I-Hemodialysis iwukwelapha okubalulekile ezigulini ezinokwehluleka kwezinso, okuzenza zikwazi ukuphila impilo engcono ngokuhlunga udoti kanye noketshezi oluningi egazini. Esinye sezici ezibaluleke kakhulu ze-hemodialysis ukusetshenziswa kwezinto ezisetshenziswayo, ezibalulekile ekusebenzeni okuphephile nokusebenza ngempumelelo komshini wokudayela. Lezi zinto ezisetshenziswayo ziza ngezindlela ezihlukahlukene, ngasinye sisebenzisa inhloso ethile enqubweni ye-dialysis.
Kulesi sihloko, sizohlola izinhlobo ezahlukeneizinto ezisetshenziswayo ze-hemodialysisudinga ukwazi nokuthi ngayinye inikela kanjani kunqubo ye-dialysis.
1. Ama-Dialyzer (Izinso Zokwenziwa)
I-dialyzer, evame ukubizwa ngokuthi izinso zokwenziwa, ingenye yezinto ezisetshenziswa kakhulu ku-hemodialysis. Kunomthwalo wemfanelo wokuhlunga udoti kanye noketshezi oluningi egazini. I-dialyzer iqukethe ulwelwesi oluvumela udoti ukuthi ludlule ngenkathi igcina izakhi ezibalulekile njengamaseli abomvu egazi namaprotheni.
Kunezinhlobo ezahlukene zama-dialyzer atholakalayo, kuye ngezidingo zesiguli kanye nomshini othize osetshenziswayo. Amanye ama-dialyzer aklanyelwe ukuthi asebenze kahle kakhulu ekususeni ubuthi, kuyilapho amanye enzelwe izimo ezithile zezokwelapha. Ukushintshwa okuvamile nokugcinwa okufanele kwama-dialyzer kubalulekile ukuze kuqinisekiswe ukusebenza kahle kokwelashwa kwe-dialysis.
2. I-Dialysis Tubing (Imigqa Yegazi)
Ishubhu le-dialysis, elibuye laziwe ngokuthi yi-bloodlines, lixhuma igazi lesiguli nomshini we-dialysis. Le migqa yegazi ithwala igazi esigulini iliyise ku-dialyzer bese ibuyisela igazi elihlungiwe emzimbeni wesiguli. Ishubhu lenziwe ngezinto ezihambisana ne-biocompatible ukunciphisa ubungozi bokusabela okubi.
Imigqa yegazi iza ngokucushwa okuhlukene, ngokuvamile okuhlanganisa amashubhu amabili ahlukene—elilogazi elingena emshinini nelinye elegazi elibuyela emzimbeni. Izinga kanye nempahla yemigqa yegazi ibalulekile ekwehliseni izingozi zokutheleleka kanye nokuqinisekisa ukuthi inqubo ye-dialysis iyashelela futhi isebenza kahle.
3. I-Dialysate
I-Dialysate iwuketshezi olukhethekile olusetshenziswa ohlelweni lwe-dialysis ukusiza ukukhipha udoti kanye noketshezi oluningi egazini. Iqukethe ingxube elinganiselwe ngokucophelela yamaminerali nama-electrolyte eklanyelwe ukukhipha imikhiqizo engcolile egazini ngesikhathi sokwelashwa kwe-dialysis. I-Dialysate kufanele ilungiswe ngendlela efanele ukuze kuqinisekiswe ukuthi inokugxila okufanele kwezingxenye ezizohlanza igazi ngempumelelo.
I-Dialysate iza ngezindlela ezihlukahlukene kuye ngezidingo ezithile zezokwelapha zesiguli. Ukulungiswa kokwakheka kwe-dialysate kungenziwa ngokusekelwe ezintweni ezifana nekhemikhali yegazi lesiguli, uhlobo lwe-dialysis eyenziwa, nokunye ukucatshangelwa kwezempilo komuntu ngamunye.
4. Izinaliti namaCatheter
Izinaliti nama-catheter yizici ezibalulekile zokufinyelela igazi lesiguli ngesikhathi sokuhlaziywa kwe-hemodialysis. Le mishini isetshenziselwa ukusungula ukuxhumana phakathi kwemithambo yegazi yesiguli kanye nomshini wokucofa igazi.
Kwezinye izimo, i-arteriovenous (AV) fistula noma igraft yenziwa engalweni yesiguli, futhi izinaliti zifakwa ku-fistula ukuze kudonswe igazi. Ezigulini ezingakwazi ukuba ne-fistula, i-catheter ivame ukusetshenziselwa ukungena emthanjeni omkhulu. Kokubili izinaliti nama-catheter kufanele kushintshwe njalo ukuze kugwenywe izinkinga ezinjengokutheleleka noma ukujiya.
5. Izihlungi ze-Hemodialysis (Izihlungi Zokubuyisela)
Izihlungi ze-hemodialysis, ezaziwa nangokuthi izihlungi ezishintshayo, zisetshenziswa lapho ulwelwesi lwe-dialyzer lungasasebenzi kahle noma lapho ukungcola kwenzeka. Lezi zihlungi zenzelwe ukugcina ikhwalithi yokwelashwa kwe-dialysis futhi ziqinisekise ukukhishwa okufanele kwemfucuza noketshezi egazini. Kuye ngesimo sesiguli kanye nokusebenza kwe-dialyzer, izihlungi ezishintshayo ziyadingeka ukuze kugcinwe ukusebenza ngempumelelo kokwelashwa.
Isiphetho
Ukuqonda izinhlobo ezahlukene zezinto ezisetshenziswayo ze-hemodialysis kanye nezindima zazo kunqubo ye-dialysis kubalulekile kubo bobabili ochwepheshe bezempilo neziguli. Ngayinye esetshenziswayo idlala indima ebalulekile ekuqinisekiseni ukuthi inqubo ye-dialysis iphephile, iyasebenza, futhi inethezeke ngangokunokwenzeka esigulini.
Uma udinga izinto ezisetshenziswayo zekhwalithi ephezulu ze-hemodialysis,I-Sinomedinikeza izinhlobonhlobo zemikhiqizo eklanyelwe ukuhlangabezana nezidingo zeziguli nabahlinzeki bezempilo. Ukuzibophezela kwethu ekunakekelweni kwekhwalithi nesiguli kuqinisekisa ukuthi uthola imikhiqizo engcono kakhulu etholakalayo. Xhumana nathi namuhla ukuze ufunde kabanzi mayelana neminikelo yethu nokuthi singazisekela kanjani izidingo zakho ze-hemodialysis.
Isikhathi sokuthumela: Feb-10-2025
