Ku bijyanye no kuvura hemodialysis neza, guhitamo uburyo bukwiye bwo kuvuradialyzer ya hemodialysis, naurushinge rwa dialyzerni ingenzi cyane. Ibyo buri murwayi akeneye biratandukanye, kandi abakora mu buvuzi bagomba guhuza neza ubwoko bwa dialyzer naIngano y'urushinge rwa fistula ya AVkugira ngo habeho ibisubizo byiza ku buvuzi. Muri iyi nkuru, tuzasuzuma ibintu bitandukanyeUbwoko bwa dializeri(umuvuduko mwinshi, umuvuduko uringaniye, umuvuduko muto),ibipimo by'urushinge rwa dialyzer(15G, 16G, 17G), hamwe n'isano bifitanye n'umuvuduko w'amaraso atembera, biguha ishusho yuzuye y'ibi bikoresho by'ingenzi by'ubuvuzi.
Ubwoko bwa Dialyzer
Dialyzer ikunze kwitwa impyiko y'ubukorano. Iyungurura imyanda n'amazi arenze urugero mu maraso iyo impyiko zitagishoboye gukora neza iki gikorwa. Hari ubwoko butatu bw'ibanze bwaimashini zigabanya amaraso mu gihe cy'isukuhashingiwe ku bushobozi bwo kwinjira no gukora: ubwinshi bw'amazi, ubwinshi bw'amazi, n'ubwinshi bw'amazi.
- Dialyzer zo mu bwoko bwa Flux nyinshi: Izi dialyzer zifite imyenge minini, bigatuma molekile nto n'izo hagati zikurwaho vuba, harimo n'uburozi bunini busanzwe dialyzer zidashobora gukuraho. Uturemangingo twinshi dukunze gutuma igihe cyo kuvurwa kigabanuka kandi bigatuma umurwayi agira umusaruro mwiza, cyane cyane mu kugabanya ingorane z'igihe kirekire.
- Dialyzer zo mu bwoko bwa Flux ziciriritse: Bishyizwe hagati y’uburyo bwo gusohora amazi menshi n’ake, dialyzers zo gusohora amazi hagati zikuraho uburozi buciriritse n’ubunini bwa molekile. Zikunze gukoreshwa iyo hakenewe gusukurwa neza hatabayeho gutakaza albumin nyinshi.
- Dialyzer zo mu bwoko bwa Flux nkeya: Izi ni dialyzer zo mu bwoko bwa kera zifite imyenge mito, zigamije cyane cyane icyuho gito cya molekile, nka urea na creatinine. Zikunze gukoreshwa ku barwayi bafite indwara zidahindagurika kandi bafite uburozi buke.
Guhitamo dialyzer ikwiye yo guca amaraso bitewe n'imiterere y'umurwayi, ubushobozi bwo kugera ku mitsi ye, n'intego z'ubuzima muri rusange.
Ingano z'urushinge rwa AV Fistula: 15G, 16G, na 17G
Urushinge rwa fistula ya AV ni ikindi kintu cy'ingenziigikoresho cy'ubuvuzimuri hemodialysis. Inshinge ziza mu bipimo bitandukanye (G), buri kimwe gikwiranye n'umuvuduko utandukanye w'amaraso n'ibyo umurwayi akeneye.
- Urushinge rwa Fistula rwa 15G AV: Runini mu bunini, urushinge rwa dialyzer rwa 15G rufasha amaraso gutembera neza, akenshi rugera kuri mL 450/umunota. Ni rwiza ku barwayi bakeneye dialyse yihuse cyangwa abafite imitsi ikomeye.
- Urushinge rwa Fistula rwa 16G AV: Urwo rushinge rwa 16G nirwo rukoreshwa cyane kandi rushobora kwihanganira urujya n'uruza rw'amaraso ruri hagati ya 300-400 mL/umunota. Rutanga uburinganire hagati y'imikorere myiza y'amaraso n'uburyo umurwayi amererwa neza.
- Urushinge rwa Fistula rwa 17G AV: Urushinge rwa 17G rurerure kurusha 15G na 16G, rukoreshwa mu kugabanya umuvuduko w'amaraso, hafi 200-300 mL/umunota. Uru rushinge ni rwiza ku barwayi bafite imitsi yoroshye cyangwa fistula nshya ya AV ikiri gukura.
Guhitamo neza AV fistula ipima urushinge bigira ingaruka ku mikorere myiza y'ubuvuzi ndetse no ku gihe kirekire.kugera ku mitsiubuzima. Gukoresha urushinge runini cyane ku ndwara ya fistula yoroshye bishobora kwangiza, mu gihe gukoresha urushinge ruto cyane bishobora kugabanya ubushobozi bw'ubuvuzi.
Igipimo cy'amaraso atembera neza no gukoresha neza dialysis
Umuvuduko w'amaraso ni ikintu cy'ingenzi mu kumenya niba dialyse ihagije. Muri rusange, umuvuduko w'amaraso urushaho kwiyongera bituma uburozi buvamo, ariko bugomba kuba bujyanye n'ubushobozi bwa dialyzer ndetse n'ingano y'urushinge rwa fistula rwa AV.
- Dialyzer zo mu bwoko bwa Flux nyinshiubusanzwe bisaba kandi bigafasha umuvuduko w’amaraso uri hejuru (kugeza kuri 450 mL/umunota), bigatuma bihura n’urushinge rwa 15G cyangwa 16G.
- Dialyzer zo mu bwoko bwa Flux ziciriritseishobora gukora neza ku muvuduko uri hagati w'amaraso (300-400 mL/umunota), ikaba ari nziza cyane ku nshinge za 16G.
- Dialyzer zo mu bwoko bwa Flux nkeyaakenshi ikora neza kandi amaraso atembera neza (200-300 mL/umunota), ikanahuza neza n'inshinge za 17G.
Kutahuza neza bishobora gutuma habaho imikorere idahwitse ya dialyse, igihe cyo kuvurwa cyiyongera, cyangwa se imitsi ikagira stress idasanzwe.
Umwanzuro
Gusobanukirwa imikoranire iri hagati y’ubwoko bwa dialyzer ya hemodialysis, inshinge za dialyzer, n’umuvuduko w’amaraso ni ingenzi cyane kugira ngo hagerwe ku musaruro mwiza wa dialyze. Byaba ari uguhitamo hagati ya dialyzers nyinshi, inshinge iri hagati, cyangwa inshinge nke za 15G, 16G, cyangwa 17G AV fistula, icyemezo cyose bigira ingaruka ku buzima bw’umurwayi.
Ku batanga serivisi z'ubuvuzi, guhora umenye amakuru ajyanye n'iterambere rigezweho mu bikoresho by'ubuvuzi bituma abarwayi babona ubuvuzi bwiza bushoboka. Guhuza neza dialyzer n'ingano y'urushinge ntibituma gusa dialyse ikora neza, ahubwo binarinda imitsi yo mu maraso kugera no kongera ubuzima bw'umurwayi.
Igihe cyo kohereza: 27 Mata 2025