Izifo akuyona yodwa ingxaki ekwazi ukuxhathisa izigulane ze-PD
Iziguli ezinokuphelelwa kweengtso ezikhetha i-peritoneal dialysis (PD) njengoko iimeko zabo ezikhethiweyo zokunyanga iimeko zabo kufuneka ziqaphele iingxaki eziza nenkqubo. I-PD yindlela enye yokwenza i-dialysis ekhaya kwaye ngoko kubandakanya ukudluliselwa kwinqanaba elithile lomthwalo wempilo, kwi- nephrologist ukuya kwisigulane. Ukukwazi ukwenza iPP kuyilungelo ngendlela, kodwa njengoko besithi, ngamandla amakhulu uvela uxanduva olukhulu .
Izifo zohlobo oluhlukeneyo ziyizona zinto ezinzima ezichaphazela izigulane ze-PD, kwaye ezi zihlanganisiwe apha . Nangona kunjalo, akukhona nje iintsholongwane ezinjenge-peritonitis esifanele sizilinde kulezi zi gulane. Olunye okuthiwa "umatshini" kunye nezinye iingxaki ezingenasifo nazo zinokwenzeka.
IZICWANGCISO ZEMICIMBI
Iingxaki zengxube zixhomekeke kwiinkalo zesakhiwo kunye ne-peritoneal dialysis catheter.
- Ezi zibandakanya ukuvuza kwe-peritoneal dialysis umthamo ovela kwiphepha le-catheter. Kule meko, izigulane ziyakubona ukuba ukugqoka kwinqanaba lokuphuma okanye izambatho zabo zixakeke emva kokuqala kwePD
- Ukuba i-catheter ifakiwe ngokungalunganga / ngokugqithiseleyo, i- excursion yengxowa inokwenzeka. Ukuqonda oko "inkomfa" jonga umfanekiso weskrini 1 kunye nomfanekiso 2 .
- I-Hernia ukusuka ekudakaleni kwodonga lwesisu, zombini ukusuka kwi-catheter ukufakwa kunye nokuxinzelelo okwenziwe ngenxa yentsholongwane ekhoyo kwisisu
- Ukungaphumeleli kokuphuma , oku kuthetha ukungakwazi ukucima i-peritoneal dialysis umthamo kwisisu. Oku kungabonwa ngenxa yesikheta esichasayo okanye xa i-catheter ifakwa ngaphakathi phakathi kwamathumbu kunye nezicubu ezijikelezayo. Esinye isizathu esivakalayo sokuphuma kwesiphumelelo kukuqhawulwa. Ekugqibeleni, imingxuma yokucoca i-catheter inokugutywa yinto ethiwa i-fibrin.
- Inkcenkcesha engummangaliso (kodwa ingenakwenzeka ngokupheleleyo) yinkqubo ye-PD catheters yintsholongwane yamathumbu . Kule meko, izigulane ziza kuba zigula kakhulu ngesisu esiswini kwaye mhlawumbi izikhuhlane eziphezulu kunye neempawu eziqhelekileyo zentsholongwane, nangona ezi zingekho iimpawu
INFUSION PAIN
Oku kubonakala njengempendulo kumxholo we-peritoneal dialysis fluid, kubandakanya dextrose (iswekile) kunye ne-asidi. Ukongeza i-bicarbonate (okuyi-alkaline) ukuya kumlambo ngamanye amaxesha kunokunceda ukukhupha le ntlungu.
UMQOLO OBUHLUNGU
Oku kuya kwenzeka ngenxa yokunyuka kwesisindo kunye nexinzelelo kwisisu esisenza uxinzelelo emthonjeni, ngokukodwa i-vertebrae ye - lumbar . Olu xinzelelo lubangela ukuphazamiseka ngokuthe gqolo kunye nokuqhubela phambili kwe-curvature evamile kwaye ubeka uxinzelelo kumagulane omgogodla. Esi sizathu sezizathu zokuba izigulane zicelwa ukuba zenze izivivinyo ezomeleza imisipha yomzimba eyanceda ukuthatha uxinzelelo lomgudu.
UKUQALA
Izigulane zifumana oku xa i-PD yamanzi igxothwa kwisisu, ingakumbi xa i-peritoneum "isomile". Ukuntuleka kobuthakathaka ngaphakathi kwesisu emva kokuhambisa amanzi kungenza i-catheter ibhaqe ngaphakathi ngaphakathi kwe-peritoneum okanye kumabilini.
Le ngxabano ingaba ngamanye amaxesha ngokwaneleyo ukuphazamisa izigulane. Kule meko, ukushiya i-peritoneal dialysis fluid ngexesha lonke, (eyaziwa nangokuthi i-dialoneal dialysis) ingasinceda.
I-GASTROESOPHAGEAL REFLUX NOKUPHATHWA KWEGASTRI
Izibonakaliso ze-acid reflux ziyakwenzeka, ngakumbi xa izigulane zikwazi ukunyamezela umthamo we-PD yamanzi kwi-peritoneum. Ukunciphisa lo mqulu kunceda ukunciphisa impawu, nangona kufuneka ukuba kwenziwe ngokucophelela ukwenzela ukuba ingangobungozi umthamo we-dialysis.
UKUSEBENZA KWENKQUBO
Oku kubhekisela kwingqokelela yamanzi emiphakeni. Oku kubangelwa into ebizwa ngokuba yi-pleural-peritoneal leak lapho i-PD yamanzi iphuma khona kwisisu esiswini kwisithuba esiphezulu semiphophu (isikhala somlomo).
HYPOKALEMIA
I-Hypokalemia, okanye amanqanaba aphantsi e-potassium, ingafumaneka kwizigulane ze-peritoneal dialysis. Okuhluke kwizigulane ze-hemodialysis eziqhele ukuqhuba i-potassium ephezulu. Oku kungenxa yokususwa kwe potassium ngokugqithiseleyo nge-dialysisal dialysis. Ngoko ke, indlela elula yokulungisa le nto kukukhulula ukutya kwesigulane okanye, ukuba oko kungasebenzi, baqalise kwi-suppassium supplements.