I-Hemodialysis: Indlela yokucoca igazi

Kwintsimi yonyango lwale mihla, iindlela zokucocwa kwegazi zidlala indima ebalulekileyo ekusindiseni nasekuphuculeni ubomi babantu abangenakubalwa. Enye yezona ndlela zibalulekileyo nezingasetyenziswanga ngokubanzi zegazi yi-hemodialysis. Ngokuqhelekileyo kubhekiselwe kwintsomi yentsomi okanye kwisifo sezintso, iHodiyalysis lungenelelo olumangalisayo lonyango oluguqulile imeko yonyango kwizigulana ezinesifo sezintso.

I-hemodialysis isebenza kumgaqo we-membrane engathandekiyo. Le membrane isebenza njengesihluzi esikhethiweyo, sivumela izinto ezithile ukuba zidlule ngelixa ivimba abanye. Ngenkqubo yokumahluka, eyingozi nengaphezulu yenkunkuma, kunye nee-elektrolytes ezigqithileyo, zisuswe egazini. Oku akuncedisi ukucoca igazi kodwa ikwadlala indima ebalulekileyo ekulungiseleleni ibhalansi yamanzi, ama-elektrolytes, kunye namanqanaba akwi-acid emzimbeni.

Ifomu yonyango ebonelelwe ngumatshini weHodialysis yi-hemodialysis (ihd). Ngexesha iiseshoni ze-IHD, abaguli baqhagamshelwe kumatshini ixesha elithile. Ngokwesiqhelo, ezi seshoni zicwangciselwe izihlandlo ezininzi ngeveki, kuxhomekeka kwiimfuno zomguli ngamnye. Umatshini ulawula ngenyameko kwaye ubeka iliso kumbandela wegazi kunye nesicombululo sodidi lokuqinisekisa ukususwa kwe-toxins kunye nokubuyiselwa ngokuchanekileyo.

Eyona njongo iphambili ye-hemodibassissis yeyolondolozo kunye nokutshintsha impatho yesigaba sokufikelela kwisifo se-Renal kwizigulana ezingenasiphelo esingapheliyo. Njengoko izintso ziphulukana nokukwazi kwabo ukusebenza ngokufanelekileyo, azikwazi ukuqhuba iimveliso zenkunkuma kwaye zigcine ibhalansi yomzimba kunye ne-electrolyte. I-Hemodialysis amanyathelo okuthatha le misebenzi ibalulekileyo. Ngokususa ukwakhiwa kweetyhefu ezazinokuqokelela emzimbeni, kuyanceda ukwandisa ubomi kunye nokuphucula umgangatho wobomi babaguli.

Esona sibonelelo siphambili se-hemodialysis kukukwazi kwayo ukujolisa kwaye sisuse iityhefu ezincinci zemolekyuli egazini. Ezi toxins zibandakanya urea, i-Dezanine, kunye nee-electroneste ezahlukeneyo eziveliswa ngenxa yemetabolism eqhelekileyo. Kwizigulana ezinesifo sokungaphumeleli izintso, ezi toxins zinokufikelela kwinqanaba eliyingozi kwaye zibangele uluhlu lweempawu kunye neengxaki. I-hemodialysis isusa le tyhefu, ukunciphisa umthwalo emzimbeni kunye nokuphelisa iimpawu ezinjengokudinwa, ukucamagushela, kunye nobuthathaka.

Inkqubo ye-hemodialysis iquka amanyathelo aliqela. Okokuqala, igazi lesigulana liyafikelelwa kwindawo ye-vascular fihla, enokuba yi-arteriovelous fista, ingqolowa, okanye i-catheter. Igazi le iposwe ngomatshini we-hemodialysis, apho iza kudibana nesisombululo se-diallysis kwelinye icala le-membrane. Njengoko igazi kunye nesimo se-diayisis sihamba sidlulisane, iityhefu kunye nezinto ezigqithisileyo zihamba kwi-membrane kwisisombululo se-diallysis, ngelixa izinto ezibalulekileyo zigcinwa egazini. Igazi elihlanjululwe libuyiselwe kumzimba wesigulana.

I-Hemodialysis ifuna iqela eliqeqeshiweyo leengcali zempilo, kubandakanya nee-nephrologists, abongikazi, kunye nabachwephesha. Aba bantu banoxanduva lokujonga imeko yesigulana ngexesha leseshoni ye-dialyl, behlengahlengisa useto lwemitshini njengoko kufuneka, kwaye benikezela ngenkxaso ngokweemvakalelo kunye nosapho lwabo. Ukongeza, izigulana ezikhoyo kwi-hemodialysis kufuneka zilandele ukutya okungqongqo kunye nokuthintelwa kukalwelo ukunceda ukulawula imeko yazo kwaye zinyuse ukusebenza ngonyango.

Ngaphandle kwezibonelelo ezininzi, i-hemodialysis ikwaza nemiceli mngeni ethile. Izigulana zinokufumana iziphumo ebezingalindelekanga ezinje ngoxinzelelo lwegazi olusezantsi, iingqumbo zemisipha, kwaye zityhafisa. Kukho umngcipheko wokosuleleka kwindawo yokufikelela kwi-vascular kunye neengxaki ezinxulumene nokusetyenziswa kwexesha elide kwi-diylysis. Nangona kunjalo, ngononophelo olufanelekileyo nolawulo, ezi zingozi zinokuncitshiswa.

Ukuqukumbela, i-hemodialysis yindlela yokucamla igazi ebaluleke kakhulu ehamba iguqukele kunyango lwezifo zesifo esinganyangekiyo. Ngokusebenzisa i-membrane enesidima kunye nomgaqo wokwahluka, isusa i-thexins eyingozi kwaye ibuyise ibhalansi yomzimba kunye nelelictrolyte. Nangona kuza nemiceli mngeni, i-hemolialysis igcine ubomi obungenakubalwa kwaye iyaqhubeka nokuba sisixhobo esibalulekileyo kumlo wokungaphumeleli kwezintso. Njengoko itekhnoloji yezonyango iyaqhubeka ukuqhubela phambili, sinokulindela ukuphuculwa okuthe kratya kwi-hemodialysis kunye nezinye iindlela zokucocwa kwegazi, ukunika ithemba kunye neziphumo ezingcono zezigulana ezisweleyo.