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Yiziphi izinkinga ezivamile ngesikhathi se-dialysis?

I-Hemodialysis iyindlela yokwelapha ethatha indawo yokusebenza kwezinso futhi isetshenziswa kakhulu ezigulini ezinokwehluleka kwezinso ukusiza ukukhipha udoti we-metabolic kanye namanzi amaningi emzimbeni. Kodwa-ke, ngesikhathi se-dialysis, ezinye iziguli zingabhekana nezinkinga ezihlukahlukene. Ukuqonda lezi zinkinga kanye nokuba yingcweti nezindlela ezifanele zokubhekana nazo kungasiza iziguli ukuthi ziqedele ukwelashwa kwazo ngokuphepha nangempumelelo.

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Wesley's imishini Isetshenziswa ezikhungweni dialysis ezweni iklayenti

01.Umfutho wegazi ophansi - Isiyezi kanye nokuba buthakathaka ngesikhathi sokuxilongwa kwe-dialysis?

Q1:· Kungani lokhu kwenzeka?

Ngesikhathi se-dialysis, amanzi asegazini ahlungwa ngokushesha (inqubo eyaziwa ngokuthi i-ultrafiltration), engabangela ukwehla komthamo wegazi kanye nokwehla komfutho wegazi.

Q2:·Uphawu oluvamile?

● Isiyezi, ukukhathala

● Isicanucanu, ukubona lufifi (ukubona ubumnyama)

● Ukuquleka ezimweni ezimbi kakhulu

Q3:Kwenziwa kanjanibhekana nayo?

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

● Lungisa isivinini se-dialysis: Lungisa izinga lokuhlunga.

● Phakamisa izitho ezingezansi: Uma ungazizwa kahle, zama ukuphakamisa imilenze ukuze uthuthukise ukujikeleza kwegazi.

● Ukudla okunosawoti omncane: Yehlisa ukudla kukasawoti ukuze uvimbele ukugcina uketshezi.

02.I-Muscle Spasms - Yini okufanele uyenze uma uthola amajaqamba emilenzeni ngesikhathi se-dialysis?

Q1:Kungani lokhu kwenzeka?

● Ukulahlekelwa uketshezi ngokushesha okukhulu, okuholela ekungatholakalini kwegazi okwanele emisipha.

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

Q2:Izimpawu ezivamile

● Ukuminca okungazelelwe nobuhlungu emisipha yethole noma yethanga

● Ingahlala imizuzu embalwa noma ngaphezulu

Q3:Kwenziwa kanjanibhekana nayo?

● Lungisa izinga lokuhlunga: Gwema ukuphelelwa amanzi ngokushesha okukhulu.

● Ukubhucunga kwasendaweni + ukucindezela okushisayo: Khipha ukungezwani kwemisipha.

● Faka i-calcium ne-magnesium: Thatha izithasiselo ngaphansi kokuqondisa kukadokotela uma kudingeka.

03.I-anemia - Uhlale uzizwa ukhathele ngemva kwe-dialysis?

Q1:Kungani kwenzeka?

● Ukulahlekelwa amangqamuzana abomvu egazi phakathi ne-dialysis.

● Ukuncipha kokukhiqizwa kwe-erythropoietin ngenxa yokuncipha kokusebenza kwezinso.

Q2:Izimpawu ezivamile

● Ibala eliphaphathekile nokukhathala kalula

● Ukushaya kwenhliziyo okusheshayo nokuphelelwa umoya

Q3:Indlela yokubhekana nayo?

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

● Faka i-vitamin B12 ne-folic acid: Ingatholakala ngokudla noma ngemithi.

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

04.I-Disequilibrium Syndrome - Ikhanda elibuhlungu noma ukuhlanza ngemva kwe-dialysis?

Q1:Kungani kwenzeka?

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

Q2:Izimpawu ezivamile

●Ikhanda elibuhlungu, isicanucanu, nokuhlanza

●Ukwenyuka komfutho wegazi kanye nokozela

●Ukudlikizela esimweni esinzima

Q3:Indlela yokubhekana nayo?

● Yehlisa ukushuba kwe-dialysis: Izikhathi zokuqala ze-dialysis akufanele zibe zinde kakhulu.

● Phumula kakhulu ngemva kwe-dialysis: Gwema imisebenzi ekhandlayo.

● Gwema ukudla okunamaprotheni amaningi: Yehlisa ukudla kwamaprotheni ngaphambi nangemva kwe-dialysis ukuze uvimbele ukunqwabelana ngokushesha kobuthi.

Kafushane: Ungayenza kanjani i-hemodialysis iphephe?

1.Lawula ukusetshenziswa kwamanzi ukuze ugweme ukukhuluphala ngokweqile.

2.Gcina ukudla okunomsoco okunomsoco owanele (usawoti omncane, amaprotheni amaphakathi)

3.Ukuhlola njalo ukuqapha umfutho wegazi, ama-electrolyte, nezinye izinkomba.

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

WImishini ka-esley ye-hemodialysis ithuthukise umsebenzi we-dialysis womuntu siqu ukuze kubhekwane nalezi zinkinga ezingenhla, ezifanele izimo zomuntu ngamunye zesiguli ngasinye.,enezinhlobo ezingu-8 zenhlanganisela ye-UF profilling kanye ne-sodium concentration kungasiza ekwehliseni nasekunciphiseni izimpawu zomtholampilo ezifana nesifo sokungalingani, i-hypotension, imisipha yemisipha, umfutho wegazi ophakeme, nokwehluleka kwenhliziyo ekwelashweni komtholampilo. Inani layo lesicelo somtholampilo lisemandleni okukhetha imingcele yokusebenza ehambisanayo kanye nezindlela ze-dialysis ngezikhathi ezihlukene ngokusebenzisa "inkinobho eyodwa" yokusebenza kwabantu abahlukene, futhi ugcwalise ngokuzenzakalelayo yonke inqubo yokwelashwa kwe-dialysis.

 

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Izinhlobo ezingu-8 zenhlanganisela yokugcwalisa i-UF kanye ne-sodium concentration 

Ukukhetha u-Wesley ukukhetha uzakwethu ongcono, onganikeza ulwazi lokwelashwa olunethezekile.


Isikhathi sokuthumela: Aug-07-2025