Njira zopezera hemodialysis

Kufikira kumafunikira kuti mupeze hemodialysis. Kufikira ndipamene mumalandira hemodialysis. Pogwiritsa ntchito mwayiwo, magazi amachotsedwa mthupi lanu, kutsukidwa ndimakina a dialysis (otchedwa dialyzer), kenako nkubwerera m'thupi lanu.

Nthawi zambiri mwayiwo umayikidwa m'manja mwanu koma umathenso kupita mwendo wanu. Zimatengera masabata angapo mpaka miyezi ingapo kuti mukonzekere hemodialysis.

Dokotala wa opareshoni ndi amene adzalembetse. Pali mitundu itatu yolumikizira.

Fistula:

• Dokotalayo amalowa mtsempha wamagazi ndi mitsempha pansi pa khungu.
• Mitsempha ndi mtsempha zikalumikizidwa, magazi ambiri amalowa mumtsinje. Izi zimapangitsa mtsempha kukhala wolimba. Kuyika singano mumtsempha wolimba ndikosavuta kwa hemodialysis.
• Fistula imatenga milungu 1 mpaka 4 kuti ipangidwe.

Kumezanitsa:

• Ngati muli ndi mitsempha yaying'ono yomwe singakulire fistula, dokotalayo amalumikiza mtsempha ndi mtsempha ndi chubu chopangira chotchedwa kumezanitsa.
• Kuyika singano kumatha kuchitidwa ndikuthamangitsa hemodialysis.
• Kumezanitsa kumatenga masabata 3 mpaka 6 kuti achiritse.

Catheter yapakati:

• Ngati mukufuna hemodialysis nthawi yomweyo ndipo mulibe nthawi yoti mudikire fistula kapena kumezanitsa kuti agwire ntchito, dokotalayo amatha kuyika catheter.
• Catheter imayikidwa mu mtsempha wa khosi, chifuwa, kapena mwendo wapamwamba.
• Catheter iyi ndi yakanthawi kochepa. Itha kugwiritsidwa ntchito ngati dialysis podikirira fistula kapena kumtengowo kuti muchiritse.

Impso zimakhala ngati zosefera zoyeretsera madzi ena owonjezera ndi zonyansa zamagazi anu. Impso zanu zikaleka kugwira ntchito, dialysis itha kugwiritsidwa ntchito kutsuka magazi anu. Dialysis imachitika katatu pamlungu ndipo imatenga pafupifupi 3 mpaka 4 maola.

Ndi mtundu uliwonse wofikira, muli pachiwopsezo chotenga matenda kapena magazi. Ngati matenda kapena magazi ayamba kuundana, mufunika chithandizo kapena maopaleshoni ambiri kuti mukonze.

Dokotalayo ndiye amasankha malo abwino oti ayike kufikira kwanu. Kupeza bwino kumafunikira magazi abwino. Mayeso a Doppler ultrasound kapena venography atha kuchitidwa kuti muwone kuthamanga kwa magazi pamalo omwe mungapeze.

Kufikira kwamitsempha kumachitika nthawi zambiri ngati njira yatsiku. Mutha kupita kwanu pambuyo pake. Funsani dokotala ngati mukufuna wina kuti akupititseni kunyumba.

Lankhulani ndi dokotala wanu wochita opaleshoni komanso wamankhwala zamankhwala zamankhwala kuti muchite nawo njirayi. Pali zisankho ziwiri:

• Wothandizira zaumoyo wanu akhoza kukupatsani mankhwala omwe amakupangitsani kuti mugoneko pang'ono komanso kuti muchepetseko mankhwala kuti muchepetse tsambalo. Nsalu zimakhala pamalopo chifukwa chake simuyenera kuwonera mchitidwewu.
• Wopereka wanu amatha kukupatsani mankhwala oletsa ululu kuti mukagone munthawi imeneyi.

Nazi zomwe muyenera kuyembekezera:

• Mudzakhala ndi ululu ndi kutupa pofikira mukangochita opaleshoni. Limbikitsani mkono wanu pamapilo ndikusunga chigongono chanu kuti muchepetse kutupa.
• Sungani cheke chouma. Ngati muli ndi catheter yosakhalitsa, MUSAYIPEZE yonyowa. Fistula kapena kulumikizira kwa AV kumatha kunyowa patatha maola 24 mpaka 48 mutayikidwa.
• Musakweze chilichonse kupitirira mapaundi 15 (kilogalamu 7).
• Osachita chilichonse chotopetsa ndi chiwalo chomwe muli nacho.

Itanani dokotala wanu ngati muli ndi zizindikiro za matenda.

• Ululu, kufiira, kapena kutupa
• Ngalande kapena mafinya
• Malungo opitirira 101 ° F (38.3 ° C)

Kusamalira kupeza kwanu kudzakuthandizani kuti muzisunga nthawi yayitali momwe mungathere.

Fistula:

• Zimakhala zaka zambiri
• Ali ndi magazi abwino
• Ali ndi chiopsezo chochepa chotenga kachilombo kapena kugwedeza

Mitsempha yanu ndi mitsempha yanu imachira pambuyo pa ndodo iliyonse ya hemodialysis.

Kuphatikizidwa sikukhalitsa ngati fistula. Itha kukhala zaka 1 mpaka 3 mosamala. Mabowo kuchokera pazowikapo singano amakula ndikumezanitsa. Kumezanitsa kumakhala ndi chiopsezo chotenga kachilombo kapena kutsekemera kuposa fistula.

Impso kulephera - matenda - dialysis kupeza; Aimpso kulephera - matenda - dialysis mwayi; Matenda osakwanira - kupeza kwa dialysis; Kulephera kwa impso - mwayi wa dialysis; Kulephera kwa impso - kufalikira kwa dialysis

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 Ogasiti 5, 2019.

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.