Xa kufikwa kunyango olusebenzayo lwe-hemodialysis, khetha indlela efanelekileyoi-dialyzer ye-hemodialysiskunyeinaliti ye-dialyzerkubalulekile. Iimfuno zesigulana ngasinye ziyahluka, kwaye ababoneleli bezonyango kufuneka bahambelane ngononophelo neentlobo ze-dialyzer kunyeUbungakanani beenaliti ze-AV fistulaukuqinisekisa iziphumo zonyango ezilungileyo. Kweli nqaku, siza kuhlola iindlela ezahlukeneyo zonyangoiintlobo ze-dialyzer(ukuhamba okuphezulu, ukuhamba okuphakathi, ukuhamba okuphantsi),iigeyiji zeenaliti zedialyzer(15G, 16G, 17G), kunye nolwalamano lwazo namazinga okuhamba kwegazi, nto leyo ekunika umbono opheleleyo ngezi zixhobo zonyango zibalulekileyo.
Iintlobo zeDialyzer
I-dialyzer idla ngokubizwa ngokuba yi-artificial kidney. Ihluza inkunkuma kunye nolwelo olugqithisileyo egazini xa izintso zingasakwazi ukwenza lo msebenzi ngokufanelekileyo. Kukho iintlobo ezintathu eziphambili ze-ii-dialyzers ze-hemodialysisngokusekelwe ekungeneni kwamanzi kunye nokusebenza kwawo: ukugeleza okuphezulu, ukugeleza okuphakathi, kunye nokugeleza okuphantsi.
- IiDialyzers zeFlux ephezulu: Ezi dialyzers zinemingxuma emikhulu, nto leyo evumela ukususwa ngokukhawuleza kweemolekyuli ezincinci neziphakathi, kuquka nezinye iityhefu ezinkulu ezingenakucinywa zii-dialyzers zemveli ezine-flux ephantsi. Iimembranes ezine-flux ephezulu zihlala zibangela ukuba unyango lube lufutshane kwaye kubekho iziphumo ezingcono kwizigulana, ingakumbi ekunciphiseni iingxaki zexesha elide.
- IiDialyzer zeFlux eziphakathi: Zibekwe phakathi kweendlela zokukhupha umoya ophezulu nophantsi, ii-dialyzers ze-medium flux zibonelela ngokususwa okulinganiselweyo kwetyhefu encinci nephakathi yobunzima bemolekyuli. Zisetyenziswa rhoqo xa kukho imfuneko yokususa ityhefu ngokufanelekileyo ngaphandle kokubeka emngciphekweni ukulahleka kwe-albumin eninzi.
- IiDialyzers zeFlux ephantsi: Ezi zii-dialyzer zesizukulwana esidala ezineembobo ezincinci, ikakhulu ezijolise ekususweni kweemolekyuli ezincinci, ezifana ne-urea kunye ne-creatinine. Zihlala zisetyenziswa kwizigulana ezineemeko ezizinzileyo kunye nomthwalo ophantsi wetyhefu.
Ukukhetha i-dialyzer ye-hemodialysis efanelekileyo kuxhomekeke kwimeko yesigulane, amandla okufikelela kwimithambo yegazi, kunye neenjongo zempilo iyonke.
Ubungakanani beenaliti ze-AV Fistula: 15G, 16G, kunye ne-17G
Inaliti ye-AV fistula yenye into ebalulekileyoisixhobo sezonyangokwi-hemodialysis. Iinaliti ziza ngee-gauge ezahlukeneyo (G), nganye ifanelekile kumanqanaba ahlukeneyo okuhamba kwegazi kunye neemfuno zesigulana.
- Inaliti yeFistula ye-AV eyi-15G: Inkulu ngobukhulu, inaliti ye-dialyzer ye-15G ixhasa amazinga aphezulu okuhamba kwegazi, ngesiqhelo ukuya kuthi ga kwi-450 mL/min. Ifanelekile kwizigulana ezifuna i-dialysis ekhawulezileyo okanye ezo zinokufikelela okuqinileyo kwimithambo yegazi.
- Inaliti yeFistula ye-AV eyi-16G: Incinci kancinci, iinaliti ze-16G zisetyenziswa rhoqo kwaye zinokuphatha amazinga okuhamba kwegazi amalunga ne-300-400 mL/min. Zibonelela ngokulinganisela phakathi kokusebenza kakuhle kokuhamba kwegazi kunye nentuthuzelo yesigulana.
- Inaliti yeFistula ye-AV eyi-17G: Incinci kune-15G kunye ne-16G, inaliti ye-17G isetyenziselwa amazinga aphantsi okuhamba kwegazi, malunga ne-200-300 mL/min. Le naliti ingcono kwizigulane ezinemithambo ebuthathaka okanye i-AV fistula entsha esakhula.
Ukukhetha i-AV fistula needle gauge efanelekileyo akuchaphazeli nje kuphela ukusebenza kakuhle konyango kodwa kukwachaphazela nexesha elideukufikelela kwimithambo yegaziimpilo. Ukusebenzisa inaliti enkulu kakhulu kwi-fistula ebuthathaka kunokubangela umonakalo, ngelixa ukusebenzisa encinci kakhulu kunokunciphisa ukusebenza kakuhle konyango.
Izinga lokuhamba kwegazi kunye nokusebenza kakuhle kwe-Dialysis
Izinga lokuhamba kwegazi libaluleke kakhulu ekuqinisekiseni ukwanela kwe-dialysis. Ngokubanzi, izinga lokuhamba kwegazi eliphezulu liphucula ukucocwa kwetyhefu, kodwa kufuneka lihambelane namandla e-dialyzer kunye nobukhulu benaliti ye-AV fistula.
- IiDialyzers zeFlux ephezuluNgokwesiqhelo zifuna kwaye zixhasa amazinga aphezulu okuhamba kwegazi (ukuya kuthi ga kwi-450 mL/min), nto leyo ezenza zihambelane neenaliti ze-15G okanye ze-16G.
- IiDialyzer zeFlux eziphakathiinokusebenza kakuhle xa ijikeleza igazi ngendlela ephakathi (300-400 mL/min), ilungele iinaliti ze-16G.
- IiDialyzers zeFlux ephantsiidla ngokusebenza ngesantya sokuhamba kwegazi esiphantsi (200-300 mL/min), ihambelana kakuhle neenaliti ze-17G.
Ukudibanisa ngokuchanekileyo kunokukhokelela kwiiseshoni ze-dialysis ezingasebenzi kakuhle, amaxesha onyango anyukileyo, okanye uxinzelelo olungeyomfuneko ekufikeleleni kwemithambo yegazi.
Isiphelo
Ukuqonda ukusebenzisana phakathi kweentlobo ze-dialyzer ze-hemodialysis, ii-dialyzer needle gauges, kunye namazinga okuhamba kwegazi kubalulekile ukuze kufezekiswe iziphumo ezilungileyo ze-dialysis. Nokuba ukhetha phakathi kwe-high flux, i-medium flux, okanye i-low flux dialyzers, okanye ukhetha inaliti efanelekileyo ye-15G, 16G, okanye i-17G AV fistula, isigqibo ngasinye sichaphazela ngqo impilo yesigulana.
Kubaboneleli beenkonzo zonyango, ukuhlala unolwazi malunga nophuhliso lwamva nje kwizixhobo zonyango kuqinisekisa ukuba izigulana zifumana unyango olungcono kakhulu. Ukudibanisa okufanelekileyo kwe-dialyzer kunye nobukhulu benaliti akuphuculi nje kuphela ukusebenza kakuhle kwe-dialysis kodwa kukhusela ukufikelela kwimithambo yegazi kwaye kuphucula umgangatho wobomi besigulana.
Ixesha leposi: Epreli-27-2025