I-Hemodiafiltration: I-Advanced Renal Replacement Therapy Yokwehluleka Kwezinso

I-Hemodiafiltration (HDF) iwukwelapha okubuyisela izinso (izinso) ezisetshenziswa ezimeni zezifo zezinso ezifana nokuhluleka kwezinso. Ukwehluleka kwezinso kwenzeka lapho izinso zingakwazi ukuhlunga nokukhipha imfucuza emzimbeni. Izinso ziyizitho ezibalulekile ezigcina impilo yomzimba ngokuhlunga ukungcola oketshezini. Uma izinso zingakwazi ukuhlunga kahle, imfucuza ingase ijikeleze ibuyele egazini futhi ibangele izinkinga zempilo.

Ukuhlunga igazi nge-hemodiafilt kungenziwa ezigulini ezinenkinga yezinso. Ochwepheshe be-Nephrology e-Apollo Hospitals, eKarnataka, eyaziwa nangokuthi iSibhedlela Esingcono Kakhulu Sokufakelwa Izinso eBangalore , banikeza ukwelashwa okuthuthukisiwe kwe-dialysis ezigulini ezinenkinga yezinso nezinso, benikeza ukunakekelwa okungenakuqhathaniswa kweziguli ezinenkinga yokuhlunga igazi nge-hemodiafilt kanye nokwehluleka kwezinso okungapheli.

Izinhlobo Zokwehluleka Kwezinso

Ukwehluleka kwezinso kungahlukaniswa ngezigaba ezimbili ezibanzi:

• Ukwehluleka Kwezinso Okukhulu: Endabeni yokwehluleka kwezinso okukhulu, izinso ziyayeka ukusebenza kungazelelwe, futhi isiguli singase sibe nenkinga yokuchama nomchamo omncane. Ezinye izimpawu zingase zihlanganisa izinyawo nemilenze ukuvuvukala, isicanucanu, ukudideka, ukukhathala, ubuhlungu beqolo, ukuphelelwa umoya, nokuquleka.
• Ukwehluleka Kwezinso Ezingamahlalakhona: Endabeni yokwehluleka kwezinso okungapheli, kungase kube nokulahlekelwa okuqhubekayo kokusebenza kwezinso okwenzeka phakathi neminyaka embalwa. Imfucuza ingase yakheke futhi ifinyelele amazinga egazi ayingozi, okuholela ezimpawu ezifana nokuncipha kwesisindo, ukuchama okungajwayelekile, ukuphelelwa igazi, ukulimala kwezinzwa, namaphaphu agcwele uketshezi.

Kokubili ukwehluleka kwezinso okungamahlalakhona nokubi kungadinga ukuvuselelwa nokwelashwa kusetshenziswa i-hemodiafiltration ukuze kugcinwe ukusebenza kwezinso kukho konke ukuphila.

Kwenzekani ku-Hemodiafiltration?

I-Hemodiafiltration iyindlela yokuhlanza i-dialysis ehlanganisa ukuchithwa kwemfucuza ewuketshezi kanye ne-convective. Le nqubo inganikeza ukususwa okukhulu kwama-molecule kububanzi obuhlukahlukene bosayizi futhi ingase ifaneleke kangcono njengokwelashwa phakathi kwezindlela zokwelapha ezitholakalayo ze-dialysis. Ezibhedlela ze-Apollo, e-Karnataka, kunikezwa i-hemodiafiltration, lapho isisombululo sokubuyisela ngokwaso sikhiqizwa umshini wokudayela, ovumela amavolumu amakhulu okuhambisa. Lokhu kwelashwa okuguquguqukayo kokwehluleka kwezinso kuzuzise iziguli eziningi ezihlushwa ukungasebenzi kahle kwezinso okungapheli.

Phakathi ne-hemodiafiltration, izinaliti ezimbili zifakwa ezingalweni zesiguli, lapho igazi lidlulela kwisisefo esixhunywe emshinini wokudayela. Umshini umpompa igazi lesiguli ngesisefo, ukhiphe ukungcola, bese ubuyisela igazi elihlungiwe egazini lesiguli. Kuyo yonke inqubo ye-hemodiafiltration, isiguli sigcinwa siqashwe njalo ngomfutho wegazi nezinye izimpawu ezibalulekile.

Izinzuzo ze-Hemodiafiltration

Kunezinzuzo ze-hemodiafiltration ngaphezu kwe-dialysis yendabuko ekulawuleni imiphumela engemihle ngenxa ye-dialysis kanye nokwenza ngcono izinga lempilo lilonke.

• Uma kuqhathaniswa ne-dialysis evamile, i-hemodiafiltration ingase inikeze amathuba angcono okusinda futhi ithuthukise izinga lempilo yeziguli.
• Iziguli ezithola i-hemodiafiltration zingase zibe nekhono elingcono lokusingatha iziqephu ze-hypotensive.
• Kungase kube khona ukuncipha kwamathuba okuvuvukala lapho kwenziwa i-hemodiafiltration.
• Kungase kube khona izehlakalo eziphansi zezinkinga nge-hemodiafiltration.
• I-hemodiafiltration ingase ithuthukise amandla ethambo futhi inciphise amathuba okuqubuka kwesikhumba.
• I-Hemodiafiltration ivumela imvume yamangqamuzana ephakathi ukuya enkulu, ngokungafani ne-dialysis evamile.
• Ukulawulwa okungcono kokudla okunomsoco kanye nesifiso sokudla kungazuzwa ngokunciphisa amathuba okuba ne-anemia.

Kudingeka Nini I-Hemodiafiltration?

I-hemodiafiltration ingase inconywe lapho ukwehluleka kwezinso okungapheli kuqhubekela phambili ekuhlulekeni kwezinso ekupheleni. Iziguli ezingase zidinge ukufakelwa izinso kungase kudingeke ukuthi zihlolwe i-hemodiafiltration. I-hemodiafiltration ingase futhi inconyelwe ezigulini ezidinga i-hemodialysis ukuze ibuyisele futhi ithuthukise ukusebenza kwezinso.

I-hemodiafiltration ingase inikeze isilinganiso esikhulu sokususa izinto ze-uremic (imfucuza) egazini lesiguli, okuhlanganisa ububanzi obuningi bosayizi wamangqamuzana. Ingase inikeze ukulawula okungcono kokudla okunomsoco kanye namazinga esifiso sokudla, izinkinga ezithathelwanayo, ukuvuvukala, i-anemia, kanye nezinkinga ezifana ne-hyperphosphatemia kanye ne-amyloidosis ehambisana ne-dialysis. I-hemodiafiltration ingase futhi isize ekulawuleni ezinye izimpawu nemiphumela engemihle, okuhlanganisa ukuqwasha, ukucasuka, i-leg syndrome engaphumuli, ukubekezelelana kwe-intradialytic, i-polyneuropathy, nokuluma.

Izibhedlela zase-Apollo, eKarnataka, ezidume njengesibhedlela sezinso esingcono kakhulu eBangalore , zinikeza izinsizakalo eziphelele, zokubonisana, zokuxilonga, kanye nokunakekelwa kwezifo ezahlukene zezinso ngaphansi koMnyango Wezifo Zezinso. Ithimba lethu elikhethekile kakhulu le-Nephrologists, elineminyaka eminingi yesipiliyoni sokwelapha iziguli ezinezifo zezinso, lizibophezele ekuhlinzekeni ukwelashwa nokunakekelwa okugxile esigulini okuseqophelweni eliphezulu uma kukhulunywa ngokuhlinzwa kwezinso eBangalore . Sihlome ngemishini ethuthukisiwe kwezobuchwepheshe, yesimanje ye-hemodiafiltration (HDF), siqinisekisa ukwelashwa okuphelele kanye nokuphathwa kwezifo zezinso. Bhukha i-aphoyintimenti yakho manje uma ufuna i- Kidney Transplantation eBangalore.