Ndi mavuto ati omwe nthawi zambiri amakumana nawo pa dialysis?

Hemodialysis ndi njira yochizira yomwe imalowa m'malo mwa impso ndipo imagwiritsidwa ntchito makamaka kwa odwala aimpso kulephera kuthandizira kuchotsa zinyalala za metabolism ndi madzi ochulukirapo m'thupi. Komabe, panthawi ya dialysis, odwala ena amatha kukumana ndi zovuta zosiyanasiyana. Kumvetsetsa nkhanizi komanso kudziwa njira zoyenera zothanirana ndi vutoli kungathandize odwala kumaliza chithandizo chawo mosamala komanso moyenera.

Wesley's makina Ntchito mu dialysis malo mu dziko kasitomala

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

Q1:· Chifukwa chiyani izi zimachitika?

Panthawi ya dialysis, madzi a m'magazi amasefedwa mofulumira (njira yotchedwa ultrafiltration), yomwe ingayambitse kuchepa kwa magazi ndi kutsika kwa magazi.

Q2:·Chizindikiro chofala?

● Chizungulire, kutopa

● Mseru, kusaona bwino (kuona zakuda)

● Kukomoka kwambiri

Q3:Momwe mungachitirethana nazo?

Yesetsani kumwa madzi: Pewani kunenepa kwambiri musanayambe dialysis (nthawi zambiri osapitirira 3% -5% ya kulemera kowuma).

● Sinthani liwiro la dialysis: Sinthani mlingo wa ultrafiltration.

● Kwezani miyendo ya m’munsi: Ngati simukumva bwino, yesani kukweza miyendo kuti magazi aziyenda bwino.

● Zakudya zopanda mchere wambiri: Chepetsani kumwa mchere kuti madzi asachuluke.

02 .Minofu Spasms - Zoyenera kuchita ngati mukumva kukokana kwa mwendo pa dialysis?

Q1:Chifukwa chiyani izi zimachitika?

● Kutaya madzimadzi mofulumira kwambiri, zomwe zimapangitsa kuti magazi asamayende bwino m’minyewa.

● Kusakwanira kwa electrolyte (mwachitsanzo, hypocalcemia, hypomagnesemia).

Q2:Zizindikiro zofala

● Kugwa mwadzidzidzi ndi kupweteka kwa minofu ya ng'ombe kapena ntchafu

● Ikhoza kukhala kwa mphindi zingapo kapena kupitirirapo

Q3:Momwe mungachitirethana nazo?

● Sinthani mlingo wa ultrafiltration: Pewani kutaya madzi mofulumira kwambiri.

● Kutikita kwam'deralo + compress yotentha: Pewani kupsinjika kwa minofu.

● Wonjezerani kashiamu ndi magnesiamu: Imwani mankhwala enaake motsatira malangizo a dokotala ngati kuli kofunikira.

03.Kuperewera kwa magazi m'thupi - Kutopa nthawi zonse pambuyo pa dialysis?

Q1:Chifukwa chiyani zimachitika?

● Kutaya maselo ofiira a m’magazi pa nthawi ya dialysis.

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

Q2:Zizindikiro zofala

● Khungu lotuwa komanso kutopa mosavuta

● Kugunda kwa mtima mofulumira komanso kupuma movutikira

Q3:Kodi kulimbana nazo?

● Muzidya zakudya zokhala ndi iron yambiri: Monga nyama yopanda mafuta ambiri, chiwindi cha nyama, sipinachi, ndi zina zotero.

● Wonjezerani vitamini B12 ndi folic acid: Angapezeke mwa zakudya kapena mankhwala.

● Jekeseni erythropoietin ngati n’koyenera: Madokotala adzakupatsani mankhwala malinga ndi mmene munthu alili.

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

Q1:Chifukwa chiyani zimachitika?

Pamene dialysis ithamanga kwambiri, poizoni m'magazi (monga urea) amachotsedwa mwamsanga, koma poizoni mu ubongo amachotsedwa pang'onopang'ono, zomwe zimayambitsa kusalinganika kwa osmotic ndi cerebral edema.

Q2:Zizindikiro zofala

●Mutu, nseru, ndi kusanza

●Kuthamanga kwa magazi komanso kugona

●Kukomoka kwambiri

Q3:Kodi kulimbana nazo?

● Chepetsani kuchuluka kwa dialysis: Gawo loyamba la dialysis lisakhale lalitali kwambiri.

● Pumulani kwambiri pambuyo pa dialysis: Pewani kuchita zinthu zolemetsa.

● Pewani kudya zakudya zokhala ndi mapulotini ambiri: Chepetsani kudya zomanga thupi musanadye ndi pambuyo pochita dialysis kuti mupewe kuchulukana msanga kwa poizoni.

Chidule: Momwe mungapangire hemodialysis kukhala yotetezeka?

1.Yesetsani kumwa madzi kuti mupewe kunenepa kwambiri.

2.Khalani ndi zakudya zopatsa thanzi komanso zakudya zopatsa thanzi (zopanda mchere wambiri, zomanga thupi)

3.Kuchita kafukufuku wokhazikika kuti muwone kuthamanga kwa magazi, electrolytes, ndi zizindikiro zina.

4.Kulankhulana mwachangu: Dziwitsani ogwira ntchito zachipatala mwamsanga ngati simukumva bwino panthawi ya dialysis.

WZipangizo za esley za hemodialysis zapanga ntchito ya dialysis ya munthu payekha kuti athetse mavuto omwe ali pamwambawa, omwe ali oyenera kwambiri pazochitika za wodwala aliyense.,okhala ndi mitundu 8 ya kuphatikiza kwa UF profilling ndi sodium concentration profilling kungathandize kuchepetsa ndi kuchepetsa zizindikiro zachipatala monga kusalinganika kwa matenda, hypotension, kugunda kwa minofu, kuthamanga kwa magazi, ndi kulephera kwa mtima pakuchiza. Phindu lake lachipatala lagona pakutha kusankha magawo ogwirira ntchito ndi njira za dialysis pa nthawi zosiyanasiyana kudzera pa "batani limodzi" kwa anthu osiyanasiyana, ndikumaliza ntchito yonse ya dialysis.

Mitundu 8 ya kuphatikiza kwa UF profilling ndi sodium concentration profilling 

Kusankha Wesley ndikusankha bwenzi labwino, lomwe lingakupatseni chithandizo chomasuka.