Canza musanya

Yin musayar musanya hanya ce mai yuwuwar ceton rai wanda aka yi don magance tasirin cutar jaundice mai tsanani ko canje-canje a cikin jini saboda cututtuka irin su sickle cell anemia.

Yin aikin ya haɗa da cire jinin mutum a hankali da maye gurbin shi da sabon jinin mai bayarwa ko kuma jini.

Yin musaya yana bukatar a cire jinin mutumin kuma a sauya shi. A mafi yawan lokuta, wannan ya hada da sanya ɗaya ko fiye da sifofin sirara, waɗanda ake kira catheters, a cikin jijiyoyin jini. Yin musayar musaya ana yin ta ne cikin da'ira, kowane ɗayan yakan ɗauki fewan mintuna.

Jinin mutum yana raguwa a hankali (mafi yawanci kusan 5 zuwa 20 mL a lokaci guda, ya danganta da girman mutum da tsananin rashin lafiya). Adadin daidai na sabo, prewarmed jini ko plasma yana gudana cikin jikin mutum. Ana maimaita wannan zagayen har sai an sauya madaidaitan nauyin jini.

Bayan an yi musanyar musayar, ana iya barin catheters a wurin idan har ana bukatar maimaita aikin.

A cikin cututtuka irin su sickle cell anemia, ana cire jini kuma a maye gurbinsa da jinin mai bayarwa.

A yanayi kamar su polycythemia na jarirai, an cire takamaiman adadin jinin yaron kuma an maye gurbinsa da ruwan gishiri na yau da kullun, plasma (sashin jini mai tsabta a fili), ko albumin (maganin sunadarai na jini). Wannan yana rage adadin jajayen kwayoyin jini a jiki kuma yana saukaka jini yawo ta cikin jiki.

Ana iya buƙatar musayar musanya don kula da waɗannan sharuɗɗan masu zuwa:

• Haɗarin ƙwayar jinin jini mai haɗari a cikin jariri (sabon haihuwa polycythemia)
• Rh ya haifar da cututtukan hemolytic na jariri
• Tashin hankali a cikin ilmin sunadarai na jiki
• Ciwon jaundice mai tsananin gaske wanda ba ya amsawa ga fototherapy tare da hasken bili
• Rikicin ƙwayar sikila mai tsanani
• Guba sakamakon wasu kwayoyi

Babban haɗari iri ɗaya ne da kowane ƙarin jini. Sauran rikitarwa masu yiwuwa sun haɗa da:

• Jinin jini
• Canje-canje a cikin sunadarai na jini (mai ƙarfi ko ƙarancin potassium, ƙarancin alli, ƙarancin glucose, canji a cikin ƙimar acid-base a cikin jini)
• Matsalar zuciya da huhu
• Kamuwa (ƙananan haɗari saboda binciken jini sosai)
• Shock idan bai isa jini ba maye gurbinsa

Mai haƙuri na iya buƙatar a kula da shi har tsawon kwanaki a asibiti bayan ƙarin jini. Tsawon lokacin tsayawa ya dogara da wane yanayi aka yi musaya don musaya.

Hemolytic cuta - musayar musayar jini

• Sabon jaundice - fitarwa

• Canjin musanya - jerin

Costa K. Hematology. A cikin: Hughes HK, Kahl LK, eds. Asibitin Johns Hopkins: Littafin littafin Harriet Lane. 21st ed. Philadelphia, PA: Elsevier; 2018: babi na 14.

Josephson CD, Sloan SR. Maganin karin jini na yara. A cikin: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Ka'idoji da Aiki. 7th ed. Philadelphia, PA: Elsevier; 2018: babi na 121.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Rikicin jini. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 124.

Watchko JF. Neonatal kai tsaye kai tsaye hyperbilirubinemia da kernicterus. A cikin: Gleason CA, Juul SE, eds. Cututtukan Avery na Jariri. 10 ed. Philadelphia, PA: Elsevier; 2018: babi na 84.