Ingabe ukuhlanzwa kwegazi kuphela i-hemodialysis?

Endaweni yezokunakekelwa kwempilo yanamuhla, igama elithi '' livame ukuletha ukukhumbula izithombe zeziguli ezigcwele imishini esimweni esibhedlela, esivame ukwaziwa ngokuthi i-hemodialssis. Kodwa-ke, ukuhlanzwa kwegazi kungumqondo obanzi kakhulu ohlanganisa amasu nezinqubo ezahlukahlukene, ngayinye inenhloso yayo ehlukile kanye nesicelo.

Okokuqala, ake sicacise lokho i-hemodialysis. IHemodialysis yinqubo esetshenziswa ngokuyinhloko iziguli ezinokwehluleka kwezinso ezinzima. Kule nqubo, igazi lesiguli lisakazwa ngomshini obizwa ngokuthi yi-dialyzer. I-Dialyzer iqukethe ulwelwesi olungaguquki oluhlunga imikhiqizo yemfucuza, uketshezi oluthe xaxa, nobuthi egazini. Leli gazi elihlanziwe libuyela emzimbeni wesiguli. IHemodialysis ngokuvamile yenziwa kaninginingi ngesonto futhi ukwelashwa okusindisa impilo kubantu abaningi abanesifo sezinhlamvu zesigaba sokugcina.

Kepha ukuhlanzwa kwegazi kudlula kude nje kwe-hemodialysis. Enye indlela enjalo yi-plasmatictheres. I-Plasmathether ifaka ukuhlukanisa i-plasma kumaseli egazi. I-plasma, equkethe ama-antibodies, ubuthi nezinye izinto eziyingozi, isuswa futhi ithathelwe indawo nge-plasma entsha noma i-plasma ebambele. Le ndlela isetshenziswa ekwelapheni ukuphazamiseka okuhlukahlukene kwe-autoimmune, njenge-Guillain-Barré Syndrome, iMyasthenia Gravis, noLupus. Ngokususa ama-antibodies ayingozi nezinto ezivela ku-plasma, i-plasmathetheris ingasiza ekunciphiseni ukuvuvukala kanye nokwenza ngcono isimo sesiguli.

Olunye uhlobo lokuhlanzwa kwegazi yi-hemoperfsion. Ku-hemfoperfision, igazi lesiguli lidluliswa kwikholamu eligcwele izinto ezisetshenziswayo ze-adsorbent, njengamalahle asebenze noma i-resin. Lokhu kuhlanganisa okubhaliwe kuya futhi kususe ubuthi nezidakamizwa egazini. IHemoperFUSISION ivame ukusetshenziswa ezimweni zezidakamizwa noma ezinobuthi, ngoba ingasusa ngokushesha izinto eziyingozi egazini.

Bese kuba nokwelashwa okuqhubekayo kwe-renal (CRRT). I-CRRT iyindlela yokuhlanza igazi esetshenziswa ezigulini ezigula kakhulu ngokulimala kwezinso noma ezinye izimo ezidinga ukususwa okuqhubekayo kwemikhiqizo noketshezi. Ngokungafani ne-hemodialysis, eyenziwa ngezikhathi ezi-discrete, i-CRRT iyinqubo eqhubekayo engagijima amahora amaningi noma izinsuku. Lokhu kuvumela ukususwa okuthe xaxa nokuzinzile kwemikhiqizo yemfucumfucu kanye noketshezi, okubaluleke kakhulu ezigulini ezingcolile.

Ngaphezu kwalezi zindlela ezithile, kukhona nobuchwepheshe obusafufusa emkhakheni wokuhlanjululwa kwegazi. Isibonelo, abanye abacwaningi bahlola ukusetshenziswa kwe-nanotechnology ukuthuthukisa izindlela ezisebenza ngegazi ezisebenza kahle nezibhekiswe kakhudlwana. Ama-nanoparticles angenzelwe ukubopha ngokuqondile nokususa ubuthi noma amagciwane avela egazini, enikeza indlela eqondene nomuntu uqobo ekuhlanjululweni kwegazi.

Kubalulekile ukuqaphela ukuthi ngenkathi amasu okuhlanza igazi angaphumelela kakhulu ekwelapheni izimo ezithile, nazo eza nobungozi. Izinkinga zingafaka ukopha, ukutheleleka, ukusabela komzimba, kanye nezinguquko ekucindezelweni kwegazi. Ngakho-ke, lezi zinqubo zivame ukwenziwa ngaphansi kokuqashwa okusondele kochwepheshe bezempilo abaqeqeshiwe.

Ekuphetheni, ukuhlanzwa kwegazi kuyinkambu eyinkimbinkimbi futhi ehlukahlukene ehlanganisa okungaphezu kokumane nje kuyi-hemodialysis. Kusuka ku-plasmathetheres kanye ne-hemperfsion kuya ku-CRRT kanye nezobuchwepheshe obusafufusa, kunezindlela ezahlukahlukene ezitholakalayo ukusiza ukususa izinto eziyingozi egazini futhi uthuthukise impilo yeziguli. Njengoba ucwaningo kule ndawo luyaqhubeka nokuqhubekisela phambili, singalindela ukubona amasu amasha anempilo futhi asebenzayo ngokuzayo, enikeza ithemba kulabo abahlushwa yizifo ezahlukahlukene nezimo.