Chii chinonzi HDF (Hemofiltration)?
VaWang vane makore makumi matanhatu nemaviri ekuberekwa, avo vave nemakore mashanu vachirapwa nehemodialysis, vakatambura nekurwadziwa kwakanyanya (kwakaipisisa husiku) uye dzimwe nguva kurwadziwa kusinganyatsooneki kwemabvi kwemwedzi mitanhatu. Zviratidzo zvavo hazvina kunyatsovandudzika ne dialysis yenguva dzose, uye kuteverwa kwakaratidza PTH yakakwira. Pakutanga vaizeza nezvemaitiro akaomarara eHDF akakurudzirwa navanachiremba, vakabvuma kuyedza. Mushure mezviitiko zvinoverengeka, kuvaviwa kwake kwakadzikira, akarara zvakanaka, dzungu rakakonzerwa ne dialysis uye kurwadziwa kwetsandanyama kwakadzikira zvakanyanya, uye mamiriro ake epfungwa akavandudzika. Iye zvino anotora danho rekukurudzira kurapwa kune vamwe varwere vane dialysis: "Iyi shanduro yakagadziridzwa ye dialysis inoita mutsauko zvechokwadi!"
01 Chii chinonzi HDF()Kusefa ropa？？
Zvichitaurwa zviri nyore,HDF musanganiswa we hemodialysis (HD) uye hemofiltrationInoramba iine basa guru reHD mukubvisa mamorekuru madiki (semuenzaniso urea, creatinine), uku ichiwedzera nzira yekusefa. Kufanana neitsvo ine hutano, inoshandisa pressure gradient kubvisa chepfu dziri pakati nepakati nedzikuru (semuenzaniso β2-microglobulin, parathyroid hormone).
02 Mabhenefiti makuru eHDF zvichienzaniswa nezvechinyakaredialysis yeropa
Kune varwere vanoongororwa ropa kwenguva refu, kuunganidzwa kwechepfu yepakati nepakati yemamorekuru makuru ndiyo inonyanya kukonzera kuvaviwa kweganda, kurwadziwa kwemapfupa, uye matambudziko emwoyo. Chinhu chikuru cheHDF chakanangana nenyaya iyi:
(1) Kubviswa kwehupfu zvakakwana
Inobvisa chepfu diki dzemamorekuru (urea creatinine) uye mamorekuru epakati/makuru akaoma kubvisa (β2-microglobulin, PTH) zvichideredza matambudziko akadai se osteopathy yeitsvo uye ganda rinopwanyika.
（2） Ruzivo Rwakawanda Rwekurapwa Rwakasununguka
Kuwedzerwa kwemvura inotsiva kunodzikamisa kuenzana kwe electrolyte ne fluid, zvichideredza njodzi ye hypotension, dzungu, kurwadziwa kwetsandanyama, uye kuneta mushure me dialysis.
（3） Mabhenefiti Akakosha Enguva Refu
HDF yenguva dzose inovandudza kudya kunovaka muviri, kunaka kwekurara uye hutano hwemwoyo, zvichiwedzera hupenyu hwevarwere vanoongororwa dialysis kwenguva refu.
03 Ndevapi varwere veitsvo vakakodzera kusarudza HDF?
- Varwere vane matambudziko akajeka ane chekuita nedialysis, akadai sekurwadziwa kweganda kunoramba kuchiitika, kurwadziwa kwemapfupa, kana kusagadzikana kwemajoini.
- Varwere vane mazinga eparathyroid hormone (PTH) anoramba akakwira ayo akaoma kudzora nekushandisa hemodialysis yakajairika.
-
Varwere vanowanzo nzwa kusagadzikana panguva yekuchenesa ropa, zvakadai sekushaya simba kwakanyanya kana kurwadziwa kwetsandanyama.
- Varwere vane tariro yekuvandudza kurapwa uye kuderedza njodzi yematambudziko kwenguva refu.
Kukodzera kwekurapa kweHDF kunofanira kuongororwa zvizere nachiremba ane hunyanzvi zvichibva pamamiriro ezvinhu chaiwo emurwere uye mhedzisiro yekuongororwa kwerabhoritari. Hazvikurudzirwi kuita sarudzo wega.
04 Chii Chinofanira Kucherechedzwa Nevarwere Pavanenge Vaine HDF?
(1). Hapana Kugadzirira Kwakawedzerwa KunodiwaMaitiro ekurapa uye nzira yekuboorwa kweHDF zvakafanana nedzekuvhiyiwa kweropa nenzira yechinyakare. Varwere havafanirwe kudzidza mamwe maoparesheni, uye havafanirwe kuchinja frequency yedialysis (kazhinji katatu pasvondo).
(2). Nyatsoteererai Anticoagulation uye Replacement Fluid
Mishonga inorwisa ropa kuti riome (semuenzaniso, heparin ine huremu hushoma) inoshandiswa panguva yekurapwa kudzivirira kuumbwa kweropa. Varwere vane katsika kekubuda ropa vanofanira kuzivisa vanachiremba vavo pachine nguva.Mvura inotsiva haina utachiona uye inogadzirwa zvakaenzana nechipatara, saka kuchengetedzeka kwayo kwakasimbiswa zvizere.
Nguva yekutumira: Ndira-15-2026
