Boloetse bo sa foleng ba liphio (CKD) bo tsoela pele ka mekhahlelo e mehlano, 'me mohato oa bohlano o bontša ho se sebetse ho matla ha liphio, ho tsejoang hape e le lefu la renal la ho qetela (ESRD). Mothating ona, bakuli ba hloka kalafo e ncha ea renal hore ba phele.

Meriana e Tloaelehileng ea Renal Replacement

Liphekolo tse atileng haholo tsa ho khutlisa renal li kenyelletsa hemodialysis, peritoneal dialysis, le transplantation ea liphio. Hemodialysis ke mokhoa o sebelisoang haholo, empa ha oa lokela motho e mong le e mong. Ka lehlakoreng le leng, peritoneal dialysis hangata e loketse bakuli bohle, empa ho na le kotsi e kholo ea tšoaetso.

Hemodialysis ke eng?

Hemodialysis e akaretsang e kenyelletsa mefuta e meraro: hemodialysis (HD), hemodiafiltration (HDF), le hemoperfusion (HP).

Hemodialysiske mokhoa oa bongaka o sebelisang molao-motheo oa ho hasana ho ntša litšila tsa metabolism, lintho tse kotsi le mokelikeli o feteletseng maling. Ke e 'ngoe ea liphekolo tse atileng haholo tsa ho fetola renal bakeng sa bakuli ba nang le lefu la renal la ho qetela 'me e ka boela ea sebelisoa ho alafa tšebeliso e feteletseng ea lithethefatsi kapa chefo. Phatlalatso e etsahala ka har'a dialyzer ha "concentration gradient" e le teng ka mose ho lera le semipermeable, e lumellang li-solutes ho tloha libakeng tse phahameng ho ea ho tse fokolang ho fihlela tekano e fihla. Limolek'hule tse nyenyane li ntšoa haholo-holo maling.

Hemodiafiltrationke phekolo ea hemodialysis e kopantsoeng le hemofiltration, e sebelisang diffusion le convection ho tlosa solutes. Convection ke motsamao oa li-solutes ho pholletsa le lera tse tsamaisoang ke sekhahla sa khatello. Ts'ebetso ena e potlakile ho feta ho hasana 'me e sebetsa ka ho khetheha ho tloseng lintho tse khōloanyane, tse chefo maling. Mokhoa ona o habeli o ka tlosaHapelimolek'hule tsa boholo bo mahareng ka nako e khuts'oane ho feta mokhoa o le mong. Khafetsa ea hemodiafiltration hangata e khothaletsoa hang ka beke.

Hemoperfusionke mokhoa o mong oo mali a ntšoang ’meleng ’me a popeloa ka sesebelisoa sa perfusion se sebelisang li-adsorbents tse kang mashala a entsoeng activated kapa li-resin ho tlama le ho tlosa litšila tsa metabolism, lintho tse chefo le lithethefatsi tse tsoang maling. Bakuli ba eletsoa ho fumana hemoperfusion hang ka khoeli.

*Karolo ea adsorption
Nakong ea hemodialysis, liprotheine tse itseng, chefo le lithethefatsi tse maling li khethoa ka mokhoa o ikhethileng ka holim'a lera la dialysis, ka hona li thusa ho tlosoa ha tsona maling.

Chengdu Wesley o etsa mechini ea hemodialysis le mechini ea hemodiafiltration e fanang ka ultrafiltration e nepahetseng, ts'ebetso e bonolo ea basebelisi, le merero ea kalafo ea dialysis ka bomong e ipapisitseng le likeletso tsa lingaka. Mechini ea rona e ka etsa hemoperfusion ka hemodialysis mme ea fihlela litlhoko tsa mekhoa eohle e meraro ea kalafo ea dialysis. Ka setifikeiti sa CE, lihlahisoa tsa rona li tsebahala haholo mebarakeng ea machabeng.