Esi siphumo sinokubandezela izigulane ezisanda kuqalwa kwi-dialysis
YINI I-DIALYSIS DISEQUILIBRIUM SYNDROME
Isiganeko sesifo se-dialysis disquibrium syndrome sisoloko senzeka emva kokusweleka kweengxaki isigulane esisandul ' ukuqaliswa kwi-dialysis (nangona oku kungenjalo kwaye kuya kwenzeka emva koko). Njengoko i- fluid kunye neesxibisi zisuswe emzimbeni nge-dialysis , utshintsho lwezinto ezingokwenyama ezingenza ukuba uninzi lweempawu ze-neurological ziqala ukuvela.
Iimpawu ziyahlukahluka kubumnene, njengeentloko, kwiifom ezinzima apho izigulana zinokuhlakulela i-coma, okanye nokufa. Nalu uluhlu olungabandakanyiyo lweempawu :
- I sizathu
- Intloko
- Ukuphazamiseka
- Ukudideka
- Cramps
- Utywala
- Ukuxhamla
- I-Coma, okanye ukufa kwiimeko ezinzima
KUNGANI I-DIALYSIS I-DISEQUILIBRIUM SYNDROME I-HAPPEN: UKUKHONA ISIFUTSHANE
Ubungacinga ukuba nge- dialysis ejikeleze isiqingatha sekhulu leminyaka, siya kuqonda yonke imiphumo emibi ngoku. Nangona i-dialysis disqubrium nakuba kunjalo, akunjalo kwaye indlela echanekileyo isengomcimbi wophando. Sinezinye izikhokelo:
- Enye yeengcamango ezicetywayo yinto ethiwa, " ukuguqula i-osmotic shift", okanye ukuguqula umphumo we-urea . Okubaluleke ukuba oko kuthetha ukuthini ukuba i-dialysis iqalile, ukususwa kweexin ( igazi urea ) kubangela ukunyuka okuthe ngqo kwindleko yoxinaniso lwamanzi egazini . Amanzi anokungena kumaseli eengqondo aholele ekuqhubeni, okwenza into ebizwa ngokuba yi -edema ye-cerebral . Ukukhukhuma kweeseli zengqondo ngolu hlobo kuye kwacatshulwa njengesinye sezizathu eziqhelekileyo iingxaki zeengxaki zeengxaki ezinxulumene ne-dialysis disquibrium syndrome.
- Ukunciphisa i-pH yeeseli zengqondo . Ngokwemigaqo, oku kuthetha ukuba iiseli zengqondo zinomgangatho ophezulu we "asidi". Oku kuye kwacetyiswa njengenye izathu.
- Idiogenic osmoles eziveliswe engqondweni (iinkcukacha zamanani 2 no-3 zikho ngaphaya kweli nqaku).
NGABANYE ABANYE ABANYE UKUTHUTHUKISWA KWEENKQUBO ZOKUKHUTHUKISA IDIALYSIS I-DISEQUILIBRIUM SYNDROME: AMAZIKO OKUBA UKUTHUTHUKISWA KWOPHUHLISO
Ngethamsanqa, isifo se-dialysis disquibrium syndrome yinto engabonakaliyo kwaye iziganeko zayo ziyaqhubeka.
Oku kuye kwacatshangelwa kukuba ngenxa yokuba izigulane ngoku ziqaliswe kwi-dialysis kumxinano ophantsi kakhulu we-urea egazini.
Nazi ezinye iimeko xa isigulane sinokuthathwa njengengozi ephakamileyo yokuphuhliswa kwesifo se-dialysis disquibration syndrome :
- Izigulane ezindala kunye nezingane
- Intsha iqalisa udialysis
- Izigulane ezinesifo sengqondo esinjengobunzima okanye ukubetha
- Izigulane kwi-hemodialysis (i-syndrome ayibonakali kwizigulane ze- peritoneal dialysis )
INGXELO YOKWENZA I-DIALYSIS I-DISEQUILIBRIUM SYNDROME IYAVALWA
Ekubeni i-dialysis disquibrium syndrome kucingelwa ukuba ihambelana nokususwa ngokukhawuleza kweexin (urea) kunye nomsoco kwisigulane esitsha esasifele isifo, imilinganiselo ethile yokukhusela ingaba luncedo. Ukuchonga isigulane esinobungozi obuphezulu, njengoko kuchaziwe ngasentla, isinyathelo sokuqala. Ngaphandle koko, kukho izicwangciso ezithile ezinokukunceda:
- Ukuqaliswa okufutshane kwe-dialysis, ngokukhethekileyo ukunciphisa iseshoni yokuqala ukuya kwiiyure ezingama-2, ngezinga elithe gqolo lokuhamba kwegazi.
- Ukuphindaphinda iseshoni kwiintsuku zokuqala ezingu-3-4, imihla ngemihla, ezingenakuba yimizila evamile ngexesha elide (ngoko ke rhoqo, kodwa iiseshoni "zincinci")
- Ukuxutywa kwezinto ezibizwa ngokuba yi-mannitol
INGABE KUNYE UKUFUNA UKUHLAWULWA KWE-DIALYSIS I-DISEQUILIBRIUM ONCE ITHULEKILEYO
Unyango luninzi luphawu.
Isihlunu kunye nokuhlanza kunokuphathwa unyango ngokusebenzisa imithi efana ne-ondansetron. Ukuba izibilini zenzeke, incomo eqhelekileyo kukunqanda i-dialysis kwaye iqalise imishanguzo yokuxhatshazwa . Ubungakanani kunye nobudlova be-dialysis kunokudinga ukunciphisa ukwelashwa kwexesha elizayo.