Ngaba ukucaciswa gazi kwegazi kuphela kwe-hemodialysis?

Kwindawo yokhathalelo lwempilo yanamhlanje, igama elithi 'Ukucacaca kwegazi' 'zihlala zizisa imifanekiso yezigulana ezixhonywe kumatshini wokucwangciswa kwesibhedlele, phantsi kwe-hemodialysis. Nangona kunjalo, ukucocwa kwegazi yingcinga ebanzi kakhulu ebandakanya iintlobo ezahlukeneyo zobuchwephesha kunye neenkqubo, nganye inenjongo yayo ekhethekileyo kunye nesicelo.

Ukuqala, masicacisa ukuba yintoni i-hemodialysis. I-Hemodialysis yinkqubo esetyenziswa ikakhulu kwizigulana ezichasene nentsomi. Kule nkqubo, igazi lesigulana lisasazwa ngomatshini obizwa ngokuba yi-diallyzer. I-Daylyzer iqulethe i-membrane enesidima ecacisa iimveliso zenkunkuma, ulwelo olugqithisileyo, kunye neetyhefu zegazi. Eli gazi lihlanjululwe libuyiselwe kumzimba wesigulana. I-hemodialysis idla ngokwenziwa izihlandlo ezininzi ngeveki kwaye lunyango lokonga ubomi kubantu abaninzi abanesifo esiphezulu seSithuba seRonal.

Kodwa ukucocwa kwegazi kuhamba ngaphaya nje kwe-hemodialysis. Enye indlela enjalo nguPlasmakiresis. IPlasmapharesis ibandakanya ukwahlula i-plasma kwiiseli zegazi. IPlasma, enee-antibodies, iityhefu, kunye nezinye izinto eziyingozi zisusiwe kwaye zitshintshwe iplasma entsha okanye iplasma. Obu buchule busetyenziswa kunyango lwemigangatho eyahlukeneyo ye-autoimmune, enje ngeGuillain-Barré syndrome, i-mysthenia Gravis, kunye ne-lupus. Ngokususa ii-antibodies eziyingozi kunye nezinto ezivela kwiplasma, iPlasmakhrectis inokunceda ukunciphisa ukuvuvukala kunye nokuphucula imeko yesigulana.

Olunye uhlobo lokucocwa kwegazi luyaphika. EHemoperfusion, igazi lesigulana lidlula kwikholamu ezele yimpahla ye-adsorblerblerbler, enjengokusebenza kwe-charcoal okanye i-resin. Ezi zinto zibophelelayo kwaye zisusa ityhefu kunye neziyobisi ezigazini. I-hemoperfusion ihlala isetyenziswa kwiimeko zexabiso leziyobisi okanye ityhefu, njengoko inokususa ngokukhawuleza izinto eziyingozi kwigazi.

Ke kukho i-surapy eqhubekayo yokutshintshwa (crrt). I-CRRRR yindlela yokucocwa kwegazi esetyenziswa kwizigulana ezigula kakhulu ezinobungozi obufuna ukutyhileka kwemveliso yenkunkuma kunye nolwelo. Ngokungafaniyo ne-hemodialysis, eyenziwe kwiiseshoni zendalo, i-crrt yinkqubo eqhubekayo enokuqhuba iiyure okanye iintsuku. Oku kuvumela ukufuduswa okuthambileyo nokuzisola kweemveliso zenkunkuma kunye nolwelo, olubaluleke kakhulu kwizigulana ezingenaziguluthezi.

Ukongeza kwezi ndlela zikhethekileyo, kukho itekhnoloji ekhulayo kwicandelo lokucocwa kwegazi. Umzekelo, abanye abaphandi baphonononga ukusetyenziswa kwe-nanotechnology yokuphuhlisa iindlela ezifanelekileyo zegazi kwaye zijolise kwigazi. I-Nanopalicles ingayilwa ngokuchanekileyo kwaye isuse iityhefu ezithile okanye i-pathogens egazini, ihambisa indlela eyakhiwe ngayo ngokuhlanjwa kwegazi.

Kubalulekile ukuba uqaphele ukuba ngelixa iindlela zokucofa igazi zinokuphumelela kakhulu ekunyangeni iimeko ezithile, nazo ziza nemingcipheko. Iingxaki zinokubandakanya ukopha, ukusuleleka, ukungalingani, kunye notshintsho kuxinzelelo lwegazi. Ke ngoko, ezi nkqubo ziqhele ezenziwa phantsi kweliso elisondeleyo labasebenzi abaqeqeshiweyo.

Ukuqukumbela, ukucocwa kwegazi yintsimi entsonkothileyo neyahlukileyo ebandakanya ngaphezulu kwe-hemodialysis. Ukusuka ePlasmaPhereshes kunye neHemoperfusion ukuya kwiTekhnoloji eguqukayo, kukho iindlela ezahlukeneyo ezikhoyo ukunceda ukususa izinto eziyingozi egazini kwaye kuphuculwe impilo yezigulana. Njengoko uphando kule ndawo luyaqhubeka ukuqhubela phambili, sinokulindela ukubona iindlela zokucocwa kwegazi kunye nelisebenzayo kwixesha elizayo, efuna ithemba kwabo baneengxaki ezahlukeneyo kunye neemeko.