Iyini i-hemodialysis, yenzelwe ini nokuthi isebenza kanjani

-Delile

• Yenzelwe ini
• Isebenza kanjani
• Ingabe i-hemodialysis yenziwa impilo yonke?
• Ubani odinga i-hemodialysis ukuthatha umuthi?
• Izinkinga ze-hemodialysis

IHemodialysis wuhlobo lwezokwelapha oluhlose ukukhuthaza ukuhlunga igazi lapho izinso zingasebenzi kahle, zikhuthaza ukuqedwa kobuthi obuningi, amaminerali kanye noketshezi.

Lokhu kwelashwa kufanele kuboniswe yi-nephrologist futhi kuvame ukwenziwa kubantu abanenkinga yokuhluleka kwezinso, futhi kufanele kwenziwe esibhedlela noma emitholampilo ye-hemodialysis. Isikhathi nobuningi bezikhathi ze-dialysis zingahluka ngokuya ngobukhulu bokukhubazeka kwezinso, futhi izikhathi ezingamahora amane zingakhonjiswa izikhathi ezi-3 kuye kwezi-4 ngeviki.

Yenzelwe ini

IHemodialysis yenziwa ngokuyalelwa yisazi se-nephrologist futhi ihlose ukuhlunga igazi, kususwe izinto ezinobuthi, njenge-urea, nosawoti okweqile wamaminerali, njenge-sodium ne-potassium, nokuhlunga amanzi amaningi emzimbeni.

Lokhu kwelashwa kungakhonjiswa uma kwenzeka ukwehluleka okukhulu kwezinso, lapho kukhona ukwehluleka okungazelelwe kwezinso okwesikhashana, noma ezimweni zokuhluleka kwezinso okungapheli, lapho imisebenzi yezinso idinga ukushintshwa unomphela. Qonda ukuthi kuyini ukwehluleka kwezinso nokuthi ungazibona kanjani izimpawu.

Isebenza kanjani

I-Hemodialysis yenziwa ngokusetshenziswa kwethuluzi elibizwa ngokuthi yi-dialyzer, lapho igazi ligijima futhi lidlule ngesihlungi umsebenzi waso ukuqeda izinto ezijikeleza ngokweqile ezingaba yingozi emzimbeni. Lokhu kungenzeka ngenxa yokuba khona kolwelwesi oluthile olunesibopho sokusebenzisa lo msebenzi.

Igazi elizokhishwa liphuma nge-catheter, efakwa emithanjeni yegazi. Ngemuva kokuhlunga, igazi elihlanzekile, elingenabo ubuthi futhi elinamanzi amancane, libuyela egazini ngokusebenzisa elinye ipayipi.

Kubantu abadinga i-hemodialysis njalo, kungenzeka ukuthi bahlinzwe okuncane, okujoyina umthambo emthanjeni, kwakheke i-arteriovenous fistula, eba yisitsha esinokugeleza okuphezulu kwegazi nokumelana kakhulu nokugqobhoza okuphindaphindwayo, okwenza inqubo ibe lula.

Ingabe i-hemodialysis yenziwa impilo yonke?

Ezimweni lapho kunokuhluleka kwezinso okungamahlalakhona, lapho izinso zingasasebenzi kahle, i-hemodialysis ingaqhubeka impilo yonke noma kuze kube kwenziwa ukufakelwa kwezinso.

Kodwa-ke, ezimweni lapho kunokulahleka kwesikhashana komsebenzi, njengokuhluleka okukhulu kwezinso, ukutheleleka, ukudakwa kwezidakamizwa noma izinkinga zenhliziyo, izikhathi ezimbalwa ze-hemodialysis zingadingeka kuze kube yilapho izinso zibuyela ekusebenzeni okujwayelekile.

Ubani odinga i-hemodialysis ukuthatha umuthi?

I-Hemodialysis ayikubeki ngokuphelele ukusebenza kwezinso futhi, ngaphezu kwalokho, amanye amavithamini alahleka ngesikhathi se-dialysis. Ngakho-ke, i-nephrologist ingancoma ukwelashwa ngokufaka i-calcium esikhundleni, i-vitamin D, i-iron, i-erythropoietin ne-antihypertensives, ekhonjiswa ukusiza ukulawula umfutho wegazi.

Ngaphezu kwalokho, kuyadingeka ukuthi umuntu aqaphele ukudla kwakhe, alawule ukusetshenziswa koketshezi, usawoti futhi akhethe kahle izinhlobo zokudla okudliwayo nsuku zonke, ngoba i-hemodialysis inosuku nesikhathi esihleliwe, ngakho-ke, kubalulekile ukuthi lo muntu uphinde ahambisane nesazi sokudla.

Ngakho-ke, kunconywa nokuthi ulandele isazi sokudla. Bheka amathiphu ngokudla kwe-hemodialysis.

Izinkinga ze-hemodialysis

Ezikhathini eziningi ze-hemodialysis isiguli ngeke sizwe ukungakhululeki, kepha kungenzeka ukuthi abanye abantu bazwe ukungakhululeki ngenkathi benza i-hemodialysis, efana nale:

• Ikhanda;
• Amajaqamba;
• Yehlisa umfutho wegazi;
• Ukusabela okweqile;
• Ukuhlanza;
• Ukugodola;
• Ukungalingani kwama-electrolyte egazi;
• Ukudlikizela;

Ngaphezu kwalokho, kungahle kube nokulahleka kwe-fistula, lapho kuthinteka ukugeleza kwegazi. Ukuvimbela lokhu ukuthi kungenzeki, kunconywa ukuthatha izinyathelo ezithile njengokungahloli ingcindezi, ukungadonsi igazi noma ukufaka umuthi engalweni ene-fistula.

Uma kuvela imihuzuko khona lapho, kungakuhle ukuthi wenze amaphakethe e-ice ngosuku namaphakethe afudumele ezinsukwini ezilandelayo. Ngaphezu kwalokho, uma kutholakala ukuthi ukugeleza kwe-fistula kunciphile, kuyadingeka ukuxhumana nodokotela noma umhlengikazi ohambisana nakho, ngoba kuyisibonakaliso sokungasebenzi kahle.