Aratohu Whakataurite i te Ngira Dialysis me te Ngira Noa

Ina kōrerohia te "ngira dialysis vs ngira noa", he mea nui kia mārama ko ngā momo e rua e whakarōpūtia ana hei "ngira"ngā taputapu hauora", engari he rerekē rawa ngā mahi haumanu e mahia ana e rātou. Ko te ngira weronga noa e whakamahia ana mō ngā rongoā, ngā tango toto, me ngā werohanga, ko te "ngira dialysis" ia he mea hanga motuhake mō te urunga hemodialysis mā te fistula arteriovenous (AV) me te graft. Mō ngā kaimahi hauora, ngā kaiwhakarato, me ngā kaihoko i te mākete "taonga hauora" o te ao, mā te mōhio ki ngā rerekētanga ka taea te whakarite kia whiriwhiria te hua tika mō te haumaru o te tūroro me te whai huatanga o te maimoatanga.

He aha te ngira noa?

He mea noangira werohangakua hangaia mō ngā tikanga haumanu noa pēnei i:

Werohanga i raro i te kiri, i roto rānei i te uaua
Te tango toto, te whakaurunga IV rānei
Te whakahaere rongoā
Werohanga

He whānuitia ngā rahi o ngā ngira noa mai i te 18G ki te 30G. Mēnā he iti ake te rahi o te ine, ka nui ake te whānui. Mō ngā weronga noa, ko te 23G–27G te mea tino noa, i hangaia hei whakaiti i te mamae me te tuku i te rere o ngā wai kia ranea.

Heoi, kāore ēnei ngira paerewa i te "pai mō te hemodialysis", nā te mea he kuiti rawa te lumen, ā, kāore e taea e te tere rere te whakatutuki i ngā hiahia o te whakaora toto.

He aha te ngira Dialysis?

A ngira tātaritanga, e kiia pinepinetia ana he "Ngira fistula AV", he mea hanga motuhake mō te maimoatanga "hemodialysis". Ka whakaurua ki roto i te fistula arteriovenous kia tere ai te whakawhiti toto i waenga i te tūroro me te mīhini dialysis. He rerekē ki ngā ngira noa, ko ōna āhuatanga:

He ine nui ake mō te rere toto tiketike
He hoahoa parirau mō te whakapiringa haumaru
Te pito o muri, o mua rānei o te kanohi hei whakahaere i te rere o te toto
Ngongo ngohengohe e hono ana ki te ara iahiko dialysis
Ngā rahi kua whakakōwaea tae hei ngāwari ki te mōhio haumanu

Ko te tikanga o te dialysis he nui te toto e tukatukahia ana—tae atu ki te 300–500 mL/min. Nō reira, ko ngā ngira dialysis rere nui anake ka taea te whakatutuki i tēnei whakaritenga.

Ngira Dialysis me te Ngira Noa: Ngā Rerekētanga Matua

Mai i tēnei whakatauritenga, ka mārama ko te ngira dialysis me te ngira noa ehara i te mea he rahi noa iho—engari he rerekētanga kei roto i te hangarau, te tono, te hanganga, me ngā whakaritenga haumaru.

Tirohanga Whānui mō te Rahi o te Ngira Dialysis

He mea nui te rahi o te ngira dialysis hei whakaaroaro mā ngā tākuta me ngā tohunga hoko. Ka pā tika te ine ki te tere rere me te whakamarie o te tūroro. Ko ngā rahi e whakamahia whānuitia ana ko:

14G — Te whānui nui rawa atu, te tere rere teitei rawa atu
Ngira 15G AV fistula — Te taurite rongonui i waenga i te rere me te whakamarie
16G — He pai mō ngā tūroro hemodialysis pumau
17G — Mō te hunga he ngoikore te fistula, he iti rānei te manawanui

He maha ngā wā ka whakapūmauhia te waehere tae kia māmā ai te tautuhi—he maha ngā wā ka puta te 15G he kakariki, te 16G he papura, te 17G he whero. Mā tēnei ka āwhina i ngā kaimahi hauora ki te whakaū wawe i te rahi tika i te wā e rongoatia ana.

Tūtohi Whakataurite Rahi o te Ngira Dialysis

I roto i ngā whakataunga hoko e hangai ana ki te rapu,rahi o te ngira dialysisKo te whakatairite tētahi o ngā āhuatanga tino nui. He maha ngā wā ka rapu ngā kaihoko i ngā kōwhiringa 14G–17G i runga i te āhua o ngā uaua toto o te tūroro me ngā whāinga maimoatanga.

He aha e kore ai e taea e te ngira noa te whakakapi i te ngira dialysis

Ahakoa he ngira hauora ngā ngira e rua, kāore e taea e te ngira weronga noa te whakahaere i te nui o te rere o te dialysis. Mā te whakamahi i te ngira paerewa mō te hemodialysis ka puta:

Te tere rere o te toto kāore i te rawaka
Te pikinga ake o te mōrearea o te hemolysis
Te mōrearea toto tiketike
Te mamae pea me te kino o te urunga
Te korenga o te maimoatanga e morearea ana ki te ora

Kāore i te rahi anake ngā ngira hemodialysis engari he hanganga anō hoki. Mā te anga koi kua whakakikoruatia ki te hiraka ka ngāwari te werohanga, ka iti ake te whara i te wā e whakamahia ana.

Āhea te whakamahi i ia momo?

Mena e toru ngā wā e tangohia ana te dialysis ki te tūroro i te wiki, he mea nui te whakamahi i tētahi ngira fistula pono hei pupuri i te hauora o ngā toto me te whai huatanga o te maimoatanga.

Ngā Tirohanga mō te Hiahia Mākete me te Tukunga o te Ao

I te pikinga ake o te mate whatukuhu mau tonu puta noa i te ao, kei te piki haere tonu te hiahia mō ngā hua rongoā pēnei i ngā ngira dialysis. He maha ngā kaihanga e tohunga ana ki:

Ngā ngira dialysis parakore, kotahi te whakamahinga
Te rahi o te ine tae-waehere
Ngā hoahoa hiraka me ngā pito o muri-kanohi
Ngā pūnaha hononga ngongo me te luer

Ko ngā rapunga pēnei i te ngira dialysis me te ngira noa, te whakatairite i te rahi o te ngira dialysis, me te ngira fistula AV 15G e whakaatu ana i te haere tonu o te ao, ā, he mea nui tēnei kaupapa mā ngā kaituku hauora, ngā tūāpapa hokohoko ipurangi, me ngā tīma hokohoko.

Whakamutunga

He taputapu hauora nui ngā ngira noa me ngā ngira dialysis, engari he rerekē rawa ngā kaupapa i hangaia ai. Ka tautokona e te ngira noa ngā tikanga haumanu noa, engari ka whakaratohia e te ngira dialysis he urunga nui mō te maimoatanga hemodialysis. Mā te mārama ki te rahi o ngā ngira dialysis, te rere o te wai, me ngā rerekētanga hanganga ka noho haumaru ake te tiaki tūroro me te whai hua ake o ngā whakataunga hoko.

Mō te hunga e hiahia ana ki te whakataurite i te ngira dialysis me te ngira noa, ko te mea nui ko te ako māmā:
Ko te ngira dialysis anake te mea e tika ana mō te hemodialysis.