Membrane plasmapheresis in sports medicine

I.P. Pavlov First St. Petersburg State Medical University, Saint Petersburg, Russia.

Loadings of "big-time sports" not always highly affect a state of health of athletes, so and their sporting achievements. Matter not only systematic, but also short-term overloads during the trainings or competitions. In particular, at skaters and swimmers concentration of a tumor necrosis factor (TNFα) increased in the training period by 50-100 times that exceeds the level of this cytokine at patients with septic shock. Thus, even in the rehabilitation period its contents wasn't restored to norm (1).

Still more dangers are concealed by overdoses or a kumulyation at systematic application of various anabolic hormones and other biostimulating preparations. There are such frustration of structure of the internal environment when have the damaging effect not only these preparations, but also immune protection and secondary metabolic disorders. Thus neither the body itself, nor any medicamentous means (laxative, sudorific, etc.) there isn't able to bring such toxic metabolites out of an organism. The secondary immunosupression promoting more frequent catarrhal and pustulous diseases is caused by long influence of endotoxins.

After intensive trainings can develop serious rhabdomyolisis up to a necrosis of muscles owing to accumulation creatinine-phosphokinase thus comes to light also a myoglobulinemia with possibility of development of an acute renal failure (2, 3).

One of the most reliable and safe methods of removal of pathological products of an organism is the plasmapheresis. The first Russian "Rosa" plasma filters and portable devices like "Hemofenix", and also simplicity and safety of a membrane plasmapheresis, made this procedure available to the widest network of medical institutions up to an out-patient mode. Also parallel carrying out of laser blood irradiation that promotes more reliable stabilization of  immune protection systems expedient.

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