Nzira Dzekurapa Kukundikana Kweitsvo Kusingaperi
Itsvo inhengo dzakakosha mumuviri wemunhu dzinoita basa guru mukusefa tsvina, kuchengetedza kuenzana kwemvura ne electrolyte, kudzora BP, uye kukurudzira kugadzirwa kwemasero matsvuku eropa. Kana itsvo dzikatadza kushanda zvakanaka, zvinogona kukonzera matambudziko makuru ehutano uye zvinoda kurapwa kweitsvo senge hemodialysis.
Rudzi rweChirwere cheItsvo
Zvirwere zveitsvo zvinogona kukamurwa kuita zvikamu zvina zvikuru: zvirwere zveitsvo zvepakutanga, zvirwere zveitsvo zvechipiri, zvirwere zveitsvo zvenhaka, uye zvirwere zveitsvo zvinowanikwa.
Zvirwere zvepakutanga zveitsvo
Zvirwere izvi zvinobva kuitsvo, zvakaita se acute glomerulonephritis, nephrotic syndrome, uye acute kidney injury.
Zvirwere zvechipiri zveitsvo
Kukuvara kweitsvo kunokonzerwa nezvimwe zvirwere, zvakaita sediabetic nephropathy, systemic lupus erythematosus, Henoch-Schönlein purpura, uye BP.
Zvirwere zveitsvo zvenhaka
Kusanganisira zvirwere zvekuzvarwa nazvo zvakaita sechirwere cheitsvo chinonzi polycystic uye thin basement membrane nephropathy.
Zvirwere zveitsvo zvakawanikwa
Zvirwere izvi zvinogona kukonzerwa nekukuvara kweitsvo kunokonzerwa nemishonga kana kubatwa nehupfu hwezvakatipoteredza uye hwebasa.
Chirwere cheitsvo chisingaperi (CKD) chinopfuurira muzvikamu zvishanu, chikamu chechishanu chinoratidza kusashanda zvakanaka kweitsvo, kunozivikanwawo sechirwere cheitsvo chekupedzisira (ESRD). Panguva ino, varwere vanoda kurapwa kweitsvo kuti vararame.
Kurapa Kwakajairika Kwekutsiva Itsvo
Nzira dzinonyanya kushandiswa pakutsiva itsvo dzinosanganisira hemodialysis, peritoneal dialysis, uye kuisirwa itsvo. Hemodialysis inzira inoshandiswa zvakanyanya, asi haina kukodzera munhu wese. Kune rumwe rutivi, peritoneal dialysis inowanzo shandiswa kune varwere vese, asi pane mukana mukuru wekutapukirwa nehutachiona.
Chii chinonzi hemodialysis?
Kuchenesa ropa kwakajairwa kunosanganisira marudzi matatu: kutsvaira ropa (HD), kupfapfaidza ropa (HDF), uye kupfapfaidza ropa (HP).
Kuchenesa ropainzira yekurapa inoshandisa musimboti wekupararira kweropa kubvisa tsvina yemuviri, zvinhu zvinokuvadza, uye mvura yakawandisa kubva muropa. Ndiyo imwe yenzira dzinonyanya kushandiswa pakurapa itsvo kune varwere vane chirwere cheitsvo chekupedzisira uye inogona kushandiswawo kurapa kushandisa zvinodhaka zvakanyanya kana chepfu zvakanyanya. Kupararira kweropa kunoitika mudialyzer kana paine mwero wehuwandu hwezvinhu mumuviri uripo pamembrane inoyerera zvishoma, zvichibvumira zvinonyungudutsa kuti zvifambe kubva munzvimbo dzine huwandu hwakawanda kuenda kune huwandu hwakaderera kusvika zvasvika pakuenzana. Mamorekuru madiki anonyanya kubviswa muropa.
Kuchenesa ropa kubva muropainzira yekurapa hemodialysis yakabatana ne hemofiltration, iyo inoshandisa diffusion ne convection kubvisa solutes. Convection kufamba kwe solutes kuburikidza ne membrane inofambiswa ne pressure gradient. Maitiro aya anokurumidza kupfuura diffusion uye anonyanya kushanda mukubvisa zvinhu zvikuru, zvine chepfu kubva muropa. Iyi nzira mbiri inogona kubvisazvimwemamorekuru epakati nepakati munguva pfupi pane ese ari maviri chete. Kuwanda kwe hemodiafiltration kunowanzo kurudzirwa kamwe chete pasvondo.
Kusanganiswa kweropainzira imwe iyo ropa rinotorwa kubva mumuviri rozotenderera kuburikidza nechishandiso chekuisa ropa muropa chinoshandisa zvinosanganisa zvakaita semarasha anoshandiswa kana kuti maresini kuti zvibatanidzwe nekubvisa tsvina yeropa, zvinhu zvine chepfu, nemishonga kubva muropa. Varwere vanokurudzirwa kuti vagamuchire ropa rinoisa ropa muropa kamwe chete pamwedzi.
*Basa re adsorption
Munguva ye hemodialysis, mamwe mapuroteni, chepfu, nemishonga iri muropa zvinonamirwa pamusoro pe dialysis membrane, zvichiita kuti zvive nyore kubvisa ropa.
Chengdu Wesley inogadzira michina ye hemodialysis nemichina ye hemodiafiltration inopa nzira chaiyo yekusefa ropa, kushanda zviri nyore kushandisa, uye zvirongwa zvekurapa dialysis zvakasiyana zvichienderana nemazano evanachiremba. Michina yedu inogona kuita hemoperfusion ne hemodialysis uye inosangana nezvinodiwa zvemhando nhatu dzese dzekurapa dialysis. Nechitupa cheCE, zvigadzirwa zvedu zvinozivikanwa zvakanyanya mumisika yepasi rose.
Semugadziri anotungamira muindasitiri yemidziyo yedialysis anogona kupa mhinduro dzese dzedialysis dzekuchenesa ropa, takazvipira kupa vimbiso yekurarama nerunyararo rwakawedzerwa uye mhando yepamusoro kune varwere vane dambudziko reitsvo. Kuzvipira kwedu kutsvaga zvigadzirwa zvakakwana uye sevhisi yemwoyo wese.
Nguva yekutumira: Zvita-05-2024




