Ziziphi iingxaki eziqhelekileyo ngexesha le-dialysis?

I-Hemodialysis yindlela yonyango ethatha indawo yokusebenza kwezintso kwaye isetyenziswa kakhulu kwizigulana ezingakwaziyo ukusombulula ingxaki yezintso ukunceda ukususa inkunkuma ye-metabolic kunye namanzi agqithisileyo emzimbeni. Nangona kunjalo, ngexesha le-dialysis, ezinye izigulana zinokudibana neengxaki ezahlukeneyo. Ukuqonda ezi ngxaki kunye nokukwazi iindlela ezifanelekileyo zokumelana nazo kunokunceda izigulana zigqibe unyango lwazo ngokukhuselekileyo nangokufanelekileyo.

UWesley'oomatshini abasetyenziswa kumaziko e-dialysis kwilizwe lomthengi

01. Uxinzelelo lwegazi oluphantsi - Ukuba nesiyezi kunye nobuthathaka ngexesha le-dialysis?

Q1：· Kutheni oku kusenzeka?

Ngexesha le-dialysis, amanzi egazini ahluzwa ngokukhawuleza (inkqubo eyaziwa ngokuba yi-ultrafiltration), nto leyo enokubangela ukwehla komthamo wegazi kunye nokwehla koxinzelelo lwegazi.

Q2：·Uphawu oluqhelekileyo？

● Ukudinwa, isiyezi

● Isicaphucaphu, ukubona izinto ezingaqondakaliyo (ukubona ubumnyama)

● Ukuquleka kwiimeko ezinzima

Q3：Kwenziwa kanjaniJongane ne?

Lawula ukungenisa amanzi: Kuphephe ukutyeba kakhulu ngaphambi kokuba uye kwi-dialysis (ngokubanzi kungabi ngaphezu kwe-3%-5% yobunzima bomzimba owomileyo).

● Lungisa isantya se-dialysis: Lungisa izinga le-ultrafiltration.

● Phakamisa amalungu angaphantsi: Ukuba uzive ungaphilanga, zama ukuphakamisa imilenze ukuze ukhuthaze ukujikeleza kwegazi.

● Ukutya okungenatyuwa ingako: Nciphisa ukutya ityuwa ukuze uthintele ukugcinwa kolwelo.

02.Ukuqaqamba kwemisipha – Yintoni omawuyenze ukuba ufumana iintlungu emilenzeni ngexesha lokucoca igazi?

Q1：Kutheni oku kusenzeka?

● Ukulahleka kolwelo ngokukhawuleza kakhulu, nto leyo ekhokelela ekubeni igazi lingangeni ngokwaneleyo kwimisipha.

● Ukungalingani kwe-electrolyte (umz., i-hypocalcemia, i-hypomagnesemia).

Q2：Iimpawu eziqhelekileyo

● Ukuqaqamba ngequbuliso kunye nentlungu kwimisipha yethole okanye yamathanga

● Isenokuthatha imizuzu eliqela okanye ngaphezulu

Q3：Kwenziwa kanjaniJongane ne?

● Lungisa izinga lokuhluza amanzi emzimbeni (ultrafiltration rate): Kuphephe ukuphelelwa ngamanzi emzimbeni ngokukhawuleza.

● Ukuphulula umzimba kwindawo ethile + ukucinezela okushushu: Kunciphisa uxinzelelo lwemisipha.

● Yongeza i-calcium kunye ne-magnesium: Thatha izongezo phantsi kwesikhokelo sikagqirha ukuba kuyimfuneko.

03.I-anemia - Usoloko uziva udiniwe emva kokuhlamba igazi?

Q1：Kutheni kusenzeka oku?

● Ukulahlekelwa ziiseli ezibomvu zegazi ngexesha lokucoca igazi.

● Ukwehla kwemveliso ye-erythropoietin ngenxa yokungasebenzi kakuhle kwezintso.

Q2：Iimpawu eziqhelekileyo

● Ulusu oluphaphathekileyo nokudinwa lula

● Ukubetha kwentliziyo ngokukhawuleza kunye nokuphefumla kancinci

Q3：Ungayilungisa njani le nto?

● Yitya ukutya okuninzi okutyebileyo kwi-iron: Okufana nenyama engenamafutha, isibindi sesilwanyana, ispinatshi, njl.

● I-vitamin B12 eyongezelelweyo kunye ne-folic acid: Ingafumaneka ngokutya okanye amayeza.

● Faka i-erythropoietin ukuba kuyimfuneko: Oogqirha baya kuyinika i-erythropoietin ngokweemeko zomntu ngamnye.

04.I-Dialysis Disequilibrium Syndrome – Intloko ebuhlungu okanye ukuhlanza emva kwe-dialysis?

Q1：Kutheni kusenzeka oku?

Xa i-dialysis ikhawuleza kakhulu, iityhefu egazini (ezifana ne-urea) zisuswa ngokukhawuleza, kodwa iityhefu engqondweni zisuswa kancinci, nto leyo ekhokelela ekungalinganini kwe-osmotic kunye nokudumba kobuchopho.

Q2：Iimpawu eziqhelekileyo

●Intloko ebuhlungu, isicaphucaphu, kunye nokuhlanza

●Uxinzelelo lwegazi oluphezulu kunye nokozela

●Ukuxhuzula kwimeko enzima kakhulu

Q3：Ungayilungisa njani le nto?

● Nciphisa ubukhali be-dialysis: Iiseshoni zokuqala ze-dialysis akufuneki zibe zinde kakhulu.

● Phumla ngakumbi emva kokuhlamba nge-dialysis: Kuphephe ukwenza imisebenzi enzima.

● Kuphephe ukutya ukutya okuneproteni eninzi: Nciphisa ukutya iiproteni ngaphambi nasemva kokucoca umzimba ukuze uthintele ukuqokelelana ngokukhawuleza kweetyhefu.

Isishwankathelo: Ungayenza njani i-hemodialysis ibe yekhuselekileyo?

1. Lawula ukungenisa amanzi ukuze uphephe ukutyeba kakhulu.

2. Gcina ukutya okunesondlo esifanelekileyo (ityuwa encinci, iiproteni eziphakathi)

3.Yenza uhlolo rhoqo ukuze ujonge uxinzelelo lwegazi, ii-electrolytes, kunye nezinye izalathisi.

4. Nxibelelana nabo ngokukhawuleza: Yazisa abasebenzi bezonyango ngokukhawuleza ukuba uziva ungaphilanga ngexesha lokucoca igazi.

WIzixhobo ze-hemodialysis zika-Esley zenze umsebenzi we-dialysis owenzelwe wena ukujongana nemiba engentla, efanelekileyo ngakumbi kwiimeko zomntu ngamnye zesigulana.，Ngeentlobo ezisi-8 zokudibanisa i-UF profilling kunye ne-sodium concentration profilling kunokunceda ukunciphisa nokunciphisa iimpawu zeklinikhi ezifana ne-imbalance syndrome, i-hypotension, i-muscle spasms, i-hypertension, kunye nokungaphumeleli kwentliziyo kunyango lweklinikhi. Ixabiso lokusetyenziswa kwayo kweklinikhi lixhomekeke kubuchule bokukhetha iiparameter zokusebenza ezifanelekileyo kunye neendlela ze-dialysis ngamaxesha ahlukeneyo ngokusebenzisa "iqhosha elinye" ukusebenza kwabantu abahlukeneyo, kwaye kugqibezele ngokuzenzekelayo yonke inkqubo yonyango lwe-dialysis.

Iintlobo ezi-8 zokudibanisa i-UF profilling kunye ne-sodium concentration profilling 

Ukukhetha uWesley kukukhetha iqabane elingcono, elinokubonelela ngamava onyango akhululekileyo.