Vim li cas Hemoperfusion thiaj li raug faib tawm txawv teb chaws? Hemoperfusion yog nrov nyob rau hauv Suav teb. Yuav Ua Li Cas Txog Hemofiltration Thiab Hemodiafiltration?

Hemoperfusion tsis yog ib txoj kev kho mob uas tau raug tshem tawm txawv teb chaws. Qhov tseeb, qhov kev nkag siab tsis zoo no tshwm sim los ntawm kev nkag siab tsis tiav ntawm kev kho mob txawv teb chaws thiab kev txhim kho thev naus laus zis. Ua ke nrog kev nkag siab ntawm perfusion ntawm ntau lub tes hauj lwm [tso tawm cib thiab jade] rau koj siv, kuv kuj vam tias cov npoj yaig uas nkag siab txog cov cuab yeej no tuaj yeem muab tswv yim rau kuv!

Nyem rau Cistanche rau mob raum

1- Qhov xwm txheej ntawm hemoperfusion txawv teb chaws

● Kev tshawb fawb keeb kwm: Cov teb chaws txawv teb chaws pib kawm txog hemoperfusion hauv xyoo 1940, tab sis vim yog cov txiaj ntsig tsis zoo thiab muaj kev phiv ntau dua, lawv thiaj li xaiv tso tseg.

● Kev thov: Tam sim no, high-flux hemodialysis yog siv los ua txoj hauv kev tseem ceeb rau kev kho mob uremia txawv teb chaws.

Piv txwv li: Hauv Tebchaws Meskas, cov neeg mob ntshav lim ntshav feem ntau tsis raug hemoperfusion tsis tu ncua. Hemoperfusion feem ntau yog siv los kho cov xwm txheej tshwj xeeb, xws li tshuaj yeeb lossis tshuaj lom tshuaj lom neeg, thiab lwm yam xwm txheej uas yuav tsum tau tshem tawm cov co toxins lossis cov tshuaj molecular siab, tsis yog kev kho mob niaj hnub rau cov neeg mob ntshav qab zib. (Los ntawm Liu Song tus account: Sino-US raum kab mob kev paub sib qhia)

2- Qhov xwm txheej ntawm hemoperfusion hauv Suav teb

● Kev tshawb fawb kev vam meej: Tuam Tshoj pib kawm txog hemoperfusion hauv xyoo 1980s thiab tau ua tiav kev lag luam loj heev. Nws tau siv dav thoob ntiaj teb.

● Kev thov: Hauv Suav teb, kev sib xyaw ntawm hemoperfusion thiab hemodialysis yog suav tias yog ib txoj hauv kev zoo los txhim kho kev kho mob thiab txhim kho lub neej zoo ntawm cov neeg mob.

3- Kev sib raug zoo ntawm hemoperfusion, hemofiltration thiab hemodiafiltration

● Technical complementarity: Hemoperfusion tshem tawm qee cov roj-soluble co toxins thiab qee cov protein-bound co toxins uas tsis tuaj yeem tshem tawm los ntawm lub tshuab lim dej los ntawm kev nqus, thaum hemodiafiltration tshem tawm cov loj, nruab nrab thiab me me los ntawm kev sib txuas thiab diffusion. Kev sib xyaw ua ke ntawm ob tuaj yeem ua tiav ntau dua tshem tawm cov co toxins los ntawm cov ntshav thiab txhim kho kev kho mob.

● Daim ntawv thov kev kho mob: Hauv kev kho mob, cov kws kho mob yuav xaiv txoj kev kho ntshav kom tsim nyog raws li tus neeg mob xav tau thiab cov hom phiaj kho mob. Rau cov neeg mob uas xav tau tshem tawm qhov nruab nrab thiab loj molecular co toxins, kev sib xyaw ntawm hemoperfusion thiab hemodiafiltration yog qhov kev npaj kho mob pom zoo.

Raws li cov thev naus laus zis thev naus laus zis, hemoperfusion muaj qhov sib txawv hauv kev siv thiab kev tsim kho thev naus laus zis hauv tsev thiab txawv teb chaws. Hauv Suav teb, kev sib xyaw ntawm hemoperfusion thiab hemodiafiltration yog suav tias yog ib txoj hauv kev zoo los txhim kho lub neej zoo ntawm cov neeg mob uremia. Nyob rau hauv lub neej yav tom ntej, nrog rau kev nce qib ntawm cov cuab yeej technology thiab kev txhawb nqa ntawm kev tuav pov hwm kho mob cov cai, daim ntawv thov hemoperfusion yuav tsum tau nthuav dav ntxiv.

Ntxiv rau: "Tam sim no Status of Hemoperfusion Development"

Cov hauv qab no yog qhia los ntawm "Sigma Medicine"

Hemoperfusion thev naus laus zis tau yug los nyob txawv teb chaws hauv xyoo 1940, tab sis Tuam Tshoj tau ntes tau txij li xyoo 1980s thiab tam sim no tau mus txog lub ntiaj teb txoj haujlwm tseem ceeb hauv daim teb no.

Xyoo 1948, cov kws tshawb fawb txawv teb chaws tau siv ion txauv resins los ua tsiaj sim ntawm hemoperfusion, tab sis qhov kev tshem tawm tsawg heev; Tom qab ntawd, cov resin tau siv los ua hemoperfusion rau cov neeg mob uas muaj uremia thiab mob siab tsis ua haujlwm, thiab nws tau pom tias nws muaj cov txiaj ntsig zoo rau urea nitrogen thiab ntshav ammonia, tab sis nws cov ntshav sib xyaw ua ke tsis zoo, thiab kev siv tshuaj kho mob nyuaj rau kev txhawb nqa. .

Xyoo 1964, Greek kws tshawb fawb Yatzidis thawj zaug siv cov pa roj carbon activated los ua hemoperfusion rau cov neeg mob uremia, uas tuaj yeem tshem tawm ntau yam endogenous thiab exogenous co toxins, xws li creatinine, uric acid, phenols, guanidines thiab barbiturates.

Xyoo 1966, Canadian Suav kws tshawb fawb Chang tau siv cov pa roj carbon activated nrog albumin-collodion txheej rau cov ntshav perfusion, zoo tiv thaiv cov pa roj carbon monoxide los ntawm kev poob thiab nkag mus rau tib neeg cov ntshav, yog li tsis txhob thromboembolism thiab cov teeb meem ntawm cov qe ntshav dawb thiab platelets txo, thiab daws qhov teeb meem zoo dua. ntawm ntshav compatibility.

Xyoo 1970, Rosenbaum et al. coj cov hmoov txhuas hauv kev siv cov tshuaj adsorption rau cov ntshav perfusion los kho cov tshuaj lom, thiab ua tiav cov txiaj ntsig zoo.

Xyoo 1979, Terman et al. thawj zaug tau tshaj tawm txog kev siv cov kab mob DNA immunoadsorption thiab ntshav perfusion thev naus laus zis los kho cov kab mob lupus erythematosus (SLE), yog li nkag mus rau theem tshiab ntawm kev siv immunoadsorption therapy los kho cov kab mob tiv thaiv kab mob.

Txij li thaum xyoo 1980s, kuv lub teb chaws tau ua qhov kev tshawb fawb tob tob txog cov tshuaj adsorbents rau cov ntshav perfusion, thiab tau siv dav, tshwj xeeb tshaj yog nyob rau hauv tshuaj lom neeg, siab tsis ua hauj lwm, lub raum tsis ua hauj lwm, immunoadsorption thiab lwm yam. Txiv hmab txiv ntoo tau tiav lawm.

Cistanche kho mob raum li cas?

Cistancheyog ib hom tshuaj suav tshuaj ntsuab siv rau ntau pua xyoo los kho ntau yam mob, suav nrograumkab mob. Nws yog muab los ntawm qhuav stems ntawmCistanchedeserticola, ib tsob nroj nyob rau hauv cov suab puam ntawm Tuam Tshoj thiab Mongolia. Lub ntsiab active Cheebtsam ntawm cistanche yogphenylethanoidglycosides, echinacoside cov tshuaj, thiabacteoside, uas tau pom tias muaj txiaj ntsig zoo rauraumnoj qab haus huv.

Kab mob raum, tseem hu ua kab mob raum, hais txog ib yam mob uas lub raum ua haujlwm tsis zoo. Qhov no tuaj yeem ua rau muaj cov khoom pov tseg thiab cov co toxins hauv lub cev, ua rau muaj ntau yam tsos mob thiab teeb meem. Cistanche tuaj yeem pab kho mob raum ase los ntawm ntau lub tswv yim.

Ua ntej, cistanche tau pom tias muaj cov nyhuv diuretic, txhais tau tias nws tuaj yeem ua rau cov zis ntau ntxiv thiab pab tshem tawm cov khoom pov tseg ntawm lub cev. Qhov no tuaj yeem pab txo lub nra ntawm lub raum thiab tiv thaiv kev tsim cov co toxins. Los ntawm kev txhawb nqa diuresis, cistanche kuj tseem tuaj yeem pab txo qis ntshav siab, ib qho teeb meem ntawm cov kab mob raum.

Ntxiv mus, cistanche tau pom tias muaj cov teebmeem antioxidant. Kev ntxhov siab oxidative, tshwm sim los ntawm qhov tsis sib xws ntawm kev tsim cov dawb radicals thiab lub cev tiv thaiv antioxidant, ua lub luag haujlwm tseem ceeb hauv kev mob raum. ies pab neutralize dawb radicals thiab txo Oxidative kev nyuaj siab, yog li tiv thaiv lub raum los ntawm kev puas tsuaj. Cov phenylethanoid glycosides pom hauv cistanche tau tshwj xeeb hauv kev tshem tawm cov dawb radicals thiab inhibiting lipid peroxidation.

Tsis tas li ntawd, cistanche tau pom tias muaj cov nyhuv anti-inflammatory. Kev mob yog lwm yam tseem ceeb hauv kev loj hlob thiab kev loj hlob ntawm cov kab mob raum. Cistanche's anti-inflammatory zog pab txo cov zus tau tej cov pro-inflammatory cytokines thiab inhibit qhov ua kom o yuav tsum tau txoj kev, yog li alleviating o nyob rau hauv lub raum.

Tsis tas li ntawd, cistanche tau pom tias muaj cov teebmeem immunomodulatory. Hauv kab mob raum, lub cev tiv thaiv kab mob tuaj yeem ua rau tsis zoo, ua rau muaj kev mob ntau dhau thiab cov ntaub so ntswg puas. Cistanche pab tswj lub cev tiv thaiv kab mob los ntawm kev hloov kho kev tsim khoom thiab kev ua haujlwm ntawm lub cev tiv thaiv kab mob, xws li T hlwb thiab macrophages. Txoj cai tiv thaiv kab mob no pab txo qhov mob thiab tiv thaiv kev puas tsuaj ntxiv rau lub raum.

Ntxiv mus, cistanche tau pom los txhim kho lub raum kev ua haujlwm los ntawm kev txhawb nqa kev tsim kho ntawm lub raum hlab nrog cov hlwb. Lub raum tubular epithelial hlwb ua lub luag haujlwm tseem ceeb hauv kev pom thiab rov nqus cov khoom pov tseg thiab electrolytes. Hauv kab mob raum, cov hlwb no tuaj yeem raug puas tsuaj, ua rau lub raum ua haujlwm puas. Cistanche lub peev xwm los txhawb kev tsim kho ntawm cov hlwb no pab kho lub raum kom zoo thiab txhim kho lub raum tag nrho.

Ntxiv nrog rau cov kev cuam tshuam ncaj qha rau lub raum, cistanche tau pom tias muaj txiaj ntsig zoo rau lwm yam kabmob thiab lub cev hauv lub cev. Txoj hauv kev zoo rau kev noj qab haus huv no tseem ceeb tshwj xeeb hauv cov kab mob raum, vim tias tus mob feem ntau cuam tshuam rau ntau lub cev thiab lub cev. che tau pom tias muaj kev tiv thaiv rau lub siab, lub plawv, thiab cov hlab ntsha, uas feem ntau cuam tshuam los ntawm kab mob raum. Los ntawm kev txhawb nqa kev noj qab haus huv ntawm cov kabmob no, cistanche pab txhim kho lub raum tag nrho thiab tiv thaiv kev mob ntxiv.

Hauv kev xaus, cistanche yog cov tshuaj suav tshuaj ntsuab siv rau ntau pua xyoo los kho mob raum. Nws cov active Cheebtsam muaj diuretic, antioxidant, anti-inflammatory, immunomodulatory, thiab regenerative teebmeem, uas pab txhim kho lub raum ua haujlwm thiab tiv thaiv ob lub raum los ntawm kev puas tsuaj ntxiv. , cistanche muaj txiaj ntsig zoo rau lwm lub cev thiab lub cev, ua rau nws txoj hauv kev zoo rau kev kho mob raum.