Kunzwa chiremba wako anokurudzira kuti chirwere chephlebotomy (chinonziwo ropaletting kana kuti chinokonzera) chinokurudzira iwe. Iwe unogona kushamisika, "Vanachiremba vanoita izvozvi zvakare here? Ndaifunga kuti iyo yaifungidzirwa sonyengeri." Iwe unenge uchinge wakarurama. Kunyange nhasi kune nguva yakakodzera kushandisa phlebotomy sekurapa, ngationgororei ivo uye izvo zvinoratidzika sehupenyu chaihwo.
Basa rePhlebotomy
Kupfuura kwemakore phlebotomy yakange isisina kufarirwa nehutano hwehutano sezvo yakatsiviwa nehutano hwakanyanya. Zvisinei, phlebotomy inenge iine basa rinokosha mukurapa mitemo mitatu: polycythemia vera (PV), nhaka yehemochromatosis (iron inowedzera), uye porphyria cutenea tarda (PCT).
Polycythemia vera ndiyo mamiriro apo kuchinja kwemajini kunokonzera kuti marora emapfupa aite masero matsvuku eropa ( erythrocytosis kana polycythemia), platelets (thrombocytosis), uye masero machena (leukocytosis). Izvi kuwedzera mumasero eropa, zvikurukuru masero matsvuku eropa, inowedzera ropa rinoderedza ropa richiyerera. Kubviswa kweropa kuburikidza nekurapa plabotomy kunogona kuvandudza zviratidzo uye kuderedza dambudziko rekugadzira mazamu.
Hereditary hemochromatosis inogarwa nhaka inokonzera kuwedzera kuwedzerwa kwesimbi kubva pakudya kunoita kuti iron iwedzere.
Dare yakawanda inokonzera kukuvadza zvikuru kune chiropa, mwoyo, uye pancreas. Kubviswa kwemasero matsvuku eropa kunokonzera marora emapfupa kuita masero matsvuku eropa achishandisa iron yakachengetwa mumuviri.
PCT iyi inokonzerwa nokushayikwa mune enzyme (chemikemikari) inodiwa kuita heme (chikamu mumasero matsvuku eropa anotakura simbi).
Izvi zvinokonzera kuvhara kwe porphyrines muwandu huwandu hunoita kuti kuve nekuputika kweganda pazvinenge zvanyatsojeka. Nemhaka yehutachiona hwehutano hwakabatana, kubviswa kwesimbi-ine zvuku dzeropa tsvuku kuburikidza ne phlebotomy ndiko kurapwa kwesarudzo.
Zvatinotarisira Kubva Phlebotomy
Phlebotomy inzira inonyoresa. Inogona kuitwa muhofisi yechiremba, kuchipatara, kana pane imwe nzvimbo yeropa. Izvozvo zvakafanana nekupa ropa .
Nyore inowanikwa muhombe huru yeropa, inowanzo muhombodo yega, kubvisa ropa. Ropa rinogona kuunganidzwa muhomwe kana muzviroti. Kazhinji, muvanhu vakuru, hove yeropa (450 - 500 mL) inobviswa panguva. Kuwedzerwa kwephlebotomy kuchasiyana maererano neutano hwako uye ma laboratory values.
Pamusoro pePV, phlebotomy inowanikwa kamwe kana kaviri vhiki imwe neimwe kusvikira hematocrit (kuyerwa kwemajeri emasero matsvuku eropa) iri pedyo nekusingaperi. Zvadaro phlebotomy inoitwa mwedzi mishomanana kuitira kuchengetedza hematocrit iri pedyo. Munhaka ye hemochromatosis, phlebotomies inogona kuva vhiki nevhiki kusvikira ferritin (kuenzaniswa kwezvigadzirwa zvesimbi) yakajairika. Kuvhara simbi maitiro kubva kuvakazve zvakare, phlebotomy ichaitwa kwemwedzi miviri kusvika mana. MuPCT, phlebotomy inopera vhiki mbiri dzose kwemwedzi mitatu kusvika mina uye yakaguma.
Iwe unogona kukwanisa kurapa phlebotomy panzvimbo yako yeropa rekupa zvipo. Nzvimbo yacho inoda urongwa hwechiremba kuti apedze chirwere chacho. Kuwedzera kune izvi, muna 1999, chirongwa chekudya uye madhiragi (FDA) chakabvumira kuti ropa rinopiwa nevanhu vane nhaka yehemochromatosis inogona kushandiswa kuwedzerwa ropa chero bedzi pavakasangana nedzimwe nzira dzekupa ropa (uremu, makore, kusakwanisa kuenda kumatunhu akakwirira , nezvimwewo).
Migumisiro Yechechi yePhlebotomy
Izvozvo zvikamu zvakakomba zvephlebotomy zvakabatana nekushanduka kweropa guru. Iwe unogona kuva nechezzinesi kana kuderedzwa kweropa mushure mekunge asi vamwe vanozvitsigira pasina nyaya.
Ichi ndicho chikonzero mushure mekupa ropa ropa iwe unyanzvi anokukumbira kuti ugare zvishoma zvishoma usati wamira. Iwe unofanirwa kunwa mvura yakawanda pashure. Kana zviratidzo zvinoramba zvichiramba kana zvisingaregi, mushure mekunge ropa ribviswa, saridhi inogona kupiwa kuburikidza neA IV kuti nzvimbo yacho ishandiswe.
Phlebotomy Kwemamwe Mamiriro
Phlebotomy inoshandisawo mune dzimwe mamiriro mashoma. Vanhu vanogamuchira mavheekisi emuviri matsvuku ekurapa semararamiro akaita kenza, sickle cell anemia, uye thalassemia vari pangozi yekuwedzera simbi kuwandisa (inowanikwa panzvimbo yekugara nhaka sezvakataurwa pamusoro apa). Apo vanhu ava vanopedza chirwere (havasisirizve chemotherapy, kuporesa nefupa marrow transplantation), phlebotomy inoshandiswa chaizvo pakubvisa yakawanda yesimbi. Mune mienzaniso iyi, phlebotomy haisi kuzogara upenyu hwose kunze kwekuti yakawanda yakawanda yesimbi inobviswa.
Phlebotomy inogonawo kushandiswa kune vanhu vane sickle cell anemia vanoda kuwedzerwa ropa nguva dzose kuti vadzivise zvirwere. Muchiitiko ichi, phlebotomy inotenderedzwa ne red blood cell transfusion uye inonzi inoshandiswa kushandiswa kuwedzerwa ropa. Ropa tsvuku rekuisira ropa rinoshandiswa kutora ropa rakabviswa panzvimbo yesarine solution sezvakataurwa pamusoro apa. Izvi zvinogona kuva chigadziriro chinoshanda mukuderedza kushandiswa kwesimbi mukati mevanhu ava.