Yintoni ihemodialysis, yenzelwe ntoni kwaye isebenza njani

Umxholo

• Yenzelwe ntoni
• Ingaba isebenza kanjani
• Ngaba ihemodialysis yenziwa ebomini?
• Ngubani ofuna hemodialysis kufuneka athathe amayeza?
• Iingxaki zehemodialysis

IHemodialysis luhlobo lonyango olujolise ekukhuthazeni ukuhlanjululwa kwegazi xa izintso zingasebenzi kakuhle, zikhuthaza ukupheliswa kweetyhefu, iiminerali kunye nolwelo.

Olu nyango kufuneka luboniswe yi-nephrologist kwaye luhlala lusenziwa kubantu abanesifo sezintso, kwaye kufuneka lwenziwe esibhedlele okanye kwiiklinikhi ze-hemodialysis. Ixesha kunye nokuphindaphinda kweeseshoni zedialysis zinokwahluka ngokobunzima bokuphazamiseka kwentliziyo, kunye neeseshoni zeeyure ezi-4 zinokuboniswa amaxesha ama-3 ukuya kwayi-4 ngeveki.

Yenzelwe ntoni

IHemodialysis yenziwa ngokwesikhokelo se-nephrologist kwaye ijolise ekucoceni igazi, kususwe izinto ezinetyhefu, ezinje nge-urea, kunye neetyuwa ezigqithileyo zetyiwa, ezinjenge-sodium kunye ne-potassium, nokucoca amanzi amaninzi emzimbeni.

Olu nyango lunokuboniswa kwimeko yokusilela okungathethekiyo kwezintso, apho kukho ukusilela ngequbuliso kwezintso okwexeshana, okanye kwimeko yokungaphumeleli kwezintso okungapheliyo, apho imisebenzi yezintso ifuna ukutshintshwa ngokusisigxina. Qonda ukuba yintoni ukusilela kwezintso kunye nendlela yokuchonga iimpawu.

Ingaba isebenza kanjani

I-Hemodialysis yenziwa ngokusetyenziswa kwesixhobo esibizwa ngokuba yi-dialyzer, apho igazi lijikeleza khona kwaye lidlule kwisihluzi esinomsebenzi wokuphelisa izinto ezijikeleza ngokugqithileyo ezinokuba yingozi kwinto ephilayo. Oku kunokwenzeka ngenxa yobukho benwebu ethile enoxanduva lokusebenzisa lo msebenzi.

Igazi eliza kuhluzwa liphuma nge-catheter, efakwa kwimithambo yegazi. Emva kokuhluza, igazi elicocekileyo, elingenazo iityhefu kunye nolwelo oluncinci, libuyele kwigazi ngokusebenzisa enye ipayipi.

Kubantu abafuna i-hemodialysis rhoqo, kunokwenzeka ukuba kwenziwe utyando oluncinci, oludibanisa umthambo emthanjeni, ukwenza i-arteriovenous fistula, ethi ibe sisitya esinokuhamba kwegazi okuphezulu kunye nokuchasana okuphezulu nokubhoboza okuphindiweyo, kuququzelela inkqubo.

Ngaba ihemodialysis yenziwa ebomini?

Kwiimeko apho kukho ukusilela kwezintso okungapheliyo, apho izintso zingasasebenzi kakuhle, i-hemodialysis inokuqhubeka ubomi bonke okanye kude kwenziwe ukufakelwa kwezintso.

Nangona kunjalo, kwimeko apho kukho ilahleko yethutyana yomsebenzi, njengokungasebenzi kakuhle kwezintso, usulelo, ukunxila kweziyobisi okanye iingxaki zentliziyo, iiseshoni ezimbalwa zehemodialysis zinokufuneka de izintso zibuyele ekusebenzeni kwesiqhelo.

Ngubani ofuna hemodialysis kufuneka athathe amayeza?

I-Hemodialysis ayithathi indawo yezintso ngokupheleleyo, ukongeza, ezinye iivithamini zilahleka ngexesha le-dialysis. Ke ngoko, i-nephrologist inokucebisa unyango ngokubuyisela i-calcium, i-vitamin D, i-iron, i-erythropoietin kunye ne-antihypertensives, eboniswa ukunceda ukulawula uxinzelelo lwegazi.

Ukongeza, umntu kufuneka alumke ngokutya kwakhe, alawule ukusetyenziswa kweencindi, iityiwa kwaye akhethe ngokuchanekileyo iintlobo zokutya ezisetyenziswa yonke imihla, kuba ihemodialysis inosuku kunye nexesha elimiselweyo, kwaye ke, kubalulekile ukuba umntu ukhatshwa yingcali yesondlo.

Ke ngoko kuyacetyiswa ukuba ulandele isondlo. Jonga ezinye iingcebiso malunga nokondla nge-hemodialysis.

Iingxaki zehemodialysis

Kwiiseshoni ezininzi ze-hemodialysis isiguli asizukufumana nakuphi na ukungonwabi, nangona kunjalo kunokwenzeka ukuba abanye abantu bazokufumana ukungonwabi ngelixa befumana i-hemodialysis, enje:

• Intloko ebuhlungu;
• Iicramps;
• Yehla kuxinzelelo lwegazi;
• Iimpendulo ezichasayo;
• Ukuphalaza;
• Ukugodola;
• Ukungalingani kwee-electrolyte zegazi;
• Ukuxhuzula;

Ukongeza, kunokubakho ilahleko ye-fistula, apho kuthintela ukuhamba kwegazi. Ukuthintela oku kungenzeki, kuyacetyiswa ukuba uthathe amanyathelo okhuseleko njengokujonga uxinzelelo, ungatsali igazi okanye usebenzise iyeza kwingalo ene-fistula.

Ukuba kuvela imivumbo kuloo ndawo, kuyacetyiswa ukuba wenze iipakethe zomkhenkce ngosuku kunye neepakethe ezishushu kwezi ntsuku zilandelayo. Ukongeza, ukuba kuqatshelwe ukuba ukuhamba kwefistula kuncitshisiwe, kufuneka unxibelelane nogqirha okanye umongikazi ohamba nayo, kuba luphawu lokungasebenzi kakuhle.