I-Hemodialysis yindlela yokonyango eyenziwa kwizigulane ezinokuphelelwa kwezintso apho igazi lithathwa kwisiguli somzimba ngokufikelela kwe-dialysis kwaye ihlambulule kumatshini we-dialysis. Lo mshini we-dialysis usebenza njengentso yokuzenza, kwaye uzama ukuphinda aphendule intsholongwane yesintu eqhelekileyo. Iifomsi zisuswe, umthamo ogqithiseleyo uchithwe, kwaye igazi elicocekileyo libuyiselwa kwisigulane.
I-Hemodialysis yinto enye yeentlobo ezahlukeneyo zonyango lwe-dialysis kodwa yindlela eqhelekileyo yokunyanga kwezintso, ubuncinane eMelika. Kuyafuneka xa umsebenzi wezintso usweleka kwindawo apho isigulane siqala ukuhlakulela iimpawu zekliniki zokuhluleka kwezintso, ezibizwa ngokuba yi-uremia, ebonwayo ngokubambisana neemvavanyo zentsholongwane engavamile (i-creatinine ephezulu kunye ne-GFR ephantsi). Ukuze idialyze isigulane, ukufikelela kwe-dialysis kuyadingeka.
Eli nqaku liyingqamaniso yeengxaki ezikhethiweyo ezinokuthi zenzeke kwisigulane kwi-hemodialysis, ngengxoxo enzulu ngakumbi malunga neenkampu, enye yeengxaki eziqhelekileyo ezinokuthi zenzeke xa izigulane zifumana i-dialysis. Nangona kunjalo, oku akulona uluhlu olubandakanya yonke naluphi na umlinganiselo.
Iingxaki eziqhelekileyo
Ezi ziquka:
- I sizathu
- Ukutshiza
- Intloko
- Umqolo obuhlungu
- Iintlungu zesifuba
- Ukuvutha
- Fever
- Iimfampu zomzimba
Iinkqubo ezininzi zijongene nale zinguqulelo.
I dose kunye nobudlova be-dialysis zizinto ezibalulekileyo. Ngokomzekelo, intlungu emva koko iboniswa ngokubambisana nokutshatyalaliswa ngokukhawuleza kwamanzi kwi-dialysis. I-Fever, ngakolunye uhlangothi, inokuvela kwiintsholongwane, kodwa isenokubakho nje ukuphazamiseka kwesifo se-dialyzer. Iintlungu zesifuba kwi-dialysis zifuna ukuthathwa ngokungathí sina kwaye zenzeke ngenxa yamanxungu exinzelelo lwegazi (kubangela ukuphahla kwegazi kwi-intliziyo, eyaziwa nangokuthi i- myocardial ischemia ), kwaye ngokungaqhelekiyo ukusuka emoyeni ukuya kwi-circulation, okanye ukufudumala emoyeni.
Kukho iiprogram ezenzelwe ukuhamba kwi-dialysis yamashishini yanamhlanje ukuba kukho into efana nale.
Ezinye zezi ngxaki zingenzeka kunye, ngokukodwa xa isiguli sisanda kuqalwa kwi-dialysis, kwaye oku kubizwa ngokuba yi- dialysis disquibrium syndrome .
Kutheni Izigulane Zenza i-Dialysis
Enye yeengxaki ezinxulumene ne-dialysis echaphazelekayo, iincampu ziyakwazi ukuphucula xa i-hemodialysis inesibindi; yilapho iindawo ezininzi zeesxibisi kunye nomkhuhlane zisuswe kwisigulane kwisithuba esifutshane sexesha ngexesha le-dialysis. Ngoko ke akukhona nje malunga nomlinganiselo wokukhutshwa komthamo okhukhulayo, kwanjalo ngokukhawuleza kususwe. Ngamanye amazwi, isigulane sinokuba neelitha ezingama-2 kuphela zokukhutshwa komnxeba ngexesha lokunyangwa kwe-dialysis (kungekhona isiqhelo esingavamile), nangona kunjalo, ukuba le mali isuswe ngaphaya kweyure elilodwa nje, kusenokubangela iincampu ezonakalisayo.
Iintlambo zivame ukubetha izigulane ezibona ukufumana ubunzima obuphezulu phakathi kwonyango lwe-dialysis (inzuzo ye-inter-dialytic weight, okanye i-IDWG) rhoqo. Kubantu abasele ba dialysis, usenokuqhelana negama elithi "isisindo esomileyo." Ngaphambi kokuba uqalise unyango lwakho lwe-dialysis abaxhasi be-dialysis baya kukulinganisa, kwaye balwe ubunzima obunokuyifumana kunyango lwangaphambili lwe-dialysis xa ushiye (ubunzima obomileyo).
Umehluko phakathi kwesisindo sakho samanje kunye nobunzima obomileyo ngumlinganiselo wamanzi oza kuphelisa ukuba ususwe. Ukuphakanyiswa kwesi sixa, iimeko ezinokuthi ziphuhliswe kakhulu, ngoko ke iingcebiso eziqhelekileyo ezinikezelwa kwizigulane zeladayysis kukuba zingabi naluphi ubungakanani obunzima phakathi kweyeza zokwelapha i-dialysis. Ngoko ke, izigulane ze-dialysis kulindeleke ukuba zibukele ukuba zidla kangakanani okanye zisela phakathi kwamanyango.
Ukuthintela ukuCwilisa kwiDialysis
Oko isigulane esinokuyenza: Gcina ubunzima be-dialytic buphantsi ngokubukela ukungena kwamanzi
Oko okusebenza ngabasebenzi be-dialysis: Ukunciphisa izinga / isixa sokususwa kwamanzi ngexesha lokunyangwa kwe-dialysis.
Ukunciphisa umlinganiselo kunokufezekiswa ngokunyusa i-dialysis unyango, ngoko ke nangona inani elipheleleyo lokukhupha isiphumo linokuthi lilingane, inani lemveliso ekhutshwe ngeyure liphantsi. Umzimba ngokuqhelekileyo uza kuba nelithuba elingcono lokuguqula ukutshintshwa kwamanzi kunye nokunciphisa ukunyanzelisa. Isisindo esomeleleyo sinokulungiswa kwezinye iimeko.
Ukwelapha i-Dialysis Iimpawu ezinxulumene nazo
Kukho ubungqina bokuthi i-vitamin E kunye neyeza ezifana ne-gabapentin zinokukunceda ngeenkampu ezinxulumene ne-dialysis, kwaye unokuzama ukuguliswa kwizigulane ezithinteka kakhulu. Isiza esabizwa ngokuthi yi-quinine esetyenziselwa ukusetyenziswa kule nto kunye, kodwa asisaphakanyiswa yi-FDA enikwe ubuthi bayo.