Kodi HDF (Hemofiltration) ndi chiyani?
Bambo Wang, wazaka 62, amene wakhala akusamalira hemodialysis kwa zaka 5, anali ndi pruritus yayikulu (yoipa kwambiri usiku) komanso kupweteka kwa bondo nthawi zina kwa miyezi 6. Zizindikiro zake sizinasinthe kwenikweni ndi dialysis yokhazikika, ndipo zotsatira zake zinasonyeza kuti PTH inali yokwera. Poyamba ankakayikira za njira yovuta ya HDF yomwe madokotala adalimbikitsa, anavomera kuyesa. Pambuyo pa maphunziro angapo, kuyabwa kwake kunachepa, anagona bwino, chizungulire ndi kupweteka kwa minofu chifukwa cha dialysis kunachepa kwambiri, ndipo maganizo ake anasintha. Tsopano akuyamba kupereka chithandizo kwa odwala ena a dialysis: "Mtundu watsopano wa dialysis uwu umapangitsa kusiyana!"
01 Kodi HDF ndi chiyani(a)Kusefa magazi？？
Mwachidule,HDF ndi kuphatikiza kwa hemodialysis (HD) ndi hemofiltrationImasunga ntchito yaikulu ya HD pochotsa mamolekyu ang'onoang'ono (monga urea, creatinine), pomwe imawonjezera njira yosefera. Monga impso yathanzi, imagwiritsa ntchito mphamvu yothamanga kuti ichotse poizoni wapakati ndi waukulu (monga β2-microglobulin, parathyroid hormone).
02 Ubwino waukulu wa HDF poyerekeza ndizachikhalidwedialysis
Kwa odwala omwe amachotsa poizoni m'thupi kwa nthawi yayitali, kuchuluka kwa poizoni m'mamolekyu apakati ndi akuluakulu ndiye chifukwa chachikulu cha kuyabwa pakhungu, kupweteka kwa mafupa, komanso mavuto a mtima. Ubwino waukulu wa HDF ndi uwu:
(1) Kuchotsa poizoni m'thupi lonse
Amachotsa poizoni wa mamolekyu ang'onoang'ono (urea creatinine) ndi mamolekyu apakati/akulu (β2-microglobulin, PTH) ovuta kuchotsa, kuchepetsa mavuto monga osteopathy ya impso ndi pruritus ya khungu.
（2） Chidziwitso Chothandiza Kwambiri pa Chithandizo
Kuonjezera madzi m'malo mwake kumalimbitsa bwino electrolyte ndi madzi, kuchepetsa chiopsezo cha kuthamanga kwa magazi, chizungulire, kupweteka kwa minofu, komanso kutopa pambuyo pa dialysis.
（3） Ubwino Wofunika Kwambiri Wanthawi Yaitali
HDF yokhazikika imapangitsa kuti zakudya zizikhala bwino, kugona bwino komanso thanzi la mtima, zomwe zimathandiza kuti odwala omwe ali ndi dialysis azikhala ndi moyo wabwino kwa nthawi yayitali.
03 Ndi odwala ati a impso omwe ali oyenera kusankha HDF?
- Odwala omwe akumana ndi mavuto odziwika bwino okhudzana ndi dialysis, monga kuyabwa pakhungu mobwerezabwereza, kupweteka kwa mafupa, kapena kusamva bwino kwa mafupa.
- Odwala omwe ali ndi milingo yokwera ya parathyroid hormone (PTH) yomwe ndi yovuta kuyilamulira pogwiritsa ntchito hemodialysis yachizolowezi.
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Odwala omwe nthawi zambiri amamva kusasangalala panthawi ya dialysis, monga hypotension kapena kupweteka kwa minofu.
- Odwala omwe akuyembekeza kupititsa patsogolo chithandizo ndikuchepetsa chiopsezo cha zovuta za nthawi yayitali.
Kuyenerera kwa chithandizo cha HDF kuyenera kuwunikidwa mokwanira ndi dokotala waluso kutengera momwe wodwalayo alili komanso zotsatira za mayeso a labotale. Sikoyenera kupanga chisankho nokha.
04 Kodi Odwala Ayenera Kuzindikira Chiyani Akamadwala HDF?
(1). Palibe Kukonzekera Kowonjezera KofunikiraNjira yochizira ndi njira yoboola ya HDF ndizofanana ndi njira yochizira hemodialysis. Odwala safunika kuphunzira maopaleshoni ena, komanso safunika kusintha pafupipafupi dialysis (nthawi zambiri amakhala katatu pa sabata).
(2). Samalani ndi mankhwala oletsa magazi kuundana ndi madzi olowa m'malo
Mankhwala oletsa magazi kuundana (monga heparin yolemera pang'ono) amagwiritsidwa ntchito panthawi ya chithandizo kuti magazi asaundane. Odwala omwe ali ndi vuto lotaya magazi ayenera kudziwitsa madokotala awo pasadakhale.Madzi olowa m'malo mwa mankhwalawa ndi osapangidwa ndipo amakonzedwa mofanana ndi chipatala, kotero chitetezo chake chili chotsimikizika mokwanira.
Nthawi yotumizira: Januwale-15-2026
