Ka lāʻau lapaʻau ma ka home no ka hāʻule ʻana o nā puʻupaʻa? E aʻo kākou e pili ana i ka Peritoneal Dialysis!

ʻO ka hemahema o nā puʻupaʻa, a i ʻole 'kidney failure', he mea ia e hopohopo ai kekahi. Manaʻo ka poʻe he nui ma hope o kēlā, pono lākou e hele i nā haukapila no ke koena o ko lākou ola e hoʻomaʻemaʻe ʻia ko lākou koko. Akā ua ʻike anei ʻoe aia kekahi ʻano dialysis kūikawā hiki iā ʻoe ke hana mai ka home, me kāu mau hana o kēlā me kēia lā? ʻO ia ka mea a mākou e kapa nei ʻo Peritoneal Dialysis. I kēia lā, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

I ka ʻōlelo maʻalahi, he aha ka Peritoneal Dialysis?

E noʻonoʻo i kou mau puʻupaʻa e like me ʻelua mau kānana nui. ʻO kā lākou hana nui, ʻo ia ke kānana i nā huahana ʻōpala makemake ʻole ʻia a me ka wai keu mai ke koko. Kāhea mākou i ka wai i kānana ʻia he mimi. Akā i ka wā e hāʻule ai nā puʻupaʻa, ʻaʻole hana pono kēia kānana. A laila hoʻomaka nā huahana ʻōpala a me nā mea ʻawahia e hōʻiliʻili i loko o ke koko. Kāhea mākou i kēia kūlana he "uremia". Inā waiho ʻole ʻia, hiki i kēia ke hoʻoweliweli i ke ola.

ʻO ia ka manawa e hoʻomaka ai ka mālama ʻana i ka dialysis. ʻO ka dialysis peritoneal kekahi ʻano dialysis. Akā, he mea kupanaha loa ka mea e hana ʻia ana ma kēia. Ma kēia, hoʻohana mākou i kahi kānana kūlohelohe i loko o kou kino e hoʻomaʻemaʻe i kou koko. ʻO ia ka membrane lahilahi e hoʻopuni ana i nā ʻōpū i loko o kou ʻōpū. I ka lāʻau lapaʻau, kapa mākou i kēia ʻo ka peritoneum.

Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e hana ke kauka i kahi hana liʻiliʻi a hoʻokomo i kahi paipu lahilahi a palupalu (catheter) ma o ka ʻili o kou ʻōpū. A laila, ma o ka paipu, hoʻouna ʻia kahi wai sterile kūikawā (kapa mākou iā ia he "dialysate") i loko o kou ʻōpū. ʻOiai kēia wai i loko o kou ʻōpū no kekahi mau hola, hoʻopili ka membrane peritoneal i nā huahana ʻōpala a me ka wai keu mai ke koko i loko o kēia wai. A laila, wehe ʻia ka wai i piha i ka ʻōpala ma o ka paipu hoʻokahi, a hoʻokomo hou ʻia ka wai hou. Hiki iā ʻoe ke hana i kēia kaʻina hana ma ka home, i nā manawa he nui i ka lā, a i ʻole ʻoe e hiamoe ana i ka pō.

ʻElua mau ʻano hana nui no kēia.

Hana ʻia ka dialysis peritoneal ma nā ʻano ʻelua. Hiki iā ʻoe ke koho i ke ʻano hana e kūpono loa iā ʻoe ma ke kamaʻilio ʻana me kāu kauka.

Akā no ke aha i kaulana ʻole ai kēia ʻano hana?

ʻOiai kona nui o nā pono, ʻaʻole i hoʻohana pinepine ʻia ma mua o ke ʻano hemodialysis ma ka haukapila. Aia kekahi mau kumu no kēia:

• ʻAʻole ʻike: Nui nā poʻe maʻi, a i kekahi manawa ʻo nā limahana lapaʻau pū kekahi, ʻaʻole maopopo loa i kēia koho.
• ʻAʻohe limahana i aʻo ʻia: He kakaikahi nā kauka a me nā kahu maʻi i loaʻa i ke aʻo kūikawā ma kēia lāʻau lapaʻau.
• Nā pilikia e kū mai ana i kahi pilikia: Inā hāʻule koke nā puʻupaʻa o ke kanaka, ʻaʻole i loaʻa i nā haukapila āpau nā pono e hoʻokomo i kēia ʻōmole (catheter). I ia hihia, pono lākou e hoʻohana i ka hemodialysis, hiki ke hoʻomaka maʻalahi.
• Paʻakikī ke loaʻa ʻana o kekahi e kōkua: He mea paʻakikī i kekahi poʻe ke hana hoʻokahi i kēia. I nā manawa e like me kēia, hiki ke lilo i mea paʻakikī ka loaʻa ʻana o kekahi e kōkua.

He aha nā pono o kēia ʻano hana?

• Ka maʻalahi a me ka maʻalahi: ʻAʻole pono ʻoe e hele i ka haukapila. Hiki iā ʻoe ke hana i kēia ma kahi maʻemaʻe, inā paha ma ka home, ma ka hana, a i ʻole ke hele nei.
• ʻAʻohe kapu nui i ka meaʻai a me ka mea inu: ʻOi aku ka liʻiliʻi o nā kapu i ka meaʻai a me ka mea inu ma mua o nā ʻano dialysis ʻē aʻe. Ma muli o ka wehe ʻia ʻana o nā huahana ʻōpala mai ke kino i kēlā me kēia lā, ʻoi aku ka liʻiliʻi o ka nui o nā ʻōpala e hōʻiliʻili ʻia.
• ʻAʻohe pono no nā nila: I ka wā o ka dialysis ma ka haukapila, pono nā nila i kēlā me kēia manawa. He mea hōʻoluʻolu nui kēia no ka mea makaʻu i nā nila.

ʻAʻole anei he mau hemahema a me nā pilikia?

E like me nā lāʻau lapaʻau āpau, aia nā pilikia a me nā hemahema, a he mea nui e ʻike iā lākou.

E pale i kēia mau mea.

Inā ʻoe ma ka dialysis peritoneal, e makaʻala i kēia mau mea:

• Mai hoʻohana i nā lāʻau lapaʻau e like me nā lāʻau anti-inflammatory nonsteroidal (NSAID) i hōʻino i nā puʻupaʻa me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
• E pale i ka ʻauʻau ʻana i ka wai i ʻole ka chlorine e like me nā loko wai, nā muliwai, a me nā loko, a e pale i ka ʻauʻau ʻana i loko o nā ʻauʻau wela. ʻOi aku ka maʻalahi o kēia mau mea e hoʻolauna i nā germs. Eia nō naʻe, ʻaʻohe pilikia me ka ʻauʻau ʻana i kēlā me kēia lā.

Āhea ʻoe e ʻike koke ai i ke kauka?

Inā ʻoe e loaʻa ana i kēia lāʻau lapaʻau a ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei:Mai hoʻowahāwahā iā ia.

• ʻEha nui o ka ʻōpū a i ʻole ka pehu ʻana
• Inā manaʻo ʻoe he kuni kou
• Inā wikiwiki ka helu o ka puʻuwai (tachycardia)
• Ka paʻakikī o ka hanu ʻana (dyspnea)
• Ka luaʻi a me ka luaʻi
• Inā he ao ka wai āu e hoʻokahe ai mai kou ʻōpū a he ʻokoʻa paha ke kala ma mua o ka maʻamau (hiki i kēia ke hōʻailona o ka maʻi)
• Nā hōʻailona o ke koko haʻahaʻa (hypotension), e like me ka dizziness a me ka lightheadedness

ʻO ka mea hope loa, pono ʻoe a me kāu kauka e hoʻoholo pū inā ʻo Peritoneal Dialysis a i ʻole Hemodialysis ka mea maikaʻi loa iā ʻoe. Pono e noʻonoʻo ʻia kou kūlana olakino, kou nohona, a me kāu mau makemake a pau e hana i ka hoʻoholo maikaʻi loa.