Kodi hemodialysis ndi chiyani, ndi chiyani ndipo imagwira ntchito bwanji

Zamkati

• Ndi chiyani
• Momwe imagwirira ntchito
• Kodi hemodialysis imachitika kwa moyo wonse?
• Ndani hemodialysis ayenera kumwa mankhwala?
• Zovuta za hemodialysis

Hemodialysis ndi mtundu wa mankhwala omwe cholinga chake ndi kulimbikitsa kusefera magazi pomwe impso sizikugwira ntchito moyenera, kulimbikitsa kuchotsa poizoni wochulukirapo, mchere komanso zakumwa.

Mankhwalawa ayenera kuwonetsedwa ndi nephrologist ndipo nthawi zambiri amachitidwa kwa anthu omwe ali ndi impso kulephera, ndipo amayenera kuchitidwa mchipatala kapena muzipatala za hemodialysis. Nthawi ndi pafupipafupi magawo a dialysis amatha kusiyanasiyana kutengera kukula kwa kufooka kwa impso, ndipo magawo a ola 4 atha kuwonetsedwa katatu kapena kanayi pa sabata.

Ndi chiyani

Hemodialysis imachitika molingana ndi malangizo a nephrologist ndipo cholinga chake ndi kusefa magazi, kuchotsa zinthu zapoizoni, monga urea, ndi mchere wochulukirapo, monga sodium ndi potaziyamu, komanso kusefa madzi owonjezera amthupi.

Chithandizochi chitha kuwonetsedwa ngati vuto la impso likulephera, pomwe impso zimalephera kwakanthawi, kapenanso vuto la impso, pomwe impso zimafunikira kusinthidwa kwamuyaya. Mvetsetsani kuti kulephera kwa impso ndi chiyani komanso kuzindikira zizindikilo.

Momwe imagwirira ntchito

Hemodialysis imagwiritsidwa ntchito pogwiritsa ntchito chipangizo chotchedwa dialyzer, momwe magazi amayendera ndikudutsa mu fyuluta yomwe ntchito yake ndikuchotsa zinthu zomwe zikuzungulira mopitilira muyeso zomwe zitha kuvulaza thupi. Izi ndizotheka chifukwa chakupezeka kwa nembanemba inayake yomwe imayambitsa ntchitoyi.

Magazi omwe amasankhidwa amabwera kudzera mu catheter, yomwe imayikidwa m'mitsempha yamagazi. Pambuyo kusefa, magazi oyera, opanda poizoni komanso opanda madzi pang'ono, amabwerera m'magazi kudzera mu catheter ina.

Mwa anthu omwe amafunikira hemodialysis pafupipafupi, ndizotheka kuchitidwa opaleshoni yaying'ono, yomwe imalumikizana ndi mtsempha wamagazi, ndikupanga arteriovenous fistula, yomwe imakhala chotengera chothamanga kwambiri magazi komanso kukana kwambiri ma punctures obwereza, kuthandizira njirayi.

Kodi hemodialysis imachitika kwa moyo wonse?

Pakakhala kulephera kwa impso, komwe impso sizikugwiranso ntchito bwino, hemodialysis imapitilizidwa kwa moyo wonse kapena mpaka kumuika impso kuchitike.

Komabe, pakakhala kuchepa kwa ntchito kwakanthawi, monga impso zoyipa, matenda, kuledzera kapena zovuta zamtima, magawo ochepa a hemodialysis angafunike mpaka impso zibwerere mwakale.

Ndani hemodialysis ayenera kumwa mankhwala?

Hemodialysis sikubwezeretsanso ntchito ya impso, komanso mavitamini ena amatayika panthawi ya dialysis. Chifukwa chake, nephrologist atha kulangiza chithandizo m'malo mwa calcium, vitamini D, iron, erythropoietin ndi antihypertensives, yomwe imawonetsedwa kuti imathandizira kuchepetsa kuthamanga kwa magazi.

Kuphatikiza apo, ndikofunikira kuti munthuyo azisamala ndi chakudya chawo, kuwongolera kumwa madzi, mchere komanso kusankha moyenera zakudya zomwe amadya tsiku ndi tsiku, popeza hemodialysis ili ndi tsiku ndi nthawi yake, chifukwa chake ndikofunikira kuti munthuyo amaperekedwanso ndi katswiri wazakudya.

Chifukwa chake, tikulimbikitsidwanso kuti titsatire katswiri wazakudya. Onani malangizo ena a kudyetsa kwa hemodialysis.

Zovuta za hemodialysis

M'magawo ambiri a hemodialysis wodwalayo samakumana ndi zovuta zilizonse, komabe mwina anthu ena amakumana ndi zovuta zina akamachita hemodialysis, monga:

• Mutu;
• Kukokana;
• Kutaya magazi;
• Thupi lawo siligwirizana;
• Kusanza;
• Kuzizira;
• Kusiyanitsa kwa ma electrolyte amwazi;
• Kupweteka;

Kuphatikiza apo, pakhoza kukhala kutayika kwa fistula, komwe kuthamanga kwa magazi kumalephereka. Pofuna kupewa izi, tikulimbikitsidwa kuti tizisamala monga kusayang'ana kukakamizidwa, kusakoka magazi kapena kugwiritsa ntchito mankhwala m'manja ndi fistula.

Ngati mikwingwirima ipezeka pomwepo, ndibwino kuti mupange ma phukusi tsiku lililonse ndi mapaketi ofunda masiku otsatira. Kuphatikiza apo, ngati ziwoneka kuti kutuluka kwa fistula kwachepetsedwa, ndikofunikira kulumikizana ndi adotolo kapena namwino yemwe amatsagana nawo, chifukwa ndi chizindikiro cha kusokonekera.