Ukukhulelwa kwesiguli esiswini kuyinkxalabo eyoyikisayo yePD
I-Peritoneal Dialysis (okanye i-PD) luhlobo lwe- dialysis kwizigulane ezinokuhluleka kwezintso apho isiguli sesisu esisithiwa yi -peritoneum , ngokwawo sisebenza njengentso yokufakelwa. Eli nqaku liyinxalenye yechungechunge olujongene neengxaki ze-dialysis (zombini i-hemodialysis kunye ne-peritoneal dialysis; jonga izixhumanisi apha , apha , apha ). Inqaku elilandelayo lichaza iingxaki ezithintekayo ezingabonwa kwizigulane kwi-diitoneal dialysis.
UKUZIPHATHISWA KWEENKQUBO
I-calyter ye-dialysis efakwe kwisisu sesigulane esenza i-peritoneal dialysis, ebizwa ngokuba yi-PD catheter, isoloko i-Achilles 'isithende sesigulane sePD. Izifo zemibala eyahlukeneyo zenzeka ngokuxhomekeke kwisayithi. Ezi zinto zingaba kwindawo ye-PD cathterter exit (indawo apho i-catheter ivela kwesikhumba, ebizwa ngokuba yintsholongwane ye- exit site ), kunye ne "tunnel" yayo (inkambo ithatha ngaphantsi kwesikhumba nasesiswini somzimba, esibizwa ngokuba sisifo se-tunnel ) , ekugqibeleni kwisigxina somzimba, esibizwa ngokuba yi "peritoneum" (kunye nosulelo olubizwa ngokuba yi- peritonitis ). Nantsi umfanekiso ukukunceda uqonde oku.
ZINYE IMISEBENZI EZIQHUBILEYO KWE-PERITONEAL DIALYSIS PATIENTS
Amanye amaqela ezigulane anobungozi obuphezulu beengxaki ezithintekayo ezifana ne-peritonitis. Ezi ziquka:
- Umhlanga omnyama
- Abasetyhini besifo
- Izigulane eziye zafudukela kwi-hemodialysis ziya kwi-diitoneal dialysis
Ngokubanzi, indlela oyi-PD (ngesandla okanye usebenzisa i-cycler) akufanele yenze umehluko kumngcipheko wokwakha i-peritonitis. Njengombolo nganye evela kwi-UK Renal Association, isigulane esiphezulu sinokulindela ingozi malunga nesinye isiqendu se-peritonitis rhoqo kwiinyanga ezili-18 (0.67 iziqulatho ngomnyaka wesigulane). Lo ngumthetho nje wesohlwayo kunye nomngcipheko kunye nokusabalalisa intsholongwane kuyahluka ngokubanzi.
IINTSHINTSHELO NEEMISEBENZI
Ukuqala kokusuleleka kudla ngokuqaphela isiguli kuqala. Oko isigulane esivakalelwayo, okanye into eyenziwa yi-nephrologist ingahluka ngendawo yesifo:
- Usuleleko olungenangqondo njengokwenyuka kwesifo sokuphuma kwintsuku kunokubonisa ubomvu okanye ukukhupha kwiindawo apho ikhefu liphuma khona esikhumbeni. Le ndawo ingaba buhlungu kwaye i-fever kunye nentando ingaba khona.
- Ukuba i-tunnel ibandakanyeka, intlungu ecaleni kwenkathazo kunye neempawu ezilapha ngasentla zinokwenzeka
- Ukuba intsholongwane iya kufikelela kwisisu esiswini (i-peritoneum) okanye isayithi kuphela yentsholongwane, (ebizwa ngokuba yi-peritonitis), isasaza esiswini esiswini kunye ne- effluent efutshane yinto eqhelekileyo. Ngokuqhelekileyo, isigulane siza kuphawula ukunyuka kwimiqulu yabo ye-ultrafiltration. I-Fever ingaphinda ibe yinto yokubonisa.
ISICWANGCISO
Ukuba ezi zinto zingentla zikhoyo kwaye ziphakamisa imibuzo malunga ne-peritonitis enokwenzeka, khuluma nephrologist yakho ngokukhawuleza. Ngona buncinci, uvavanyo lomzimba luya kuqinisekisa ubungqina bentsholongwane kwisayithi le-catheter okanye kwi-tunath. Kule meko, iinkcubeko zinokuthi zithathwe kwi-site ye-catheter ukwenzela ukuba ziqinisekise ukusuleleka kwaye zichonge igciwane lesifo esabangela ukusuleleka (oku kubakho iibhaktheriya, kodwa ezinye izinto ezinjengamakhunta nazo zinokwenzeka).
Ukuba isifo sisingaphakathi kwe-peritoneum nangona kunjalo, ke isampuli yendawo yamanzi iyimfuneko eya kuthi ithunyelwe iimvavanyo ezithile (ezibizwa ngokuba yi-cell count, i-Gram stain, kunye neenkcubeko). Iziphumo zovavanyo zivame ukubonisa ukukhula kobhaktheriya okanye ukukhunta okuya kunceda ukukhokela unyango lwe-peritonitis.
UKUHLAWULWA
I-peritonitis enxulumene ne-PD iphathwa ngamagciwane. Amayeza anokuthi anikwe ngokuthe ngqo ngaphakathi kwe-peritoneum exutywe kunye neengxowa ze-dialysis eziqhelekileyo (indlela ekhethiweyo kwiimeko ezininzi), okanye ngaphantsi ngokuqhelekileyo. Unyango lunokuba luyimfuneko kwiiveki ekupheleni. Uncedo olufanelekileyo ngexesha elifanelekileyo kwaye lufanelekile ukwenzela ukuthintela i-peritoneum ukuba ingonakaliswe ngonaphakade ngosulelo (mhlawumbi ingaphaya ukuphela kwe-peritoneal dialysis yesigulane kwaye inokufuna ukutshintshela kwi-hemodialysis).
Izifo ezithintekayo ziyakuthatyathwa kuphela ngamayeza omlomo. Isigqibo malunga nale nto sishiywe kwi-nephrologist yakho.