Yiziphi izinkinga ezivamile ngesikhathi sokuhlanza igazi?

I-Hemodialysis iyindlela yokwelapha ethatha indawo yokusebenza kwezinso futhi isetshenziswa kakhulu ezigulini ezinenkinga yokwehluleka kwezinso ukusiza ukususa ukungcola kwe-metabolic kanye namanzi angaphezulu emzimbeni. Kodwa-ke, ngesikhathi sokuhlanza igazi, ezinye iziguli zingase zibhekane nezinkinga ezahlukahlukene. Ukuqonda lezi zinkinga kanye nokuqonda izindlela ezifanele zokubhekana nazo kungasiza iziguli ukuthi ziqede ukwelashwa kwazo ngokuphephile nangendlela ephumelelayo.

UWesley'imishini esetshenziswa ezikhungweni ze-dialysis ezweni leklayenti

01. Umfutho wegazi ophansi - Isizungu kanye nobuthakathaka ngesikhathi sokuhlanza igazi?

Q1：· Kungani lokhu kwenzeka?

Ngesikhathi sokuhlanza igazi, amanzi egazini ahlungwa ngokushesha (inqubo eyaziwa ngokuthi i-ultrafiltration), okungabangela ukwehla komthamo wegazi kanye nokwehla komfutho wegazi.

Q2：·Isibonakaliso esivamile？

● Isiyezi, ukukhathala

● Isicanucanu, ukubona okufiphele (ukubona ubumnyama)

● Ukuquleka ezimweni ezimbi kakhulu

Q3：Indlela yokwenzabhekana nakho?

Lawula ukuphuza amanzi: Gwema ukukhuluphala ngokweqile ngaphambi kokuhlanza (ngokuvamile kungabi ngaphezu kuka-3%-5% wesisindo esomile).

● Lungisa isivinini se-dialysis: Shintsha izinga lokuhluzwa kwe-ultrafiltration.

● Phakamisa izitho zangaphansi: Uma uzizwa ungaphilile, zama ukuphakamisa imilenze ukuze uthuthukise ukujikeleza kwegazi.

● Ukudla okungenasawoti omningi: Nciphisa ukudla usawoti ukuze uvimbele ukugcinwa koketshezi emzimbeni.

02.Ukuqaqamba Kwemisipha - Yini okufanele uyenze uma uzwa ubuhlungu emilenzeni ngesikhathi sokuhlanza igazi?

Q1：Kungani lokhu kwenzeka?

● Ukulahlekelwa uketshezi ngokushesha okukhulu, okuholela ekungabini nokunikezwa kwegazi emisipheni.

● Ukungalingani kwe-electrolyte (isib., i-hypocalcemia, i-hypomagnesemia).

Q2：Izimpawu ezivamile

● Ukuqaqamba okungazelelwe kanye nobuhlungu emisipheni yethole noma yamathanga

● Kungase kuhlale imizuzu embalwa noma ngaphezulu

Q3：Indlela yokwenzabhekana nakho?

● Lungisa izinga lokuhluzwa kwe-ultrafiltration: Gwema ukuphelelwa amanzi emzimbeni ngokushesha okukhulu.

● Ukuhlikihla kwendawo + ukucindezela okushisayo: Kuqeda ukucindezeleka kwemisipha.

● Faka i-calcium ne-magnesium: Thatha izithako ngaphansi kwesiqondiso sikadokotela uma kudingeka.

03.I-anemia - Ukuzizwa ukhathele njalo ngemva kokuhlanza igazi?

Q1：Kungani kwenzeka?

● Ukulahlekelwa amaseli abomvu egazi ngesikhathi sokuhlanza igazi.

● Ukwehla kokukhiqizwa kwe-erythropoietin ngenxa yokwehla kokusebenza kwezinso.

Q2：Izimpawu ezivamile

● Isikhumba esikhanyayo nokukhathala okulula

● Ukushaya kwenhliziyo okusheshayo kanye nokuphelelwa umoya

Q3：Indlela Yokubhekana Nakho?

● Yidla ukudla okune-iron eningi: Njengenyama engenamafutha amaningi, isibindi sesilwane, isipinashi, njll.

● Isengezo se-vitamin B12 kanye ne-folic acid: Singatholakala ngokudla noma ngemithi.

● Jova i-erythropoietin uma kudingeka: Odokotela bazoyinikeza imithi ngokusekelwe ezimweni zomuntu ngamunye.

04.I-Dialysis Disequilibrium Syndrome – Ikhanda elibuhlungu noma ukuhlanza ngemva kokuhlanza?

Q1：Kungani kwenzeka?

Uma i-dialysis ishesha kakhulu, ubuthi egazini (njenge-urea) bususwa ngokushesha, kodwa ubuthi ebuchosheni bususwa kancane, okuholela ekungalinganini kwe-osmotic kanye ne-cerebral edema.

Q2：Izimpawu ezivamile

●Ikhanda elibuhlungu, isicanucanu, nokuhlanza

●Ukwanda komfutho wegazi kanye nokozela

●Ukuxhuzula esimweni esibi kakhulu

Q3：Indlela Yokubhekana Nakho?

● Nciphisa umfutho we-dialysis: Izikhathi zokuqala ze-dialysis akufanele zibe zinde kakhulu.

● Phumula kakhudlwana ngemva kokuhlanza igazi: Gwema imisebenzi enzima.

● Gwema ukudla okunamaphrotheni amaningi: Nciphisa ukudla amaphrotheni ngaphambi nangemva kokuhlanza igazi ukuze uvimbele ukunqwabelana ngokushesha kobuthi.

Isifinyezo: Ungayenza kanjani i-hemodialysis iphephe kakhulu?

1. Lawula ukuphuza amanzi ukuze ugweme ukukhuluphala ngokweqile.

2. Gcina ukudla okulinganiselayo okunomsoco okwanele (okungenasawoti omningi, amaprotheni aphakathi nendawo)

3. Yenza ukuhlolwa njalo ukuze uqaphe umfutho wegazi, ama-electrolyte, nezinye izinkomba.

4. Khuluma ngokushesha: Yazisa abasebenzi bezokwelapha ngokushesha uma uzizwa ungaphilile ngesikhathi sokuhlanza igazi.

WImishini ye-hemodialysis ka-Esley ithuthukise umsebenzi we-dialysis owenzelwe wena ukuze ubhekane nezinkinga ezingenhla, ofaneleka kakhulu ezimweni zomuntu ngamunye zesiguli ngasinye.，Ngezinhlobo ezingu-8 zokuhlanganiswa kwe-UF profilling kanye ne-sodium concentration profilling kungasiza ekunciphiseni nasekunciphiseni izimpawu zezokwelapha ezifana ne-imbalance syndrome, i-hypotension, i-muscle spasms, i-hypertension, kanye nokwehluleka kwenhliziyo ekwelashweni kwezokwelapha. Inani lokusetshenziswa kwayo emtholampilo lisekukwazini ukukhetha amapharamitha okusebenza afanele kanye nezindlela ze-dialysis ngezikhathi ezahlukene ngokusebenzisa ukusebenza "kwenkinobho eyodwa" kubantu abahlukene, futhi kuqede ngokuzenzakalelayo yonke inqubo yokwelashwa kwe-dialysis.

Izinhlobo ezingu-8 zokuhlanganiswa kwe-UF profilling kanye ne-sodium concentration profilling 

Ukukhetha uWesley ukukhetha umlingani ongcono, ongakunikeza ulwazi lokwelashwa olukhululekile.