Dialysis - peritoneal

Dialysis inobata yekupedzisira-nhanho itsvo kutadza. Inobvisa zvinhu zvinokuvadza muropa apo itsvo dzisingakwanise.

Ichi chinyorwa chinotarisa pane peritoneal dialysis.

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.

Itsvo dialysis (peritoneal dialysis nemamwe marudzi e dialysis) rinoita rimwe rebasa reitsvo pavanomira kushanda zvakanaka. Maitiro aya:

• Inobvisa imwe yemunyu, mvura, uye marara zvigadzirwa kuti zvisavakire mumuviri wako
• Inochengetedza yakachengeteka mazinga emaminerari uye mavitamini mumuviri wako
• Inobatsira kudzora BP
• Inobatsira kuburitsa masero matsvuku eropa

CHII CHINONZI KUTAURA ZVEMAZUVA ANO?

Peritoneal dialysis (PD) inobvisa marara uye mamwe emvura kuburikidza nemidziyo yeropa inoisa madziro edumbu rako. Iyo membrane inonzi peritoneum inovhara madziro edumbu rako.

PD inosanganisira kuisa yakapfava, isina pombi chubhu (catheter) mudumbu rako uye nekuizadza neinoshenesa fluid (dialysis solution). Mhinduro yacho ine mhando yeshuga inoburitsa tsvina uye nekuwedzera mvura. Iyo tsvina uye mvura inopfuura kubva mumidzi yako yeropa kuburikidza ne peritoneum uye mune mhinduro. Mushure menguva yakatarwa yenguva, mhinduro uye marara zvinodururwa nekukandwa kure.

Maitiro ekuzadza nekudonhedza dumbu rako anonzi kuchinjana. Iyo yakareba yenguva yekuchenesa mvura inoramba iri mumuviri wako inonzi nguva yekugara. Huwandu hwekuchinjana uye huwandu hwekugara nguva zvinoenderana nenzira yePD yaunoshandisa nezvimwe zvinhu.

Chiremba wako achaita oparesheni kuti aise iyo catheter mudumbu mako kwainogara. Inowanzo kuve padyo nedumbu rako.

PD inogona kunge iri sarudzo yakanaka kana iwe uchida rusununguko rwakawanda uye uchikwanisa kudzidza kuzvibata. Iwe uchave nezvakawanda zvekudzidza uye unofanirwa kuve nebasa rekutarisira kwako. Iwe nevanokuchengeta unofanira kudzidza kuita:

• Ita PD sekurairwa
• Shandisa midziyo
• Tenga uye chengeta zvigadzirwa
• Dzivirira hutachiona

NePD, zvakakosha kuti usapfuure kuchinjana. Kuita izvi kunogona kuve nenjodzi kuhutano hwako.

Vamwe vanhu vanonzwa vakasununguka kuve nemubatsiri wezvehutano anobata kurapwa kwavo. Iwe nemupi wako munogona kusarudza zvakakunakirai.

MITARIDZO YEMAZANO OKUDZIDZA

PD inokupa inochinjika nekuti haufanire kuenda kune dialysis nzvimbo. Unogona kurapwa.

• Kumba
• Kubasa
• Pataifamba

Kune maviri marudzi ePD:

• Kuenderera mberi kweamburenzi peritoneal dialysis (CAPD). Kune iyi nzira, iwe unozadza dumbu rako nemvura, wobva waenda nezvese zvaunoita zvezuva nezuva kudzamara yava nguva yekudonha mvura yacho. Iwe hauna kusungirirwa kune chero chinhu panguva yekugara, uye haudi muchina. Iwe unoshandisa giravhiti kuti ubudise iyo fluid. Iyo yekugara nguva inowanzo kuve angangoita maawa mana kusvika matanhatu, uye iwe unozoda 3 kusvika ku4 kuchinjana zuva rega rega. Uchave neyakareba nguva yekugara usiku paunenge wakarara.
• Inoenderera bhasikoro peritoneal dialysis (CCPD). NeCCPD, iwe wakabatanidzwa kumuchina unotenderera kuburikidza ne3 kusvika ku5 kuchinjana husiku iwe uchakarara. Iwe unofanirwa kusungirirwa kumuchina kwemaawa gumi kusvika gumi nemaviri panguva ino. Mangwanani, iwe unotanga kuchinjana neyekugara nguva iyo inogara zuva rese. Izvi zvinokutendera iwe imwe nguva mukati mezuva pasina kuita kuchinjana.

Maitiro aunoshandisa anoenderana neyako:

• Zvaunoda
• Mararamiro
• Mamiriro ekurapa

Iwe unogona zvakare kushandisa kumwe kusanganiswa kweiyo nzira mbiri. Wako mupi achakubatsira iwe kuwana iyo nzira inoshanda zvakanyanya kwauri.

Wako mupi achakutarisa kuti uone kuti kuchinjanisa kuri kubvisa zvakakwana marara zvigadzirwa. Iwe zvakare unozoedzwa kuti uone huwandu hweshuga muviri wako unotora kubva pamvura yekuchenesa. Zvichienderana nezvakabuda, ungangoda kugadzirisa zvimwe:

• Kuita zvakawanda kuchinjana pazuva
• Kuti ushandise yakawanda yekuchenesa mvura pane imwe neimwe yekuchinjana
• Kuti udzikise nguva yekugara kuitira kuti utore shuga shoma

RINI KUTANGA KUTAURA

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. Muzviitiko zvakawanda, iwe uchaenda pane dialysis kana uchingova ne10% kusvika 15% yebasa rako reitsvo rakasara.

Pane njodzi yekutapukirwa kweperitoneum (peritonitis) kana iyo catheter saiti ine PD. Mupiki wako anokuratidza maitiro ekuchenesa nekutarisira catheter yako uye kudzivirira hutachiona. Heano mamwe matipi.

• Shamba maoko ako usati waita kuchinjana kana kubata iyo catheter.
• Pfeka chifukidzo chekuvhiya kana uchichinjana.
• Tarisa tarisa pabhegi rega rega remhinduro kuti utarise zviratidzo zvehutachiona.
• Chenesa iyo catheter nzvimbo ine antiseptic mazuva ese.

Tarisa iyo yekubuda saiti yekuzvimba, kubuda ropa, kana zviratidzo zvehutachiona. Fonera mupiki wako nekukasira kana uine fever kana zvimwe zviratidzo zvehutachiona.

Fonera mupiki wako ipapo kana ukaona:

• Zviratidzo zvehutachiona, senge kutsvuka, kuzvimba, kusuruvara, kurwadziwa, kudziya, kana pus yakakomberedza catheter
• Kupindwa nechando
• Kusvotwa kana kurutsa
• Rakajairika ruvara kana kusviba mune yakashandiswa dialysis mhinduro
• Iwe haugone kupfuudza gasi kana kuita ura

Zvakare fonera mupiki wako kana iwe ukasangana nechimwe chezviratidzo zvinotevera zvakanyanya, kana kuti zvinopfuura mazuva maviri:

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

Itsvo dzakagadzirwa - peritoneal dialysis; Renal kutsiva kurapa - peritoneal dialysis; End-danho renal chirwere - peritoneal dialysis; Itsvo kutadza - peritoneal dialysis; Renal kutadza - peritoneal dialysis; Chirwere chetsvo chisingaperi - peritoneal dialysis

Cohen D, Valeri AM. Kurapa kwekusakundikana kweitsvo kutadza. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 131.

Correa-Rotter RC, Mehrota R, Saxena A.Peritoneal dialysis. Mune: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, Brenner BM, eds. Brenner uye Rector Iyo Itsvo. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsamba 66.

Mitch WE. Chirwere chetsvo chisingaperi. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 130.