I-Hemodialysis iyindlela yokwelapha ebalulekile yeziguli ezinenkinga yezinso, ebavumela ukuba baphile impilo engcono ngokuhlunga imfucuza kanye noketshezi oluningi egazini. Esinye sezici ezibaluleke kakhulu ze-hemodialysis ukusetshenziswa kwezinto ezisetshenziswayo, ezibalulekile ekusebenzeni okuphephile nokuphumelelayo komshini we-dialysis. Lezi zinto ezisetshenziswayo ziza ngezindlela ezahlukene, ngayinye isebenzela injongo ethile enqubweni ye-dialysis.
Kulesi sihloko, sizohlola izinhlobo ezahlukene zeizinto ezisetshenziswayo ze-hemodialysisudinga ukwazi nokuthi ngakunye kusiza kanjani enqubweni yokuhlanza igazi.
1. Ama-Dialyzer (Izinso Zokwenziwa)
I-dialyzer, evame ukubizwa ngokuthi yizinso zokwenziwa, ingenye yezinto ezibaluleke kakhulu ezisetshenziswayo ekuhlanzweni kwegazi. Inesibopho sokuhlunga imfucuza kanye noketshezi oluningi egazini. I-dialyzer iqukethe ulwelwesi olungena kancane oluvumela izinto ezingafuneki ukuthi zidlule ngenkathi igcina izingxenye ezibalulekile njengamaseli abomvu egazi namaprotheni.
Kunezinhlobo ezahlukene zama-dialyzer atholakalayo, kuye ngezidingo zesiguli kanye nomshini othize we-dialysis osetshenziswayo. Amanye ama-dialyzer aklanyelwe ukuba asebenze kahle ekususeni ubuthi, kanti amanye aklanyelwe izimo ezithile zezokwelapha. Ukufakwa kabusha njalo kanye nokugcinwa kahle kwama-dialyzer kubalulekile ukuqinisekisa ukusebenza kahle kokwelashwa kwe-dialysis.
2. Ipayipi Lokuhlanza Igazi (Imigqa Yegazi)
Ipayipi le-Dialysis, elaziwa nangokuthi imigqa yegazi, lixhumanisa igazi lesiguli nomshini we-dialysis. Le migqa yegazi ithwala igazi lisuka esigulini liye ku-dialyzer bese libuyisela igazi elihlungiwe emzimbeni wesiguli. Ipayipi lenziwe ngezinto ezihambisana ne-bio ukuze kuncishiswe ingozi yokusabela okubi.
Imigqa yegazi iza ngezindlela ezahlukene, ngokuvamile ihlanganisa amapayipi amabili ahlukene—elinye legazi eliya emshinini kanti elinye legazi elibuyela emzimbeni. Ikhwalithi kanye nezinto ezisetshenziswayo zemigqa yegazi kubalulekile ekunciphiseni izingozi zokutheleleka nokuqinisekisa ukuthi inqubo yokuhlanza igazi ihamba kahle futhi isebenza kahle.
3. I-Dialysate
I-Dialysate iwuketshezi olukhethekile olusetshenziswa enqubweni ye-dialysis ukusiza ukususa imfucuza kanye noketshezi oluningi egazini. Iqukethe ingxube elinganiswe kahle yamaminerali nama-electrolyte eyenzelwe ukukhipha imfucuza egazini ngesikhathi sokwelashwa kwe-dialysis. I-Dialysate kumele ilungiswe kahle ukuqinisekisa ukuthi inezinga elifanele lezingxenye ezizohlanza igazi ngempumelelo.
I-Dialysate iza ngezindlela ezahlukene kuye ngezidingo zezokwelapha zesiguli. Ukulungiswa kokwakheka kwe-dialysate kungenziwa ngokusekelwe ezicini ezifana ne-chemistry yegazi lesiguli, uhlobo lwe-dialysate olwenziwayo, kanye nezinye izinto ezicatshangelwayo ngempilo yomuntu ngamunye.
4. Izinaliti nama-Catheter
Izinaliti nama-catheter kuyizinto ezibalulekile zokufinyelela igazi lesiguli ngesikhathi se-hemodialysis. Lawa madivayisi asetshenziselwa ukwakha ukuxhumana phakathi kwemithambo yegazi yesiguli nomshini we-dialysis.
Kwezinye izimo, kwakheka i-arteriovenous (AV) fistula noma i-graft engalweni yesiguli, bese kufakwa izinaliti ku-fistula ukuze kukhishwe igazi. Ezigulini ezingakwazi ukuba ne-fistula, i-catheter ivame ukusetshenziswa ukufinyelela emthanjeni omkhulu. Zombili izinaliti nama-catheter kumele kushintshwe njalo ukuze kugwenywe izinkinga ezifana nokutheleleka noma ukujiya kwemithambo yegazi.
5. Izihlungi ze-Hemodialysis (Izihlungi Zokufaka Esikhundleni)
Izihlungi ze-Hemodialysis, ezaziwa nangokuthi izihlungi zokufaka esikhundleni, zisetshenziswa lapho ulwelwesi lwe-dialyzer lungasebenzi kahle noma lapho kuvela ukungcola. Lezi zihlungi zenzelwe ukugcina ikhwalithi yokwelashwa kwe-dialysis nokuqinisekisa ukususwa okufanele kwemfucuza noketshezi egazini. Kuye ngesimo sesiguli kanye nokusebenza kwe-dialyzer, izihlungi zokufaka esikhundleni ziyadingeka ukuze kugcinwe ukusebenza kahle kokwelashwa.
Isiphetho
Ukuqonda izinhlobo ezahlukene zezinto ezisetshenziswayo ze-hemodialysis kanye nezindima zazo enkambisweni ye-dialysis kubalulekile kokubili kochwepheshe bezempilo kanye neziguli. Izinto ezisetshenziswayo zidlala indima ebalulekile ekuqinisekiseni ukuthi inqubo ye-dialysis iphephile, isebenza kahle, futhi ikhululekile ngangokunokwenzeka esigulini.
Uma udinga izinto ezisetshenziswayo ze-hemodialysis ezisezingeni eliphezulu,I-Sinomedinikeza imikhiqizo eyahlukahlukene eyenzelwe ukuhlangabezana nezidingo zeziguli kanye nabahlinzeki bezempilo. Ukuzibophezela kwethu ekunakekelweni kwekhwalithi kanye neziguli kuqinisekisa ukuthi uthola imikhiqizo engcono kakhulu etholakalayo. Xhumana nathi namuhla ukuze ufunde kabanzi mayelana neminikelo yethu nokuthi singazisekela kanjani izidingo zakho ze-hemodialysis.
Isikhathi sokuthunyelwe: Feb-10-2025
