Hemodialysis yekuwana maitiro

Mukana unodikanwa kuti uwane hemodialysis. Iko kuwana ndiko kwaunogamuchira hemodialysis. Uchishandisa iyo yekuwana, ropa rinobviswa mumuviri wako, rinocheneswa nemuchina wedialysis (unonzi dialyzer), wobva wadzokera mumuviri wako.

Kazhinji kuwaniswa kunoiswa muruoko rwako asi kunogona zvakare kuenda mugumbo rako. Zvinotora mavhiki mashoma kusvika kumwedzi mishoma kuti uwane mukana wekugadzirira hemodialysis.

Chiremba anovhiya anoisa mukana mukati. Kune matatu marudzi eanosvika.

Fistula:

• Chiremba anovhiya ajoina tsinga uye tsinga pasi peganda.
• Netsinga uye tsinga yakabatana, ropa rakawanda rinoyerera richipinda mutsinga. Izvi zvinoita kuti tsinga ive yakasimba. Tsono dzinoiswa mune ino yakasimba mutsinga zviri nyore kune hemodialysis.
• Fistula inotora 1 kusvika kumavhiki mana kuumba.

Batanidza:

• Kana uine tsinga diki dzisingakwanise kukura kuita fistula, chiremba anovhiya anobatanidza tsinga uye tsinga nechubhu yekugadzira inonzi kubatanidza.
• Kuisa tsono kunogona kuitwa mukati mekubatanidzwa kwehemodialysis.
• Kubatanidzwa kunotora mavhiki matatu kusvika matanhatu kuti aporeswe.

Central venous catheter:

• Kana iwe uchida hemodialysis ipapo ipapo uye iwe usina nguva yekumirira fistula kana kubatanidzwa kuti ushande, chiremba anovhiya anogona kuisa mu catheter.
• Iyo catheter inoiswa mutsinga iri mumutsipa, chipfuva, kana gumbo repamusoro.
• Iyi catheter ndeyechinguva. Inogona kushandiswa kune dialysis paunenge wakamirira fistula kana kubatanidzwa kuti upore.

Itsvo dzinoshanda semasefa ekuchenesa kunze kwemvura uye marara kubva muropa rako. Kana itsvo dzako dzamira kushanda, dialysis inogona kushandiswa kuchenesa ropa rako. Dialysis inowanzoitwa katatu pavhiki uye inotora maawa matatu kusvika mana.

Nemhando ipi neipi yekuwana, iwe une njodzi yekuvandudza hutachiona kana reropa. Kana hutachiona kana kuwanda kweropa kuchikura, iwe uchazoda kurapwa kana kumwe kuvhiyiwa kuti ugadzirise.

Chiremba anovhiya anosarudza nzvimbo yakanakisa yekuisa yako vascular kuwana. Kuwana kwakanaka kunoda kuyerera kweropa kwakanaka. Doppler ultrasound kana venography bvunzo dzinogona kuitwa kutarisa kuyerera kweropa pane inogona kuwana saiti.

Kuwanikwa kweVascular kunowanzoitwa senzira yezuva. Unogona kuenda kumba mushure. Kumbira chiremba wako kana iwe uchizoda mumwe munhu kuti akutyaire kumba.

Taura nachiremba wako wekuvhiya uye anesthesiologist nezve anesthesia yeiyo nzira yekuwana. Pane sarudzo mbiri:

• Anokuchengetedza hutano anogona kukupa mushonga uyo unoita kuti uve nehope uye neinesthetic yemuno kuti ubate saiti. Machira akatenderedzwa pamusoro penzvimbo saka haufanire kutarisa maitiro.
• Mupi wako anogona kukupa general anesthesia saka iwe wakarara panguva yekuita.

Hezvino izvo zvaunotarisira:

• Iwe unenge uine mamwe marwadzo uye kuzvimba pane iyo yekuwana mushure mekuvhiyiwa. Gadzirira ruoko rwako kumusoro pamapiro uye chengetedza gokora rako kuti udzike kuzvimba.
• Chengeta incision yakaoma. Kana iwe uine kateti yenguva pfupi yaiswa mukati, USAIITESE kunyorova. IAV fistula kana kubatanidzwa zvinogona kunyorova maawa makumi maviri nemana kusvika makumi mana mushure mekuiswa mukati.
• Usasimudze chero chinhu chinopfuura mapaundi gumi nemashanu (makirogiramu manomwe).
• Usaite chero chinhu chinonetesa nenhengo ine mukana.

Dana chiremba wako kana iwe uine chero zviratidzo zvehutachiona:

• Marwadzo, kutsvuka, kana kuzvimba
• Drainage kana pus
• Fivha inopfuura 101 ° F (38.3 ° C)

Kuchengeta yako yekuwana kunokubatsira iwe kuichengeta iyo yakareba sezvinobvira.

Fistula:

• Inotora kwemakore mazhinji
• Iine yakanaka kuyerera kweropa
• Ane njodzi shoma yekutapukirwa kana kugwamba

Tsinga yako uye tsinga inopora mushure mega tsono tsono yehemodialysis.

Kubatanidzwa hakuiti kwenguva yakareba se fistula. Inogona kupedza 1 kusvika kumakore matatu nekutarisirwa kwakakodzera. Makomba kubva pakuisa tsono anokura mukubatanidzwa. Kunamatira kune njodzi yakawanda yekutapukirwa kana kugwamba kupfuura fistula.

Itsvo kutadza - chisingaperi - dialysis kuwana; Renal kutadza - chisingaperi - dialysis kuwana; Chisingaperi itsvo insufficiency - dialysis kuwana; Kusingaperi itsvo kutadza - dialysis kuwana; Chisingaperi renal kutadza - dialysis kuwana

National Institute of Chirwere cheshuga uye Digestive uye Kidney Zvirwere webhusaiti. Hemodialysis. www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/hemodialysis. Yakagadziridzwa Ndira 2018. Yakasvika Nyamavhuvhu 5, 2019.

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.