Indwara z'impyiko zidakira (CKD) zikomeza mu byiciro bitanu, aho icyiciro cya gatanu kigaragaza imikorere mibi y'impyiko, izwi kandi nka indwara y'impyiko yo mu cyiciro cya nyuma (ESRD). Muri iki cyiciro, abarwayi bakeneye ubuvuzi bwo gusimbuza impyiko kugira ngo bakomeze kubaho.

Uburyo Busanzwe bwo Kuvura Impyiko

Uburyo busanzwe bwo kuvura impyiko burimo hemodialysis, peritoneal dialysis, no gutera impyiko. Hemodialysis ni uburyo bukoreshwa cyane, ariko ntibukwiriye buri wese. Ku rundi ruhande, peritoneal dialysis ubusanzwe ni nziza ku barwayi bose, ariko hari ibyago byinshi byo kwandura.

Hemodialysis ni iki?

Hemodialysis rusange igizwe n'ubwoko butatu: hemodialysis (HD), hemodiafiltration (HDF), na hemoperfusion (HP).

Hemodialysisni uburyo bw'ubuvuzi bukoresha ihame ryo gukwirakwiza imyanda mu gukuraho imyanda ikomoka ku mikorere y'umubiri, ibintu byangiza, n'amazi menshi mu maraso. Ni bumwe mu buryo busanzwe bwo kuvura impyiko ku barwayi bafite indwara y'impyiko mu cyiciro cya nyuma kandi bushobora no gukoreshwa mu kuvura imiti cyangwa uburozi burenze urugero. Gukwirakwiza bibaho muri dialyzer iyo hari urugero rw'ibipimo ku ruhu rw'umubiri rushobora kwinjiramo, bigatuma ibinyabutabire biva mu bice bifite urugero rwinshi bijya mu rugero ruto kugeza igihe bigeze ku rugero rungana. Utunyabutabire duto cyane cyane dukurwa mu maraso.

Kuyungurura amaraso mu mubirini uburyo bwo kuvura hemodialysis ivanze hamwe na hemofiltration, ikoresha diffusion na convection kugira ngo ikureho imisemburo. Convection ni urujya n'uruza rw'imisemburo mu gice gitwarwa n'umuvuduko w'umuvuduko. Iyi nzira yihuta kurusha diffusion kandi igira akamaro cyane mu gukuraho ibintu binini kandi by'uburozi mu maraso. Ubu buryo bubiri bushobora gukurahobyinshimolekile zingana neza mu gihe gito kurusha modalite zombi gusa. Inshuro zo kuyungurura amaraso mu mubiri zikunze kuba zisabwa rimwe mu cyumweru.

HemoperfusionNi ubundi buryo bwo gukura amaraso mu mubiri no kuyakwirakwiza binyuze mu gikoresho gikoresha amakara cyangwa resins kugira ngo bifatanye kandi bikuremo imyanda ikomoka ku maraso, ibintu by’uburozi, n’imiti. Abarwayi bagirwa inama yo guhabwa hemoperfusion rimwe mu kwezi.

*Uruhare rwo kunyuzamo amazi
Mu gihe cyo gupima amaraso, poroteyine zimwe na zimwe, uburozi, n'imiti mu maraso byinjizwa ku buso bwa dialyse membrane, bityo bigafasha kubikura mu maraso.

Chengdu Wesley ikora imashini zitunganya amaraso n'izitunganya amaraso zitanga uburyo bwo kuyungurura amaraso mu buryo bunoze, uburyo bworoshye bwo gukoresha, hamwe na gahunda zo kuvura dialyse ku giti cyazo hashingiwe ku nama za muganga. Imashini zacu zishobora gukora hemoperfusion hamwe na hemodialysis no kuzuza ibisabwa mu buryo bwose butatu bwo kuvura dialyse. Hamwe n'icyemezo cya CE, ibicuruzwa byacu bizwi cyane ku masoko mpuzamahanga.