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治疗Apheresis

关于治疗性分离

Therapeutic apheresis is performed to remove the portion of blood that may be causing problems in the body. You may be experiencing symptoms because a certain part of your blood is abnormal. 移除那部分, together with other treatments your doctor has prescribed, 一般会改善你的状况. The number of procedures needed varies with each individual and is determined by your physician.

程序类型

There are many different procedures that we perform, depending upon the diagnoses. Your doctor will choose the procedure that is right for you.

  • Plasma Exchange: plasma is removed and replaced with albumin or fresh frozen plasma.
  • Red Blood Cell Exchange: red blood cells are removed and replaced with fresh packed red blood cells.
  • Platelet Reduction: some platelets are removed and IV fluids may be given if needed.
  • Therapeutic Phlebotomy: a unit of whole blood is removed (similar to donating blood at the Red Cross)

关于您的访问

If you are receiving outpatient treatment you will register in Outpatient Admitting a few minutes 之前 your scheduled appointment and receive directions to our area. 当你到我们单位的时候, our nursing staff will get you ready and make you comfortable prior to starting the procedure. 如果你没有耐心, we will either come to your bedside to perform the procedure in your room, 或者如果你有能力,我们有地方, you will come to our area to have the procedure performed. One of our doctors will get your medical history and do a physical, answer any questions you may have and then ask you to sign a paper giving us permission to do the procedure. A nurse may draw a blood sample and connect you to the machine used for your procedure.

开始

In order to perform your procedure, we need to be able to draw your blood and return it. 这可以通过不同的方式实现. One of the most common is to place a needle in one of your arms (usually placed where your arm bends) to draw the blood into the machine and another smaller needle in your other arms to return the blood back to you. You will need to keep your "draw" arm straight 在 the entire procedure. 如果这种方法不可行, 或者如果你需要几个程序, a specialized catheter may be inserted into a vein by a surgeon. This will allow you to get the number of procedures you need more comfortably.

Your doctor will discuss these options with you 之前 your first treatment.

你的感受

Experiences differ, but some common symptoms, known as citrate reactions, are listed below:

  • Numbness or tingling around the mouth/nose, hands/fingers, feet/toes
  • 腿抽筋
  • “振动”的感觉
  • 恶心想吐。
  • 感觉冷

These symptoms may occur because your calcium is low from having the procedure performed. This is easily corrected by drinking milk or by chewing TUMS®, which are rich in calcium or we may give an IV solution of calcium 在 the procedure.

其他症状

  • Dizziness: You may become dizzy or light-headed, but this is rare.
  • Fatigue: You may feel tired the evening following the procedure.

A nurse will be with you at all times and will watch for any symptoms 在 the procedure. 如果需要,医生会随叫随到. You will be asked frequently if you are feeling different in any way. This procedure can last anywhere from one to four hours based on your specific illness and the type of procedure you have.

常见问题

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May I eat and drink 之前 or 在 the procedure?

是的. We will encourage you to eat and drink fluids, 尤其是高钙的液体, 之前, 在, 手术之后.

Should I take all my regular medicines 之前 my procedure?

No. Not until speaking with the Apheresis nurse or doctor. They will review your medicines and decide which ones you can or cannot take.

我的血会接触到机器吗?

No. Your blood will go into a sterile disposable kit within the machine.

这是否意味着我要做透析?

No. Apheresis separated out and removes a portion of the blood that is causing problems in the body. Dialysis cleans your blod when your kidneys are not functioning properly.

Does someone check to see if the machine is working properly?

是的. Our machines are quality checked and cleaned regularly.

手术后我会有什么感觉?

You may feel tired following the procedure.

治疗Apheresis is something that is unfamiliar to many. We realize that you may be anxious the first time you have your procedure. 希望, the information we have given will make you less anxious, and will answer some of the questions you may have.

Please bring a complete list of your medications with you to each of your visits.

了解更多信息

We want to answer all questions to your satisfaction. If we can be of further assistance, please do not hesitate to contact us:

Apheresis服务
大学医院
8楼8330房间
东亚当斯街750号
锡拉丘兹,纽约13210

电话: 315 464-9024
传真: 315 464-9021

办公时间: 星期一至五:上午七时至下午四时三十分
Emergency 服务 please call the hospital operator at 315 464-5540. 叫值班护士来做穿刺.