Yini Indlela Ye-Plasma Intravenous: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

Indlela ye-plasma intravenous ibhekisela ekulethweni okuqondile kwe-plasma yegazi noma imikhiqizo ye-plasma ngqo emgudwini wakho wegazi ngomthambo. Lokhu kwelashwa kwezokwelapha kunikeza amaprotheni abalulekile, izici zokujiya kwegazi, nama-antibody okungenzeka ukuthi umzimba wakho awunawo ngenxa yokugula, ukulimala, noma izimo ezithile zezokwelapha.

Abahlinzeki bezempilo basebenzisa le ndlela lapho umzimba wakho udinga ukufinyelela ngokushesha ezingxenyeni ze-plasma ezingeke zithathelwe indawo ngokushesha ngezindlela zomzimba ezijwayelekile. Ukwelashwa kuhilela imikhiqizo ye-plasma elungiswe ngokucophelela ehlolwe ngokuqinisekisa ukuphepha futhi ehambisana nezidingo zakho ezithile zezokwelapha.

Yini Indlela Ye-Plasma Intravenous?

Indlela ye-plasma intravenous iyinqubo yezokwelapha lapho imikhiqizo ye-plasma inikezwa ngqo emgudwini wakho wegazi ngomugqa we-IV. I-Plasma yingxenye ewuketshezi yegazi ethwala amaprotheni, izakhamzimba, ama-hormone, nezinye izinto ezibalulekile emzimbeni wakho wonke.

Uma wamukela i-plasma nge-intravenously, uthola amanani agxilile ezingxenyeni ezibalulekile zegazi njenge-albumin, ama-immunoglobulin, nezici zokujiya kwegazi. Lezi zinto zisiza ukugcina ivolumu efanele yegazi, ukulwa nezifo, nokuqinisekisa ukuthi igazi lakho liyajiya ngokujwayelekile uma kudingeka.

I-plasma esetshenziswa kulokhu kwelashwa ivela kubanikeli abahlolwe ngokucophelela futhi ithatha ukuhlolwa okuningi nokucutshungulwa ukuqinisekisa ukuphepha. Imikhiqizo ye-plasma yesimanje ihlanzwe kakhulu futhi iphathwa ukuqeda amagciwane angaba khona noma ezinye izinto eziyingozi.

Yini Indlela Ye-Plasma Intravenous Esetshenziselwa Yona?

Ukwelashwa nge-Plasma intravenous kwelapha izimo ezihlukahlukene zezokwelapha ezinzima lapho umzimba wakho ungenazo izingxenye ezibalulekile zegazi. Udokotela wakho angase ancome lokhu kwelashwa uma amasosha akho omzimba ekhubazekile, igazi lakho alijiyi kahle, noma ulahlekelwe ivolumu enkulu yegazi.

Ake sibheke izimo eziyinhloko ezingase zidinge ukwelashwa nge-plasma, siqale ngezimo ezivamile:

• Izifo ezinzima zokuphuma kwegazi njenge-hemophilia lapho izici zokuqina kwegazi zingekho
• Izifo zokuntuleka komzimba lapho umzimba wakho ungenakukhiqiza ama-antibody anele
• Isifo sesibindi esithinta ukukhiqizwa kwamaprotheni
• Ukusha okumboza izindawo ezinkulu zomzimba wakho
• Ukushaqeka ngenxa yokulahlekelwa igazi noma ukushoda kwamanzi emzimbeni okukhulu

Ukusebenzisa okungavamile kodwa okubaluleke ngokulinganayo kufaka phakathi ukwelapha izimo ezithile ze-autoimmune, izifo ezingavamile zofuzo ezithinta amaprotheni egazi, kanye nezinkinga ezivela ezinqubweni zokushintshanisa i-plasma. Ithimba lakho lezempilo lizinqumela ukuthi ngabe ukwelashwa nge-plasma kulungile yini esimweni sakho esithile.

Izimo Ezingavamile Ezidinga Ukwelashwa Nge-Plasma

Ezinye izimo zezokwelapha ezingavamile zingase zidinge ukwelashwa nge-plasma intravenous. Lezi zimo azivamile ukubonwa kodwa zingaba yingozi ekuphileni ngaphandle kokungenelela okufanele.

Izimo ezingavamile zifaka phakathi i-thrombotic thrombocytopenic purpura (TTP), lapho amahlule egazi akheka emithanjeni emincane emzimbeni wakho wonke, nezinhlobo ezithile zobuthi lapho ukushintshaniswa kwe-plasma kusiza ukususa ubuthi. Izimo ezinzima ze-Guillain-Barré syndrome, isifo esingavamile semizwa, singase futhi sizuze ekwelashweni nge-plasma.

Isebenza Kanjani Indlela Ye-Plasma Intravenous?

Ukwelashwa nge-plasma kusebenza ngokuhlinzeka ngokuqondile umfula wakho wegazi ngamaprotheni athile nezingxenye ezidingwa umzimba wakho. Cabanga ngakho njengokuhlinzeka igazi lakho ngezakhi ezibalulekile ezingakwazi ukuzikhiqiza ngokwalo njengamanje.

Lapho i-plasma ingena emfuleni wakho wegazi, lezi zingxenye ziqala ukusebenza ngokushesha. Izici zokuqina kwegazi zisiza igazi lakho ukuthi lakhe amahlule ukuze kumiswe ukuphuma kwegazi, ngenkathi ama-antibody enyusa ikhono lomzimba wakho lokulwa nezifo. I-Albumin isiza ukugcina ibhalansi efanele yamanzi emithanjeni yakho yegazi.

Lokhu kubhekwa njengokungenelela kwezokwelapha okuqinile ngoba kuthinta ngokuqondile ukwakheka kwegazi lakho nokujikeleza kwegazi. Imiphumela ingaba ngokushesha, ngokuvamile iqala kungakapheli amahora ngemuva kokuphathwa, okwenza kube yigugu ekwelapheni izimo eziphuthumayo zezokwelapha.

Ngingayithola Kanjani I-Plasma Ngomgudu Womthambo?

Ukwelashwa nge-plasma ngomthambo ngaso sonke isikhathi kuphathwa ochwepheshe bezempilo abaqeqeshiwe esibhedlela noma endaweni yezokwelapha. Uzothola lokhu kwelashwa ngomugqa we-IV, ngokuvamile obekwe emthanjeni engalweni yakho noma esandleni sakho.

Ngaphambi kokuthi ukwelashwa kuqale, ithimba lakho lezokwelapha lizohlola izimpawu zakho ezibalulekile futhi lingakunika imithi yokuvimbela ukusabela komzimba. I-plasma inikezwa kancane kancane emahoreni ambalwa, ivumela umzimba wakho ukuthi ujwayele kancane kancane izingxenye ezintsha zegazi.

Akudingeki ukuthi uzile ukudla ngaphambi kokwelashwa nge-plasma, kodwa udokotela wakho angase ancome ukuthi udle ukudla okulula ngaphambi kwesikhathi ukusiza ukuvimbela isicanucanu. Ngesikhathi sokwelashwa, uzoqashwa eduze nganoma yiziphi izimpawu zokuphendula noma ukungakhululeki.

Ukufakwa ngomthambo ngokuvamile kuthatha amahora angu-2-4, kuye ngokuthi ingakanani i-plasma oyidingayo nokuthi umzimba wakho ukubekezelela kangakanani ukwelashwa. Uzoqhubeka ngaphansi kokuqashwa kwezokwelapha kuyo yonke inqubo.

Kufanele Ngiyithole Isikhathi Esingakanani I-Plasma Ngomgudu Womthambo?

Ubude bokwelashwa nge-plasma buqondene ngokuphelele nesimo sakho sezokwelapha esithile nokuthi umzimba wakho usabela kanjani ekwelashweni. Abanye abantu badinga ukwelashwa okukodwa kuphela, kanti abanye bangase badinge izikhathi eziningi emasontweni noma ezinyangeni.

Ezimweni eziphuthumayo njengokopha okukhulu, ungase udinge ukwelashwa nge-plasma izinsuku ezimbalwa nje kuze kube yilapho umzimba wakho uzinzile. Izimo ezingamahlalakhona njengokuntuleka kokuzivikela komzimba zingase zidinge ukwelashwa njalo njalo emavikini ambalwa ukuze kugcinwe amazinga afanele ama-antibody okuvikela.

Iqembu lakho lezempilo lizobheka ukuhlolwa kwegazi lakho nezimpawu ukuze linqume ukuthi uthole nini ukwelashwa okwanele. Bazolungisa imvamisa nobude ngokuya ngokuthi umzimba wakho usabela kahle kangakanani nokuthi ngabe isimo sakho esingaphansi siyathuthuka yini.

Yiziphi Imiphumela Eceleni Yomgwaqo We-Plasma Intravenous?

Abantu abaningi bayakubekezelela kahle ukwelashwa nge-plasma, kodwa njenganoma yikuphi ukwelashwa kwezokwelapha, kungadala imiphumela emibi. Izindaba ezinhle ukuthi ukusabela okungathi sína akuvamile, futhi ithimba lakho lezokwelapha liyazi ukuthi lingawaphatha kanjani noma yiziphi izinkinga ezingase zivele.

Imiphumela ejwayelekile emibi ivame ukuba mnene futhi yesikhashana, ivame ukufana nezimpawu ezinjenge-flu ezixazululwa ngosuku olulodwa noma ezimbili:

• Umkhuhlane omncane noma amaqhafuza ngesikhathi noma ngemva kokwelashwa
• Ikhanda elibuhlungu noma ukuzizwa ukhathele
• Isicanucanu noma isisu esibuhlungu
• Ukulimala kwemisipha noma ukungakhululeki kwamalunga
• Ukuqubuka kwesikhumba okuncane noma ukuluma

Lezi zindlela zokuphendula zenzeka ngoba amasosha akho omzimba aphendula amaprotheni amasha ku-plasma. Ithimba lakho lezempilo lingavame ukuvimbela noma ukunciphisa le miphumela ngemithi yangaphambi kokwelashwa.

Imiphumela Emibi Engathi Sína

Ngenkathi kungavamile, ukusabela okungathi sína kungenzeka futhi kudinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu kwenzeka ngaphansi kuka-1% weziguli kodwa kubalulekile ukuqaphela.

Imiphumela emibi engathi sína ihlanganisa ukusabela okukhulu komzimba okunzima ngokuphefumula okunzima, izinguquko ezinkulu zomfutho wegazi, noma izimpawu zokulayishwa kwamanzi ngokweqile njengokuphefumula ngokushesha noma ukuvuvukala. Ngokungavamile kakhulu, iziguli zingase zithuthukise izinkinga zezinso noma zibe nokusabela okukhulu kwamaphaphu.

Ithimba lakho lezokwelapha likubheka eduze ngesikhathi sokwelashwa ngokuqondile ukuze libambe futhi liphathe noma yikuphi ukusabela okungathi sína ngokushesha. Ingozi yalezi zinkinga yingakho ukwelashwa nge-plasma kunikezwa kuphela ezikhungweni zezokwelapha ezinamakhono eziphuthumayo.

Ubani Ongafanele Athole Umgwaqo We-Plasma Intravenous?

Izimo ezithile zezokwelapha noma izimo zingenza ukwelashwa nge-plasma kungaphephile noma kungasebenzi kahle kwabanye abantu. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuncoma lokhu kwelashwa.

Abantu abanenhliziyo ebuthaka kakhulu kungenzeka bangabi ngabantu abafanelekayo ngoba uketshezi olwengeziwe oluvela ku-plasma lungayiqeda inhliziyo esivele ibuthakathaka. Labo abanomlando wokungezwani komzimba okukhulu emikhiqizweni yegazi badinga izinyathelo zokuphepha ezikhethekile noma ezinye izindlela zokwelapha.

Abantu abanenkolelo ethile yenkolo noma yomuntu siqu mayelana nemikhiqizo yegazi bangase bakhethe ukwenqaba ukwelashwa nge-plasma. Ithimba lakho lezempilo lizosebenza nawe ukuthola ezinye izindlela zokwelapha ezihambisana nezindinganiso zakho ngenkathi zisaqeda izidingo zakho zezokwelapha.

Ukuba nokungezwani komzimba okuningi, isifo sezinso, noma izimo ezithile ze-autoimmune akudingeki ukuthi kukuvimbele ekutholeni ukwelashwa nge-plasma, kodwa kungase kudingeke ukuqapha okwengeziwe nokulungiselela okukhethekile.

Amagama Omkhiqizo We-Plasma

Izinkampani ezihlukahlukene zemithi zikhiqiza imikhiqizo ye-plasma ngaphansi kwamagama ahlukene omkhiqizo. Le mikhiqizo yenzelwe ngokuqondile izimo ezihlukene zezokwelapha futhi iqukethe ukugxila okuhlukahlukene kwezinto ze-plasma.

Amabhrendi ajwayelekile afaka i-Gammaplex ne-Gammagard yokwelashwa kokuntuleka kokuzivikela komzimba, i-NovoSeven yezinkinga zokopha, ne-Albuminar yezimo eziphansi zamaprotheni egazi. Umkhiqizo ngamunye wakhiwe ukubhekana nezidingo ezithile zezokwelapha ngokugxila okuqondile kwezinto ezisebenzayo.

Udokotela wakho uzokhetha umkhiqizo ofanele kakhulu ngokuya ngesimo sakho esithile, umlando wezokwelapha, kanye nemigomo yokwelashwa. Yonke imikhiqizo ye-plasma evunyelwe ihlangabezana nezindinganiso eziqinile zokuphepha nekhwalithi, kungakhathaliseki igama lomkhiqizo.

Ezinye Izindlela Zokwelashwa Nge-Plasma

Ezinye izindlela zokwelapha zingase zitholakale ngokuya ngesimo sakho esithile. Udokotela wakho uzocabangela lezi zinketho uma ukwelashwa nge-plasma kungafaneleki esimweni sakho noma uma ukhetha indlela ehlukile.

Ezimweni zokuntuleka kokuzivikela komzimba, ukwelashwa nge-subcutaneous immunoglobulin kukuvumela ukuthi wamukele ama-antibody ngemijovo ngaphansi kwesikhumba kunokuba nge-IV. Lokhu kuvame ukwenziwa ekhaya ngemva kokuqeqeshwa okufanele.

Izinto zokuhlanganisa ezenziwe ngamanye ziyatholakala ezinye izifo zokuphuma igazi, okususa isidingo semikhiqizo etholakala nge-plasma. Eminye imithi ingashukumisa umzimba wakho ukuthi ukhiqize izinto eziningi zokuhlanganisa noma izingxenye zokuzivikela komzimba.

Kwezinye izimo, izinguquko zokuphila, izinguquko zokudla, noma eminye imithi ingasiza ekuphatheni isimo sakho ngaphandle kokudinga ukwelashwa nge-plasma. Ithimba lakho lezempilo lizohlola zonke izinketho ezifanele nawe.

Ingabe i-Plasma Intravenous Route Ingcono Kunezinye Imikhiqizo Yegazi?

Ukwelashwa nge-plasma kunikeza izinzuzo eziyingqayizivele ngaphezu kweminye imikhiqizo yegazi ngoba inikeza izingxenye eziningi ezinenzuzo ekwelashweni okukodwa. Ngokungafani namaseli abomvu egazi agcwele noma ama-platelet, i-plasma iqukethe ingxube eyinkimbinkimbi yamaprotheni nezinto ezisebenza ndawonye.

Uma kuqhathaniswa ne-concentrates yezinto zokuhlanganisa ngazinye, i-plasma inikeza uhla olubanzi lwezingxenye zokuhlanganisa, ezingaba usizo ezifweni eziyinkimbinkimbi zokuphuma igazi. Kodwa-ke, izinto ezigxilisiwe zingase zifaneleke kakhulu ekuntulekeni okuthile.

Ukukhetha phakathi kwe-plasma neminye imikhiqizo yegazi kuncike ezidingweni zakho ezithile zezokwelapha, ukushesha kwesimo sakho, kanye nezici zakho eziyingqayizivele zengozi. Ithimba lakho lezempilo lizokhetha inketho efanele kakhulu ngokusekelwe ebufakazini bezokwelapha bamanje kanye nesimo sakho esithile.

Imibuzo Evame Ukubuzwa Mayelana ne-Plasma Intravenous Route

Ingabe i-Plasma Intravenous Route iphephile kubantu abanezifo zenhliziyo?

Ukwelashwa nge-plasma kunganikezwa ngokuphepha kubantu abanezifo zenhliziyo, kodwa kudinga ukuqapha okwengeziwe nokuqapha. Umthamo owengeziwe wamanzi ovela ku-plasma ungase ukwazi ukucindezela inhliziyo ebuthakathaka, ngakho-ke ithimba lakho lezokwelapha lizolungisa izinga lokufakwa futhi likuqaphe eduze.

Udaktela wakho wenhliziyo kanye nethimba lokwelapha bazosebenzisana ukuze banqume indlela ephephe kakhulu yesimo senhliziyo yakho esithile. Lokhu kungabandakanya ukunikeza i-plasma kancane, ukusebenzisa ama-diuretics ukusiza ukususa uketshezi oluningi, noma ukukhetha imikhiqizo ye-plasma enamanani amancane oketshezi.

Kufanele ngenzeni uma ngithola imiphumela emibi ngesikhathi sokwelashwa?

Tshela ithimba lakho lezempilo ngokushesha uma uthola noma yiziphi izimpawu ezingakhululekile ngesikhathi sokwelashwa nge-plasma. Ngisho nokusabela okuncane njengekhanda, isicanucanu, noma ukuzwa ufudumele kufanele kubikwe ukuze kungathathwa izinyathelo ngokushesha.

Ithimba lakho lezokwelapha liqeqeshwe ukubona nokwelapha ukusabela kwe-plasma therapy ngokushesha. Bangakwazi ukunciphisa izinga lokufakwa, bakunikeze imithi yokunciphisa izimpawu, noma bayeke ukwelashwa okwesikhashana uma kunesidingo. Ukusabela okuningi kungalawulwa ngempumelelo ngaphandle kokuyeka ukwelashwa ngokuphelele.

Kufanele ngenzeni uma ngiphuthelwa ukwelashwa kwe-plasma okuhleliwe?

Xhumana nomhlinzeki wakho wezempilo ngokushesha ngangokunokwenzeka uma uphuthelwa ukwelashwa kwe-plasma okuhleliwe. Ngokuya ngesimo sakho, ukuphuthelwa umthamo kungase kuthinte impilo yakho, ngakho ithimba lakho lezokwelapha lidinga ukuhlola isimo sakho futhi lihlele kabusha ngendlela efanele.

Ezimweni ezithile, ukwelashwa okubambezelekile kungase kungabangeli izinkinga ngokushesha, kanti ezinye zingase zidinge ukuqapha okuseduze noma ukwelashwa okwesikhashana kuze kube yilapho ungathola ukumnika kwakho okulandelayo kwe-plasma.

Ngingayeka nini ukuthola i-plasma therapy?

Udokotela wakho uzonquma ukuthi kuphephile nini ukuyeka i-plasma therapy ngokusekelwe emiphumeleni yakho yokuhlolwa kwegazi, ukuthuthuka kwezimpawu, kanye nesimo esingaphansi eselashwayo. Ungalokothi uyeke ukwelashwa wedwa ngaphandle kwesiqondiso sezokwelapha.

Ezimweni ezinzima, ungangayeka uma umzimba wakho usululame futhi ukwazi ukukhiqiza amanani afanele ezingxenye ezidingekayo. Izimo ezingapheli zingase zidinge ukwelashwa okuqhubekayo, kodwa imvamisa ingancishiswa njengoba isimo sakho sizinzile.

Ngingashayela ngemva kokuthola i-plasma therapy?

Abantu abaningi bangashayela ngemva kokwelashwa nge-plasma, kodwa kufanele ulinde kuze kube yilapho imiphumela esheshayo isixazululiwe. Uma uzwa ukukhathala, isiyezi, noma ezinye izimpawu ezingase zithinte ikhono lakho lokushayela, lungiselela omunye umuntu ukuthi akuqhubele ekhaya.

Ithimba lakho lezempilo lizohlola ukuthi uzizwa kanjani ngemva kokwelashwa futhi likweluleke ngokushayela neminye imisebenzi. Kungcono ngaso sonke isikhathi ukwenza ngokucophelela, ikakhulukazi ngemva kokwelashwa kwakho kokuqala lapho usafunda ukuthi umzimba wakho usabela kanjani.