Kana zvasvika kune inoshanda hemodialysis kurapwa, kusarudza iyo chaiyohemodialysis dialyzer,uyedialyzer tsonokwakakosha. Zvido zvemurwere wega wega zvinosiyana, uye varapi vekurapa vanofanirwa kunyatsoenderana nemhando dze dialyzer uyeAV fistula tsono saizikuti tive nechokwadi chekurapa kwakakwana. Muchikamu chino, tichaongorora zvakasiyanadialyzer marudzi(yakanyanya kuyerera, yepakati flux, yakaderera flux),dialyzer tsono geji(15G, 16G, 17G), uye hukama hwavo nehuwandu hwekuyerera kweropa, zvichikupa mhedziso yakakwana yezvishandiso izvi zvakakosha zvekurapa.
Dialyzer Types
Dialyzer inowanzonzi itsvo yekugadzira. Inosefa zvinhu zvinorasa uye mvura yakawandisa kubva muropa apo itsvo hadzichakwanisi kuita basa iri nemazvo. Kune mhando nhatu dzekutanga dzehemodialysis dialyzerszvichienderana nekukwanisa uye kuita: yakakwira flux, yepakati flux, uye yakaderera flux.
- High Flux Dialyzers: Aya ma dialyzer ane ma pores akakura, achibvumira kukurumidza kubviswa kwemamorekuru madiki ne epakati, kusanganisira mamwe mahombe muchetura ayo echinyakare low flux dialyzer asingagoni kubvisa. High flux membranes inowanzokonzera nguva pfupi yekurapa uye zvirinani mhedzisiro yemurwere, kunyanya mukuderedza matambudziko enguva refu.
- Medium Flux Dialyzers: Yakaiswa pakati pepamusoro uye yakaderera flux sarudzo, yepakati flux dialyzer inopa zvine mwero kubviswa kwezvidiki uye zvepakati mamorekuru huremu chepfu. Iyo inowanzoshandiswa kana paine kudikanwa kwekuchenesa kwakanaka pasina kuisa njodzi yakawandisa yekurasikirwa kwealbumin.
- Low Flux Dialyzers: Aya ndiwo echikuru ma dialyzer ane ma pores madiki, anonyanya kunanga madiki mamorekuru clearance, senge urea uye creatinine. Inowanzoshandiswa kune varwere vane mamiriro akagadzikana uye mitoro yakaderera yehupfu.
Kusarudza iyo chaiyo hemodialysis dialyzer zvinoenderana nemurwere mamiriro ekiriniki, vascular kuwana kugona, uye hutano hwese zvinangwa.
AV Fistula Tsono Size: 15G, 16G, uye 17G
Iyo AV fistula tsono ndeimwe yakakoshamudziyo wekurapamune hemodialysis. Tsono dzinouya mumageji akasiyana-siyana (G), imwe neimwe yakakodzera kuyerera kweropa kwakasiyana uye zvinodiwa nemurwere.
- 15G AV Fistula Needle: Yakakura muhukuru, iyo 15G dialyzer tsono inotsigira kuyerera kweropa, kazhinji kusvika ku450 mL/min. Yakanakira varwere vanoda kukurumidza dialysis kana avo vane simba revascular access.
- 16G AV Fistula Needle: Zvishoma zvishoma, 16G tsono inowanzoshandiswa uye inogona kubata ropa rekuyerera kwepamusoro pe300-400 mL / min. Vanopa kuenzana pakati pekubudirira kwekuyerera uye kunyaradza kwevarwere.
- 17G AV Fistula Tsono: Yakaonda kupfuura 15G uye 16G, iyo 17G tsono inoshandiswa kuderedza kuderera kweropa, kumativi e200-300 mL / min. Iyi tsono inodiwa kune varwere vane tsinga dzakatetepa kana itsva AV fistulas ichiri kukura.
Kusarudza iyo chaiyo AV fistula yetsono geji haingokanganisa kurapwa chete asiwo kwenguva refuvascular accessutano. Kushandisa tsono yakakurisa kune fistula isina kusimba inogona kukuvadza, nepo kushandisa imwe diki kunogona kuderedza kushanda kwekurapa.
Kuyerera kweRopa uye Dialysis Kubudirira
Kuyerera kweropa ndicho chinhu chakakosha pakuona kukwana kwe dialysis. Kazhinji, mwero wepamusoro wekuyerera kweropa unovandudza kucheneswa kwemuchetura, asi unofanirwa kuenzanisa kugona kwedialyzer uye saizi yeAV fistula yetsono.
- High Flux Dialyzerszvinowanzoda uye kutsigira mazinga epamusoro ekuyerera kweropa (kusvika ku450 mL / min), zvichiita kuti ienderane ne15G kana 16G tsono.
- Medium Flux Dialyzersinogona kushanda zvinobudirira pachiyero chekuyerera kweropa (300-400 mL/min), yakanakira 16G tsono.
- Low Flux Dialyzersinowanzoshanda neropa rakaderera (200-300 mL / min), kurongedza zvakanaka ne17G tsono.
Kufananidza kusiri iko kunogona kutungamira kune isingashande dialysis zvikamu, kuwedzera nguva dzekurapa, kana kushushikana kusingakoshi pakuwana vascular.
Mhedziso
Kunzwisisa kuwirirana pakati pehemodialysis dialyzer marudzi, dialyzer geji dzetsono, uye mwero wekuyerera kweropa kwakakosha kuti uwane zvakanangana dialysis zvabuda. Kunyangwe kusarudza pakati peyakakwira flux, yepakati flux, kana yakaderera flux dialyzer, kana kusarudza yakakodzera 15G, 16G, kana 17G AV fistula tsono, sarudzo yega yega inokanganisa hutano hwemurwere.
Kune varapi vehutano, kugara uchiziva nezve kufambira mberi kwezvino mumidziyo yekurapa kunovimbisa kuti varwere vanowana rubatsiro rwepamusoro. Iko kusanganisa kwakaringana kwedialyzer uye saizi yetsono haingonatsiridza dialysis chete asi inodzivirira kupinda kwevascular uye inowedzera hupenyu hwemurwere.
Nguva yekutumira: Kubvumbi-27-2025