Extracorporeal hemocorrection: tsanangudzo nzira, zvinhu uye wongororo

Blood - a zvipenyu fluid chine yeplasma uye akaumba zvinhu. Iri connective rinenge ropa nhumbi kweropa ino achibatsirwa mutinhimira sunga zvomwoyo tsandanyama. Vhoriyamu ropa kunobva zera uye pabonde. Pane zvinhu zvinoverengeka pathologies kuti kukonzera kuchinja murwiyo zvipenyu mvura. Imwe nzira itsva nzira nokudzorerwa vasiri parameters ndiyo extracorporeal hemocorrection.

Imhandoi nzira?

Nzira chakavakirwa kunzwisisa nzira ano ropa yokuzvinatsa hakusi muviri, asi kunze izvozvo. Nehasha kutaura, murwere ropa rakundwa, zvinonzi anatswa nekumwisa pathological tupukanana tusingaoneki, remafuta akawandisa metabolic zvigadzirwa, muchetura, maantigen uye antibodies, uye ipapo vakadzokera zvakare kunyika muviri.

Extracorporeal ropa hemocorrection unokubvumira kushandura zvinotevera parameters:

• cellular mamiriro;
• nhamba electrolyte;
• uwandu mapuroteni hurongwa;
• enzayemu sezvamunoita;
• zvirwere parameters.

Extracorporeal hemocorrection kuitwa paakadzinga zvipenyu mvura yaro vakaumba zvinhu kana chete yeplasma Kamudzira kuburikidza chaiwo contours akaparadzirwa, ari centrifuge, mhando sorption.

History maitirwo ezvinhu zvokukura kukura

Hemocorrection extracorporeal ropa, mutengo iyo kunobva nzira inoshandiswa, akawana kwayakatangira senguva ropa riyerere. Kwekutanga nzira iyi kwainzi kushandisa zvinotevera namaoko:

• Mufananidzo vertigo;
• kubviswa nomusoro;
• kubviswa chepfu uye zvimwe zvine chepfu;
• Kubviswa zviito zvinokonzera zvirwere;
• kumanikidzwa rutapudzo;
• Mufananidzo zviratidzo fivha.

The pfungwa nokuti nzira dzakadaro vaiva: chiremba akaderedza vhoriyamu ropa, zvakakonzera rutapudzo zvavaida rutapudzo uye Kuwanda pathological nevamiririri. Asi noku vasanyanye uwandu aumba zvinhu uye mapuroteni, kuti ane inokanganisa murwere ezvinhu, achiwedzera kuti muitiro yokurapa.

Yokutanga Kuedza "launder" ropa masero uye plasma uye kudzoka navo akazviratidza pakutanga ari XX remakore, asi vakava akabudirira chete 50-ies. Wokutanga eropa separator, kushanda ari zvionera muoti kwave patented mukupera 60 kuti muUnited States. Kubvira vakatanga kushingaira chokutambudzika utsanzi mu hemocorrection.

Features uye njodzi pamusoro nzira

Extracorporeal hemocorrection kwakavakirwa ropa murwere kuburikidza chaiwo DISTILLATION midziyo, iro rinoumbwa Micro-filters. Panozotevera chaivo mvura yakazara zvinhu vane pamwero haina kukwana, asi muviri anodzida kuti zvakakodzera oparesheni. Connective zvinyama iri zvishandiswezve kupinda muropa murwere.

Chero zvitinakire zvinwiwa nomuviri chokuita nedzimwe njodzi. For extracorporeal ropa kururamiswa nzira ndeinotevera:

• zvinogoneka kusvibiswa zvinotapuriranwa (chiropa, njovhera, munhu immunodeficiency utachiona);
• neutachiona kuti yaunodya vokune dzimwe nyika mapuroteni kana kuumbwa okunze, iyo inoratidza ganda kuvaviwa, akaderedza BP, tsandanyama marwadzo, fivha, mapundu, mikoko;
• thrombosis guru arteries;
• Hemorrhagic chirwere - zvakawedzera ropa pamusoro mucous membranes necheseri yokuchinja hemostasis dzakabatana;
• mhepo embolism kunoitika pamusoro yaitwa mhepo kupinda motokari hurongwa, uye zvakare kupinda kweropa ezvinhu murwere.

Zvairatidza kuti nzira

Extracorporeal hemocorrection, wongororo iyo zvinopupurira kunyatsoshanda uye kubudirira nzira ine zvinotevera zvairatidza munzvimbo dzakasiyana-siyana:

1. Cardiology: nechirwere chemwoyo, BP, atherosclerosis.
2. Rheumatology: antiphospholipid urwere, vasculitis, arthritis, scleroderma, periarteritis periarthritis, myositis.
3. Toxicology: asi kudhaka upi mavambo, udhakwa, kupindwa muropa nezvinodhaka, uye radionuclide nemwaranzi chokupfeka.
4. Gynecology: gestosis, Rhesus-kupesana, urogenital zvirwere.
5. Momuviri: chirwere cheshuga, thyroid chirwere.
6. Neurology: multiple sclerosis, myasthenia gravis, chirwere chinonzi Parkinson.
7. Dermatology: psoriasis, eczema, atopic dermatitis.
8. Pulmonology: Árbol asima, mabayo, zvemapapu pute.
9. Gastroenterology: dysbiosis, chiropa zvokurwara.
10. Urology: glomerulonephritis, chirwere renal kukundikana.

Patinoongorora dzakashandiswa

Nzira dzose extracorporeal ropa kururamiswa vane zvavo zvatariswa, zvakanakira nekuipira, sezvo, zvirokwazvo, chero kurapwa.

Limfotsitaferez - kumonyanisa randinogara mukubvisa cytotoxic lymphocytes kubva ropa, akatakura photopheresis uye activation kubudikidza cytokines, mainterleukin. Mutengo basa riri kumusoro - kubva 28 zviuru rubles.

Plasmapheresis - nzira extracorporeal ropa kururamiswa, mitengo yakanga zvichisiyana 3 kusvika 12 zviuru rubles. peculiarity Its iri ropa murwere, kuparadzana aumba zvinhu uye plasma. Zvakaumba zvinhu zviri vakadzokera hwepakutanga, uye kubviswa plasma autoantibodies, anogumbura nevamiririri, muchetura uye metabolic zvigadzirwa.

Hemosorption chinhu ropa yokunatswa nzira vachishandisa sorbents. Izvi zvinhu Sechipanji muchetura uye inobaya. The sorbents angashandiswa sezvo kusashanda kabhoni kana Ion Exchange nebwe. Nzira inoshandiswa zvinotevera ezvinhu:

• mishonga chepfu (barbiturates, "elenium", "Noksiron");
• kudhaka chepfu makemikari indasitiri;
• chiropa zvinokuvadza;
• systemic zvirwere uye dermatological zvirwere (chinonzi systemic lupus erythematosus, psoriasis).

Mutengo nzira - kubva 4 kusvika 12 zviuru rubles.

Photopheresis - nzira kwakavakirwa refu uchinzwa ultraviolet kupenya pakati zvinoumba ropa asati reinfusion. Avhareji yemari basa - 35 zviuru rubles.

Immunoadsorption ndiko kubvisa antibodies kana maantigen kubva ropa panguva ndima rayo kubudikidza immunoabsorbent. Kuwanda vakaumba zvinhu uye plasma parameters kuramba kuchinja. Kushandiswa renal zvirwere, nezvimwe zvinhu zvakasiyana-siyana mavambo, autoimmune pathologies. Nzira iyi Zvinozivikanwa dzimwe makiriniki uye nzvimbo hemocorrection.

Krioaferez - extracorporeal hemocorrection, mitengo yakanga zvichisiyana 6 kusvika 14 zviuru rubles. Kurohwa kumonyanisa kwakafanana plasmapheresis. Kubva chilled centrifuged uye plasma cryoprecipitate yabviswa, izvo ingasanganisira imwe mari utachiona, immunoglobulin, mabhakitiriya, notumwe.

Cascade filtration - nzira inobva ndima plasma kubudikidza Kamudzira filters. Akanatswa muviri mvura kubva utachiona, nemavhairasi, lipids, fibrinogen, immunoglobulin. Somugumisiro, mashoko Yakanatswa yeplasma iri vakadzokera muridzi. Mutengo nzira - kusvika 55 zviuru rubles.

Contraindications

Extracorporeal hemocorrection ane nhamba contraindications. Kutakura mhedziso kuvapo ropa panguva kana munhoroondo wokupedzisira mavhiki mashoma, kuvapo zvatichiri purulent hweHIV mumuviri, imwe sema pavakanzwa zvakamisa hurongwa zvinoshandiswa munguva nzira.

Hama contraindications:

• decompensated mwoyo chirwere uye ropa midziyo;
• pasi BP;
• mwero uye zvakakomba kupererwa neropa;
• hypoproteinemia;
• chenjera kuzvimba venous hurongwa;
• doro kudhaka;
• zvirwere zviri rikwanise Danho;
• chirwere chepfungwa;
• kumwedzi;
• mangwanani gestation.

murwere gadziriro

The fanira parameters takatsunga ne vanhuwo zvekuchipatara nemiedzo, kweropa, kuvapo zvinotapuriranwa (HIV, njovhera, hepatitis B).

Patient vazive uye zviratidzo chibvumirano kuita muitiro. Chimwe dzidzo chaiyo muviri murwere hakudi. Kana zvakakodzera, kunwa Murabhoritari mashoko chirwere zvinangwa pamberi kuchinja kudiwa kusiya mangwanani kudya.

Development of nzira

Extracorporeal ropa kururamiswa centre - zvokurapa chirwere sangano, izvo nyanzvi regai chete ropa yokunatswa nzira uye yenhengo dzayo asiwo mitambo inotevera:

• kuitisa rabhoritari uye richishanda Diagnostics zvirwere;
• vachishandisa kurapa kungaitwa siyana, kusanganisira T-sero majekiseni;
• vane zuva uye zvipatara;
• Mubasa kukura nzwisisika kurapwa zvirongwa.

Hazvina kudaro kushandiswa nemasangano ropa yokuzvinatsa maitirwe ezvinhu. Patient tsono akaiswa mugomba tsinga. Panguva zvitinakire murwere anogona kutarisa TV, teerera redhiyo, verenga bhuku kana magazini, kutaura pafoni. Zvinoita pave nerunyararo uye yokutandara.

Pashure zvitinakire tepi ruoko rwake, zvokuti ponji nzvimbo haisi hematoma, murwere anoramba pasi pakuongorora kwemaawa 1-2. Ipapo anogona kubuda muchipatara. Ya nzira uye nhamba inodiwa pakutsvaga kupinda nyanzvi kuongorora rabhoritari netsika pamusoro nguva.

Reviews

Maererano ongororo, nzira iyi zvakaoma chaizvo, asi mugumisiro zviripo. Pfuurai vagari marwadzo ehosha. Zvinonzi yakanaka uye vanhu vane anogumbura bowel chirwere.

mhedziso

Nzira ropa yokuzvinatsa kushandisa nzira itsva zvemazuva ano, asi nekuda kwemitengo vamwe vavo vasiri kushandiswa yose nzira. Munyika imwe nyika hemocorrection zvikuru zvakafanana uye inonyatsozivikanwa kumonyanisa unobvumira kudzorera utano uye tichizvibata azvipire vaita.