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Renal function (eGFR)
Measure kidney function based on creatinine value
Ka tusooke tulabe okulongoosa omusaayi kye ki.
Mu ngeri ennyangu, okulongoosa omusaayi (dialysis) kwe kuba nti ensigo zo tezikyasobola kukola bulungi mulimu gwazo, era nga zikikola mu ngeri ey’ekikugu, nga ziyambibwako ekyuma oba enkola endala. Lowooza ku kino: ensigo zo ziringa super filters bbiri. Zino bitundu ebiringa ebinyeebwa ebisangibwa ku buli ludda lw’omugongo gwo, wansi ddala w’olubavu lwo. Omulimu gwabwe omukulu kwe kusengejja omusaayi gwo n’okuggya kasasiro n’amazzi agasukkiridde mu mubiri gwo ng’omusulo. Ng’oggyeeko ekyo, ensigo zo nazo zifuga puleesa, zikuuma amagumba go nga ganywevu, zikuuma ebiriisa ebituufu nga potassium ne sodium (omunnyo) mu musaayi gwo, n’okukola obusimu obuyamba okukola obutoffaali obumyufu. Ensigo zo bwe zilekera awo okukola obulungi, obutwa butandika okukuŋŋaana mu mubiri gwo. Wano okulongoosa omusaayi we kufuuka obujjanjabi obutaasa obulamu.Ani yeetaaga obujjanjabi bwa dialysis?
Obulwadde bw’ekibumba bwe buba obw’amaanyi, ekitegeeza nti enkizi zo zinafu nnyo ne zitasobola kukwatagana na mirimu gya mubiri gwo, oyinza okwetaaga okulongoosebwa omusaayi oba okukyusa ekibumba. Obulwadde bw’ekibumba buyinza okuva ku mbeera nga puleesa, sukaali , lupus, obubenje obumu, oba wadde nga tewali nsonga yonna. Okulongoosa omusaayi ebiseera ebisinga kutandikibwawo ng’otandise okufuna obubonero bw’okulemererwa kw’ekibumba oba ng’okukeberebwa omusaayi kulaga nti omusaayi gwo gulimu obutwa bungi. Obubonero buno mulimu okuziyira , okukoowa, okuzimba, n’okusiiyibwa .Waliwo emitendera 5 egy'obulwadde bw'ekibumba . Bw’otuuka ku Stage V, ekitegeeza nti enkizi zo zikola ku mutindo ogwa wansi ennyo, nga 10%-15%, tubuyita ‘End-Stage Renal Disease ’. Mu kiseera kino, okulongoosa omusaayi oba okukyusa ekibumba kyetaagisa nnyo okusobola okuwangaala.Omusawo wo ajja kusalawo ddi lw’osaanidde okutandika okulongoosa omusaayi n’enkola ki esinga okukukwatako, okusinziira ku myaka gyo, amaanyi go, obulamu okutwalira awamu, ebyava mu kukeberebwa omusaayi, n’engeri gy’omaliriddemu enteekateeka yo ey’obujjanjabi.
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Check Availability →Bika ki eby’okulongoosa omusaayi?
Waliwo ebika bibiri ebikulu eby’okulongoosa omusaayi. Ka tulabe mu ngeri ennyangu enjawulo eriwo wakati w’ebintu bino ebibiri.| Ekika ky’okulongoosa omusaayi | Engeri y’okukikola | Awali ebiseera ebisinga okukolebwa |
|---|---|---|
| Okulongoosa omusaayi | Omusaayi gwo guggyibwa mu mubiri gwo, ne guyisibwa mu kyuma eky’enjawulo (ekibumba ekikoleddwa), ne guyonjebwa, oluvannyuma ne guzzibwa mu mubiri gwo. | Mu ddwaaliro oba ekifo awalongoosebwa omusaayi. Asobola n’okukolebwa awaka. |
| Okulongoosa mu lubuto | Omusaayi gwo gulongoosebwa munda mu mubiri gwo. Amazzi ag’enjawulo gateekebwa mu lubuto lwo, aganyiga ebisasiro n’oluvannyuma ne gabiggyamu. | Ebiseera ebisinga bikolebwa waka. |
Ebisingawo katono ku hemodialysis
Mu nkola eno, ekyuma kiggya omusaayi mu mubiri gwo. Kino kizingiramu okulongoosa okutono okukola ekifo ekiyingira wansi w’olususu lw’omukono gwo ekiyinza okuyungibwa ku misuwa. Waliwo enkola enkulu ssatu ez’okukola kino.- Fistula: Kino kizingiramu okuyunga omusuwa n’omusuwa mu mukono gwo. Eno y’enkola esinga obulungi era esinga okubeera ey’olubeerera. Wabula kitwala wiiki nga 6 okusobola okugikozesa.
- Graft: Kino kizingiramu okuyunga omusuwa n’omusuwa nga bakozesa ttanka y’akaveera. Kino osobola okukikozesa okumala wiiki 2 zokka. Wabula tebuwangaala nga fistula.
- Catheter : Bw’oba weetaaga okutandika okulongoosa amangu, ekyuma ekigonvu (catheter) kiyingizibwa mu musuwa omunene mu bulago, mu mukono oba mu kisambi . Kino kigonjoolwa kya kaseera buseera.
Ebisingawo ku kulongoosa mu lubuto (PD)
Enkola eno ya njawulo katono. Wano, oluwuzi olugonvu oluli mu layini y’olubuto lwo (peritoneum) lukola ng’omusengejja ogw’obutonde. Ng’ebula wiiki nga 3 obujjanjabi bwo butandike, okulongoosa okutono kukolebwa okuyingiza enkalakkalira ekyuma ekigonvu (catheter) mu lubuto lwo. Olwo, amazzi g’okulongoosa omusaayi gayisibwa mu lubuto lwo nga gayita mu ttanka eno. Amazzi gano gakola okuggya ebisasiro mu musaayi gwo mu ssaawa ntono. Oluvannyuma kasasiro akulukutira mu nsawo endala. Enkola eno eyitibwa "okuwanyisiganya." Kino osobola okukikola awaka, kale teweetaaga kugenda mu ddwaaliro emirundi mingi. Waliwo engeri bbiri ez’okukola kino:- Automated Peritoneal Dialysis: Enkola eno ey’okuwanyisiganya ebaawo ekiro kimu, ng’osula, ng’okozesa ekyuma.
- Continuous Ambulatory Peritoneal Dialysis: Enkola eno ey’okuwanyisiganya olina okukola mu ngalo, emirundi egiwerako olunaku.
Waliwo ebizibu byonna ebiva mu kulongoosa omusaayi?
Okulongoosa omusaayi tekiruma. Kyokka oyinza okufuna ebizibu ebimu ng’ofunye obujjanjabi oba ng’omaze. Bw’ofuna obulumi bwonna, buulira omusawo wo amangu ago. Ebizibu ebitera okuvaamu mulimu:- Olususu olusiiwa
- Puleesa entono (naddala mu balwadde ba ssukaali) .
- Obuzibu mu tulo
- Okutikka amazzi okusukkiridde
- Yinfekisoni (naddala mu kifo we bassa ekituli) .
- Okwennyamira oba enkyukakyuka mu muudu
- Okuziyira n’okusiiyibwa
- Okuzimba ebinywa
- Obukoowu obuyitiridde
- Kebera omukutu gwo ogw’okuyingira buli lunaku oba tegumumyuuka, gukutte oba guzimba. Bw’olaba ekimu ku bino, kuba essimu y’omusawo mu bwangu.
- Bulijjo bbandi ebikka ekituli kikuume nga nnyonjo era nga nkalu.
Obubaka Obutwala Awaka
- Enkola y’ekibumba bw’ekka wansi wa 10%-15%, obujjanjabi bw’okulongoosa omusaayi buyinza okwetaagisa okuggya ebisasiro mu mubiri.
- Waliwo ebika bibiri ebikulu eby’okulongoosa omusaayi: okulongoosa omusaayi n’okulongoosa omusaayi mu lubuto. Yogerako n’omusawo wo asalewo enkola esinga okukukwatako.
- Obujjanjabi bw’okulongoosa omusaayi tebuluma, naye ebimu ku biyinza okuvaamu ebizibu. Buulira omusawo wo ku buzibu bwonna.
- Bw’oba weetaaga okukomya obujjanjabi, tosalawo ku bubwo, naye kakasa nti okiteesaako n’omusawo wo.
- Okulongoosa omusaayi bujjanjabi obuwangaaza obulamu, so si bujjanjabi bwa sayizi emu. Kikulu okwogera n’omusawo wo ku kiki ekisinga obulungi ku mbeera yo.
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