Hemodialysis - chii nzira iyi?

Kuti vanatse ropa pamusoro nitrogenous yeimwe uye electrolytes ari zviitiko apo itsvo havagoni kukurira basa ravo, hemodialysis inoshandiswa. Imhandoi nzira? Kutakurwa ne "chakagadzirwa itsvo" - rinokosha mudziyo zvinosanganisira matatu zvinoriumba. Ngationgororei zvakadzama musimboti kwacho.

Hemodialysis - chii?

nzira ichi chinonziwo extracorporeal detoxification. Zita iri rinosimbisa musimboti kwacho - wechisikigo filtration, zvinofanira kutakurirwa kunze itsvo, iri vadzingwa muviri. Exchange kuti zvinhu kuburikidza semipermeable Kamudzira rinonzi hemodialysis. Chii kubva nokukanganisika pfungwa maonero? The Kamudzira yasukwa pamwe chete divi ropa rine electrolytes uye nitrogenous namatongo. Ukuwo - the dialysate. zvinwiwa maviri aya kusika wevasungwa gradient, naro kubva ropa uye yabudiswa metabolites. Ulrafiltratsiya, inova hemodialysis (chii uye chii chiri nzira musangano, isu acharondedzera zvishoma papera) rinoitwa kushandisa chaiyo midziyo.

"Chakagadzirwa itsvo"

chikwata ichi ine matatu zvinoriumba. Mudziyo sezvo - anokosha vavo anopiwa ane Semi-permeable Kamudzira, izvo zvakagadzirwa chakaita zvokugadzirwa zvinhu kana cellulose. Izvi dzichipfekeka chaikosha nokupa mupise muviri tsvina uye muchetura. Uyewo, kuti chikwata unotora zano zvokudya ropa kuburikidza chubhu, uye zano kuti kugadzirira dialysate. Ropa munewo mapuroteni, mabhakitiriya, uye zvikuru zvinhu zvabatwa pedyo membrane. Ipapo vakadzokera muviri kuburikidza tsinga. The dialyzer ropa zvokudya pachishandiswa chubhu uchishandisa chinotenderera pombi. The hurongwa zvakare anoyera kumhanya kweropa kuyerera uye kumanikidzwa. Monitors izvi zviratidzo chiremba hemodialysis. Rinotaurawo anosarudza kuti Kuronga dialysis mhinduro - zvichienderana pachiyero electrolytes vari plasma, inofanira kugadziriswa. Kazhinji, wevasungwa neeSultan kuti potassium, dzimwe nguva - yavaibvisa.

Ndiani anoda kuva "chakagadzirwa itsvo"?

Outpatient dialysis zvinoratidzwa nekuda zvimwe zvirwere, zvakadai chisingaperi renal kukundikana, zvikuru doro chepfu, ovhadhozi zvinodhaka uye zvimwe chepfu. Pasina dialysis murwere anogona kufa. Pashure nzira iyi, vanhu vanogona kuramba hwandaiva nahwo. Contraindications ndokuatakurira kunze mimwe kubuda ropa, pulmonary tibhii (active chimiro), nyanyisa namamota, psychoses, kukwegura pamberi cheshuga, atherosclerosis, chisingaperi chiropa, cirrhosis, cardiac kukundikana uye navamwe zvirwere. Hemodialysis iri kudiwa kuitwa inenge katatu pavhiki, kwayo kwenguva refu - maawa anenge 4. Unogona kuita nzira ichi maererano mapurogiramu siyana. Kutaura zvazviri, zvichienderana mhando Kamudzira kushandiswa, hemodialysis zvinogona kuitwa zuva nezuva kana kuderedza kuwanda nzira maviri pavhiki.