Kodi Kuyeretsa Magazi Ndi Hemodialysis Yokha?

Pazachipatala zamakono, mawu oti 'kuyeretsa magazi' nthawi zambiri amatikumbutsa za odwala omwe ali ndi makina m'chipatala, omwe amadziwika kuti hemodialysis. Komabe, kuyeretsedwa kwa magazi ndi lingaliro lalikulu kwambiri lomwe limaphatikizapo njira ndi njira zosiyanasiyana, iliyonse ili ndi cholinga chake ndi ntchito yake.

Choyamba, tiyeni tifotokoze chomwe hemodialysis ndi. Hemodialysis ndi njira yomwe imagwiritsidwa ntchito makamaka kwa odwala omwe ali ndi vuto lalikulu la impso. Pochita zimenezi, magazi a wodwalayo amayenda kudzera m’makina otchedwa dialyzer. Dialyzer imakhala ndi nembanemba yomwe imasefa zinyalala, madzi ochulukirapo, ndi poizoni m'magazi. Kenako magazi oyeretsedwawa amabwezedwa m’thupi la wodwalayo. Hemodialysis imachitika kangapo pa sabata ndipo ndi chithandizo chopulumutsa moyo kwa anthu ambiri omwe ali ndi matenda a aimpso omaliza.

Koma kuyeretsedwa kwa magazi kumapita kutali kwambiri ndi hemodialysis. Imodzi mwa njira zoterezi ndi plasmapheresis. Plasmapheresis imaphatikizapo kulekanitsa plasma ku maselo a magazi. Madzi a m’magazi, omwe amakhala ndi ma antibodies, poizoni, ndi zinthu zina zovulaza, amachotsedwa ndi kulowedwa m’malo ndi madzi a m’magazi atsopano kapena m’malo mwa plasma. Njira imeneyi imagwiritsidwa ntchito pochiza matenda osiyanasiyana a autoimmune, monga matenda a Guillain-Barré, myasthenia gravis, ndi lupus. Pochotsa ma antibodies ndi zinthu zovulaza mu plasma, plasmapheresis ingathandize kuchepetsa kutupa ndikuwongolera mkhalidwe wa wodwalayo.

Njira ina yoyeretsera magazi ndi hemoperfusion. Mu hemoperfusion, magazi a wodwalayo amadutsa muzambiri zodzaza ndi zinthu za adsorbent, monga makala oyendetsedwa kapena utomoni. Izi zimamangiriza ndikuchotsa poizoni ndi mankhwala m'magazi. Hemoperfusion nthawi zambiri amagwiritsidwa ntchito pakumwa mankhwala osokoneza bongo kapena poyizoni, chifukwa amatha kuchotsa mwachangu zinthu zovulaza m'magazi.

Kenako pali chithandizo chopitilira aimpso (CRRT). CRRT ndi njira yoyeretsera magazi yomwe imagwiritsidwa ntchito kwa odwala omwe ali ndi vuto lalikulu la impso kapena zinthu zina zomwe zimafuna kuchotsedwa kosalekeza kwa zonyansa ndi madzimadzi. Mosiyana ndi hemodialysis, yomwe imachitika m'magulu ang'onoang'ono, CRRT ndi njira yopitilira yomwe imatha maola kapena masiku. Izi zimathandiza kuti pakhale kuchotseratu zonyansa komanso zokhazikika, zomwe ndizofunikira kwambiri kwa odwala omwe ali ndi hemodynamically osakhazikika.

Kuphatikiza pa njira zenizeni izi, palinso matekinoloje omwe akubwera pankhani yoyeretsa magazi. Mwachitsanzo, ofufuza ena akuyang’ana kugwiritsira ntchito nanotechnology kuti apeze njira zoyeretsera mwazi zogwira mtima kwambiri. Nanoparticles atha kupangidwa kuti amange ndi kuchotsa poizoni kapena tizilombo toyambitsa matenda m'magazi, ndikupereka njira yodziyeretsera magazi.

Ndikofunika kuzindikira kuti ngakhale kuti njira zoyeretsera magazi zingakhale zothandiza kwambiri pochiza matenda ena, zimabweranso ndi ngozi. Mavuto angaphatikizepo magazi, matenda, kusamvana, ndi kusintha kwa kuthamanga kwa magazi. Chifukwa chake, njirazi nthawi zambiri zimachitika moyang'aniridwa ndi akatswiri azachipatala ophunzitsidwa bwino.

Pomaliza, kuyeretsa magazi ndi gawo lovuta komanso losiyanasiyana lomwe limaphatikizapo zambiri kuposa hemodialysis. Kuchokera ku plasmapheresis ndi hemoperfusion kupita ku CRRT ndi matekinoloje omwe akubwera, pali njira zosiyanasiyana zothandizira kuchotsa zinthu zovulaza m'magazi ndikusintha thanzi la odwala. Pamene kafukufuku wa m’derali akupita patsogolo, tingayembekezere kuonanso njira zatsopano zoyeretsera magazi m’tsogolomu, zomwe zikupereka chiyembekezo kwa anthu amene akuvutika ndi matenda osiyanasiyana.