{"id":119554,"date":"2022-03-09T12:10:11","date_gmt":"2022-03-09T11:10:11","guid":{"rendered":"https:\/\/radioljubuski.ba\/?p=119554"},"modified":"2022-03-09T12:10:13","modified_gmt":"2022-03-09T11:10:13","slug":"u-skb-u-mostar-najtezim-bolesnicima-krv-se-prociscava-plazmaferezom","status":"publish","type":"post","link":"https:\/\/radioljubuski.ba\/index.php\/2022\/03\/09\/u-skb-u-mostar-najtezim-bolesnicima-krv-se-prociscava-plazmaferezom\/","title":{"rendered":"U SKB-u Mostar najte\u017eim bolesnicima krv se ‘pro\u010di\u0161\u0107ava’ plazmaferezom"},"content":{"rendered":"\n

Plazmafereza medicinski je postupak koji se od prije nekoliko dana po\u010deo izvoditi u SKB-u Mostar kojim se pacijentima poma\u017ee osloboditi ih od toksi\u010dnih tvari koje se prenose preko krvi te se olak\u0161ava njihovo zdravstveno stanje. Mirjana Jurkovi\u0107, glavna sestra na Odjelu za op\u0107e intenzivno lije\u010denje SKB-a Mostar, izvela je prvi takav postupak po\u010detkom ovoga mjeseca nakon \u0161to je sredinom pro\u0161le godine pro\u0161la edukaciju kod kolega u Zagrebu, pi\u0161e Ve\u010dernji list BiH.<\/a><\/p>\n\n\n\n

“Uloga sestre u procesu je priprema ure\u0111aja i priprema bolesnika. Nakon priprema ure\u0111aja i cijeloga sustava koji ga prati za sam proces plazmofereze, kre\u0107emo s postupkom. Preko tog ure\u0111aja izvla\u010dimo krv iz bolesnika, ona se u filtru odvaja na plazmu i krvne stanice. Te krvne stanice vra\u0107amo bolesniku, plazmu izvla\u010dimo, a vra\u0107amo zamjensku teku\u0107inu. Radi se naj\u010de\u0161\u0107e o humanim albuminima. Tako izvla\u010dimo sve te toksi\u010dne i \u0161tetne tvari iz organizma”, izjavila je za Ve\u010dernjak ova prvostupnica sestrinstva.<\/p>\n\n\n\n

Traje \u010detiri sata<\/strong><\/p>\n\n\n\n

Po njezinim rije\u010dima, cijeli postupak traje do \u010detiri sata tijekom \u010dega su pacijent i ure\u0111aj pod stalnim nadzorom. Zajedno s njom, jo\u0161 nekoliko kolega osposobljeno je za ovaj postupak koji se donedavno uop\u0107e nije primjenjivao u Mostaru. Njezin \u0161ef, pro\u010delnik Odjela za anesteziju, reanimaciju i intenzivno lije\u010denje prim. dr. sc. Zoran Karlovi\u0107, ka\u017ee kako je postupak plazmafereze prisutan u medicinskoj praksi ve\u0107 dugo vremena, no nije bio dostupan na\u0161im bolesnicima.<\/p>\n\n\n\n

“To je metoda kojom se koristimo u vi\u0161e disciplina, ne samo kad se radi o neurolo\u0161kim, nego i imunolo\u0161kim bolesnicima te svima onima za koje se pretpostavlja da imaju neke toksi\u010dne tvari u plazmi, a koje ne mo\u017eemo na drugi na\u010din otkloniti nego mehani\u010dkom zamjenom plazme s odre\u0111enim supstancijama. To je jedna velika dobrobit jer su na\u0161i bolesnici i oni koji su potencijalno bili u potrebi za plazmafezerom morali odlaziti u druge centre. Od sada se to mo\u017ee raditi u na\u0161oj bolnici zahvaljuju\u0107i educiranosti osoblja, a prije svega na\u0161e Mirjane koja je kao sestra i\u0161la na edukaciju u Zagreb. Ona je to usvojila zajedno s lije\u010dnicom Ivanom te smo sada u stanju pru\u017eiti pomo\u0107 u stanju akutnih nefrotskih oboljenja”, ka\u017ee dr. Karlovi\u0107.<\/p>\n\n\n\n

On dodaje kako su na ovome odjelu s po\u010detkom vr\u0161enja akutne dijalize stvorili puno preduvjeta za rje\u0161avanje onih oboljenja koja su vrlo zahtjevna.<\/p>\n\n\n\n

“Zahvaljuju\u0107i invazijskom monitoringu na podru\u010dju kardioanestezije, zatim sada neuroanestezije, pro\u0161irili smo jednu paletu usluga na bolesnike \u010dije je ozdravljenje iz mnogih patolo\u0161kih procesa u kojima su se nalazili sada zna\u010dajno pobolj\u0161ano. Stvoreni su preduvjeti za oporavak najzahtjevnijih bolesnika, a \u0161to im nudi suvremena medicina u velikim zdravstvenim ustanovama”, isti\u010de.<\/p>\n\n\n\n

Pojasnio je i kako sam taj postupak izgleda izmjenom plazme.<\/p>\n\n\n\n

“Budu\u0107i da su toksi\u010dne tvari vezane za neke od njih, pri izmjeni same plazme dobivamo osvje\u017eenje u na\u0161em tijelu. Dakle, one toksi\u010dne tvari koje ne mo\u017eemo na druk\u010diji na\u010din ukloniti, jer su vezane za ove supstancije, mo\u017eemo samo na ovaj na\u010din izvesti. To je stroj koji se koristi za akutnu dijalizu, odnosno hemofiltriranje kod nas. Sada smo nabavili i odre\u0111ene setove te imamo educirane djelatnike. Usto, stalno se analiziraju laboratorijski nalazi koji su nama potpora da sve mo\u017eemo pravilno izvesti. Na temelju dobivenih parametara, donosimo odluke \u0161to \u0107emo raditi. Usto, ovdje bih istaknuo ulogu neurologa, imunologa, hematologa i svih struktura koji \u0107e svojim prijedlozima nama pomo\u0107i kojem pacijentu treba izvesti plazmaferezu i u kojoj koli\u010dini”, ka\u017ee dr. Karlovi\u0107.<\/p>\n\n\n\n

Pro\u010delnik Odjela za anesteziju, reanimaciju i intenzivno lije\u010denje prim. dr. sc. Zoran Karlovi\u0107 ka\u017ee kako \u0107e uvo\u0111enje ovoga postupka istodobno biti velika dobit za bolesnike, ali i novo financijsko optere\u0107enje za bolnicu. Me\u0111u naj\u010de\u0161\u0107im pacijentima su oni koji imaju multiplu sklerozu. “Plazmafereza se radi kod pacijenata koji imaju zdrave bubrege. U ovome slu\u010daju korisnici ovih usluga ne moraju biti bolesnici s promjenom bubre\u017ene funkcije kao \u0161to su, primjerice, neurolo\u0161ki bolesnici gdje aktiviraju odre\u0111ena virusna oboljenja kod njih kao \u0161to je multipla skleroza. Mi u prvome procesu kod tih pacijenata poku\u0161avamo otkloniti te supstancije koje smetaju prijenosu impulsa na neuromi\u0161i\u0107noj membrani”, poja\u0161njava dr. Karlovi\u0107.<\/p>\n\n\n\n

Najzahtjevniji odjel<\/strong><\/p>\n\n\n\n

On dodaje i kako se na Odjelu za intenzivno lije\u010denje provodi dijaliza kod pacijenata koji imaju akutna oboljenja. “To mogu biti pacijenti s neurolo\u0161kim, infektolo\u0161kim oboljenjima… gdje imamo i zbog davanja odre\u0111enih antibiotika o\u0161te\u0107enja bubrega u prijelaznome roku, \u0161to se mo\u017ee oporaviti”, navodi dr. Karlovi\u0107.<\/p>\n\n\n\n

Glavna sestra na Odjelu za anesteziju, reanimaciju i intenzivno lije\u010denje, magistra sestrinstva Slavica \u0160imi\u0107, isti\u010de kako je ovaj odjel najspecifi\u010dniji u SKB-u \u0161to se posebno pokazalo u vremenu epidemije koronavirusa.<\/p>\n\n\n\n

“Na\u0161e sestre iz intenzivne imaju jako veliko iskustvo, educirane su za rad s mnogim ure\u0111ajima koji se nalaze ovdje – od respiratora, monitora, perfuzora, infuzomata, ure\u0111aja za dijalizu, bronhoskopa, defibrilatora i brojne druge opreme. Svaki od tih ure\u0111aja treba znati provjeriti, o\u010distiti, odr\u017eavati za sljede\u0107eg pacijenta. Posao u intenzivnoj zahtijeva veliku stru\u010dnost, spremnost i educiranost medicinskog osoblja. Naravno, odgovornost je na prvome mjestu”, ka\u017ee ona.<\/p>\n\n\n\n

Izvor:vecernji.ba<\/p>\n","protected":false},"excerpt":{"rendered":"

Plazmafereza medicinski je postupak koji se od prije nekoliko dana po\u010deo izvoditi u SKB-u Mostar kojim se pacijentima poma\u017ee osloboditi ih od toksi\u010dnih tvari koje se prenose preko krvi te se olak\u0161ava njihovo zdravstveno stanje. Mirjana Jurkovi\u0107, glavna sestra na Odjelu za op\u0107e intenzivno lije\u010denje SKB-a Mostar, izvela je prvi takav postupak po\u010detkom ovoga mjeseca […]<\/p>\n","protected":false},"author":2,"featured_media":119555,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"h5ap_radio_sources":[],"footnotes":""},"categories":[1],"tags":[],"class_list":["post-119554","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bihiregija"],"yoast_head":"\nU SKB-u Mostar najte\u017eim bolesnicima krv se 'pro\u010di\u0161\u0107ava' plazmaferezom - RADIO LJUBU\u0160KI<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/radioljubuski.ba\/index.php\/2022\/03\/09\/u-skb-u-mostar-najtezim-bolesnicima-krv-se-prociscava-plazmaferezom\/\" \/>\n<meta property=\"og:locale\" content=\"hr_HR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"U SKB-u Mostar najte\u017eim bolesnicima krv se 'pro\u010di\u0161\u0107ava' plazmaferezom - RADIO LJUBU\u0160KI\" \/>\n<meta property=\"og:description\" content=\"Plazmafereza medicinski je postupak koji se od prije nekoliko dana po\u010deo izvoditi u SKB-u Mostar kojim se pacijentima poma\u017ee osloboditi ih od toksi\u010dnih tvari koje se prenose preko krvi te se olak\u0161ava njihovo zdravstveno stanje. 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