Isifo sezinso esingamahlalakhona (CKD) siqhubeka ngezigaba ezinhlanu, kanti isigaba sesihlanu sibonisa ukungasebenzi kahle kwezinso okukhulu, okwaziwa nangokuthi isifo sezinso sesigaba sokugcina (ESRD). Kulesi sigaba, iziguli zidinga ukwelashwa kokushintsha izinso ukuze zisinde.

Izindlela Zokwelapha Ezivamile Zokufaka Esikhundleni Sezinso

Izindlela zokwelapha ezivame kakhulu zokufaka esikhundleni sezinso zifaka phakathi i-hemodialysis, i-peritoneal dialysis, kanye nokufakelwa kwezinso. I-Hemodialysis iyindlela esetshenziswa kabanzi, kodwa ayifanele wonke umuntu. Ngakolunye uhlangothi, i-peritoneal dialysis ivame ukuba yinhle kubo bonke abaguli, kodwa kunengozi enkulu yokutheleleka.

Kuyini i-hemodialysis?

I-hemodialysis ejwayelekile ihlanganisa izinhlobo ezintathu: i-hemodialysis (HD), i-hemodiafiltration (HDF), kanye ne-hemoperfusion (HP).

I-Hemodialysisinqubo yezokwelapha esebenzisa isimiso sokusabalala ukususa imfucuza ye-metabolic, izinto eziyingozi, kanye noketshezi oluningi egazini. Ingenye yezindlela zokwelapha ezivame kakhulu zokufaka esikhundleni sezinso ezigulini ezinesifo sezinso esisesigabeni sokugcina futhi ingasetshenziswa futhi ekwelapheni ukweqisa izidakamizwa noma ubuthi. Ukusabalala kwenzeka ku-dialyzer lapho kukhona i-concentration gradient ku-membrane engangeni, okuvumela i-solutes ukuthi isuke ezindaweni ezine-concentration ephezulu iye kwi-concentration ephansi kuze kube yilapho kufinyelelwa ukulingana. Ama-molecule amancane asuswa kakhulu egazini.

Ukuhlunga nge-Hemodiakuyindlela yokwelapha i-hemodialysis ehlanganisiwe ne-hemofiltration, esebenzisa ukusabalala kanye ne-convection ukususa i-solutes. I-Convection ukuhamba kwe-solutes ku-membrane eqhutshwa yi-gradient yokucindezela. Le nqubo ishesha kunokusabalalisa futhi isebenza kahle kakhulu ekususeni izinto ezinkulu, ezinobuthi egazini. Le ndlela ekabili ingasusaOkuningiama-molecule aphakathi nendawo ngesikhathi esifushane kunendlela ngayinye yodwa. Imvamisa yokuhluza i-hemodiafiltration ivame ukunconywa kanye ngesonto.

I-Hemoperfusionkungenye inqubo lapho igazi likhishwa emzimbeni bese lisakazwa ngedivayisi yokuphalaza esebenzisa ama-adsorbents afana namalahle asebenzayo noma ama-resin ukubopha nokususa imikhiqizo kadoti ye-metabolic, izinto ezinobuthi, kanye nezidakamizwa egazini. Iziguli zelulekwa ukuthi zithole i-hemoperfusion kanye ngenyanga.

*Indima yokumuncwa
Ngesikhathi se-hemodialysis, amaprotheni athile, ubuthi, kanye nezidakamizwa egazini zifakwa ngokukhetha ebusweni be-dialysis membrane, ngaleyo ndlela kube lula ukususwa kwazo egazini.

I-Chengdu Wesley ikhiqiza imishini yokuhlanza igazi kanye nemishini yokuhlanza igazi enikeza ukuhlunga okunembile, ukusebenza okulula ukuyisebenzisa, kanye nezinhlelo zokwelapha nge-dialysis ezizimele ngokusekelwe kwiseluleko sodokotela. Imishini yethu ingenza i-hemoperfusion nge-hemodialysis futhi ihlangabezane nezidingo zazo zonke izindlela ezintathu zokwelapha nge-dialysis. Ngesitifiketi se-CE, imikhiqizo yethu yaziwa kabanzi ezimakethe zomhlaba wonke.