Ngomhla we-10 kuMatshi, ngo-2022, i-17th World Kidney Day, i-WEGO Chain Hemodialysis Centre yadliwanondlebe neseti yesibini ye-CCTV ethi “Punctual Finance”.
I-WEGO Chain Dialysis Centre yibhetshi yokuqala ye "Iziko eliZimeleyo le-Hemodialysis" iiyunithi zokulinga zoMphathiswa wezeMpilo wangaphambili. Emva kweminyaka engaphezulu kweshumi yophuhliso, lisebenza izibhedlele ezine kunye namaziko azimeleyo e-hemodialysis aphantse abe li-100 kumaphondo asibhozo kwilizwe liphela, kwaye ngoku ineqela leengcaphephe eziphezulu kunye neqela lotyando lokufikelela kwimithambo.
Olu dliwano-ndlebe lwe-CCTV lubonise ngokupheleleyo ukuba i-WEGO Chain Dialysis Centre isombulula "indawo yokuthintela" yophuhliso ngokusebenzisa umsebenzi onzima kunye nomgangatho, kwaye ihlangabezana neemfuno ezihlukeneyo zezigulane ngokusebenzisa imodeli entsha yophuhliso lweqela elisekelwe kwikhonkco.
Inani labaguli abanesifo sezintso ekwinqanaba lokugqibela eTshayina liyanda unyaka nonyaka
Imfuno yonyango lwe-hemodialysis iyanda
Idatha yamva nje ye-epidemiological ibonisa ukuba isifo sezintso ezingapheliyo (CKD) sesinye sezifo eziphambili ezibeka impilo yabantu emngciphekweni. Kukho malunga ne-120 yezigidi zezigulane kwilizwe lam, kwaye izinga lokuxhaphaka liphezulu njenge-10.8%. Ngokuguga kwabantu bezentlalo kunye nokutshintsha kwendlela yokuphila, izehlo eziphezulu zezifo ze-metabolic ezifana nesifo seswekile kunye nokutyeba kakhulu kukhokelele ekonyukeni kancinci kwenani lezigulana ezinokusilela kwezintso. Okwangoku, i-hemodialysis yenye yeendlela ezibalulekileyo zonyango lwe-renal replacement, kwaye imfuno iyanda.
Ngenxa yokunyuka kancinci kwinqanaba lembuyekezo ye-inshurensi yezonyango, inani lezigulane ezineemfuno ze-dialysis liye landa unyaka nonyaka. Izibhedlele ezininzi, ngakumbi amasebe e-hemodialysis kwizibhedlele zikawonke-wonke zengingqi, ziye zafumana ukuxinana "ngezithuthi ezininzi kunye neendlela ezimbalwa". Kwimeko "enzima ukufumana ibhedi", izigulane ezininzi zifuna i-dialysis kwasekuseni, kwaye izigulane ezininzi kufuneka "zifune kude" kwaye zichithe ixesha elininzi, amandla kunye nezibonelelo zemali ukufuna i-dialysis.
Kuqikelelwa ukuba inani lezigulana ezinesifo sezintso ekwinqanaba lokugqibela e-China liya kudlula izigidi ezi-3 ngo-2030, kwaye izinga lonyango lwe-hemodialysis e-China lingaphantsi kwama-20%, eliphantsi kakhulu kunenqanaba lamazwe ngamazwe. Isenzeko sokuxhaphaka okuphezulu kodwa izinga le-dialysis eliphantsi lithetha ukuba eyona mfuno iya kuqhubeka ikhula. U-Li Xuegang, usekela mlawuli weSebe le-Nephrology kwiSibhedlele sikaMaspala wase-Weihai, uthe, "ukukhula ngokuqhambuka kwezigulana ze-dialysis kule minyaka mibini idlulileyo kuye kwasongamela amaziko amaninzi e-dialysis. Izimali zengingqi nazo ziphantsi koxinzelelo olukhulu, kwaye ukuchasana phakathi konikezelo kunye nemfuno kucacile. Ukuba akunakwenzeka ukuxhomekeka kuphela kwizibhedlele zikarhulumente, kufuneka sisebenzise amaziko azimeleyo e-dialysis, nokuba lishishini labucala okanye elidibeneyo, ukwenza le modeli ”.
Ngokophando lwe-epidemiological, inani lilonke lezigulane ezine-end-stage renal disease e-China malunga ne-1-2 yezigidi, kodwa ekupheleni kuka-2020, kukho kuphela i-700000 yezigulane ezibhalisiweyo ze-dialysis kunye namaziko e-dialysis angama-6000. Imfuno yonyango olukhoyo lwe-dialysis isekude ukuba ifezekiswe (CNRDS).
UMeng Jianzhong, usekela sihlalo wekomiti ekhethekileyo yesifo sezintso kumbutho wezonyango wase China, uthe, “okwangoku, ezi zigulana ziswele nje, kuba nje zingafuni (dialysis) unyango, esi sigulana siya kuba sengozini. yobomi nokufa, ekufuneka kuthiwe ngumngeni omkhulu kwilizwe lethu”.
Kunzima ukufikelela kwi-inshurensi yezonyango, ingxaki yetalente
Uphuhliso oluncinci lwamaziko azimeleyo e-hemodialysis
Ukuseka iziko elizimeleyo le-hemodialysis ukuncedisa izibhedlele zikarhulumente yindlela ebalulekileyo yokuzalisa ukunqongophala kwezixhobo zonyango. Ukususela ngo-2016, ilizwe lam liye laqala ukukhuthaza inkunzi yentlalo ukuba ingene kwintsimi yamaziko e-hemodialysis.
Ukuseka iziko elizimeleyo le-hemodialysis ukuncedisa izibhedlele zikarhulumente yindlela ebalulekileyo yokuzalisa ukunqongophala kwezixhobo zonyango. Ukususela ngo-2016, ilizwe lam liye laqala ukukhuthaza inkunzi yentlalo ukuba ingene kwintsimi yamaziko e-hemodialysis.
Ukusebenza okunzulu kunye nokusemgangathweni ukusombulula "indawo yokuthintela" yophuhliso
Indlela yophuhliso yoshishino lweqela lekhonkco
Abangaphakathi bathi indlela yokunciphisa iindleko, ukubonelela ngeenkonzo ezikumgangatho ophezulu kunye nokuseka impembelelo yeziko ibe yeyona nto iphambili yophuhliso lweziko elizimeleyo le-hemodialysis. Indlela yokusombulula iingxaki ezikhoyo kuphuhliso lwangoku? Zeziphi iintsingiselo zekamva loshishino?
Utyalo-mali lweziko elizimeleyo le-hemodialysis lolotyalo-mali olunzima, oluneendleko eziphezulu zokungena kunye nomngcipheko omkhulu. Indlela yokusebenza yetsheyini enokwabelana ngeendleko ngokuthatha inzuzo yesikali ibe yindlela yophuhliso kwishishini. U-Yu Pengfei, umlawuli weshishini we-WEGO chain dialysis center, wazisa ukuba "ukusuka kumatshini we-dialysis ukuya kwi-dialyzer, ukuya kwi-pipeline liquid kunye nesixhobo sokuxutywa, kunye nokutya kwezonyango kunye ne-nephrology kunye namachiza ekhaya kwizigulana zamva, iqela le-WEGO lokuhlanjululwa kwegazi liye laqulunqa. iseti epheleleyo yemigangatho yonyango kunye nemigangatho esetyenziswayo”.
Okwangoku, baqhubela phambili ukwenza i-R & D ezimeleyo kunye nokuveliswa kwemigca yemveliso ye-hemodialysis efana nezixhobo ze-dialysis kunye nezinto ezisetyenziswayo, ukukhawulezisa ukugubungela yonke ikhonkco lemizi-mveliso, ukwandisa inzuzo yeendleko, kunye nophuhliso oluhle kunye noluzinzileyo luzisa amava onyango olungcono kunye nokuqinisekiswa komgangatho. kwizigulana.
Ngokwesiseko sokusebenza kwekhonkco, iziko le-WEGO hemodialysis likwaqhuba uluhlu lweqela, njengokuseka isibhedlele se-nephrology, ukubonelela ngokuvuselelwa kwezintso, ulawulo lwezempilo kunye nezinye izibonelelo ezixhasayo zempilo yezintso, kunye nokwandisa umda weenkonzo. Uninzi lwezigulane ze-dialysis zigula ngokungapheliyo. Izibhedlele ze-Nephrology zenza i-loop evaliweyo ukusuka kunyango lwesifo sezintso ukuya kulawulo lwesifo se-post kunye nesondlo kunye nolawulo lwezempilo, ukwenza igama phakathi kwezigulane, kwaye umgangatho wobomi bezigulane uya kuba phezulu nangaphezulu. Ngokucwangciswa koluntu kunye neendawo ezikude, kunye nokuvulwa kwemigaqo-nkqubo ye-inshurensi yonyango yelizwe kwiindawo ezahlukeneyo, kuya kuba lula ngakumbi ukuba izigulane zihambe kwaye zisebenze kwiindawo ezahlukeneyo, ezisombulula ingxaki yokuba izigulane azikwazi ukuphuma.
Ngaphezu koko, ngokwabelana ngezibonelelo zonyango zengingqi, ukhuseleko kunye nomgangatho weenkonzo zonyango ziyaphuculwa, nto leyo ekwaluncedo kulawulo nolawulo lukarhulumente.
UMeng Jianzhong, usekela sihlalo wekomiti ekhethekileyo yesifo sezintso kumbutho waseTshayina ongengowasesidlangalaleni kunye nengcali eyintloko yeziko le-WEGO dialysis, uthe, "Urhulumente ukwacebise uphuhliso lokuhlanganiswa. Undoqo kukusebenzisa iindlela ezisemgangathweni zokulawula izigulana ngokucokisekileyo ngakumbi, kwaye ugqibezele olo phuculo lolawulo ngokusebenzisa ulwazi lwetyathanga, ulawulo lwamakhonkco, uqeqesho lwetalente kunye nokuthengwa kwempahla ngamandla, ukuze kuphunyezwe uphuhliso olukumgangatho ophezulu kunye nolunesantya esiphezulu, kwaye emva koko ukhonze ngcono abantu.”
Izibhedlele zikawonke-wonke zezonyango lwezigulana ezinobuzaza, izigulane zakwangoko kunye nezigulana ze-dialysis ezincinci. I-social dialysis center yi-dialysis yokugcina, ebonelela ngengqondo, i-physiological, isondlo kunye nesikhokelo esipheleleyo kwinkqubo yokuphila yezigulane. Ukuba bayasebenzisana, abanakukwazi ukunciphisa kuphela umthwalo wezoqoqosho welizwe, kodwa banciphise umthwalo kwiintsapho.
Ukususela kwi-2016, iBhunga leSizwe, iKomishoni yezeMpilo yeSizwe kunye namanye amasebe akhuphe ngokulandelelana imigaqo-nkqubo yophuhliso ukuxhasa kunye nokulinganisa imboni ye-hemodialysis. Kunyaka ophelileyo, imigaqo-nkqubo efanelekileyo efana nesayensi yokumisela amaziko e-dialysis, ukujula ukuthengwa kwevolumu kunye nokuguqulwa kwe-inshurensi yezonyango kukhankanywe "kwisicwangciso se-14 seminyaka emihlanu" izicwangciso zokhuseleko lwezonyango zamaphondo amaninzi kunye nezixeko, kuquka iJiangsu, iZhejiang, iShandong neBeijing. Ukuqala kulo nyaka, iBeijing iya kwandisa iintlobo ezikhethiweyo ze-inshurensi yezonyango kwaye icacise ukuba amaziko azimeleyo e-hemodialysis angafaka isicelo. Abangaphakathi bathi ngokukhululeka kancinci komgaqo-nkqubo, iziko elizimeleyo le-hemodialysis liyakwenza inkqubo yenkonzo ehambelana nomgangatho kunye nobungakanani bezibhedlele zikarhulumente kwixesha elizayo, ukuze kuhlangatyezwane neemfuno zezigulane ezinomgangatho ophezulu kunye namanqanaba amaninzi. iinkonzo.
Ixesha lokuposa: Apr-16-2022