HDF (Hemofiltration) ni iki?
Bwana Wang w'imyaka 62, umaze imyaka 5 akoresha hemodialysis, yarwaye indwara yo gushyuha cyane (ikabije nijoro) ndetse rimwe na rimwe akababara amavi mu gihe cy'amezi 6. Ibimenyetso bye byarushijeho kugabanuka ubwo yakoreshaga dialysis isanzwe, kandi ibyakurikiyeho byagaragaje ko PTH yari yariyongereye. Yabanje gushidikanya ku buryo bugoye bwo gufata HDF yasabwe n'abaganga, yemera kuyigerageza. Nyuma y'amasaha menshi, uburyaryate bwe bwaragabanutse, arasinzira neza, isereri n'imitsi bikomoka kuri dialysis byaragabanutse cyane, kandi imiterere ye yo mu mutwe irarushaho kuba myiza. Ubu afata iya mbere yo gusaba abandi barwayi ba dialysis ubuvuzi: “Ubu buryo bushya bwo gukoresha dialysis bufite icyo buhindura!”
01 HDF ni iki(cyangwa seKuyungurura amaraso？？
Mu magambo make,HDF ni uruvange rwa hemodialysis (HD) na hemofiltrationIgumana umurimo w'ingenzi wa HD mu gukuraho molekile nto (urugero: urea, creatinine), mu gihe yongeramo uburyo bwo kuyungurura. Kimwe n'impyiko nzima, ikoresha umuvuduko kugira ngo ikureho uburozi bwinshi buri hagati n'ubunini (urugero: β2-microglobulin, hormone ya parathyroid).
02 Ibyiza by'ingenzi bya HDF ugereranije nagakondodialyse
Ku barwayi ba dialyse igihe kirekire, kwirundanya kw'uburozi bwa molekile zo hagati n'izinini ni yo mpamvu nyamukuru itera gushwanyagurika k'uruhu, kubabara mu magufwa, n'ibibazo by'umutima n'imitsi. Akamaro k'ingenzi ka HDF kagamije iki kibazo:
(1) Gukuraho uburozi burundu
Ikuraho uburozi buto bwa molekile (urea creatinine) n'uturemangingo two hagati/tunini bigoranye gukuramo (β2-microglobulin, PTH) bigabanya ingorane nko kurwara impyiko no gushwanyagurika k'uruhu.
（2） Ubunararibonye bwo kuvura neza kurushaho
Kongera amazi asimbura imiti bitera imbaraga electrolyte n'amazi, bigabanya ibyago byo kugabanuka k'amaraso mu mubiri, isereri, kuribwa mu mitsi, ndetse no kunanirwa nyuma yo kwirukanwa mu mubiri.
（3） Ibyiza by'igihe kirekire bikomeye
HDF isanzwe itera imbere mu mirire, ibitotsi byiza n'ubuzima bw'umutima n'imitsi, bigatuma abarwayi ba dialyse barushaho kugira ubuzima bwiza mu gihe kirekire.
03 Ni abahe barwayi b'impyiko bakwiriye guhitamo HDF?
- Abarwayi bahuye n'ingorane zigaragara zijyanye na dialyse, nko kubabara uruhu kenshi, kubabara amagufwa, cyangwa kubabara ingingo.
- Abarwayi bafite urugero rwa parathyroid hormone (PTH) rukomeje kwiyongera, kandi bigoye kugenzura hakoreshejwe hemodialysis isanzwe.
-
Abarwayi bakunze kumva batameze neza mu gihe cyo gukoresha dialyse, urugero nko kubabara mu mitsi cyangwa kubabara mu mitsi.
- Abarwayi bifuza kunoza ubuvuzi no kugabanya ibyago byo kugira ingaruka z'igihe kirekire.
Kuba ubuvuzi bwa HDF bukwiriye bigomba gusuzumwa neza na muganga w’inzobere hashingiwe ku miterere y’umurwayi n’ibyavuye mu isuzuma rya laboratwari. Ntibyemewe gufata icyemezo wenyine.
04 Ni iki abarwayi bagomba kwitaho iyo bafite HDF?
(1). Nta kwitegura by'inyongera bikeneweUburyo bwo kuvura n'uburyo bwo gutobora bwa HDF muri rusange ni kimwe n'uburyo bwo gutobora amaraso asanzwe. Abarwayi ntibakeneye kwiga ubundi buryo bwo kubaga, cyangwa ngo bahindure inshuro ya dialyse (ubusanzwe biba inshuro 3 mu cyumweru).
(2). Itondere imiti igabanya amaraso n'amazi asimburwa n'andi.
Imiti igabanya amaraso mu mubiri (urugero: heparin ifite uburemere buke bw'uturemangingo) ikoreshwa mu gihe cyo kuvura kugira ngo amaraso adatera kuzura. Abarwayi bafite akamenyero ko kuva amaraso bagomba kubimenyesha abaganga babo hakiri kare.Amazi asimbuwe aba yanduye kandi ategurwa neza n'ibitaro, bityo umutekano wayo urahamye.
Igihe cyo kohereza: Mutarama 15-2026
