Double filtration Plasmapheresis (DFPP) 血液淨化

What is Double filtration plasmapheresis?

Double filtration plasmapheresis involves drawing blood out of the body and separating it into blood cells and plasma using a plasma separator. The plasma is then processed through a plasma component separator to remove cholesterol, LDL, and triglycerides (TG), and then the clean plasma and blood corpuscles are returned to the body.
Double filtration plasmapheresis physically removes some impurities from the blood. It has been practised abroad for over 30 years and is a mature, stable treatment with low risk and few side effects.

◍ Why Double Filtration Plasmapheresis?

Instrument lines can become clogged after long-term use, so cleaning vessels regularly to avoid blockage is essential.

The blood vessels silently narrow.

If you cannot improve your diet and reduce stress in the long term, gradually narrowing your blood vessels can accumulate waste and toxins in your body. It can significantly increase your risk for cardiovascular and metabolic circulation issues. Paying immediate attention to these potential health risks is crucial.

Stage 1: Turbidity

Due to the influence of a refined diet, less exercise, an irregular life schedule, and high stress, too many substances cannot be absorbed or metabolised and remain in people's blood without even realising it, causing the blood to become sticky.

Stage 2: Blockage

This lousy cholesterol accumulates on the walls of blood vessels, causing hardening and narrowing that will become increasingly serious. It will reduce blood flow to vital organs. Once an organ does not receive enough oxygen and nutrients in the blood, it will soon become prone to ageing and necrosis.

Stage 3: Causes pain

↘︎ Cardiovascular obstruction: coronary heart disease, including angina pectoris and myocardial hypoxia.
↘︎ Cerebral blood vessel obstruction: cerebral haemorrhage, cerebral embolism, cerebral stroke.

◍ Suitable Populations and Contraindications for Double filtration plasmapheresis

Suitable Populations

• Individuals with poor lifestyle habits or constitutions must pay special attention to cardiovascular issues.
• Those experiencing high work-related stress.
• Individuals with poor metabolism.
• Those with poor blood circulation.
• People are on the verge of having high blood pressure, high cholesterol, and high blood sugar.
• Seniors aged 65 and above.

⚠️ Contraindications: The following individuals are unsuitable for Double filtration plasmapheresis or require evaluation by a professional physician.

• Women during menstruation.
• Those experiencing acute illness (e.g., cold with fever, unstable blood sugar or blood pressure).
• Individuals undergoing cancer treatment.
• Those with coagulation disorders.
• Individuals with insufficient hemoglobin or severe anemia.

The effectiveness of the treatment may vary depending on individual constitution. The information provided in this article is for medical explanation purposes only and cannot replace consultation with a physician. Treatment should be professionally consulted and evaluated by a doctor.
The information in this article is for promoting health education and the sharing of new medical knowledge. The differences between the names in the article and the manual (some are introductions to uses other than the approved indications in the manual or colloquial common names) are for public understanding and reference only. If you have any concerns or questions, please leave a message in our system or call our hospital.

什麼是血液淨化？

將血液引出體外藉由血漿分離器分離出血球與血漿，血漿再經由血漿成分分離器，移除膽固醇、LDL、三酸甘油脂(TG)後，再將乾淨的血漿與血球送回體內。
血液淨化利用物理性移除血中部分雜質，在國外已經施行超過30年，是㇐個成熟穩定、風險低、副作用少的治療。

◍ 為什麼要做血液淨化？

儀器管線久了會堵塞，身體的血液也需定期清潔。根據衛生署公告，國人心血管相關疾病高達近20%，更是高居國人致死疾病第二名！

血管悄悄變窄了

長久無法改善飲食及高壓生活習慣，逐漸累積體內廢物及負擔，需留意心血管與代謝循環問題。

階段1 混濁

現代人飲食精緻化、運動量少，加上作息、壓力等影響，不知不覺已有過多物質無法被吸收或代謝，留在血液中，導致血液濃稠度大增。

階段2 堵塞

這些壞的膽固醇，積聚在血管壁上，會造成血管硬化、狹窄，程度越來越嚴重，將使流到重要器官的血液日益減少，一旦器官從血液中得不到足夠的氧氣與營養，很容易就會衰老、壞死。

階段3 造成病痛

心臟血管阻塞：冠狀動脈心臟病，包括心絞痛、心肌缺氧、心肌梗塞等。

腦部血管阻塞：腦出血、腦栓塞、腦中風。

◍ 適用族群與禁忌症

✔ 適用族群

• 不佳的生活習慣或體質，都需要特別留意心血管相關問題。
• 工作壓力大者。
• 代謝差者。
• 血液循環差者。
• 三高邊緣群(高血壓、高血脂、高血糖)。
• 65歲以上熟齡族。

⚠️ 以下人員當下不適合接受血液淨化，或需由專業醫師進行評估

• 女性生理期期間。
• 急性疾病發作 (如：感冒發燒、血糖血壓不穩定)。
• 正接受癌症治療期間 凝血功能障礙者。
• 血紅素不足、嚴重貧血者。

◍ 治療注意事項

療程前注意事項

• 執行前、後都會抽血檢驗，比對數值差異。
• 血液淨化量及治療時間皆因人而異(依體重及血液數據評估)，過程中由護理師記錄相關數據，隨時監控生命徵象。
• 此為個人一次性療程，所有濾材皆為原裝進口無菌包裝且須前置作業，拆封後即須使用。若因個人因素無法進行療程，將酌收部分耗材及檢驗費用。
• 凝血功能障礙、嚴重貧血、心血管疾病患者、癌症治療中皆不宜施作。如有慢性疾病、曾進行心血管治療(支架、心導管等)或是過敏體質等，請務必提前告知已利療程前評估。
• 當天可正常飲食(不需空腹)。治療當天請穿著寬鬆衣物，療程前2-3天避免刺激性飲食而導致腸胃不穩之情況。

療程後注意事項

• 療程後休息約30分鐘，採漸進式下床活動以預防跌倒。
• 移針處須加壓固定20-30分鐘以上，避免出血；如仍有滲血情形，可再持續加壓至止血，當天返家盡量讓扎針手臂休息。當日勿揉患部、提重物、不做劇烈運動，忌泡溫泉及SPA，避免熱刺激。
• 注射處若出現瘀青乃正常現象，請於24小時內冰(冷)敷，24小時候熱敷，約1-2週組織即自然代謝吸收。
• 療程後1-2天，可能出現疲勞、嗜睡狀況，請多休息。
• 療程後免疫力較低，一周內應避免進出公共場所，如需至公共場所應配戴口罩。
• 避免抽菸、喝酒、熬夜習慣，避免進食大量高油脂、高膽固醇食物，配合飲食控制、適當運動及規律作息。
• 若有持續使用的藥物或保健食品，術後請依醫師建議服用。

◍ 常見問題Q&A

Ｑ：進行血液淨化療程是否會有血液感染的風險呢？

Ａ：血液淨化術在台灣醫學已施行十幾年，未有接受此療程所受到感染的文獻報導。血液淨化過程安全，使用一次性耗材，沒有感染風險。血液淨化的過濾血量也是依每個人體重換算的。

Ｑ：血液淨化和一般洗腎的原理及功能有何差異？

Ａ：血液淨化，主要是過濾血中可能致病或長期早成負擔的大分子（如：血脂蛋白、高濃度自由基、免疫球蛋白等不良因子），希望透過療程改善高血脂，高尿酸及睡眠品質等困擾，是一種安全的保健方法。
而洗腎（血液透析術）主要目的則在於清除特定因腎臟功能不佳而未能過濾的代謝物，主要針對腎衰竭的疾病，是一種疾病治療行為。

Ｑ：血液淨化做一次就會有效嗎？

Ａ：因個人體質狀況及累積毒素不一樣，療程次數需視個人而定。

Ｑ：血液淨化做完會有什麼特別的感覺？

Ａ：一般做完不會有太大不舒服的感受，但大多數人會出現疲倦、嗜睡、肩頸放鬆或全身輕鬆感等，都是正常現象。

Ｑ：血液淨化療程時間需要多久？

Ａ：時間會依個人血管彈性、粗大、血脂含量多寡、血液迴圈快慢等，均會影響療程時間，一次療程平均約2-3小時左右。