Midziyo "chakagadzirwa itsvo": unhu, nokushanda kwadzinoita uye wongororo

Itsvo kuita rinokosha chaizvo basa mumuviri, nekuti achibatsirwa dzavo kunatsa ropa, anoratidza overabundance kuti fluid uyewo normalizes mvura-alkaline nomwero. Kugumiswa muviri ichi zvinotungamirira kudhaka uye rufu murwere. Kuti adzivise rufu uye kuvandudza munhu ezvinhu utano pamberi nokuisazve oparesheni, kushandisa mudziyo "kubata itsvo".

Sei kudiwa hemodialysis

Nokuda siyana nhamba dzichipfekeka pathologies ose renal zvinyama zvikuru kunoderedza. Ichi chirwere anonzi renal kukundikana. Pane zvimwe zvinoita kuti parinowanika, zvikurukuru, akadai:

• pyelonephritis;
• oncologic zvirwere;
• metabolic kudzikisirana pezvakaitwa;
• zvirwere hematopoiesis.

Renal kukundikana chinokurwadzai kudhaka zvinoisa ane kuunganidza ropa iri metabolic zvinhu uye muchetura, uyewo rwakakwana kubviswa emura zvakanaka.

Muchiitiko ichi chinoratidza kuti nhengo transplantation, asi muitiro kumirira akakodzera anyatsoronga kunogona kuva nguva unoparadza, saka chikwata akashandisa "kubata itsvo". Hemodialysis kunobatsira kuwedzera upenyu murwere, zvinoita kuti tikwanise kuramba hwandaiva mamiriro asati ndinobvisa, uye inokupai kuti atungamirire upenyu hwokushingaira.

The Mhando chikuru michina

Hemodialysis zvinogoneka kwete chete muchipatara, asiwo kumba, sezvo pane zvidiki zvamazuva kumba kushandisa kana kuramba kusakara.

Kubva kushanda nemaonero akasiyana midziyo "chakagadzirwa itsvo" chete vamwe michina zvatariswa uye nzvimbo membrane. Uyewo, zvikuru ndiye padanho workability, sezvo vemazuva mano mhinduro akagadzira midziyo pachayo maererano iripo zviratidzo.

chibatiso zvichiongororwa hurongwa hwakanaka zvakakwana uye anobvumira kudzora padanho kufurirwa kuchinja kana Chizenga, uye ipapo vakazvimiririra kuchinja Zvinoumba mumushonga. Zvisinei, izvozvo zvinogona chete kuita kura midziyo "chakagadzirwa itsvo" nhaurirano + uyewo Gambra mano, Baxter-1550 anoshandiswa muchipatara ezvinhu. Mukana inotakurika yokutevedzera, kunyanya avo rakagadzirirwa akapfeka bhandi, shoma chaizvo.

Washer nokuti chipatara

Modern zvokurapa mano kuti hemodialysis vanomiririra kukurumidza uye chaiwo kombiyuta Qualitative uye kuramba murwere zvichiongororwa uye ongororo parameters. Good zvakakwana uye dzichipfekeka hadzisisina kuonekwa mudziyo "chakagadzirwa itsvo" "Fresenius". mukana Its chikuru anonzi kuva chokwadi chokuti Developers kunge zvakatanga chirongwa-software ano. Izvi zvinobvumira vanachiremba kusunungura pamusoro kuramba zvichiongororwa.

Midziyo "chakagadzirwa itsvo" 4008S anogona vapiwa ngaaverenge nokumhanya chemhinduro kunopfuurira, anodzora chipimo chemushonga, monitors padanho Chizenga, uye BP akanga kuyerwa.

Portable mhuri midziyo yemagetsi

It kubudiswa zvikuru mano kuti musha kushandiswa. Manufacturers midziyo "chakagadzirwa itsvo" pamwe roga gore vakawanda vari kuwedzera zvigadzirwa zvavo, uye zvikuru ano vavo anoiswa pamusoro bhandi nokuyera makirogiramu 4-7 chete. Muchiitiko chino, hemodialysis rinoitwa zuva, uye nguva yose kurapa iri maawa anenge 2-4. vanachiremba vakawanda vanodavira nzira iyi inonyatsobudirira, saka munyika dzokuEurope zvakajairika chaizvo. Pasinei nokuti mutengo mudziyo "chakagadzirwa itsvo" kumba kushandiswa rakanyatsojeka yakakwirira (kubvira 5 zviuru. Dollars), vakawanda vanosarudza kushandisa zvibereko mhando iyi.

The chikuru zvakanakira nzira iyi anosanganisira kuchengeteka uye nyore. Zvisinei, pane dzimwe downsides kuti mudziyo, izvo zvinosanganisira kudhura uye kudiwa vachiongorora utano anoshanda, kunyanya pakutanga.

chakagadzirwa itsvo basa

Midziyo "chakagadzirwa itsvo" rinoshandiswa chiitiko kuti muviri wako anorasikirwa functionality yaro 85-90%. chikwata ichi unobatsira:

• bvisa kubva ropa urea;
• kuvandudza metabolic pezvakaitwa;
• Bvisai yemuraudzo mvura;
• kudzora asidhi-nechigadziko pachiyero;
• kudzivirira ropa.

Uyezve, zvinobatsira kuti saturate ropa pamwe mhepo, nokudaro nani murwere zvakanaka. Nemhaka ano inotakurika midziyo inogona kuitwa hemodialysis chero nguva, pasina kusiya musha wako.

Sei muchina

Nheyo nokushanda midziyo "chakagadzirwa itsvo" inobva pakuti mudziyo zvinoda ropa kubva murwere, inochenesa nayo uye anodzoka shure. Mudziyo ine 3 zvikuru kutigumbura kuti mabasa akasiyana-siyana. ropa kurapwa chikwata rine pombi kutakurirwa kwayo, mhepo kubviswa hurongwa uyewo sensors kuti kuongorora padanho kufurirwa ari mutsinga uye arteries. Unit kuumba chigadzikiso kunosanganisira kuvhenganisa mvura uye Kuisa pfungwa pachinhu gadziriro. Pano zvinosanganisira maitiro kuzvidzora uye mupise ropa pamwero kuonekwa mune mhinduro. The dialyzer rinosanganisira Kamudzira nokuda hemodialysis.

Maererano ayo mamiriro mudziyo kunogona ndiro kana rirambe richibvira. Plate mano vanoonekwa ne chokwadi kuti rubatsiro kwavo nyore chaizvo kudzora padanho ropa filtration, uye ivo yekuzvidzivirira thrombosis.

Rirambe richibvira mano dzinoratidzwa kuti mairi iri akashandisa Kamudzira kuburikidza iyo ropa zvokudya mune rimwe divi uye akadzorera dialysate mhinduro, agadzirira kushandiswa kwenguva refu.

Boka remasayendisiti muna 2010 akakurukura midziyo muchibereko muviri murwere, uye zvinobudirira vanorishandisa uchidzidzira. mudziyo akadaro chiine haakonzeri kusanzwa. It anoshanda tichiregeredza ropa kufurirwa kwakanyanya uye haatarisiri magetsi.

Zvingakubatsira kushanda chikwata

The kushanda nheyo midziyo "chakagadzirwa itsvo" inobva chokwadi chokuti rinobatanidza kune kweropa vanhu hurongwa, ropa kubva venous hurongwa anotanga kutamira membrane. Ukuwo anopinda dialysis mhinduro kuti acheneswe. Somugumisiro, ropa muchizadzwa kubvisa tsvina. Zvadaro, Yakanatswa ropa zvokudya kunyika venous hurongwa.

The dialysate rinogadzirirwa pachine, kufungisisa zvinoitwa murwere wake utano. midziyo kunoita hurongwa vakazvimiririra mhinduro, uchishandisa mvura kwakadonhera uye pfungwa maererano iripo mumiririri parameters. Zvichitevera nzira kuongororwa kwechirwere chacho pamusoro parameters akawanda.

Hemodialysis Machine pamusoro "chakagadzirwa itsvo"

Blood Kucheneswa iri kazhinji kuitwa 2-4 pavhiki. Kana unyatsoshanda rikwanise chimiro chirwere kunoratidza ayo daily muviri. Masero pacharo inotongwa chiremba kana Nephrology resuscitator uye anogona kutora nguva maawa 2 kusvika 7.

Hemodialysis kuitwa muchipatara kana outpatient kiriniki. Pamberi nzira, murwere anofanira wakayerera huwandu zvakawandisa emura kuti anofanira kurega mumuviri uye kuyera kwemwoyo uye kufamba kweropa. Murwere anogara nechigaro, chiremba inoisa anobudisa mushonga zvishoma nezvishoma vachipinda tsinga uye anobatanidza kuti mudziyo. Ropa wavhomorwa mukamuri racho dialyzer, uye ipapo inopfuura nomunyika filtration maitiro uye akadzokera ari Yakanatswa chimiro kunyika muviri. Kuronga mhinduro dzaro yevasungwa vakatsunga mumwe nomumwe nomumwe murwere.

Panguva hemodialysis, murwere unofanira kudzikama uye kuurima. Zvadaro, padanho akayera urea kugutsikana.

Reviews wevarwere uye vanachiremba kuti kuitisa hemodialysis zvakawanda. Vakawanda vanodavira kuti ndiyo chete ruponeso, apo pasina mukana nhego transplantation. Vanachiremba vanoti nemhaka veMubatanidzwa michina yemazuva muitiro yaita nani uye zvakakodzera mufambiro wevarwere ayo anogona kurarama makore 20-30. Zvisinei, zvinokosha kuti tiine utano hwakanaka uye kudhayeta.

Vamwe varwere yakataura pashure Mabatirwo nemishonga, uyewo kudzikira. Vanachiremba vanoti muviri mumwe munhu yakasiyana, saka haufaniri kutarisira zvakafanana pakati midziyo kuvanhu vakasiyana.

Zvairatidza kuti nzira

Midziyo "chakagadzirwa itsvo" rinoshandiswa pathological ezvinhu, apo pasina imwe nzira kuchenesa ropa pamusaka chepfu uye muchetura. Huru zvairatidza kuti nzira vari:

• chenjera renal kukundikana;
• chisingaperi kukundikana;
• pyelonephritis;
• gipergidratsiya;
• Kusvibisa zvine chepfu;
• Kusvibisa pamwe ethyl doro.

zvirwere zvose izvi hazvisi nemhedziso chiratidzo ropa kunatswa, saka pamberi kugadzwa nzira, unofanira kutora rimwe ropa uye weti nemiedzo kuona pachiyero zvinokuvadza. Zvingaita kugadza uye chirwere cheshuga, sezvo normalized ropa shuga yomuropa, iyo inobatsira kuwedzera upenyu murwere.

Contraindications nokuti nzira

Hemodialysis ane zvimwe contraindications kuti zvinofanira kufungwa nezvazvo. Contraindications zvinosanganisira zvinhu zvakadai:

• zvirwere ropa;
• mwoyo chirwere;
• kuvadza nechepakati maitiro uye zvakasiyana-siyana chirwere chepfungwa;
• zvirwere;
• BP yakakwirira;
• tiibhii of zvomukati;
• oncological zvirwere.

Uyezve, mumwe contraindications anonzi makore murwere ari makore anopfuura 80.

kudya zvinenge zvataurwa

Results hemodialysis kunonyanya hakunei chikafu. Muchiitiko chino, asiri zvaidiwa kudya kungatungamirira kudzikira. Ari basa nomunhu, nokuti zvakakosha kufungawo kunenge ari nephrologist, cardiologist uye endocrinologist. The chikuru Misimboti kudya vari:

• kuderedza kudya yomunyu;
• kubviswa kubva zvokudya zvekudya potassium yakawanda;
• Kusara ndiro kukurudzira mvura mvura chengetedzo;
• kudzora uwandu calcium mumuviri;
• kuderedza kudyiwa zvihwitsi.

Chinhu chinodiwa kuti dzisanyanya Urume yaunodya uye kuongorora kwavo uremu, sezvo chine makirogiramu akawanda anoratidza kudzikama zvokudya. Zvinodikanwa zvigadzirwa kubika kana kubika kuti vakaroorana. Nutrition inofanira chikamu, uye mwero.

Possible yematambudziko uye nemishonga

Nzira rokuchenesa ropa haisi saka yakachengeteka sezvataizoda. Chakagadzirwa itsvo, mune zvimwe zviitiko, kutungamirira rutivi zvinokonzerwa akadai:

• kuvava ganda iri nzvimbo anobudisa mushonga zvishoma nezvishoma;
• kuderedza erythrocytes;
• kumanikidzwa twi;
• marwadzo kwetsandanyama;
• hope zvirwere;
• kuderera mune mapfupa simba.

Panewo ngozi yematambudziko zvikuru, zvakadai akadai kuzvimba pericarditis. Kungava kukundikana zvokushandisa, zvichikonzera rufu murwere.