Kwizifo ezahlukahlukeneyo kwigazi zikhona izinto ezinobuthi, izinto ezivuthayo, iiseli zegciwane kunye nezinye izakhiwo zezilwanyana. Ukuzisusa, i-plasmapheresis isetyenzisiweyo - inzuzo kunye neengxaki zokusebenzisa le ndlela zihlala zixutyushwa kwiindawo zonyango. Ezinye izazinzulu zigxininisa ukungabikho kwale teknoloji, ngelixa abanye oogqirha banika iingxabano ezinamandla ukuze baphumelele.
Iindlela eziphambili zokuqhuba i-plasmapheresis kukucoca (umlenze) kunye nefuthe (incwadi, i-centrifugation).
Iintlobo kunye neqhekeza le-membrane plasmapheresis
Le ndlela yokwenza inkqubo iya kuthatha ukuhlanjululwa okuqhubekayo kwegazi kwizixhobo ezikhethekileyo - izihlunu ze-plasma. Ngentanga, efakwe kwiimvini ezi-1 okanye ezimbini zesigulane, igazi lithathwa. Iqhutywe ngefayile ezifakwe kwi-membrane ezifake iiplasma ngeesxinyi kunye nezinye iiseli zezilwanyana. Igazi legazi elihlambulukileyo lixutywe nesisombululo se-isotonic kwaye libuyela ngokukhawuleza kwigazi. I-plasma ecocekileyo iqokelelwa kwisikhwama se-polyethylene ehlukeneyo kwaye isuswa.
Izinzuzo zeembumba plasmapheresis:
- khu seleko;
- ukugcinwa komsebenzi oqhelekileyo wempilo yesimo ngexesha leeseshoni;
- isantya (inkqubo ihlala malunga neyure);
- ukungabikho kwemvakalelo engathandekiyo;
- Sebenzisa isisombululo kuphela (i-biocompatible) kunye negazi lomntu.
Akukho ziphulo ezibonakalayo kwiiplasmapheresis ezenziwe kakuhle. Kwiimeko ezinqabileyo, isigulane sinokuvalelwa kwesisu, ukunyanzeliswa kwemilenze , ubuthathaka okanye isantya. Ezi zimpawu zikhawuleza zinyamalale zodwa.
Iimveliso kunye nexhala le-plasmapheresis eneklasi kunye ne-centrifugation
Indlela yokuvuthwa kwenkqubo iquka ukuqoqwa kwegazi, ehlanjululwa ngumbandezelo kwiimbasa ze-anticoagulants (iplasmapheresis yencwadi) okanye i-centrifugation kwifriji.
Inzuzo kuphela yale teknoloji yempembelelo efana neyokwimbrane. Kwaye ukungahambi kakuhle kweplasmapheresis enamandla kuninzi:
- Inkqubo ithatha ixesha elide;
- akunakwenzeka ukucoca ngokukhawuleza umthamo omkhulu we-plasma;
- emva kweempendulo zegazi kuyimfuneko ukuzisa abafakelwayo begazi okanye izidakamizwa zabaxhasi;
- idinga iiseshoni ezininzi.
Kubalulekile ukuba uqaphele ukuba i-pros and cons cons of any plasmapresis kufuneka kuqala ixoxwe nodokotela. Le yinkqubo ebalulekileyo yezokwelapha eyenziwa phambi kwezibonakaliso ezicacileyo, kungekhona nje indlela yokucoca igazi .