Ubuyobozi bwo kugereranya urushinge rwa Dialysis ugereranije n'urushinge rusanzwe

Mu gihe cyo kuganira ku "urushinge rwa dialysis vs urushinge rusanzwe", ni ngombwa kumva ko ubwoko bwombi bushyirwa mu byiciro nka "ibikoresho by'ubuvuzi", nyamara zigira akamaro gatandukanye cyane mu buvuzi. Urushinge rusanzwe rwa syringe rukoreshwa mu miti, mu gukurura amaraso no mu gutera inshinge, mu gihe "urushinge rwa dialysis" rwakozwe by'umwihariko kugira ngo haboneke hemodialysis binyuze muri fistula cyangwa graft ifata imitsi. Ku bakozi bo mu rwego rw'ubuzima, abatanga serivisi, n'abaguzi ku isoko ry'ubuvuzi ku isi, kumenya itandukaniro bishobora kwemeza ko ibicuruzwa bikwiye bitoranywa kugira ngo umurwayi agire umutekano kandi avurwe neza.

Urushinge rusanzwe ni iki?

Igisanzweurushinge rwo guterwamo inshingeyagenewe uburyo busanzwe bwo kwa muganga nka:

Urushinge rwo munsi y'uruhu cyangwa mu mitsi
Gufata amaraso cyangwa gushyiramo imashini igabanya umuvuduko w'amaraso
Gutanga imiti
Gukingirwa

Inshinge zisanzwe zigira ingano zitandukanye kuva kuri 18G kugeza kuri 30G. Uko umubare w'igipimo uba muto, niko umurambararo uba munini. Ku inshinge zisanzwe, 23G–27G ni yo ikunze kugaragara, igamije kugabanya ububabare mu gihe ituma amazi atemba bihagije.

Ariko, izi nshinge zisanzwe "ntizikwiriye gukoreshwa mu gusukura amaraso", kuko urumuri rwazo ari ruto cyane kandi umuvuduko w'amaraso ntushobora guhaza ibyifuzo by'ubuvuzi bwo gusukura amaraso.

Urushinge rwa Dialysis ni iki?

A urushinge rwa dialyse, akenshi yitwa “Urushinge rwa fistula ya AV", yagenewe by'umwihariko kuvura "hemodialysis". Ishyirwa muri fistula ifata imitsi kugira ngo amaraso yihutishwe hagati y'umurwayi n'imashini ikoresha dialysis. Bitandukanye n'inshinge zisanzwe, ifite:

Igipimo kinini cy'uko amaraso atembera cyane
Igishushanyo mbonera gifite amababa kugira ngo gikomeze neza
Agahanga k'ijisho ry'inyuma cyangwa iry'imbere kugira ngo amaraso atembera neza
Umuyoboro woroshye uhujwe n'uruziga rwa dialysis
Ingano zifite amabara menshi kugira ngo byoroshye kuzimenya mu buvuzi

Dialysis isaba gutunganya amaraso menshi—kugeza kuri 300–500 mL/umunota. Kubwibyo, inshinge za dialysis zitemba cyane ni zo zonyine zishobora kuzuza iki gisabwa.

Urushinge rwa Dialysis ugereranije n'urushinge rusanzwe: Itandukaniro ry'ingenzi

Dukurikije iyi gereranya, biragaragara ko urushinge rwa dialyse ugereranije n'urushinge rusanzwe atari ikibazo cy'ingano gusa—ni itandukaniro mu buhanga, ikoreshwa, imiterere, n'ibisabwa mu mutekano.

Incamake y'ingano y'urushinge rwa Dialysis

Ingano y'urushinge rwa dialysis ni ikintu cy'ingenzi ku baganga ndetse n'inzobere mu gutanga amasoko. Iki gipimo bigira ingaruka ku muvuduko w'amazi n'uburyo umurwayi amererwa neza. Ingano zikunze gukoreshwa zirimo:

14G — Ubwinshi bw'umurambararo, umuvuduko wo hejuru w'amazi
Urushinge rwa fistula rwa 15G AV — Ingano ikunzwe cyane hagati y'urujya n'uruza n'ihumure
16G — Ikwiriye abarwayi ba hemodialysis idahindagurika
17G — Ku bafite fistula idakomeye cyangwa abafite ubushobozi buke bwo kwihanganira

Ibara rikoreshwa mu buryo busanzwe kugira ngo byoroshye kurimenya—15G ikunze kugaragara nk'icyatsi kibisi, 16G y'umuhengeri, 17G y'umutuku. Ibi bifasha abaganga kwemeza vuba ingano nyayo mu gihe cyo kuvurwa.

Imbonerahamwe yo kugereranya ingano y'urushinge rwa Dialysis

Mu byemezo byo kugura bishingiye ku gushakisha,Ingano y'urushinge rwa dialyseKugereranya ni kimwe mu bintu by'ingenzi cyane. Abaguzi bakunze gushaka amahitamo ya 14G–17G bitewe n'uburwayi bw'imitsi y'amaraso y'umurwayi n'intego zo kuvurwa.

Impamvu urushinge rusanzwe rudashobora gusimbura urushinge rwa dialysis

Nubwo byombi ari inshinge zo kwa muganga, urushinge rusanzwe rwo guterwamo inshinge ntirushobora kwakira ingano y'amazi atemba mu maraso. Gukoresha urushinge rusanzwe mu gupima amaraso bishobora gutuma habaho:

Umuvuduko w'amaraso udahagije
Ingaruka zo kwiyongera kwa hemolysis
Ingaruka nyinshi zo kuvura amaraso
Ububabare bushobora kubaho no kwangirika k'uburyo bwo kwinjira mu nzu
Kunanirwa kuvurwa mu buryo bushobora gushyira ubuzima mu kaga

Inshinge za hemodialysis zikomezwa atari mu bunini gusa ahubwo no mu miterere yazo. Uduce twazo tw’ubushyuhe twa silikoni dutanga uburyo bworoshye bwo kwinjira, bikagabanya imvune mu gihe cyo kuzikoresha kenshi.

Ni ryari wakoresha buri bwoko?

Iyo umurwayi ahawe dialyse gatatu mu cyumweru, gukoresha urushinge rwa fistula rwizewe ni ngombwa kugira ngo imitsi y'amaraso ikomeze kugira ubuzima bwiza kandi ivurwe neza.

Ibisobanuro ku Isoko n'Itangwa ry'Ibicuruzwa ku Isi

Kubera ko indwara z’impyiko zidakira ziyongera ku isi yose, ibyifuzo by’ibikoresho by’ubuvuzi nka dialysis inshinge bikomeje kwiyongera. Inganda nyinshi ubu zihariye muri ibi bikurikira:

Inshinge zo gusukura zikoreshwa rimwe gusa, zikoreshwa rimwe gusa
Ingano y'igipimo cy'amabara
Imiterere y'inyuma n'iy'inyuma ya silikoni
Sisitemu zo guhuza imiyoboro ya "tubing" na "luer"

Ubushakashatsi nka “dialysis injection” ugereranije n’ubusanzwe, “dialysis injection”, na “15G AV fistula injection” bigaragaza ko iyi ngingo ihora ikwirakwizwa ku isi yose, bigatuma iyi ngingo iba ingenzi ku bacuruza ubuvuzi, ku mbuga nkoranyambaga z’ubucuruzi bwo kuri interineti, ndetse n’amatsinda ashinzwe gutanga amasoko.

Umwanzuro

Inshinge zisanzwe n'inshinge za dialysis byombi ni ibikoresho by'ingenzi mu buvuzi, ariko byakozwe mu buryo butandukanye rwose. Inshinge zisanzwe zishyigikira uburyo busanzwe bwo kwa muganga, mu gihe inshinge za dialysis zitanga uburyo bwinshi bwo kuvurwa hakoreshejwe hemodialysis. Gusobanukirwa ingano y'inshinge za dialysis, imikorere y'imigendekere y'amaraso, n'itandukaniro ry'imiterere y'umubiri bitanga ubufasha butekanye ku barwayi no gufata ibyemezo byo kugura.

Ku muntu wese ushaka kugereranya urushinge rwa dialyse n'urushinge rusanzwe, ikintu cy'ingenzi ni uko byoroshye:
Urushinge rwa dialyse nirwo rwonyine rukwiriye gukoreshwa mu gupima amaraso.