Kodi mavuto ofala kwambiri nthawi ya dialysis ndi ati?

Hemodialysis ndi njira yochizira yomwe imalowa m'malo mwa ntchito ya impso ndipo imagwiritsidwa ntchito makamaka kwa odwala omwe ali ndi vuto la impso kuti athandize kuchotsa zinyalala za kagayidwe kachakudya ndi madzi ochulukirapo m'thupi. Komabe, panthawi ya dialysis, odwala ena angakumane ndi mavuto osiyanasiyana. Kumvetsetsa mavutowa ndikudziwa njira zoyenera zothanirana ndi vutoli kungathandize odwala kumaliza chithandizo chawo mosamala komanso moyenera.

Wesley'Makina ogwiritsidwa ntchito m'malo oyeretsera magazi m'dziko la kasitomala

01. Kuthamanga kwa magazi kotsika - Chizungulire ndi kufooka panthawi ya dialysis?

Q1：· N’chifukwa chiyani izi zimachitika?

Pa nthawi ya dialysis, madzi m'magazi amasefedwa mwachangu (njira yotchedwa ultrafiltration), zomwe zingayambitse kuchepa kwa kuchuluka kwa magazi ndi kutsika kwa kuthamanga kwa magazi.

Q2：·Chizindikiro chofala？

● Chizungulire, kutopa

● Kusanza, kusawona bwino (kuona zakuda)

● Kukomoka pakakhala mavuto aakulu

Q3：Momwe mungachitirethana nazo?

Chepetsani kumwa madzi: Pewani kunenepa kwambiri musanachite dialysis (nthawi zambiri musapitirire 3%-5% ya kulemera kouma).

● Sinthani liwiro la dialysis: Sinthani kuchuluka kwa kusefa kwa ultrafiltration.

● Kwezani miyendo ya m'munsi: Ngati mukumva kudwala, yesani kukweza miyendo kuti magazi aziyenda bwino.

● Zakudya zopanda mchere wambiri: Chepetsani kumwa mchere kuti musasunge madzi m'thupi.

02.Kutsekeka kwa Minofu - Kodi mungachite chiyani ngati mwendo wanu ukupweteka panthawi ya dialysis?

Q1：N’chifukwa chiyani izi zimachitika?

● Kutaya madzi mwachangu kwambiri, zomwe zimapangitsa kuti magazi asakwanire minofu.

● Kusalinganika kwa ma electrolyte (monga hypocalcemia, hypomagnesemia).

Q2：Zizindikiro zodziwika bwino

● Kupweteka mwadzidzidzi kwa minofu ya m'chiuno kapena ntchafu

● Zitha kukhala kwa mphindi zingapo kapena kuposerapo

Q3：Momwe mungachitirethana nazo?

● Sinthani kuchuluka kwa madzi m'thupi: Pewani kutaya madzi m'thupi mwachangu kwambiri.

● Kutikita minofu ya m'deralo + kukanikiza kutentha: Kumachepetsa kupsinjika kwa minofu.

● Onjezerani calcium ndi magnesium: Imwani mankhwala owonjezera motsogozedwa ndi dokotala ngati pakufunika kutero.

03.Kuchepa kwa magazi m'thupi - Kumva kutopa nthawi zonse mukatha kuchotsa dialysis?

Q1：N’chifukwa chiyani zimachitika?

● Kutayika kwa maselo ofiira a magazi panthawi ya dialysis.

● Kuchepa kwa erythropoietin chifukwa cha kuchepa kwa ntchito ya impso.

Q2：Zizindikiro zodziwika bwino

● Khungu lotumbululuka komanso losatopa kwambiri

● Kugunda kwa mtima mofulumira komanso kupuma movutikira

Q3：Kodi mungachite bwanji ndi izi?

● Idyani zakudya zambiri zokhala ndi ayodini: Monga nyama yopanda mafuta ambiri, chiwindi cha nyama, sipinachi, ndi zina zotero.

● Vitamini B12 yowonjezera ndi folic acid: Ikhoza kupezeka kudzera mu zakudya kapena mankhwala.

● Jambulani erythropoietin ngati pakufunika kutero: Madokotala adzalemba mankhwalawo kutengera matenda a munthu aliyense.

04.Dialysis Disequilibrium Syndrome - Mutu kapena kusanza pambuyo pa dialysis?

Q1：N’chifukwa chiyani zimachitika?

Pamene dialysis ikuchitika mofulumira kwambiri, poizoni m'magazi (monga urea) amachotsedwa mwachangu, koma poizoni muubongo amachotsedwa pang'onopang'ono, zomwe zimapangitsa kuti osmotic isamayende bwino komanso kutupa kwa ubongo.

Q2：Zizindikiro zodziwika bwino

●Kupweteka mutu, nseru, ndi kusanza

●Kuthamanga kwa magazi komanso kugona tulo tambiri

●Kugwedezeka kwambiri

Q3：Kodi mungachite bwanji ndi izi?

● Chepetsani mphamvu ya dialysis: Nthawi yoyamba ya dialysis siyenera kukhala yayitali kwambiri.

● Pumulani kwambiri mutatha dialysis: Pewani kuchita zinthu zolemetsa.

● Pewani kudya zakudya zokhala ndi mapuloteni ambiri: Chepetsani kudya mapuloteni musanagwiritse ntchito dialysis komanso mutatha kugwiritsa ntchito dialysis kuti mupewe kusonkhanitsa poizoni mwachangu.

Chidule: Kodi mungatani kuti hemodialysis ikhale yotetezeka?

1.Onetsetsani kumwa madzi kuti mupewe kunenepa kwambiri.

2. Khalani ndi zakudya zoyenera komanso zakudya zokwanira (zopanda mchere wambiri, mapuloteni ochepa)

3. Chitani kafukufuku nthawi zonse kuti muwone kuthamanga kwa magazi, ma electrolyte, ndi zizindikiro zina.

4. Lankhulani mwachangu: Dziwitsani ogwira ntchito zachipatala nthawi yomweyo ngati simukumva bwino panthawi ya dialysis.

WZipangizo za Esley zoyezera magazi zapanga njira yoyezera magazi yomwe ingagwiritsidwe ntchito pochiza mavuto omwe ali pamwambapa, yomwe ndi yoyenera kwambiri pa matenda a wodwala aliyense.，Ndi mitundu 8 ya kuphatikiza kwa UF profilling ndi sodium concentration profilling kungathandize kuchepetsa ndi kuchepetsa zizindikiro zachipatala monga imbalance syndrome, hypotension, minofu spasms, kuthamanga kwa magazi, ndi kulephera kwa mtima mu chithandizo chachipatala. Kufunika kwake kuchipatala kuli pakutha kusankha magawo ogwirira ntchito ndi njira zoyezera dialysis nthawi zosiyanasiyana kudzera mu "batani limodzi" opaleshoni kwa anthu osiyanasiyana, ndikumaliza njira yonse yochiritsira dialysis.

Mitundu 8 ya kuphatikiza kwa UF profilling ndi sodium concentration profilling 

Kusankha Wesley ndi kusankha mnzanu wabwino, yemwe angapereke chithandizo chabwino kwambiri.