Isifo sezintso esinganyangekiyo (CKD) siqhubeka ngamanqanaba amahlanu, apho inqanaba lesihlanu libonisa ukungasebenzi kakuhle kwezintso, okwaziwa ngokuba sisifo sezintso esikwinqanaba lokugqibela (ESRD). Kweli nqanaba, izigulana zifuna unyango lokutshintshwa kwezintso ukuze ziphile.

Iindlela Zonyango Eziqhelekileyo Zokutshintsha Izintso

Iindlela zonyango zokutshintshwa kwezintso ezixhaphakileyo ziquka i-hemodialysis, i-peritoneal dialysis, kunye nokufakelwa kwezintso. I-Hemodialysis yindlela esetyenziswa kakhulu, kodwa ayifanelekanga kuye wonke umntu. Kwelinye icala, i-peritoneal dialysis idla ngokuba yeyona ifanelekileyo kubo bonke abaguli, kodwa kukho umngcipheko omkhulu wokosuleleka.

Yintoni i-hemodialysis?

I-hemodialysis eqhelekileyo ibandakanya iintlobo ezintathu: i-hemodialysis (HD), i-hemodiafiltration (HDF), kunye ne-hemoperfusion (HP).

I-Hemodialysisyinkqubo yezonyango esebenzisa umgaqo wokusasazwa ukususa inkunkuma ye-metabolic, izinto ezinobungozi, kunye nolwelo olugqithisileyo egazini. Yenye yezona ndlela ziqhelekileyo zokutshintsha izintso kwizigulana ezinesifo sezintso esikwinqanaba lokugqibela kwaye ingasetyenziselwa ukunyanga ukugqithisa amayeza okanye ityhefu. Ukusasazwa kwenzeka kwi-dialyzer xa kukho i-concentration gradient kwi-membrane engangeni manzi, okuvumela i-solutes ukuba isuke kwiindawo ezinoxinzelelo oluphezulu iye kuxinzelelo oluphantsi de kufikelelwe kumlinganiselo olinganayo. Iimolekyuli ezincinci zisuswa kakhulu egazini.

Ukucoca igazi nge-hemodialunyango lwe-hemodialysis edibeneyo kunye ne-hemofiltration, esebenzisa i-diffusion kunye ne-convection ukususa i-solutes. I-Convection kukuhamba kwe-solutes kwi-membrane eqhutywa yi-gradient yoxinzelelo. Le nkqubo ikhawuleza kunokusasazwa kwaye isebenza ngakumbi ekususeni izinto ezinkulu nezinobuthi egazini. Le ndlela imbini inokususaKaninziiimolekyuli eziphakathi ngexesha elifutshane kunezo zombini iindlela zokwenziwa. Ukuphindaphindwa kwe-hemodiafiltration kudla ngokucetyiswa kube kanye ngeveki.

I-Hemoperfusionyenye inkqubo apho igazi litsalwa emzimbeni lize lijikeleziswe ngesixhobo sokuphalaza igazi esisebenzisa izithambisi ezifana ne-activated charcoal okanye i-resin ukubopha nokususa inkunkuma ye-metabolic, izinto ezinobuthi, kunye namayeza egazini. Izigulana ziyacetyiswa ukuba zithole i-hemoperfusion kube kanye ngenyanga.

*Indima yokufunxa
Ngexesha le-hemodialysis, iiproteni ezithile, iityhefu, kunye namayeza egazini afakwa ngokukhetha kumphezulu we-dialysis membrane, ngaloo ndlela kulula ukukhupha igazi.

IChengdu Wesley ivelisa oomatshini be-hemodialysis kunye noomatshini be-hemodiafiltration ababonelela nge-ultrafiltration echanekileyo, ukusebenza okulula ukuyisebenzisa, kunye nezicwangciso zonyango lwe-dialysis ezizimeleyo ngokusekelwe kwiingcebiso zoogqirha. Oomatshini bethu banokwenza i-hemoperfusion nge-hemodialysis kwaye bahlangabezane neemfuno zazo zonke iindlela ezintathu zonyango lwe-dialysis. Ngokuqinisekiswa kwe-CE, iimveliso zethu zaziwa kakhulu kwiimarike zamazwe ngamazwe.