E rima ngā wāhanga o te mate tākihi mau tonu (CKD), ā, ko te wāhanga tuarima e tohu ana i te kino o te mahi tākihi, e mōhiotia ana ko te mate tākihi wāhanga mutunga (ESRD). I tēnei wāhanga, me whai rongoā whakakapinga tākihi ngā tūroro kia ora ai.

Ngā Maimoatanga Whakakapinga Whatukuhu Noa

Ko ngā maimoatanga whakakapinga whatukuhu e tino whakamahia ana ko te hemodialysis, te peritoneal dialysis, me te whakawhitinga whatukuhu. He tikanga whānui te hemodialysis, engari kāore e pai mō te katoa. I tētahi atu taha, he pai te peritoneal dialysis mō ngā tūroro katoa, engari he nui te tūponotanga o te mate.

He aha te hemodialysis?

E toru ngā momo o te hemodialysis whānui: te hemodialysis (HD), te hemodiafiltration (HDF), me te hemoperfusion (HP).

HemodialysisHe tikanga hauora te rongoā e whakamahi ana i te mātāpono o te horapa hei tango i ngā hua para pākia, ngā matū kino, me te wai nui mai i te toto. Ko tētahi o ngā rongoā whakakapinga whatukuhu tino noa mō ngā tūroro e pāngia ana e te mate whatukuhu mutunga, ā, ka taea hoki te whakamahi hei rongoā i te nui rawa o te rongoā, te paitini rānei. Ka puta te horapa i roto i te dialyzer ina he rerekētanga kukū puta noa i te kiriuhi haurua-mokomoko, e āhei ai ngā matū matū ki te neke mai i ngā wāhi kukū teitei ki te kukū iti tae noa ki te taurite. Ko ngā ngota iti ka tangohia i te toto i te nuinga o te wā.

Te tātari totoHe maimoatanga tēnei o te hemodialysis me te hemofiltration, e whakamahi ana i te horapa me te convection hei tango i ngā matū wairewa. Ko te convection te nekehanga o ngā matū wairewa puta noa i te kiriuhi e peia ana e te pikinga pēhanga. He tere ake tēnei tukanga i te horapa, ā, he tino whai hua ki te tango i ngā matū nui ake, paitini mai i te toto. Ka taea e tēnei tikanga takirua te tangoatu anōngā ngota reo-rahi i roto i te wā poto ake i tētahi o ngā momo mahi anake. Ko te auau o te tātaritanga hemodia e taunakihia ana kia kotahi i te wiki.

Te whakaheke totoKo tētahi atu tikanga tēnei e tangohia ai te toto mai i te tinana, ka rere mā roto i tētahi taputapu whakaheke toto e whakamahi ana i ngā mea mimiti pēnei i te waro whakahohe, i ngā kapia rānei hei here me te tango i ngā hua para pākia, ngā matū paitini, me ngā rongoā mai i te toto. E tohutohuhia ana kia whiwhi hemoperfusion ngā tūroro kotahi i te marama.

*Te tūranga o te mimiti
I te wā o te hemodialysis, ka piri motuhake ētahi pūmua, paitini, me ngā rongoā i roto i te toto ki te mata o te kiriuhi dialysis, ā, ka māmā ake te tango atu i aua mea i te toto.

Kei te hanga a Chengdu Wesley i ngā mīhini hemodialysis me ngā mīhini hemodiafiltration e tuku ana i te ultrafiltration tika, te whakahaere ngāwari ki te whakamahi, me ngā mahere maimoatanga dialysis takitahi i runga i ngā tohutohu a ngā tākuta. Ka taea e ā mātou mīhini te mahi hemoperfusion me te hemodialysis me te whakatutuki i ngā whakaritenga mō ngā momo maimoatanga dialysis e toru. Mā te tiwhikete CE, e mōhiotia whānuitia ana ā mātou hua i ngā mākete o te ao.