I-Hemodiafiltration: Unyango oluPhezulu loTshintsho lweRenal lokuFaila kwezintso

I-Hemodiafiltration (HDF) lunyango lokubuyisela izintso (izintso) olusetyenziswa kwiimeko zezifo zezintso ezifana nokungasebenzi kakuhle kwezintso. Ukungaphumeleli kwezintso kwenzeka xa izintso zingakwazi ukuhluza nokususa inkunkuma emzimbeni. Izintso ngamalungu ayimfuneko agcina impilo yomzimba ngokucoca inkunkuma kulwelo. Ukuba izintso azikwazi ukucoca ngokufanelekileyo, inkunkuma inokujikeleza ibuyele egazini kwaye ibangele imiba yezempilo.

Ukucoca igazi ngegazi (Hemodiafiltration) kunokwenziwa kwizigulana ezinengxaki yezintso. Iingcali zeNephrology kwiZibhedlele zaseApollo, eKarnataka, ezaziwa ngokuba siSibhedlele esiBalaseleyo soTshintsho lweZintso eBangalore , zibonelela ngonyango oluphambili lwe-dialysis kwizigulana ezinengxaki yezintso nezintso, zibonelela ngonyango olungenakuthelekiswa nanto kwizigulana ezinengxaki ye-hemodiafiltration kunye nokungasebenzi kakuhle kwezintso okungapheliyo.

Iindidi zezintso Ukungaphumeleli

Ukungaphumeleli kwezintso kungahlelwa ngokweendidi ezimbini ezibanzi:

• Ukungaphumeleli kwezintso okuqatha: Kwimeko yokungasebenzi kakuhle kwezintso, izintso ziyayeka ukusebenza ngokukhawuleza, kwaye isigulane sinokufumana ubunzima ekuchameni kunye nomchamo omncinci. Ezinye iimpawu zinokuquka ukudumba kweenyawo nemilenze, isicaphucaphu, ukubhideka, ukudinwa, umqolo obuhlungu, ukuphefumla nzima, nokuxhuzula.
• Ukungaphumeleli kwezintso ezingapheliyo: Kwimeko yokungaphumeleli kwezintso ezingapheliyo, kunokubakho ukulahleka okuqhubekayo komsebenzi wezintso okwenzeka kwiminyaka emininzi. Inkunkuma inokwakheka kwaye ifikelele kumanqanaba egazi anobungozi, okukhokelela kwiimpawu ezinjengokuncipha kobunzima, ukuchama okungaqhelekanga, i-anemia, ukonakala kwemithambo-luvo, kunye nemiphunga ezaliswe lulwelo.

Zomibini ezingapheliyo kunye nokungaphumeleli kwezintso kunokufuna ukuvuselelwa kwezonyango kunye nonyango usebenzisa i-hemodiafiltration ukugcina ukusebenza kwezintso ebomini bonke.

Kwenzeka ntoni kwiHemodiafiltration?

I-Hemodiafiltration yindlela yokucoca i-dialysis edibanisa i-diffussive kunye ne-convective clearance ye-fluid. Obu buchule bunokubonelela ngokususwa okukhulu kweeathom kuluhlu lobungakanani obahlukeneyo kwaye bunokulungela ngcono njengonyango phakathi konyango olukhoyo lwe-dialysis. Kwizibhedlele ze-Apollo, eKarnataka, i-hemodiafiltration inikezelwa, apho isisombululo sokutshintshwa ngokwaso senziwa ngumatshini we-dialysis, ovumela ukuba imiqulu emikhulu yokuhambisa. Olu nyango lwenguquko lokungaphumeleli kwezintso luncede izigulana ezininzi ezinokungasebenzi kakuhle kwezintso.

Ngexesha le-hemodiafiltration, iinaliti ezimbini zibekwe kwiingalo zesigulane, apho igazi lidlula kwisihluzo esixhunywe kumatshini we-dialysis. Lo matshini umpompa igazi lomguli ngesihluzo, ususa izinto ezilahliweyo, uze emva koko ulibuyisele egazini lomguli elo lihluziweyo. Kuyo yonke inkqubo ye-hemodiafiltration, isigulane sigcinwa phantsi kweliso eliqhubekayo loxinzelelo lwegazi kunye nezinye iimpawu ezibalulekileyo.

Izinto eziluncedo kwiHemodiafiltration

Kukho iingenelo ze-hemodiafiltration ngaphezulu kwe-dialysis yendabuko ekulawuleni iziphumo ebezingalindelekanga ngenxa ye-dialysis kunye nokuphucula umgangatho wobomi bonke.

• Xa kuthelekiswa ne-dialysis yendabuko, i-hemodiafiltration inokubonelela ngamathuba angcono okuphila kunye nokuphucula umgangatho wobomi bezigulane.
• Izigulana eziphantsi kwe-hemodiafiltration zinokuba namandla angcono okuphatha iziqendu ze-hypotensive.
• Kunokubakho ukuhla kwamathuba okudumba xa kusenziwa i-hemodiafiltration.
• Kusenokubakho izehlo ezisezantsi zeengxaki nge-hemodiafiltration.
• I-Hemodiafiltration inokuphucula amandla ethambo kwaye inciphise amathuba okuqhambuka kwesikhumba.
• I-Hemodiafiltration ivumela i-molecular clearance ephakathi ukuya enkulu, ngokungafaniyo ne-dialysis yendabuko.
• Ulawulo olungcono lwesondlo kunye nomdla wokutya lunokuphunyezwa ngokunciphisa ithuba lokuphuhlisa i-anemia.

Ifuneka nini iHemodiafiltration?

I-Hemodiafiltration inokucetyiswa xa ukungaphumeleli kwezintso ezingapheliyo kuqhubela phambili ekuphelelweni kwezintso kwinqanaba lokugqibela. Izigulana ezinokufuna uqhaqho-fakelo lwezintso zisenokufuneka ukuba zingene kwi-hemodiafiltration. I-Hemodiafiltration inokucetyiswa kwizigulane ezifuna i-hemodialysis ukuze ithathe indawo kunye nokuphucula ukusebenza kwezintso.

I-Hemodiafiltration inokubonelela ngomlinganiselo omkhulu wokususwa kwezinto ze-uremic (inkunkuma) egazini lesigulana, egubungela uluhlu olubanzi lweesayizi ze-molecular. Inokubonelela ngolawulo olungcono lwezondlo kunye namanqanaba okutya, iingxaki ezosulelayo, ukuvuvukala, i-anemia, kunye neengxaki ezifana ne-hyperphosphatemia kunye ne-amyloidosis ehambelana ne-dialysis. I-Hemodiafiltration inokunceda ukulawula ezinye iimpawu kunye nemiphumo emibi, kuquka ukuphuthelwa, ukucaphuka, i-syndrome yomlenze ongaphumliyo, ukunyamezela kwe-intradialytic, i-polyneuropathy, kunye nokulunywa.

Izibhedlele zase-Apollo, eKarnataka, ezidume njengesona sibhedlele sezintso sibalaseleyo eBangalore , zibonelela ngeenkonzo ezipheleleyo, zokubonisana, zokuxilonga, kunye nokhathalelo lwezifo ezahlukeneyo zezintso phantsi kweSebe leNephrology. Iqela lethu elikhethekileyo leeNefrologists, elinamava eminyaka emininzi ekunyangeni izigulana ezinezifo zezintso, lizimisele ukubonelela ngonyango kunye nokhathalelo olugxile kwisigulane olusemgangathweni ophezulu xa kufikwa kuGqirha lwezintso eBangalore . Sixhotyiswe ngezixhobo eziphucukileyo zobuchwepheshe, ze-hemodiafiltration (HDF), siqinisekisa unyango olupheleleyo kunye nolawulo lwezifo zezintso. Bhukisha idinga lakho ngoku ukuba ufuna i- Kidney Transplantation eBangalore.