IHemodialysis: Indlela ebalulekile yokuhlanza igazi

Emkhakheni wezokwelapha wanamuhla, amasu okuhlanza igazi adlala indima ebalulekile ekusindiseni nasekuthuthukiseni izimpilo zeziguli ezingenakubalwa. Enye yezindlela ezaziwa kakhulu futhi ezisetshenziswa kabanzi zokuhlanzwa kwegazi yi-hemodialysis. Okuvame ukubizwa ngokuthi yi-dialysis yezinso noma izinso kungukungenelela okumangalisayo kwezokwelapha okuguqukeke kwalolo lokwelashwa kweziguli ezinesifo sezinso ezingapheli.

IHemodialysis isebenza ngomgomo wolwelwesi olungaguquki. Le membrane isebenza njengesihlungi esikhethiwe, okuvumela izinto ezithile ukuthi zidlule ngenkathi zivimba abanye. Ngenqubo yokuphazamiseka, imikhiqizo eyingozi neyeqile ye-metabolic udoti, kanye nama-electrolyte ngokweqile, asuswa egazini. Lokhu akusizi nje kuphela ekuhlanzeni igazi kodwa futhi kudlala indima ebalulekile ekwakheni imali esele kwamanzi, ama-electrolyte, namazinga acid-base emzimbeni.

Ifomu lokwelashwa elinikezwe ngumshini we-hemodilysis yi-temodialysis ephakathi (IHD). Ngesikhathi se-IHD amaseshini, iziguli zixhunywe emshinini isikhathi esithile. Imvamisa, lezi zikhathi zihlelwa kaningana ngesonto, kuya ngezidingo zesiguli ngazinye. Umshini ulawula ngokucophelela futhi ubheka ukugeleza kwegazi kanye nesixazululo se-dialysis ukuqinisekisa ukususwa okuphelele kobuthi kanye nokubuyiselwa okulinganiselwe okufanele.

Inhloso esemqoka ye-hemodialysis yokwakheka kanye nokwelashwa okubuyiselwe esikhundleni sesifo se-End-Stage Renal ezigulini ngokuhluleka kwama-renal okungapheli. Njengoba izinso zilahlekelwa amandla abo okusebenza kahle, azikwazi ukuhlunga imikhiqizo yemfucumfucu futhi zilondoloze uketshezi lomzimba kanye nebhalansi ye-electrolyte. IHemodialysis izinyathelo zokuthatha le misebenzi ebalulekile. Ngokususa ukwakhiwa kobuthi obekuzobunqwabelana emzimbeni, kuyasiza ukwelula impilo futhi kuthuthukise ikhwalithi yempilo yalezi ziguli.

Enye yezinzuzo ezisemqoka ze-hemodialysis yikhono layo lokuqondisa nokususa ubuthi obuncane be-molecule kusuka egazini. Lawabuthi afaka i-urea, i-creatinine, nama-electrolyte ahlukahlukene akhiqizwa ngenxa yemetabolism ejwayelekile. Ezigulini ezinokwehluleka kwezinso, lobu buthi bungafinyelela amazinga ayingozi futhi bubangele izimpawu ezahlukahlukene nezinkinga. IHemodialysis isusa ngempumelelo lobu ubuthi, behlisa umthwalo emzimbeni nasezimpawu zokunciphisa ukukhathala, isicanucanu, nobuthakathaka.

Inqubo ye-hemodialysis ifaka izinyathelo eziningana. Okokuqala, igazi lesiguli litholwa ngesiza se-vascular angena, esingaba yi-artteriovenous fistula, ukuxhunyelelwa, noma i-catheter. Igazi lithengwa ngomshini we-herodialysis, lapho kuhlangana khona nesixazululo se-dialysis ngakolunye uhlangothi lolwelwesi olungaguquki. Njengoba ikhambi ne-Dialysis Solution ligeleza lidlula, ubuthi kanye nezinto ezingeqile busebenzisa ngaphesheya kolwelwesi kwikhambi le-dialysis, kuyilapho izinto ezibalulekile zigcinwa egazini. Igazi elihlanziwe libuyela emzimbeni wesiguli.

IHemodialysis idinga ithimba eliqeqeshwe kakhulu labachwepheshe bezempilo, kufaka phakathi ama-Nephrologists, abahlengikazi, kanye nochwepheshe. Lababantu banesibopho sokuqapha isimo sesiguli ngesikhathi se-Dialysis Session, elungisa izilungiselelo zomshini njengoba kudingeka, futhi zinikeze ukwesekwa okungokomzwelo kanye nemfundo. Ngaphezu kwalokho, iziguli ezenziwa i-hemodialysis zidinga ukulandela ukudla okuqinile nokuvinjelwa kwamanzi ukusiza ukuphatha isimo sazo nokwenza ngcono ukusebenza kwelashwa.

Naphezu kwezinzuzo zayo eziningi, i-hemodialysis nayo iza nezinselelo ezithile. Iziguli zingathola imiphumela emibi efana nomfutho wegazi ophansi, izicubu zomzimba, nokulunywa. Kukhona nengozi yokutheleleka esizeni se-vascular kanye nezinkinga ezihlobene nokusetshenziswa kwesikhathi eside kwe-dialysis. Kodwa-ke, ngokunakekelwa okufanele nokuphatha, lezi zingozi zingancishiswa.

Ekuphetheni, i-hemodialysis iyindlela ebalulekile yokuhlanza igazi eguqule ukwelashwa kwezifo zezinso ezingapheli. Ngokusebenzisa ulwelwesi olungaguquki kanye nomgomo wokuphazamiseka, kususa ngempumelelo ubuthi obuyingozi futhi kubuyisele ibhalansi yomzimba kanye ne-electrolyte ibhalansi. Yize iza nezinselelo zayo, i-hemodialysis isindise izimpilo ezingenakubalwa futhi iyaqhubeka nokuba yithuluzi elibalulekile ekulweni nezinso. Njengoba ubuchwepheshe bezokwelapha buqhubeka buqhubekisela phambili, singalindela ukuthuthuka okwengeziwe e-hemodilysis nakwezinye izindlela zokuhlanza igazi, okunikeza ithemba nemiphumela engcono yeziguli ezidinga usizo.