Ukuphuma kwezidakamizwa nge Imishini yeHemodialysis isiphenduke umjikelezo oyisisekelo ekusekeleni ukuvela nokulimazeka okuhlanyayo ezigulini. Imishini yeHemodialysis isetshenziselwa ngokuyinhloko ukuqeda ama-byproducts kanye nokugcwala uketshezi egazini leziguli ezibhekene nokudumazeka kweRenal. Kunoma ikuphi, ngokufanayo baye babukwa njengokuphoqeka okukhulu ekuqedeni izidakamizwa nama-metabolites abo kusuka kuhlelo lokujikeleza kwegazi. Kulesi sihloko, sinikeza uhlaka lokukhululeka kwemithi ngemishini ye-hemodialysis, kufaka phakathi izilungiselelo zomshini we-heodialysis zibalulekile ekuxosheni imishanguzo efanelekile. Ngaphezu kwalokho sizohlola ukucabanga kwemitholampilo okwenziwa ochwepheshe bezinsizakalo zezokwelapha okufanele bakwazi ngakho lapho sisebenzisa imishini ye-hemodialysis yokuphuma kwezidakamizwa, kanye nokuphenya okuqukethwe okukhona ukukhombisa ukusetshenziswa kwezithelo kwale ndlela yokwelapha. Qhubeka nathi njengoba siphenya ukuthi imishini ye-heodialysis ingasetshenziswa kanjani ukusiza ukululama nokuvuselelwa okuhlathini ezigulini.
Sibutsetelo lokususwa kwezidakamizwa ngomshini we-hemodialysiss
IHemodialysis wusuku nosuku lokuba khona kosuku lokonga ukwelashwa kwabantu abaphoxeka yizinso. Yiba yilokho njengoba kungenzeka, kulindeleke ngokuphelele ukuthi iziguli zihlangabezane nezimpendulo zomuthi ezingezinhle noma izifungo ngenxa yemiyalelo abayidingayo. Ezimweni ezinjalo, ukufuduka kwezidakamizwa ngemishini ye-hemodialysis kuphenduka ucezu oluyisisekelo lomjikelezo wokwelashwa.
Imishini yeHemodialysis ihloselwe ukuqeda ama-byproducts kanye notshwala obuningi egazini. Ngalesi sikhathi somjikelezo, nabo bangalahla imiyalelo ethile ohlelweni lokujikeleza. Umshini usebenza ngokudlula igazi lesiguli nge-dialyzer, eliqukethe ungqimba olusezingeni eliphezulu. Isendlalelo sihamba njengesiteshi, sivumela imiphumela emibi kanye notshwala ngokweqile ukuze badlule ngenkathi bebambe izinto eziyisisekelo njengamaplanethi abomvu namaprotheni.
Ukuxoshwa kwezidakamizwa nge-hemodialysis Machines ngumjikelezo odidayo odinga ukubhekwa okuqapha kanye nebhodi. Ukusebenza kokwelashwa kuncike ekuhlukahluka okumbalwa, okubandakanya uhlobo lwesidakamizwa, inqwaluyela ejwayelekile yesiguli, kanye nobude bokwelashwa. Ngezikhathi ezithile, izinyathelo ezingeziwe zingabalulekile ukuqinisekisa ukuthi umuthi uphuthelwa ngokuphelele ohlaka lwesiguli.
Naphezu kwezinzuzo zayo ezilindelwe, ukuxoshwa kwezidakamizwa ngemishini ye-hemodialysis ngokungeziwe kuhambisana nezingozi ezithile nezingqinamba. Isibonelo, isu kungenzeka lingaphoqeleli izidakamizwa ezahlukahlukene, futhi kukhona ukugembula kwezimpendulo ezingezinhle noma izinkampani ezizinhlommo. Ngokusobala, kubalulekile ukukhuluma nezinsizakalo zezokwelapha ezingokweqiniso ngaphambi kokudlula kulolu hlobo lwezokwelapha.
Izilungiselelo Zomshini weHemodialysis zokususwa kwezidakamizwa
Izilungiselelo zomshini weHemodialysis zokuphuma kwezokwelapha
Imishini yeHemodialysis ithatha ingxenye ephuthumayo ekwelapheni iziguli ezidumaze ngezinso. Le mishini ihloselwe ukuhlanza ubuthi kanye nokukhulisa uketshezi egazini, isiza iziguli ngokugcina ukuhlelwa okuhle kwama-electrolyte nezinye izithasiselo eziyisisekelo. Ngaphandle kokubheka amandla abo abalulekile wokuqeda imiphumela emibi egazini, imishini ye-heodialysis nakho kungasetshenziswa ukuze kuqedwe izidakamizwa nezinye izinto ezingathandeki emzimbeni.
Mayelana nokuqeda izidakamizwa egazini elisebenzisa umshini we-hemodialysis, kunezilungiselelo ezimbalwa ezibalulekile okufanele zicatshangwe. Enye yezinto eziphambili izinga lokusakaza le-dialysate. Lesi yisilinganiso sokuhlelwa kwe-dielysate, okusetshenziselwa ukuhlanza igazi, siphonswe ngomshini. Isilinganiso sokusakaza esiphakeme singasiza ngokuqeda imishanguzo eyengeziwe evela egazini, nokho kungakhulisa ukugembula kwemiphumela engokwenzekile kanye nobunzima obuhlukile.
Enye indawo ebalulekile izinga lokushisa le-dialysate. Amazinga okushisa aphezulu angasiza ekwandiseni ijubane lokuphuma kwezokwelapha, noma kunjalo lingakha ukugembula kokulimala kwemithambo kanye nezicubu ezahlukahlukene. Kubalulekile ukuthola ukuvumelana okulungile phakathi kokushisa nokusebenza ngenkathi usebenzisa umshini we-hemodilysis wokuphuma kwezidakamizwa.
Kubalulekile futhi ukuthi ucabangele uhlobo lwefilimu elisetshenziswe emshinini we-hemodialysis. Izendlalelo ezimbalwa ziphumelela kakhudlwana ekuqedeni izinhlobo ezithile zemithi kunabanye, futhi kubalulekile ukukhetha ifilimu efanelekile ukuthola umuthi othize othathwayo.
Ukucatshangelwa kwemitholampilo kokususwa kwezidakamizwa ngomshini we-hemodialysiss
Esikhathini lapho iziguli zidlula ekwelashweni kwe-hemodialysis, kucatshangelwa ukusetshenziswa kwemithi nokuxoshwa kwazo emzimbeni kubalulekile. Imishini yeHemodialysis ithatha ingxenye ephuthumayo kulo mjikelezo, njengoba zisiza ekusebenzeni ngama-byproducts kanye nokwengeza ngokweqile egazini. Kunoma ikuphi, akuwona wonke umuthi osuswe ngokufanayo nge-hemodialysis, futhi kubalulekile ukuqonda ukuthi yimiphi imithi edinga ukucabanga okuhlukile.
Enye yezinto ezibalulekile ezithinta ukuxoshwa kwezidakamizwa ngemishini ye-hemodialysis yisisindo se-atomic esingaphansi kwemithi. Engxenyeni enkulu, izidakamizwa ezinesisindo esisezingeni eliphakeme se-athomu zithambekele ekuqedwe yi-hemodialysis. Ngaphezu kwalokho, izidakamizwa ezivinjelwe ngamaprotheni akhethekile nazo zingakuba nzima kakhulu ukuziqeda. Manje, kungabaluleka, kungabaluleka ukushintsha ukukalwa noma ukuphindwaphindwa kwesidakamizwa seziguli ezidlula ukwelashwa kwe-hemodialysis.
Omunye umcabango ukuhlela kwenhlangano yemithi. Ngokuncomekayo, izidakamizwa kufanele zinikezwe ngemuva kokwelashwa kwe-herodialysis okufanele kubhekwe ukubalekela okukhulu kakhulu. Ngaphandle kokubheka, izidakamizwa ezithile kungenzeka zinikezwe ngesikhathi se-hemodialysis ukuqinisekisa amazinga egazi anele. Kulezi zimo, kubalulekile ukukala iziguli ngokucophelela bese ushintsha imithamo ngokuya ngesimo.
Izifundo zamacala
Uphenyo olungokoqobo luphenduke lube yi-apulasi eliyisisekelo ezinhlanganweni ukuze lifake izibonelo zabo zosizi olunqobayo. Banikeza phezulu ekuphenyweni okungezansi kokuthi into ethile noma ukuphatha okuyisiza kanjani iklayenti ngokushaya isivivinyo. Ebhizinisini lomtholampilo, ukuhlaziya okuqukethwe kubaluleke kakhulu njengoba kungasiza ochwepheshe bezinsizakalo zezokwelapha ngokulandela izinqumo ezinolwazi maqondana nokucatshangelwa kwesineke. Imodeli eyodwa enjalo ukusetshenziswa kwemishini ye-hemodialysis ekwelapheni iziguli ngokugula kwezinso.
Imishini yeHemodialysis isetshenziswa ukusiza ukuhlukanisa negazi ezigulini ezibhekene nokugula kwesigaba se-End-Stage. Basebenza ngokususa imiphumela emibi kanye noketshezi oluningi oluvela egazini, olungenzeki izinso. Ukuze isimo sigxile kwi-LED ngumhlinzeki wezokunakekelwa kwezokwelashwa okuyinhloko, kwatholakala ukuthi ukusetshenziswa kwemishini ye-hemodialysis kwaletha ukuthuthuka okukhulu ekuqondeni imiphumela yokuqonda.
Uphenyo lombuso luhlanganisa isiguli esinokugula kwesigaba se-End - Isigaba esasihamba nge-hemodialysis therapy. Isiguli sabhekana nobunzima obumbalwa, kufaka phakathi i-hypertension kanye ne-frailty, eyenziwe ngenziwa ngosizo lweqembu lokunakekelwa kwezokwelapha. Umshini we-hemodialysis wawusetshenziselwa ukuguqula igazi lesiguli, elincipha ama-degree emiphumeleni emibi kanye noketshezi olwengeziwe emzimbeni.
Ngokuhamba kwesikhathi ende, isimo sesiguli saba ngcono ngokuyisisekelo, futhi isiguli sasinenketho yokubhekana nesimo saso ngosizo lweqembu lokunakekelwa kwezokwelapha. Ukusetshenziswa komshini we-herodialysis kwathatha ingxenye eyisisekelo ekuvuseleleni kwesiguli, kanye nemiphumela yophenyo lwesimo oluzokwenziwa kwabanye ochwepheshe bezokunakekelwa kwezokwelapha ukubasiza ngokulandela izinqumo ezinolwazi.
Ukugcina
Konke kukho konke, imishini ye-hemodialysis ingasetshenziswa ukuqeda izidakamizwa emzimbeni nasekwengalweni izimpendulo zemithi ezingezinhle ezigulini ezidumazayo ngezinso. Kunoma ikuphi, lo mjikelezo uyadideka futhi udinga ukubhekisisa ochwepheshe bezinsizakalo zezokwelapha. Ukucabanga kwemitholampilo, njengokubamba izidingo ezikhethekile zazo zonke iziguli kanye nemithi yazo, ziyisisekelo ukwelashwa okuvikelwe nokuphoqelela. Ukuhlaziywa kwesimo okubonisa ukuthuthuka kwemishini ye-hemodialysis ekwelapheni ukugula kwezinso ze-End-Stage, futhi bangasiza ochwepheshe bezokunakekelwa kwezokwelashwa ngokuthola ukuhlangana komunye nomunye ukuze basebenze ekutholeni imiphumela yokuqonda. Kubalulekile ukukhuluma nezinsizakalo zezokwelapha ezinekhono ukunquma ukuthi ngabe lolu hlobo lokwelashwa lufanele yini.
