Extracorporeal hemocorrection: nkọwa nke usoro, atụmatụ na reviews

Blood - a ndu ọmụmụ, nke bụ plasma na kpụrụ ọcha. Ọ bụ a connective anụ ahụ, ọbara arịa nke ọbara usoro na enyemaka nke rhythmic contractions nke obi muscle. Blood olu na-adabere na afọ na mmekọahụ. E nwere ọnụ ọgụgụ nke pathologies na-eduga mgbanwe mejupụtara nke ndu ọmụmụ. Otu nke na otutu ụzọ nke mweghachi nke n'ahụ kwa bụ extracorporeal hemocorrection.

Olee ụdị usoro?

The usoro a dabeere na a mgbagwoju nke oge a na ụzọ nke ọbara ọcha bụ na ahụ mmadụ, ma n'èzí ya. Olee ihe enyemaka na-ekwu okwu, onye ọrịa ọbara-e, ọ dị ọcha site ngafe nke enweghị nchịkwa microorganisms, cholesterol metabolic na ngwaahịa, toxins, abụkwara na-alụso ọrịa ọgụ, na mgbe ahụ, ọzọ laghachi n'ime ahu.

Extracorporeal ọbara hemocorrection-enye gị ohere ịgbanwe ndị na-esonụ parameters:

• cellular Ọdịdị;
• ruru nke electrolyte;
• ọnụ ọgụgụ nke protein owuwu;
• enzyme mejupụtara;
• dịghịzi kwa.

Extracorporeal hemocorrection rụrụ site na-akwọ ụgbọala nke ndu ọmụmụ na ya kpụrụ ọcha ma ọ bụ naanị plasma akpụkpọ ahụ site pụrụ iche contours mgbasa, na centrifuge, ụdị sorption.

History usoro na nkebi nke development

Hemocorrection extracorporeal ọbara, na price nke na-adabere na usoro eji, a malitere ke mbụ bloodletting. Tupu mgbe usoro a na-atụle site na iji na-esonụ rụzuru:

• enyemaka nke vertigo;
• mkpochapu isi ọwụwa;
• mkpochapu nsị ndị ọzọ na-egbu egbu bekee;
• mwepụ ihe nke na-efe efe mmadụ;
• mgbali Mbelata;
• enyemaka nke mgbaàmà nke fever.

The bụkwanụ n'ihi na otú a usoro nwere: dibịa belata ọbara olu, nke mere ka Mbelata mgbali Mbelata na ịta nke enweghị nchịkwa mmadụ. Ma ẹbiet na a ọnụ ọgụgụ nke kpụrụ ihe na-edozi, nke nwere a ezighị ezi mmetụta na ọrịa na-arịa, na-agbakwụnye na usoro nke ọgwụ.

The mgbalị mbụ na "launder" ọbara mkpụrụ ndụ na plasma ma na-alọta ha pụtara na mmalite nke XX narị afọ, kama ha ghọrọ ndị ihe ịga nke ọma naanị na 50-ies. Ọbara nke mbụ na cell separator, na-arụ ọrụ na kwurula mode e patented na afọ 60 na United States. Site na oge malitere n'ọrụ na-adọ nke ọhụrụ na hemocorrection.

Atụmatụ na ize ndụ nke usoro

Extracorporeal hemocorrection dabeere na ọrịa ọbara a pụrụ iche distillation ngwa, nke na-emi esịnede Micro-nzacha. Ọzọkwa, ndị nke ndu ọmụmụ nke jupụtara, nke bụ ezughi oke larịị, ma ahụ kwesịrị ha maka ịrụ ọrụ nke ọma. Connective anụ ahụ na-emegharị n'ime n'ọbara nke onye ọrịa.

Ọ bụla aghụghọ nke mmiri ahụ na-metụtara ụfọdụ ihe ize ndụ. N'ihi extracorporeal ọbara mgbazi usoro ndị dị ka ndị:

• o kwere omume ofufe nke na-efe efe (ịba ọcha n'anya, syphilis, mmadụ immunodeficiency virus);
• nfụkasị Jeremaya na oriri nke ndị mba ọzọ na-edozi ma ọ bụ kpụrụ ọcha, nke na-egosipụta akpụkpọ itching, belata ọbara mgbali, muscle mgbu, ahụ ọkụ, ọkụ ọkụ, aṅụ;
• thrombosis nke oké akwara;
• hemorrhagic syndrome - ụba na-agba ọbara nke mucous membranes na ndabere nke mgbanwe hemostasis nkeji;
• ikuku embolism emee megide a ndabere nke ikuku n'ime ụgbọala usoro, na n'ihu n'ime ọbara usoro nke onye ọrịa.

Egosi maka usoro

Extracorporeal hemocorrection, reviews nke nke na-agba akaebe arụmọrụ na irè nke usoro nwere ndị na-esonụ na-egosi dị iche iche ebe:

1. Cardiology: ịrịa ọrịa obi, ọbara mgbali, atherosclerosis.
2. Rheumatology: antiphospholipid syndrome, vasculitis, ogbu na nkwonkwo, scleroderma, periarteritis periarthritis, myositis.
3. Toxicology: mmenaanya nke ọ bụla si na ya, aṅụrụma, ịṅụ ọgwụ ọjọọ, na radionuclide radieshon ikpughe.
4. Gynecology: gestosis, Rhesus-esemokwu, urogenital-efe efe.
5. Endocrinology: ọrịa shuga, thyroid ọrịa.
6. Neurology: multiple sclerosis, myasthenia gravis, Parkinson oria.
7. Dermatology: psoriasis, eczema, atopic dermatitis.
8. Pulmonology: bronchial ụkwara ume ọkụ, oyi baa, akpa ume etuto.
9. Gastroenterology: dysbiosis, imeju daa ọrịa.
10. Urology: glomerulonephritis, ala ala gbasara akụrụ odida.

Review nke ụzọ mee

All ụzọ nke extracorporeal ọbara mgbazi nwere onwe ha e ji mara, uru na ọghọm, dị ka, n'ezie, ọ bụla ọgwụ na ahụ ike na usoro.

Limfotsitaferez - mkpachapụ, nke ndị mejupụtara wepụ cytotoxic lymphocytes n'ebe ọbara, na-ebu photopheresis na ebighị site cytokines, interleukins. Price nke ọrụ dị elu - si 28 puku rubles.

Plasmapheresis - a usoro nke extracorporeal ọbara mgbazi, na price nke dịgasị si 3 12 puku rubles. Ya peculiarity idu ke ọbara si enwe ndidi, nkewa nke kpụrụ ihe na plasma. Ekara ọcha na-laghachi na mbụ ala, na wepụrụ si plasma autoantibodies, mgbu ogbugbo, nsí na metabolic ngwaahịa.

Hemosorption bụ ọbara ọcha usoro eji sorbents. Ndị bekee banye nsí na nsị. The sorbents ike ga-eji dị ka rụọ ọrụ carbon ma ọ bụ ion mgbanwe resin. The usoro a na-eji na-esonụ na ọnọdụ:

• ọgwụ nsi (barbiturates, "elenium", "Noksiron");
• igbu egbu nsị na chemical ụlọ ọrụ;
• imeju mmerụ;
• systemic ọrịa na dermatological ọrịa na (systemic lupus erythematosus, psoriasis).

The price nke usoro - si 4 12 puku rubles.

Photopheresis - usoro dabeere na ogologo n'ebe ultraviolet ụzarị nke ọbara mmiri tupu reinfusion. The nkezi price nke ọrụ - 35 puku rubles.

Immunoadsorption bụ wepu-alụso ọrịa ọgụ ma ọ bụ abụkwara n'ebe ọbara n'oge ya Itie site immunoabsorbent. Ịta nke kpụrụ ihe na plasma kwa anọgide na-agbanweghi agbanwe. Ji gbasara akụrụ ọrịa, allergies dị iche iche si malite, autoimmune pathologies. Nke a na usoro a maara nke ọma mba ọzọ clinics na emmepe hemocorrection.

Krioaferez - extracorporeal hemocorrection, ego nke nke dịgasị iche n'ebe 6 14 puku rubles. MKpọnwụ mkpachapụ yiri plasmapheresis. Site chilled centrifuged na plasma cryoprecipitate wepụrụ, nke nwere ike ịnwe a ụfọdụ ego nke virus, immunoglobulin, bacteria, dịkwa ka usoro ha.

Cascade filtration - a usoro dabeere na Itie nke ọbara plasma site akpụkpọ ahụ nzacha. Na-ọcha nke aru ọmụmụ si bacteria, nje, lipids, fibrinogen, immunoglobulin. Dị ka a N'ihi ya, ndị ọcha plasma na-laghachi na onye nwe. The price nke usoro - ruo 55 puku rubles.

contraindications

Extracorporeal hemocorrection nwere ọtụtụ contraindications. Iji na-ebu zuru ọnụnọ nke na-agba ọbara ugbu a ma ọ bụ na akụkọ ihe mere eme nke ikpeazụ izu ole na ole, ọnụnọ nke Baịbụl hiwere isi n'ebe purulent ọrịa ke idem, adịghị anabata ndị mmiri na-eji n'oge na usoro.

Ikwu contraindications:

• decompensated ọrịa obi na ọrịa ọbara arịa;
• ala ọbara mgbali;
• agafeghị oke na oké anaemia;
• hypoproteinemia;
• nnukwu mbufụt nke venous usoro;
• mmanya igbu egbu;
• na-efe efe na nnukwu ogbo;
• ọrịa uche;
• nsọ;
• n'oge gestation.

ndidi nkwadebe

The amanyere bụ iwu parameters na-ekpebisi ike site na nkịtị na-adakarị ule, ọbara clotting, ọnụnọ nke na-efe efe (HIV, syphilis, ịba ọcha n'anya B).

Ndidi mara na ihe ịrịba ama nkwekọrịta na-ebu usoro. Ọzọ ọzụzụ pụrụ iche na ọrịa ahụ na-adịghị mkpa. Ọ bụrụ na ọ dị mkpa, na-akpọkwa ndị laabu ihe n'ihi na-achọpụta ọrịa nzube tupu mkpachapụ of mkpa ịhapụ ụtụtụ nri.

Development nke usoro

Extracorporeal ọbara mgbazi center - ọgwụ na-achọpụta ọrịa alụmdi, nke ndị ọkachamara na-eme abụghị naanị ọbara ọcha usoro na ya mmiri ma na-na-esonụ na-eme:

• eduzi laabu na instrumental nchọpụta nsogbu ọrịa;
• eji dị iche iche usoro ọgwụgwọ, gụnyere T-cell ịgba ọgwụ mgbochi ọrịa;
• nwere a ụbọchị na ụlọ ọgwụ;
• Jikọrọ na mmepe nke mbara usoro ọgwụgwọ na.

Ọ bụ na ndị dị otú ahụ pụrụ iche na oru na ọbara ọcha usoro. Ndidi agịga na-etinyere n'ime a akwara. N'oge mkpachapụ onye ọrịa nwere ike na-ekiri TV, na-ege ntị na redio, na-agụ akwụkwọ ma ọ bụ na magazin, ekwu okwu na ekwentị. Ọ na-emepụta ihe ikuku nke obi iru ala na ntụrụndụ.

Mgbe mkpachapụ nke teepu aka-ya, nke mere na mgbapu saịtị bụghị a hematoma, onye ọrịa na-anọgide n'okpuru chọpụtara maka 1-2 awa. Mgbe ahụ, ọ nwere ike na-ahapụ ụlọ ọgwụ. Na oge nke usoro na achọrọ nọmba kpebisiri ike site ịga ọkachamara nlekota laabu ụkpụrụ karịrị oge.

Nyocha

Dị ka reviews, a usoro bụ nnọọ ike, ma pụta bụ uru na ya. Daha nkwonkwo mgbu nke ogbu na nkwonkwo. Kọrọ ezi ihe na ndị na-mkpali bowel ọrịa.

ọgwụgwụ

Ụzọ nke ọbara ọcha iji ọgbara ọhụrụ technology, ma n'ihi na elu na-eri nke ụfọdụ n'ime ha na-adịghị eji ofụri usoro. Ná mba ná mba ọzọ hemocorrection bụ ihe nkịtị na a maara nke ọma mkpachapụ na-enye ohere weghachi ahụ ike ma na-enwe a akwa n'ogo nke ịrụ ọrụ.