Kana zvasvika pakurapa kwe hemodialysis kunoshanda, kusarudza nzira chaiyo yekurapachirauro chekuchenesa ropa (hemodialysis dialysis)uyetsono yedialyzerzvakakosha. Zvinodiwa nemurwere wega wega zvinosiyana, uye vanachiremba vanofanira kunyatsoenzanisa mhando dzedialyzer uyeSaizi dzetsono dzeAV fistulakuti tive nechokwadi chekuti mhedzisiro yekurapa yakanaka. Muchinyorwa chino, tichaongorora zvakasiyana-siyanamhando dzedialyzer(kuyerera kwakanyanya, kuyerera kwepakati, kuyerera kwakaderera),zviyero zvetsono zvedialyzer(15G, 16G, 17G), uye hukama hwazvo nehuwandu hweropa rinoyerera, zvichikupa ruzivo rwakakwana rwezvishandiso izvi zvinokosha zvekurapa.
Mhando dzeDialyzer
Chinobvisa tsvina chinowanzonzi itsvo yekugadzira. Chinosefa tsvina nemvura yakawandisa kubva muropa kana itsvo dzisingachakwanisi kuita basa iri nemazvo. Kune mhando nhatu huru dzeitsvo.ma dialysis e hemodialysiszvichibva pakubvumidzwa kwemvura uye mashandiro ayo: kuyerera kwakanyanya, kuyerera kwepakati, uye kuyerera kwakaderera.
- MaDialyzer eFlux Akanyanya: Aya ma dialyzer ane maburi makuru, zvichibvumira kubviswa nekukurumidza kwemamorekuru madiki nepakati, kusanganisira mamwe machetura makuru ayo ma dialyzer echinyakare asingakwanise kubvisa. Ma membrane e flux anowanzoita kuti kurapwa kupfupike uye mhedzisiro iri nani yemurwere, kunyanya mukuderedza matambudziko enguva refu.
- MaDialyzer eFlux ari Pakati Nepakati: Zviri pakati pesarudzo dzemvura ine flux yakakwira neyakaderera, ma dialyzer emvura ine flux yepakati anobvisa zvine mwero chepfu diki nepakati. Anowanzo shandiswa kana paine chikonzero chekubvisa chepfu zvakanaka pasina njodzi yekurasikirwa nealbumin zvakanyanya.
- MaDialyzer Akaderera eFlux: Idzi idialyzer dzekare dzine maburi madiki, dzinonyanya kunanga kubviswa kwemamorekuru madiki, akadai seurea necreatinine. Dzinowanzo shandiswa kune varwere vane mamiriro akagadzikana uye vane huturu hwakaderera.
Kusarudza hemodialysis dialyzer yakakodzera kunoenderana nemamiriro emurwere, kugona kwake kuwana tsinga dzeropa, uye zvinangwa zvehutano.
Saizi dzetsono dzeAV Fistula: 15G, 16G, uye 17G
Tsono yeAV fistula ndeimwe yakakoshamudziyo wekurapamu hemodialysis. Tsono dzinouya muzvikamu zvakasiyana-siyana (G), imwe neimwe yakakodzera mwero wakasiyana wekuyerera kweropa uye zvinodiwa nemurwere.
- Tsono yeFistula yeAV ye15G: Yakakura muhukuru, tsono yedialyzer ye15G inotsigira kuyerera kweropa kwakanyanya, kazhinji kusvika ku450 mL/min. Yakanakira varwere vanoda dialysis nekukurumidza kana avo vane mukana wakasimba wekupinda mutsinga dzeropa.
- Tsono yeFistula yeAV ye16G: Idiki zvishoma, tsono dze16G dzinoshandiswa zvakanyanya uye dzinogona kubata kuyerera kweropa kuri pakati pe300-400 mL/min. Dzinopa chiyero pakati pekushanda zvakanaka kweropa uye kunyaradzwa kwemurwere.
- Tsono yeFistula yeAV ye17G: Yakatetepa kupfuura 15G ne16G, tsono ye17G inoshandiswa kuderedza kuyerera kweropa, inenge 200-300 mL/min. Tsono iyi inodiwa kune varwere vane tsinga dzakapfava kana AV fistula itsva dzichiri kukura.
Kusarudza nzira chaiyo yekuongorora ne AV fistula netsono hakungokanganisi chete kushanda zvakanaka kwekurapa asiwo kwenguva refukupinda kwetsinga dzeropahutano. Kushandisa tsono yakakura zvakanyanya kune fistula isina kusimba kunogona kukonzera kukuvara, nepo kushandisa imwe diki zvakanyanya kunogona kuderedza kushanda kwekurapa.
Kuyerera Kweropa uye Kushanda Nesimba Kwekuvhiya
Mwero wekuyerera kweropa chinhu chakakosha pakuona kukwana kwedialysis. Kazhinji, mwero wekuyerera kweropa wakakwira unovandudza kubviswa kwechepfu, asi unofanirwa kuenderana nekugona kwedialyzer uye saizi yetsono yeAV fistula.
- MaDialyzer eFlux Akanyanyakazhinji inoda uye inotsigira mwero weropa wakakwira (kusvika 450 mL/min), zvichiita kuti zvienderane netsono dze15G kana 16G.
- MaDialyzer eFlux ari Pakati Nepakatiinogona kushanda zvakanaka kana ropa richiyerera zvine mwero (300-400 mL/min), yakakodzera tsono dze16G.
- MaDialyzer Akaderera eFluxkazhinji inoshanda neropa shoma (200-300 mL/min), ichishanda zvakanaka netsono dze17G.
Kusaenzanisa zvakanaka kunogona kukonzera kusashanda zvakanaka kwe dialysis, nguva yakawanda yekurapwa, kana kushushikana kusingakoshi pakupinda kwetsinga dzeropa.
Mhedziso
Kunzwisisa kubatana kuripo pakati pemhando dzedialyzer dzehemodialysis, dialyzer needle gauges, uye mwero wekuyerera kweropa kwakakosha kuti pave nemigumisiro yakanaka yedialysis. Kungave kusarudza pakati pehigh flux, medium flux, kana low flux dialyzers, kana kusarudza tsono yakakodzera ye15G, 16G, kana 17G AV fistula, sarudzo yega yega inokanganisa hutano hwemurwere zvakananga.
Kune vanopa hutano, kugara uchiziva nezvekufambira mberi kuri kuitwa mumidziyo yekurapa kunoita kuti varwere vawane rubatsiro rwakanakisisa. Kusanganiswa kwakakodzera kwedialyzer nehukuru hwetsono hakungobatsiri chete pakushanda kwedialysis asiwo kunodzivirira kupinda kwetsinga dzeropa uye kunovandudza hupenyu hwemurwere.
Nguva yekutumira: Kubvumbi-27-2025