Yeyiphi iMowudi omawuyikhethe: iMowudi yeHD okanye yeHDF?
Abantu abaninzi abazi umahluko phakathi kwe-HD ne-HDF; bazi kuphela ngeenkqubo zepompo enye kunye nepompo ezimbini. Masifunde ngemisebenzi yazo ethile.
Njengoko kusaziwa, i-dialysis ayikokususa amanzi kuphela; okubaluleke ngakumbi, imalunga nokususa iityhefu. Iindlela ezahlukeneyo ze-dialysis zisusa izinto ezahlukeneyo ezinkulu, eziphakathi nezincinci zeemolekyuli, ngaloo ndlela zifezekisa iziphumo zonyango ezifanelekileyo.
Umfanekiso ongentla ubonisa into abantu abayibiza ngokuba yinkqubo ye-single-pump, eyi-HD mode (i-Hemodialysis mode).
HDImo yeHemodialysis
Imo ye-Hemodialysis isusa ubuthi ngenkqubo yokusasazwa.
Ukusasazwa:
Ukuhamba kwezinto ezinyibilikayo nge-membrane engakwazi ukungena ukusuka kwindawo enoxinzelelo oluphezulu ukuya kwindawo enoxinzelelo oluphantsi. Ngokuyintloko isusa izinto ezincinci ze-molecular, ezifana neeswekile, ii-electrolytes (Na, K, Ca, Cl), i-urea nitrogen, i-creatinine, kunye namanzi.
Umfanekiso ongentla ubonisa into abantu abayibiza ngokuba yinkqubo yokumpompa kabini, eyimo ye-HDF (imo ye-Hemodiafiltration).
I-HDFIndlela yokuhluza i-Hemodiafiltration
Imo ye-Hemodiafiltration isusa ubuthi ngenkqubo ye-convection.
I-Convection:
Ukufuduka okulinganiselweyo kolwelo. Umahluko woxinzelelo kwi-membrane engenakugqitha kakhulu kuthiwa yi-transmembrane pressure, elililo eliqhuba i-convection. Phantsi kwesenzo soxinzelelo lwe-transmembrane, xa ulwelo luhamba ukusuka kwicala loxinzelelo oluphezulu ludlula kwi-membrane engenakugqitha kakhulu ukuya kwicala loxinzelelo oluphantsi, lutsala i-solutes kunye nalo; le nkqubo yokuthutha i-solute ibizwa ngokuba yi-convection. Ngokuyintloko isusa iimolekyuli ezincinci neziphakathi. Ingacoca izinto ze-molecular ezicociweyo yi-HD mode, kunye neetyhefu ze-molecular eziphakathi (ezifana ne-β2-microglobulin), i-phosphorus engaphezulu, i-inflammatory mediators (interleukin-6), kwaye inceda ukuphucula i-anemia, njl.
Ukushwankathela:
Kakade ke, isicelo esithile kufuneka sisetyenziswe ngokwesicwangciso sonyango sikagqirha.
Kucetyiswa ukuba kwenziwe i-HDF ubuncinane kabini ngenyanga; ukuba iimeko ziyavuma, i-HDF yeveki nganye inokwenzeka.
Sinethemba lokuba izigulana ziyayiqonda imisebenzi ethile ukuze zifumane iziphumo zonyango ezingcono.
IChengdu Wesley yasungulwa ngo-2006 kwaye ibizinikele kwicandelo le-hemodialysis kangangeminyaka engama-20,ukubonelela ngezisombululo ezinikezelwa kwindawo enye kubasebenzisi kwihlabathi liphela. Nceda uzive ukhululekile ukuqhagamshelana nathi!
Qhagamshelana nathi
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Ixesha leposi: Epreli-27-2026
