Dialysis - hemodialysis

Dialysis imathandizira kulephera kwa impso kumapeto. Zimachotsa zonyansa m'mwazi wanu pomwe impso zanu sizingagwire ntchito yawo.

Pali mitundu yosiyanasiyana ya dialysis ya impso. Nkhaniyi ikufotokoza za hemodialysis.

Ntchito yanu yayikulu ndiyo kuchotsa poizoni ndi madzi owonjezera m'magazi anu. Ngati zinyalala zikukula mthupi lanu, zitha kukhala zowopsa mwinanso kupha kumene.

Hemodialysis (ndi mitundu ina ya dialysis) imagwira ntchito ya impso zikaleka kugwira bwino ntchito.

Hemodialysis ikhoza:

• Chotsani mchere, madzi, ndi zinyalala zowonjezera kuti zisamangike mthupi lanu
• Muzisunga mchere ndi mavitamini mthupi lanu
• Thandizani kuchepetsa kuthamanga kwa magazi
• Thandizani kupanga maselo ofiira ofiira

Pa hemodialysis, magazi anu amadutsa mu chubu kulowa mu impso kapena sefa.

• Chosefacho, chotchedwa dialyzer, chidagawika magawo awiri opatukana ndi khoma lochepa.
• Magazi anu akamadutsa gawo limodzi la sefa, madzimadzi apadera mbali inayo amatulutsa zonyansa m'magazi anu.
• Magazi anu amabwerera m'thupi lanu kudzera mu chubu.

Dokotala wanu adzakupatsani mwayi wopezera chubu. Nthawi zambiri, kulowa kumakhala mumtsuko wamagazi m'manja mwanu.

Kulephera kwa impso ndiye gawo lomaliza la matenda a impso a nthawi yayitali (osachiritsika). Apa ndi pamene impso zanu sizingathenso kuthandizira zosowa za thupi lanu. Dokotala wanu azikambirana nanu za dialysis musanayifune. Nthawi zambiri, mumapita pa dialysis mukangotsala ndi 10% mpaka 15% ya ntchito yanu ya impso.

Mwinanso mungafunike dialysis ngati impso zanu zitasiya kugwira ntchito mwadzidzidzi chifukwa cha kulephera kwa impso.

Hemodialysis nthawi zambiri imachitidwa pamalo apadera a dialysis.

• Mukhala ndi mankhwala pafupifupi atatu pa sabata.
• Chithandizo chimatenga pafupifupi maola 3 kapena 4 nthawi iliyonse.
• Mutha kumva kutopa kwa maola angapo pambuyo pa dialysis.

Ku malo azachipatala, omwe amakuthandizani pa zaumoyo ndi omwe amakusamalirani. Komabe, muyenera kusungitsa nthawi yanu yoikidwiratu ndikutsata zakudya zolimba za dialysis.

Mutha kukhala ndi hemodialysis kunyumba. Simuyenera kugula makina. Medicare kapena inshuwaransi yaumoyo wanu imalipira ndalama zambiri kapena zonse zothandizira kuchipatala kapena pakatikati.

Ngati muli ndi dialysis kunyumba, mutha kugwiritsa ntchito imodzi mwamagawo awiri:

• Chithandizo chochepa (maola awiri kapena atatu) amachitidwa masiku osachepera 5 mpaka 7 pa sabata
• Kutalika, chithandizo chamadzulo usiku kumachitika ma 3 mpaka 6 usiku sabata mukamagona

Muthanso kuchita chithandizo chamasana ndi usiku.

Chifukwa mumalandira chithandizo pafupipafupi ndipo chimachitika pang'onopang'ono, hemodialysis yakunyumba ili ndi maubwino ena:

• Zimathandiza kuchepetsa kuthamanga kwa magazi. Anthu ambiri safunikiranso mankhwala a kuthamanga kwa magazi.
• Imachita ntchito yabwinoko yochotsa zonyansa.
• Ndiosavuta pamtima pako.
• Mutha kukhala ndi zizindikiro zochepa kuchokera ku dialysis monga mseru, kupweteka mutu, kukokana, kuyabwa, ndi kutopa.
• Mutha kulandira chithandizo mosavuta m'dongosolo lanu.

Mutha kudzichitira nokha mankhwalawa, kapena mungapeze wina wokuthandizani. Namwino wa dialysis amatha kukuphunzitsani komanso kukusamalirani momwe mungapangire dialysis kunyumba. Maphunziro amatha milungu ingapo mpaka miyezi ingapo. Inu ndi omwe amakusamalirani muyenera kuphunzira:

• Sungani zida
• Ikani singano pamalo olowera
• Onetsetsani makina ndi kuthamanga kwa magazi mukamalandira chithandizo
• Sungani zolemba zanu
• Sambani makina
• Zodula, zomwe zingaperekedwe kunyumba kwanu

Dialysis yakunyumba si ya aliyense. Mudzakhala ndi zambiri zoti muphunzire ndipo muyenera kukhala ndi udindo wosamalira. Anthu ena amakhala omasuka kukhala ndi omwe amawapatsa chithandizo. Komanso, si malo onse omwe amapereka dialysis kunyumba.

Dialysis yakunyumba ikhoza kukhala njira yabwino ngati mukufuna kudziyimira pawokha ndipo mutha kuphunzira kudzichitira nokha. Lankhulani ndi omwe amakupatsani. Pamodzi, mutha kusankha mtundu wa hemodialysis woyenera.

Itanani omwe akukuthandizani mukawona:

• Kutulutsa magazi kuchokera patsamba lanu lofikira
• Zizindikiro za matenda, monga kufiira, kutupa, kupweteka, kupweteka, kutentha, kapena mafinya kuzungulira tsambalo
• Malungo opitirira 100.5 ° F (38.0 ° C)
• Dzanja lomwe adayikapo catheter limafufuma ndipo dzanja mbali ija limamva kuzizira
• Dzanja lanu lizizizira, kuchita dzanzi, kapena kufooka

Komanso, itanani dokotala wanu ngati chimodzi mwazizindikiro izi ndi zoopsa kapena zatha masiku opitilira 2:

• Kuyabwa
• Kuvuta kugona
• Kutsekula m'mimba kapena kudzimbidwa
• Nseru ndi kusanza
• Kugona, kusokonezeka, kapena mavuto owonetsa

Yokumba impso - hemodialysis; Dialysis; Aimpso m'malo mankhwala - hemodialysis; Mapeto siteji aimpso matenda - hemodialysis; Impso kulephera - hemodialysis; Aimpso kulephera - hemodialysis; Matenda a impso - hemodialysis

Kotanko P, Kuhlmann MK, Chan C. Levin NW. Hemodialysis: mfundo ndi maluso. Mu: Feehally J, Floege J, Tonelli M, Johnson RJ, olemba. Chachikulu Chachipatala Nephrology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2019: mutu 93.

Misra M. Hemodialysis ndi hemofiltration. Mu: Gilbert SJ, Weiner DE, olemba., Eds. Primer pa Matenda a Impso a National Kidney Foundation. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 57.

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