So ɛho behia sɛ wɔyɛ wo dialysis nso? Momma yɛnhwehwɛ eyi ho biribiara!

Ɛtɔ da bi a yɛn duruyɛfoɔ ka sɛ, "W'asaabo dwumadie so atew kakra, momma yɛnhwɛ yei." Wɔ mmere a ɛtete saa mu no, ehu ka yɛn kakra, ɛnte saa? Titiriw asɛmmisa a ɛne "So ɛho behia sɛ meyɛ dialysis?" sɔre wɔ yɛn adwene mu baabi. Eyi yɛ ehu a nnipa pii wɔ ankasa. Enti ɛnnɛ, momma yɛnka nea dialysis yɛ ankasa, wɔn a wohia, ne sɛnea wɔyɛ no wɔ ɔkwan a ɛyɛ mmerɛw yiye so, wɔ ɔkwan a wubetumi ate ase so.

Nea edi kan no, ma yɛnhwɛ nea dialysis yɛ.

Sɛ yɛbɛka no tiawa a, dialysis yɛ bere a w’asaabo ntumi nyɛ n’adwuma yiye bio, na wɔde afiri anaa ɔkwan foforo bi boa na ɛyɛ saa adwuma no. Susuw ho saa kwan yi so: w’asaabo te sɛ super filter abien. Wɔyɛ akwaa a ɛte sɛ bankye a ɛwɔ w’akyi berɛmo no afã abien no nyinaa, wɔ wo mpampam ase pɛɛ. Wɔn adwuma titiriw ne sɛ wobeyi wo mogya mu na wɔayi nwura ne nsu a ɛboro so afi wo nipadua mu sɛ nsu. Bio nso, w’asaabo nso hwɛ wo mogya mmoroso so, ɛma wo nnompe mu yɛ den, ɛma nneɛma te sɛ potassium ne sodium (nkyene) dodow a ɛfata kɔ wo mogya mu, na ɛma nkwaadɔm a ɛboa ma mogya mu nkwammoaa kɔkɔɔ yɛ. Enti sɛ w’asaabo gyae adwumayɛ yiye a, awuduru fi ase boaboa ano wɔ wo nipadua mu. Ɛno ne bere a dialysis bɛyɛ aduru a egye nkwa.

Henanom na wohia dialysis ayaresa?

Sɛ asaabo mu yare mu yɛ den, a ɛkyerɛ sɛ w’asaabo yɛ mmerɛw dodo sɛ ɛbɛkɔ so ne wo nipadua no dwumadi akɔ so a, ebia ebehia sɛ wɔyɛ wo dialysis anaasɛ wɔde asaabo foforo ma. Asaabo mu yare betumi afi tebea horow te sɛ mogya mmoroso, asikreyare , lupus, akwanhyia ahorow bi, anaasɛ ntease biara mpo mu aba. Mpɛn pii no, wofi ase yɛ dialysis bere a wufi ase nya asaabo a entumi nyɛ adwuma yiye ho sɛnkyerɛnne anaasɛ mogya mu nhwehwɛmu kyerɛ sɛ awuduru pii wɔ wo mogya mu no. Nsɛnkyerɛnne no bi ne akisikuru , ɔbrɛ, ɔfe, ne ɔfe .Wo duruyɛfo begyina mfe a woadi, w’ahoɔden dodow, w’akwahosan nyinaa, nea efi mogya mu nhwehwɛmu mu ba, ne sɛnea wode wo ho ama w’ayaresa nhyehyɛe no so besi bere a ɛsɛ sɛ wufi ase yɛ dialysis ne ɔkwan a eye ma wo ho gyinae.

Dialysis ahorow bɛn na ɛwɔ hɔ?

Dialysis ahorow atitiriw abien na ɛwɔ hɔ. Momma yɛnhwɛ nsonsonoe a ɛda abien no ntam no tiawa. Bio nso, ɔkwan soronko bi wɔ hɔ a wɔfrɛ no `Continuous Renal Replacement Therapy (CRRT),` a wɔde ma brɛoo nnɔnhwerew 24 da biara ma ayarefo a wɔn yare mu yɛ den wɔ Intensive Care Unit (ICU) a wontumi nnye dialysis a wɔyɛ no daa no ntom.

Kakra kakra fa hemodialysis ho

Wɔ saa kwan yi so no, afiri bi twe mogya fi wo nipadua mu. Eyi hwehwɛ sɛ woyɛ oprehyɛn ketewaa bi de yɛ baabi a wobɛkɔ wo nsa ho were ase a ebetumi akɔka mogya ntini ahorow ho. Akwan atitiriw abiɛsa na ɛwɔ hɔ a wɔfa so yɛ eyi.

• Fistula: Nea ɛka eyi ho ne sɛ wobɛka ntini bi ne ntini bi a ɛwɔ wo basa mu abom. Eyi ne ɔkwan a eye sen biara na ɛtra hɔ daa. Nanso, egye bɛyɛ adapɛn 6 ansa na wɔatumi de adi dwuma.
• Graft: Eyi hwehwɛ sɛ wɔde plastic tube bɛka ntini bi ne ntini bi abom. Wobetumi de eyi adi dwuma bere tiaa bi te sɛ adapɛn 2. Nanso, ɛnkyɛ te sɛ fistula.
• Catheter : Sɛ ɛho hia sɛ wufi ase yɛ dialysis ntɛm a, wɔde tube a ɛyɛ mmerɛw (catheter) hyɛ ntini kɛse bi a ɛwɔ wo kɔn, wo nsa, anaa wo srɛ mu mu . Eyi yɛ bere tiaa mu ano aduru.

Bere a wɔreyɛ ayaresa no, bere a woda akongua so no, mfiridwumayɛfo bi de nnade abien hyɛ fistula anaa graft a ɛwɔ wo basa mu no mu. Nsu biako twe mogya fi wo nipadua mu, fa afiri so tew ho, na ade foforo no san de mogya a wɔahohoro no kɔ wo nipadua mu. Saa ayaresa yi gye bɛyɛ nnɔnhwerew 3-5 na wɔyɛ no bɛyɛ mprɛnsa dapɛn biara.

Nsɛm a ɛfa Peritoneal Dialysis (PD) ho .

Saa kwan yi yɛ soronko kakra. Ɛha yi, ntini a ɛyɛ tratraa a ɛyɛ wo yafunu (peritoneum) no yɛ adwuma sɛ abɔde mu ade a wɔde yiyi mu. Bɛyɛ adapɛn 3 ansa na w’ayaresa no afi ase no, wɔyɛ oprehyɛn ketewaa bi de hyɛ wo yafunu mu a ɛyɛ mmerɛw (catheter) daa. Afei, wɔde nsu a wɔde yi dialysis fa saa afiri yi mu kɔ wo yafunu mu. Saa nsu yi yɛ adwuma de yi nneɛma fĩ fi wo mogya mu wɔ nnɔnhwerew kakraa bi mu. Afei wɔtwe nneɛma a wɔsɛe no no gu kotoku foforo mu. Wɔfrɛ saa adeyɛ yi "nsesa." Wubetumi ayɛ eyi wɔ fie, enti enhia sɛ wokɔ ayaresabea mpɛn pii saa. Akwan abien na ɛwɔ hɔ a wobɛfa so ayɛ eyi:

• Automated Peritoneal Dialysis: Saa nsakraeɛ yi kɔ so anadwo baako, berɛ a woada, de afiri di dwuma.
• Continuous Ambulatory Peritoneal Dialysis: Ɛsɛ sɛ wode nsa yɛ saa nsakrae nhyehyɛe yi, mpɛn pii da biara.

So nsunsuanso bɔne bi wɔ dialysis mu?

Dialysis nyɛ yaw. Nanso, ebia wubenya nsunsuanso bɔne bi wɔ ayaresa no mu anaa bere a woayɛ no akyi. Sɛ wote ɛyaw biara a, ka kyerɛ wo duruyɛfo ntɛm ara. Nneɛma bɔne a ɛtaa ba no bi ne:

• Wora a ɛyɛ wo yaw
• Mogya mmoroso a ɛba fam (titiriw wɔ asikreyarefo mu) .
• Dae ho haw ahorow
• Nsuo a ɛboro so
• Nyarewa (titiriw wɔ baabi a wɔde catheter no gu no) .
• Adwenemhaw anaa adwene mu nsakrae
• Akisikuru ne ɔfe
• Ntini mu akisikuru
• Ɔbrɛ a ɛtra so

Hwɛ nneɛma yi so na ama woanya apɔwmuden wɔ ayaresa yi mu:

• Hwɛ wo site site no mu da biara sɛ ebia ɛyɛ kɔkɔɔ, ɛho ayɛ kurukuruwa, anaasɛ ɛho ahonhon anaa. Sɛ wuhu eyinom mu bi a, frɛ wo duruyɛfo ntɛm ara.
• Ma aduru a wɔde kata catheter no so no ho ntew na ɛnyɛ nwunu bere nyinaa.

Nkrasɛm a Wɔde Kɔ Fie

• Sɛ asaabo dwumadi so tew ba fam sen 10%-15% a, ebia ɛho behia sɛ wɔde dialysis sa yare na wɔayi nneɛma a ɛho nwura afi nipadua no mu.
• Dialysis ahorow atitiriw abien na ɛwɔ hɔ: hemodialysis ne peritoneal dialysis. Wo ne wo duruyɛfo nkasa na ɔnkyerɛ ɔkwan a eye ma wo.
• Dialysis ayaresa nyɛ yaw, nanso nsunsuanso bɔne bi betumi aba. Ka ɔhaw biara a ɛmma wo ho asɛm kyerɛ wo duruyɛfo.
• Sɛ ɛho hia sɛ wugyae ayaresa a, mma w’ankasa nsi gyinae, na mmom hwɛ hu sɛ wo ne wo duruyɛfo bɛbɔ ho nkɔmmɔ.
• Dialysis yɛ ayaresa a ɛma obi nkwa nna kyɛ, na ɛnyɛ ano aduru biako pɛ. Ɛho hia sɛ wo ne wo duruyɛfo kasa fa nea eye ma wo tebea no ho.

Dialysis, asaabo mu yare, asaabo a entumi nyɛ adwuma, hemodialysis, peritoneal dialysis, dialysis sinhala, asaabo a entumi nyɛ adwuma sinhala