Kusamalira mwayi wanu wopezera hemodialysis

Muli ndi mwayi wopeza hemodialysis. Kusamalira bwino mwayi wanu kumathandiza kuti ukhale wautali.

Tsatirani malangizo a omwe amakupatsani zaumoyo momwe mungasamalire kufikira kwanu kunyumba. Gwiritsani ntchito zomwe zili pansipa ngati chikumbutso.

Kufikira kwamitsempha ndikutseguka komwe kumapangidwa pakhungu lanu komanso mumitsempha yamagazi panthawi yochita opaleshoni yayifupi. Mukakhala ndi dialysis, magazi anu amatuluka kunja kufikira pamakina a hemodialysis. Magazi anu atasefedwa pamakina, amathanso kubwerera mthupi lanu.

Pali mitundu itatu yayikulu yofika pamitsempha yama hemodialysis. Izi zikufotokozedwa motere.

Fistula: Mitsempha yomwe ili patsogolo panu kapena mkono wanu wam'mwamba yasokedwa pamtsempha wapafupi.

• Izi zimalola masingano kuti alowetsedwe mumitsempha ya chithandizo cha dialysis.
• Fistula imatenga milungu 4 mpaka 6 kuti ichiritse ndikukhwima isanakwane.

Gulu: Mitsempha ndi mtsempha m'manja mwanu zimalumikizidwa ndi chubu cha pulasitiki chokhala ngati U pansi pa khungu.

• Masingano amalowetsedwa kumtengowo mukakhala ndi dialysis.
• Kuphatikizidwa kumatha kukhala kokonzeka kugwiritsidwa ntchito m'masabata awiri kapena anayi.

Catheter wapakati: Vuto lofewa la pulasitiki (catheter) limalowetsedwa pansi pa khungu lanu ndikuyika mtsempha m'khosi mwanu, pachifuwa, kapena kubuula. Kuchokera pamenepo, machubu amapita mumtsinje wapakati womwe umatsogolera ku mtima wanu.

• Catheter yapakatikati ya venous ndi yokonzeka kugwiritsa ntchito nthawi yomweyo.
• Nthawi zambiri amagwiritsidwa ntchito kwa milungu ingapo kapena miyezi ingapo.

Mutha kukhala ndi kufiyira pang'ono kapena kutupa mozungulira tsamba lanu lofikira masiku angapo oyamba. Ngati muli ndi fistula kapena kumezanitsa:

• Limbikitsani mkono wanu pamapilo ndikusunga chigongono chanu kuti muchepetse kutupa.
• Mutha kugwiritsa ntchito mkono wanu mukafika kunyumba kuchokera kuchipatala. Koma, musakweze mapilogalamu opitilira 10 (lb) kapena 4.5 kilograms (kg), omwe ali pafupifupi kulemera kwa galoni la mkaka.

Kusamalira mavalidwe (bandage):

• Ngati mwalumikiza kapena fistula, sungani mavalidwe anu kwa masiku awiri oyamba. Mutha kusamba kapena kusamba mwachizolowezi mutachotsa mavalidwe.
• Ngati muli ndi catheter yapakati, muyenera kuvala nthawi zonse. Phimbani ndi pulasitiki mukasamba. Osasamba, kupita kusambira, kapena kulowetsa mu chipinda chotentha. Musalole kuti aliyense atenge magazi pacatheter yanu.

Zojambulajambula ndi zopangira catheters ndizotheka kuposa fistula kuti atenge kachilomboka. Zizindikiro za matendawa ndi kufiira, kutupa, kupweteka, kupweteka, kutentha, mafinya kuzungulira tsambalo, ndi malungo.

Mitsempha yamagazi imatha kupanga ndikuletsa magazi kutuluka kudzera pa tsamba lofikira. Zojambulajambula ndi ma catheters ndizotheka kuposa fistula kukanirira.

Mitsempha yamagazi yomwe mumalumikiza kapena fistula imatha kukhala yopapatiza ndikuchepetsa magazi kuyenda kudzera munjira. Izi zimatchedwa stenosis.

Kutsatira malangizowa kukuthandizani kupewa matenda, kuundana kwamagazi, komanso mavuto ena ndikufikira kwanu.

• Nthawi zonse muzisamba m'manja ndi sopo musanatenge kapena mukangofika. Sambani malo oyandikana nawo ndi sopo wa antibacterial kapena pakani mowa musanalandire chithandizo cha dialysis.
• Onetsetsani kutuluka (komwe kumatchedwanso kukondweretsedwa) mukufikira kwanu tsiku lililonse. Wopereka wanu akuwonetsani momwe mungachitire.
• Sinthani pomwe singano imalowa mu fistula kapena kumtengowu pa chithandizo chilichonse cha dialysis.
• Musalole kuti aliyense atenge magazi anu, ayambe IV (intravenous intra), kapena atenge magazi kuchokera m'manja mwanu.
• Musalole kuti aliyense atenge magazi kuchokera ku catheter yanu yapakatikati.
• Musagone padzanja lanu lofikira.
• Osanyamula zoposa 10 lb (4.5 kg) ndi mkono wanu wofikira.
• Osamavala wotchi, zodzikongoletsera, kapena zovala zolimba patsamba lanu.
• Samalani kuti musaphwanye kapena kudula mwayi wanu.
• Gwiritsani ntchito mwayi wanu kokha kwa dialysis.

Itanani omwe akukuthandizani nthawi yomweyo mukawona zovuta izi:

• Kutulutsa magazi kuchokera patsamba lanu lofikira
• Zizindikiro za matenda, monga kufiira, kutupa, kupweteka, kupweteka, kutentha, kapena mafinya kuzungulira tsambalo
• Malungo 100.3 ° F (38.0 ° C) kapena kupitilira apo
• Kutuluka (kokondweretsedwa) mumtengowo kapena fistula kumachedwetsa kapena simukumva konse
• Dzanja lomwe adayikapo catheter limafufuma ndipo dzanja mbali ija limamva kuzizira
• Dzanja lanu lizizirala, dzanzi kapena kufooka

Matenda a fistula; A-V fistula; A-V kumezanitsa; Catheter yokonzedwa

Zowonjezera Matenda omwe amabwera chifukwa cha mizere yolumikizana ndi mitsempha. Mu: Cohen J, Powderly WG, Opal SM, olemba. Matenda Opatsirana. Wolemba 4. Philadelphia, PA: Elsevier; 2017: chap 48.

National Institute of Diabetes ndi tsamba la Digestive and Impso Diseases. Kuchepetsa magazi. www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/hemodialysis. Idasinthidwa mu Januware 2018. Idapezeka pa February 1, 2021.

Yeun JY, Young B, Depner TA, Chin AA. Kuchepetsa magazi. Mu: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, olemba. Brenner ndi Rector a Impso. 11th ed. Philadelphia, PA: Elsevier; 2020: chap 63.

• Dialysis