Ukubuka: 100 Umbhali: Isikhathi Sokushicilela Isihleli Sesayithi: 2026-01-20 Umsuka: Isayithi
Ucabanga ngokucosha i-dialysis imishini yasemtholampilo noma esibhedlela sakho? Ngaphambi kokwenza lokho, kuhle ukuthola isibambo sezinketho eziyinhloko ze-dialysis nokuthi ngayinye idingani. Ezimbili ezinkulu i-hemodialysis kanye ne-peritoneal dialysis (ngezinye izikhathi ibizwa ngokuthi 'i-dialysis evamile'). Siyazi ukuthi kubaluleke kangakanani ukukhetha okokusebenza okufanele—hhayi nje ukuhlangabezana nemithetho, kodwa ukuze ugcine iziguli zakho ziphephile futhi uqinisekise ukuthi abasebenzi bakho bangakwazi ukuphefumula kalula.
I-Hemodialysis (HD) kanye ne-peritoneal dialysis (PD) zombili ziyangenela lapho izinso zingakwazi, ukukhipha udoti noketshezi oluthe xaxa egazini. Leyo ngxenye iyafana. Kodwa ukuthi bakwenza kanjani, nokuthi yini ozoyidinga, indaba ehluke ngokuphelele.
Nge-hemodialysis, udinga -h emodialysis umshini we kanye ne-dialyzer. Lo mshini udonsa igazi esigulini, ulihambise ku-dialyzer—ucabange ngokuthi iyinso yokwenziwa—bese ubuyisela igazi elihlanzekile. Konke lokhu kwenzeka emtholampilo, abasebenzi beqaphe ngeso lokhozi.
I-peritoneal dialysis isebenza ngenye indlela. Lapha, ulwelwesi lwesisu lwesiguli lusebenza njengesihlungi. Uketshezi lwe-dialysis lungena esiswini, lumunce udoti, bese luyaphuma. Isebenza kancane emtholampilo, njengoba iziguli zikwazi ukwenza okuningi ekhaya.
Ithebula elingezansi libonisa umehluko oyinhloko phakathi kwe-hemodialysis kanye ne-peritoneal dialysis, egxile ekusebenzeni komtholampilo, izidingo zemishini, nezici zokusebenza.
Isici |
I-Hemodialysis (HD) |
I-Peritoneal Dialysis (PD) |
Indlela Yokwelapha |
Igazi lihlungwa ngomshini (dialyzer) |
Igazi lihlungwa ngolwelwesi lwesisu (peritoneum) |
Indawo Yenqubo |
Kwenziwa esikhungweni sezokwelapha (emtholampilo/esibhedlela) |
Kungenziwa ekhaya noma endaweni yezokwelapha |
Imvamisa |
Imvamisa izikhathi ezi-3 ngesonto amahora angama-3-5 iseshini ngayinye |
Nsuku zonke noma ngokuqhubekayo (imvamisa ubusuku bonke) |
Ukugadwa Kwesiguli |
Idinga ukugadwa njalo kwezokwelapha |
Kungenziwa ngokuzimela yisiguli noma ngosizo |
Ingozi Yokutheleleka |
Ingozi yokutheleleka endaweni yokufaka inaliti, kodwa ilawulwa kahle |
Ingozi ephezulu ye-peritonitis ngenxa yokufakwa kwe-catheter |
Ukwelashwa Ngempumelelo |
Kuyashesha futhi kusebenza kahle, ngezinga eliphezulu lokunemba |
Inqubo enensayo, nemiphumela ehluka ngokwesimo ngasinye |
Izindleko Zokusebenza |
Iphezulu ngenxa yokunakekelwa komshini kanye nezindleko zabasebenzi |
Izindleko zokuqala eziphansi, kodwa zingadinga ukunikezwa okuqhubekayo |
Ukufaneleka Kwesikhathi Eside |
Ilungele iziguli ezinezimo eziyinkimbinkimbi kanye nezidingo eziphezulu ze-dialysis |
Ifanele iziguli ezizinzile, ikakhulukazi ukunakekelwa kwasekhaya |
I-Hemodialysis isebenza ngokushesha futhi yenza umsebenzi wenziwe lapho iziguli zidinga usizo olukhulu ngokuhluleka kwezinso noma izinkinga zempilo eziyinkimbinkimbi. Le mishini ingasusa udoti owengeziwe noketshezi ngokushesha, okuyilokho kanye okufunayo esibhedlela noma emtholampilo lapho ukunemba kubaluleke khona ngempela.
Ungakwazi ukwelapha inqwaba yeziguli ngesikhathi esifanayo, futhi. Yingakho i-hemodialysis ingena kahle ezikhungweni ezimatasa ze-dialysis. Igcina izinto zihamba futhi iphatha imithwalo emikhulu yesiguli ngaphandle kwenkinga.
Ngaphezu kwalokho, i-hemodialysis ikhona yonke indawo. Izibhedlela emhlabeni wonke zisebenzisa imishini ye-hemodialysis, futhi kunohlelo olukhona lokuzigcina zisebenza kahle. Imishini yakhelwe ukuthi ihlale isikhathi eside, futhi njengoba iningi layo lilandela izindinganiso ezifanayo, kulula kakhulu ukuqeqesha abasebenzi, ukuhambisana nesondlo, kanye nokubhekana nemithethonqubo.
Kulabo abacabangela ukuthenga izinto zokusebenza ze-hemodialysis zomtholampilo, isibhedlela, noma isikhungo se-dialysis, lezi zingxenye ezilandelayo zibalulekile ekusebenzeni kahle:
Imishini eyinhloko yokuhlunga igazi. Le mishini ilawula ukugeleza kwegazi, i-ultrafiltration, nokuqapha ukuphepha.
Lesi sihlungi sikhipha ukungcola noketshezi oluningi egazini lesiguli.
Ihlanza amanzi asetshenziswa ku-dialysis ukuvimbela izifo kanye nokugcina ukuphepha kwesiguli.
Uma wakha isikhungo esisha se-dialysis noma ufuna ukuthuthukisa, ukutshala imali kumishini ye-hemodialysis yekhwalithi kunengqondo. Ukhulisa umthamo wakho wesiguli, uthole imiphumela ethembekile, futhi usethe indawo yakho isikhathi eside. I-Hemodialysis ihlala iyindlela yokuya kuyo yokunakekelwa okuthembekile nokusebenza kahle.