Iingenelo kunye nokusetyenziswa kwenaliti ye-15G Dialysis

Kwizigulane ezisebenzisa i-hemodialysis, ukukhetha indlela efanelekileyoinaliti ye-dialysisKubalulekile ukuqinisekisa unyango olukhuselekileyo, olukhululekileyo, nolusebenzayo. Phakathi kobungakanani beenaliti ze-dialysis ezikhoyo, inaliti ye-dialysis ye-15G yenye yezona ndlela zisetyenziswa kakhulu kwi-hemodialysis yabantu abadala. Ibonelela ngokulinganisela okuhle phakathi kokusebenza kokuhamba kwegazi kunye nentuthuzelo yesigulana, nto leyo eyenza ukuba ibe sisixhobo sonyango esithandwayo kwiindawo ze-dialysis kwihlabathi liphela.

Eli nqaku lichaza iingenelo zenaliti ye-dialysis ye-15G, ukusetyenziswa kwenaliti ye-dialysis ye-15G, kunye neempawu ezenza ukuba ifaneleke kunyango lwe-dialysis oluqhelekileyo.

Yintoni inaliti ye-Dialysis?

Inaliti ye-dialysis yinaliti ekhethekileyo esetyenziselwa ukufikelela kumjikelezo wegazi wesigulana ngexesha le-hemodialysis. Idla ngokufakwa kwindawo yenaliti ye-AV fistula — nokuba yi-arteriovenous fistula okanye i-graft. Unyango ngalunye lufuna iinaliti ezimbini:

Inaliti yemithambo: itsala igazi kwisigulana
Inaliti yemithambo: ibuyisela igazi emva kokuhluzwa

Iinaliti ze-Dialysis ziyahluka ngobukhulu, uhlobo lwencam, kunye noyilo, kodwa inaliti ye-dialysis ye-15G iseyeyona ndlela iqhelekileyo yokukhetha izigulane zabantu abadala abanokufikelela kwimithambo yegazi evuthiweyo.

Ukuqonda Ubungakanani Benaliti YeDialysis (Inkqubo Yokulinganisa)

Kwinkqubo yokulinganisa, okukhona inani lokulinganisa lincinci, kokukhona ububanzi bukhulu. Ubungakanani obufanelekileyo benaliti buqinisekisa ukuhamba kwegazi okuzinzileyo kunye nokukhuselwa kwendawo.

Itheyibhile 1. EqhelekileyoUbungakanani benaliti yeDialysiskunye nokusetyenziswa kwazo okuqhelekileyo

Ukhetho lwe-15G lunebhalansi efanelekileyo phakathi kwentuthuzelo kunye nokusebenza.

Iingenelo eziphambili zenaliti ye-15G Dialysis

1. Ukuhamba kwegazi okuphezulu ukuze kusebenze kakuhle i-dialysis

Inzuzo enkulu yenaliti ye-dialysis ye-15G kukukwazi kwayo ukufikelela kumanqanaba afanelekileyo okuhamba kwegazi, rhoqo ukuya kuthi ga kwi-400 mL/min, okuvumela:

ukususwa ngcono kwetyhefu,
amaxesha amafutshane onyango,
ukuphuculwa kokwanela kwe-dialysis (Kt/V).

2. Ikhululekile ukusetyenziswa ixesha elide

Ubungakanani be-15G bukhulu ngokwaneleyo ukuze kuhambe kakuhle kodwa buncinci ngokwaneleyo ukuze kuncitshiswe iintlungu zokukhupha igazi kunye nokunciphisa uxinzelelo ekufikeleleni kwemithambo yegazi. Olu lungelelwaniso lubaluleke kakhulu kwizigulana ezisebenzisa i-hemodialysis ixesha elide.

3. Umngcipheko Ophantsi Weengxaki Zokufikelela

Ukusetyenziswa rhoqo kwenaliti ye-AV fistula enobukhulu obufanelekileyo kunciphisa umngcipheko we:

Ukungena ngokungena,
I-Hematoma,
Ukulimala kwenqanawa,
Ukopha ixesha elide.

4. Ilungele i-AV Fistulas eQilileyo kunye neGrafts

Uninzi lwee-AV fistulas kunye nee-grafts ezivuthiweyo ziphatha iinaliti ze-15G ngokukhululeka, nto leyo ezenza zifaneleke phantse kubo bonke abantu abadala abanesifo se-hemodialysis.

5. Iyahambelana neeProtocols zeDialysis zabantu abadala eziqhelekileyo

Ngenxa yokuba uninzi lweenkqubo ze-hemodialysis zabantu abadala zifuna amazinga aphezulu okuhamba kwegazi, inaliti ye-15G iba lukhetho oluqhelekileyo noluthembekileyo kunyango oluqhelekileyo.

Ukusetyenziswa kwenaliti ye-15G Dialysis

Ukusetyenziswa kwenaliti ye-dialysis ye-15G kuxhomekeke kwimeko yesigulana kunye neenjongo zonyango. Ukusetyenziswa okuqhelekileyo kwezonyango kuquka:

1. I-Routine Adult Hemodialysis

Uninzi lwezigulane ze-dialysis zabantu abadala abafikeleleka kwimithambo yegazi evuthiweyo zisebenzisa iinaliti ze-15G rhoqo.

2. I-Dialysis ekhawulezayo nesebenza kakuhle

Kufuneka ukuhamba kwegazi okuphezulu kwiifilitha ezitshintshatshintshayo, nto leyo eyenza inaliti ye-15G ibe yeyona ikhethwayo.

3. Ukususwa kwe-AV Fistula evuthiweyo

Emva kokuba i-fistula ivuthiwe (ngesiqhelo kwiiveki ezi-6-12), oogqirha badla ngokunyusa izigulane ukusuka kwi-16G okanye kwi-17G ukuya kwi-15G.

4. Ukususwa kwee-AV Grafts

Ii-grafts ezenziweyo zixhasa ukuhamba kwegazi okuphezulu kwaye zifanelekile kwi-15G yenaliti yokukhupha igazi.

5. I-Hemodialysis yexesha elide

Izigulana ezifuna i-dialysis amaxesha amaninzi ngeveki ziyazuza kwi-cannulation ezinzileyo, engaphantsi kwentlungu ebangelwa ziinaliti ze-15G.

Iimpawu zenaliti ye-15G Dialysis esemgangathweni ophezulu

Isixhobo sezonyango esithembekileyo se-dialysis siquka izinto ezininzi zoyilo eziphucula ukusetyenziswa kakuhle kunye nentuthuzelo yesigulana:

Itheyibhile 2. Iimpawu eziphambili zenaliti ye-15G Dialysis

Ezi mpawu zinegalelo kwiiseshoni ze-hemodialysis ezikhuselekileyo nezisebenza kakuhle.

Ukukhetha ubungakanani obufanelekileyo benaliti ye-Dialysis

Xa bekhetha ubungakanani benaliti ye-dialysis, oogqirha baqwalasela oku kulandelayo:

Itheyibhile 3. Indlela yokukhetha iNalithi yokulinganisa efanelekileyo

Inaliti ye-15G ifanelekile kuninzi lwezigulane ezindala.

Kutheni Amaziko eDialysis Ekhetha Iinaliti ze-15G

Iziko le-Dialysis lidla ngokukhetha ubungakanani be-15G kuba libonelela:

Ukuhamba kwegazi okuphezulu rhoqo,
Ukufakwa okukhululekileyo kokusetyenziswa ixesha elide,
Ukuhambelana ne-dialysis ephezulu,
Amanqanaba eengxaki anciphileyo,
Ukuphuculwa kokusebenza kakuhle konyango ngokubanzi.

Kubathengi kunye nababoneleli bezonyango, iinaliti ze-15G zezona zichaziweyo zenaliti ye-dialysis.

Isiphelo

Inaliti ye-dialysis ye-15G sisixhobo esibalulekileyo kwixesha lanamhlanjei-hemodialysis, enika ukuhamba kwegazi okufanelekileyo, intuthuzelo yomguli, kunyeukufikelela kwimithambo yegaziukhuseleko. Ukuqonda iingenelo zeenaliti ze-dialysis ze-15G kunye nokusetyenziswa kweenaliti ze-dialysis ze-15G kunceda oogqirha kunye nabathengi bemveliso yezonyango ukuba bakhethe esona sixhobo silungileyo sezonyango sonyango olukhuselekileyo nolusebenzayo lwe-hemodialysis.