Therapeutic Methods for Chronic Kidney Kukundikana
Itsvo inhengo dzakakosha mumuviri wemunhu dzinoita basa rakakosha mukusefa tsvina, kuchengetedza mvura uye electrolyte chiyero, kudzora BP, uye kukurudzira kugadzirwa kwemasero matsvuku eropa. Kana itsvo dzikatadza kushanda nemazvo, zvinogona kukonzera matambudziko akakomba ehutano uye zvinoda renal kutsiva kurapwa senge hemodialysis.
Rudzi rweKidney Disease
Chirwere cheitsvo chinogona kukamurwa kuva mapoka makuru mana: hosha dzeitsvo dzekutanga, hosha dzeitsvo dzechipiri, hosha dzeitsvo dzinogarwa nhaka, uye hosha dzeitsvo dzinowanikwa.
Primary renal zvirwere
Zvirwere izvi zvinobva muitsvo, senge acute glomerulonephritis, nephrotic syndrome, uye kukuvara kwakanyanya kweitsvo.
Secondary itsvo zvirwere
Kukuvadzwa kweitsvo kunokonzerwa nezvimwe zvirwere, zvakadai sechirwere cheshuga nephropathy, systemic lupus erythematosus, Henoch-Schönlein purpura, uye hypertension.
Zvirwere zveitsvo zvenhaka
Kusanganisira congenital zvirwere zvakadai sepolycystic itsvo chirwere uye nhete yepasi membrane nephropathy.
Zvakawanikwa itsvo zvirwere
Zvirwere izvi zvinogona kunge zvichikonzerwa nekukuvara kweitsvo kunokonzerwa nezvinodhaka kana kuratidzwa kune zvakatipoteredza uye muchetura wepabasa.
Chirwere cheitsvo chisingaperi (CKD) chinofambira mberi nematanho mashanu, paine nhanho yechishanu inoratidza kusashanda zvakanaka kweitsvo, inozivikanwawo sekuguma-nhanho renal chirwere (ESRD). Panguva ino, varwere vanoda renal replacement therapy kuti vararame.
Common Renal Replacement Therapies
Mishonga inonyanyozivikanwa yekutsiva renal inosanganisira hemodialysis, peritoneal dialysis, uye itsvo transplantation. Hemodialysis inzira inoshandiswa zvakanyanya, asi haina kukodzera kumunhu wese. Nekune rumwe rutivi, peritoneal dialysis inowanzova yakanakira varwere vese, asi pane njodzi huru yekutapukirwa.
Chii chinonzi hemodialysis?
Generalized hemodialysis inosanganisira maitiro matatu: hemodialysis (HD), hemodiafiltration (HDF), uye hemoperfusion (HP).
Hemodialysisinzira yekurapa iyo inoshandisa musimboti wekuparadzira kubvisa tsvina yemetabolism, zvinhu zvinokuvadza, uye mvura yakawandisa kubva muropa. Ndiyo imwe yeakajairika renal kutsiva kurapwa kune varwere vane yekupedzisira-danho renal chirwere uye inogona zvakare kushandiswa kurapa zvinodhaka kana muchetura overdose. Diffusion inoitika mudialyzer kana concentration gradient iripo pane imwe semipermeable membrane, ichibvumira solutes kufamba kubva munzvimbo dzepamusoro-soro kuenda kune yakaderera kusvika kuenzana kwasvika. Mamorekuru madiki anonyanya kubviswa kubva muropa.
Hemodiafiltrationmushonga wekusanganisa hemodialysis nehemofiltration, iyo inoshandisa diffusion uye convection kubvisa solutes. Convection ndiko kufamba kwezvinonyunguduka zvichiyambuka membrane inofambiswa nepressure gradient. Iyi nzira inokurumidza kudarika kupararira uye inonyanya kushanda pakubvisa zvinhu zvakakura, zvine chepfu kubva muropa. Iyi nzira mbiri inogona kubvisazvimwemamorekuru epakati nepakati munguva pfupi kupfuura chero maitiro ega. Kuwanda kwehemodiafiltration inowanzokurudzirwa kamwe chete pavhiki.
Hemoperfusionndeimwe nzira iyo ropa rinotorwa kubva mumuviri uye rinotenderedzwa kuburikidza nemudziyo wemvura unoshandisa adsorbents akadai semarasha akabatidzwa kana resin kusunga uye kubvisa metabolic tsvina, zvinhu zvine chepfu, uye mishonga kubva muropa. Varwere vanorayirwa kuti vawane hemoperfusion kamwe chete pamwedzi.
*Basa readsorption
Munguva yehemodialysis, mamwe mapuroteni, chepfu, uye zvinodhaka zviri muropa zvinosarudzwa zviri pamusoro pedialysis membrane, zvichiita kuti kubviswa kwavo kubva muropa.
Chengdu Wesley inogadzira michina yehemodialysis uye hemodiafiltration michina inopa chaiyo ultrafiltration, mushandisi-inoshamwaridzika oparesheni, uye ega ega dialysis zvirongwa zvekurapa zvinoenderana nezano ravanachiremba. Michina yedu inogona kuita hemoperfusion nehemodialysis uye kusangana nezvinodiwa kune ese matatu dialysis kurapwa modalities. NeEC certification, zvigadzirwa zvedu zvinozivikanwa zvakanyanya mumisika yepasirese.
Semugadziri anotungamira muindasitiri yemidziyo yedialysis anogona kupa seti yakazara yedialysis mhinduro dzekucheneswa kweropa, isu takazvipira kupa vimbiso yekupona nekunyaradza kwakawedzerwa uye mhando yepamusoro yevarwere vakatadza itsvo. Kuzvipira kwedu kutsvaga zvigadzirwa zvakakwana uye basa remoyo wese.
Nguva yekutumira: Zvita-05-2024