Ajụjụ: Apheresis Maka LDL Cholesterol
Nwa nwanne m nwoke dị afọ 12 nwere ọkwa cholesterol dị elu, nke ha na-ekwu na ọ bụ n'ihi nnabata. Ogo ya dị elu nke na ndị dọkịta na-akwado ya ka ọ malite ịgwọ ọrịa a na-akpọ "apheresis." Site na obere ihe m maara banyere ya, nke a na-adọrọ m ezigbo egwu. Ị nwere ike ịgwa m banyere apheresis, na ma ọ bụ ezigbo echiche maka nwa ewu?
Azịza: E nwere ụdị ọrịa dị iche iche nke LDL cholesterol . Ihe kachasịsịsị bụ ndị hypercholesterolemia ezinụlọ (FH). Ndị nwere FH, karịsịa ndị nwere ụdị ọrịa ahụ ka njọ, enweela ọganihu dị ukwuu nke ịmalite ịrịa ọrịa obi. Ihe elu LDL cholesterol dị na ọnọdụ a dị site n'oge a mụrụ ya, ma malite imebi usoro obi na - arịa ọrịa na nwata - ya mere a gha-emeso ndị nwere ọrịa hypercholesterolemia ezinụlọ ọbụna mgbe ha bụ ụmụaka.
Ihe kachasị na ọgwụgwọ maka FH bụ iji ọgwụ emepụta ọgwụ . N'ọtụtụ ndị nwere ọnọdụ a, statins ga-ebelata ọkwa LDL cholesterol. Mana ndị na-arịa ụdị ọrịa ahụ na-anaghị arụ ọrụ nke ọma, nsogbu nke obi na-adịkwa elu. A sịrị na ndị a nwere "hypercholesterolemia na-eguzogide ọgwụ."
E nwere ụzọ dị iche iche na-esi agwọ ndị ọrịa na-agwọ ọrịa na-eguzogide ọgwụ; ọ dịghị otu n'ime ha dị mfe ma ọ bụ obi ụtọ. N'ime ụzọ ndị dịnụ, onye na-enyocha ihe kachasị mma bụ apheresis.
Apheresis
Na apheresis, a kpụpụtara ọbara ọbara ọbara cholesterol site na arịa ọbara, emesịziezie ya n'ụzọ na-ewepu protein ahụ (akpọ lipoproteins) nke nwere LDL-cholesterol.
N'ikpeazụ, a na-alaghachi ọbara bekee-cholesterol na mgbasa ozi onye ọrịa. (Usoro a yiri nke hemodialysis nke a na-eji maka ndị ọrịa nwere akụrụ akụrụ.)
Apheresis ji nwayọọ na-ebelata ọkwa LDL cholesterol dịka 75%. Otú ọ dị, n'ihi na imeju ndị ọrịa a na-emepụta ọtụtụ LDL cholesterol, ngwongwo LDL ga alaghachi n'ime ụbọchị ole na ole. N'ihi ya, ọ dị mkpa ka a rụọ ọrụ apheresis ọ dịkarịa ala otu ugboro n'izu, na mgbe ụfọdụ ugboro abụọ n'izu.
Ịbanye na ọgwụgwọ apheresis, n'ụzọ doro anya, bụ ihe dị mkpa n'oge na ihe nhụjuanya, ọ dịkwa oké ọnụ. Tụkwasị na nke ahụ, ọ nwere ike ịmepụta ọtụtụ mmetụta ndị kachasị emetụta, gụnyere ọbara mgbali elu, anaemia , na isi ọwụwa. N'ikpeazụ, dịka ndị ọrịa na-enwe hemodialysis, ndị nwere ọkpụkpụ n'ozuzu ha ga-achọ ịwa ahụ iji mepụta aristiovenous fistula (nke na-ejikọta eriri na vein dị n'okpuru anụ ahụ), nke na-eme ka ọ dị mfe na-abanyekarị n'ọbara dị mkpa site na apheresis .
A mụọla irè nke apheresis n'ime ụmụaka nwere nsogbu cholesterol siri ike. Nke a bụ ihe UpToDate , akwụkwọ edemede kọmputa maka ndị dọkịta na ndị ọrịa, ga - ekwu banyere ihe apheresis na ụmụaka pụta:
Echere nchekwa na nrụpụta ọrụ nke ogologo oge LDL-apheresis n'ọmụmụ nke ụmụ 11 nwere nnukwu hypercholesterolemia mkpụrụ ndụ (gụnyere ụmụ nwere homozygous FH) ndị e mesoro maka afọ 2 ruo 17. Enweghi obi mmadu na-egbu ya, mmebi iwu ndi mmadu na-egbu egbu, ma obu usoro ndi mmadu na-emeghari anya. E gosipụtara mkparịta ụka nke ọnyá akwara obi, tinyere igbochi mmepe nke ọnyá ọhụrụ na ọrịa ọnya obi.N'ikwu ya n'ụzọ ọzọ, n'agbanyeghị nzaghachi nke apheresis, ọ dịkarịa ala otu ọmụmụ na-egosi na ụdị ọgwụgwọ a - na ụmụaka, ma ọ dịkarịa ala - ọ bụghị nanị na-ebelata LDL cholesterol, kamakwa o yiri ka ọ ga-ebelata ohere nke ịmalite ịrịa ọrịa obi . N'ihi ya, n'agbanyeghị ihe ndapụta ya nile, apheresis bụ ihe dị mkpa ka a gụọ na ụmụ nwere ụdị hypercholesterolemia siri ike nke na-adịghị anabata ụbụrụ.
Oge Ogologo
N'ụzọ dị mma, ọ na-egosi ugbu a na apheresis nwere ike ọ gaghị abụ nkwa nke ndụ ogologo oge. N'ihi mmepe a na-eme n'oge na-adịbeghị anya banyere nchọpụta banyere mkpụrụ ndụ ihe nketa mmadụ, ọtụtụ ọgwụgwọ ọhụrụ na-enye obi ụtọ na-emepụta, na-adabere na nsogbu mkpụrụ ndụ ihe nketa nke na-emepụta FH. Ọgwụ ọhụrụ ndị a na-emepụta na-enwe ohere dị mma iji belata LDL cholesterol iji lekwasị anya n'ọtụtụ. O nwere ike ịbụ ihe ziri ezi ịlele apheresis na ụmụaka nwere FH dị ka ihe na-enye nsogbu - dịka ụzọ isi mee ka arịa ọbara dị "dị ọcha" ka anyị na-eche maka nkọwa ndị ọzọ, ma dịkwuo mfe, ọgwụgwọ ahụike.
Chọrọ ịmatakwu ihe? Hụ isiokwu TopToDate, "Hypercholesterolemia ezinụlọ" maka ịmatakwu ihe omimi ahụ.
Isi mmalite:
Rosenson RS, de Ferranti SD, Durrington P. Ngwọta nke hypercholesterolemia na-eguzogide ọgwụ. Kwalitere ruo ugbu a. Nabata, July 2012.