Hemodiafiltration: Usoro ọgwụgwọ ngbanwe gbasara akụrụ dị elu maka ọdịda akụrụ

Hemodiafiltration (HDF) bụ ọgwụgwọ nnọchi akụrụ (akụrụ) ejiri n'ọnọdụ ọrịa akụrụ dịka ọdịda akụrụ. Ọkpụkpụ akụrụ na-ewere ọnọdụ mgbe akụrụ na-enweghị ike nyocha ma wepụ ihe mkpofu n'ime ahụ. Akụrụ bụ akụkụ dị mkpa nke na-edozi ahụ ike nke ahụ site na nzacha ihe mkpofu site na mmiri mmiri. Ọ bụrụ na akụrụ enweghị ike nzacha nke ọma, mkpofu nwere ike ịgbasa azụ n'ọbara ma bute nsogbu ahụike.

A pụrụ ime hemodiafiltration n'ahụ ndị ọrịa nwere nsogbu akụrụ. Ndị ọkachamara n'ihe gbasara Nephrology na Apollo Hospitals, Karnataka, nke a makwaara dị ka Best Kidney Transplant Hospital na Bangalore , na-enye ọgwụgwọ dị elu maka dialysis nye ndị ọrịa nwere nsogbu akụrụ na ọrịa akụrụ, na-enye nlekọta na-enweghị atụ maka hemodiafiltration na ọdịda akụrụ na-adịghị ala ala.

Ụdị ọdịda akụrụ

Enwere ike ekewa ọdịda akụrụ n'ime ụzọ abụọ sara mbara:

• Ọdịda Akụrụ dị ukwuu: N'ihe banyere nnukwu ọdịda akụrụ, akụrụ na-akwụsị ọrụ na mberede, onye ọrịa ahụ nwere ike ịnwe ihe isi ike na mmamịrị na-enweghị obere mmamịrị. Mgbaàmà ndị ọzọ nwere ike ịgụnye fụrụ akpụ ụkwụ na ụkwụ, ọgbụgbọ, mgbagwoju anya, ike ọgwụgwụ, mgbu azụ, mkpụmkpụ ume, na ọdịdọ.
• Ọdịda Akụrụ Na-adịghị Ala Ala: N'ihe banyere ọdịda akụrụ na-adịghị ala ala, enwere ike ịnwe mfu nke ọrụ akụrụ na-aga n'ihu nke na-ewere ọnọdụ kemgbe ọtụtụ afọ. Ihe mkpofu nwere ike ịmalite ma rute ọkwa ọbara dị ize ndụ, na-eduga na mgbaàmà dị ka mbelata ibu, mmamịrị oge niile, anaemia, mmebi irighiri akwara, na ngụgụ jupụtara na mmiri.

Ma akụrụ na-adịghị ala ala na nnukwu ọdịda nwere ike ịchọ ọgwụgwọ na ọgwụgwọ site na iji hemodiafiltration iji nọgide na-arụ ọrụ akụrụ n'oge ndụ niile.

Kedu ihe na-eme na hemodiafiltration?

Hemodiafiltration bụ usoro dialysis nke na-ejikọta ihe mkpofu mmiri na-agbasa na convective. Usoro a nwere ike wepụta mkpochapụ mkpụrụ ndụ kacha ukwuu n'ofe nha dị iche iche ma nwee ike ịka mma dịka ọgwụgwọ n'etiti usoro ọgwụgwọ dialysis dị. N'ụlọ ọgwụ Apollo, Karnataka, a na-enye hemodiafiltration, ebe a na-emepụta ihe ngwọta ngbanwe n'onwe ya site na igwe dialysis, na-eme ka nnukwu convection mpịakọta. Usoro ọgwụgwọ mgbanwe a maka ọdịda akụrụ enyerela ọtụtụ ndị ọrịa na-arịa ọrịa akụrụ na-adịghị ala ala aka.

N'oge hemodiafiltration, a na-etinye agịga abụọ n'aka onye ọrịa, nke ọbara na-esi na ya na-abanye na nzacha ejikọrọ na igwe dialysis. Igwe ahụ na-ebufe ọbara onye ọrịa site na nzacha, na-ewepụ ihe mkpofu, wee weghachi ọbara ahụ a kpochara azụ n'ime ọbara onye ọrịa. N'ime usoro hemodiafiltration, a na-edobe onye ọrịa n'okpuru nlekọta mgbe niile maka ọbara mgbali elu na akara ndị ọzọ dị mkpa.

Uru nke Hemodiafiltration

Enwere uru dị na hemodiafiltration karịa dialysis ọdịnala n'ịchịkwa mmetụta dị n'akụkụ n'ihi dialysis na imeziwanye ogo ndụ niile.

• N'iji ya tụnyere dialysis ọdịnala, hemodiafiltration nwere ike inye ohere ịlanarị ka mma ma melite ogo ndụ maka ndị ọrịa.
• Ndị ọrịa na-enweta hemodiafiltration nwere ike nwee ikike ka mma ijikwa ọnọdụ hypotensive.
• Enwere ike ịnwe ohere nke mbufụt mgbe a na-eme hemodiafiltration.
• Enwere ike ịnwe obere nsogbu nke nsogbu na hemodiafiltration.
• Hemodiafiltration nwere ike imeziwanye ike ọkpụkpụ ma belata ohere nke rashes akpụkpọ ahụ.
• Hemodiafiltration na-enye ohere maka nkwụsị nke etiti ruo nnukwu molekụla, n'adịghị ka dialysis ọdịnala.
• Enwere ike nweta nlekọta ka mma maka nri na agụụ site n'ibelata ohere nke ịmalite ọrịa anaemia.

Kedu mgbe Hemodiafiltration achọrọ?

Enwere ike ịkwado hemodiafiltration mgbe ọdịda akụrụ na-adịghị ala ala na-aga n'ihu na ọdịda akụrụ nke njedebe. A ga-achọkwa ndị ọrịa nwere ike ịchọ ntụgharị akụrụ ka ha nweta hemodiafiltration. Enwere ike ịkwado hemodiafiltration maka ndị ọrịa chọrọ hemodialysis iji dochie ma melite ọrụ akụrụ.

Hemodiafiltration nwere ike inye ọnụ ọgụgụ dị ukwuu nke mkpochapụ nke ihe uremic (ihe mkpofu) site n'ọbara onye ọrịa, na-ekpuchi oke nha molekụla. Ọ nwere ike inye njikwa nri nke ọma na ọkwa agụụ, nsogbu na-efe efe, mbufụt, anaemia, yana nsogbu dị ka hyperphosphatemia na amyloidosis metụtara dialysis. Hemodiafiltration nwekwara ike inye aka ijikwa mgbaàmà ndị ọzọ na mmetụta ndị ọzọ, gụnyere ehighị ụra nke ọma, mgbakasị ahụ, ọrịa ụkwụ na-adịghị ezumike, ndidi intradialytic, polyneuropathy, na itching.

Ụlọọgwụ Apollo, Karnataka, nke a ma ama dịka ụlọọgwụ akụrụ kacha mma na Bangalore , na-enye ọrụ nlekọta zuru oke, nyocha, na nlekọta maka ọrịa akụrụ dị iche iche n'okpuru Ngalaba Nephrology. Ndị otu Nephrologist anyị pụrụ iche, nwere ọtụtụ afọ nke ahụmịhe ahụike n'ịgwọ ndị ọrịa nwere ọrịa akụrụ, na-agba mbọ inye ọgwụgwọ na nlekọta kachasị mma nke lekwasịrị anya na ndị ọrịa ma a bịa n'ịwa ahụ akụrụ na Bangalore . Anyị nwere akụrụngwa teknụzụ dị elu, nke kachasị ọhụrụ maka hemodiafiltration (HDF), anyị na-ahụ maka ọgwụgwọ na njikwa ọrịa akụrụ zuru oke. Debe oge gị ugbu a ma ọ bụrụ na ị na-achọ Transplantation akụrụ na Bangalore.