Xa kuziwa kunyango olusebenzayo lwe-hemodialysis, ukukhetha okulungileyohemodialysis dialyzer, kwayeinaliti dialyzeribalulekile. Iimfuno zesigulane ngasinye ziyahluka, kwaye ababoneleli bezonyango kufuneka bafanise ngononophelo iintlobo ze-dialyzer kunyeUbungakanani benaliti ye-AV fistulaukuqinisekisa iziphumo zonyango ezizizo. Kweli nqaku, siza kuhlola ezahlukeneyoiintlobo ze dialyzer(ukuhamba okuphezulu, ukuguquguquka okuphakathi, ukuguquguquka okuphantsi),iigeji yenaliti dialyzer(15G, 16G, 17G), kunye nobudlelwane babo kumazinga okuhamba kwegazi, kukunika umboniso opheleleyo wezi zixhobo zonyango ezibalulekileyo.
Iintlobo zeDialyzer
I-dialyzer idla ngokubizwa ngokuba zintso ezenziweyo. Ihluza inkunkuma kunye nolwelo olugqithisileyo egazini xa izintso zingasakwazi ukwenza lo msebenzi ngokufanelekileyo. Kukho iintlobo ezintathu eziphambili zehemodialysis dialyzersNgokusekwe ekungeneni kunye nokusebenza: ukuguquguquka okuphezulu, ukuguquguquka okuphakathi, kunye nokuguquguquka okuphantsi.
- IiDialyzer eziphezulu zeFlux: Ezi dialyzer zineepores ezinkulu, ezivumela ukususwa ngokukhawuleza kwee-molecule ezincinci kunye neziphakathi, kubandakanywa nezinye i-toxins ezinkulu ezinokuthi i-dialyzers ephantsi ye-flux ephantsi ayikwazi ukuyiphelisa. Iimbrane eziguquguqukayo eziphezulu zihlala zikhokelela kumaxesha amafutshane onyango kunye neziphumo ezingcono zesigulana, ngakumbi ekunciphiseni iingxaki zexesha elide.
- Medium Flux Dialyzers: Ibekwe phakathi kweenketho eziphezulu kunye nezisezantsi zokuguquguquka, i-dialyzers ye-flux ephakathi ibonelela ngokususwa okuphakathi kwee-toxins ezincinci kunye ne-molecular weight. Ngokuqhelekileyo zisetyenziswa xa kukho imfuneko yokukhutshwa ngokufanelekileyo ngaphandle kokufaka ingozi yokulahlekelwa kwe-albumin.
- I-Dialyzers ye-Flux ephantsi: Ezi zi-dialyzers zesizukulwana esidala kunye neepores ezincinci, ezijolise ngokukodwa ukukhutshwa kwe-molecule encinci, njenge-urea kunye ne-creatinine. Zihlala zisetyenziselwa izigulane ezineemeko ezizinzileyo kunye nemithwalo ephantsi ye-toxin.
Ukukhetha i-dialyzer efanelekileyo ye-hemodialysis kuxhomekeke kwimeko yekliniki yesigulane, ukukwazi ukufikelela kwi-vascular, kunye neenjongo zempilo jikelele.
Iinaliti ze-AV Fistula: 15G, 16G, kunye ne-17G
Inaliti ye-AV fistula yenye into ebalulekileyoisixhobo sonyangokwi-hemodialysis. Iinaliti ziza kwiigeyiji ezahlukeneyo (G), nganye ilungele amanqanaba ahlukeneyo okuhamba kwegazi kunye neemfuno zesigulana.
- I-15G AV Inaliti ye-Fistula: Inkulu ngobukhulu, inaliti ye-dialyzer ye-15G isekela izinga eliphezulu lokuhamba kwegazi, ngokuqhelekileyo ukuya kwi-450 mL / min. Ifanelekile kwizigulana ezifuna i-dialysis ekhawulezileyo okanye ezo zinofikelelo olomeleleyo lwemithambo.
- I-16G AV Inaliti ye-Fistula: Incinci encinci, iinaliti ze-16G zisetyenziswa ngokuqhelekileyo kwaye zikwazi ukuphatha amazinga okuhamba kwegazi malunga ne-300-400 mL / min. Banikezela ngokulinganisela phakathi kokuhamba kakuhle kunye nentuthuzelo yesigulane.
- 17G AV Inaliti yeFistula: I-Thinner kune-15G kunye ne-16G, inaliti ye-17G isetyenziselwa amazinga aphantsi okuhamba kwegazi, malunga ne-200-300 mL / min. Le naliti ikhethwa kakhulu kwizigulana ezinemithambo eethe-ethe okanye ii-AV fistulas ezintsha ezisavuthwa.
Ukukhetha i-AV ye-fistula yenaliti efanelekileyo ayichaphazeli nje kuphela ukusebenza kakuhle kwonyango kodwa kunye nexesha elideukufikelela kwemithamboimpilo. Ukusebenzisa inaliti enkulu kakhulu kwi-fistula ebuthathaka kunokubangela umonakalo, ngelixa ukusebenzisa enye encinci kunokunciphisa ukusebenza konyango.
Isantya sokuhamba kwegazi kunye nokuSebenza kwe-Dialysis
Isantya sokuhamba kwegazi yinto ephambili ekunqumeni ukufaneleka kwe-dialysis. Ngokubanzi, izinga lokuhamba kwegazi eliphezulu liphucula ukucocwa kwetyhefu, kodwa kufuneka lihambelane nesakhono se-dialyzer kunye nobungakanani benaliti ye-AV fistula.
- IiDialyzer eziphezulu zeFluxngokuqhelekileyo zifuna kwaye zixhase amazinga aphezulu okuhamba kwegazi (ukuya kwi-450 mL / min), okwenza ukuba zihambelane ne-15G okanye i-16G iinaliti.
- Medium Flux Dialyzersinokusebenza ngokufanelekileyo kumazinga aphakathi kwegazi (300-400 mL / min), ilungele iinaliti ze-16G.
- I-Dialyzers ye-Flux ephantsizihlala zisebenza ngamazinga aphantsi okuhamba kwegazi (200-300 mL / min), ukulungelelanisa kakuhle kunye neenaliti ze-17G.
Ukuhambelana okungalunganga kunokukhokelela kwiiseshoni ze-dialysis ezingasebenziyo, ukunyuka kwamaxesha onyango, okanye uxinzelelo olungeyomfuneko kwi-vascular access.
Ukuqukumbela
Ukuqonda intsebenziswano phakathi kweentlobo ze-dialyzer ze-hemodialysis, iigeji zeenaliti ze-dialyzer, kunye namazinga okuhamba kwegazi kubalulekile ekufezekiseni ezona ziphumo ze-dialysis. Ingaba ukhetha phakathi kwe-flux ephezulu, i-flux ephakathi, okanye i-dialyzers ephantsi, okanye ukhethe i-15G efanelekileyo, i-16G, okanye i-17G ye-AV ye-fistula inaliti, zonke izigqibo zichaphazela ngqo impilo yesigulane.
Kubaboneleli bezempilo, ukuhlala benolwazi malunga nenkqubela phambili yamva nje kwizixhobo zonyango kuqinisekisa ukuba izigulana zifumana olona khathalelo lunokwenzeka. Indibaniselwano echanekileyo ye-dialyzer kunye nobungakanani benaliti ayiphuculi nje ukusebenza kakuhle kwe-dialysis kodwa ikhusela ukufikelela kwemithambo kwaye iphucula umgangatho wobomi besigulana.
Ixesha lokuposa: Apr-27-2025