I-Hemodialysis yiteknoloji ye-in vitro yokuhlanjululwa kwegazi, enye yeendlela zonyango zesigaba sokugqibela sesifo sezintso.Ngokukhupha igazi emzimbeni ukuya ngaphandle komzimba kunye nokudlula kwisixhobo sokujikeleza kwe-extracorporeal nge-dialyzer, ivumela igazi kunye ne-dialysate ukutshintshiselana ngezinto nge-dialysate membrane, ukuze amanzi agqithisileyo kunye neemetabolites emzimbeni zingene. i-dialysate kwaye ihlanjululwe, kwaye iziseko kunye ne-calcium kwi-dialysate zingena egazini, ukuze kufezekiswe injongo yokugcina amanzi, i-electrolyte kunye ne-acid-base balance of body.
Kwiminyaka yakutshanje, inani labaguli be-hemodialysis e-China liye lonyuka unyaka nonyaka, kwaye indawo enkulu yemfuno ikhuthaze uphuhliso olukhawulezayo lwemakethi yaseTshayina ye-hemodialysis.Ngexesha elifanayo, ngenkxaso yemigaqo-nkqubo kunye nenkqubela phambili yeteknoloji, izinga lokungena kwezixhobo ze-hemodialysis zasekhaya liya kuqhubeka nokunyuka, kwaye ukusetyenziswa kwe-hemodialysis yasekhaya kulindeleke ukuba kufezekiswe.
Izinga lendawo yeemveliso eziphezulu kufuneka ziphuculwe
Kukho iintlobo ezininzi zezixhobo ze-hemodialysis kunye nezinto ezisetyenziswayo, ngokukodwa kubandakanywa oomatshini be-dialysis, i-dialyzers, i-dialysis pipelines kunye ne-dialysis powder (ulwelo).Phakathi kwabo, umatshini we-dialysis ulingana nomkhosi wezixhobo zonke ze-dialysis, ngokukodwa kubandakanywa inkqubo yokubonelela nge-dialysis fluid, inkqubo yokulawula ukujikeleza kwegazi kunye nenkqubo ye-ultrafiltration yokulawula ukuphelelwa ngamanzi emzimbeni.I-dialyzer isebenzisa umgaqo we-semi permeable membrane ukutshintshiselana ngezinto phakathi kwegazi lesigulana kunye ne-dialysate ngokusebenzisa ukuhluzwa kwe-dialysis membrane.Kunokuthiwa ukuba i-dialysis membrane iyona nxalenye ibalulekileyo ye-dialyzer, echaphazela umphumo jikelele we-hemodialysis.Umbhobho we-dialysis, owaziwa ngokuba yi-extracorporeal circulation blood circuit, sisixhobo esisetyenziswa njengomjelo wegazi kwinkqubo yokucocwa kwegazi.I-Hemodialysis powder (ulwelo) nayo iyinxalenye ebalulekileyo yenkqubo yokonyango ye-hemodialysis.Umxholo wayo wobugcisa uphantsi, kwaye iindleko zokuthutha ze-dialysis liquid ziphezulu.I-Dialysis powder ilungele ukuthuthwa kunye nokugcinwa, kwaye inokuhambelana ngcono nenkqubo yokubonelela ngolwelo oluphakathi lwamaziko ezonyango.
Kufuneka kuqatshelwe ukuba oomatshini be-dialysis kunye ne-dialyzers ziyimveliso ephezulu kwi-chain industry ye-hemodialysis, enemiqobo ephezulu yobugcisa.Okwangoku, ubukhulu becala baxhomekeke kwizinto ezisuka kumazwe angaphandle.
Imfuno enamandla iqhuba isikali semarike ukuba sitsibe ngokukhawuleza
Kwiminyaka yakutshanje, inani labaguli be-hemodialysis e-China liye landa ngokukhawuleza.Idatha evela kwinkqubo yobhaliso lwetyala lokuhlanjululwa kwegazi lesizwe (cnrds) ibonisa ukuba inani lezigulane ze-hemodialysis e-China liye landa ukusuka kwi-234600 ngo-2011 ukuya kwi-692700 ngo-2020, kunye nezinga lokukhula lonyaka elingaphezulu kwe-10%.
Kuyaphawuleka ukuba ukwanda kwenani lezigulana ze-hemodialysis kuye kwaqhuba uphuhliso olukhawulezayo lweshishini laseTshayina le-hemodialysis.Isebe ledijithali laseZhongcheng liqokelele idatha ye-4270 yokuphumelela ibhidi yezixhobo ze-hemodialysis ukusuka kwi-2019 ukuya kwi-2021, ebandakanya iimpawu ze-60, kunye nesixa esipheleleyo sokuthengwa kwe-7.85 yebhiliyoni ye-yuan.Le datha ikwabonisa ukuba isikali sentengiso esiphumeleleyo kwimakethi yezixhobo ze-hemodialysis e-China sinyuke ukusuka kwi-1.159 yeebhiliyoni zeeyuan ngo-2019 ukuya kwi-3.697 yeebhiliyoni zeeyuan ngo-2021, kwaye isikali seshishini sitsibe siphela.
Ukujonga imeko yokuphumelela ibhidi yeempawu ezahlukeneyo zezixhobo ze-hemodialysis ngo-2021, isimbuku sezabelo zentengiso zeemveliso ezilishumi eziphezulu kunye nesixa esiphumeleleyo se-bid sibalelwa kwi-32.33%.Phakathi kwabo, inani elipheleleyo lokuwina ibhidi ye-710300t yezixhobo ze-hemodialysis phantsi kwe-Braun yayiyi-260million ye-yuan, ibeka kuqala, ibala i-11.52% yesabelo semarike, kwaye inani le-bid lokuwina laliyi-193. I-4008s ver sion V10 imveliso ye-Fresenius ilandele ngokusondeleyo ibalelwa kwi-9.33% yesabelo semarike.Isixa-mali esiphumeleleyo sasiyi-201 yezigidi zeeyuan, kwaye inani le-bid eliphumeleleyo lalingama-903. Isabelo esikhulu semarike sesithathu yimveliso yemodeli ye-dbb-27c ye-Weigao, kunye nesixa-mali esiphumeleleyo se-yuan yezigidi ezingama-62 kunye nenani le-bid lokuwina iziqwenga ezingama-414. .
Ukwenziwa kwasekhaya kunye neendlela zokuphatheka zivela
Iqhutywa ngumgaqo-nkqubo, imfuno kunye nobuchwephesha, imarike ye-hemodialysis yaseTshayina ibonisa ezi ndlela zimbini zophuhliso zilandelayo.
Okokuqala, ukutshintshwa kwasekhaya kwezixhobo eziphambili kuya kukhawulezisa.
Ixesha elide, inqanaba lobugcisa kunye nokusebenza kwemveliso yabenzi bezixhobo ze-hemodialysis baseTshayina banesithuba esikhulu kunye neempawu zangaphandle, ngokukodwa kwintsimi yoomatshini be-dialysis kunye ne-dialyzers, ininzi yesabelo semarike sihlala kwiimpawu zangaphandle.
Kwiminyaka yakutshanje, kunye nokuphunyezwa kwezixhobo zonyango zasekhaya kunye nemigaqo-nkqubo yokutshintshwa, ezinye iinkampani zasekhaya ze-hemodialysis zezixhobo ziye zazuza uphuhliso olutsha kwiteknoloji yemveliso, imodeli yoshishino kunye neminye imiba, kunye nokungena kweemarike zezixhobo ze-hemodialysis zasekhaya zikhula ngokuthe ngcembe.Iimpawu eziphambili zasekhaya kulo mmandla zibandakanya i-Weigao, i-Shanwaishan, i-baolaite, njl. njl ukuthenga, kunye nokwandisa ukuncamathela kwabathengi bokugqibela.
Okwesibini, i-hemodialysis yosapho ibe lunyango olutsha.
Okwangoku, iinkonzo ze-hemodialysis e-China zibonelelwa ikakhulu kwizibhedlele zikarhulumente, amaziko abucala e-hemodialysis kunye namanye amaziko ezonyango.Idatha ye-Cnrds ibonisa ukuba inani lamaziko e-hemodialysis e-China liye landa ukusuka kwi-3511 kwi-2011 ukuya kwi-6362 ngo-2019. Ngokutsho kwedatha ye-prospectus ye-Shanwaishan, ngokusekelwe kuqikelelo lokuba iziko ngalinye le-hemodialysis lixhotyiswe ngoomatshini be-dialysis abangama-20, i-China idinga amaziko angama-30000 e-hemodialysis. ukuhlangabezana neemfuno zangoku zezigulane, kwaye umsantsa kwinani lezixhobo ze-hemodialysis usemkhulu.
Xa kuthelekiswa ne-hemodialysis kumaziko ezonyango, i-hemodialysis ekhaya ineenzuzo zexesha eliguquguqukayo, i-frequency frequency, kwaye inokunciphisa usulelo olunqamlezayo, olunceda ukuphucula impilo yezigulane, ukuphucula umgangatho wobomi kunye namathuba okubuyisela.
Nangona kunjalo, ngenxa yobunzima benkqubo ye-hemodialysis kunye nokwahlukana okuninzi phakathi kwemeko yentsapho kunye nemeko yeklinikhi, ukusetyenziswa kwezixhobo ze-hemodialysis zendlu kusekho kwinqanaba lovavanyo lwekliniki.Akukho mveliso yasekhaya ephathekayo ye-hemodialysis kwimarike, kwaye kuya kuthatha ixesha ukuqonda ukusetyenziswa okubanzi kwe-hemodialysis yasekhaya.
Ixesha lokuposa: Aug-05-2022