thrombotic thrombocytpenic purpura_lupus_microangiopathic hemolytic anemia_plasmapheresis

8/8/2019 Thrombotic thrombocytpenic purpura_lupus_microangiopathic hemolytic anemia_plasmapheresis

1/30

S@G Cjsg Tbnaguugs):

E{! I! Tbslaw Tj{elja [geer


2/30

J 3; r{ h`e dgij`g ~bul lgjejclg$ {jsl

Kjcfn{hwae lbsuh{r) :224) ebjnahsge js S@G ~bul c`jss 7 @wpws agpl{bubs [gibssbha ha h{j` sug{hbes :22


3/30

G|jibajubha

Chascbhws jaeChlg{gau

_[):?5(iba

[[);?(iba K_):3?(


4/30

Batgsubnjubhas Lk >!4 ni'

U@C 45??(w` E@C A >7 @ ;3 _`u ;;???(w` [gubc ;7 '

_KD)_h`rcl{hijsbj,d{jnigauge [KC,Splg{hcrugs

ECU $ BCU) Agnjubtg

C{gjubabag :!? SNHU ;3? SN_U ;7< J`f plhs :;3

@EL 3


5/30

Ejujkjsg ~bul ~h{fban ebjnahsbs

3; r{ dgij`g `wpws pjubgau Ul{hikhcruhpgabj E{hp ba lgihn`hkba (G`gtjuge [gubcs(D{jnigauge [KC Agnjubtg Chhiks

Lgjejclg Ah{ihugasbtg Ah{ij` {gaj` dwacubha Ah{ij` _U $ J_UU

Ibc{h Janbhpjulbc Lgih`rubc Jagibj

& Ul{hikhcruhpgabj


6/30

IJLJ & Ul{hikhcruhpgabj


7/30

_hssbkb`bubgs ba ulbs pjubgau

UU_ LWS EBC

Ij`bnajau lrpg{ugasbha CJ_S LGG@_ SRAE[HIG E{wn baewcge


8/30

Chaebubha Jnjbasu

LWS Ah{ij` c{gjubabag, ah dgtg{ju hasgu

EBC Ah{ij` _U $ J_UU

Ij`bnajaulrpg{ugasbha

Ah{ij` K_ $ ah pjpb``gegij

CJ_S JC@ Jk Agnjubtg

LGG@_ Srae{hig Ahu p{gnajau

E{wns Ah lbsuh{r

UU_ Ahag


9/30

Sgb}w{gs) jaubgpb`gpubcs

Dgtg{) jibfj (cgduj}bebig

psgwehihajs(f`gksbg``j

CT

J

I_ \ 3 _[EA : In(fn(e

D

wbe

htg{h

je

tgaubj

uh{

CRC _wsg

_`jug`gu

@ E L

Lk

3 @jc

;3???7


10/30

Chw{sg $ Ijajngiga u

Spgcbdbc U{gjuigau Jùg{ajug ejr _G 3 pw`sgs) : ni I_ _[EA):in(fn(e Crc`hplhspljibeg

_w`sg Iwùbp`g BT jaubkbhubcs

Swpph{ubtg cj{g Jaub gpb`gpubcs _hujssbwi swpp`gigaujubha

Basw`ba Iwùbp`g _[KC DD_s js p`jsij g|cljang

{gp`jcgigau d`wbe [E_s Igcljabcj` Tgaub`jubha


11/30


12/30

Dh``h~ wp

Ju ebsclj{ng _`jug`gu chwau

ah{ij`bsge

Jdgk{b`g C`gj{ sgash{bwi Agpl{hubc {jang

p{hugbaw{bj pg{sbsuban _[EA):in(fn(e Jaubgpb`gpubcs H{j` jaubkbhubcs

_{gsgau [gcgbtge :; CRC

kh`wsgs

Agpl{hubc {jangp{hugbaw{bj pg{sbsuban

J]J & @h~ ehsgsug{hbes

JCGBs


13/30

_j{jebni slbdu ba UU_ Ebjnahsbs =_gauje Uh Ebje

Ah~ HA@R ul{hikhcruhpgabj jae IJLJ ~bulhwu ja jppj{gauj`ug{ajubtg gubh`hnr j{g {gzwb{ge uh gsujk`bsl ulg ebjnahsbs jae

babubjug p`jsij g|cljang


14/30

UU_ ebjnahsbs


15/30

JEJIUS:3 J Ebsbaugn{ba)`bfg Jae Iguj``hp{hugjsg ~bul

Ul{hikhSphaeba urpg : {gpgjus _{hugjsg ulju c`gjtgs W@T^d Wawswj``r @j{ng Tha

^b``gk{jae djcuh{" ba ulg cb{cw`jubha Jksgau ba ihsu bebhpjulbc UU_ kgcjwsg hd jczwb{ge

jwuhjaubkher balbkbuh{s", kwu ahu LWS

JEJIUS:3 egdbcbgacr ,07'" p{gebcus=

Bebhpjulbc UU_ Chip`gug {gsphasg uh

p`jsij g|cljang Sw{tbtj`

JEJIUS:3 balbkbuh{ p{gebcus=

_{h`hange ubig uh chip`g{gsphasg

Egjul [g`jpsg


16/30

C`babcj` chw{sg hd bebhpjulbc UU_ ;?' egje ~bulba ~bul 7 ~ggfs


17/30

UU_) S@G


18/30


19/30

UU_ ba S@G

[bsf djcuh{s dh{ UU_ ba S@G) S@GEJB 1:?", agpl{bubs

[bsf djcuh{s dh{ ba)lhspbuj` ih{uj`bur) badgcubha,

agw{h`hnbc sripuhis Ulg ubig uh chip`gug {gibssbha ~js `hang{

chipj{ge ~bul bebhpjulbc UU_

Htg{j`` p{hnahsbs hd UU_ ba S@G bs phh{ Ulg ugiph hd egtg`hpigau hd UU_ ba S@G bs s`h~g{


20/30

Bebhpjulbc UU_ Babubj` Ulg{jprBabubjug u{gjuigau=

_`jsij g|cljang 4? i`(fn ejb`r _`jsij badwsbha bd 1:; lhw{ eg`jr _{geabshag ; in(fn(ejr

Chaubawg _G uh chip`gug {gsphasg=

_`jug`gus 1:7?F(` dh{ 3 ejrs jae @EL ah{ij` jae Agw{h`hnbcj``r sujk`g

Jdug{ chip`gug {gsphasg= _G gtg{r hulg{ ejr dh{ 5 ejrs jae suhp Ujpg{ p{geabshag [gswig u{gjuigau dh{ g|jcg{kjubha 03? ejrs"

h{ {g`jpsg 13? ejrs"

Ehau dh{ngu:!Ejb`r dh`bc jcbe

;!Jspb{ba jdug{ _`uchwau ah{ij`b}ge


21/30

Bebhpjulbc UU_ Sj`tjng Ulg{jpr

[gd{jcuh{r h{ {g`jpsban ebsgjsg V:?);?' hd pjubgausY

Bac{gjsg uh u~bcg ejb`r _`jsij G|cljang

[buw|bijk &() crc`hplhspljibeg Tbac{bsubag Bau{jtgahws biiwag n`hkw`ba Crc`hsph{bag cja cjwsg UU_ -" Sp`gagcuhir


22/30

J{gjs hd Wacg{ujbaur

Wsg hd jaub p`jug`gus jngaus ba jcwug gpbsheg Gddbcjcr hd jar ulg{jpr uh p{gtgau {g`jpsg Gddbcjcr hd _`jsij g|cljang ba sguubans `bfg phsu

LSCU ( urpbcj` LWS(e{wn igebjuge

Igjsw{gigau hd JEJIUS :3 jcubtbur jae busbalbkbuh{ jwuhjaubkher Kgsu d`wbe dh{ p`jsij g|cljang {gp`jcgigau d`wbe [h`g hd [buw|bijk wpd{hau j`han ~bul _G

[gchikbajau JEJIUS :3 ulg{jpr Slhw`e jsripuhijubc pjubgaus ~bul JEJIUS:3

egdbcbgacr kg u{gjuge8


23/30

Ujfg lhig igssjngs Chasbeg{ UU_ ba j`` cjsgs hd ul{hikhcruhpgabj ba S@G

Bd UU_ h{ jurpbcj` LWS bs ha uhp hd rhw{ ebddg{gaubj` ba pu! ~bul IJLJ

jae ul{hikhcruhpgabj, basubuwug p`jsij g|cljang js shha js phssbk`g

Agw{h s|s j{g sgga ih{g hduga ba UU_, ~lb`g {gaj` djb`w{g bs sgga ba

LWS

C`jssbc(Urpbcj` LWS= ah agge dh{ p`jsij g|cljang

JEJIUS:3 egdbcbgacr h{ balbkbuh{ bs jsshcbjuge ~bul UU_

UU_ ba S@G ljs ih{g s`h~g{ hasgu jae j(~ phh{ {gsphasg uh [| ~bul

bac{gjsge ih{uj`bur [buw|bijk bs j p{hibsban hpubha ba {gd{jcuh{r cjsgs


24/30


25/30


26/30


27/30

[bsf djcuh{s dh{ UU_


28/30

[bsf djcuh{s dh{ ba)lhspbuj`ih{uj`bur ba S@G pjubgaus ~bul UU_

Chip`bcjubha Sw{tbth{s a9:5" Egjul a9:;"

_ tj`wg

Badgcubha :(:5 :>'" >(:; 7


29/30

Bacbegacg Swspgcuge UU_)LWS= :: cjsgs(ib``bha jaawj``r Bebhpjulbc UU_)LWS= 5!7 cjsgs(ib``bha jaawj``r Sgtg{g JEJIUS:3 egdbcbgacr= :!> cjsgs(ib``bha

jaawj``r

) D{hi ulg Hf`jlhij UU_)LWS[gnbsu{r


30/30

thrombotic thrombocytpenic purpura_lupus_microangiopathic hemolytic anemia_plasmapheresis

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