Ukuthuthuka kwezindlela zokwelapha zokushintshwa kwezinso (RRT) kube nomthelela omkhulu ekuphathweni nasemiphumeleni yabantu abanesifo sezinso sokuphela kwesigaba (ESRD). Lezi zindlela ezintsha zihlanganisa izici ezihlukahlukene zokwelapha, kusukela ekuthuthukisweni kobuchwepheshe be-dialysis kuya ekuhloleni izindlela zokwelapha ezintsha. Ukuphishekela okuqhubekayo kokusebenza kahle okuthuthukisiwe, ukunethezeka kwesiguli, nokunakekelwa komuntu siqu kugcizelela ukuzibophezela ekuthuthukiseni ikhwalithi yempilo yalabo ababhekene ne-RRT.

Izindlela ze-Dialysis

Ingxenye eyodwa ephawulekayo yentuthuko ukucwengwa kwe-hemodialysis kanye ne-peritoneal dialysis modalities. Imishini ye-dialysis esebenza kahle kakhulu iye yavela ngenxa yemizamo eqhubekayo yocwaningo nentuthuko. Ukususwa kobuthi kunciphisa izikhathi zokwelashwa futhi kuthuthukisa imiphumela ye-dialysis iyonke. Umgomo uwukunikeza inqubo ephumelelayo nelula yeziguli, ukunciphisa umthwalo ohambisana nezinqubo zendabuko zokudayela.

Ngokuhambisana

UDkt. Sucharita Chakraborty, Umeluleki Wokufakelwa Izinso, I-Nephrology, Izibhedlela ze-CARE, U-Bhubaneswar, unentshisekelo ekuthuthukiseni amadivaysi e-dialysis agqokekayo naphathekayo.

• Lezi zindlela ezintsha zihlose ukunikeza ukuguquguquka okukhulu kanye nokwenza lula kubantu abane-ESRD. Imishini egqokwayo ingavumela iziguli ukuthi zithole i-dialysis ngenkathi zigcina imisebenzi yazo yansuku zonke, zinikeze ukuhlanganiswa okungenamthungo kokwelashwa ezimpilweni zazo. Imishini ephathekayo ingase ibonakale inenzuzo ikakhulukazi kubantu abadinga ukuhamba noma abanokufinyelela okulinganiselwe ezikhungweni zezempilo.
• I-Biocompatibility iwukucatshangelwa okubalulekile ekuthuthukisweni kwemithi yokubuyisela izinso. Abacwaningi bebesebenza ekuthuthukiseni izinto ezisebenza nge-biocompatible zama-dialysis membranes. Lezi zinto zinciphisa izimpendulo zokuvuvukala futhi ngcono ukuhambisana okuphelele nomzimba wesiguli. Ngokunciphisa ukusabela okungekuhle, ulwelwesi lwe-biocompatible lunikela ekuhlangenwe nakho okuphephile nokubekezeleleka kakhudlwana kwe-dialysis, okungase kuthuthukise ukunamathela kwesiguli ezinhlotsheni zokwelashwa.

Intuthuko Ekufinyeleleni I-Hemodialysis

Ukufinyelela kwemithambo kuyisici esibalulekile se-hemodialysis, futhi izinto ezintsha kule ndawo zihlose ukuhlinzeka ngezinketho ezinokwethenjelwa nezihlala isikhathi eside. I-arteriovenous fistulas kanye nama-grafts acwengiwe thuthukisa impilo ende futhi unciphise izinkinga. Ukwengeza, amasu ahlasela kancane angaphansi kokuhlolwa, efuna ukunciphisa izingozi ezihlobene nezinqubo zokufinyelela emithanjeni.

Ngaphandle Kwezindlela Zokudaya Zomdabu

Kunomfutho omkhulu obheke ekuhloleni ezinye izindlela zokwelapha zokubuyisela izinso. Izindawo zocwaningo ezisebenzayo zihlanganisa izinso ze-bioartificial, izinto ezifakelwayo, nezindlela zomuthi ovuselelayo. Lokhu kungenelela okusha kuhlinzeka ngezixazululo zesikhathi eside futhi okungenzeka kuqede isidingo se-dialysis eqhubekayo. I-Xenotransplantation, ehilela ukufakelwa kwezitho ezivela emithonjeni okungeyona eyomuntu, nayo iyaphenywa njengendlela engase ibhekane nokushoda kwezitho zabanikeli.

Ku-Telehealth

Ubuchwepheshe bokuqapha okukude buhlanganiswe ekulawuleni abantu abathola ukwelashwa kokubuyisela izinso. Imingcele yezempilo nezinhlelo zokwelapha zingalungiswa ukude. Ngokwenza lula ukuqapha okuvamile ngaphandle kokuvakashelwa njalo mathupha, i-telehealth inomthelela ekwandiseni ukufinyeleleka ekunakekelweni kanye nokwenza ngcono ukuthobela kwesiguli.

Isixhumanisi Esiyisethenjwa

https://www.thehealthsite.com/diseases-conditions/advances-in-renal-replacement-therapies-improving-outcomes-for-end-stage-renal-disease-1072731/