Kuyini i-HDF (i-Hemofiltration)?
UMnu. Wang oneminyaka engu-62 ubudala, obelokhu ehlikihla i-hemodialysis iminyaka emi-5, wayehlushwa ukukhwehlela okukhulu (okubi kakhulu ebusuku) kanye nobuhlungu obungabekezeleleki edolweni ngezikhathi ezithile izinyanga eziyi-6. Izimpawu zakhe azizange zithuthuke kangako nge-dialysis ejwayelekile, futhi ukulandelwa kwabonisa i-PTH ephezulu. Ekuqaleni enqikaza ngenqubo eyinkimbinkimbi ye-HDF enconywe odokotela, wavuma ukuyizama. Ngemva kwezikhathi eziningana, ukulunywa kwakhe kwaphela, walala kahle, isiyezi esihlobene ne-dialysis kanye nokuqaqamba kwemisipha kwehle kakhulu, futhi isimo sakhe sengqondo sathuthuka. Manje uthatha isinyathelo sokuncoma ukwelashwa kwezinye iziguli ze-dialysis: "Le nguqulo ethuthukisiwe ye-dialysis yenza umehluko ngempela!"
01 Kuyini i-HDF(I-1965)Ukuhlunga igazi？？
Kalula nje,I-HDF iyinhlanganisela ye-hemodialysis (HD) kanye ne-hemofiltration. Igcina umsebenzi oyinhloko we-HD ekususeni ama-molecule amancane (isb. i-urea, i-creatinine), ngenkathi ingeza inqubo yokuhlunga. Njengezinso ezinempilo, isebenzisa i-gradient yokucindezela ukususa ubuthi obuphakathi nobukhulu (isb. i-β2-microglobulin, i-parathyroid hormone).
02 Izinzuzo eziyinhloko ze-HDF uma kuqhathaniswa neyendabukoi-dialysis
Kubantu abasebenzisa i-dialysis isikhathi eside, ukuqongelela ubuthi bama-molecule aphakathi namakhulu kuyimbangela eyinhloko yokulunywa kwesikhumba, ubuhlungu bamathambo, nezinkinga zenhliziyo nemithambo yegazi. Inzuzo eyinhloko ye-HDF ihloselwe ngqo le nkinga:
(1) Ukususwa kobuthi okuphelele
Isusa ubuthi obuncane bama-molecule (i-urea creatinine) kanye nama-molecule aphakathi/amakhulu okunzima ukuwasusa (i-β2-microglobulin, i-PTH) okunciphisa izinkinga ezifana ne-renal osteopathy kanye nokulunywa kwesikhumba.
（2） Ulwazi Lokwelapha Olukhululekile Kakhulu
Ukwengezwa koketshezi olungena esikhundleni soketshezi kuqinisa ibhalansi ye-electrolyte kanye noketshezi, kunciphisa izingozi zokwehla komfutho wegazi, isiyezi, ukuqaqamba kwemisipha, kanye nokukhathala ngemva kokuhlinzwa.
（3） Izinzuzo Ezibalulekile Zesikhathi Eside
I-HDF ejwayelekile ithuthukisa ukudla okunomsoco, ikhwalithi yokulala kanye nempilo yenhliziyo nemithambo yegazi, ikhulisa ikhwalithi yokuphila iyonke yeziguli ezihlikihla nge-dialysis isikhathi eside.
03 Yiziphi iziguli zezinso ezifanelekela ukukhetha i-HDF?
- Iziguli eziye zaba nezinkinga ezisobala ezihlobene ne-dialysis, njengokulunywa kwesikhumba okuphindaphindiwe, ubuhlungu bamathambo, noma ukungakhululeki kwamalunga.
- Iziguli ezinezinga eliphakeme le-parathyroid hormone (PTH) eliqhubekayo okunzima ukuzilawula nge-hemodialysis evamile.
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Iziguli ezivame ukuzizwa zingakhululekile ngesikhathi sokuhlanza igazi, njengokuncipha komfutho wegazi noma ukuqaqamba kwemisipha.
- Iziguli ezinethemba lokuthuthukisa ukwelashwa futhi zinciphise ingozi yezinkinga zesikhathi eside.
Ukufaneleka kokwelashwa kwe-HDF kumele kuhlolwe ngokuphelele ngudokotela ochwepheshe ngokusekelwe esimweni esithile sesiguli kanye nemiphumela yokuhlolwa kwelebhu. Akunconywa ukwenza isinqumo ngokwakho.
04 Yini Okufanele Iziguli Ziyiqaphele Lapho Zithola I-HDF?
(1). Akukho Ukulungiselela Okungeziwe OkudingekayoInqubo yokwelapha kanye nendlela yokubhoboza i-HDF ngokuyisisekelo ifana naleyo ye-hemodialysis evamile. Iziguli azidingi ukufunda ukuhlinzwa okwengeziwe, futhi akudingeki zishintshe imvamisa ye-dialysis (ngokuvamile ihlale injalo kathathu ngesonto).
(2). Qaphela i-Anticoagulation kanye ne-Fluid Engena esikhundleni
Ama-anticoagulant (isb., i-heparin enesisindo esincane sama-molecule) asetshenziswa ngesikhathi sokwelashwa ukuvimbela ukujiya kwegazi. Iziguli ezivame ukopha kumele zazise odokotela bazo kusenesikhathi.Uketshezi oluzofakwa esikhundleni salo alunamagciwane futhi lulungiswa ngendlela efanayo yisibhedlela, ngakho-ke ukuphepha kwalo kuqinisekisiwe ngokugcwele.
Isikhathi sokuthunyelwe: Jan-15-2026
