M'munda wamankhwala amakono, njira zoyeretsera magazi zimachita mbali yofunika kwambiri populumutsa ndi kukonza miyoyo ya odwala osawerengeka. Chimodzi mwa mitundu yodziwika bwino komanso yodziwika bwino ya kuyeretsa magazi ndi hemodialysis. Nthawi zambiri amatchedwa impso kapena impso ya Impso, hemodialysis ndi njira yodabwitsa kwambiri yomwe idasinthiratu chithandizo cha odwala omwe ali ndi matenda a impso.
Hemodialysis amagwira ntchito pa mfundo za nemigrane. Inmbrane iyi imagwira ngati fyuluta yosankhidwa, kulola zinthu zina podutsa kwinaku poletsa ena. Kudzera mu njira yakanikirana, zinthu zowononga ndi zowonjezera pachabe, komanso ma electrolyte ochulukirapo, zimachotsedwa m'magazi. Izi sizingothandiza kuyeretsa magaziwo komanso imagwiranso ntchito yofunika pokonza madzi okwanira, ma electrolyte, ndi magawo oyambira acid m'thupi.
Fomu yochizira yomwe imaperekedwa ndi makina a hemodialysis amapangira hemodialysis (ihd). Pa nthawi ya iHD, odwala amalumikizidwa ndi makinawa kwakanthawi. Nthawi zambiri, magawowa amakonzedwa kangapo pa sabata, kutengera zosowa za wodwalayo. Makinawo mosamala amawongolera ndikuwunika magazi ndi dialysis yankho kuti atsimikizire kuchotsedwa kwa poizoni ndi kubwezeretsa koyenera.
Cholinga chachikulu cha hemodialysis ndikukonza ndikukonzanso mankhwala a matenda omaliza adwala odwala omwe ali ndi vuto la aimpso. Pamene impso zimasiya kugwira ntchito moyenera, sangathe kusefa zinthu zinyalala ndikusunga madzimadzi amthupi ndi electrolyte. Hemodialysis njira zogwirira ntchito izi. Mwa kuchotsa malo omanga osokoneza bongo omwe angadziunjike m'thupi, zimathandizira kutalikitsa miyoyo ndikusintha moyo wa odwala amenewa.
Chimodzi mwazopindulitsa za hemodialysis ndi kuthekera kwake ndikuchotsa poizoni zazing'ono kuchokera m'magazi. Izi zimaphatikizapo urea, creatinine, ndi ma eleclelte osiyanasiyana omwe amapangidwa chifukwa cha kagayidwe wamba. Odwala omwe ali ndi impso kulephera, matendawa amatha kufikira zizindikiro zowopsa ndikupangitsa zizindikiro zosiyanasiyana komanso zovuta zina. Hemodialysis imachotsa poizoni izi, kuchepetsa nkhawa pa thupi ndi zizindikiro zosokoneza monga kutopa, nseru, ndi kufooka.
Njira ya hemodialysis imaphatikizapo njira zingapo. Choyamba, magazi a wodwalayo amapezeka patsamba lofikira, lomwe limatha kukhala loopsa la ma arteriovemous, kulumikizana, kapena catheter. Magazi amapukutidwa kudzera mu makina a hemodialysis, komwe amakumana ndi gawo la dialysis mbali ina ya nemilane. Monga magazi ndi dialysies imadutsa wina ndi mnzake, poizoni ndi zinthu zowonjezera komanso zinthu zosiyanasiyana kudutsa mu dialysis yankho, pomwe zinthu zofunika zimasungidwa m'magazi. Magazi oyeretsedwa amabwereranso ku thupi la wodwalayo.
Hemodialysis imafuna gulu lophunzitsidwa bwino la akatswiri azaumoyo, kuphatikizapo a Nephrologists, anamwino, ndi akatswiri. Anthuwa ali ndi udindo wowunikira momwe wodwalayo amakhala nawo gawo la dialysis, kusintha ma makina ngati pakufunika, ndikupereka chithandizo kwa wodwala ndi mabanja awo. Kuphatikiza apo, odwala omwe akukumana ndi hemorialysis ayenera kutsatira chakudya chokhwima komanso madzi madzi kuti athandize kusamalira momwe akumvera ndikukhazikitsa mphamvu ya mankhwalawa.
Ngakhale zake zinali zabwino zambiri, hemodialysis imakumananso ndi mavuto ena. Odwala amathanso kukumana ndi mavuto monga kuthamanga kwa magazi, kupsinjika minofu, ndi kuyabwa. Palinso chiopsezo chotenga kachilombo ka vascular formund malo okhudzana ndi kugwiritsa ntchito kwa nthawi yayitali. Komabe, mosamala ndi kasamalidwe koyenera komanso kasamalidwe, zoopsa izi zitha kuchepetsedwa.
Pomaliza, hemodialysis ndi njira yoyeretsa magazi yomwe yasintha mankhwalawa matenda a impso. Pogwiritsa ntchito nembanemba semirecle ndi mawonekedwe a mawonekedwe azomwe amachotsa poizoni ndikubwezeretsa madzi ndi ma electrolyte. Ngakhale zili ndi zovuta zake, hemodialysis yasunga moyo wosawerengeka ndipo akupitiliza kukhala chida chofunikira polimbana ndi kulephera kwa impso. Monga ukadaulo wazachipatala zikupitirirabe, titha kuyembekeza kusintha kwa hemodialysis ndi magazi kuyeretsa magazi, kupereka chiyembekezo chabwino kwa odwala omwe akufunika.
