Holomua ka maʻi puʻupaʻa mau (CKD) ma o ʻelima mau pae, me ke pae ʻelima e hōʻike ana i ka hana ʻino nui o ka puʻupaʻa, i ʻike ʻia hoʻi ʻo ka maʻi puʻupaʻa hope loa (ESRD). I kēia pae, pono nā maʻi i ka lāʻau hoʻololi puʻupaʻa e ola ai.

Nā Lapaʻau Hoʻololi Renal Maʻamau

ʻO nā lāʻau lapaʻau pani puʻupaʻa maʻamau e komo pū ana me ka hemodialysis, peritoneal dialysis, a me ka hoʻoili puʻupaʻa. He ʻano hana i hoʻohana nui ʻia ʻo Hemodialysis, akā ʻaʻole kūpono ia no nā mea āpau. Ma ka ʻaoʻao ʻē aʻe, ʻo ka peritoneal dialysis ka mea kūpono loa no nā maʻi āpau, akā aia kahi pilikia kiʻekiʻe o ka maʻi.

He aha ka hemodialysis?

ʻEkolu ʻano o ka hemodialysis laulā: hemodialysis (HD), hemodiafiltration (HDF), a me hemoperfusion (HP).

HemodialysisHe hana lapaʻau ia e hoʻohana ana i ke kumumanaʻo o ka hoʻolaha ʻana e wehe i nā huahana ʻōpala metabolic, nā mea ʻino, a me ke kahe keu mai ke koko. ʻO ia kekahi o nā lāʻau lapaʻau pani renal maʻamau no nā poʻe maʻi me ka maʻi renal hope loa a hiki ke hoʻohana ʻia e mālama i ka overdose lāʻau lapaʻau a i ʻole ka toxin. Hana ʻia ka hoʻolaha ʻana i loko o kahi dialyzer ke loaʻa kahi gradient concentration ma waena o kahi membrane semipermeable, e ʻae ana i nā solutes e neʻe mai nā wahi o ka concentration kiʻekiʻe i kahi concentration haʻahaʻa a hiki i ka loaʻa ʻana o ke kaulike. Hoʻopau nui ʻia nā mole liʻiliʻi mai ke koko.

Kānana hemodiahe lāʻau lapaʻau ia o ka hemodialysis i hui pū ʻia me ka hemofiltration, kahi e hoʻohana ai i ka diffusion a me ka convection e wehe i nā solutes. ʻO ka convection ka neʻe ʻana o nā solutes ma waena o kahi membrane i hoʻokele ʻia e kahi gradient kaomi. ʻOi aku ka wikiwiki o kēia kaʻina hana ma mua o ka diffusion a he mea kūpono loa ia i ka wehe ʻana i nā mea nui a ʻawahia mai ke koko. Hiki i kēia ʻano hana pālua ke weheʻoi akunā molekala waena i ka manawa pōkole ma mua o kēlā me kēia ʻano wale nō. ʻO ke alapine (pinepine) o ka hemodiafiltration e paipai pinepine ʻia i hoʻokahi manawa i ka pule.

Hemoperfusionʻo ia kekahi kaʻina hana e huki ʻia ai ke koko mai ke kino a hoʻolaha ʻia ma o kahi mea hana perfusion e hoʻohana ana i nā adsorbents e like me ke kalapona i hoʻāla ʻia a i ʻole nā ​​​​resins e hoʻopaʻa a wehe i nā huahana ʻōpala metabolic, nā mea ʻawahia, a me nā lāʻau lapaʻau mai ke koko. Ua ʻōlelo ʻia nā mea maʻi e loaʻa ka hemoperfusion i hoʻokahi manawa i ka mahina.

*Ke kuleana o ka adsorption
I ka wā o ka hemodialysis, ua koho ʻia kekahi mau protein, nā mea ʻawahia, a me nā lāʻau lapaʻau i loko o ke koko i ka ʻili o ka membrane dialysis, a laila e maʻalahi ai ko lākou wehe ʻia ʻana mai ke koko.

Hana ʻo Chengdu Wesley i nā mīkini hemodialysis a me nā mīkini hemodiafiltration e hāʻawi ana i ka ultrafiltration pololei, ka hana maʻalahi i ka mea hoʻohana, a me nā hoʻolālā mālama dialysis pilikino e pili ana i nā ʻōlelo aʻoaʻo a nā kauka. Hiki i kā mākou mau mīkini ke hana i ka hemoperfusion me ka hemodialysis a hoʻokō i nā koi no nā ʻano lapaʻau dialysis ʻekolu. Me ka palapala hōʻoia CE, ua ʻike nui ʻia kā mākou huahana ma nā mākeke honua.