Taageerada Caddaynta Isticmaalka Noocyada Steroid-Resistance
A. Is-beddelka 'Plasma', oo loo yaqaan "plasmapheresis," waxaa lagu taliyaa Akademiyada Maraykanka ee Nuurolojiga Maraykanka (AAN) si loogu daaweeyo dib-u-cusbooneysiinta daran ee dadka qaba qabashada nabarada kala duwan (RRMS), sida loo maleynayo inay tahay mid "waxtar leh."
Si kastaba ha ahaatee, is-beddelka plazma waxaa lagula talinayaa inay noqoto daaweyn labaad oo ah dib -u-soo-kabasho oo aan ka jawaabin koorsada Solu-Medrol - maaheyso Solu-Medrol.
Xaqiijinta AAN ee lagu daaweynayo dib u noqoshada RRMS waxaa la sameeyey Janaayo 2011 waxaana isbeddel ku yimid xeerarka laga soo bilaabo 1996, halkaasoo nidaamka loo soo gudbiyay kaliya "rajo" iyo "suurtagal faa'iido leh."
Waa in la ogaadaa in is-beddelka plazma uusan ku talin AAN in lagu daaweeyo cudurka labaad ee hormoonada ah ama horukac ah.
Maxay Tahay Sababta Is-beddelka Miyuu Ku Shaqeyn Doonaa?
Kala beddelashada plazma ayaa ka saareysa walxaha waxyeelada leh ee ku wareegaya qaybta dareeraha (plasma) ee dhiigga. Marka laga hadlayo MS, tani waxaa laga yaabaa in laga yaabo inay ka hortagto borotiinka oo ka kooban unugyada maskaxda ku jira , iyo sidoo kale unugyada T.
Waxaa loo maleynayaa in laga saaro unugyadaas inta lagu jiro soo noqoshada waxay xaddidi kartaa muddada dib u soo noqoshada iyo dhaawaca uu keeno caabuqa. Si kastaba ha noqotee, markaan unugyada difaaca ayaa la jajabiyey ama lagu dhajiyay maqaarka , is-beddelka plazma ma sii deyn karo iyaga oo laga yaabo inayan laheyn wax faa'iido daaweyn ah.
Maxay Tahay Caddaymaha Iska Badbaadinta Qalalan ee loogu talagalay RRMS Relapses?
Hal tijaabo oo yar yar, 22 qof oo qaba RRMS ama cudurro kale oo neefsanaya (faafinta myelitis, neuromyelitis optica) oo keena calaamado daran ayaa lagu daray daraasad isweydaarsi. Dhammaan dadka ayaa ku fashilmay in ay ka jawaabaan koorsada Solu-Medrol iyo dhibcaha celceliska EDSS waxay ahayd 7.5 markii ay bilaabeen daaweynta.
Sagaal bukaannada ayaa "calaamadeeyey" si "dhexdhexaad ah" hagaajin ah ka dib markii is-beddelka is-beddelka. Shan ka mid ah kuwan ayaa sii waday in ay la kulmaan horumarinta illaa 3 sano.
Koox kale oo yaryar oo kiisaska ah, afar qof oo qaba RRMS ayaa soo noqnoqda oo aan ka jawaabin Solu-Medrol. Mid waliba waxaa la siiyay 5 wareeg oo isdhaafsi ah. Hal qof ayaa "calaamadeeyey" soo kabashada, 2 qof ayaa soo kabsaday "mid dhexdhexaad ah" (inkastoo mid ka mid ah uu u baahday in daaweynta 5-marba mar la sameeyo laba jeer), hal qofna wuxuu lahaa "khafiif ah" soo kabashada.
Khadka hoose
Haddii aad qabtid dib-u-dhac aad u daran oo aan ka jawaabeynin Solu-Medrol, dhakhtarkaagu wuxuu si fiican u soo jeedin karaa is-beddelka aaladda. Is-beddelka plazma waa nidaam qatar ah oo aan la-dag-qabin oo aan keenin wax dhib ah.FIIRO: Is-beddelka aaladda waxaa sidoo kale loo isticmaalaa dadka qaba sclerosis badan kuwaas oo laga heley Tysabri-xiriir la leh xajmiga 'leukoencephalopathy (hormoonka' multivocal leukoencephalopathy (PML). Inta badan waxaa loo isticmaalaa daawooyinka. (Si aad wax dheeraad ah uga ogaato: Q. Waa maxay daaweynta loogu talagalay PMS-ta Tysabri? )
Si aad u aragto aragtida isdhexgalka ee plazma, akhri: Qalitaanka Is-beddelka (Plasmapheresis) ee MS iyo Cudurrada Kale ee Ciladaha
Ilaha:
Cusboonaysiinta I, Chaudhry V, YT, Cantor F, Cornblath DR, Rae-Grant A. Cusbooneysiinta tilmaamaha ku salaysan caddaynta: Qalabka malawadka ee xanuunada dareemeyaasha: Warbixinta Guddi-hoosaadka Qalabka iyo Tiknoolojiyada ee Agaasinka Aqoonta Maraykanka. Nuurolojiyada. 2011 Jan 18; 76 (3): 294-300.
Habek M, Barun B, Puretic Z, Brinar VV. Daaweynta isdaba-marin aan loo baahneyn oo lala xiriiriyo is-beddelka plazma ee xagal-wareer badan. Ther Apher Dial. 2010 Jun; 14 (3): 298-302.
Lehmann HC, Hartung HP, Hetzel GR, Stuve O, Kieseier BC. Plasma Isbeddelka Cudurrada Neuroimmunological, Qaybta 1aad: Mucaaradka iyo Daaweynta Cudurrada Nidaamka Nidaamka Nidaamka Neefta. Arch Neurol. 2006; 63: 930-935.
Weinshenker BG, O'Brien PC, Petterson TM, et al. Hal tijaabo oo lagu kala duwo ee is-beddelka plazma ee nidaamka dareen-celinta dhexe ee habdhiska neerfaha ee cudurka dabaysha. Ann Neurol. 1999; 46: 878-886.