Txoj kev kho mob raum tsis ua hauj lwm
Lub raum yog lub cev tseem ceeb hauv tib neeg lub cev uas ua lub luag haujlwm tseem ceeb hauv kev lim dej pov tseg, tswj cov kua dej thiab cov electrolyte sib npaug, tswj cov ntshav siab, thiab txhawb kev tsim cov ntshav liab. Thaum lub raum tsis ua haujlwm zoo, nws tuaj yeem ua rau muaj mob hnyav thiab yuav tsum tau kho lub raum hloov xws li hemodialysis.
Hom kab mob raum
Kab mob raum tuaj yeem muab faib ua plaub yam tseem ceeb: kab mob hauv lub raum, cov kab mob hauv lub raum thib ob, cov kab mob hauv lub raum, thiab cov kab mob hauv lub raum tau txais.
Cov kab mob hauv lub raum
Cov kab mob no tshwm sim los ntawm ob lub raum, xws li mob glomerulonephritis, nephrotic syndrome, thiab mob raum raug mob.
Secondary kab mob
Lub raum puas yog tshwm sim los ntawm lwm yam kab mob, xws li mob ntshav qab zib nephropathy, kab mob lupus erythematosus, Henoch-Schönlein purpura, thiab kub siab.
Cov kab mob hauv lub raum
Xws li cov kab mob congenital xws li kab mob polycystic raum thiab nyias hauv qab daim nyias nyias nephropathy.
Tau kab mob raum
Cov kab mob tuaj yeem yog vim muaj tshuaj tua kab mob raum puas lossis raug rau ib puag ncig thiab ua haujlwm co toxins.
Cov kab mob raum mob ntev (CKD) nce mus txog tsib theem, nrog rau theem tsib qhia tias lub raum tsis ua haujlwm hnyav, tseem hu ua end-stage renal disease (ESRD). Nyob rau theem no, cov neeg mob xav tau kev kho lub raum hloov kom muaj sia nyob.
Common Renal Replacement Therapies
Cov kev kho mob raum feem ntau suav nrog hemodialysis, peritoneal dialysis, thiab hloov lub raum. Hemodialysis yog ib txoj kev siv dav, tab sis nws tsis haum rau txhua tus. Ntawm qhov tod tes, peritoneal dialysis feem ntau yog qhov zoo tagnrho rau txhua tus neeg mob, tab sis muaj kev pheej hmoo kis mob.
Hemodialysis yog dab tsi?
Generalized hemodialysis suav nrog peb hom: hemodialysis (HD), hemodiafiltration (HDF), thiab hemoperfusion (HP).
Hemodialysisyog ib txoj kev kho mob uas siv lub hauv paus ntsiab lus ntawm diffusion kom tshem tawm cov khoom pov tseg cov khoom noj, cov khoom tsis zoo, thiab cov kua dej ntau dhau los ntawm cov ntshav. Nws yog ib qho kev kho mob raum uas feem ntau siv rau cov neeg mob uas muaj kab mob raum kawg thiab tuaj yeem siv los kho tshuaj lossis tshuaj lom ntau dhau. Diffusion tshwm sim nyob rau hauv lub dialyzer thaum ib tug concentration gradient muaj nyob rau hauv ib tug semipermeable membrane, tso cai rau solutes txav los ntawm cov cheeb tsam ntawm high concentration mus rau ib tug tsawg concentration kom txog rau thaum equilibrium. Cov me me molecules feem ntau raug tshem tawm ntawm cov ntshav.
Hemodiafiltrationyog kev kho mob ntawm kev sib xyaw hemodialysis nrog hemofiltration, uas siv diffusion thiab convection tshem tawm cov kua. Convection yog qhov txav ntawm cov kua nplaum hla ib daim nyias nyias uas tau tsav los ntawm lub siab gradient. Cov txheej txheem no yog sai dua li diffusion thiab tshwj xeeb tshaj yog muaj txiaj ntsig zoo hauv kev tshem tawm cov tshuaj lom neeg loj dua los ntawm cov ntshav. Qhov no dual mechanism tuaj yeem tshem tawmntaunruab nrab-qhov loj me molecules nyob rau hauv ib lub sij hawm luv dua li modality ib leeg. Qhov zaus ntawm hemodiafiltration feem ntau pom zoo ib zaug hauv ib lub lis piam.
Hemoperfusionyog lwm txoj hauv kev uas cov ntshav tau los ntawm lub cev thiab nthuav tawm los ntawm cov khoom siv perfusion uas siv cov khoom siv adsorbents xws li cov hluav taws xob hluav taws xob lossis cov resins los khi rau thiab tshem tawm cov khoom pov tseg metabolic, tshuaj lom, thiab tshuaj los ntawm cov ntshav. Cov neeg mob tau qhia kom tau txais hemoperfusion ib hlis ib zaug.
* Lub luag haujlwm ntawm adsorption
Thaum lub sij hawm hemodialysis, qee cov proteins, co toxins, thiab cov tshuaj hauv cov ntshav tau xaiv adsorbed rau saum npoo ntawm daim nyias nyias, yog li ua kom yooj yim tshem tawm cov ntshav.
Chengdu Wesley tsim cov tshuab hemodialysis thiab cov tshuab hemodiafiltration uas muaj qhov tseeb ultrafiltration, kev ua haujlwm zoo rau cov neeg siv, thiab cov phiaj xwm kho mob rau tus kheej raws li kws kho mob cov lus qhia. Peb cov tshuab tuaj yeem ua hemoperfusion nrog hemodialysis thiab ua tau raws li qhov yuav tsum tau ua rau tag nrho peb txoj kev kho mob lim ntshav. Nrog CE daim ntawv pov thawj, peb cov khoom tau lees paub thoob ntiaj teb kev lag luam.
Raws li cov chaw tsim khoom lag luam hauv kev lag luam cov cuab yeej lim ntshav uas tuaj yeem muab tag nrho cov kev daws teeb meem rau kev lim ntshav, peb tau mob siab rau muab kev lav phib xaub nrog kev nplij siab thiab zoo dua rau cov neeg mob lub raum tsis ua haujlwm. Peb txoj kev cog lus yog mus nrhiav cov khoom zoo meej thiab kev pabcuam tag nrho.
Post lub sij hawm: Dec-05-2024