Ka hāʻule ʻana o nā puʻupaʻa? Nā mea e pono ai ʻoe e ʻike e pili ana i ka dialysis

Ua like nā puʻupaʻa ʻelua i loko o ko kākou kino me ʻelua mau kānana nui. ʻO ka hana nui o nā puʻupaʻa, ʻo ia ke kānana i nā ʻōpala a me nā wai pono ʻole i loko o ke kino a hoʻokuʻu iā lākou ma ke ʻano he mimi. Eia naʻe, ma muli o nā kumu like ʻole e like me ka maʻi diabetes a me ke koko kiʻekiʻe, hiki ke emi mālie ka hana o kēia mau puʻupaʻa. Ke hana pono ʻole nā ​​puʻupaʻa, hōʻiliʻili nā huahana ʻōpala i loko o ke kino a hoʻoweliweli nui i ke ola. ʻO ia ka manawa e pono ai mākou i kahi lāʻau i kapa ʻia ʻo dialysis.

I ka ʻōlelo maʻalahi, he aha ka dialysis?

ʻO ka Dialysis kahi hana i hana ʻia ma ke ʻano hana i ka wā e hāʻule ai kou mau puʻupaʻa, me ka hoʻohana ʻana i kahi mīkini a i ʻole kekahi ʻano hana ʻē aʻe e hana ai i ka hana a kou mau puʻupaʻa e hana ai. I ka pololei, pili ia i ka lawe ʻana i kou koko, ka kānana ʻana i nā huahana ʻōpala (e like me ka urea a me ka creatinine) a me nā wai pono ʻole, a me ka hoʻihoʻi ʻana i ke koko i hoʻomaʻemaʻe ʻia i kou kino. ʻAʻole kēia e ho'ōla i kou mau puʻupaʻa, akā kōkua ia i kou mau puʻupaʻa e hana i kā lākou hana, e hiki ai iā ʻoe ke ola i kahi ola olakino.

He aha ke ʻano o ka poʻe e pono ai ka dialysis?

Pono ka dialysis no ka poʻe me ka maʻi puʻupaʻa hope loa (ESKD), ʻo ia hoʻi, ua emi iho ka hana o kā lākou puʻupaʻa ma mua o 15%. Aia kekahi mau kumu nui o ka hāʻule ʻana o ka puʻupaʻa.

• Ke koko kiʻekiʻe
• Maʻi diabetes
• Nā maʻi ʻōnaehana pale e like me ka lupus

I kekahi manawa hiki i nā puʻupaʻa ke hāʻule me ke kumu ʻole. I kekahi manawa, hiki i kahi maʻi koʻikoʻi a i ʻole kahi ulia pōpilikia ke kumu o ka hāʻule koke ʻana o nā puʻupaʻa (acute kidney failure). I kēlā kūlana, aia kahi manawa e hoʻōla ʻia ai nā puʻupaʻa.

ʻElua ʻano nui o ka dialysis.

ʻElua ʻano nui o ka dialysis. E wehewehe kāu kauka iā ʻoe i ke ʻano hana kūpono loa iā ʻoe, ma muli o kou nohona a me ke kūlana olakino.

Hemodialysis

ʻO kēia ke ʻano hana maʻamau. Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, hana ʻia kahi kīʻaha koko nui (fistula) ma ka hoʻopili ʻana i kahi aʻa a me kahi aʻa koko i kou lima. Hana ʻia kēia i mea e maʻalahi ai ka lawe ʻana i ke koko a hoʻihoʻi iā ia i ka mīkini dialysis.

Dialysis Peritoneal

Ma mua o ka hoʻomaka ʻana i kēia kaʻina hana, hoʻokomo ʻia kahi paipu palupalu (catheter) i loko o kou ʻōpū ma ke ʻoki ʻana. E aʻo aku ka haukapila iā ʻoe pehea e hoʻokomo ai a wehe i kēia wai ma ka home. ʻElua mau ʻano nui no kēia:

• CAPD (Continuous Ambulatory Peritoneal Dialysis): Ma kēia, hoʻololi lima ʻoe i ka wai i nā manawa he nui i ka lā.
• APD (Automated Peritoneal Dialysis): Pili kēia i ka hoʻololi wai aunoa me ka hoʻohana ʻana i kahi mīkini i kou wā hiamoe.

Aia kekahi mau pilikia i ka dialysis?

ʻAe, loaʻa i nā lāʻau lapaʻau ʻelua kekahi mau pilikia. ʻO ka pilikia nui ka hiki ke loaʻa nā maʻi.

• I ka wā o ka hemodialysis: hiki ke loaʻa nā mea e like me ke kahe koko maikaʻi ʻole, nā ʻūpā koko, a me ka ʻeha ma kahi i hoʻokomo ʻia ai ke nila.
• ʻO ka dialysis Peritoneal: ʻO ka peritonitis kahi maʻi o ka uhi o ka ʻōpū. I ka hala ʻana o ka manawa, e nāwaliwali paha nā ʻiʻo o ka ʻōpū a hiki ke hana ʻia kahi hernia.

E hōʻike pono aku kāu kauka iā ʻoe e pili ana i kēia mau pilikia a pau.

Hiki iā ʻoe ke ola i kahi ola maʻamau i ka wā o ka dialysis?

ʻOiaʻiʻo hiki iā ʻoe. ʻO ka hapa nui o ka poʻe ma ka dialysis e hana i kā lākou mau hana, nā ola ʻohana, a me nā leʻaleʻa e like me ka mea maʻamau. Hiki iā ʻoe ke huakaʻi. Inā ʻoe ma ka hemodialysis, hiki i kāu kauka ke kōkua iā ʻoe e hoʻopili iā ʻoe me kahi kikowaena dialysis ma kou wahi. Inā ʻoe ma ka peritoneal dialysis, hiki iā ʻoe ke lawe pū me ʻoe i nā ʻeke wai a me ka mīkini e pono ai.

He mea maikaʻi nō hoʻi ka hoʻoikaika kino. Eia nō naʻe, inā ʻoe ma ka peritoneal dialysis, pono paha ʻoe e kaupalena i kekahi mau hana ikaika ʻoiai e piha ana kou ʻōpū i ka wai. E kamaʻilio me kāu kauka e pili ana i kēia a e kiʻi i ka ʻōlelo aʻoaʻo.

I ka manawa e kāhea koke aku ai i ke kauka

Inā ʻike ʻoe i hoʻokahi a ʻoi aku paha o nā hōʻailona ma lalo nei, e kamaʻilio me kāu kauka i ka wā hikiwawe loa.

He lāʻau lapaʻau koʻikoʻi ka dialysis e mālama iā ʻoe i ke ola a hiki i kou loaʻa ʻana o kahi hoʻoili puʻupaʻa. He manawa iki ia a he ʻokoʻa nui i kou ola, akā hāʻawi ia iā ʻoe i kou ola.