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Plasmapheresis – is a method of extracorporeal (outside the body) therapy, the essence of which is in the removal of plasma, which contains toxic and metabolic substances, carriers of disease causes.
Depending on the plasma obtaining method, there are machine-based, centrifugal, membrane, and sedimentation (settling) plasmapheresis. In the modern version, plasmapheresis is conducted in special plasma filters or separators, where blood is separated into formed elements (cells) and plasma. The plasma is removed, and blood cells along with plasma-replacing solutions are returned to the patient's bloodstream. To perform the procedure, the patient is connected to the device through one of the peripheral veins, using a catheter, connected to a set of tubes and a plasma filter. The entire process of plasma extraction and return of cells is performed automatically and safely, as only sterile sets of disposable materials are used. The duration of the procedure is 1.5-2 hours. Plasmapheresis is conducted to reduce the concentration of harmful proteins, lipids, hormones, toxins, antigens, antibodies, and immune complexes in the plasma. Unfortunately, the method is not selective and does not allow removal of specifically those components that cause or sustain the disease. Therefore, along with plasma, many other substances are removed from the body, some of which are necessary for the body to maintain normal metabolism. Therefore, The method under certain conditions requires replacement therapy with proteins and other drugs. Currently, plasmapheresis is not only of technological importance as a method of preparation for selective (immunosorption) or semi-selective (cryoapheresis) removal of harmful substances from the blood, but is also used as an independent method of detoxification. Indications for performing plasmapheresis, which in the 20th century were excessively broad (over 200 diseases), have gradually narrowed in recent years. International multicenter studies have shown that the unconditional effect of plasmapheresis is limited to the following diseases and syndromes: Indications
Contraindications Absolute contraindications for performing plasmapheresis (contraindications, under which the procedure should not be performed under any circumstances):
Relative contraindications for plasmapheresis (contraindications that can be overlooked):
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