Ina tae ki te maimoatanga hemodialysis whai hua, me whiriwhiri te rongoā tikamīhini tātaritanga toto, mengira dialyzerhe mea nui. He rerekē ngā hiahia o ia tūroro, ā, me āta whakataurite ngā kaiwhakarato hauora i ngā momo dialyzer meNgā rahi o ngā ngira mō te fistula AVkia tino pai ai ngā putanga whakaora. I roto i tēnei tuhinga, ka tūhuratia e mātou ngā momongā momo dialyzer(rerenga teitei, rerenga waenga, rerenga iti),ngā ine ngira dialyzer(15G, 16G, 17G), me tō rātou whanaungatanga ki ngā tere rere o te toto, e hoatu ana ki a koe he tirohanga whānui mō ēnei taputapu hauora nui.
Ngā Momo Dialyzer
E kiia ana te dialyzer he whatukuhu horihori. Ka tātarihia e ia ngā para me ngā wai taikaha mai i te toto ina kore e taea e ngā whatukuhu te mahi tika i tēnei mahi. E toru ngā momo matua ongā mīhini whakaheke totoi runga i te uruhanga me te mahi: te rere nui, te rere waenga, me te rere iti.
- Ngā Dialyzer Rererangi TeiteiHe nui ake ngā pūwero o ēnei taputapu tātari toto, e āhei ai te tango tere i ngā ngota iti me ngā ngota waenga, tae atu ki ētahi paitini nui ake e kore e taea e ngā taputapu tātari toto iti te whakakore. He maha ngā wā ka poto ake te wā maimoatanga me ngā putanga pai ake mō ngā tūroro nā te mea he nui te rere o ngā kiriuhi toto, inā koa te whakaiti i ngā raruraru mō te wā roa.
- Ngā Dialyzer Rerenga WaengaKei waenganui i ngā kōwhiringa rere teitei me te rere iti, ka taea e ngā dialyzer rere waenga te tango i ngā paitini taumaha ngota iti me te taumaha ngota waenga. He mea whakamahi noa ēnei ina hiahiatia he whakakorenga whai hua me te kore e tūpono ki te ngaronga nui o te albumin.
- Ngā Dialyzer Rere ItiHe momo dialyzer tawhito ēnei, he iti ake ngā pūwero, e aro nui ana ki te whakakore i ngā ngota iti, pērā i te urea me te creatinine. He maha ngā wā ka whakamahia ēnei mō ngā tūroro he pumau ō rātou āhua, he iti ake hoki ngā paitini i roto i ā rātou toto.
Ko te whiriwhiri i te taputapu dialysis tika e whakawhirinaki ana ki te āhua haumanu o te tūroro, te kaha uru atu ki ngā oko toto, me ngā whāinga hauora whānui.
Ngā Rahi o ngā Ngira mo te Fistula AV: 15G, 16G, me te 17G
Ko tētahi atu mea nui ko te ngira AV fistulataputapu hauorai roto i te hemodialysis. He maha ngā ine (G) o ngā ngira, he pai ia ngira mō ngā tere rere toto me ngā hiahia o te tūroro.
- 15G AV Fistula Nekeneke: He nui ake te rahi o te ngira dialyzer 15G, ā, ka tautoko i ngā tere rere toto teitei, tae atu ki te 450 mL/min. He mea tino pai mō ngā tūroro e hiahia ana ki te dialysis tere, mō te hunga rānei he kaha te urunga toto.
- Ngira 16G AV Fistula: He iti ake te rahi o ngā ngira 16G, ā, ka taea te whakahaere i ngā tere rere o te toto i te 300-400 mL/min. Ka tukuna he taurite i waenga i te pai o te rere me te whakamarie o te tūroro.
- Ngira Fistula AV 17GHe angiangi ake i te 15G me te 16G, ka whakamahia te ngira 17G mō ngā tere rere toto iti iho, tata ki te 200-300 mL/min. He pai ake tēnei ngira mō ngā tūroro he uaua ngawari ō rātou, he fistula AV hou rānei kei te pakari haere.
Ko te whiriwhiri i te ine ngira AV fistula tika e pā ana ki te whai huatanga o te maimoatanga, engari ki te wā roa hoki.urunga totohauora. Mā te whakamahi i tētahi ngira nui rawa mō tētahi fistula pakarukaru ka pā he kino, engari mā te whakamahi i tētahi ngira iti rawa ka whakawhāiti i te whai huatanga o te maimoatanga.
Te Rere o te Toto me te Whai Hua o te Dialysis
He mea nui te tere o te rere o te toto hei whakatau i te rawaka o te dialysis. I te nuinga o te wā, ka pai ake te tango i ngā paitini i te tere rere o te toto, engari me ōrite ki te kaha o te dialyzer me te rahi o te ngira o te AV fistula.
- Ngā Dialyzer Rererangi Teiteii te nuinga o te wā ka hiahiatia, ka tautokona hoki ngā tere rere toto teitei ake (tae atu ki te 450 mL/min), kia hototahi ai ki ngā ngira 15G, 16G rānei.
- Ngā Dialyzer Rerenga Waengaka taea te mahi pai i ngā tere rere toto taurite (300-400 mL/min), he mea tino pai mō ngā ngira 16G.
- Ngā Dialyzer Rere Itihe maha ngā wā ka whakahaerehia me ngā tere rere toto iti iho (200-300 mL/min), ka hono pai ki ngā ngira 17G.
Mā te kore e taurite tika ka hua ake he koretake o ngā wā tātaritanga toto, he roa ake te wā maimoatanga, he taumahatanga koretake rānei ki te urunga atu ki ngā toto.
Whakamutunga
He mea nui te mārama ki te mahi tahi i waenga i ngā momo taputapu tātari toto, ngā ine ngira mō te tātari toto, me ngā tere rere toto hei whakatutuki i ngā hua tātari toto tino pai. Ahakoa te whiriwhiri i waenga i ngā taputapu tātari toto tere, tere waenga, tere iti rānei, te whiriwhiri rānei i te ngira tika mō te fistula AV 15G, 16G, 17G rānei, ka pā tika ia whakatau ki te hauora o te tūroro.
Mō ngā kaiwhakarato hauora, mā te noho mōhio ki ngā whanaketanga hou o ngā taputapu hauora ka taea e ngā tūroro te whiwhi i te tiaki pai rawa atu. Ko te huinga tika o te dialyzer me te rahi o te ngira ehara i te mea ka whakapai ake i te whai huatanga o te dialysis engari ka tiaki hoki i te urunga atu ki ngā oko toto me te whakapai ake i te kounga o te oranga o te tūroro.
Wā tuku: 27 Paenga-whāwhā 2025