Matenda a impso (CKD) amadutsa magawo asanu, ndipo gawo lachisanu likuwonetsa kulephera kwa impso, komwe kumadziwikanso kuti end-stage renal disease (ESRD). Panthawi imeneyi, odwala amafunikira chithandizo cha aimpso kuti apulumuke.

Njira Zochiritsira Zowonjezereka za Renal Replacement

Njira zodziwika bwino zothandizira aimpso ndi monga hemodialysis, peritoneal dialysis, ndi transplantation ya impso. Hemodialysis ndi njira yogwiritsidwa ntchito kwambiri, koma si yoyenera kwa aliyense. Kumbali inayi, peritoneal dialysis nthawi zambiri imakhala yabwino kwa odwala onse, koma pali chiopsezo chachikulu chotenga matenda.

Kodi hemodialysis ndi chiyani?

Hemodialysis ikuphatikizapo mitundu itatu: hemodialysis (HD), hemodiafiltration (HDF), ndi hemoperfusion (HP).

Hemodialysisndi njira yachipatala yomwe imagwiritsa ntchito mfundo ya kufalitsa kuti achotse zinyalala za kagayidwe kachakudya, zinthu zovulaza, ndi madzi ochulukirapo m'mwazi. Ndi imodzi mwa njira zochiritsira zochizira aimpso kwa odwala omwe ali ndi vuto lomaliza la aimpso ndipo angagwiritsidwenso ntchito pochiza mankhwala osokoneza bongo kapena poizoni. Kuphatikizika kumachitika mu dialyzer pomwe gradient yokhazikika imapezeka pa nembanemba yocheperako, zomwe zimapangitsa kuti zosungunula zisunthike kuchokera kumadera omwe ali ndi chidwi kwambiri kupita kumalo otsika mpaka kukwanira. Mamolekyu ang'onoang'ono amachotsedwa makamaka m'magazi.

Hemodiafiltrationndi mankhwala a kuphatikiza hemodialysis ndi hemofiltration, amene amagwiritsa mayamwidwe ndi convection kuchotsa solutes. Convection ndi kayendedwe ka solutes kudutsa nembanemba koyendetsedwa ndi kuthamanga kwamphamvu. Njirayi ndi yofulumira kuposa kufalitsa ndipo imakhala yothandiza kwambiri pochotsa zinthu zazikulu, zapoizoni m'magazi. Makina apawiriwa amatha kuchotsaZambirimamolekyu apakati mu nthawi yaifupi kuposa momwe amachitira okha. Kuchuluka kwa hemodiafiltration nthawi zambiri kumalimbikitsidwa kamodzi pa sabata.

Hemoperfusionndi njira ina imene magazi amatengedwa m’thupi ndi kuzunguliridwa kudzera mu chipangizo chothira madzi chomwe chimagwiritsa ntchito zinthu monga makala otenthedwa kapena utomoni kuti amangirire ndi kuchotsa zinyalala za kagayidwe kachakudya, zinthu zapoizoni, ndi mankhwala m’magazi. Odwala amalangizidwa kuti alandire hemoperfusion kamodzi pamwezi.

* Udindo wa adsorption
Pa hemodialysis, ena mapuloteni, poizoni, ndi mankhwala m'magazi kusankha adsorbed pamwamba pa dialysis nembanemba, potero atsogolere kuchotsedwa kwawo m'magazi.

Chengdu Wesley amapanga makina a hemodialysis ndi makina a hemodiafiltration omwe amapereka makina olondola a ultrafiltration, osavuta kugwiritsa ntchito, komanso mapulani a chithandizo cha dialysis payekha malinga ndi malangizo a madokotala. Makina athu amatha kupanga hemoperfusion ndi hemodialysis ndikukwaniritsa zofunikira panjira zonse zitatu zochizira dialysis. Ndi chiphaso cha CE, zogulitsa zathu zimadziwika kwambiri m'misika yapadziko lonse lapansi.