He aha ka Convalescent Plasma Therapy? Ke Kumu, ke Kaʻina Hana & nā Hōʻike

Hoʻohana ka convalescent plasma therapy i ka plasma koko mai nā kānaka i ola mai kahi maʻi e kōkua i ka mālama ʻana i nā poʻe ʻē aʻe me ka maʻi like. E noʻonoʻo e like me ka hōʻaiʻē ʻana i nā pale pale o kekahi e kōkua i kou kino e hakakā i kahi maʻi i hālāwai ʻole ai ma mua.

Ua hala kēia lapaʻau no hoʻokahi haneli, i hoʻohana mua ʻia i ka maʻi ahulau flu 1918. I nā makahiki i hala iho nei, ua loaʻa hou ka manaʻo i ka wā i ʻimi ai nā kauka i nā ala e kōkua ai i nā maʻi me COVID-19 a me nā maʻi koʻikoʻi ʻē aʻe.

He aha ka convalescent plasma therapy?

ʻO ka convalescent plasma therapy e pili ana i ka lawe ʻana i ka plasma mai nā mea hāʻawi i ola mai kahi maʻi kikoʻī. Aia i loko o kēia plasma nā antibodies i hana ʻia e ko lākou ʻōnaehana pale e hakakā i ka maʻi.

Ke ola ʻoe mai kahi maʻi, hana kou kino i nā protein kūikawā i kapa ʻia ʻo nā antibodies e hoʻomanaʻo pehea e hakakā ai i kēlā germ. Noho kēia mau antibodies i loko o kāu plasma koko no nā mahina a i ʻole nā ​​makahiki ma hope o kou maikaʻi ʻana.

Lawe ʻia ka plasma mai nā maʻi i ola, hana ʻia no ka palekana, a laila hāʻawi ʻia i nā poʻe e hakakā nei i ka maʻi like. He like ia me ka hāʻawi ʻana i kekahi i ka hoʻomaka ʻana i ke kaua e kūʻē i ka maʻi.

No ke aha e hana ʻia ai ka convalescent plasma therapy?

Hoʻohana nā kauka i ka convalescent plasma therapy i ka wā e pono ai nā maʻi i ke kōkua hou e hakakā i nā maʻi koʻikoʻi. He mea maikaʻi loa kēia lapaʻau no ka poʻe nona nā ʻōnaehana pale e hakakā nei e hana i nā antibodies lawa iā lākou iho.

Hana ka therapy ma ke ʻano he lapaʻau alahaka i ka wā e aʻo ai kou kino e hakakā i ka maʻi. Hiki iā ia ke kōkua i ka hōʻemi ʻana i ka paʻakikī o nā hōʻailona a me ka pōkole ʻana i ka manawa e maʻi ai ʻoe.

Hiki i kāu kauka ke ʻōlelo aku i kēia lapaʻau inā pilikia ʻoe i nā pilikia koʻikoʻi mai kahi maʻi, a i ʻole inā ua hoʻopaʻa ʻia ʻoe i ka haukapila me nā hōʻailona koʻikoʻi. He mea kōkua nui ia no ka poʻe me nā ʻōnaehana pale nāwaliwali ʻaʻole hiki ke pane ikaika iā lākou iho.

He aha ke kaʻina hana no ka lāʻau lapaʻau plasma convalescent?

He maʻalahi ke kaʻina hana a like me ka loaʻa ʻana o kekahi lapaʻau IV. E loaʻa iā ʻoe ka plasma ma o kahi nila liʻiliʻi i kau ʻia ma kou lima, e like me ka loaʻa ʻana o nā wai i ka haukapila.

Ma mua o ka hoʻomaka ʻana o ka lapaʻau, e nānā kāu hui lapaʻau i kāu mau hōʻailona ola a e hōʻoia ua ʻoluʻolu ʻoe. Lawe maʻamau ka hoʻoili plasma ma kahi o hoʻokahi a ʻelua hola, ma muli o ka nui o kāu e pono ai.

I ka wā o ke kaʻina hana, e nānā pono nā kahu iā ʻoe no nā hopena. ʻO ka hapa nui o nā kānaka e maikaʻi ana i ka wā o ka lapaʻau, akā hiki i kekahi ke ʻike i nā hopena ʻoluʻolu e like me ka nausea iki a i ʻole ka luhi.

Ma hope o ka pau ʻana o ka hoʻoili ʻana, e nānā ʻia ʻoe no ka manawa pōkole e hōʻoia ua maikaʻi ʻoe. E hoʻomaka koke nā antibodies mai ka plasma mea hāʻawi i kāu ʻōnaehana.

Pehea e hoʻomākaukau ai no kāu lāʻau lapaʻau plasma convalescent?

He maʻalahi ka hoʻomākaukau ʻana no ka lāʻau lapaʻau plasma convalescent. E hana mua kāu kauka i kekahi mau hoʻokolohua koko e nānā i kou ʻano koko a me ke olakino holoʻokoʻa.

ʻAʻole pono ʻoe e hoʻokē ʻai a i ʻole e hana i nā loli nui i kāu hana ma mua. Eia naʻe, he mea kōkua ke noho maikaʻi i ka wai ma ka inu ʻana i ka wai nui i nā lā e alakaʻi ana i kāu lapaʻau.

E hōʻoia e haʻi i kāu hui mālama ola e pili ana i nā lāʻau lapaʻau a pau āu e lawe nei, me nā lāʻau lapaʻau a me nā mea hoʻohui. Pono paha e hoʻoponopono ʻia kekahi mau lāʻau lapaʻau ma mua o ke kaʻina hana.

E hoʻolālā e hoʻolilo i kekahi mau hola ma ke keʻena lapaʻau, no ka mea, lawe ka lapaʻau i ka manawa a me ka nānā ʻana ma hope. E lawe mai i kekahi mea e hōʻoluʻolu ai iā ʻoe, e like me ka puke a i ʻole ka papa, no ka mea, e noho mālie ana ʻoe no kekahi manawa.

Pehea e heluhelu ai i nā hopena o kāu lapaʻau plasma convalescent?

ʻAʻole like me nā hoʻokolohua lab maʻamau, ʻaʻole e hāʻawi ka lapaʻau plasma convalescent i nā

E hilinaʻi ana kāu pane pilikino i nā mea e like me kou makahiki, ke olakino holoʻokoʻa, ka manawa o ka lapaʻau ʻana, a me ka maikaʻi o ka plasma mea hāʻawi. ʻOiai ʻaʻole ia he mea e hoʻōla ai i nā mea a pau, hiki ke lilo i mea waiwai i kāu hoʻolālā lapaʻau.

He aha nā mea pilikia no ka pono o ka lapaʻau plasma convalescent?

ʻO kekahi mau pūʻulu o nā kānaka e ʻoi aku ka maikaʻi o ka pono i ka lapaʻau plasma convalescent no ka mea aia lākou i ka pilikia nui o nā maʻi koʻikoʻi. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia hiki ke kōkua iā ʻoe a me kāu kauka e hana i nā hoʻoholo i ʻike ʻia e pili ana i ka lapaʻau.

ʻO nā kānaka me nā ʻōnaehana pale i nāwaliwali e kū ana i ka pilikia nui loa a hiki ke pōmaikaʻi nui mai kēia lapaʻau. Pākuʻi ʻia kēia i nā poʻe e hele ana i ka lapaʻau maʻi ʻaʻai, nā mea loaʻa i ka transplant organ, a me ka poʻe me nā maʻi autoimmune.

He hana nui ka makahiki, no ka mea, ʻo nā mākua kahiko pinepine nā ʻōnaehana pale i pane ʻole i nā maʻi. ʻO nā mākua ma luna o 65 mau makahiki e noʻonoʻo pinepine ʻia no ka lapaʻau plasma convalescent ke loaʻa iā lākou nā maʻi koʻikoʻi.

Hoʻonui pū nā maʻi olakino maʻi i kou pilikia o ka pono i kēia lapaʻau. Hiki i nā maʻi e like me ka maʻi diabetes, ka maʻi puʻuwai, ka maʻi kīkī, a me nā maʻi māmā ke paʻakikī i kou kino ke hakakā pono i nā maʻi.

Eia kekahi, ʻo ka poʻe e lawe ana i nā lāʻau lapaʻau e kāohi ana i kā lākou ʻōnaehana pale e pono paha i ke kākoʻo hou i ka wā o nā maʻi. Pākuʻi ʻia kēia i kekahi mau lāʻau lapaʻau no ka arthritis, ka maʻi ʻōpū inflammatory, a me nā maʻi autoimmune ʻē aʻe.

He aha nā pilikia hiki ke loaʻa i ka lapaʻau plasma convalescent?

Hoʻomanawanui ka hapa nui o nā kānaka i ka lapaʻau plasma convalescent, akā e like me nā lapaʻau lapaʻau, hiki iā ia ke loaʻa nā hopena ʻaoʻao. ʻO ka lono maikaʻi, ʻo ia ka mea maʻamau nā pilikia koʻikoʻi ke hāʻawi ʻia ka lapaʻau e nā poʻe loea lapaʻau i ʻike ʻia.

ʻO nā hopena ʻaoʻao maʻamau e komo paha i ke kuni iki, ke anu, a i ʻole ka luhi i ka wā a i ʻole ma hope o ka hoʻoili ʻana. Loaʻa i kekahi poʻe nā hopena maʻi liʻiliʻi e like me ka ʻulaʻula ʻili a i ʻole ka ʻūlū, e hoʻoponopono koke ʻia me ka lāʻau.

ʻO nā pilikia koʻikoʻi akā kakaikahi e komo pū ana me nā pilikia hanu a i ʻole nā loli i ke koko i ka wā o ka hoʻoili ʻana. ʻO ia ke kumu e nānā pono ʻia ai ʻoe i ke kaʻina holoʻokoʻa.

Aia kekahi pilikia liʻiliʻi o nā hopena e pili ana i ka hoʻoili ʻana, e like me nā mea e hiki ke hana me kekahi hoʻoili huahana koko. Nānā pono kāu hui lapaʻau i ka plasma e hōʻemi i kēia mau pilikia.

I nā manawa kakaikahi loa, hiki i nā maʻi ke loaʻa i ka ʻeha māmā nui e pili ana i ka hoʻoili ʻana (TRALI), e hoʻoulu ai i nā pilikia hanu. ʻOiai he mea weliweli kēia, he mea maʻamau loa ia a ua mākaukau nā hui lapaʻau e mālama inā loaʻa.

I ka manawa hea e ʻike ai au i ke kauka e pili ana i ka lāʻau lapaʻau plasma convalescent?

Pono ʻoe e kūkākūkā i ka lāʻau lapaʻau plasma convalescent me kāu kauka inā ua ʻike ʻia ʻoe me kahi maʻi koʻikoʻi a hāʻule i loko o kahi mahele pilikia nui. Mai kali a hiki i kou maʻi nui ʻana e loaʻa ai kēia kamaʻilio.

E hoʻokaʻaʻike koke i kāu mea mālama ola inā loaʻa iā ʻoe nā hōʻailona e hōʻino ana mai kahi maʻi, ʻoiai inā he mau maʻi olakino ma lalo a i ʻole kahi ʻōnaehana pale nāwaliwali. ʻO ka mālama mua ʻana e alakaʻi pinepine i nā hopena maikaʻi.

Inā ʻoe e noho nei i ka haukapila me kahi maʻi, e nīnau i kāu hui lapaʻau inā kūpono paha ka lāʻau lapaʻau plasma convalescent no kou kūlana. Hiki iā lākou ke loiloi i kāu hihia kikoʻī a hoʻoholo inā he moho maikaʻi ʻoe.

Ma hope o ka loaʻa ʻana o ka lāʻau lapaʻau plasma convalescent, e hoʻokaʻaʻike i kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona e pili ana e like me ka pilikia o ka hanu, ka luhi nui, a i ʻole nā hōʻailona o nā hopena maʻi. ʻOiai he mea maʻamau ʻole kēia, he mea nui e hōʻike koke iā lākou.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka lāʻau lapaʻau plasma convalescent

Nīnau 1. He maikaʻi anei ka lāʻau lapaʻau plasma convalescent no COVID-19?

Ua hōʻike ka lāʻau lapaʻau plasma convalescent i kekahi mau pōmaikaʻi no nā maʻi COVID-19, ʻo ia hoʻi ka poʻe me nā ʻōnaehana pale nāwaliwali a i ʻole ke kiʻekiʻe o ka pilikia no nā pilikia koʻikoʻi. ʻIke ʻia ka maikaʻi loa o ka lāʻau lapaʻau i ka wā e hāʻawi ʻia ai ka lāʻau lapaʻau i ka wā mua o ka maʻi.

Ua hui pū ʻia nā hopena noiʻi, me kekahi mau haʻawina e hōʻike ana i ka hōʻemi ʻana i nā hōʻailona a me nā noho pōkole o ka haukapila, ʻoiai nā mea ʻē aʻe e hōʻike ana i nā pōmaikaʻi haʻahaʻa. ʻIke ʻia ka lāʻau lapaʻau he mea kōkua nui loa no nā maʻi immunocompromised ʻaʻole hiki ke hana pono i kā lākou mau antibodies.

Nīnau 2. Pale anei ka lāʻau lapaʻau plasma convalescent i ka maʻi?

Hoʻohana nui ʻia ka lāʻau lapaʻau plasma convalescent e mālama i nā maʻi i loaʻa ma mua o ka pale ʻana iā lākou. ʻOiai e hāʻawi paha ia i kekahi pale manawa ma o nā antibodies i hāʻawi ʻia, he pōkole kēia pale a ʻaʻole hilinaʻi no ka pale ʻana.

Inā ua hōʻike ʻia ʻoe i kahi maʻi akā ʻaʻole maʻi ʻoe, hiki i kāu kauka ke noʻonoʻo i ka plasma convalescent i nā kūlana pilikia kiʻekiʻe loa. Eia naʻe, ʻoi aku ka maikaʻi o nā hana pale ʻē aʻe e like me nā lāʻau lapaʻau no ka pale lōʻihi.

Nīnau 3. Pehea ka lōʻihi o ka lōʻihi o ka pale ʻana o ka lāʻau lapaʻau plasma convalescent?

ʻO nā antibodies mai ka lāʻau lapaʻau plasma convalescent e mau ana i loko o kāu ʻōnaehana no kekahi mau pule a i ʻole kekahi mau mahina. Eia naʻe, ʻokoʻa kēia mai kēlā kanaka i kēia kanaka ma muli o nā mea e like me ka ikaika o kāu ʻōnaehana pale a me ke olakino holoʻokoʻa.

ʻAʻole like me nā lāʻau lapaʻau, e aʻo ana i kāu ʻōnaehana pale e hana i kāna mau antibodies ponoʻī, hāʻawi ka plasma convalescent i ka pale manawa. E hoʻomaʻemaʻe mālie kou kino i kēia mau antibodies i hāʻawi ʻia i ka manawa, ʻo ia ke kumu e hana maikaʻi ai ka lāʻau lapaʻau ma ke ʻano he hana pōkole.

Nīnau 4. Hiki iaʻu ke hāʻawi i ka plasma convalescent ma hope o ka hoʻōla ʻana mai kahi maʻi?

ʻAe, inā ua ola ʻoe mai kekahi mau maʻi e like me COVID-19, hiki iā ʻoe ke hāʻawi i ka plasma convalescent e kōkua i nā maʻi ʻē aʻe. He mau koi kūikawā ko nā kikowaena hāʻawi koko e pili ana i ka manawa a me nā pae antibody.

Pono ʻoe e kali i kekahi manawa ma hope o ka ola ʻana a e hoʻokō i nā pae hoʻohālike hāʻawi koko maʻamau. E hoʻāʻo ʻia kāu plasma e hōʻoia i ka lawa ʻana o nā antibodies a palekana no ka hoʻoili ʻana i nā maʻi ʻē aʻe.

Q.5 Ua uhi ʻia ka therapy plasma convalescent e ka ʻinikua?

Ua uhi ka hapa nui o nā hoʻolālā ʻinikua, me Medicare a me Medicaid, i ka therapy plasma convalescent ke pono ia i ka lāʻau lapaʻau a ua kauoha ʻia e kāu kauka. Eia naʻe, hiki ke ʻokoʻa ka uhi ʻana ma muli o kāu hoʻolālā kikoʻī a me nā kūlana o kāu mālama ʻana.

He mea naʻauao ke nānā me kāu mea hāʻawi ʻinikua a me ka hale lapaʻau e pili ana i ka uhi ʻana a me nā kumukūʻai hiki ke loaʻa ma mua o ka loaʻa ʻana o ka therapy. Nui nā halemai i nā ʻōlelo aʻoaʻo kālā e hiki ke kōkua iā ʻoe e hoʻomaopopo i kāu mau koho uhi.