I-Dialysis - i-peritoneal

I-Dialysis iphatha ukwehluleka kwezinso ekugcineni. Isusa izinto eziyingozi egazini lapho izinso zingakwazi.

Lo mbhalo ugxile kwi-peritoneal dialysis.

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

I-kidney dialysis (i-peritoneal dialysis nezinye izinhlobo ze-dialysis) yenza omunye umsebenzi wezinso lapho ziyeka ukusebenza kahle. Le nqubo:

• Isusa usawoti owengeziwe, amanzi, nemikhiqizo kadoti ukuze kungakhi emzimbeni wakho
• Igcina amazinga aphephile wamaminerali namavithamini emzimbeni wakho
• Isiza ukulawula umfutho wegazi
• Isiza ukukhiqiza amangqamuzana abomvu egazi

YINI UKUHLAZIYWA NGOKUGCWELE?

I-Peritoneal dialysis (PD) isusa imfucuza noketshezi oluthe xaxa ngemithambo yegazi ehambisana nezindonga zesisu sakho. Ulwelwesi olubizwa ngokuthi i-peritoneum lumboza izindonga zesisu sakho.

I-PD ifaka ukufaka ishubhu elincane, elingenalutho (ipayipi) emgodini wakho wesisu bese uligcwalisa ngoketshezi oluhlanzayo (isisombululo se-dialysis). Isixazululo siqukethe uhlobo lukashukela oludonsa imfucuza noketshezi olungeziwe. Imfucuza noketshezi kudlula kusuka emithanjeni yakho yegazi kudlula kwi-peritoneum kuya kusixazululo. Ngemuva kwesikhathi esethiwe, isisombululo nemfucuza kuyakhishwa bese kulahlwa kude.

Inqubo yokugcwalisa nokukhipha isisu sakho ibizwa ngokuthi ukushintshaniswa. Ubude besikhathi lapho uketshezi oluhlanzayo luhlala emzimbeni wakho lubizwa ngokuthi yisikhathi sokuhlala. Inani lokushintshisana nenani lesikhathi sokuhlala kuncike endleleni yePD oyisebenzisayo nezinye izinto.

Udokotela wakho uzokuhlinza ukubeka ipayipi lesisu esiswini sakho lapho lizohlala khona. Imvamisa iseduze kwenkinobho yakho yesisu.

I-PD kungaba yindlela enhle uma ufuna ukuzimela okwengeziwe futhi uyakwazi ukufunda ukuzelapha. Uzoba nokuningi kokukufunda futhi udinga ukubhekana nokunakekelwa kwakho. Wena nabanakekeli bakho kumele nifunde ukwenza lokhu:

• Yenza iPD njengoba kunqunyiwe
• Sebenzisa okokusebenza
• Thenga futhi ugcine ithrekhi yempahla
• Vimbela ukutheleleka

Nge-PD, kubalulekile ukuthi ungeqi ukuhwebelana. Ukwenza kanjalo kungaba yingozi empilweni yakho.

Abanye abantu bazizwa bekhululeke ngokwengeziwe ukuba nomhlinzeki wezokunakekelwa kwezempilo abhekane nokwelashwa kwabo. Wena nomhlinzeki wakho ninganquma ukuthi yini ekufanele kakhulu.

IZINHLOBO ZOKUHLOLA NGOKUPHELELE

I-PD ikunika ukuguquguquka okwengeziwe ngoba akudingeki uye esikhungweni se-dialysis. Ungaba nokwelashwa:

• Ekhaya
• Emsebenzini
• Ngenkathi usohambweni

Kunezinhlobo ezi-2 ze-PD:

• Ukuqhutshwa okuqhubekayo kwe-peritoneal dialysis (CAPD). Ngale ndlela, ugcwalisa isisu sakho ngoketshezi, bese wenza inqubo yakho yansuku zonke kuze kufike isikhathi sokukhipha uketshezi. Awuxhunyiwe kunoma yini ngesikhathi sokuhlala, futhi awudingi mshini. Usebenzisa amandla adonsela phansi ukukhipha uketshezi. Isikhathi sokuhlala ngokuvamile sicishe sibe amahora angama-4 kuye kwayi-6, futhi uzodinga ukushintshaniswa okungu-3 kuye ku-4 usuku ngalunye. Uzoba nesikhathi eside sokuhlala ebusuku ngenkathi ulele.
• Okuqhubekayo ngebhayisikili peritoneal dialysis (CCPD). NgeCCPD, uxhumeke emshinini ojikeleza ukushintshana okungu-3 kuye ku-5 ebusuku ngenkathi ulele. Kufanele unamathiselwe emshinini amahora ayi-10 kuya kwayi-12 ngalesi sikhathi. Ekuseni, uqala ukushintshana nesikhathi sokuhlala esihlala usuku lonke. Lokhu kukuvumela isikhathi esengeziwe emini ngaphandle kokwenza ukushintshana.

Indlela oyisebenzisayo incike ku:

• Okuncamelayo
• Indlela Yokuphila
• Isimo sezokwelapha

Ungasebenzisa futhi inhlanganisela yezindlela ezimbili. Umhlinzeki wakho uzokusiza uthole indlela esebenza kangcono kuwe.

Umhlinzeki wakho uzokuqapha ukuze aqiniseke ukuthi ukushintshana kususa imfucuza eyanele. Uzovivinywa futhi ukuze ubone ukuthi ungakanani ushukela owuthathwa ngumzimba wakho kuketshezi oluhlanzayo. Ngokuya ngemiphumela, kungadingeka ukuthi wenze ukulungisa okuthile:

• Ukwenza ukushintshana okuningi ngosuku
• Ukuze usebenzise uketshezi lokuhlanza ngaphezulu ekushintshaneni ngakunye
• Ukwehlisa isikhathi sokuhlala ukuze umunce ushukela omncane

UZOQALA NINI UKUQALA UKUHLAZIYA

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. Ezimweni eziningi, uzoya ku-dialysis uma ususele kuphela ngo-10% kuya ku-15% womsebenzi wakho wezinso.

Kukhona ingozi yokutheleleka kwe-peritoneum (peritonitis) noma isayithi le-catheter nge-PD. Umhlinzeki wakho uzokukhombisa ukuthi ungaligeza kanjani futhi ulinakekele ipayipi lakho lokuthambisa futhi uvikele ukutheleleka. Nawa amanye amathiphu:

• Geza izandla zakho ngaphambi kokwenza ukushintshana noma ukuphatha ipayipi.
• Gqoka imaski yokuhlinzwa lapho wenza ukushintshana.
• Bheka eduze isikhwama ngasinye sesisombululo ukuze uhlole izimpawu zokungcola.
• Hlanza indawo ye-catheter nge-antiseptic nsuku zonke.

Buka indawo yokuphuma yokuvuvukala, ukuphuma kwegazi, noma izimpawu zokutheleleka. Shayela umhlinzeki wakho ngokushesha uma unemfiva noma ezinye izimpawu zokutheleleka.

Shayela umhlinzeki wakho ngokushesha uma uqaphela:

• Izimpawu zokutheleleka, njengokubomvu, ukuvuvukala, ubuhlungu, ubuhlungu, ukufudumala, noma ubomvu oluzungeze ipayipi
• Imfiva
• Isicanucanu noma ukuhlanza
• Umbala ongajwayelekile noma ifu kusixazululo se-dialysis esetshenzisiwe
• Awukwazi ukudlulisa igesi noma ukunyakaza kwamathumbu

Phinda ushayele umhlinzeki wakho uma uhlangabezana nanoma iyiphi yalezi zimpawu ezilandelayo kanzima, noma zihlala ngaphezu kwezinsuku ezimbili:

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

Izinso zokufakelwa - i-peritoneal dialysis; Ukwelashwa kabusha kwe-renal - i-peritoneal dialysis; Isifo sezinso sokugcina - i-peritoneal dialysis; Ukwehluleka kwezinso - i-peritoneal dialysis; Ukwehluleka kwezinso - i-peritoneal dialysis; Isifo sezinso esingapheliyo - i-peritoneal dialysis

UCohen D, uValeri AM. Ukwelashwa kokuhluleka kwezinso okungaphenduki. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 131.

ICorrea-Rotter RC, Mehrota R, Saxena A. Peritoneal dialysis. Ku: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, Brenner BM, eds. IBrenner neRector's The Kidney. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 66.

Mitch WE. Isifo sezinso esingalapheki. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 130.