M'malo mwamisika yamakono, mawu oti 'kuyeretsa kwa magazi ' nthawi zambiri kumabweretsa malingaliro a odwala kudzakhala pachipatala, omwe amadziwika kuti hemodialysis. Komabe, kuyeretsedwa kwa magazi ndi lingaliro lochulukirapo lomwe limafotokoza njira zosiyanasiyana, zomwe zili ndi cholinga chake ndi ntchito.
Choyamba, tiyeni tifotokozere zomwe hemolysis ndi. Hemodialysis ndi njira yomwe imagwiritsidwa ntchito makamaka kwa odwala omwe ali ndi vuto la impso kwambiri. Munjira iyi, magazi a wodwala amafalikira kudzera mu makina otchedwa mbirano. Ponenalo ili ndi nembanemba semipermer yomwe imasefukira zotayira zinyalala, madzimadzi amagetsi, ndi poizoni kuchokera m'magazi. Magazi oyeretsedwa awa amabwereranso ku thupi la wodwalayo. Hemodialysis imachitika kangapo pa sabata ndipo ndi chithandizo chopulumutsa cha moyo kwa anthu ambiri omwe ali ndi matenda omaliza.
Koma kuyeretsa magazi kumapitilira pang'ono chabessis. Njira imodzi yotereyi ndi ma plasmapheresis. Plasmaphereces imaphatikizapo kulekanitsa magaziwo kuchokera m'maselo amwazi. Plasma, yomwe imakhala ndi ma antibodies, poizoni, ndi zinthu zina zovulaza, zimachotsedwa ndikusinthidwa ndi plasma yatsopano kapena plasma m'malo mwa plasma. Njira iyi imagwiritsidwa ntchito pochiza matenda osiyanasiyana autoimmune, monga Guillar-Barmpéme, myasthenia gravis, ndi lupus. Mwa kuchotsa ma antibodies ndi zinthu zochokera ku plasma, plasmaprice imatha kuthandiza kuchepetsa kutupa ndikuwongolera wodwalayo.
Mtundu wina wa kuyeretsedwa kwa magazi ndi hemarfoision. Mu Hemoperfoision, magazi a wodwalayo amadutsa mzati wodzaza ndi zinthu zodziwika bwino, monga makala osavomerezeka kapena okhazikika. Izi zimaphatikizira ndikuchotsa poizoni ndi mankhwala ochokera m'magazi. Hemoperfosion nthawi zambiri amagwiritsidwa ntchito ngati mankhwala osokoneza bongo kapena poizoni, chifukwa imatha kuchotsa zinthu zovulaza kuchokera m'magazi.
Kenako pali chithandizo chaimpso chosinthira (CRRT). CRRT ndi mtundu wa kuyeretsa magazi komwe kumagwiritsidwa ntchito mozama odwala omwe ali ndi vuto la impso kapena zinthu zina zomwe zimafunikira kuchotsedwa kwa zinthu ndi madzi. Mosiyana ndi hemodialysis, yomwe imachitidwa m'magawo anzeru, CRRT ndi njira yopitilira yomwe imatha kuthamanga kwa maola kapena masiku. Izi zimathandiza kuti zinthu zodetsa zodetsa ndi madzi, zomwe ndizofunikira makamaka kwa odwala omwe ali hemodymwam.
