ʻO ka hemodialysis kahi ʻenehana hoʻomaʻemaʻe koko in vitro, ʻo ia kekahi o nā ʻano lapaʻau o ka maʻi renal hope. Ma ka hoʻokahe ʻana i ke koko i loko o ke kino i waho o ke kino a me ka hele ʻana ma o ka extracorporeal circulation device me kahi dialyzer, hiki i ke koko a me ka dialysate ke hoʻololi i nā mea ma o ka membrane dialysate, i komo ka wai nui a me nā metabolites i loko o ke kino. dialysate a hoʻomaʻemaʻeʻia, a komo nā kumu a me ka calcium i loko o ka dialysate i ke koko, i mea e hoʻokō ai i ke kumu o ka mālamaʻana i ka wai, electrolyte a me ka acid-base koena o ke kino.
I kēia mau makahiki i hala iho nei, ua hoʻonui ʻia ka nui o nā mea maʻi hemodialysis ma Kina i kēlā me kēia makahiki, a ʻo ka nui o ka nui o ka wahi koi i koi i ka ulu wikiwiki ʻana o ka mākeke hemodialysis o Kina. I ka manawa like, me ke kākoʻo o nā kulekele a me ka holomua o ka ʻenehana, e hoʻomau ka piʻi ʻana o ka helu komo o nā mea hemodialysis home, a manaʻo ʻia e hoʻokō ʻia ka noi ʻana o ka home hemodialysis.
Pono e hoʻomaikaʻi ʻia ka helu localization o nā huahana kiʻekiʻe
Nui nā ʻano mea hana hemodialysis a me nā mea hoʻohana, ʻo ia hoʻi me nā mīkini dialysis, nā dialyzers, nā pipeline dialysis a me ka pauka dialysis (wai). Ma waena o lākou, ua like ka mīkini dialysis me ka pūʻali o nā lako dialysis holoʻokoʻa, ka mea nui me ka ʻōnaehana hoʻolako wai dialysis, ʻōnaehana kahe koko a me ka ʻōnaehana ultrafiltration e kāohi i ka dehydration. Hoʻohana nui ka dialyzer i ke kumu o ka membrane semi permeable e hoʻololi i nā mea ma waena o ke koko o ka mea maʻi a me ka dialysate ma o ka kānana ʻana o ka membrane dialysis. Hiki ke ʻōlelo ʻia ʻo ka membrane dialysis ka mea nui loa o ka dialyzer, e pili ana i ka hopena holoʻokoʻa o ka hemodialysis. ʻO ka pipeline dialysis, ʻike ʻia hoʻi he extracorporeal circulation blood circuit, he mea hana i hoʻohana ʻia ma ke ʻano he ala koko i ke kaʻina o ka hoʻomaʻemaʻe koko. ʻO ka pauka hemodialysis (wai) he ʻāpana koʻikoʻi hoʻi ia o ke kaʻina hana hemodialysis. He haʻahaʻa loa kona ʻike loea, a he kiʻekiʻe ke kumu kūʻai o ka wai dialysis. ʻOi aku ka maʻalahi o ka pauka dialysis no ka lawe ʻana a me ka mālama ʻana, a hiki ke hoʻohālikelike i ka ʻōnaehana hoʻolako wai kikowaena o nā keʻena olakino.
Pono e hoʻomaopopo ʻia ʻo nā mīkini dialysis a me nā dialyzers he mau huahana kiʻekiʻe loa i ke kaulahao ʻoihana hemodialysis, me nā pale ʻenehana kiʻekiʻe. I kēia manawa, hilinaʻi nui lākou i ka lawe ʻana mai.
ʻO ke koi ikaika e alakaʻi i ka nui o ka mākeke e lele ikaika
I nā makahiki i hala iho nei, ua piʻi wikiwiki ka nui o nā maʻi hemodialysis ma Kina. Hōʻike ka ʻikepili mai ka ʻōnaehana hoʻomaʻemaʻe ʻike ʻike hoʻomaʻemaʻe koko aupuni (cnrds) ua hoʻonui ʻia ka nui o nā maʻi hemodialysis ma Kina mai 234600 i 2011 a i 692700 i 2020, me ka nui o ka ulu ʻana o ka makahiki ma mua o 10%.
Hoʻomaopopo ʻia ʻo ka piʻi ʻana o ka nui o nā maʻi hemodialysis i alakaʻi i ka ulu wikiwiki ʻana o ka ʻoihana hemodialysis o Kina. Ua hōʻiliʻili ʻo Zhongcheng digital Department i 4270 bid lanakila i ka ʻikepili o nā mea hemodialysis mai 2019 a 2021, e pili ana i nā hōʻailona 60, me ka huina kūʻai o 7.85 biliona yuan. Hōʻike pū ka ʻikepili i ka piʻi ʻana o ka mākeke lanakila o nā lako hemodialysis ma Kina mai 1.159 biliona yuan i 2019 a i 3.697 biliona yuan i 2021, a ua lele ka nui o ka ʻoihana.
Ke hoʻoholo nei mai ke kūlana lanakila o nā ʻano like ʻole o nā mea hemodialysis i ka makahiki 2021, ʻo ka huina o nā māhele mākeke o nā huahana he ʻumi kiʻekiʻe me ka nui o ka lanakila ʻana he 32.33%. Ma waena o lākou, ʻo ka huina o ka 710300t hemodialysis lako ma lalo o Braun he 260million yuan, ka helu mua, helu no 11.52% o ka māhele mākeke, a ʻo ka helu o ka lanakila ʻana he 193. ʻO 9.33% o ka māhele mākeke. He 201 miliona yuan ka huina i lanakila ai, a he 903 ka nui o na makana i lanakila. .
Hōʻike ʻia nā ʻano kūloko a me ka lawe ʻana
Ke alakaʻi ʻia e ke kulekele, koi a me ka ʻenehana, hōʻike ka mākeke hemodialysis Kina i kēia mau ʻano hoʻomohala nui ʻelua.
ʻO ka mea mua, e wikiwiki ka hoʻololi ʻana i nā lako kumu.
No ka manawa lōʻihi, ʻo ka pae ʻenehana a me ka hana huahana o nā mea hana hemodialysis Kina i kahi ākea nui me nā hōʻailona haole, ʻoi aku hoʻi ma ke ʻano o nā mīkini dialysis a me nā dialyzers, ʻo ka hapa nui o ka mākeke e noho ʻia e nā hōʻailona haole.
I kēia mau makahiki i hala iho nei, me ka hoʻokō ʻana i nā kulekele kūloko o ka lāʻau lapaʻau a me ka hoʻokomo ʻana i nā kulekele hoʻololi, ua hoʻokō kekahi mau ʻoihana lako hemodialysis home i ka hoʻomohala ʻana i ka ʻenehana hana, ʻoihana ʻoihana a me nā ʻano ʻē aʻe, a ke piʻi mālie nei ka mākeke o nā lako hemodialysis home. ʻO nā ʻoihana alakaʻi kūloko ma kēia kahua ʻo Weigao, Shanwaishan, baolaite, a me nā mea ʻē aʻe. kūʻai, a hoʻonui i ka stickiness o nā mea kūʻai hope.
ʻO ka lua, ua lilo ka hemodialysis ʻohana i mea lapaʻau hou.
I kēia manawa, hāʻawi nui ʻia nā lawelawe hemodialysis ma Kina e nā haukapila aupuni, nā kikowaena hemodialysis pilikino a me nā keʻena olakino ʻē aʻe. Hōʻike nā ʻikepili Cnrds ua hoʻonui ʻia ka nui o nā hale hemodialysis ma Kina mai 3511 i 2011 a i 6362 i 2019. Wahi a ka ʻikepili prospectus o Shanwaishan, ma muli o ka manaʻo ua lako kēlā me kēia hale hemodialysis me nā mīkini dialysis 20, pono ʻo Kina i 30000 mau kikowaena hemodialysis. no ka hoʻokō ʻana i nā pono o nā maʻi i kēia manawa, a ʻo ka nui o ka nui o nā lako hemodialysis e mau nei.
Ke hoʻohālikelike ʻia me ka hemodialysis i loko o nā keʻena olakino, ʻo ka hemodialysis ma ka home ka maikaʻi o ka manawa maʻalahi, ʻoi aku ka pinepine, a hiki ke hōʻemi i ka maʻi cross, e kōkua i ka hoʻomaikaʻi maikaʻi ʻana i ke kūlana olakino o nā maʻi, hoʻomaikaʻi i ko lākou ola a me nā manawa hoʻoponopono.
Eia nō naʻe, ma muli o ka paʻakikī o ke kaʻina hemodialysis a me ka nui o nā ʻokoʻa ma waena o ka ʻohana ʻohana a me ke kaiapuni lāʻau lapaʻau, ʻo ka hoʻohana ʻana i nā lako hemodialysis home aia nō i ka pae hoʻokolohua lapaʻau. ʻAʻohe huahana hemodialysis portable home ma ka mākeke, a he manawa ia e ʻike ai i ka noi ākea o ka hemodialysis home.
Ka manawa hoʻouna: ʻAukake-05-2022