Kodi inunso muyenera kuchitidwa dialysis? Tiyeni tidziwe zonse zokhudza izi!

Nthawi zina dokotala wathu amati, "Ntchito ya impso zanu yachepa pang'ono, tiyeni tiziyang'anira izi." Nthawi ngati zimenezi, timachita mantha pang'ono, sichoncho? Makamaka funso lakuti "Kodi ndiyenera kuchita dialysis?" limabuka kwinakwake m'maganizo mwathu. Ili ndi mantha omwe anthu ambiri ali nawo. Lero, tiyeni tikambirane za tanthauzo la dialysis, ndani akufunikira, ndi momwe imachitikira mosavuta, m'njira yomwe mungamvetse.

Choyamba, tiyeni tiwone kuti dialysis ndi chiyani.

Mwachidule, dialysis ndi pamene impso zanu sizingathenso kugwira ntchito yawo bwino, ndipo amachita izi mwaluso, kaya pogwiritsa ntchito makina kapena njira ina. Taganizirani izi motere: impso zanu zili ngati zosefera ziwiri zazikulu. Ndi ziwalo zooneka ngati nyemba zomwe zili mbali zonse za msana wanu, pansi pa nthiti zanu. Ntchito yawo yayikulu ndikusefa magazi anu ndikuchotsa zinyalala ndi madzi ochulukirapo m'thupi lanu ngati mkodzo. Kuphatikiza apo, impso zanu zimawongolera kuthamanga kwa magazi anu, kusunga mafupa anu olimba, kusunga milingo yoyenera ya mchere monga potaziyamu ndi sodium (mchere) m'magazi anu, ndikupanga mahomoni omwe amathandiza kupanga maselo ofiira amagazi. Impso zanu zikasiya kugwira ntchito bwino, poizoni amayamba kudziunjikira m'thupi lanu. Pamenepo ndiye kuti dialysis imakhala chithandizo chopulumutsa moyo.

Ndani akufunika chithandizo cha dialysis?

Matenda a impso akakula kwambiri, zomwe zikutanthauza kuti impso zanu ndi zofooka kwambiri kuti zisamagwire ntchito bwino m'thupi lanu, mungafunike dialysis kapena kuikidwa impso. Matenda a impso angayambitsidwe ndi matenda monga kuthamanga kwa magazi, matenda a shuga , lupus, ngozi zina, kapena popanda chifukwa chilichonse. Dialysis nthawi zambiri imayamba mukayamba kukhala ndi zizindikiro za kulephera kwa impso kapena pamene mayeso a magazi akusonyeza kuti magazi anu ali ndi poizoni wambiri. Zizindikiro zake ndi monga nseru , kutopa, kutupa, ndi kusanza .Dokotala wanu adzasankha nthawi yomwe muyenera kuyamba dialysis ndi njira yomwe ili yoyenera kwa inu, kutengera zaka zanu, mphamvu zanu, thanzi lanu lonse, zotsatira za mayeso a magazi, komanso kudzipereka kwanu ku dongosolo lanu la chithandizo.

Ndi mitundu iti ya dialysis yomwe ilipo?

Pali mitundu iwiri ikuluikulu ya dialysis. Tiyeni tione kusiyana pakati pa mitundu iwiriyi. Kuphatikiza apo, pali njira yapadera yotchedwa `Continuous Renal Replacement Therapy (CRRT),` yomwe imaperekedwa pang'onopang'ono maola 24 patsiku kwa odwala omwe ali ndi vuto lalikulu omwe ali mu Intensive Care Unit (ICU) omwe sangathe kulekerera dialysis yokhazikika.

Zambiri zokhudza hemodialysis

Mu njira iyi, makina amatenga magazi m'thupi lanu. Izi zimaphatikizapo opaleshoni yaying'ono kuti apange malo olowera pansi pa khungu la mkono wanu omwe angalumikizane ndi mitsempha yamagazi. Pali njira zitatu zazikulu zochitira izi.

• Fistula: Izi zimaphatikizapo kulumikiza mtsempha wamagazi ndi mtsempha m'dzanja lanu. Iyi ndi njira yabwino komanso yokhalitsa. Komabe, zimatenga pafupifupi milungu 6 kuti muthe kuigwiritsa ntchito.
• Kulumikiza: Izi zimaphatikizapo kulumikiza mtsempha wamagazi ndi mtsempha pogwiritsa ntchito chubu cha pulasitiki. Izi zitha kugwiritsidwa ntchito kwa milungu iwiri yokha. Komabe, sizimatenga nthawi yayitali ngati fistula.
• Catheter : Ngati mukufuna kuyamba dialysis mwachangu, chubu chosinthasintha (catheter) chimayikidwa mu mtsempha waukulu m'khosi, m'dzanja, kapena m'mimba mwanu. Iyi ndi njira yakanthawi.

Pa nthawi ya chithandizo, mukagona pampando, katswiri amaika singano ziwiri mu fistula kapena graft yomwe ili m'dzanja lanu. Singano imodzi imatulutsa magazi m'thupi lanu, n'kuwatsuka pogwiritsa ntchito makina, ndipo singano inayo imabwezera magazi oyeretsedwawo m'thupi lanu. Chithandizochi chimatenga pafupifupi maola 3-5 ndipo chimachitika katatu pa sabata.

Zambiri zokhudza Peritoneal Dialysis (PD)

Njira iyi ndi yosiyana pang'ono. Apa, nembanemba yopyapyala yomwe ili m'mimba mwanu (peritoneum) imagwira ntchito ngati fyuluta yachilengedwe. Patatha milungu itatu chithandizo chanu chisanayambe, opaleshoni yaying'ono imachitika kuti muyike chubu chofewa (catheter) m'mimba mwanu. Kenako, madzi a dialysis amapopedwa m'mimba mwanu kudzera mu chubuchi. Madzi awa amagwira ntchito yochotsa zinyalala m'magazi mwanu kwa maola angapo. Kenako zinyalalazo zimatayidwa m'thumba lina. Njirayi imatchedwa "kusinthana." Mutha kuchita izi kunyumba, kotero simuyenera kupita kuchipatala pafupipafupi. Pali njira ziwiri zochitira izi:

• Kutsegula kwa Peritoneal Automated: Njira yosinthira iyi imachitika usiku wonse, mukagona, pogwiritsa ntchito makina.
• Kusamutsa magazi m'mimba mosalekeza: Muyenera kuchita izi pamanja, kangapo patsiku.

Kodi pali zotsatirapo zilizonse zoyipa za dialysis?

Kutsegula m'mimba sikupweteka. Komabe, mutha kukhala ndi zotsatirapo zina panthawi ya chithandizo kapena mutatha. Ngati mukumva kupweteka kulikonse, uzani dokotala nthawi yomweyo. Zotsatirapo zoyipa zodziwika bwino ndi izi:

• Khungu loyabwa
• Kuthamanga kwa magazi kotsika (makamaka kwa odwala matenda a shuga)
• Mavuto ogona
• Kuchuluka kwa madzimadzi
• Matenda (makamaka pamalo oikapo catheter)
• Kusokonezeka maganizo kapena kusintha kwa maganizo
• Kusanza ndi kusanza
• Kupweteka kwa minofu
• Kutopa kwambiri

Samalani zinthu izi kuti mukhale ndi thanzi labwino panthawi ya chithandizochi:

• Yang'anani malo omwe mukupitako tsiku lililonse kuti muwone ngati pali kufiira, mafinya, kapena kutupa. Ngati muwona chilichonse mwa izi, imbani dokotala nthawi yomweyo.
• Nthawi zonse bandeji yophimba catheter ikhale yoyera komanso youma.

Uthenga Wopita Nawo Kunyumba

• Pamene ntchito ya impso yatsika pansi pa 10%-15%, chithandizo cha dialysis chingakhale chofunikira kuti muchotse zinyalala m'thupi.
• Pali mitundu iwiri ikuluikulu ya dialysis: hemodialysis ndi peritoneal dialysis. Lankhulani ndi dokotala wanu kuti mudziwe njira yoyenera kwa inu.
• Chithandizo cha dialysis sichipweteka, koma zotsatirapo zina zingachitike. Uzani dokotala wanu za kusasangalala kulikonse.
• Ngati mukufuna kusiya chithandizo, musapange chisankho nokha, koma onetsetsani kuti mwakambirana ndi dokotala wanu.
• Kutsegula m'mimba ndi njira yotalikitsa moyo, osati njira imodzi yokha. Ndikofunikira kulankhula ndi dokotala wanu za zomwe zili bwino pa vuto lanu.

Kuyeretsa impso, matenda a impso, kulephera kwa impso, hemodialysis, peritoneal dialysis, dialysis sinhala, kulephera kwa impso sinhala