Kodi munthu wodwala matenda ashuga akhoza kukhala wopereka ndalama za matenda ashuga 2?

Nkhani yopereka ndalama ndi yovuta kwambiri. Koma ndizotheka kukhala wopereka shuga - funso lomwe limafunikira yankho mwatsatanetsatane. Nthawi zambiri zoletsa pazopereka magazi zimakhala zazikulu kwambiri. Kupatula apo, wodwala amene amafunikira kumuika magazi amakhala atafooka kale ndipo amafunika wopereka wathanzi, wogwirizana, chifukwa njira yochira pambuyo pakuikidwa magazi ndi yayitali.

ZOFUNIKA KUDZIWA! Ngakhale odwala matenda ashuga kwambiri amatha kuchiritsidwa kunyumba, popanda opaleshoni kapena zipatala. Ingowerenga zomwe Marina Vladimirovna akunena. werengani zonena zake.

Kodi ndingathe kupereka magazi?

Matenda a shuga ndi matenda omwe amayamba chifukwa cha zovuta za metabolic. Mukamayesedwa magazi - zotsatira zake zimakhala zoipa kale. Chifukwa chake, zinthuzo sizoyenera kuzilandira. Zizindikiro zosokoneza, zomwe ndi kuchuluka kwa shuga, zimatha kuyambitsa zochitika zosayembekezereka. Komanso, zopereka za anthu odwala matenda ashuga amatha kulekerera bwino, ndipo zotsatira zosayembekezereka ndizotheka. Kupatula apo, njirayi palokha ndi yayitali ndipo imafunikira mphamvu zambiri kuti ichiritse, ndipo wodwala matenda ashuga kale ali ndi chitetezo chofooka m'thupi. Kupereka ndalama kumawononga kwambiri odwala matenda ashuga komanso thanzi lawo kuposa momwe angathandizire.

Shuga amachepetsedwa nthawi yomweyo! Matenda a shuga m'kupita kwa nthawi angayambitse matenda ambiri, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zinzake zowawa kuti azisintha shuga. werengani.

Contraindication

Kupereka magazi ndi matenda ashuga kumatsutsana, ndipo izi zikuwonetsedwa m'malangizo musanapereke ku malo othandizira magazi. Zotsutsa zina:

• Odwala omwe amadalira insulin omwe ali ndi matenda a shuga 1, makamaka okhala ndi shuga komanso magazi ambiri. Kwa odwala oterowo, kuyambiranso / kuikidwa magazi ndikosayenera, chifukwa njira zake zimatha kuyambitsa mavuto ena m'thupi la wodwalayo.
• Type 2 shuga. Kwa iwo omwe samamwa insulin, zopereka zimatheka pazovuta kwambiri. Othandizira amatha kukhala anthu omwe ali ndi zaka zopitilira 30, omwe alibe zotsutsana ndi zovuta zamkati ndi machitidwe.

Kodi ndingakhale wopereka plasma chifukwa cha matenda ashuga?

Mankhwala amakono, njira yothira plasma yagwiritsidwa ntchito kwambiri. Izi ndizofunikira povulala kapena pakuchita opareshoni. Kupadera kwazinthu zachilengedwe kumagona kuti sikugawika m'magulu, chifukwa gulu lalikulu la anthu limatha kukhala opereka magazi. Plasma ndiye gawo lamadzi ndipo amapanga 60% ya kapangidwe kake. Nthawi zambiri imatha kuwoneka pomwe bala "lawera". Kapangidwe ka mankhwala a plasma mothandizidwa ndi matenda a shuga sikusintha. Kuphatikiza apo, ndizinthu izi, kusintha kwa thupi kumathamanga. Zotsatira zake, zopereka za plasma za anthu odwala matenda ashuga ndizotheka.

Kodi mpanda uli bwanji?

Plasma ndi madzi oyera, achikasu, omwe amapangidwa ndi madzi pafupifupi. 10% yokha yomwe imakhala ndi mapuloteni, mchere wa sodium ndi calcium, potaziyamu ndi phosphoric acid. Plasma ndiye gawo lalikulu pakapangidwe ka magazi. Imagwira ntchito yotumiza maselo ndipo imagwiritsidwa ntchito posamutsa mwachindunji kapena popanga cryoprecipitate. Njira yoperekera / kuthira magazi imatchedwa plasmapheresis. Dongosolo lokha limachitika mothandizidwa ndi zida zomwe zimagwiritsidwa ntchito kamodzi. Magazi amalowa mu zotayira. Kusefedwa kumachitika kumeneko, pomwe magazi amabwezeredwa kwa woperekayo, ndipo madzi am'madzi amapita kwa olandila (400 ml). Ndondomeko kumatenga mphindi 40. Alumali moyo mu chidebe chapadera sizidutsa maola 24.

Kodi zikuwonekabe zosatheka kuchiritsa matenda ashuga?

Poona kuti mukuwerenga izi tsopano, kupambana polimbana ndi shuga wambiri sikuli kumbali yanu.

Ndipo mudaganizapo kale za chithandizo kuchipatala? Ndizomveka, chifukwa shuga ndi matenda oopsa, omwe, ngati sanapatsidwe, amatha kufa. Udzu wokhazikika, kukodza mwachangu, masomphenya osalala. Zizindikiro zonsezi mumazidziwa nokha.

Koma kodi ndizotheka kuchitira zomwe zimayambitsa m'malo mothandizira? Timalimbikitsa kuwerenga nkhani yokhudza matenda aposachedwa a shuga. Werengani nkhani >>

Kodi wodwala matenda ashuga angakhale wopereka magazi

Matenda a shuga samawonetsedwa ngati cholepheretsa pakupereka magazi, komabe, ndikofunikira kumvetsetsa kuti kudwala kwamtunduwu kumasintha kuchuluka kwa magazi a wodwalayo. Anthu onse omwe akudwala matenda ashuga amawonjezera kuchuluka kwa shuga m'magazi, kotero kutsegula kwambiri ndi wodwala kungamupangitse kudwala kwambiri kwa hyperglycemia.

Kuphatikiza apo, odwala matenda a shuga a mitundu yonse 1 ndi mtundu 2 amapanga insulin kukonzekera, komwe nthawi zambiri kumabweretsa insulin yambiri m'magazi. Ngati ilowa m'thupi la munthu yemwe samadwala matenda a carbohydrate metabolism, kuphatikizira insulin kotereku kumatha kudzetsa hypoglycemic, womwe ndi vuto lalikulu.

Koma zonsezi pamwambapa sizitanthauza kuti munthu wodwala matenda ashuga sangakhale wopereka, chifukwa simungathe kungopereka magazi, komanso plasma. Kwa matenda ambiri, kuvulala ndi maopaleshoni, wodwala amafunikira kuikidwa magazi, osati magazi.

Kuphatikiza apo, madzi a m'magazi ndi njira yachilengedwe chonse, popeza ilibe gulu la magazi kapena chinthu cha Rhesus, zomwe zikutanthauza kuti zingagwiritsidwe ntchito kupulumutsa odwala ambiri.

Ma plorma a Donor amatengedwa pogwiritsa ntchito njira ya plasmapheresis, yomwe imachitidwa m'magazi onse aku Russia.

Kodi plasmapheresis ndi chiyani

Plasmapheresis ndi njira yomwe plasma yokha imachotsedwera mwaopereka, ndipo maselo onse amagazi monga maselo oyera am'magazi, maselo ofiira am'magazi ndi mapulateleti amabwezedwa.

Kuyeretsa magazi kumalola madotolo kuti apange chinthu chamtengo wapatali kwambiri, chokhala ndi mapuloteni ofunikira, monga:

Kupanga koteroko kumapangitsa madzi a m'magazi kukhala chinthu chapadera kwambiri chomwe sichili ndi fanizo.

Ndipo kuyeretsedwa kwa magazi komwe kumachitika munthawi ya plasmapheresis kumapangitsa kuti zitheke kutenga nawo gawo pazoperekazo ngakhale kwa anthu omwe ali ndi thanzi loperewera, mwachitsanzo, ndi matenda a shuga 2.

Panthawi imeneyi, 600 ml ya plasma amachotsedwa kwa woperekayo. Kutumiza voliyumu yotere ndikotetezedwa kwa woperekayo, komwe kwatsimikiziridwa mu maphunziro angapo azachipatala. Kwa maola 24 otsatira, thupi limabwezeretsanso kuchuluka kwa madzi a m'magazi.

Plasmapheresis si zovulaza thupi, koma m'malo mwake zimamupindulitsa. Panthawi imeneyi, magazi a munthu amatsukidwa, ndipo kamvekedwe ka thupi kamayamba kukula kwambiri. Izi ndizofunikira kwambiri kwa odwala omwe ali ndi matenda a shuga a fomu yachiwiri, chifukwa ndi matendawa, chifukwa cha kusokonezeka kwa metabolic, poizoni wambiri umadziunjikira m'magazi a munthu, poyizoni thupi lake.

Madokotala ambiri akutsimikiza kuti plasmapheresis amalimbikitsa kukonzanso thupi komanso kuchiritsa, chifukwa chomwe woperekayo amakhala wolimbikira komanso wamphamvu.

Mchitidwewu pawokha ulibe kupweteka kwathunthu ndipo suchititsa munthu kusokonezeka.

Momwe mungaperekere plasma

Choyambirira chomwe chikufunika kuchitidwa kwa munthu amene akufuna kupereka madzi a m'magazi ndikupeza dipatimenti yoyang'anira magazi mumzinda wake.

Mukayendera bungweli, nthawi zonse muyenera kukhala ndi pasipoti yokhala ndi chilolezo chokhazikika kapena chakanthawi mumzinda wokhala, womwe umayenera kupelekedwa ku regista.

Wogwira ntchito pakati amayesetsa kutsimikizira za pasipoti ndi chidziwitso, kenako ndikupereka funso kwa wopereka mtsogolo, momwe kuli kofunikira kuwonetsa izi:

• Pafupifupi matenda onse opatsirana
• Za kukhalapo kwa matenda osachiritsika,
• Pokhudzana ndi anthu aposachedwa ndi anthu omwe ali ndi matenda oyambitsidwa ndi bakiteriya,
• Pogwiritsa ntchito mankhwala aliwonse osokoneza bongo kapena a psychotropic,
• Za ntchito yopanga zoopsa,
• Pafupifupi katemera kapena ntchito zonse zidatumizidwa kwa miyezi 12.

Ngati munthu ali ndi matenda amtundu wa 2 kapena mtundu wa 2, ndiye kuti izi zikuwonekera mufayilo. Palibe nzeru kubisa matenda ngati amenewa, chifukwa aliyense amene wapereka magazi amaphunzira mokwanira.

Monga taonera pamwambapa, kupereka magazi a matenda a shuga sikungathandize, koma matendawo sakhala chopinga popereka plasma. Pambuyo podzaza funsoli, wopereka mphatsoyo atumizidwa kukayezetsa bwino, komwe kumaphatikizapo kuyezetsa magazi komanso kuthandizidwa ndi katswiri wamkulu.

Mukamayesedwa, dokotala amatenga zotsatirazi:

1. Kutentha kwa thupi
2. Kupsinjika kwa magazi
3. Kufika pamtima

Kuphatikiza apo, wothandizirayo adzafunsanso woperekawo zaumoyo wake komanso za madandaulo ake. Zonse zokhudzana ndi thanzi la woperekayo ndi zachinsinsi ndipo sizingagawidwe. Itha kuperekedwa kwa woperekayo yekha, chifukwa adzafunika kupita ku Dokotala Center masiku angapo pambuyo paulendo woyamba.

Chisankho chomaliza pakuvomera kuti munthu apereke plasma chimachitika ndi munthu amene amamuuza kuti azichita. Ngati akukayikira kuti woperekayo atha kugwiritsa ntchito mankhwala osokoneza bongo, kumwa mowa mwauchidakwa kapena kukhala ndi moyo wopanda tanthauzo, ndiye kuti akutsimikiziridwa kuti sangakanidwe ndi plasma.

Kutenga kwa plasma m'malo am magazi kumachitika m'malo omwe angakhale omasuka kwa woperekayo. Amayikidwa pampando wopereka wapadera, singano imayikidwa mu mtsempha ndikualumikizidwa ndi chipangizocho. Mwa njirayi, magazi opereka magazi amalowa mkati mwa ziwiya, pomwe madzi a m'magazi amakhala olekanitsidwa ndi zinthu zomwe zimapangidwa, zomwe zimabweza m'thupi.

Njira yonseyi imatenga pafupifupi mphindi 40. M'kati mwake, zida zokhazokha zosagwiritsidwa ntchito, zomwe zimagwiritsa ntchito, zomwe zimathetseratu ngozi ya woperekayo kuyambitsidwa ndi matenda ena opatsirana.

Pambuyo pa plasmapheresis, woperekayo ayenera:

• Kwa mphindi 60 zoyambirira, pewani kusuta,
• Pewani kuchita masewera olimbitsa thupi kwa maola 24 (zambiri zokhudza kuchuluka kwa matenda ashuga),
• Osamamwa zakumwa zoledzeretsa tsiku loyamba,
• Imwani madzi ambiri monga tiyi ndi mchere wamadzi
• Osayendetsa mwachangu mutayika plasma.

Mwathunthu, mkati mwa chaka chimodzi munthu akhoza kupereka mpaka malita 12 a madzi a m'magazi popanda kuvulaza thupi lake. Koma kukwera koteroko sikofunikira. Kuyika ngakhale malita 2 a plasma pachaka mwina kungathandize kupulumutsa moyo wa munthu. Tilankhula za zabwino kapena zoopsa za zopereka zomwe zili mu vidiyoyi.

Kodi munthu wodwala matenda ashuga akhoza kukhala wopereka ndalama za matenda ashuga 2?

Mzanga wabwino ali ndi mavuto akulu. Afunika kuthiridwa magazi. Ndikufuna kukhala wopereka, koma vuto limodzi limandiletsa - ndili ndi matenda ashuga. Kodi ndingakhale wopereka ndalama za matenda ashuga 2?

Matenda a shuga samayesedwa ngati cholepheretsa magazi. Komabe, pali mfundo imodzi yofunika: matenda a shuga amasintha kapangidwe ka magazi. Anthu omwe akudwala matendawa amawonjezera kuchuluka kwa shuga. Zotsatira zake, kuthira magazi odwala matenda ashuga kungayambitse matenda a hyperglycemia wodwala. Kuphatikiza apo, ndikofunikira kuganizira kuti ndi matenda ashuga, jakisoni wa insulin amachitika pafupipafupi. Izi zimabweretsa kuchuluka kwakukulu kwa insulin m'mwazi. Ikalowa m'thupi la munthu wina yemwe samadwala matenda a carbohydrate metabolism, kugwedezeka kwa hypoglycemic kumatha kuchitika. Mkhalidwe wowopsa chotere umachitika chifukwa cha kuchuluka kwa insulin.

Komabe, pamwambapa si chifukwa chokana chopereka. Kupatula apo, mutha kupereka onse magazi ndi madzi a m'magazi. Chifukwa chake, ndimatenda ambiri, kuvulala, ma microsuction opaleshoni, wodwalayo amafunika kuthiridwa magazi a plasma. Amawerengedwa kuti ndiwachilengedwe chonse. Plasma ilibe Rhesus chinthu kapena gulu. Chifukwa chake, itha kugwiritsidwa ntchito kupulumutsa odwala ambiri. Plasma amatengedwa ndi plasmapheresis.

Tiyenera kumvetsetsa kuti chopereka ndi chisankho chabwino. Uwu ndi mwayi wapadera wopulumutsa moyo wa munthu wina mwakugawana madzi amthupi awo enieni. Pakadali pano, anthu ambiri akukhala opereka. Komabe, ena amakayikira za kuyenera kwawo mwanjira imeneyi. Ngati munthu akudwala matenda opatsirana, mwachitsanzo, ma hepatitis kapena HIV, ndiye kuti sangaloledwe kupereka magazi. Kupanda kutero, zoperekazo zimaganiziridwa payekhapayekha, mfundo zonse za njirayi zimakambidwa ndi dokotala woyenerera pasadakhale ndipo zimayang'aniridwa ku mlandu winawake.

Matenda a shuga >> Kuyesa

Magazi omwe amapezeka m'magazi odwala odwala matenda ashuga komanso athanzi amatchedwa liwu Lachilatini glycemia (glyco - "lokoma", emia - "magazi"). Mwazi waukulu wamagazi mwa odwala matenda ashuga komanso athanzi amatchedwa hyperglycemia (Hyper - "lalikulu"), shuga wamagazi ochepa odwala matenda ashuga komanso wathanzi - hypoglycemia (hypo - "yaying'ono").

Ndipo tiyambira ndi zosavuta, koma zofunika kwambiri pakuwunika za matenda ashuga. Inde, musanalandire chithandizo cha matenda ashuga, muyenera kupenda bwinobwino momwe thupi lanu lilili.
Zofunika! Mutha kuganiza kuti inunso, popanda zida zilizonse, mukumva mulingo wa shuga komanso momwe matenda ashuga aliri. Musapusitsidwe! Uku ndikunamizira. Mukudziwa kale kuti zizindikilo monga mkamwa youma, ludzu, kukodza pafupipafupi komanso khungu la kuyamwa zimatha kupezekanso m'matenda ena ambiri, kupatula shuga. Ngati mutangowayang'ana, kudutsa matenda a shuga, mutha kudumpha kuwonongeka kwa matenda ashuga.

1. Kusala magazi
Choyamba, pamimba yopanda kanthu - imatanthauzika pamimba yopanda kanthu: mumadzuka m'mawa, osadya chilichonse, osamwa khofi kapena tiyi (mutha kuwiritsa madzi), osamwa mankhwala (kuphatikiza mankhwala antidiabetic), osasuta. Muyesera kupita kuchipatala modekha, chifukwa kuchita masewera olimbitsa thupi kwambiri kumapangitsa kusinthasintha kwa shuga m'magazi, makamaka matenda ashuga. Ngati mukudziwa kuti magazi anu akuthamanga mwachangu, yesani kutentha manja anu musanayeze mayeso a shuga. Komanso - ntchito yothandizira labotale.
Madokotala ena (kuphatikiza inenso) sakhulupirira zotsatira za kuyesedwa kwa magazi m'mitsempha, makamaka kwa odwala matenda a shuga. Dokotala wanu sangakhale ndi vuto lotere. Koma mulimonsemo, muyenera kumuwuza kuwunikako kutengedwa kuchokera kumunwe kapena kuchokera mu mtsempha, chifukwa zomwe zili muzochitika ziwiri izi zimasiyana pang'ono.
Ndi ndemanga zinanso. Zitha kuchitika kuti usiku tsiku loyambirira la mayeso kapena panjira yopita kuchipatala mukadakhala ndi hypoglycemia. Pankhaniyi, muyenera kuchenjeza dokotala, chifukwa zotsatira zakuwunika kwa izi zidzasintha.

2. Mwazi shuga utatha kudya
Chizindikiro chofunikira kwambiri cha wodwala matenda ashuga ndi kwa dokotala wa matenda ashuga omwe amatha kudziwa kuchuluka kwa shuga masana masana komanso ngati mankhwalawa amachepetsa shuga omwe munthu wodwala matenda ashuga akukwana. Mumadzuka m'mawa. Imwani mapiritsi kapena kumwa insulini (kapena musamadye chilichonse ngati mumachiza matenda ashuga), ndiye kuti mumadya chakudya cham'mawa ngati masiku abwino ndikupita kuchipatala. Zotsatira zake, mumapambana mayeso mkati mwa maola 1-1.5 mutatha kudya (koma ngati mutazidula komanso pambuyo maola 2, palibe chomwe chimachitika). Inde, kusanthula kwanu kuyenera kulembedwa "mutatha kudya." Mukatha kudya shuga, imakhala yokwera kuposa pamimba yopanda kanthu, koma izi sizofunikira kuchita mantha. Miyezi yotsatira tikambirana za miyezo ya shuga ya magazi.

3. Kuyesa kwa magazi (kuyambira chala).Biochemical kusanthula (kuchokera mtsempha)
Pulumutsani monga kusala magazi.

4. Urinalysis
Ndi mkodzo m'mawa chabe. Mumasamba madzulo, kenako mumatsuka m'mawa popanda sopo. Amayi ayenera kutseka khomo lolowera kumaliseche ndi thonje. Mtsinje woyamba wa mkodzo umatsitsidwa kuchimbudzi, chachiwiri - mumtsuko wopanda chouma. Kenako mumatseka mtsuko ndi kupita nawo ku labotale. Palibenso chifukwa chosakira mkodzo madzulo kapena usiku. Osadandaula ngati pali mkodzo wochepa. Ndi ma millilit ochepa ochepa omwe amafunikira kuwunika.

5. Mkodzo wa tsiku ndi tsiku wa glucose
Sindikawona mfundo yayikulu mukusonkhanitsa mkodzo wa tsiku ndi tsiku wa glucose. Ngati dokotala akukhulupirira mwanjira ina, afotokozerani momwe mungatolere mayesowa.

6. Mkodzo wa tsiku ndi tsiku wotayika kwa protein
Mumayamba kutolera mkodzo m'mawa. Mmawa woyamba mkodzo umatsikira kuchimbudzi. Kenako masana, mumakumba mumtsuko wama lita atatu ndikumaliza kusonkhetsa m'mawa mwake. Kenako mumabweretsa mkodzo wonse mu labotale. Ngati mukufuna kubweretsa gawo lokhalo la mkodzo, ndiye kuti muyenera kuyeza kuchuluka kwake (kwa millilita wapafupi) ndikujambulitsa zomwe zikuwunika.

7. Glycated hemoglobin
Mukudziwa kale kuti shuga yayikulu m'magazi a shuga imayamba kusiya magazi m'makoma a mitsempha yamagazi, chiwindi ndi kapamba. Amalowanso m'maselo ofiira a m'magazi, kuphatikiza ndi mapuloteni a hemoglobin ndikupangitsa kuti zikhale zovuta kusamutsa mpweya m'maselo. Kuchuluka kwa maselo ofiira am'magazi "okhala ndi" glucose amatha kuwerengeka, ndipo kwambiri, kulipira chindapusa cha shuga m'miyezi itatu yapitayo ndikuwonjezera vuto la zovuta mu wodwala matenda ashuga. Kusanthula kopindulitsa kumene kwa wodwala yemwe ali ndi matenda ashuga, mwatsoka, ndizovuta kuyikwanitsa, ndipo pano ku Russia kumachitika kokha m'malo ochepa akulu olemba anthu ntchito. Mutha kuonana ndi dokotala ngati muli ndi matenda ashuga ngati mungapezeke nawo.

Kodi ndingathe kupereka magazi a matenda ashuga?

Kodi munthu wodwala matenda ashuga akhoza kukhala wopereka? Yankho la funsoli ndi lanzeru: koma, mowoneka, koma mowoneka sizotheka.

Chifukwa chiyani yankho lofunsa motere kwa funso losavuta?

Zowoneka, chisokonezo chinayamba ndikuti pali chikalata chachipatala chotere (ndendende, ziwiri: Order of the Ministry of Health of the Russian Federation of September 14, 2001 No. 364 and Order of the department department No. 175-n of April 18, 2008). M'mabukuwa pali mndandanda wa matenda omwe amachititsa kuti anthu asamapereke ndalama.

Matenda amagawidwa kukhala amtheradi (kutanthauza kuti, munthu sangakhale wopereka, ngakhale atakhala kuti akufuna) komanso kwakanthawi (mwachitsanzo, kujambula kapena kuboola kapangidwe kochepera chaka chapitacho, kapena dzino lotulutsidwa limatha kukhala chovuta.

Chifukwa chake, mndandanda wazotsutsana ndi zopereka zamagazi ndi zomwe zimapangidwira palibe mankhwala oopsa, pali mawu osamveka bwino oti: "Matenda a dongosolo la endocrine ngati ali ovuta (owopsa? Funso lotere limabuka nthawi yomweyo) kukanika komanso kagayidwe". Ili ndiye funso loti, bwanji, munthu wodwala matenda ashuga amatha kukhala wopereka.

Pochita, mwina, chilichonse chidzakhala chosiyana.

Pachigawo choyamba, musanapereke chopereka (njira yoperekera magazi), zidzakhala zofunikira kuti mudzaze zolemba momwe amafunika kulemba zodalirika (!) Zambiri zokhudzana ndi thanzi, matenda omwe alipo, ndi zina zambiri.

Gawo lachiwiri - mudzafunika mupereke magazi kuchokera chala kuti muwoneke. Kusanthula kumeneku kukuwonetsa ngati munthu angakhale wopereka chifukwa cha thanzi. Pakadali pano, zomwe zingatheke, zopereka zilandiridwa. Kuphatikiza apo, njira zoperekera (zopereka magazi) ziyenera kukhala zotetezeka kwa woperekayo ndi kwa wolandayo (munthu amene magazi omwe akupulumutsiridwawo adzamuthira magazi).

Wina anganene kuti chitonthozo (chitonthozo, chifukwa kukhala wopereka ndi chabwino komanso ulemu kwambiri), anthu ambiri omwe amatembenukira kumalo opaka magazi ndi chikhumbo chopereka magazi amakanidwa. Njira zosankhira omwe angapange zopereka ndizokhwimitsa zinthu kwambiri, ndipo munthu wathanzi kwambiri yekha yemwe ali ndi thanzi labwino kwambiri amatha kupereka magazi.

Momwe mungakhalire wopereka magazi m'magazi a shuga

Mankhwala amakono akukumana kwambiri ndi njira yoika magazi m'magazi. Izi ndizofunikira pamitundu yonse yovulala kapena panthawi ya opaleshoni.

Plasma imawonedwa ngati chilengedwe chapadera, chomwe sichigawidwe m'magulu ndipo zinthu za Rhesus, motero, zingakhale zothandiza kwa munthu aliyense. Madzimadzi ndi 60% ya magazi amunthu.

Izi sizisintha kapangidwe kake ka mankhwala, ngakhale atakhala ndi matenda ashuga, kapena odwala matenda ashuga, amapereka magazi mwa plasma, pankhaniyi ndizotheka.

Njira ya chopereka cha Plasma - plasmapheresis

Plasma amatchedwa madzi achikasu omwe amakhala ndi madzi. 10% ya kapangidwe kake ndi mapuloteni, calcium, mchere wa sodium, potaziyamu. Ndi iye yemwe ali gawo lalikulu la magazi, amasamutsa maselo, ndipo amagwiritsidwa ntchito poika magazi.

Ndi anthu angati omwe ali ndi matenda ashuga omwe amakhala

Kusinthana kwa plasma ndi njira yotenga madzi a m'magazi a wodwala. Zimasiyana ndi momwe zimakhalira nthawi zonse chifukwa chakuti mawonekedwe ake (ma cell oyera, maselo ofiira a magazi, mapulateleti) amabwezeretsedwa m'thupi.

Pa plasmapheresis, madokotala amapeza kuchokera ku plasma yothandiza mapuloteni awa:

Mapuloteni awa amapanga madzi a m'magazi kukhala chinthu chapadera chomwe chilibefanizo konse.

Pokonzekera kusonkhanitsa kwa plasma, madokotala amatenga magazi a 600 ml kuchokera kwa woperekayo. Voliyumu iyi ndi yokwanira kuti ifufuze, pomwe kukana magazi oterowo kuli kotetezeka konse kwa anthu. Pakangotha ​​tsiku limodzi, thupi lidzabwezeretsedwa.

Kuphatikiza apo, njirayi imangopulumutsa moyo wa munthu, komanso imachita njira yoyeretsera magazi a woperekayo. Ichi ndichifukwa chake, odwala matenda ashuga omwe ali ndi mtundu wachiwiri wa matenda ali ndi ufulu kutenga nawo mbali popanda kuvulaza thanzi lawo.

Plasmapheresis amachotsa poizoni m'thupi, kukonza zomwe zili ndi matenda ashuga. Njirayi ndiyopweteka konse, sizibweretsa zovuta kwa munthu.

Njira ya plasmapheresis imachitika pogwiritsa ntchito zida zapadera. Itha kugwiritsidwa ntchito kamodzi. Izi ndi motere:

1. Magazi amalowa mu zotayira.
2. Umasefedwa.
3. Kubwerera kwa wodwala.
4. 400 ml ya madzi a m'magazi amapatsidwa kwa omwe amawalandira.

Mwambiri, njirayi imatenga mphindi 40 nthawi. Plasma ikhoza kusungidwa mumtsuko kwa maola 24.

Ngati wodwala matenda ashuga akufuna kukhala wopereka plasma, ayenera kulumikizana ndi Center Donation Center ndikupereka pasipoti kwa regista.

Wogwira ntchito ku Center adzapereka fomu yapadera kwa woperekayo, chifukwa chake ayenera kuwonetsa zina zokhudza:

• matenda opatsirana
• matenda osachiritsika
• Zokhudza kucheza ndi anthu omwe akhudzidwa ndi matenda oyambitsidwa ndi ma virus,
• kugwiritsa ntchito mankhwala osokoneza bongo kapena psychotropic,
• malo antchito
• zizolowezi zoipa
• vaccinations ndi opareshoni.

Pambuyo podzaza funsoli, woperekayo amatumizidwa kukayezetsa kuchipatala, pomwe amayesedwa ndi katswiri, ndipo magaziwo amapita kukayezetsa kuchipatala. Chisankho chomaliza chimapangidwa ndi transusiologist, yemwe amasankha mawonekedwe a neuropsychiatric wodwala.

Matenda a shuga

Ndikofunikira kudziwa kuti asanapereke plasma, woperekayo ayenera kukana kusuta, kuchita masewera olimbitsa thupi, mowa. Madokotala amalimbikitsa kumwa zamadzi zambiri. Pambuyo popereka plasma, ndizoletsedwa kuyendetsa.

Kwa miyezi 12, munthu wathanzi, popanda kuvulaza thupi, ali ndi ufulu wopereka mpaka malita 12 a madzi a m'magazi. Njirayi siyofunikira, koma ndikofunikira kukumbukira kuti magazi amatha kupulumutsa moyo wa munthu wina. Plasmapheresis athandizira kukonza mkhalidwe wa wina, mosasamala kuchuluka kwa shuga m'thupi la odwala matenda ashuga omwe ali ndi mtundu wachiwiri wa matenda.