Dialysis - hemodialysis

Dialysis inobata yekupedzisira-nhanho itsvo kutadza. Inobvisa tsvina kubva muropa rako apo itsvo dzako dzisingachakwanise kuita basa radzo.

Kune mhando dzakasiyana dzeitsvo dialysis. Ichi chinyorwa chinotarisa kuhemodialysis.

Itsvo dzako 'basa hombe nderekubvisa muchetura uye nekuwedzera hura kubva muropa rako. Kana zvigadzirwa zvemarara zvikawanda mumuviri wako, zvinogona kuva nenjodzi uye zvinogona kukonzera rufu.

Hemodialysis (uye mamwe marudzi e dialysis) rinoita rimwe rebasa reitsvo pavanomira kushanda zvakanaka.

Hemodialysis inogona:

• Bvisa imwe munyu, mvura, uye zvigadzirwa zvemarara kuitira kuti zvirege kuvakwa mumuviri wako
• Chengetedza zvikamu zvakachengeteka zvemaminerari uye mavitamini mumuviri wako
• Batsira kudzora BP
• Batsira kuburitsa masero matsvuku eropa

Munguva yehemodialysis, ropa rako rinopfuura nepombi kuti ipinde muitsvo kana firita.

• Sefa, inonzi dialyzer, yakakamurwa kuita zvikamu zviviri zvakapatsanurwa nemadziro matete.
• Ropa rako parinopfuura nechimwe chikamu chesafa, chakasarudzika mvura mune chimwe chikamu chinoburitsa tsvina kubva muropa rako.
• Ropa rako rinobva radzokera mumuviri wako kuburikidza netubhu.

Chiremba wako achagadzira mukana wekuti iyo chubhu inonamatira. Kazhinji, mukana unenge uri mumudziyo weropa paruoko rwako.

Kukundikana kweitsvo inhanho yekupedzisira yechirwere chenguva refu (chisingaperi) cheitsvo. Apa ndipo apo itsvo dzako dzisingachagone kutsigira zvido zvemuviri wako. Chiremba wako achakurukura dialysis newe usati waida. Kazhinji, iwe uchaenda pane dialysis kana uchingova ne10% kusvika 15% yebasa rako reitsvo rakasara.

Iwe zvakare ungangoda dialysis kana itsvo dzako dzakangoerekana dzamira kushanda nekuda kwekukomba kweitsvo kutadza.

Hemodialysis inowanzoitwa pane yakakosha dialysis nzvimbo.

• Iwe unenge uine marapirwo matatu pavhiki.
• Kurapa kunotora anenge maawa matatu kana mana nguva imwe neimwe.
• Unogona kunzwa kuneta kwemaawa akati wandei mushure me dialysis.

Panzvimbo yekurapa, vanokupa hutano vanozobata zvese zvaunotarisirwa. Nekudaro, iwe unofanirwa kuronga nguva yako uye uteedzere yakasimba dialysis dhayeti.

Iwe unogona kukwanisa kuve nehemodialysis kumba. Haufanire kutenga muchina. Medicare kana yako inishuwarenzi yehutano ichabhadhara yakawanda kana ese ako marapirwo embavha kumba kana pakati.

Kana iwe uine dialysis kumba, unogona kushandisa imwe yematanho maviri:

• Pfupi (maawa maviri kusvika matatu) kurapwa kunoitwa mazuva mashanu kusvika manomwe pavhiki
• Yakareba, kurapa kwehusiku kunoitwa 3 kusvika 6 husiku pavhiki paunenge wakarara

Iwe zvakare unogona kukwanisa kuita musanganiswa wezuva nezuva uye nehusiku kurapwa.

Nekuti iwe unowana kurapwa kazhinji uye kunoitika zvishoma zvishoma, imba hemodialysis ine zvimwe zvakanaka.

• Inobatsira kuchengetedza kuwedzera kweropa rako. Vanhu vazhinji havachadi mishonga yeropa.
• Inoita iri nani basa rekubvisa marara zvigadzirwa.
• Zviri nyore pamwoyo wako.
• Iwe unogona kunge uine mashoma zviratidzo kubva ku dialysis senge kusvotwa, kutemwa nemusoro, kupwanya, kuchenesa, uye kuneta.
• Iwe unogona nyore nyore kukodzera kurapwa mune yako purogiramu.

Unogona kurapwa iwe pachako, kana iwe unogona kuti mumwe munhu akubatsire. Mukoti wedialysis anogona kukudzidzisa iwe uye muchengeti maitiro ekuita imba dialysis. Kudzidziswa kunogona kutora mavhiki mashoma kusvika kumwedzi mishoma. Wese iwe nevanokuchengeta unofanira kudzidza ku:

• Bata midziyo
• Isa tsono munzvimbo yekuwana
• Chengetedza muchina uye yako yeropa panguva yekurapa
• Chengeta zvinyorwa
• Chenesa muchina
• Raira zvekushandisa, izvo zvinogona kuendeswa kumba kwako

Imba dialysis haisi yemunhu wese. Iwe uchave nezvakawanda zvekudzidza uye unofanirwa kuve nebasa rekutarisira kwako. Vamwe vanhu vanonzwa kusununguka kuve nemupi anobata kurapwa kwavo. Uyezve, haisi nzvimbo dzese dzinopa imba dialysis.

Imba dialysis inogona kunge iri sarudzo yakanaka kana iwe uchida rusununguko rwakawanda uye uchikwanisa kudzidza kuzvibata. Taura nemupi wako. Pamwe chete, munogona kusarudza kuti ndeupi mhando yehemodialysis yakakunakirai.

Fonera mupiki wako kana iwe ukaona:

• Kubuda ropa kubva kune yako vhezheni yekuwana saiti
• Zviratidzo zvehutachiona, senge kutsvuka, kuzvimba, kusuruvara, kurwadziwa, kudziya, kana pus yakakomberedza saiti
• Fivha inopfuura 100.5 ° F (38.0 ° C)
• Ruoko kunoiswa catheter yako rinozvimba uye ruoko kudivi irwo rwunonzwa kutonhora
• Ruoko rwako rwunotonhora, rwakabatwa nechiveve kana kushaya simba

Zvakare, dana chiremba wako kana chimwe chezviratidzo zvinotevera chakanyanya kana chekupedzisira kupfuura mazuva maviri:

• Itching
• Kunetseka kurara
• Manyoka kana kupatira
• Kusvotwa uye kurutsa
• Kukotsira, kuvhiringidzika, kana matambudziko ekuisa pfungwa

Itsvo dzakagadzirwa - hemodialysis; Dialysis; Renal kutsiva kurapa - hemodialysis; End-danho renal chirwere - hemodialysis; Itsvo kutadza - hemodialysis; Renal kutadza - hemodialysis; Chirwere chetsvo chisingaperi - hemodialysis

Kotanko P, Kuhlmann MK, Chan C. Levin NW. Hemodialysis: misimboti uye maitiro. Muna: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Yakakwana Kliniki Nephrology. 6th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 93.

Misra M. Hemodialysis uye hemofiltration. Mune: Gilbert SJ, Weiner DE, eds. National Kidney Foundation Primer pamusoro peHosha Yeitsvo. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 57.

Yeun JY, Mudiki B, Depner TA, Chin AA. Hemodialysis. Mune: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner uye Rector Iyo Itsvo. 11th ed. Philadelphia, PA: Elsevier; 2020: chits. 63.

• Dialysis