Ziziphi iingxaki eziqhelekileyo ngexesha le-dialysis?

I-Hemodialysis yindlela yonyango ethatha indawo yokusebenza kwezintso kwaye isetyenziswa ikakhulu kwizigulane ezinokusilela kwezintso ukunceda ukususa inkunkuma ye-metabolic kunye namanzi angaphezulu emzimbeni. Nangona kunjalo, ngexesha le-dialysis, ezinye izigulana zinokudibana neengxaki ezahlukeneyo. Ukuqonda le miba kunye nokuqonda iindlela ezichanekileyo zokuhlangabezana nazo kunokunceda izigulane zigqibe unyango lwazo ngokukhuselekileyo nangempumelelo.

Wesley's oomatshini Isetyenziswa kumaziko dialysis kwilizwe umxhasi

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

Q1:· Kutheni le nto isenzeka?

Ngexesha le-dialysis, amanzi asegazini ahluzwa ngokukhawuleza (inkqubo eyaziwa ngokuba yi-ultrafiltration), enokubangela ukuhla komthamo wegazi kunye nokuhla koxinzelelo lwegazi.

Q2:·Uphawu oluqhelekileyo?

● Isiyezi, ukudinwa

● Isicaphucaphu, ukubona luzizi (ukubona ubumnyama)

● Ukufa isiqaqa kwiimeko ezimandundu

Q3:Kwenziwa kanjaniJongane ne?

Ukulawula ukungenisa kwamanzi: Gwema ukufumana ubunzima obuninzi ngaphambi kwe-dialysis (ngokubanzi akukho ngaphezu kwe-3% -5% yobunzima obomileyo).

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

● Phakamisa amalungu angezantsi: Ukuba uziva ungonwabanga, zama ukuphakamisa imilenze ukukhuthaza ukuhamba kwegazi.

● Ukutya okunetyuwa encinane: Nciphisa ityuwa ekutyeni ukuze uthintele ukugcinwa kolwelo.

02.I-Muscle Spasms - Yintoni ongayenza xa ufumana imilenze yomlenze ngexesha le-dialysis?

Q1:Kutheni le nto isenzeka?

● Ukulahlekelwa ngokukhawuleza kolwelo olugqithiseleyo, nto leyo ekhokelela ekubeni igazi lingafumaneki ngokwaneleyo kwizihlunu.

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

Q2:Iimpawu eziqhelekileyo

● Ukuqaqanjelwa ngequbuliso neentlungu kwizihlunu zethole okanye zethanga

● Inokuhlala imizuzu eliqela okanye ngaphezulu

Q3:Kwenziwa kanjaniJongane ne?

● Lungisa i-ultrafiltration rate: Gwema ukuphelelwa ngamandla kwamanzi ngokukhawuleza.

● I-massage yendawo + i-compress eshushu: Nciphisa ukuxhatshazwa kwemisipha.

● Yongeza icalcium nemagnesium: Thatha izongezo phantsi kolwalathiso lukagqirha ukuba kuyimfuneko.

03.I-anemia - Uhlala uziva udiniwe emva kwe-dialysis?

Q1:Kutheni isenzeka?

● Ukulahlekelwa ziiseli ezibomvu zegazi ebudeni be-dialysis.

● Ukuncipha kwemveliso yeerythropoietin ngenxa yokuncipha kokusebenza kwezintso.

Q2:Iimpawu eziqhelekileyo

● Ibala eliluthuthu kunye nokudinwa lula

● Ukubetha kwentliziyo ngokukhawuleza nokuphefumla nzima

Q3:Indlela yokujongana nayo?

● Yitya ukutya okune-iron eninzi ngakumbi: Okufana nenyama ebhityileyo, isibindi sesilwanyana, isipinatshi, njl.

● Yongeza ivithamin B12 nefolic acid: Inokufunyanwa ngokutya okanye ngamayeza.

● Tofa i-erythropoietin ukuba kuyimfuneko: Oogqirha baya kuyimisela ngokusekelwe kwiimeko zomntu ngamnye.

04.I-Disequilibrium Syndrome - intloko ebuhlungu okanye ukuhlanza emva kwe-dialysis?

Q1:Kutheni isenzeka?

Xa i-dialysis ikhawuleza kakhulu, i-toxins egazini (efana ne-urea) icocwa ngokukhawuleza, kodwa i-toxins ebuchosheni icocwa kancinci, ikhokelela kukungalingani kwe-osmotic kunye ne-cerebral edema.

Q2:Iimpawu eziqhelekileyo

●Intloko ebuhlungu, isicaphucaphu nokugabha

●Uxinzelelo lwegazi kunye nokozela

● Ukuxhuzula kwimeko embi kakhulu

Q3:Indlela yokujongana nayo?

● Ukunciphisa i-dialysis intensity: Iiseshoni zokuqala ze-dialysis akufanele zibe zide kakhulu.

● Phumla ngakumbi emva kwe-dialysis: Kuphephe imisebenzi enzima.

● Kuphephe ukutya okuneprotheyini eninzi: Nciphisa ukutya okuneprotini ngaphambi nasemva kwe-dialysis ukuze uthintele ukuqokelelana ngokukhawuleza kweetyhefu.

Isishwankathelo: Uyenza njani i-hemodialysis ikhuseleke?

1.Lawula ukuthathwa kwamanzi ukuze ugweme ukufumana ubunzima obugqithisileyo.

2. Gcina ukutya okunokulinganisela kunye nesondlo esaneleyo (ityuwa ephantsi, iprotheni ephakathi)

3.Ukuqhuba ukuhlolwa rhoqo ukujonga uxinzelelo lwegazi, i-electrolytes, kunye nezinye izalathisi.

4.Nxibelelana ngokukhawuleza: Yazisa abasebenzi bezonyango ngoko nangoko ukuba uziva ungonwabanga ngexesha le-dialysis.

WIzixhobo ze-esley ze-hemodialysis ziye zaphuhlisa umsebenzi we-dialysis wobuqu ukujongana nale miba ingentla, efanelekileyo ngakumbi kwiimeko zesigulane ngasinye.,kunye ne-8kinds yokudibanisa i-UF profilling kunye ne-sodium concentration profilling inokunceda ukunciphisa nokunciphisa iimpawu zeklinikhi ezifana ne-syndrome yokungalingani, i-hypotension, i-muscle spasms, i-hypertension, kunye nokusilela kwentliziyo kunyango lweklinikhi. Ixabiso layo lesicelo seklinikhi lixhomekeke ekukwazini ukukhetha iiparamitha zokusebenza ezihambelanayo kunye neendlela ze-dialysis ngamaxesha ahlukeneyo ngokusebenzisa "iqhosha elinye" lokusebenza kubantu abahlukeneyo, kwaye ngokuzenzekelayo ukugqiba yonke inkqubo yonyango lwe-dialysis.

Iintlobo ze-8 zendibaniselwano ye-UF yeprofilling kunye ne-sodium concentration profilling 

Ukukhetha uWesley kukhetha iqabane elingcono, elinokubonelela ngamava onyango olutofotofo.