Pakukurukura nezve "tsono ye dialysis vs tsono yenguva dzose", zvakakosha kunzwisisa kuti mhando dzese dziri mbiri dzakarongwa se "zvishandiso zvekurapa", asi dzinoshanda zvakasiyana zvikuru pakurapa. Tsono yesirinji yenguva dzose inowanzo shandiswa pakurapa, kutorwa kweropa, uye jekiseni, nepo "tsono yedialysis" yakagadzirwa zvakanangana nekushandiswa kwehemodialysis kuburikidza ne arteriovenous (AV) fistula kana graft. Kune vashandi vehutano, vatengesi, uye vatengi vari mumusika wepasi rose we "zvekurapa", kuziva mutsauko kunogona kuve nechokwadi chekuti chigadzirwa chakakodzera chinosarudzwa kuti murwere achengetedzeke uye ashande zvakanaka pakurapa.
Chii Chinonzi Tsono Yenguva Dzose?
Zvakajairikatsono yejekiseniyakagadzirirwa nzira dzakajairika dzekurapa dzakadai se:
Jekiseni repasi peganda kana remutsinga
Kuongororwa kweropa kana kuiswa mutsinga
Kupiwa kwemishonga
Kubaiwa nhomba
Tsinga dzakajairwa dzinouya muhukuru hwakasiyana-siyana kubva pa18G kusvika 30G. Kana nhamba yegeji iri diki, dhayamita yacho inowedzerawo kukura. Pakubaiwa jekiseni nguva dzose, 23G–27G ndiyo inonyanya kushandiswa, yakagadzirirwa kuderedza kusagadzikana uku ichibvumira kuyerera kwakakwana kwemvura.
Zvisinei, tsono idzi "hadzina kukodzera hemodialysis", sezvo lumen yadzo yakamanikana uye mwero wekuyerera kweropa haugone kusangana nezvinodiwa nekurapwa kwekuchenesa ropa.
Chii chinonzi tsono yeDialysis?
A tsono ye dialysis, inowanzonzi "Tsono yeAV fistula", yakagadzirirwa kurapwa kwe" hemodialysis ". Inoiswa mu arteriovenous fistula kuti ropa rifambiswe nekukurumidza pakati pemurwere nemuchina we dialysis. Kusiyana netsono dzemazuva ese, ine:
Chiyero chikuru chekuyerera kweropa rakawanda
Dhizaini ine mapapiro yekugadzirisa zvakasimba
Musoro weziso rekumashure kana repamberi kuti ropa rifambe zvakanaka
Machubhu akapfava akabatana necircuit yedialysis
Saizi dzakagadzirwa nemavara kuti zvive nyore kuziva chiremba
Kuongororwa kweropa kunoda kugadziriswa kweropa rakawanda—kusvika 300–500 mL/min. Saka, tsono dzekuongorora ropa dzinoyerera zvakanyanya chete ndidzo dzinogona kuzadzisa zvinodiwa izvi.
Tsono yeDialysis vs Tsono Yenguva Dzose: Musiyano Mukuru
| Chinhu | Tsono yeDialysis | tsono yakajairika |
| Chinangwa | Kupinda mu hemodialysis | Jekiseni, kupinda mutsinga, mishonga |
| Chiyero | 14G–17G (yakajairika: 15G AV tsono yefistula) | 18G–30G zvichienderana nekushandiswa |
| Mwero wekuyerera | Kuyerera kweropa kwakanyanya (300–500 mL/min) | Kuyerera kwemvura kwakaderera kusvika pakati nepakati |
| Kubatanidza Tube | Yakashongedzerwa nemachubhu nemapapiro | Kazhinji hapana mapapiro kana machubhu |
| Kushandiswa Kwevarwere Kakawanda | Kuwanikwa kakawanda kwevarwere vane chirwere chisingaperi | Kushandiswa dzimwe nguva kana nzira imwe chete |
| Nzvimbo yekuisa | AV fistula kana graft | Tsinga, tsandanyama, nyama iri pasi peganda |
Kubva mukuenzanisa uku, zvinova pachena kuti tsono yedialysis vs tsono yenguva dzose haisi nyaya yehukuru chete - musiyano uripo muinjiniya, mashandisirwo, chimiro, uye zvinodiwa zvekuchengetedza.
Ongororo yeSaizi yeDialysis
Saizi yetsono yeDialysis inokosha kune vanachiremba nenyanzvi dzekutenga. Chiyero ichi chinokanganisa zvakananga mwero wekuyerera kweropa uye kugadzikana kwemurwere. Saizi dzinowanzoshandiswa dzinosanganisira:
14G — Dhayamita yakakura kwazvo, mwero wepamusoro wekuyerera
Tsinga yefistula yeAV ye15G — Yakakurumbira pakati pekuyerera kwemvura nekunyaradzwa
16G — Yakakodzera varwere vanochenesa ropa zvakanaka
17G — Kune avo vane fistula isina kusimba kana kuti vane kutsungirira kushoma
Kunyora mavara kunowanzo shandiswa kuti zvive nyore kuziva—15G inowanzo onekwa segirini, 16G yepepuru, 17G tsvuku. Izvi zvinobatsira vashandi vezvehutano kuti vaone saizi chaiyo panguva yekurapwa.
Chati Yekuenzanisa Saizi yeDialysis Needle
| Chiyero | Dhayamita yekunze | Kumhanya Kwekuyerera | Nyaya Yakanakisisa Yokushandisa |
| 14G | Yakakura kupfuura dzose | Yakakwirira Zvikuru | Kuchenesa ropa zvakanaka, mamiriro akanaka etsinga dzeropa |
| 15G (inonyanya kushandiswa) | Zvidiki zvishoma | Yakakwirira | Kurapa kwe dialysis kwevakuru kwakajairika |
| 16G | Zviri pakati nepakati | Pakati Nepakati-Pamusoro | Varwere vakagadzikana, mukana wekupinda wakadzorwa |
| 17G | Tsono diki kwazvo ye dialysis | Pakati nepakati | Varwere vane mitsipa isina kusimba kana kuti vane tsinga dzisina kusimba |
Mukusarudza kutenga zvichibva pakutsvaga,saizi yetsono ye dialysisKuenzanisa ndicho chimwe chezvinhu zvinonyanya kukosha. Vatengi vanowanzo tsvaga sarudzo dze14G–17G zvichienderana nemamiriro etsinga dzeropa dzemurwere uye zvinangwa zvekurapa.
Sei tsono yenguva dzose isingatsivi tsono yeDialysis
Kunyangwe zvese zviri tsono dzekurapa, tsono yekubaiwa jekiseni nguva dzose haikwanise kubata huwandu hwemvura inoyerera mu dialysis. Kushandisa tsono yakajairika pa hemodialysis kunogona kukonzera:
Kusakwana kweropa rinoyerera
Kuwedzerwa kwengozi yehemolysis
Njodzi yakakura yekugwamba kweropa
Marwadzo anogona kuitika uye kukuvara kwekupinda
Kukundikana kurapwa kunoisa hupenyu panjodzi
Tsinga dzeHemodialysis dzinosimbiswa kwete chete muhukuru asiwo muchimiro. Bevel yavo yakapinza yakagadzirwa nesilicon inoita kuti ipinde zvakanaka, ichideredza kukuvara panguva yekuipinda kakawanda.
Ndeipi Nguva Yokushandisa Rudzi Rwega Rwega?
| Mamiriro ezvinhu | Tsono Inokurudzirwa |
| Jekiseni remushonga zuva nezuva | Tsono yenguva dzose inoraswa |
| Kubaiwa nhomba nguva dzose | Tsina yenguva dzose 23G–25G |
| Kudhirowa ropa | Tsono yenguva dzose kana tsono yeshavishavi |
| Kuongororwa kwechirwere cheitsvo chisingaperi | Tsono yeDialysis (14G–17G) |
| kuboorwa kweAV fistula | Tsino yefistula yeAV ye15G inofarirwa |
Kana murwere achiwana dialysis katatu pasvondo, kushandisa tsono ye fistula yakavimbika kunodiwa kuti ropa rake rirambe richishanda zvakanaka uye kuti arambe achirapa zvakanaka.
Kudiwa Kwemusika uye Ruzivo Rwezvekuwanikwa Kwepasi Rose
Nekuwedzera kuri kuita chirwere cheitsvo chisingaperi pasi rose, kudiwa kwemishonga yakadai setsono dze dialysis kuri kuramba kuchiwedzera. Vagadziri vazhinji vava kunyanya kugadzira zvinhu zvinotevera:
Tsinga dze dialysis dzinoshandiswa kamwe chete uye hadzina utachiona
Saizi yegeji ine mavara akasiyana
Magadzirirwo esimbi uye emusana
Masisitimu ekubatanidza machubhu uye luer
Kutsvaga kwakaita setsono yedialysis vs tsono yenguva dzose, kuenzanisa saizi yetsono yedialysis, uye tsono yefistula ye15G AV kunoratidza kufamba kwakajairika pasi rose, zvichiita kuti nyaya iyi ive yakakosha kune vanogovera mishonga, mapuratifomu e-commerce, uye mapoka ekutenga.
Mhedziso
Tsono dzenguva dzose netsono dzedialysis zvishandiso zvakakosha pakurapa, asi zvakagadzirwa nezvinangwa zvakasiyana zvachose. Tsono dzenguva dzose dzinotsigira maitiro akajairika ekurapa, nepo tsono yedialysis ichipa mukana wepamusoro wekurapa hemodialysis. Kunzwisisa saizi dzetsono dzedialysis, mashandiro ekufamba kweropa, uye kusiyana kwemaumbirwo kunoita kuti varwere vatarisirwe zvakachengeteka uye sarudzo dzekutenga dzinoshanda zviri nani.
Kune chero ani zvake anoda kuenzanisa tsono ye dialysis netsono yenguva dzose, chinhu chakakosha chaunofanira kufunga nezvacho chiri nyore:
Tsinga ye dialysis chete ndiyo yakakodzera hemodialysis.
Nguva yekutumira: Zvita-08-2025