I-Dialysis - i-hemodialysis

I-Dialysis iphatha ukwehluleka kwezinso ekugcineni. Isusa imfucuza egazini lakho lapho izinso zakho zingasakwazi ukwenza umsebenzi wazo.

Kunezinhlobo ezahlukene ze-dialysis yezinso. Lo mbhalo ugxile kwi-hemodialysis.

Umsebenzi wakho omkhulu wezinso ukususa ubuthi noketshezi olwengeziwe egazini lakho. Uma imfucumfucu yakha emzimbeni wakho, ingaba yingozi futhi ibangele nokufa.

IHemodialysis (nezinye izinhlobo ze-dialysis) yenza omunye umsebenzi wezinso lapho ziyeka ukusebenza kahle.

IHemodialysis inga:

• Susa usawoti owengeziwe, amanzi, nemikhiqizo kadoti ukuze kungakheki emzimbeni wakho
• Gcina amazinga aphephile amaminerali namavithamini emzimbeni wakho
• Siza ukulawula umfutho wegazi
• Siza ukukhiqiza amaseli abomvu egazi

Ngesikhathi se-hemodialysis, igazi lakho lidlula ngeshubhu lingene ezinso noma ekuhlungeni.

• Isihlungi, esibizwa nge-dialyzer, sehlukaniswe izingxenye ezimbili ezihlukaniswe ngodonga oluncane.
• Njengoba igazi lakho lidlula engxenyeni eyodwa yokuhlunga, uketshezi olukhethekile kolunye ludonsa imfucuza egazini lakho.
• Igazi lakho bese libuyela emzimbeni wakho ngethumbu.

Udokotela wakho uzokudala ukufinyelela lapho ithubhu inamathela khona. Imvamisa, ukufinyelela kuzoba semthanjeni wegazi engalweni yakho.

Ukwehluleka kwezinso yisigaba sokugcina sesifo sezinso sesikhathi eside (esingapheli). Yilapho izinso zakho zingasakwazi ukuxhasa izidingo zomzimba wakho. Udokotela wakho uzoxoxa nawe nge-dialysis ngaphambi kokuthi uyidinge. Imvamisa, uzoya ku-dialysis uma ususele ku-10% kuya ku-15% womsebenzi wakho wezinso.

Futhi ungadinga i-dialysis uma izinso zakho ziyeka ukusebenza ngokuzumayo ngenxa yokwehluleka okukhulu kwezinso.

I-Hemodialysis ivame ukwenziwa esikhungweni esikhethekile se-dialysis.

• Uzoba nokwelashwa okungaba ngu-3 ngesonto.
• Ukwelashwa kuthatha cishe amahora amathathu kuya kwamane isikhathi ngasinye.
• Ungazizwa ukhathele amahora ambalwa ngemuva kwe-dialysis.

Esikhungweni sokwelashwa, abahlinzeki bakho bezokunakekelwa kwempilo bazokuphatha konke ukunakekelwa kwakho. Kodwa-ke, udinga ukuhlela ama-aphoyintimenti akho futhi ulandele ukudla okuqinile kwe-dialysis.

Ungakwazi ukuba ne-hemodialysis ekhaya. Awudingi ukuthenga umshini. I-Medicare noma umshuwalense wakho wezempilo uzokhokhela izindleko zakho eziningi noma zonke zokwelashwa ekhaya noma esikhungweni.

Uma une-dialysis ekhaya, ungasebenzisa eyodwa yamashejuli amabili:

• Ukwelashwa okufushane (amahora amabili kuya kwangu-3) kwenziwa okungenani izinsuku ezi-5 kuye kwezi-7 ngeviki
• Imithi emide, yasebusuku yenziwa ubusuku obungu-3 kuye kobu-6 ngesonto ngenkathi ulele

Ungase futhi ukwazi ukwenza inhlanganisela yokwelashwa kwansuku zonke nasebusuku.

Ngenxa yokuthi uthola ukwelashwa kaningi futhi kwenzeka kancane, i-hemodialysis yasekhaya inezinzuzo ezithile:

• Kuyasiza ukugcina umfutho wegazi lakho uphansi. Abantu abaningi abasayidingi imishanguzo yegazi.
• Yenza umsebenzi ongcono wokususa imikhiqizo kadoti.
• Kulula enhliziyweni yakho.
• Ungaba nezimpawu ezimbalwa kusuka ku-dialysis enjengokucanuzela kwenhliziyo, ikhanda, amajaqamba, ukulunywa nokukhathala.
• Ungakwazi ukulingana kalula nokwelashwa ohlelweni lwakho.

Ungazenzela umuthi, noma ungathola umuntu ozokusiza. Umhlengikazi we-dialysis angakuqeqesha wena nomnakekeli ngendlela yokwenza i-dialysis yasekhaya. Ukuqeqeshwa kungathatha amasonto ambalwa kuye ezinyangeni ezimbalwa. Kokubili wena nabanakekeli bakho kumele nifunde ukwenza lokhu:

• Phatha okokusebenza
• Beka inaliti endaweni yokungena
• Bheka umshini nengcindezi yegazi lakho ngesikhathi sokwelashwa
• Gcina amarekhodi
• Hlanza umshini
• Izimpahla ze-oda, ezingalethwa ekhaya lakho

I-dialysis yasekhaya akuyona eyabo bonke abantu. Uzoba nokuningi kokukufunda futhi udinga ukubhekana nokunakekelwa kwakho. Abanye abantu bazizwa bekhululeke ngokwengeziwe ukuba nomhlinzeki aphathe imishanguzo yabo. Futhi, akuzona zonke izikhungo ezinikezela nge-dialysis yasekhaya.

I-dialysis yasekhaya ingaba yindlela enhle uma ufuna ukuzimela okwengeziwe futhi uyakwazi ukufunda ukuzelapha. Khuluma nomhlinzeki wakho. Ngokubambisana, ninganquma ukuthi hlobo luni lwe-hemodialysis olulungele nina.

Shayela umhlinzeki wakho uma uqaphela:

• Ukopha esizeni sakho sokufinyelela semithambo
• Izimpawu zokutheleleka, njengokubomvu, ukuvuvukala, ubuhlungu, ubuhlungu, ukufudumala, noma ubomvu eduze kwesayithi
• Umkhuhlane ongaphezu kuka-100.5 ° F (38.0 ° C)
• Ingalo lapho kubekwa khona ipayipi lakho iyavuvukala bese isandla sakulolo hlangothi sizwa ukubanda
• Isandla sakho siyabanda, sibe ndikindiki, noma sibe buthakathaka

Futhi, shayela udokotela wakho uma kukhona kulezi zimpawu ezilandelayo ezinzima noma ezihlala ngaphezu kwezinsuku ezimbili:

• Ukulunywa
• Inkinga yokulala
• Uhudo noma ukuqunjelwa
• Isicanucanu nokuhlanza
• Ukozela, ukudideka, noma izinkinga zokugxila

Izinso zokufakelwa - i-hemodialysis; I-Dialysis; Ukwelashwa kabusha kwe-renal - hemodialysis; Isifo sezinso sokugcina - i-hemodialysis; Ukwehluleka kwezinso - hemodialysis; Ukwehluleka kwezinso - hemodialysis; Isifo sezinso esingapheliyo - i-hemodialysis

UKotanko P, Kuhlmann MK, Chan C. Levin NW. IHemodialysis: imigomo namasu. Ku: Feehally J, Floege J, Tonelli M, Johnson RJ, abahleli. I-Nephrology Yomtholampilo Ephelele. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2019: isahluko 93.

IMisra M. Hemodialysis kanye ne-hemofiltration. Ku: Gilbert SJ, Weiner DE, ama-eds. I-Primer yezifo zezinso iNational Kidney Foundation. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 57.

I-Yeun JY, i-Young B, i-Depner TA, i-Chin AA. Ukuhlolwa kweHemodialysis. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ama-eds. IBrenner neRector's The Kidney. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 63.

• I-Dialysis