Izvo Zvaunoda Kuti Uzive Nezve Dialysis Side Mhedzisiro

Zvemukati

• Ndeapi marudzi eDialysis?
• Hemodialysis
• Peritoneal dialysis
• Inoenderera mberi renal kutsiva kurapa (CRRT)
• Ndezvipi zvinokanganisa nerudzi rwe dialysis?
• Hemodialysis
• Peritoneal dialysis
• Inoenderera mberi renal kutsiva kurapa (CRRT)
• Pane kurapwa kwe dialysis mhedzisiro here?
• Ndeapi maonero evanhu vane mhedzisiro kubva kune dialysis?
• Kutora

Dialysis inorapa inoponesa vanhu vane itsvo kutadza. Paunotanga dialysis, unogona kusangana nemhedzisiro senge yakaderera BP, kusaenzana kwemaminerari, kugwamba kweropa, hutachiona, kuwedzera huremu, nezvimwe.

Boka rako rekutarisira rinogona kukubatsira iwe kubata akawanda dialysis mhedzisiro kuitira kuti arege kutungamira kumatambudziko enguva refu.

Muchikamu chino, tichaongorora mhedzisiro yemadhialysis, kusanganisira kuti nei achiitika uye maitiro ekuderedza panguva yekurapa.

Ndeapi marudzi eDialysis?

Dialysis inzira yekurapa yekubatsira vanhu vane yakaderera itsvo basa sefa uye kuchenesa ropa ravo. Mamiriro ezvinhu akajairika anoda dialysis kutadza kweitsvo. Kune matatu marudzi e dialysis.

Hemodialysis

Hemodialysis inoshandisa muchina unonzi hemodialyzer kusefa tsvina kubva muropa.

Usati watanga hemodialysis, chiteshi chekupinda chinogadzirwa kumwe kunhu pane muviri, senge ruoko kana mutsipa. Iyi nzvimbo yekuwana inozobatanidzwa kune hemodialyzer, inoshanda seitsvo yekugadzira kubvisa ropa, kuichenesa, uye kuisefa zvakare mumuviri.

Peritoneal dialysis

Peritoneal dialysis inoda kuiswa kwekuvhiya kwecatheter yemudumbu. Maitiro acho anoshandisa firita yekuchenesa mukati memukati medumbu kusefa uye kuchenesa ropa. Urume uhwu, hunodaidzwa kuti dialysate, hwakaiswa mukati meparitoneal mhango uye hunotora zvakananga tsvina kubva muropa painotenderera.

Kamwe iyo mvura painenge yaita basa rayo, inogona kudururwa uye kuraswa, uye maitiro acho anogona kutanga zvakare.

Peritoneal dialysis inogona kuitwa mumba mako uye dzimwe nguva inoitwa husiku paunenge wakarara.

Inoenderera mberi renal kutsiva kurapa (CRRT)

Inoenderera mberi renal kutsiva kurapwa, inozivikanwawo sehemofiltration, zvakare inoshandisa muchina unoshandiswa kusefa tsvina kubva muropa.

Iyi kurapa, inowanzo chengeterwa kwakakomba itsvo kutadza kunokonzerwa nehumwe mamiriro ehutano, inoitwa chete muchipatara.

Ndezvipi zvinokanganisa nerudzi rwe dialysis?

Kune vanhu vazhinji vane itsvo kutadza, dialysis inzira inodikanwa. Nekudaro, kune njodzi uye mhedzisiro inoteedzana nemushonga uyu.

Rwunowanzoitika mhedzisiro mhedzisiro yea dialysis maitiro kuneta. Mimwe mhedzisiro nemhando yekurapa inosanganisira:

Hemodialysis

• Kuderera kweropa. Kuderera kweropa, kana hypotension, panguva yehemodialysis kunoitika nekuda kwekurasikirwa kwenguva pfupi kwemvura panguva yekurapa. Kana yako yeropa ichidonha panguva yekurapwa, unogona zvakare kuona dzungu, kuda kurutsa, ganda rakapfava, uye kuona kwakasviba.
• Tsandanyama tsandanyama. Tsvina yemhasuru inogona kuitika panguva ye dialysis nekuda kwekuchinja kwemvura kana mineral balance. Akadzika masosi e sodium, magnesium, calcium, uye potasium anogona ese anoita chinzvimbo mukurumari kwemhasuru.
• Itchy ganda. Pakati pezvikamu zvehemodialysis, zvigadzirwa zvemarara zvinogona kutanga kuwanda muropa. Kune vamwe vanhu, izvi zvinogona kutungamira kune yakajeka ganda. Kana iko kunanzva kuri kunyanya mumakumbo, zvinogona zvakare kuve nekuda kwekusagadzikana kwemakumbo syndrome.
• Ropa rinovhara. Dzimwe nguva, kuisa yekuwana poindi kunotungamira kudzikira kwemitsipa yeropa. Kana ikasiiwa isina kurapwa, izvi zvinogona kukonzera kuzvimba muhafu yepamusoro yemuviri kana kunyangwe ropa rakagwamba.
• Utachiona. Kakawanda kuiswa kwetsono kana makateti panguva yedhialisisi kunogona kuwedzera kusangana nemaabhakitiriya. Kana mabhakitiriya achipinda muropa panguva yekurapa, unogona kuve panjodzi yekutapukirwa kana kunyangwe sepsis. Pasina kurapwa nekukurumidza, sepsis inogona kutungamira kurufu.
• Mimwe mhedzisiro. Dzimwe njodzi uye mhedzisiro yehemodialysis inogona kusanganisira kupererwa neropa, kurara kwakaomarara, mamiriro emwoyo, kana kusungwa kwemoyo. Mazhinji emhedzisiro iyi anokonzerwa nekusaenzana kwemvura uye mamineral ayo dialysis inogona kukonzera.

Peritoneal dialysis

Zvimwe kunze kwenjodzi yekutapukirwa, zvakajairika peritoneal dialysis mhedzisiro mhedzisiro zvakasiyana zvishoma neidzo dzehemodialysis.

• Peritonitis. Peritonitis chirwere che peritoneum chinoitika kana mabhakitiriya achipinda mu peritoneum panguva yekuisa catheter kana kushandiswa. Zviratidzo zve peritonitis zvinogona kusanganisira kurwadziwa kwepamuviri, unyoro, kuputika, kusvotwa, uye manyoka.
• Hernia. Hernia inoitika kana nhengo kana nyama ine mafuta ichisundira kuburikidza nekuvhura mumhasuru. Vanhu vanogashira peritoneal dialysis vari panjodzi yekuvandudza dumbu hernia nekuti dialysate inoisa kumanikidza kumadziro edumbu. Chiratidzo chakajairika idumbu dumbu.
• Yakakwira ropa shuga. Dialysate ine shuga inonzi dextrose, iyo inowanzo shandiswa panguva yekudya zvinovaka muviri. Shuga senge dextrose inosimudza shuga yeropa, inogona kuisa vanhu vane chirwere cheshuga vanoda peritoneal dialysis panjodzi yehyperglycemia.
• Yakakwira potasium. High potassium, inozivikanwa sehyperkalemia, inowanzoitika mhedzisiro yeitsvo kutadza. Pakati pezvikamu zve dialysis, ako potasium mazinga anogona kuvaka nekuda kwekushayikwa kwakakodzera kusefa.
• Kurera huremu. Kurema huremu kunogona kuitikawo nekuda kwemamwe macalorie kubva mukutungamira kwe dialysate. Zvisinei, pane zvimwe zvakasiyana-siyana zvezvinhu zvinogona kukanganisa kuwedzera kuwedzera panguva ye dialysis, sekushaya kwekurovedza muviri uye kudya kunovaka muviri.
• Mimwe mhedzisiro. Kune vamwe vanhu, kushushikana uye kushushikana kwekugara uchirapa maitiro kunogona kutungamira mukushushikana. Kutsvagurudza zvakare kwakaratidza kuti panogona kuve nehukama pakati pe dialysis uye dementia gare gare muhupenyu.

Inoenderera mberi renal kutsiva kurapa (CRRT)

Iyo mhedzisiro mhedzisiro yeCRRT haina kunge yakanyanyisa kudzidza seiya inokonzerwa nemamwe marudzi. Imwe kubva 2015 yaona kuti akajairwa mhedzisiro mhedzisiro yeCRRT yaisanganisira:

• yakaderera calcium mazinga, anonzi hypocalcemia
• yakakwira calcium mazinga, anonzi hypercalcemia
• yakakwira phosphorus mazinga, anonzi hyperphosphatemia
• yakaderera BP
• hypothermia
• arrythmia
• kupererwa neropa
• low platelet kuverenga, kana thrombocytopenia

Pane kurapwa kwe dialysis mhedzisiro here?

Mazhinji emhedzisiro mhedzisiro yedialysis, kusanganisira yakaderera BP uye mamwe mamiriro emwoyo, anoitika nekuda kwekusaenzana kwehutano panguva yekurapa. Nyanzvi yezvokudya yakanyoreswa inogona kupa mazano akakodzera ezvekudya, kusanganisira zvekudya uye zvaunofanira kudzivirira.

Zvimwe zvinhu zvaunogona kuita kumba kudzikisira njodzi ye dialysis mhedzisiro inosanganisira:

• kutarisa nzvimbo yako yekuwana kazhinji, iyo inogona kubatsira kudzikisira hutachiona hutachiona
• kuwana kurovedza muviri kwakaringana, senge yakaderera kusvika pakati nepakati kurovedza muviri, izvo zvinogona kubatsira kudzikisa huremu
• kunwa mvura kana zvinwiwa zvinoenderana nemirayiridzo yemupi wezvehutano, izvo zvinogona kudzikisa kupera mvura mumuviri
• kuva neakawandisa dialysis zvikamu, izvo zvakaratidza kunogona kudzora njodzi yekudzikira kweropa uye kuwedzera uremu
• uchinakidzwa nezvaunofarira zviitiko, izvo zvinogona kukwidziridza manzwiro ako pakurapwa kwese

Kunyangwe dialysis yemhedzisiro mhedzisiro yakajairika zvakajairika, zvakakosha kuti uchengete yako timu yekutarisira mune chiuno nezve chero chinhu chaungave uchisangana nacho. Tsvaga kurapwa pakarepo kana iwe ukaona chero cheanotevera zviratidzo panguva kana mushure mekurapa dialysis:

• kunetseka kufema
• kuvhiringidzika kana kunetseka kuisa pfungwa
• kurwadziwa, kutsvuka, kana kuzvimba mumakumbo
• fivha inopfuura 101 ° F
• kurasikirwa kwekuziva

Zviratidzo izvi zvinogona kuve nehukama neiyo hypotension, hyperglycemia, kugwamba kweropa, kana hutachiona hwakakomba uye zvinoda kurapwa nekukurumidza.

Ndeapi maonero evanhu vane mhedzisiro kubva kune dialysis?

Kana uine itsvo kutadza uye itsvo dzako dzisisashande, ungangoda hupenyu hwese dialysis. Izvi zvinoreva kuti iwe unogona kusangana nezviratidzo zve dialysis nguva zhinji. Zvisinei, iwe unogona achiri kurarama hupenyu huzere nekugadzirisa zviratidzo zvako nerubatsiro rwechikwata chako chekutarisira.

Kutora

Mhedzisiro inowanzoitika yehemodialysis inosanganisira kushomeka kweropa, hutachiona hwekupinda saiti, tsandanyama dzemhasuru, ganda rinonamira, uye kugwamba kweropa. Mhedzisiro inowanzoitika ye peritoneal dialysis inosanganisira peritonitis, hernia, shanduko yeshuga yeropa, kusaenzana kwe potassium, uye kuwedzera huremu.

Rondedzera chero zviratidzo zvaunosangana nazvo panguva yekurapwa kuchikwata chako chekutarisira. Ivo vanogona kukubatsira iwe kuzvibata navo nedhayeti uye mararamiro shanduko.

Kana iwe ukacherekedza chero zviratidzo zvekuderera zvakanyanya kweropa, shuga yakakwira muropa, kuwanda kweropa, kana hutachiona hunopararira, unofanirwa kutsvaga kurapwa nekukurumidza.