Piʻi ka maʻi ʻaʻai maʻi maʻi (CKD) ma nā ʻanuʻu ʻelima, me ka pae ʻelima e hōʻike ana i ka hōʻeha ʻana o ka puʻupaʻa koʻikoʻi, ʻike ʻia hoʻi ʻo ka maʻi renal hope (ESRD). I kēia manawa, pono nā mea maʻi i ka lāʻau pani pani e ola ai.

ʻO nā lāʻau lapaʻau hoʻololi maʻamau

ʻO nā lāʻau lapaʻau maʻamau maʻamau e pili ana i ka hemodialysis, peritoneal dialysis, a me ka hoʻololi ʻana i ke kīkī. ʻO ka hemodialysis kahi ala i hoʻohana nui ʻia, akā ʻaʻole kūpono ia no kēlā me kēia. Ma ka ʻaoʻao ʻē aʻe, ʻoi aku ka maikaʻi o ka dialysis peritoneal no nā poʻe maʻi āpau, akā nui ka pilikia o ka maʻi.

He aha ka hemodialysis?

ʻO ka hemodialysis maʻamau he ʻekolu mau ʻano: hemodialysis (HD), hemodiafiltration (HDF), a me ka hemoperfusion (HP).

HemodialysisHe kaʻina hana lapaʻau e hoʻohana ana i ke kumu o ka diffusion e wehe i nā huahana ʻōpala metabolic, nā mea ʻino, a me ka wai nui mai ke koko. ʻO ia kekahi o nā lāʻau lapaʻau maʻamau maʻamau no ka poʻe maʻi me ka maʻi renal pae hope a hiki ke hoʻohana ʻia no ka mālama ʻana i ka lāʻau a i ʻole nā ​​​​toxin overdose. Hana ʻia ka laha ʻana i loko o kahi dialyzer ke loaʻa ka gradient neʻe ʻana ma waena o kahi membrane semipermeable, e ʻae ana i nā solutes e neʻe mai nā wahi kiʻekiʻe a i kahi haʻahaʻa haʻahaʻa a hiki i ke kaulike. Hoʻokuʻu mua ʻia nā molekala liʻiliʻi mai ke koko.

HemodiafiltrationHe lapaʻau ia o ka hemodialysis hui me ka hemofiltration, e hoʻohana ana 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 hoʻolaha ʻana a ʻoi aku ka maikaʻi o ka wehe ʻana i nā mea ʻona nui mai ke koko. Hiki i kēia mīkini ʻelua ke wehehou akunā molekala liʻiliʻi i ka manawa pōkole ma mua o kēlā me kēia modality wale nō. ʻO ka pinepine o ka hemodiafiltration ka mea maʻamau i hoʻokahi manawa i kēlā me kēia pule.

HemoperfusionHe kaʻina hana ʻē aʻe kahi e huki ʻia ai ke koko mai ke kino a kaʻahele ʻia ma o kahi mea hoʻoheheʻe e hoʻohana ana i nā adsorbents e like me ka lanahu i hoʻāla ʻia a i ʻole nā ​​resins e hoʻopaʻa a hoʻoneʻe i nā huahana ʻōpala metabolic, nā mea ʻawaʻawa, a me nā lāʻau mai ke koko. Manaʻo ʻia nā maʻi e loaʻa i ka hemoperfusion hoʻokahi manawa i ka mahina.

* Ke kuleana o ka adsorption
I ka wā hemodialysis, ua hoʻopili ʻia kekahi mau protein, nā meaʻawaʻawa, a me nā lāʻau lapaʻau i loko o ke koko i ka ʻili o ka membrane dialysis, no laila e hoʻomaʻamaʻa i ko lākou wehe 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 ʻoluʻolu o ka mea hoʻohana, a me nā hoʻolālā lapaʻau dialysis pākahi ma muli o ka ʻōlelo aʻo 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 hana lapaʻau dialysis ʻekolu. Me ka hōʻoia CE, ʻike nui ʻia kā mākou huahana i nā mākeke honua.