Uma uxoxa “ngenaliti ye-dialysis vs inaliti evamile”, kubalulekile ukuqonda ukuthi zombili izinhlobo zihlukaniswa ngokuthi “imishini yezokwelaphaInalithi yesirinji evamile ngokuvamile isetshenziselwa imithi, ukudonsa igazi, kanye nemijovo, kuyilapho "inalithi ye-dialysis" yakhelwe ngokukhethekile ukufinyelela i-hemodialysis ngokusebenzisa i-arteriovenous (AV) fistula noma i-graft. Kubasebenzi bezempilo, abahlinzeki, kanye nabathengi emakethe yomhlaba wonke "yemithi yezokwelapha" ingaqinisekisa ukuphepha komkhiqizo wesiguli, ukwazi ukuphepha komkhiqizo wesiguli.
Iyini Inalithi Evamile?
Okuvamileinaliti yomjovoyakhelwe izinqubo zomtholampilo ezivamile ezifana nalezi:
Umjovo we-subcutaneous noma we-intramuscular
Isampula yegazi noma ukufakwa kwe-IV
Ukuphathwa kwemithi
Ukugoma
Izinaliti ezivamile ziza ngobukhulu obuhlukahlukene ukusuka ku-18G kuya ku-30G. Incane inombolo ye-gauge, i-diameter inkulu. Ngomjovo ojwayelekile, i-23G–27G ivame kakhulu, yakhelwe ukunciphisa ukungaphatheki kahle ngenkathi ivumela ukugeleza okwanele koketshezi.
Kodwa-ke, lezi zinaliti ezijwayelekile "azifanelekele i-hemodialysis", njengoba i-lumen yazo incane kakhulu futhi izinga lokugeleza alikwazi ukuhlangabezana nezidingo zokwelashwa kokuhlanzwa kwegazi.
Iyini Inalithi Ye-Dialysis?
A inaliti ye-dialysis, evame ukubizwa ngokuthi “AV inaliti ye-fistula“, yakhelwe ngokukhethekile ukwelashwa “kwe-hemodialysis.” Ifakwa ku-arteriovenous fistula ukuvumela ukudluliswa kwegazi ngokushesha phakathi kwesiguli nomshini wokuhlanza igazi. Ngokungafani nezinaliti ezivamile, ihlanganisa:
Igeji elikhudlwana lokugeleza kwegazi eliphezulu
Idizayini enamaphiko yokulungiswa okuvikelekile
Iso elingemuva noma ithiphu leso langaphambili lokunyakaza kwegazi okushelelayo
Amashubhu athambile axhunywe kumjikelezo we-dialysis
Osayizi abanemibala ukuze babonwe kalula emtholampilo
I-Dialysis idinga ukucubungula umthamo omkhulu wegazi—kufika ku-300–500 mL/min. Ngakho-ke, izinaliti ze-dialysis eziphezulu kuphela ezingahlangabezana nale mfuneko.
Inalithi ye-Dialysis vs Inalithi Evamile: Umehluko Oyinhloko
| Isici | Inaliti ye-Dialysis | Inalithi Evamile |
| Inhloso | Ukufinyelela kwe-Hemodialysis | Umjovo, ukufinyelela kwe-IV, imithi |
| Isilinganiso | I-14G–17G (evamile: 15G AV inaliti ye-fistula) | 18G–30G kuye ngokusetshenziswa |
| Isilinganiso sokugeleza | Ukugeleza kwegazi okuphezulu (300-500 mL/min) | Ukugeleza okuphansi kuya kokuphakathi |
| I-Tube Connection | Ifakwe amashubhu namaphiko | Ngokuvamile awekho amaphiko noma amashubhu |
| Imvamisa Yokusebenzisa Isiguli | Ukufinyelela okuphindaphindiwe kweziguli ezingelapheki | Ukusetshenziswa ngezikhathi ezithile noma inqubo eyodwa |
| Isayithi Lokufaka | I-AV fistula noma i-graft | Umthambo, umsipha, izicubu ezingaphansi kwesikhumba |
Kusukela kulesi siqhathaniso, kuyacaca ukuthi inaliti ye-dialysis vs inaliti evamile akuyona nje indaba yobukhulu-kungumehluko kubunjiniyela, isicelo, isakhiwo, kanye nemfuneko yokuphepha.
I-Dialysis Needle Size Size
Usayizi wenaliti ye-dialysis ubalulekile kubo bobabili odokotela kanye nochwepheshe bokuthenga. I-gauge ithinta ngqo izinga lokugeleza nokunethezeka kwesiguli. Osayizi abavame ukusetshenziswa bahlanganisa:
I-14G - Ubukhulu obukhulu kakhulu, izinga lokugeleza eliphakeme kakhulu
15G AV inaliti ye-fistula — Ibhalansi edume kakhulu phakathi kokugeleza nokunethezeka
I-16G - Ifanele iziguli ezizinzile ze-hemodialysis
I-17G - Kulabo abane-fistula ebuthakathaka noma ukubekezelelana okuphansi
Ukufaka amakhodi kombala kuvame ukwenziwa kube sezingeni ukuze kukhonjwe kalula—i-15G ivamise ukubonakala iluhlaza, 16G onsomi, 17G ebomvu. Lokhu kusiza abasebenzi bezokwelapha baqinisekise ngokushesha usayizi olungile ngesikhathi sokwelashwa.
Ishadi Lokuqhathanisa Usayizi Wenaliti ye-Dialysis
| Isilinganiso | Ububanzi bangaphandle | Isivinini sokugeleza | Ikesi elingcono kakhulu lokusebenzisa |
| 14G | Okukhulu kakhulu | Phezulu kakhulu | Ukusebenza kahle kwe-dialysis, isimo esihle se-vascular |
| I-15G (esetshenziswa kakhulu) | Kancane kancane | Phezulu | Ukwelashwa kwe-dialysis yabantu abadala okujwayelekile |
| 16G | Kuphakathi | Okuphakathi-Phezulu | Iziguli ezinzile, ukufinyelela okulawulwayo |
| 17G | Inaliti encane ye-dialysis | Maphakathi | Iziguli ezinemithambo entekenteke noma ukubekezelelana okuphansi |
Ezinqumweni zokuthenga ezisekelwe ekusesheni,usayizi yenaliti dialysisukuqhathanisa kungenye yezici ezibaluleke kakhulu. Abathengi bavame ukubheka izinketho ze-14G–17G kuye ngesimo semithambo yesiguli kanye nemigomo yokwelashwa.
Kungani Inalithi Evamile Ingakwazi Ukumiselela Inalithi Ye-Dialysis
Ngisho noma zombili izinaliti zezokwelapha, inaliti yomjovo evamile ayikwazi ukuphatha umthamo wokugeleza kwe-dialysis. Ukusebenzisa inaliti ejwayelekile ye-hemodialysis kungaholela kulokhu:
Izinga lokugeleza kwegazi elinganele
Ukwandisa ingozi ye-hemolysis
Ingozi ephezulu yokujiya
Ubuhlungu obungaba khona kanye nomonakalo wokufinyelela
Ukwehluleka kokwelashwa okusongela ukuphila
Izinaliti ze-hemodialysis aziqiniswa nje ngobukhulu kodwa futhi nesakhiwo. I-bevel yabo ebukhali e-siliconized inikeza ukungena okushelelayo, inciphisa ukuhlukumezeka ngesikhathi sokufinyelela okuphindaphindiwe.
Kusetshenziswa Nini Uhlobo Ngalunye?
| Isimo | Inalithi Enconyiwe |
| Umjovo wemithi yansuku zonke | Inaliti elahlayo njalo |
| Ukugoma okujwayelekile | Inaliti evamile 23G–25G |
| Ukudweba igazi | Inaliti evamile noma inaliti yevemvane |
| I-dialysis yesifo sezinso esingamahlalakhona | Inaliti ye-Dialysis (14G–17G) |
| I-AV fistula puncture | 15G AV inaliti ye-fistula ekhethwayo |
Uma isiguli sithola i-dialysis kathathu ngesonto, ukusebenzisa inaliti ye-fistula ethembekile kuyisibopho ukuze kugcinwe impilo yemithambo yegazi kanye nokwelashwa okuphumelelayo.
Isidingo Semakethe kanye Nemininingwane Yokuhlinzeka Ngomhlaba Wonke
Njengoba isifo sezinso esingamahlalakhona sikhula emhlabeni wonke, isidingo semikhiqizo yokuhlinzekwa kwezokwelapha njengezinaliti ze-dialysis siyaqhubeka nokukhuphuka. Abakhiqizi abaningi manje benza ngokukhethekile:
Izinaliti eziyinyumba, ezisetshenziswa kanyekanye
Ukulinganisa kwegeji enombala
Imiklamo yamathiphu e-siliconized kanye ne-back-eye
Amasistimu wokuxhuma amashubhu kanye ne-luer
Ukusesha okufana nenaliti ye-dialysis uma kuqhathaniswa nenaliti evamile, ukuqhathaniswa kosayizi yenaliti ye-dialysis, kanye nenaliti ye-fistula ye-15G AV kubonisa ukugcwala komhlaba wonke okungaguquki, okwenza isihloko sibaluleke kubasabalalisi bezokwelapha, amapulatifomu e-e-commerce, namathimba okuthenga.
Isiphetho
Zombili izinaliti ezivamile nezinaliti ze-dialysis ziyimishini yezokwelapha ebalulekile, kodwa zenzelwe izinhloso ezihluke ngokuphelele. Inalithi evamile isekela izinqubo zomtholampilo ezivamile, kuyilapho inaliti ye-dialysis inikeza ukufinyelela kwevolumu ephezulu yokwelashwa kwe-hemodialysis. Ukuqonda osayizi bezinaliti ze-dialysis, ukusebenza kokugeleza, nokwehluka kwesakhiwo kuqinisekisa ukunakekelwa kwesiguli okuphephile kanye nezinqumo zokuthenga ezisebenza kahle.
Kunoma ubani ofuna ukuqhathanisa inaliti ye-dialysis vs inaliti evamile, okuthathwayo okubaluleke kakhulu kulula:
Inalithi ye-dialysis kuphela efanelekile ku-hemodialysis.
Isikhathi sokuthumela: Dec-08-2025