Ngati ndinu munthu amene akulandira chithandizo cha matenda a impso, makamaka matenda a impso osatha (CKD), kodi nthawi zina mumamva ngati mukuyabwa thupi lonse mosapiririka? Nthawi zina kuyabwa kumeneku kumakhala koopsa kwambiri moti simungathe kugona ngakhale usiku. Ndipotu, nthawi zina pamakhala nthawi zina pomwe khungu limavulala chifukwa cha kukanda. Imeneyi ndi vuto losasangalatsa koma lofala pakati pa odwala impso. Lero tikulankhula za vutoli, lomwe limadziwika kuti 'Uremic Pruritus'.
Kodi Uremic Pruritus ndi chiyani?
Mwachidule, iyi ndi vuto la kuyabwa kwambiri komwe kumachitika mwa anthu omwe ali ndi matenda a impso osatha (CKD) ndi matenda a impso otsiriza (ESKD). Chapadera cha izi ndichakuti nthawi zambiri palibe ziphuphu kapena matenda a pakhungu omwe amayambitsa kuyabwa kumeneku. Izi zikutanthauza kuti, thupi limakanda popanda vuto lililonse la khungu.
Kuyabwa kumeneku kungakhudzeni m'njira zosiyanasiyana:
- Nthawi zina zimatha kubwera ndi kutha pakapita nthawi.
- Anthu ena akhoza kukhala ndi kuyabwa kumeneku tsiku lonse.
- Kuyabwa kumeneku kumawonjezeka, makamaka usiku, ndipo kungasokoneze tulo.
- Zingamveke ngati kuyabwa thupi lonse nthawi imodzi, kapena zingamveke m'malo enaake , monga msana, nkhope, kapena miyendo.
- Kuyabwa kumeneku kumatha kukulirakulira khungu lanu likauma.
- Kuyabwa kosalekeza kumeneku kungakhudze kwambiri thanzi lanu la maganizo komanso moyo wanu.
Ngakhale kuti mawu akuti "Uremic" amagwiritsidwa ntchito pofotokoza vutoli, sizikutsimikizika 100% kuti limayamba chifukwa cha kuchuluka kwa poizoni m'magazi (Uremia). Chifukwa chake, limatchedwanso Chronic Kidney Disease-associated Pruritus (CKD-aP).
Ndani amene angaone izi?
Kuyabwa kumeneku kumachitika kwambiri pakati pa odwala omwe akuchitidwa dialysis ya impso. Izi zikutanthauza kuti, anthu omwe amachitidwa hemodialysis kapena peritoneal dialysis amakhala ndi vutoli kuposa odwala impso omwe sachita.
Kafukufuku akusonyeza kuti odwala impso azaka zopitirira 70 ali ndi mwayi waukulu wopeza ziphuphuzi ndipo zimatha kukhala zoopsa kwambiri.
Taganizirani izi: 70% ya anthu omwe amamwa mankhwala oyeretsera impso, kapena pafupifupi asanu ndi awiri mwa khumi, amamva kuyabwa pang'ono. Izi zikuyerekezeredwa ndi pafupifupi 25% ya odwala matenda a impso osatha omwe samwa mankhwala oyeretsera impso, kapena pafupifupi m'modzi mwa anayi.
Kodi thupi lanu likuyabwa kwambiri pati?
Anthu ambiri amamva kuyabwa kumeneku m'thupi lawo lonse kapena m'malo akuluakulu a thupi lawo. Komabe, malo omwe odwala amanena kuti akuyabwa kwambiri ndi kumbuyo, nkhope, ndi mkono womwe uli ndi dialysis shunt .
Kodi dokotala amazindikira bwanji izi ndipo chifukwa chake ndi chiyani?
Ngati muli ndi matenda a impso osatha ndipo muli ndi kuyabwa kotere, dokotala wanu adzayamba wafufuza zifukwa zina. Adzafufuzanso kusintha kwina pakhungu, monga ziphuphu. Angayesenso magazi. Ngati palibe chifukwa china chomwe chapezeka, dokotala wanu adzazindikira vutoli ngati Uremic Pruritus.
Akatswiri sakudziwabe chifukwa chake izi zimachitika, koma pali zinthu zingapo zomwe akuganiza kuti zingachititse izi.
| Chifukwa Chotheka | Mwachidule... |
|---|---|
| Kusonkhanitsa poizoni m'magazi (Uremic poison) | Impso zikalephera kugwira ntchito bwino, poizoni woopsa amasonkhana m'magazi. Ma poizoni amenewa amatha kuyambitsa mitsempha pakhungu ndikuyambitsa kuyabwa. |
| Kusalingana kwa chitetezo chamthupi | Matenda a impso amatha kusintha momwe chitetezo chathu cha mthupi chimagwirira ntchito. Zina mwa kusintha kumeneku komanso kutupa kwambiri m'thupi kungayambitse kuyabwa. |
| Matenda a mitsempha | Matenda a mitsempha amatha kuchitika chifukwa cha kusalinganika kwa mankhwala ena m'thupi. Apa ndi pamene mitsempha siitumiza kapena kulandira zizindikiro molondola. Zizindikiro zolakwika izi zitha kutanthauziridwa ndi ubongo ngati 'kuyabwa'. |
| Mankhwala omwe mukumwa | Mankhwala ena omwe amamwa pa matenda a impso angayambitsenso kuyabwa ngati zotsatirapo zake. |
Kodi mankhwala a kuyabwa kumeneku ndi ati?
Palibe chithandizo chimodzi chomwe chimagwira ntchito kwa aliyense. Komabe, dokotala wanu angakuthandizeni kusankha chithandizo chomwe chili choyenera kwa inu. Nazi zina mwa mankhwala omwe alipo pakadali pano.
| Njira yochizira | Kufotokozera |
|---|---|
| Kusintha kwa hemodialysis | Dokotala wanu akhoza kusintha zina mwa njira yanu yoyezera shuga kuti achepetse kuyabwa. |
| Chithandizo cha kuwala (Phototherapy) | Uwu ndi mankhwala omwe amagwiritsa ntchito kuwala pochiza matenda a pakhungu. Mitundu ina ya chithandizo cha kuwala yawonetsedwa kuti ndi yothandiza pochepetsa kuyabwa. |
| Mankhwala ochizira ululu wa mitsempha | Mankhwala ena omwe amagwiritsidwa ntchito pochepetsa ululu wa mitsempha angathandizenso kuchepetsa kuyabwa. Mwachitsanzo, mankhwala otchedwa Gabapentin ndi Pregabalin. |
| Mankhwala a Kappa-opioid agonists | Mankhwalawa amagwira ntchito pochepetsa zizindikiro za mitsempha zomwe zimayambitsa kuyabwa. Diphenhydramine ndi Nalbuphine ndi zitsanzo za mankhwala amtunduwu. |
| Kusamutsa impso | Iyi si njira yothetsera kuyabwa. Komabe, kafukufuku akusonyeza kuti pambuyo poika impso, kuyabwa kumatha kwathunthu mwa odwala pafupifupi 75%. |
Kodi ndingachite chiyani kunyumba chifukwa cha kuyabwa kumeneku?
Lankhulani ndi dokotala wanu za njira zotetezeka zochepetsera kuyabwa kunyumba. Mungapeze mpumulo pazinthu izi:
- Kupaka mafuta odzola pakhungu. Ndi bwino kugwiritsa ntchito mukatha kusamba pamene khungu likadali lonyowa.
- Kugwiritsa ntchito mafuta oletsa kuyabwa. Koma funsani dokotala musanagwiritse ntchito chilichonse.
- Anthu ambiri amamwa mankhwala oletsa kutupa akayamba kuyabwa. Koma akatswiri amati mankhwalawa sagwira ntchito bwino pa vuto la uremic pruritus. Ndipo angayambitse zotsatirapo zosafunikira.
Kodi zoopsa zake ndi ziti ngati sizikuthandizidwa?
Kuyabwa kosalekeza kumeneku kungakhudze thanzi lanu lakuthupi komanso la maganizo.
- Kukanda nthawi zonse kungawononge khungu ndipo kungayambitse matenda.
- Kusagona mokwanira kungathandize kuchepetsa moyo wanu.
- Ndipotu, kafukufuku wina wasonyeza kuti chiwerengero cha imfa cha odwala impso omwe ali ndi kuyabwa kumeneku n'chokwera pang'ono kuposa cha odwala omwe alibe kuyabwa. Akuti chifukwa chachikulu cha izi chikhoza kukhala mavuto omwe amabwera chifukwa chosowa tulo.
Choncho musaganize kuti ndi "kuyabwa chabe." Zimakhudza thanzi lanu lonse.
Kodi pali njira yopewera izi?
Palibe njira yeniyeni yopewera kuyabwa komwe kumakhudzana ndi matenda a impso. Komabe, ngati mungathe kuzindikira zina mwa zinthu (zomwe zimayambitsa) zomwe zimapangitsa kuti zikhale zovuta, mutha kuwongolera kuyabwa mwa kuzipewa. Mwachitsanzo:
- Onani ngati zinthu monga khungu louma, kutentha kwambiri kapena kuzizira, kapena kupsinjika maganizo kumawonjezera kuyabwa.
- Pewani kusamba nthawi yayitali.
- Pakani mafuta odzola nthawi yomweyo mutatha kusamba.
- Ngati nyengo ndi youma, gwiritsani ntchito chotenthetsera chinyezi m'chipindamo.
Ngati muli ndi kuyabwa kulikonse, uzani dokotala wanu momwe kulili koipa. Musangonyalanyaza. Dokotala wanu angakuthandizeni kuthana nako mwa kusintha mankhwala anu kapena kugwiritsa ntchito njira zina.
Uthenga Wopita Nawo Kunyumba
- Kuyabwa kumachitika kawirikawiri pakati pa anthu omwe ali ndi matenda a impso osatha (CKD) ndi matenda a impso otsiriza (ESKD).
- Kuyabwa kumeneku sikumachitika chifukwa cha ziphuphu kapena vuto lina la pakhungu, choncho musanyalanyaze ngati "kuyabwa chabe."
- Kaya kuyabwa kwanu kuli kochepa bwanji, onetsetsani kuti mwauza dokotala wanu za izi ndikufotokozera momwe zikukhudzira moyo wanu.
- Pali njira zosiyanasiyana zochizira kuyabwa kumeneku, kotero simuyenera kuvutika nako.
- Popeza kuyabwa kosalekeza kungakhudze tulo, thanzi la maganizo, komanso moyo wonse, ndikofunikira kupeza upangiri wa dokotala mwachangu momwe mungathere.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu