Hemodialysis ni tekinoroji ya vitro yo kweza amaraso, bumwe muburyo bwo kuvura indwara zimpyiko zanyuma. Mu kumena amaraso mumubiri hanze yumubiri no kunyura mubikoresho byikwirakwizwa rya extraacorporeal hamwe na dialyzer, bituma amaraso na dialysate bihanahana ibintu binyuze mumyanya ya dialyse, kugirango amazi menshi na metabolite mumubiri byinjire mumubiri dialysate kandi irahanaguwe, kandi shingiro na calcium muri dialyse byinjira mumaraso, kugirango ugere ku ntego yo kubungabunga amazi, electrolyte na aside-fatizo yumubiri.
Mu myaka yashize, umubare w'abarwayi ba hemodialyse mu Bushinwa wiyongereye uko umwaka utashye, kandi umwanya munini ukenewe watumye iterambere ry’isoko ry’imisemburo mu Bushinwa ryihuta. Muri icyo gihe, hamwe n’inkunga ya politiki n’iterambere ry’ikoranabuhanga, igipimo cyo kwinjira mu bikoresho bya hémodialyse yo mu gihugu kizakomeza kwiyongera, kandi biteganijwe ko ishyirwa mu bikorwa rya hemodialyse yo mu rugo rizagerwaho.
Igipimo cyibicuruzwa byo mu rwego rwo hejuru bigomba kunozwa
Hariho ubwoko bwinshi bwibikoresho bya hemodialyse nibikoreshwa, cyane cyane harimo imashini ya dialyse, dialyzer, imiyoboro ya dialyse hamwe nifu ya dialyse (fluid). Muri byo, imashini ya dialyse ihwanye nuwakiriye ibikoresho byose bya dialyse, cyane cyane sisitemu yo gutanga amazi ya dialyse, sisitemu yo kugenzura amaraso hamwe na ultrafiltration yo kugenzura umwuma. Dializer ikoresha cyane cyane ihame rya sem permeable membrane kugirango ihindure ibintu hagati yamaraso yumurwayi na dialysate binyuze mu kuyungurura dialyse membrane. Turashobora kuvuga ko dialyse membrane nigice cyingenzi cya dialyzer, igira ingaruka muri rusange ya hemodialyse. Umuyoboro wa Dialysis, uzwi kandi ku kuzenguruka kw'amaraso ya extraacorporeal, ni igikoresho gikoreshwa nk'umuyoboro w'amaraso mu gihe cyo kweza amaraso. Ifu ya Hemodialysis (fluid) nayo ni igice cyingenzi mubikorwa byo kuvura hemodialyse. Ibikoresho bya tekiniki biri hasi cyane, kandi ikiguzi cyo gutwara amazi ya dialyse ni kinini. Ifu ya Dialysis yorohereza ubwikorezi no kubika, kandi irashobora guhuza neza na sisitemu yo gutanga amazi yibigo byubuvuzi.
Twabibutsa ko imashini ya dialyse hamwe na dialyseri nibicuruzwa byo murwego rwo hejuru murwego rwinganda rwa hemodialyse, hamwe nimbogamizi zubuhanga. Kugeza ubu, ahanini bashingira ku bicuruzwa bitumizwa mu mahanga.
Icyifuzo gikomeye gitera igipimo cyisoko gusimbuka cyane
Mu myaka yashize, umubare w'abarwayi ba hemodialyse mu Bushinwa wiyongereye vuba. Imibare yatanzwe na sisitemu yo kwandikisha amakuru y’igihugu mu rwego rwo kwandikisha amakuru (cnrds) yerekana ko umubare w’abarwayi ba hemodialyse mu Bushinwa wiyongereye uva kuri 234600 muri 2011 ugera kuri 692700 muri 2020, hamwe n’ubwiyongere bw’umwaka buri mwaka urenga 10%.
Twibuke ko ubwiyongere bw’umubare w’abarwayi ba hemodialyse bwatumye iterambere ryihuta ry’inganda ziva mu Bushinwa. Ishami rya digitale rya Zhongcheng ryakusanyije amakuru 4270 yatsindiye isoko ryibikoresho bya hemodialysis kuva 2019 kugeza 2021, birimo ibicuruzwa 60, byose hamwe byaguzwe miliyari 7.85. Aya makuru yerekana kandi ko isoko ryatsindiye isoko ry’ibikoresho bya hemodialyse mu Bushinwa ryiyongereye riva kuri miliyari 1.159 muri 2019 rigera kuri miliyari 3.697 mu 2021, kandi inganda zazamutse muri rusange
Urebye uko isoko ryatsindiye isoko ryibikoresho bitandukanye bya hémodialyse mu 2021, igiteranyo cyimigabane yisoko ryibicuruzwa icumi byambere hamwe natsindiye isoko byinjije 32.33%. Muri bo, amafaranga yatsindiye isoko angana na 710300t ya hemodialysis ibikoresho bya Braun yari miliyoni 260, yu mwanya wa mbere, angana na 11.52% by’umugabane w’isoko, naho umubare watsindiye isoko ni 193. Ibicuruzwa 4008s ver sion V10 bya Fresenius byakurikiranwe hafi, bingana na 9.33% by'umugabane w'isoko. Amafaranga yatsindiye isoko yari miliyoni 201 Yuan, naho umubare watsindiye isoko ni 903. Umugabane wa gatatu munini ku isoko ni ibicuruzwa by’icyitegererezo cya dbb-27c bya Weigao, hamwe n’amafaranga yatsindiye isoko angana na miliyoni 62 n’amafaranga yatsindiye isoko ni 414 .
Kwimenyekanisha no kugendagenda biragaragara
Bitewe na politiki, ibisabwa n'ikoranabuhanga, isoko rya hemodialyse y'Ubushinwa ryerekana inzira ebyiri zikurikira z'iterambere.
Icyambere, gusimbuza murugo ibikoresho byibanze bizihuta.
Kumwanya muremure, urwego rwa tekiniki nibikorwa byibicuruzwa byabashinwa bakora ibikoresho bya hemodialyse bifite icyuho kinini hamwe nibirango byamahanga, cyane cyane mubijyanye nimashini za dialyse na dialyzeri, igice kinini cyisoko gikoreshwa nibirango byamahanga.
Mu myaka yashize, hamwe n’ishyirwa mu bikorwa ry’ibikoresho by’ubuvuzi no gushyira mu bikorwa politiki yo gusimbuza ibicuruzwa, ibigo bimwe na bimwe by’ibikoresho byo mu gihugu byageze ku iterambere mu ikoranabuhanga ry’umusaruro, imishinga y’ubucuruzi n’ibindi, kandi isoko ryinjira mu bikoresho bya hemodialyse mu gihugu riragenda ryiyongera. Ibirango byimbere mu gihugu muriki gice birimo cyane cyane Weigao, Shanwaishan, baolaite, nibindi. Kugeza ubu, ibigo byinshi byihutisha kwagura imirongo yibicuruzwa bya hemodialysis, bizafasha guteza imbere imikoranire, kunoza imikorere yumuyoboro, kongera ubworoherane bwabakiriya bamanuka kumurongo umwe amasoko, kandi uzamure gukomera kwabakiriya ba nyuma.
Icya kabiri, hemodialyse yumuryango yabaye ubuvuzi bushya.
Kugeza ubu, serivisi ya hemodialyse mu Bushinwa itangwa ahanini n’ibitaro bya Leta, ibigo byigenga bya hémodialyse n’ibindi bigo by’ubuvuzi. Amakuru ya Cnrds yerekana ko umubare w’ibigo bya hemodialyse mu Bushinwa wiyongereye uva kuri 3511 muri 2011 ugera kuri 6362 muri 2019. Dukurikije imibare ya prospectus ya Shanwaishan, hashingiwe ku kigereranyo kivuga ko buri kigo cya hemodialysis gifite imashini 20 za dialyse, Ubushinwa bukeneye ibigo 30000 bya hemodialyse kugirango uhuze ibyifuzo byabarwayi muri iki gihe, kandi icyuho cyumubare wibikoresho bya hemodialyse kiracyari kinini.
Ugereranije na hemodialyse mu bigo byubuvuzi, hemodialyse murugo ifite ibyiza byigihe cyoroshye, inshuro nyinshi, kandi irashobora kugabanya kwandura kwambukiranya umusaraba, bifasha kuzamura ubuzima bw’abarwayi, kuzamura imibereho yabo n’amahirwe yo gusubiza mu buzima busanzwe.
Ariko, kubera uburyo bugoye bwo kuvura indwara ya hemodialyse hamwe n’itandukaniro ryinshi riri hagati y’umuryango n’ibidukikije by’amavuriro, gukoresha ibikoresho bya hemodialyse yo mu rugo biracyari mu rwego rwo kugerageza kwa muganga. Nta bicuruzwa byifashishwa mu gihugu byifashishwa mu isoko, kandi bizatwara igihe cyo kumenya ikoreshwa rya hemodialyse yo mu rugo.
Igihe cyo kohereza: Kanama-05-2022