{"id":45196,"date":"2019-10-18T12:03:14","date_gmt":"2019-10-18T10:03:14","guid":{"rendered":"https:\/\/univet.hu\/?page_id=45196"},"modified":"2026-06-29T21:10:31","modified_gmt":"2026-06-29T19:10:31","slug":"dializis","status":"publish","type":"page","link":"https:\/\/univet.hu\/hu\/klinikak\/kisallatklinika\/belgyogyaszat\/dializis\/","title":{"rendered":"Dial\u00edzis"},"content":{"rendered":"<h4 style=\"text-align: center\"><span style=\"font-size: 14pt\"><b><span style=\"font-size: 18pt\">Dial\u00edzis az \u00c1llatorvostudom\u00e1nyi Egyetem Belgy\u00f3gy\u00e1szati Tansz\u00e9k\u00e9n \u00e9s Klinik\u00e1j\u00e1n<\/span>\u00a0<\/b><\/span><\/h4> <h5><b><span data-contrast=\"auto\">Mire j\u00f3 a dial\u00edzis?<\/span><\/b><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:120}\">\u00a0<\/span><\/h5> <p><span data-contrast=\"auto\">A dial\u00edzis azt az orvosi technol\u00f3gi\u00e1t jelenti, amikor a v\u00e9rben kering\u0151 salakanyagokat mesters\u00e9gesen t\u00e1vol\u00edtjuk el. Egy eg\u00e9szs\u00e9ges szervezetben ezt a feladatot a ves\u00e9k l\u00e1tj\u00e1k el, s\u00falyos vesek\u00e1rosod\u00e1s eset\u00e9n azonban a m\u00e9regtelen\u00edt\u0151 funkci\u00f3 nem el\u00e9gs\u00e9ges, a felhalmoz\u00f3d\u00f3 salakanyagok pedig s\u00falyos t\u00fcnetek (ur\u00e9mia) kialakul\u00e1s\u00e1hoz, \u00e9s ak\u00e1r elhull\u00e1shoz is vezethetnek. A dial\u00edzist ez\u00e9rt m\u0171vese kezel\u00e9snek is nevezik.<\/span><\/p> <h5><b><span data-contrast=\"auto\">Milyen form\u00e1i l\u00e9teznek a dial\u00edzisnek?<\/span><\/b><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:120}\">\u00a0<\/span><\/h5> <p><span data-contrast=\"auto\">Technikailag k\u00e9t form\u00e1t k\u00fcl\u00f6n\u00edthet\u00fcnk el. <\/span><\/p> <p><b><span data-contrast=\"auto\">Hemodial\u00edzis\/v\u00e9res alap\u00fa dial\u00edzis<\/span><\/b><span data-contrast=\"auto\">\u00a0sor\u00e1n a v\u00e9rt a szerve1zetb\u0151l kivezetj\u00fck, egy filteren kereszt\u00fcl megtiszt\u00edtjuk, majd visszavezetj\u00fck a p\u00e1ciensbe. A filterben membr\u00e1nok tal\u00e1lhat\u00f3ak, melyek egyik oldal\u00e1n a beteg v\u00e9r\u00e9t, m\u00e1sik oldal\u00e1n pedig dial\u00edzis folyad\u00e9kot \u00e1ramoltatunk. A m\u00e9reganyagok a v\u00e9rb\u0151l a dial\u00edzis folyad\u00e9kba ker\u00fclnek, \u00e9s a megtiszt\u00edtott v\u00e9r ker\u00fcl vissza a p\u00e1ciensbe. A membr\u00e1n fel\u00e9p\u00edt\u00e9se \u00e9s a dial\u00edzis folyad\u00e9k \u00f6sszet\u00e9tele lehet\u0151v\u00e9 teszi, hogy csak a m\u00e9reganyagokat vegy\u00fck ki a v\u00e9rb\u0151l, a fontos \u00f6sszetev\u0151k bent maradnak.\u00a0Klinik\u00e1nkon k\u00e9tf\u00e9le\u00a0hemodial\u00edzis\u00a0k\u00e9sz\u00fcl\u00e9k \u00e9rhet\u0151 el. Nagytest\u0171 \u00e1llatokat (&gt;12-15 kg) az \u201eintermitt\u00e1l\u00f3\u201d (4-6 \u00f3r\u00e1s)\u00a0hemodial\u00edzisre\u00a0alkalmas g\u00e9pen kezel\u00fcnk (IHD), m\u00edg kis m\u00e9ret\u0171 \u00e1llatokat (&lt;12-15 kg) \u201efolyamatos\u201d (10-20 \u00f3r\u00e1s)\u00a0hemodial\u00edzisre\u00a0alkalmas g\u00e9peken kezel\u00fcnk (CRRT). <\/span><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:120}\">\u00a0<\/span><\/p> <p><b><span data-contrast=\"auto\">Peritone\u00e1lis\/hasi dial\u00edzis<\/span><\/b><span data-contrast=\"auto\">\u00a0eset\u00e9n a hash\u00e1rty\u00e1t haszn\u00e1ljuk, mint membr\u00e1nt, amin kereszt\u00fcl a m\u00e9reganyagokat kijuttatjuk a szervezetb\u0151l. A has\u00fcregbe egy speci\u00e1lis kat\u00e9tert \u00fcltet\u00fcnk be m\u0171t\u00e9ti \u00faton. A kat\u00e9teren kereszt\u00fcl\u00a0dializ\u00e1l\u00f3\u00a0folyad\u00e9kkal t\u00f6ltj\u00fck fel a has\u00fcreget. Ebbe a folyad\u00e9kba a hash\u00e1rty\u00e1n kereszt\u00fcl kisz\u0171r\u0151dnek a m\u00e9reganyagok, majd a folyad\u00e9kot leengedj\u00fck, \u00e9s ism\u00e9t tiszta\u00a0dializ\u00e1l\u00f3\u00a0oldattal t\u00f6ltj\u00fck fel a has\u00fcreget. A folyad\u00e9kcser\u00e9t naponta t\u00f6bbsz\u00f6r elv\u00e9gezz\u00fck. <\/span><\/p> <h5><b><span data-contrast=\"auto\">Milyen dial\u00edzisre van lehet\u0151s\u00e9g az \u00c1llatorvostudom\u00e1nyi Egyetem Kis\u00e1llatklinik\u00e1j\u00e1n?<\/span><\/b><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:120}\">\u00a0<\/span><\/h5> <p><span data-contrast=\"auto\">Klinik\u00e1nkon\u00a0peritone\u00e1lis\u00a0dial\u00edzist \u00e9vek \u00f3ta v\u00e9gz\u00fcnk, a\u00a0hemodial\u00edzist\u00a0pedig hosszas el\u0151k\u00e9sz\u00fcletek ut\u00e1n 2019-ben vezett\u00fck be.<\/span><\/p> <h5><b><span data-contrast=\"auto\">Milyen megbeteged\u00e9sek eset\u00e9n van \u00e9rtelme a kezel\u00e9snek?<\/span><\/b><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:120}\">\u00a0<\/span><\/h5> <p><span data-contrast=\"auto\">Dial\u00edzisnek heveny (hirtelen kialakul\u00f3) vesek\u00e1rosod\u00e1s eset\u00e9n van \u00e9rtelme. Ilyen lehet p\u00e9ld\u00e1ul egy vesek\u00e1ros\u00edt\u00f3 anyag felv\u00e9tele (pl. f\u00e1jdalomcsillap\u00edt\u00f3 gy\u00f3gyszerek, fagy\u00e1ll\u00f3, liliom,\u00a0mazsola,\u00a0stb.), m\u0171t\u00e9ti altat\u00e1s ut\u00e1ni akut vesek\u00e1rosod\u00e1s vagy\u00a0bab\u00e9zia,\u00a0leptospira\u00a0fert\u0151z\u00e9s okozta vesek\u00e1rosod\u00e1s. <\/span><\/p> <p><span data-contrast=\"auto\">Heveny vesek\u00e1rosod\u00e1s ut\u00e1n a ves\u00e9k k\u00e9pesek bizonyos m\u00e9rt\u00e9k\u0171 regener\u00e1ci\u00f3ra,\u00a0egyes esetekben\u00a0ak\u00e1r a teljes gy\u00f3gyul\u00e1sra is. A regener\u00e1ci\u00f3 m\u00e9rt\u00e9ke term\u00e9szetesen f\u00fcgg a kiv\u00e1lt\u00f3 okt\u00f3l, a\u00a0k\u00e1rosod\u00e1s s\u00falyoss\u00e1g\u00e1t\u00f3l, \u00e9s a megfelel\u0151 ter\u00e1pia megkezd\u00e9s\u00e9nek id\u0151pontj\u00e1t\u00f3l. Ugyanakkor, sokszor napok-hetek telnek el, am\u00edg a regener\u00e1ci\u00f3 megindul. Ha a le\u00e1llt ves\u00e9k szerep\u00e9t ez id\u0151 alatt nem helyettes\u00edtj\u00fck mesters\u00e9gesen, a beteg p\u00e1r napon bel\u00fcl \u00e9let\u00e9t veszti a felhalmoz\u00f3d\u00f3 m\u00e9reganyagok miatt. A dial\u00edzis feladata teh\u00e1t, hogy \u00e1tvegye a le\u00e1llt ves\u00e9k szerep\u00e9t addig, am\u00edg azok regener\u00e1l\u00f3dni k\u00e9pesek. A dial\u00edzist addig kell folytatni, am\u00edg a ves\u00e9k k\u00e9pesek lesznek ell\u00e1tni a szervezet m\u00e9regtelen\u00edt\u0151 funkci\u00f3j\u00e1t. Ez lehet, hogy p\u00e1r nap, de az is lehet, hogy p\u00e1r h\u00e9t. S\u0151t, sajnos az is el\u0151fordul, hogy a vesefunkci\u00f3 egy\u00e1ltal\u00e1n nem javul, vagy ha van is javul\u00e1s, nem kell\u0151 m\u00e9rt\u00e9k\u0171, kr\u00f3nikus vesebetegs\u00e9g marad vissza.<\/span><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:120}\">\u00a0<\/span><\/p> <p><b><span data-contrast=\"auto\">Fontos meg\u00e9rteni, hogy a dial\u00edzis kezel\u00e9s nem gyors\u00edtja meg a ves\u00e9k gy\u00f3gyul\u00e1s\u00e1t. A dial\u00edzis feladata, hogy \u00e1tmenetileg \u00e1tvegye a ves\u00e9k feladat\u00e1t (m\u00e9regtelen\u00edtse a szervezetet, rendezze a folyad\u00e9k-, sav-b\u00e1zis- \u00e9s ionh\u00e1ztart\u00e1st), hogy id\u0151t nyerj\u00fcnk addig, am\u00edg a ves\u00e9k regener\u00e1l\u00f3dni k\u00e9pesek. Vagyis, hogy seg\u00edts\u00e9g\u00e9vel \u00e9letben tartsuk a beteget addig, am\u00edg a ves\u00e9k \u00fajra m\u0171k\u00f6d\u0151k\u00e9pesek lesznek. <\/span><\/b><\/p> <h5><b><span data-contrast=\"auto\">Van-e garancia arra, hogy a kis\u00e1llat dial\u00edzis seg\u00edts\u00e9g\u00e9vel meg fog gy\u00f3gyulni?<\/span><\/b><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:120}\">\u00a0<\/span><\/h5> <p><span data-contrast=\"auto\">Sajnos nincs. Abban a pillanatban, amikor annyit l\u00e1tunk, hogy a kis\u00e1llat ves\u00e9i hirtelen le\u00e1lltak, nem tudjuk megj\u00f3solni, hogy a regener\u00e1ci\u00f3 milyen m\u00e9rt\u00e9kben fog\u00a0v\u00e9gbemenni. Elk\u00e9pzelhet\u0151, hogy 100%-ban, de az is lehet, hogy csak 10%-ban. Term\u00e9szetesen, vannak j\u00f3 jelek (pl. elfogadhat\u00f3 \u00e1ltal\u00e1nos \u00e1llapot, kiel\u00e9g\u00edt\u0151 vizelettermel\u00e9s) \u00e9s rosszak (rossz \u00e1ltal\u00e1nos \u00e1llapot, sz\u00e1j\u00fcregi fek\u00e9lyek, s\u00falyos ur\u00e9mi\u00e1s t\u00fcnetek, a vizelettermel\u00e9s teljes hi\u00e1nya), melyek seg\u00edtenek nek\u00fcnk a k\u00f3rj\u00f3slat fel\u00e1ll\u00edt\u00e1s\u00e1ban, de pontosabbat csak a k\u00f3rlefoly\u00e1st l\u00e1tva, p\u00e1r nap vagy p\u00e1r h\u00e9t eltelt\u00e9vel tudunk mondani, amikor l\u00e1tjuk, hogy megindult-e a ves\u00e9k regener\u00e1ci\u00f3ja. <\/span><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:120}\">\u00a0<\/span><\/p> <h5><b><span data-contrast=\"auto\">Milyen t\u00fal\u00e9l\u00e9si es\u00e9lyei vannak egy\u00a0dializ\u00e1lt\u00a0\u00e1llatnak?<\/span><\/b><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:120}\">\u00a0<\/span><\/h5> <p><span data-contrast=\"auto\">\u00c1ltal\u00e1noss\u00e1gban elmondhat\u00f3, hogy azok a betegek ker\u00fclnek dial\u00edzisre, akik olyan s\u00falyos a vesek\u00e1rosod\u00e1st szenvedtek, hogy dial\u00edzis n\u00e9lk\u00fcl kil\u00e1t\u00e1stalan a t\u00fal\u00e9l\u00e9s\u00fck. Ha ezek a p\u00e1ciensek dial\u00edzis kezel\u00e9sben r\u00e9szes\u00fclnek, a t\u00fal\u00e9l\u00e9si es\u00e9ly\u00fck k\u00f6r\u00fclbel\u00fcl 50%-ra\u00a0n\u0151.<\/span><\/p> <h5><b><span data-contrast=\"auto\">Hogyan zajlik technikailag a dial\u00edzis kezel\u00e9s?<\/span><\/b><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:120}\">\u00a0<\/span><\/h5> <p><span data-contrast=\"auto\">A heveny vesek\u00e1rosod\u00e1st szenvedett kis\u00e1llatot felvessz\u00fck k\u00f3rh\u00e1zunk intenz\u00edv oszt\u00e1ly\u00e1ra \u00e9s megkezdj\u00fck az inf\u00fazi\u00f3s \u00e9s gy\u00f3gyszeres kezel\u00e9st. K\u00fcl\u00f6nf\u00e9le vizsg\u00e1latokkal (v\u00e9rlabor, vizeletvizsg\u00e1lat, ultrahang vizsg\u00e1lat,\u00a0v\u00e9rnyom\u00e1sm\u00e9r\u00e9s,\u00a0stb.) felm\u00e9rj\u00fck a vesek\u00e1rosod\u00e1s m\u00e9rt\u00e9k\u00e9t, keress\u00fck a lehets\u00e9ges kiv\u00e1lt\u00f3 okot. Ha a vizsg\u00e1lati eredm\u00e9nyek \u00e9s a k\u00f3rlefoly\u00e1s alapj\u00e1n \u00fagy d\u00f6nt\u00fcnk, hogy dial\u00edzisre van sz\u00fcks\u00e9g, a p\u00e1ciens gazd\u00e1j\u00e1t t\u00e1j\u00e9koztatjuk a kezel\u00e9s menet\u00e9r\u0151l, k\u00f6lts\u00e9geir\u0151l.<\/span><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:120}\">\u00a0<\/span><\/p> <p><b><span data-contrast=\"auto\">Hemodial\u00edzis<\/span><\/b><span data-contrast=\"auto\">\u00a0eset\u00e9n a nyaki f\u0151 v\u00e9n\u00e1ba (vena\u00a0jugularis) behelyez\u00fcnk egy speci\u00e1lis dial\u00edzis kat\u00e9tert. Ennek bet\u00e9tel\u00e9hez b\u00f3d\u00edt\u00e1s is sz\u00fcks\u00e9ges. Ha a p\u00e1ciens v\u00e9rszeg\u00e9ny, dial\u00edzis el\u0151tt vagy k\u00f6zben v\u00e9r\u00e1t\u00f6mleszt\u00e9st is adunk. A dial\u00edzishez a g\u00e9pet el\u0151k\u00e9sz\u00edtj\u00fck, majd a nyaki kat\u00e9tert \u00f6sszek\u00f6tj\u00fck a g\u00e9ppel, kivezetj\u00fck a beteg v\u00e9r\u00e9t, \u00e9s elkezd\u0151dik a v\u00e9r tiszt\u00edt\u00e1sa. A kezel\u00e9s elej\u00e9t\u0151l a v\u00e9g\u00e9ig \u00e1llatorvosi fel\u00fcgyelet mellett zajlik.\u00a0Egy kezel\u00e9s \u00e1tlagosan 4-6 \u00f3r\u00e1n \u00e1t tart. A kezel\u00e9seket \u00e1ltal\u00e1ban az 1., 2. \u00e9s 4. napon v\u00e9gezz\u00fck, \u00edgy 3 kezel\u00e9s ut\u00e1n, az 5-6. napon el tudjuk\u00a0b\u00edr\u00e1lni, hogy van-e \u00e9rdemi javul\u00e1s, van-e \u00e9rtelme a kezel\u00e9s folytat\u00e1s\u00e1nak. Ha a kezel\u00e9s folytat\u00e1sa mellett d\u00f6nt\u00fcnk, \u00e1ltal\u00e1ban heti 2-3 alkalomra van sz\u00fcks\u00e9g. <\/span><\/p> <p><span data-contrast=\"auto\">A dial\u00edzis kezel\u00e9seket addig ism\u00e9telj\u00fck, am\u00edg a ves\u00e9k vissza nem nyerik funkci\u00f3ikat (p\u00e1r nap &#8211; p\u00e1r h\u00e9t), vagy, rossz esetben, am\u00edg ki nem der\u00fcl, hogy a ves\u00e9k nem fogj\u00e1k visszanyerni funkci\u00f3ikat, \u00e9s nem fogunk tudni min\u0151s\u00e9gi \u00e9letet ny\u00fajtani a p\u00e1ciensnek.<\/span><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:120}\">\u00a0<\/span><\/p> <p><b><span data-contrast=\"auto\">Peritone\u00e1lis\u00a0dial\u00edzis<\/span><\/b><span data-contrast=\"auto\">\u00a0eset\u00e9n a has\u00fcregbe egy speci\u00e1lis kat\u00e9tert \u00fcltet\u00fcnk be m\u0171t\u00e9ti \u00faton. A kat\u00e9teren kereszt\u00fcl\u00a0dializ\u00e1l\u00f3\u00a0folyad\u00e9kkal t\u00f6ltj\u00fck fel a has\u00fcreget. Ebbe a folyad\u00e9kba a hash\u00e1rty\u00e1n kereszt\u00fcl \u00e1tjutnak a m\u00e9reganyagok, majd a toxinokkal teli folyad\u00e9kot leengedj\u00fck, \u00e9s ism\u00e9t tiszta\u00a0dializ\u00e1l\u00f3\u00a0oldattal t\u00f6ltj\u00fck fel a has\u00fcreget. Ezt a folyamatot kezdetben ak\u00e1r 1-2 \u00f3r\u00e1nk\u00e9nt is megism\u00e9telj\u00fck, majd, ha stabiliz\u00e1l\u00f3dott a p\u00e1ciens kering\u00e9se, \u00e9s \u00e1ltal\u00e1nos \u00e1llapota is elfogadhat\u00f3, a dial\u00edzisek sz\u00e1ma cs\u00f6kkenthet\u0151 napi 4-6 alkalomra. A folyad\u00e9kcser\u00e9ket addig folytatjuk, am\u00edg a ves\u00e9k regener\u00e1l\u00f3dnak, vagy am\u00edg eld\u0151l, hogy a regener\u00e1ci\u00f3ra j\u00f3 es\u00e9llyel nem fog sor ker\u00fclni. Amennyiben a kis\u00e1llat \u00e1llapota dial\u00edzis mellett stabil \u00e9s nem sz\u00fcks\u00e9ges tov\u00e1bbi intenz\u00edv oszt\u00e1lyos ell\u00e1t\u00e1s, akkor\u00a0lehet\u0151s\u00e9g van\u00a0a\u00a0dializ\u00e1l\u00e1st\u00a0otthon folytatni. Az otthoni dial\u00edzis nagyfok\u00fa energia- \u00e9s id\u0151befektet\u00e9st ig\u00e9nyel a gazd\u00e1t\u00f3l: a folyad\u00e9kcsere napi 4-5-sz\u00f6r kb. 20-30 percet vesz ig\u00e9nybe, illetve gy\u00f3gyszereket sz\u00e1jon \u00e1t be kell tudni adni. Ha a p\u00e1ciens \u00e1llapota javul, a dial\u00edzisek sz\u00e1m\u00e1t fokozatosan lecs\u00f6kkentj\u00fck, gy\u00f3gyul\u00e1s ut\u00e1n pedig a kat\u00e9tert egy r\u00f6vid m\u0171t\u00e9ttel el kell t\u00e1vol\u00edtani.<\/span><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:120}\">\u00a0<\/span><\/p> <p><span data-contrast=\"auto\">A dial\u00edzis kezel\u00e9sek el\u0151tt \u00e9s ut\u00e1n, mind peritone\u00e1lis, mind hemodial\u00edzis eset\u00e9n, a p\u00e1cienst az intenz\u00edv oszt\u00e1lyon helyezz\u00fck el, ahol folyamatos (0-24) fel\u00fcgyelet alatt van, gy\u00f3gyszeres, illetve, amennyiben sz\u00fcks\u00e9ges inf\u00fazi\u00f3s kezel\u00e9st kap.<\/span><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:120}\">\u00a0<\/span><\/p> <h5><b><span data-contrast=\"auto\">Van-e \u00e9rtelme dial\u00edzisnek kr\u00f3nikus vesebeteg \u00e1llatok eset\u00e9n?<\/span><\/b><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:120}\">\u00a0<\/span><\/h5> <p><span data-contrast=\"auto\">Kr\u00f3nikus vesebeteg \u00e1llatok dial\u00edzis kezel\u00e9se nem javasolt. Kr\u00f3nikus vesebeteg emberek eset\u00e9ben a dial\u00edzist addig v\u00e9gzik, am\u00edg transzplant\u00e1ci\u00f3ra nem ker\u00fclnek, vagyis am\u00edg \u00faj ves\u00e9t nem kapnak. Mivel ez kis\u00e1llatok eset\u00e9ben \u00e1ltal\u00e1noss\u00e1gban nem opci\u00f3, a dial\u00edzist \u00e9lethosszig kellene alkalmazni. A tulajdonos sz\u00e1m\u00e1ra a kezel\u00e9s id\u0151-, energia- \u00e9s p\u00e9nzig\u00e9nyess\u00e9ge szab hat\u00e1rt, az \u00e1llat szempontj\u00e1b\u00f3l pedig a folyamatos kezel\u00e9sek, beavatkoz\u00e1sok, komplik\u00e1ci\u00f3k (fert\u0151z\u00e9sek, kat\u00e9terszepszis, hash\u00e1rtyagyullad\u00e1s), illetve a betegs\u00e9ggel j\u00e1r\u00f3 rossz k\u00f6z\u00e9rzet \u00e9s fokozatos le\u00e9p\u00fcl\u00e9s nem ny\u00fajtan\u00e1nak megfelel\u0151 \u00e9letmin\u0151s\u00e9get. <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p> <h5><b><span data-contrast=\"auto\">Mi\u00e9rt olyan dr\u00e1ga a dial\u00edzis?<\/span><\/b><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:120}\">\u00a0<\/span><\/h5> <p><span data-contrast=\"auto\">Mind a\u00a0hemodial\u00edzis, mind a\u00a0peritone\u00e1lis\u00a0dial\u00edzis nagy fogy\u00f3eszk\u00f6z, anyagi befektet\u00e9s \u00e9s emberi munka ig\u00e9ny\u0171, intenz\u00edv ter\u00e1pi\u00e1s beavatkoz\u00e1s. Mivel a dial\u00edzisre szorul\u00f3 kis\u00e1llatok \u00e1ltal\u00e1ban rossz \u00e1llapot\u00fa, intenz\u00edv ell\u00e1t\u00e1st ig\u00e9nyl\u0151 p\u00e1ciensek, a dial\u00edzis k\u00f6lts\u00e9ge mellett az intenz\u00edv oszt\u00e1lyon felmer\u00fcl\u0151 napid\u00edjakkal, laborvizsg\u00e1latok \u00e1r\u00e1val, gy\u00f3gykezel\u00e9si k\u00f6lts\u00e9gekkel is sz\u00e1molni kell. <\/span><\/p> <p><b><i><span data-contrast=\"auto\">Az \u00e1rakat t\u00e1j\u00e9koztat\u00f3 jelleggel itt megjelen\u00edtj\u00fck, a pontos k\u00f6lts\u00e9gek f\u00fcggenek az \u00e1llat m\u00e9ret\u00e9t\u0151l, betegs\u00e9g\u00e9nek jelleg\u00e9t\u0151l \u00e9s s\u00falyoss\u00e1g\u00e1t\u00f3l.<\/span><\/i><\/b><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p> <ul> <li data-leveltext=\"-\" data-font=\"Times New Roman\" data-listid=\"1\" data-list-defn-props=\"{&quot;335551671&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Times New Roman&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;-&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"0\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Kivizsg\u00e1l\u00e1s<\/span><\/b><span data-contrast=\"none\">, mely alapj\u00e1n meg\u00edt\u00e9lj\u00fck, hogy indokolt-e a dial\u00edzis (\u00e1ltal\u00e1ban fizik\u00e1lis vizsg\u00e1lat, r\u00e9szletes v\u00e9r-, vizeletvizsg\u00e1lat, ultrahangos vizsg\u00e1lat): kb. 120-160.000\u00a0ft.<\/span><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:40,&quot;335559991&quot;:357,&quot;335572071&quot;:0,&quot;335572072&quot;:0,&quot;335572073&quot;:4278190080,&quot;335572075&quot;:0,&quot;335572076&quot;:0,&quot;335572077&quot;:4278190080,&quot;335572079&quot;:0,&quot;335572080&quot;:0,&quot;335572081&quot;:4278190080,&quot;335572083&quot;:0,&quot;335572084&quot;:0,&quot;335572085&quot;:4278190080,&quot;335572087&quot;:0,&quot;335572088&quot;:0,&quot;335572089&quot;:4278190080,&quot;469789798&quot;:&quot;nil&quot;,&quot;469789802&quot;:&quot;nil&quot;,&quot;469789806&quot;:&quot;nil&quot;,&quot;469789810&quot;:&quot;nil&quot;,&quot;469789814&quot;:&quot;nil&quot;}\">\u00a0<\/span><\/li> <\/ul> <ul> <li data-leveltext=\"-\" data-font=\"Times New Roman\" data-listid=\"1\" data-list-defn-props=\"{&quot;335551671&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Times New Roman&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;-&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"none\">K\u00f3rh\u00e1zi napid\u00edjak<\/span><\/b><span data-contrast=\"none\">\u00a0(folyamatos fel\u00fcgyelet, rendszeres fizik\u00e1lis vizsg\u00e1lat, speci\u00e1lis t\u00e1pl\u00e1l\u00e1s, gy\u00f3gyszerek, inf\u00fazi\u00f3k k\u00f6lts\u00e9ge): kb.\u00a0<\/span><span data-contrast=\"auto\">70<\/span><span data-contrast=\"none\">-90.000\u00a0ft.<\/span><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:40,&quot;335559991&quot;:357,&quot;335572071&quot;:0,&quot;335572072&quot;:0,&quot;335572073&quot;:4278190080,&quot;335572075&quot;:0,&quot;335572076&quot;:0,&quot;335572077&quot;:4278190080,&quot;335572079&quot;:0,&quot;335572080&quot;:0,&quot;335572081&quot;:4278190080,&quot;335572083&quot;:0,&quot;335572084&quot;:0,&quot;335572085&quot;:4278190080,&quot;335572087&quot;:0,&quot;335572088&quot;:0,&quot;335572089&quot;:4278190080,&quot;469789798&quot;:&quot;nil&quot;,&quot;469789802&quot;:&quot;nil&quot;,&quot;469789806&quot;:&quot;nil&quot;,&quot;469789810&quot;:&quot;nil&quot;,&quot;469789814&quot;:&quot;nil&quot;}\">\u00a0<\/span><\/li> <\/ul> <ul> <li data-leveltext=\"-\" data-font=\"Times New Roman\" data-listid=\"1\" data-list-defn-props=\"{&quot;335551671&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Times New Roman&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;-&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Laborat\u00f3riumi d\u00edjak<\/span><\/b><span data-contrast=\"none\">\u00a0(legink\u00e1bb v\u00e9rlaborok): napi kb. 20-40.000\u00a0ft.<\/span><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:40,&quot;335559991&quot;:357,&quot;335572071&quot;:0,&quot;335572072&quot;:0,&quot;335572073&quot;:4278190080,&quot;335572075&quot;:0,&quot;335572076&quot;:0,&quot;335572077&quot;:4278190080,&quot;335572079&quot;:0,&quot;335572080&quot;:0,&quot;335572081&quot;:4278190080,&quot;335572083&quot;:0,&quot;335572084&quot;:0,&quot;335572085&quot;:4278190080,&quot;335572087&quot;:0,&quot;335572088&quot;:0,&quot;335572089&quot;:4278190080,&quot;469789798&quot;:&quot;nil&quot;,&quot;469789802&quot;:&quot;nil&quot;,&quot;469789806&quot;:&quot;nil&quot;,&quot;469789810&quot;:&quot;nil&quot;,&quot;469789814&quot;:&quot;nil&quot;}\">\u00a0<\/span><\/li> <\/ul> <ul> <li data-leveltext=\"-\" data-font=\"Times New Roman\" data-listid=\"1\" data-list-defn-props=\"{&quot;335551671&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Times New Roman&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;-&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">V\u00e9rtranszf\u00fazi\u00f3\u00a0<\/span><\/b><span data-contrast=\"auto\">(amennyiben sz\u00fcks\u00e9ges): kb.\u00a090-120.000\u00a0ft<\/span><b> <\/b><\/li> <\/ul> <ul> <li data-leveltext=\"-\" data-font=\"Times New Roman\" data-listid=\"1\" data-list-defn-props=\"{&quot;335551671&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Times New Roman&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;-&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Hemodial\u00edzis<\/span><\/b><span data-contrast=\"none\">: <\/span><\/li> <\/ul> <ul> <li style=\"list-style-type: none\"> <ul> <li data-leveltext=\"o\" data-font=\"Courier New\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Courier New&quot;,&quot;469769242&quot;:[9675],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;o&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"2\"><span data-contrast=\"none\">a speci\u00e1lis dial\u00edzis kat\u00e9ter be\u00fcltet\u00e9se kb. 80-150.000\u00a0<\/span><span data-contrast=\"auto\">ft<\/span><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:40,&quot;335559991&quot;:357,&quot;335572071&quot;:0,&quot;335572072&quot;:0,&quot;335572073&quot;:4278190080,&quot;335572075&quot;:0,&quot;335572076&quot;:0,&quot;335572077&quot;:4278190080,&quot;335572079&quot;:0,&quot;335572080&quot;:0,&quot;335572081&quot;:4278190080,&quot;335572083&quot;:0,&quot;335572084&quot;:0,&quot;335572085&quot;:4278190080,&quot;335572087&quot;:0,&quot;335572088&quot;:0,&quot;335572089&quot;:4278190080,&quot;469789798&quot;:&quot;nil&quot;,&quot;469789802&quot;:&quot;nil&quot;,&quot;469789806&quot;:&quot;nil&quot;,&quot;469789810&quot;:&quot;nil&quot;,&quot;469789814&quot;:&quot;nil&quot;}\">\u00a0<\/span><\/li> <\/ul> <\/li> <\/ul> <ul> <li style=\"list-style-type: none\"> <ul> <li data-leveltext=\"o\" data-font=\"Courier New\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Courier New&quot;,&quot;469769242&quot;:[9675],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;o&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"2\"><span data-contrast=\"none\">egy 4-6 \u00f3r\u00e1n \u00e1t tart\u00f3<\/span><span data-contrast=\"auto\">\u00a0hemodial\u00edzis\u00a0<\/span><span data-contrast=\"none\">kezel\u00e9s k\u00f6lts\u00e9ge,\u00a0\u00f3r\u00e1nk\u00e9nti\u00a0v\u00e9rvizsg\u00e1latokkal, 250-35<\/span><span data-contrast=\"auto\">0<\/span><span data-contrast=\"none\">.000\u00a0<\/span><span data-contrast=\"auto\">ft<\/span><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:40,&quot;335559991&quot;:357,&quot;335572071&quot;:0,&quot;335572072&quot;:0,&quot;335572073&quot;:4278190080,&quot;335572075&quot;:0,&quot;335572076&quot;:0,&quot;335572077&quot;:4278190080,&quot;335572079&quot;:0,&quot;335572080&quot;:0,&quot;335572081&quot;:4278190080,&quot;335572083&quot;:0,&quot;335572084&quot;:0,&quot;335572085&quot;:4278190080,&quot;335572087&quot;:0,&quot;335572088&quot;:0,&quot;335572089&quot;:4278190080,&quot;469789798&quot;:&quot;nil&quot;,&quot;469789802&quot;:&quot;nil&quot;,&quot;469789806&quot;:&quot;nil&quot;,&quot;469789810&quot;:&quot;nil&quot;,&quot;469789814&quot;:&quot;nil&quot;}\">\u00a0<\/span><\/li> <\/ul> <\/li> <\/ul> <ul> <li data-leveltext=\"-\" data-font=\"Times New Roman\" data-listid=\"1\" data-list-defn-props=\"{&quot;335551671&quot;:0,&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Times New Roman&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;-&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"5\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Peritone\u00e1lis\u00a0dial\u00edzis<\/span><\/b><span data-contrast=\"none\">: a has\u00fcregbe be\u00fcltetett dial\u00edzis kat\u00e9ter \u00e9s a m\u0171t\u00e9t k\u00f6lts\u00e9ge kb. 200-300.000\u00a0ft. Ez ut\u00e1n a k\u00f3rh\u00e1zi napid\u00edjakkal \u00e9s a laborat\u00f3riumi k\u00f6lts\u00e9gekkel kell sz\u00e1molni.<\/span><\/li> <\/ul> <p><span data-contrast=\"auto\">Ezeket a k\u00f6lts\u00e9geket \u00f6sszegezve:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:80,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p> <ul> <li data-leveltext=\"-\" data-font=\"Times New Roman\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;-&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Hemodial\u00edzis\u00a0kezel\u00e9s:<\/span><\/b><span data-contrast=\"auto\">\u00a0els\u0151 heti 3-4\u00a0hemodial\u00edzis\u00a0kezel\u00e9s intenz\u00edv oszt\u00e1lyos ell\u00e1t\u00e1ssal \u00e9s a rendszeres vizsg\u00e1latokkal kb. 1.500.000-2.000.000\u00a0ft. Amennyiben tov\u00e1bb folytatjuk a kezel\u00e9st \u00fagy heti\u00a0kb.\u00a01.200.000-1.700.000\u00a0ft-os k\u00f6lts\u00e9ggel lehet sz\u00e1molni. <\/span><\/li> <\/ul> <ul> <li data-leveltext=\"-\" data-font=\"Times New Roman\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;-&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Peritone\u00e1lis\u00a0dial\u00edzis\u00a0<\/span><\/b><span data-contrast=\"auto\">(\u00e9s intenz\u00edv oszt\u00e1lyos ell\u00e1t\u00e1s, vizsg\u00e1latok) k\u00f6lts\u00e9ge az els\u0151 h\u00e9ten kb.\u00a0800.000-1.000.000\u00a0ft, ezut\u00e1n kb.\u00a0500.000-800.000\u00a0ft\u00a0hetente.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559685&quot;:714,&quot;335559739&quot;:80,&quot;335559740&quot;:240,&quot;335559991&quot;:357}\">\u00a0<\/span><\/li> <\/ul>","protected":false},"excerpt":{"rendered":"<p>Dial\u00edzis az \u00c1llatorvostudom\u00e1nyi Egyetem Belgy\u00f3gy\u00e1szati Tansz\u00e9k\u00e9n \u00e9s Klinik\u00e1j\u00e1n\u00a0 Mire j\u00f3 a dial\u00edzis?\u00a0 A dial\u00edzis azt az orvosi technol\u00f3gi\u00e1t jelenti, amikor a v\u00e9rben kering\u0151 salakanyagokat mesters\u00e9gesen t\u00e1vol\u00edtjuk el. Egy eg\u00e9szs\u00e9ges szervezetben ezt a feladatot a ves\u00e9k l\u00e1tj\u00e1k el, s\u00falyos vesek\u00e1rosod\u00e1s eset\u00e9n azonban a m\u00e9regtelen\u00edt\u0151 funkci\u00f3 nem el\u00e9gs\u00e9ges, a felhalmoz\u00f3d\u00f3 salakanyagok pedig s\u00falyos t\u00fcnetek (ur\u00e9mia) kialakul\u00e1s\u00e1hoz, \u00e9s<\/p>\n","protected":false},"author":7,"featured_media":0,"parent":18647,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[],"class_list":["post-45196","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/univet.hu\/hu\/wp-json\/wp\/v2\/pages\/45196","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/univet.hu\/hu\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/univet.hu\/hu\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/univet.hu\/hu\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/univet.hu\/hu\/wp-json\/wp\/v2\/comments?post=45196"}],"version-history":[{"count":4,"href":"https:\/\/univet.hu\/hu\/wp-json\/wp\/v2\/pages\/45196\/revisions"}],"predecessor-version":[{"id":208665,"href":"https:\/\/univet.hu\/hu\/wp-json\/wp\/v2\/pages\/45196\/revisions\/208665"}],"up":[{"embeddable":true,"href":"https:\/\/univet.hu\/hu\/wp-json\/wp\/v2\/pages\/18647"}],"wp:attachment":[{"href":"https:\/\/univet.hu\/hu\/wp-json\/wp\/v2\/media?parent=45196"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/univet.hu\/hu\/wp-json\/wp\/v2\/categories?post=45196"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/univet.hu\/hu\/wp-json\/wp\/v2\/tags?post=45196"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}