I-Hemodialysis iwubuchwepheshe bokuhlanza igazi le-in vitro, okungenye yezindlela zokwelapha isifo sezinso esisekupheleni.Ngokukhipha igazi emzimbeni liye ngaphandle komzimba futhi lidlule emshinini wokujikeleza we-extracorporeal nge-dialyzer, kuvumela igazi kanye ne-dialysate ukushintshanisa izinto ngolwelwesi lwe-dialysate, ukuze amanzi amaningi nama-metabolites emzimbeni angene. i-dialysate futhi iyasuswa, futhi izisekelo ne-calcium ku-dialysate ingena egazini, ukuze kuzuzwe inhloso yokugcina amanzi, i-electrolyte kanye ne-acid-base balance yomzimba.
Eminyakeni yamuva nje, inani leziguli ze-hemodialysis e-China liye landa unyaka nonyaka, futhi isikhala esikhulu sokufunwa sigqugquzele ukuthuthuka okusheshayo kwemakethe ye-hemodialysis yaseChina.Ngesikhathi esifanayo, ngokusekelwa kwezinqubomgomo kanye nenqubekelaphambili yobuchwepheshe, izinga lokungena kwemishini ye-hemodialysis yasekhaya lizoqhubeka nokukhula, futhi ukusetshenziswa kwe-hemodialysis yasekhaya kulindeleke ukuthi kufezeke.
Izinga lendawo lemikhiqizo esezingeni eliphezulu lidinga ukuthuthukiswa
Kunezinhlobo eziningi zamathuluzi we-hemodialysis kanye nezinto ezisetshenziswayo, ikakhulukazi ezihlanganisa imishini ye-dialysis, ama-dialyzer, amapayipi e-dialysis kanye ne-dialysis powder (uketshezi).Phakathi kwazo, umshini we-dialysis ulingana nemishini yonke ye-dialysis, ikakhulukazi okuhlanganisa uhlelo lokuhlinzeka ngoketshezi lwe-dialysis, uhlelo lokulawula ukujikeleza kwegazi kanye nesistimu ye-ultrafiltration yokulawula ukuphelelwa amandla kwamanzi.I-dialyzer ikakhulukazi isebenzisa isimiso se-semipermeable membrane ukushintshanisa izinto phakathi kwegazi lesiguli kanye ne-dialysate ngokusebenzisa ukuhlunga kwe-dialysis membrane.Kungashiwo ukuthi ulwelwesi lwe-dialysis luyingxenye ebaluleke kakhulu ye-dialyzer, ethinta umphumela wonke we-hemodialysis.Ipayipi le-dialysis, elibuye laziwe njenge-extracorporeal circulation blood circuit, iyithuluzi elisetshenziswa njengomzila wegazi ohlelweni lokuhlanzwa kwegazi.I-Hemodialysis powder (uketshezi) nayo iyingxenye ebalulekile yenqubo yokwelapha i-hemodialysis.Okuqukethwe kwayo kwezobuchwepheshe kuphansi, futhi izindleko zokuthutha zoketshezi lwe-dialysis ziphezulu.Impushana ye-Dialysis ilungele ukuthuthwa nokugcinwa, futhi ingafanisa kangcono uhlelo oluphakathi nendawo lokuhlinzeka ngoketshezi lwezikhungo zezokwelapha.
Kumele kuqashelwe ukuthi imishini ye-dialysis kanye nama-dialyzers yimikhiqizo ephezulu embonini ye-hemodialysis, enezithiyo eziphezulu zobuchwepheshe.Okwamanje, bathembele kakhulu ekuthengeni kwamanye amazwe.
Isidingo esinamandla sishayela isikali semakethe ukuthi sigxume kakhulu
Eminyakeni yamuva nje, inani leziguli ze-hemodialysis eChina lenyuke ngokushesha.Idatha evela ohlelweni lukazwelonke lokubhalisa amacala okuhlanzwa kwegazi (cnrds) ikhombisa ukuthi isibalo seziguli ze-hemodialysis e-China senyuke sisuka ku-234600 ngo-2011 saya ku-692700 ngo-2020, ngesilinganiso sokukhula saminyaka yonke esingaphezu kwe-10%.
Kuyaphawuleka ukuthi ukwanda kwenani leziguli ze-hemodialysis kuqhubekisele phambili intuthuko esheshayo yomkhakha we-hemodialysis waseChina.UMnyango wedijithali waseZhongcheng uqoqe imininingwane engama-4270 yokuwina amabhidi emishini yokuhlaziya i-hemodialysis kusukela ngo-2019 kuya ku-2021, ehlanganisa imikhiqizo engama-60, nenani eliphelele lokuthenga lama-yuan ayizigidi eziyizinkulungwane ezingama-7.85.Imininingwane iphinde ikhombise ukuthi isikali semakethe esiwina ibhidi semishini ye-hemodialysis e-China senyuke sisuka ku-1.159 billion yuan ngonyaka wezi-2019 saya kuma-yuan ayizigidi eziyizinkulungwane ezingama-3.697 ngo-2021, futhi izinga lezimboni leqe lonke.
Uma sibheka isimo sokuwina ibhidi semikhiqizo ehlukahlukene yemishini ye-hemodialysis ngo-2021, isamba samasheya emakethe emikhiqizo eyishumi ephezulu nenani eliwinile lamabhidi lifinyelele ku-32.33%.Phakathi kwazo, inani eliphelele lokuwina ibhidi lemishini ye-hemodialysis engu-710300t ngaphansi kwe-Braun lalingama-yuan ayizigidi ezingu-260, libekwe kuqala, libalwa ngo-11.52% wesabelo semakethe, futhi inani labawinile ibhidi lalingu-193. Umkhiqizo we-4008s ver sion V10 weFresenius ulandelwe eduze, ibalwa ku-9.33% wesabelo semakethe.Inani eliwinile ibhidi lalingamayuan ayizigidi ezingu-201, futhi inani labaphumelele ibhidi lalingu-903. Isabelo semakethe sesithathu ngobukhulu siwumkhiqizo oyimodeli ye-dbb-27c ye-Weigao, enenani eliwina ibhidi lama-yuan ayizigidi ezingu-62 kanye nenombolo yokuwina ibhidi yezingcezu ezingu-414. .
Ukuthrenda kwendawo kanye nokuphatheka kuyavela
Iqhutshwa inqubomgomo, isidingo nobuchwepheshe, imakethe yaseChina ye-hemodialysis yethula lezi zindlela ezimbili zentuthuko ezinkulu ezilandelayo.
Okokuqala, ukushintshwa kwasekhaya kwemishini eyinhloko kuzosheshisa.
Isikhathi eside, izinga lobuchwepheshe kanye nokusebenza komkhiqizo wabakhiqizi bemishini ye-hemodialysis baseShayina banegebe elikhulu nemikhiqizo yangaphandle, ikakhulukazi emkhakheni wemishini ye-dialysis kanye nama-dialyzers, ingxenye enkulu yemakethe ithathwa yimikhiqizo yangaphandle.
Eminyakeni yamuva nje, ngokusetshenziswa kwezinqubomgomo zokwenziwa kwasendaweni kwemishini yezokwelapha kanye nezinqubomgomo zokufaka esikhundleni, amanye amabhizinisi asekhaya emishini ye-hemodialysis azuze ukuthuthukiswa okusha kwezobuchwepheshe bokukhiqiza, imodeli yebhizinisi nezinye izici, futhi ukungena emakethe kwemishini yasekhaya ye-hemodialysis kuyanda kancane kancane.Imikhiqizo yasekhaya ehamba phambili kulo mkhakha ikakhulukazi ihlanganisa i-Weigao, i-Shanwaishan, i-baolaite, njll. Njengamanje, amabhizinisi amaningi asheshisa ukunwetshwa kwemigqa yomkhiqizo we-hemodialysis, okuzosiza ukukhuthaza ukusebenzisana, ukuthuthukisa ukusebenza kahle kwesiteshi, ukwandisa ukunethezeka kwamakhasimende aphansi komfula. ukuthenga, futhi kuthuthukise ukunamathela kwamakhasimende ekugcineni.
Okwesibili, i-hemodialysis yomndeni isiphenduke ukwelashwa okusha.
Njengamanje, izinsizakalo ze-hemodialysis e-China zihlinzekwa ikakhulukazi izibhedlela zikahulumeni, izikhungo ezizimele ze-hemodialysis nezinye izikhungo zezokwelapha.Idatha ye-Cnrds ikhombisa ukuthi isibalo sezikhungo ze-hemodialysis e-China senyuke sisuka ku-3511 ngo-2011 saya ku-6362 ngo-2019. Ngokusho kwedatha ye-prospectus ye-Shanwaishan, ngokusekelwe esilinganisweni sokuthi isikhungo ngasinye se-hemodialysis sihlome ngemishini engu-20 ye-dialysis, i-China idinga izikhungo ze-hemodialysis ezingu-30000. ukuhlangabezana nezidingo zamanje zeziguli, futhi igebe enanini lemishini ye-hemodialysis liselikhulu.
Uma kuqhathaniswa ne-hemodialysis ezikhungweni zezokwelapha, i-hemodialysis ekhaya inezinzuzo zesikhathi esivumelana nezimo, imvamisa eyengeziwe, futhi inganciphisa ukutheleleka okuphambene, okusiza ukuthuthukisa kangcono isimo sezempilo seziguli, ukuthuthukisa izinga labo lokuphila kanye namathuba okuvuselela.
Kodwa-ke, ngenxa yobunkimbinkimbi benqubo ye-hemodialysis kanye nomehluko omningi phakathi kwendawo yomndeni kanye nendawo yomtholampilo, ukusetshenziswa kwemishini ye-hemodialysis yasendlini kusesesigabeni sokuhlolwa komtholampilo.Awukho umkhiqizo wasekhaya ophathwayo we-hemodialysis emakethe, futhi kuzothatha isikhathi ukubona ukusetshenziswa okubanzi kwe-hemodialysis yasendlini.
Isikhathi sokuthumela: Aug-05-2022