis nayo ingathwala izingozi ezilandelayo:

• Ukutheleleka: Izinqubo eziningi ezibandakanya ukudluliswa kwegazi lingene noma liphume emzimbeni zinengozi yokutheleleka.
• Ukujiya kwegazi: Udokotela wakho angahle anikeze i-anti-coagulant ukusiza ukunciphisa ubungozi bamahlule egazi.
• Ukusabela okweqile: Lokhu ngokuvamile kuyimpendulo yezixazululo ezisetshenziselwa ukufaka esikhundleni se-plasma.

Izingozi ezibucayi kodwa ezingajwayelekile zifaka ukopha, okuvela emithini elwa namahlwili. Ezinye izingozi ezibaluleke kakhulu zibandakanya ukuquleka, amajaqamba esiswini, kanye nokushosholoza ezithweni.

I-Plasmapheresis kungenzeka ingabi yindlela efanele yokwelashwa kwabanye abantu, kufaka phakathi:

• abantu abangazinzile ngokwe-hemodynamically
• abantu abangakwazi ukubekezelela ukubekwa komugqa ophakathi
• abantu abanezinkinga zokungezwani komzimba ne-heparin
• abantu abane-hypocalcemia
• abantu abanezinto ezingezwani ne-albin efriziwe noma i-plasma

Ingabe i-plasmapheresis imbozwe umshwalense?

I-Plasmapheresis imbozwa ngemishwalense ngezimo eziningi. Kubalulekile ukuthi uhlole umshwalense wakho ukuqonda ukuthi inqubo izobhekelwa malini futhi ngaphansi kwaziphi izimo. Isibonelo, izinhlelo ezehlukene zomshuwalense zizofaka inani elihlukile lenqubo. Ngokwengeziwe, abomshwalense bangafaka kuphela i-plasmapheresis ezimweni ezithile, njengendawo yokugcina ye-rheumatoid vasculitis.

Ukuze ufunde kabanzi ngokumbozwa kwakho, shayela umhlinzeki wakho womshuwalense. Uma unanoma ikuphi ukukhathazeka ngezindleko, khuluma nodokotela wakho. Bangakusiza uqonde izinketho zakho futhi bakunikeze nganoma yiluphi ulwazi oludingayo ukuze wabelane nomhlinzeki wakho womshuwalense.

Uyini umbono ngemuva kwe-plasmapheresis?

Abanye abantu babika ukuthi bazizwa bekhathele ngemuva kwenqubo, kepha iningi liyakubekezelela kahle. Ukuze uthole umphumela omuhle kakhulu, khumbula ukulungiselela inqubo bese ulandela imiyalo kadokotela wakho ngemuva kwenqubo.

Cabanga ukwenza okulandelayo ukuqinisekisa ukuthi ukuqokwa kwakho kuhamba kahle ngangokunokwenzeka:

• Lala ngokwanele.
• Fika ekuqokweni okungenani imizuzu eyi-10 ngaphambi kwesikhathi.
• Gqoka izingubo zikanokusho.
• Letha incwadi noma enye into ezokujabulisa ngesikhathi senqubo.