Iindlela zoNyango zokuFaila okuNgapheliyo kwezintso
Izintso ngamalungu abalulekileyo emzimbeni womntu adlala indima ebalulekileyo ekuhluzeni inkunkuma, ekugcineni ulwelo kunye ne-electrolyte balance, ukulawula uxinzelelo lwegazi, kunye nokukhuthaza ukuveliswa kweeseli ezibomvu zegazi. Xa izintso zisilela ukusebenza kakuhle, kunokukhokelela kwiingxaki ezinzulu zempilo kwaye zifuna unyango olutshintshiweyo lwezintso olufana ne-hemodialysis.
Uhlobo lweSifo sezintso
Izifo zezintso zinokwahlulwa zibe ziindidi ezine eziphambili: izifo zezintso eziphambili, izifo zezintso zesibini, izifo zezintso ezinofuzo, kunye nezifo ezifunyenweyo.
Izifo zezintso eziphambili
Ezi zifo zisuka kwizintso, ezifana ne-acute glomerulonephritis, nephrotic syndrome, kunye nokwenzakala okubukhali kwezintso.
Izifo zezintso zesibini
Umonakalo wezintso ubangelwa zezinye izifo, ezifana ne-nephropathy yesifo sikashukela, i-systemic lupus erythematosus, i-Henoch-Schönlein purpura, kunye noxinzelelo lwegazi.
Izifo zezintso zofuzo
Kubandakanya izifo zokuzalwa ezifana nesifo sezintso ze-polycystic kunye ne-nephropathy ye-membrane ephantsi.
Izifo zezintso ezifunyenweyo
Izifo zisenokuba ngenxa yomonakalo wezintso owenziwe ngamayeza okanye ukuchanabeka kwindalo kunye neetyhefu zasemsebenzini.
Isifo sezintso ezingapheliyo (Chronic kidney disease) (CKD) siqhubela phambili kwizigaba ezihlanu, kwaye inqanaba lesihlanu libonisa ukungasebenzi kakuhle kwezintso, okwakwaziwa njenge-end-stage renal disease (ESRD). Kweli nqanaba, izigulana zifuna unyango lwezintso ukuze ziphile.
Unyango lweRenal oluqhelekileyo
Olona nyango luqhelekileyo lokubuyisela izintso lubandakanya i-hemodialysis, i-peritoneal dialysis, kunye nokufakelwa kwezintso. I-Hemodialysis yindlela esetyenziswa ngokubanzi, kodwa ayifanelekanga kumntu wonke. Kwelinye icala, i-peritoneal dialysis ihlala ifanelekile kuzo zonke izigulana, kodwa kukho umngcipheko omkhulu wosulelo.
Yintoni hemodialysis?
I-hemodialysis ngokubanzi iquka iindlela ezintathu: i-hemodialysis (HD), i-hemodiafiltration (HDF), kunye ne-hemoperfusion (HP).
Hemodialysisyinkqubo yezonyango esebenzisa umgaqo wokusasaza ukususa inkunkuma yemetabolism, izinto eziyingozi, kunye nolwelo olugqithisileyo egazini. Lolona nyango luxhaphakileyo lokubuyisela izintso kwizigulana ezinesigaba sokugqibela sesifo kwaye lunokusetyenziselwa ukunyanga ichiza okanye i-toxin overdose. Ukusasazwa kwenzeka kwi-dialyzer xa i-concentration gradient ikhona ngapha kwe-semipermeable membrane, evumela i-solutes ukuba ihambe ukusuka kwiindawo zoxinaniso oluphezulu ukuya kwi-concentration ephantsi de kufike ukulingana. Iimolekyuli ezincinci zikhutshwa ngokuyintloko egazini.
Hemodiafiltrationlunyango lwe-hemodialysis edibeneyo kunye ne-hemofiltration, esebenzisa i-diffusion kunye ne-convection ukususa i-solutes. I-Convection yintshukumo ye-solutes kwi-membrane eqhutywa yi-gradient yoxinzelelo. Le nkqubo ikhawuleza kunokusasazwa kwaye isebenza ngokukodwa ekususeni izinto ezinkulu, ezinobuthi egazini. Le ndlela imbini inokususaKaninziIimolekyuli ezinobungakanani obuphakathi ngexesha elifutshane kunendlela yodwa. Ubuninzi be-hemodiafiltration budla ngokucetyiswa kanye ngeveki.
I-HemoperfusionYenye inkqubo apho igazi litsalwa emzimbeni lize lijikelezwe ngesixhobo sokugalela esisebenzisa ii-adsorbents ezinjengamalahle asebenzayo okanye iireyini ukuze zibophe kwaye zisuse inkunkuma ye-metabolic, izinto eziyityhefu, kunye neziyobisi egazini. Izigulane zicetyiswa ukuba zithole i-hemoperfusion kanye ngenyanga.
*Indima ye-adsorption
Ngexesha le-hemodialysis, iiprotheni ezithile, i-toxins, kunye neziyobisi ezisegazini zikhethwa ngokukhethekileyo kumphezulu we-dialysis membrane, ngaloo ndlela ziququzelela ukususwa kwazo egazini.
I-Chengdu Wesley yenza oomatshini be-hemodialysis kunye noomatshini be-hemodiafiltration ababonelela nge-ultrafiltration echanekileyo, ukusetyenziswa komsebenzisi, kunye nezicwangciso zonyango lwe-dialysis olusekelwe kwiingcebiso zoogqirha. Oomatshini bethu banokwenza i-hemoperfusion nge-hemodialysis kwaye bahlangabezane neemfuno zazo zontathu iindlela zonyango lwe-dialysis. Ngesatifikethi se-CE, iimveliso zethu zamkelwa ngokubanzi kwiimarike zamazwe ngamazwe.
Njengomvelisi okhokelayo kushishino lwezixhobo ze-dialysis onokubonelela ngeeseti ezipheleleyo zezisombululo ze-dialysis zokucocwa kwegazi, sizinikele ekunikeni isiqinisekiso sokuphila ngentuthuzelo eyongeziweyo kunye nomgangatho ophezulu kwizigulana ezingasebenziyo kwizintso. Ukuzibophelela kwethu kukusukela iimveliso ezigqibeleleyo kunye nenkonzo yentliziyo epheleleyo.
Ixesha lokuposa: Dec-05-2024