Indwara idakira y'impyiko (CKD) itera mu byiciro bitanu, icyiciro cya gatanu cyerekana imikorere mibi y'impyiko, izwi kandi nk'indwara y'impyiko zanyuma (ESRD). Kuri iki cyiciro, abarwayi bakeneye kuvura impyiko kugirango babeho.

Ubuvuzi busanzwe bwo gusimbuza impyiko

Uburyo bwo kuvura impyiko bukunze kuboneka harimo hemodialyse, dialyse ya peritoneal, hamwe no guhinduranya impyiko. Hemodialysis nuburyo bukoreshwa cyane, ariko ntibukwiriye bose. Ku rundi ruhande, dialyse ya peritoneyale isanzwe ari nziza kubarwayi bose, ariko hari ibyago byinshi byo kwandura.

Hémodialyse ni iki?

Muri rusange hémodialyse ikubiyemo uburyo butatu: hemodialyse (HD), hemodiafiltration (HDF), na hemoperfusion (HP).

Hemodialyseni uburyo bwo kwa muganga bukoresha ihame ryo gukwirakwiza mu gukuraho imyanda ya metabolike, ibintu byangiza, hamwe n’amazi menshi ava mu maraso. Ni bumwe mu buryo bwo kuvura impyiko zikunze kugaragara ku barwayi barwaye impyiko zanyuma kandi zishobora no gukoreshwa mu kuvura ibiyobyabwenge cyangwa uburozi bukabije. Diffusion ibaho muri dialyzer mugihe intambwe yibintu ibaho hejuru ya semipermeable membrane, ituma ibisubizo biva mubice byibanze cyane bikagera kumurongo muke kugeza kuringaniza. Molekile ntoya ikurwa cyane mumaraso.

Hemodiafiltrationni umuti wa hemodialyse hamwe hamwe na hemofiltration, ikoresha ikwirakwizwa na convection kugirango ikureho ibisubizo. Convection nigikorwa cyo gukemura hejuru ya membrane itwarwa numuvuduko ukabije. Iyi nzira yihuta kuruta gukwirakwizwa kandi ifite akamaro kanini mugukuraho ibintu binini, uburozi mumaraso. Ubu buryo bubiri burashobora gukurahobyinshiurwego ruciriritse rwa molekile mugihe gito kuruta uburyo bwonyine. Inshuro ya hemodiafiltration isanzwe isabwa rimwe mubyumweru.

Hemoperfusionni ubundi buryo amaraso akurwa mu mubiri akazenguruka binyuze mu gikoresho cya parufe ikoresha adsorbents nk'amakara yakoreshejwe cyangwa ibisigazwa kugira ngo bihuze kandi bikureho imyanda ya metabolike, ibintu bifite uburozi, n'ibiyobyabwenge mu maraso. Abarwayi barasabwa kwakira hemoperfusion rimwe mu kwezi.

* Uruhare rwa adsorption
Mugihe cya hémodialyse, poroteyine zimwe na zimwe, uburozi, hamwe nibiyobyabwenge mumaraso byatoranijwe guhitamo hejuru ya dialyse ya dialyse, bityo bikaborohereza kuvana mumaraso.

Chengdu Wesley akora imashini ya hemodialysis hamwe na mashini ya hemodiafiltration itanga ultrafiltration nyayo, ibikorwa byorohereza abakoresha, hamwe na gahunda yo kuvura dialyse yihariye ishingiye kumpanuro zabaganga. Imashini zacu zirashobora gukora hemoperfusion hamwe na hemodialyse kandi ikuzuza ibisabwa muburyo butatu bwo kuvura dialyse. Hamwe nicyemezo cya CE, ibicuruzwa byacu bizwi cyane kumasoko mpuzamahanga.