Isifo sezinso esingamahlalakhona (CKD) sidlulela ezigabeni ezinhlanu, isigaba sesihlanu sibonisa ukungasebenzi kahle kwezinso, okubuye kwaziwe nge-end-stage renal disease (ESRD). Kulesi sigaba, iziguli zidinga ukwelashwa okushintshwa kwezinso ukuze ziphile.

Imithi Ejwayelekile Yokubuyisela Izinso

Izindlela zokwelapha ezivame kakhulu zokubuyisela izinso zihlanganisa i-hemodialysis, i-peritoneal dialysis, nokufakelwa kwezinso. I-Hemodialysis iyindlela esetshenziswa kakhulu, kodwa ayifanele wonke umuntu. Ngakolunye uhlangothi, i-peritoneal dialysis ngokuvamile ilungele zonke iziguli, kodwa kunengozi enkulu yokutheleleka.

Iyini i-hemodialysis?

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

I-Hemodialysiskuyindlela yezokwelapha esebenzisa isimiso sokusabalalisa ukuze kukhishwe udoti we-metabolic, izinto eziyingozi, noketshezi oluningi egazini. Ingenye yezindlela zokwelapha ezivamile zokubuyisela izinso ezigulini ezinesifo sezinso esifika esigabeni sokugcina futhi ingase isetshenziselwe ukwelapha ukweqisa kwezidakamizwa noma ubuthi. Ukusabalalisa kwenzeka ku-dialyzer lapho i-concentration gradient ikhona kuwo wonke ulwelwesi olungene kancane, okuvumela ama-solutes ukuthi asuke ezindaweni zokugxilisana okuphezulu aye ekugxiliseni okuphansi kuze kube yilapho kufinyelelwa ukulingana. Ama-molecule amancane akhishwa ngokuyinhloko egazini.

I-Hemodiafiltrationiwukwelashwa kwe-hemodialysis ehlanganisiwe ne-hemofiltration, esebenzisa ukusabalalisa kanye ne-convection ukuze kukhishwe ama-solutes. I-Convection ukunyakaza kwezinyibilikisiwe kulwelwesi olushayelwa i-gradient yokucindezela. Le nqubo ishesha kunokusabalalisa futhi iphumelela kakhulu ekukhipheni izinto ezinkulu ezinobuthi egazini. Lo mshini ombaxambili ungasusaOkuningiama-molecule anosayizi omaphakathi ngesikhathi esifushane kunanoma iyiphi indlela yodwa. Imvamisa ye-hemodiafiltration ivamise ukutuswa kanye ngesonto.

I-Hemoperfusionkungenye inqubo lapho igazi likhishwa emzimbeni futhi lisakazwe ngomshini wokugcwalisa osebenzisa ama-adsorbent njengamalahle acushiwe noma ama-resin ukuze abophe futhi akhiphe udoti we-metabolic, izinto ezinobuthi, nezidakamizwa egazini. Iziguli zelulekwa ukuthi zithole i-hemoperfusion kanye ngenyanga.

*Indima ye-adsorption
Ngesikhathi se-hemodialysis, amaprotheni athile, ubuthi, nezidakamizwa ezisegazini zikhethwa ngokukhethayo ebusweni bolwelwesi lwe-dialysis, ngaleyo ndlela kube lula ukususwa kwazo egazini.

U-Chengdu Wesley wenza imishini ye-hemodialysis kanye nemishini yokuhlanza i-hemodiafiltration enikeza ukucwenga okunembile kwe-ultrafiltration, ukuhlinzwa okusebenziseka kalula, kanye nezinhlelo zokwelashwa komuntu ngamunye zokuhlinza ngokususelwa eselulekweni sodokotela. Imishini yethu ingenza i-hemoperfusion nge-hemodialysis futhi ihlangabezane nezidingo zazo zontathu izindlela zokwelapha ze-dialysis. Ngesitifiketi se-CE, imikhiqizo yethu yaziwa kabanzi ezimakethe zomhlaba.