Ko nga taunakitanga e tautoko ana i te Whakamahia mo nga Takahuri Takahuri-Takahuri
A. Ko te whakawhitiwhiti Plasma, ko te "plasmapheresis", he mea tohutohu a te American Academy of Neurology (AAN) hei tukuna i nga reanga nui i roto i nga tangata me te reta-remitting multiple sclerosis (RRMS), no te mea kua kiia he "pai pea."
Engari, ko te whakawhitinga o te plasma ka tūtohuhia hei maimoatanga tuarua mo nga rerenga e kore e whakautu ki te akoranga o Solu-Medrol - ehara i te mea ko Solu-Medrol.
Ko te whakaaetanga mai i te AAN mo te maimoatanga o nga rerenga i roto i te RRMS i hangaia i te Hanuere o te tau 2011, he huringa hoki ki nga aratohu mai i te tau 1996, i te wa e kiia ana ko te "whakatairanga" me te "whai hua".
Me tohu ko te whakawhiti o te plasma kaore i te taunakitia e te AAN kia pai ki te whakatikatika i te sclerosis angitu tuarua ranei.
He aha te Mahinga Whakawhitiwhiti Plasma mo nga Relapses?
Ko te whakawhiti plasma he tango i nga matū kino e rere ana i roto i te wai (te paraharaha) o te toto. I roto i te take o te MS, he tohu tenei mo nga potae e hangaia ana i te waahi , me nga taiao T me etahi atu rerenga taraiwa e arotahi ana ki te waahi.
Kei te whakaarohia ko te tango i enei pūtau i te wa o te hokinga mai, ka whakawhitinga i te roa o te reanga me te kino i puta mai i te mumura. Heoi, i te wa e werohia ana enei otaota i roto i nga raiona , kaore e taea e te whakawhitinga pounamu te tango atu i aua mea, kaore pea he painga maimoatanga.
He aha te taunakitanga mo te Plasma Exchange mo RRMS Relapses?
I roto i tetahi whakamatautau iti iti, 22 nga tangata ki te RRMS me etahi atu mate whakaheke inflammatory (te whakawhiti i te myelitis, neuromyelitis optica) e tohu ana i nga tohu ohorere i roto i te rangahau o te whakawhitinga plasma. Kaore nga iwi katoa i whakautu ki te huarahi o Solu-Medrol me te tau toharite i te EDSS 7.5 i te wa i timata ai te maimoatanga.
E iwa nga maama kua "tohu" ki te whakapai ake "i te pai" i muri i te whakawhiti o te plasma. E rima o enei i whai tonu ki te whakapai i te whakapai ake mo te 3 tau.
I roto i tetahi atu röpü o ngä take, e wha ngä tängata kei te RRMS kua huri ki te kore e whakautu ki a Solu-Medrol. I whakawhiwhia ki a ia nga tau e 5 o te whakawhiti i te plasma. Kotahi te tangata kua "tohu" te whakaora, e 2 nga tangata kua "whakaora" (ahakoa ko tetahi o ratou e hiahia ana kia mahihia te maimoatanga 5-huringa), me tetahi tangata i "whakaora".
Raina Raro
Mena he reanga nui koe e kore e whakautu ki a Solu-Medrol, ka pai te korero a to taakuta i te whakawhitinga plasma. Ko te whakawhitiwhiti plasma ko te tikanga haumaru kaore e haurangi ana, kaore he raruraru nui.FAKATOKANGA: Kei te whakamahia hoki te whakawhiti plasma i roto i nga tangata e whai ana i te sclerosis maha e kitea ana ki te Leukoencephalopathy (PML) e whai hua ana ki a Tysabri. He maha tonu te whakamahi me nga rongoā. (Hei ako atu: Q. He aha te maimoatanga mo te PML e whai ana ki Tysabri? )
Mō te tirohanga whānui o te tukanga whakawhiti i te plasma, pānuihia: Plasma Exchange (Plasmapheresis) mo MS me etahi Atu Neurological Diseases
Kaupapa:
Cortese I, Chaudhry V, So YT, Cantor F, Cornblath DR, Rae-Grant A. Whakahou i te aratohu-i runga i te taunakitanga: Plasmapheresis i roto i nga mate neurologic: Pūrongo o te Kaupapa Whakamaroto Tikanga me te Hangarau o te American Academy of Neurology. Neurology. 2011 Hānuere 18; 76 (3): 294-300.
Habek M, Barun B, Puretic Z, Brinar VV. Ko te maimoatanga o te hokinga mai o te hopikeroke me te whakawhiti i te plasma i roto i te maha o te sclerosis. Te Waea Aparua. 2010 Jun; 14 (3): 298-302.
Lehmann HC, Hartung HP, Hetzel GR, Stuve O, Kieseier BC. Te Plasma Exchange i roto i te Neuroimmunological Disorders, Wāhanga 1: Kaupapa me te maimoatanga o te Inflammatory Central Pūnaha Hauora Pūnaha. Arch Neurol. 2006; 63: 930-935.
Weinshenker BG, O'Brien PC, Petterson TM, et al. He whakamātautau matapōkei o te whakawhitinga o te plasma i roto i te pūnaha o te pūnaha o te rorohiko kaore i te mate. Ann Neurol. 1999; 46: 878-886.