Dialysis - hemodialysis

I-Dialysis inyanga ukusilela kwezintso kwinqanaba lokugqibela. Isusa inkunkuma egazini lakho xa izintso zakho zingasakwazi ukwenza umsebenzi wazo.

Kukho iintlobo ezahlukeneyo ze-dialysis yezintso. Eli nqaku ligxile kwi-hemodialysis.

Umsebenzi ophambili wezintso zakho kukususa ityhefu kunye nolwelo olongezelelekileyo egazini lakho. Ukuba inkunkuma iyanda emzimbeni wakho, inokuba yingozi ide ibangele nokufa.

IHemodialysis (kunye nezinye iintlobo zedialysis) yenza omnye umsebenzi wezintso xa ziyeke ukusebenza kakuhle.

IHemodialysis inoku:

• Susa ityuwa eyongezelelweyo, amanzi, kunye nemveliso yenkunkuma ukuze zingakhi emzimbeni wakho
• Gcina amanqanaba akhuselekileyo ezimbiwa kunye neevithamini emzimbeni wakho
• Nceda ukulawula uxinzelelo lwegazi
• Nceda ukuvelisa iiseli ezibomvu zegazi

Ngexesha le-hemodialysis, igazi lakho lidlula kumbhobho ungene kwizintso okanye isihluzo.

• Icebo lokucoca ulwelo, elibizwa ngokuba yi-dialyzer, lahlulwe langamacandelo amabini ahlukaniswe ludonga olubhityileyo.
• Njengokuba igazi lakho lidlula kwinxalenye yefilitha, ulwelo olukhethekileyo kwelinye icala lukhupha inkunkuma egazini lakho.
• Igazi lakho emva koko libuyele emzimbeni wakho ngombhobho.

Ugqirha wakho uya kudala ukufikelela apho ityhubhu incamathela khona. Ngokwesiqhelo, ukufikelela kuya kuba semthanjeni wegazi engalweni yakho.

Ukusilela kwezintso linyathelo lokugqibela lesifo sezintso sexesha elide (esingapheliyo). Yilapho izintso zakho zingasakwazi ukuxhasa iimfuno zomzimba wakho. Ugqirha wakho uya kuxoxa nge-dialysis nawe ngaphambi kokuba uyidinge. Ngokwesiqhelo, uya kuhamba nge-dialysis xa une-10% ukuya kwi-15% kuphela yomsebenzi wakho wezintso oseleyo.

Kananjalo unokufuna ukuba nedialysis ukuba izintso zakho ziyeke ukusebenza ngokukhawuleza ngenxa yokusilela kwezintso.

I-Hemodialysis idla ngokwenziwa kwiziko elithile le-dialysis.

• Uya kuba nokunyanga oku-3 ngeveki.
• Unyango luthatha malunga neeyure ezi-3 ukuya kwezi-4 ngalo lonke ixesha.
• Unokuziva udiniwe kangangeeyure ezininzi emva kokudityaniswa kwedialysis.

Kwiziko lonyango, ababoneleli bakho bezonyango baya kusingatha lonke ukhathalelo lwakho. Nangona kunjalo, kuya kufuneka ucwangcise amaxesha akhoyo kwaye ulandele ukutya okungqongqo kwe-dialysis.

Unokwazi ukufumana i-hemodialysis ekhaya. Akunyanzelekanga ukuba uthenge umatshini. I-Medicare okanye i-inshurensi yezempilo iya kuhlawula uninzi okanye zonke iindleko zonyango lwakho ekhaya okanye kwiziko.

Ukuba une-dialysis ekhaya, ungasebenzisa enye yeeshedyuli ezimbini:

• Imfutshane (iiyure ezi-2 ukuya kwezi-3) zonyango ezenziwe ubuncinci iintsuku ezi-5 ukuya kwezi-7 ngeveki
• Ixesha elide, unyango lwasebusuku lwenziwe kubusuku obu-3 ukuya kobusithandathu ngeveki ngelixa ulele

Unokwazi ukwenza indibaniselwano yonyango lwemihla ngemihla nasebusuku.

Ngenxa yokuba unonyango rhoqo kwaye kwenzeka kancinci, i-hemodialysis yekhaya inezibonelelo ezithile:

• Inceda ukugcina uxinzelelo lwegazi lusezantsi. Abantu abaninzi abasafuni mayeza oxinzelelo lwegazi.
• Yenza umsebenzi ongcono wokususa inkunkuma.
• Kulula entliziyweni yakho.
• Unokuba neempawu ezimbalwa kwi-dialysis efana ne-nausea, intloko, i-cramps, ukubetha nokudinwa.
• Unokulufumana ngokulula ngakumbi unyango kwishedyuli yakho.

Ungalwenza ngokwakho unyango, okanye ungafumana umntu okuncedayo. Umongikazi we-dialysis angakuqeqesha kunye nomkhathaleli ngendlela yokwenza i-dialysis yasekhaya. Uqeqesho lungathatha iiveki ezimbalwa ukuya kwiinyanga ezimbalwa. Bobabini kunye nabakhathaleli kufuneka nifunde:

• Phatha izixhobo
• Beka inaliti kwindawo yokufikelela
• Jonga umatshini kunye noxinzelelo lwegazi ngexesha lonyango
• Gcina iirekhodi
• Coca umatshini
• Izinto zoku-odola, ezinokuziswa ekhayeni lakho

I-dialysis yasekhaya ayinguye wonke umntu. Uya kuba nokuninzi okufundayo kwaye kufuneka ubenoxanduva lokukhathalela. Abanye abantu baziva bekhululekile xa umboneleli ephatha unyango lwabo. Ngaphezu koko, ayingawo onke amaziko anikezela nge-dialysis yasekhaya.

I-dialysis yasekhaya inokuba yinto elungileyo ukuba ufuna ukuzimela ngakumbi kwaye uyakwazi ukufunda ukuzinyanga. Thetha nomboneleli wakho. Ngokudibeneyo, unokuthatha isigqibo sokuba loluphi uhlobo lwe-hemodialysis olulungele wena.

Fowunela umnikezeli wakho xa uqaphela:

• Ukopha kwindawo yakho yokufikelela kwimithambo
• Iimpawu zosulelo, ezinje ngokubomvu, ukudumba, ukukhathazeka, iintlungu, ukufudumala, okanye ubofu ojikeleze isiza
• Umkhuhlane ongaphezu kwe-100.5 ° F (38.0 ° C)
• Ingalo apho ibekwe khona icatheter yakho iyadumba kwaye isandla kwela cala siziva sibanda
• Isandla sakho siyabanda, siba ndindisholo okanye sibuthathaka

Fowunela ugqirha wakho ukuba ngaba ezi mpawu zilandelayo zinzima okanye zihlala ngaphezulu kweentsuku ezimbini:

• Ukurhawuzelela
• Ingxaki yokulala
• Urhudo okanye ukuqhina
• Isicaphucaphu nokugabha
• Ukozela, ukudideka, okanye iingxaki zokugxila

Izintso ezingezizo - ihemodialysis; Dialysis; Unyango lwe-renal - i-hemodialysis; Isifo sezintso zokugqibela - i-hemodialysis; Ukusilela kwezintso - hemodialysis; Ukusilela kwezintso - hemodialysis; Isifo sezintso esinganyangekiyo - ihemodialysis

UKotanko P, Kuhlmann MK, uKhan C. Levin NW. IHemodialysis: imigaqo kunye nobuchule. Ku: Feehally J, Floege J, Tonelli M, Johnson RJ, ii-eds. I-Clinical Nephrology epheleleyo. Umhla wesi-6. IPhiladelphia, PA: Elsevier; I-2019: isahluko 93.

Misra M.Hemodialysis kunye ne-hemofiltration. Ku: Gilbert SJ, Weiner DE, ii-eds. Isiseko seZintso seSizwe seZintso. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 57.

Yeun JY, Young B, Depner TA, Chin AA. Uhlalutyo lweHemodialysis. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ii-eds. Brenner kunye noMphathi weZintso. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2020: isahl. 63.

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