Mugihe muganira kuri "inshinge ya dialyse vs inshinge zisanzwe", ni ngombwa kumva ko ubwoko bwombi bwashyizwe mubikorwa nka "ibikoresho by'ubuvuzi", Nyamara bakora imirimo itandukanye yubuvuzi. Urushinge rusanzwe rusanzwe rukoreshwa mumiti, kuvoma amaraso, no gutera inshinge, mugihe" urushinge rwa dialyse "rwakozwe muburyo bwihariye bwo kuvura indwara ya hemodialyse binyuze muri fistula ya arteriovenous (AV) cyangwa kubakoresha.
Urushinge rusanzwe ni iki?
Ibisanzweinshingeyateguwe kubikorwa bisanzwe byubuvuzi nka:
Gutera insimburangingo cyangwa inshinge
Gutoranya amaraso cyangwa kwinjiza IV
Ubuyobozi bw'imiti
Urukingo
Inshinge zisanzwe ziza muburyo bunini kuva 18G kugeza 30G. Umubare muto wa gauge, nini nini ya diameter. Kubitera inshinge zisanzwe, 23G - 27G nibisanzwe, byashizweho kugirango bigabanye kutoroherwa mugihe byemerera amazi menshi.
Nyamara, izi nshinge zisanzwe "ntizikwiranye na hemodialyse", kubera ko lumen yazo ari nto cyane kandi umuvuduko ukabije ntushobora kuzuza ibisabwa byo kuvura amaraso.
Urushinge rwa Dialysis Niki?
A inshinge, bakunze kwita “Urushinge rwa fistula", Yagenewe umwihariko wo kuvura" hemodialysis ". Yinjijwe muri fistula ya arteriovenous kugirango yemere kwihuta kwamaraso hagati yumurwayi na mashini ya dialyse. Bitandukanye ninshinge zisanzwe, biranga:
Igipimo kinini cyo gutembera kw'amaraso menshi
Igishushanyo kibaba kugirango gikosorwe neza
Ijisho ryinyuma cyangwa ijisho ryimbere kugirango ryorohereze amaraso
Igituba cyoroshye gihujwe na dialyse
Ingano-amabara yerekana ubunini bworoshye bwo kumenyekana
Dialysis isaba gutunganya amaraso menshi - kugeza kuri 300-500 mL / min. Kubwibyo, inshinge nyinshi zo mu bwoko bwa dialyse zishobora kuzuza iki gisabwa.
Urushinge rwa Dialysis vs Urushinge rusanzwe: Itandukaniro nyamukuru
| Ikiranga | Urushinge rwa Dialysis | Urushinge rusanzwe |
| Intego | Kubona Hemodialysis | Gutera inshinge, IV kwinjira, imiti |
| Gauge | 14G - 17G (bisanzwe: 15G AV inshinge ya fistula) | 18G - 30G bitewe nikoreshwa |
| Igipimo cy'Uruzi | Amaraso menshi (300-500 mL / min) | Urujya n'uruza ruto |
| Umuyoboro | Ibikoresho bifite amababa n'amababa | Mubisanzwe nta mababa cyangwa igituba |
| Koresha abarwayi | Gusubiramo inshuro nyinshi kubarwayi badakira | Rimwe na rimwe gukoresha cyangwa inzira imwe |
| Urubuga | AV fistula cyangwa ibihingwa | Imitsi, imitsi, ingirangingo |
Uhereye kubigereranya, biragaragara ko urushinge rwa dialyse vs urushinge rusanzwe atari ikibazo cyubunini gusa - ni itandukaniro mubuhanga, mubikorwa, imiterere, nibisabwa umutekano.
Dialysis Ingano Ingano
Ingano ya Dialysis ni ikintu cyingenzi kubaganga ninzobere mu gutanga amasoko. Igipimo kigira ingaruka ku buryo butaziguye umuvuduko no guhumuriza abarwayi. Ingano zikoreshwa cyane zirimo:
14G - Diameter nini, umuvuduko mwinshi
15G AV inshinge ya fistula - Impirimbanyi zizwi cyane hagati yimigezi no guhumurizwa
16G - Birakwiriye abarwayi ba hemodialyse ihamye
17G - Kubafite fistula yoroshye cyangwa kwihanganira bike
Kode y'amabara ikunze kugaragara kugirango imenyekane byoroshye - 15G ikunze kugaragara icyatsi, 16G umutuku, 17G umutuku. Ibi bifasha abakozi b'ubuvuzi kwemeza vuba ingano ikwiye mugihe cyo kuvura.
Imbonerahamwe ya Dialysis Ingano yo Kugereranya
| Gauge | Diameter yo hanze | Umuvuduko Wihuta | Koresha Urubanza |
| 14G | Kinini | Hejuru cyane | Dialise ikora neza, imiterere yimitsi |
| 15G (ikoreshwa cyane) | Gitoya | Hejuru | Ubuvuzi busanzwe bwa dialyse |
| 16G | Guciriritse | Hagati | Abarwayi bahamye, bagenzurwa |
| 17G | Urushinge ruto rwa dialyse | Hagati | Abarwayi bafite imitsi yoroshye cyangwa kwihanganira bike |
Mu bushakashatsi bushingiye ku gushakisha,ingano ya inshingekugereranya ni kimwe mu bintu by'ingenzi. Abaguzi bakunze gushakisha 14G - 17G bitewe n'imitsi y'amaraso hamwe n'intego zo kuvura.
Impamvu urushinge rusanzwe rudashobora gusimbuza urushinge rwa Dialysis
Nubwo byombi ari inshinge zubuvuzi, urushinge rusanzwe ntirushobora gukemura ingano ya dialyse. Gukoresha urushinge rusanzwe rwa hemodialysis byavamo:
Umuvuduko w'amaraso udahagije
Kongera ibyago bya hemolysis
Ibyago byinshi byo kwambara
Ububabare bushobora no kwangirika
Kunanirwa kwangiza ubuzima
Inshinge za Hemodialysis zishimangirwa mubunini gusa ahubwo no muburyo. Siliconized bevel bevel itanga kwinjira neza, bigabanya ihahamuka mugihe cyo kuyisubiramo kenshi.
Ni ryari Gukoresha Buri bwoko?
| Urugero | Urushinge rusabwa |
| Gutera imiti buri munsi | Urushinge rusanzwe |
| Urukingo rwa buri munsi | Urushinge rusanzwe 23G - 25G |
| Gushushanya amaraso | Urushinge rusanzwe cyangwa urushinge |
| Indwara idakira yimpyiko | Urushinge rwa Dialysis (14G - 17G) |
| AV fistula | 15G AV inshinge ya fistula ikunzwe |
Niba umurwayi yakiriye dialyse inshuro eshatu mucyumweru, gukoresha urushinge rwizewe rwa fistula ni itegeko kugirango ubungabunge ubuzima bwimitsi no kuvura neza.
Isoko ryamasoko hamwe nubushishozi bwogutanga isoko
Hamwe n'indwara zidakira z'impyiko ziyongera ku isi hose, ibikenerwa mu gutanga imiti nk'inshinge za dialyse bikomeje kwiyongera. Ababikora benshi ubu bafite ubuhanga muri:
Sterile, inshinge imwe yo gukoresha inshinge
Ingano yerekana amabara
Igishushanyo mbonera hamwe ninyuma-ijisho ryibishushanyo
Sisitemu yo guhuza hamwe na luer
Ubushakashatsi nkurushinge rwa dialyse vs inshinge zisanzwe, kugereranya urushinge rwa dialyse, hamwe na 15G AV fistula inshinge yerekana urujya n'uruza rwisi yose, bigatuma ingingo iba ingenzi kubakwirakwiza ubuvuzi, urubuga rwa e-bucuruzi, hamwe nitsinda ryamasoko.
Umwanzuro
Inshinge zisanzwe hamwe na inshinge za dialyse nibikoresho byingenzi byubuvuzi, ariko byakozwe muburyo butandukanye rwose. Urushinge rusanzwe rushyigikira uburyo busanzwe bwo kuvura, mugihe urushinge rwa dialyse rutanga uburyo bwinshi bwo kuvura hemodialyse. Gusobanukirwa ingano y'urushinge rwa dialyse, imikorere itemba, nibitandukaniro byubaka bituma abarwayi barinda umutekano hamwe nicyemezo cyamasoko neza.
Kubantu bose bashaka kugereranya urushinge rwa dialyse vs urushinge rusanzwe, gufata ibyingenzi biroroshye:
Gusa urushinge rwa dialyse rukwiranye na hemodialyse.
Igihe cyo kohereza: Ukuboza-08-2025