Kunanirwa kw'impyiko? Icyo ukeneye kumenya kuri dialyse

Impyiko ebyiri mu mubiri wacu zimeze nk'ibice bibiri binini. Akamaro k'impyiko ni ukuyungurura imyanda yose n'amazi atari ngombwa mu mubiri no kuyasohora mu nkari. Ariko, bitewe n'impamvu zitandukanye nka diyabete n'umuvuduko ukabije w'amaraso, imikorere y'izi mpyiko ishobora kugabanuka buhoro buhoro. Iyo impyiko zidafite ubushobozi bwo gukora neza, imyanda irarunda mu mubiri igashyira ubuzima mu kaga gakomeye. Icyo gihe ni bwo dukeneye ubuvuzi bwitwa dialysis.

Mu magambo make, dialyse ni iki?

Dialysis ni uburyo bukorwa mu buryo bw'ubukorano iyo impyiko zawe zananiwe, hakoreshejwe imashini cyangwa ubundi buryo kugira ngo ukore akazi impyiko zawe zigomba gukora. Mu by'ukuri, bikubiyemo gufata amaraso yawe, kuyungurura imyanda (nka urea na creatinine) n'amazi atari ngombwa, no gusubiza amaraso yasukuwe mu mubiri wawe. Ibi ntibikiza impyiko zawe, ahubwo bifasha impyiko zawe gukora akazi kazo, bigatuma ubaho ubuzima bwiza.

Ni ubwoko ki bw'abantu bakeneye dialyse?

Dialysis irakenewe ku bantu bafite indwara y'impyiko yo mu cyiciro cya nyuma (ESKD), bivuze ko imikorere y'impyiko zabo yagabanutseho ibirenze 15%. Hari impamvu nyinshi z'ingenzi zitera impyiko kudakora neza.

• Umuvuduko ukabije w'amaraso
• Diyabete
• Indwara z'ubudahangarwa bw'umubiri nka lupus

Hari igihe impyiko zishobora gucika intege nta mpamvu igaragara. Hari igihe indwara ikomeye cyangwa impanuka ishobora gutera impyiko gucika intege mu buryo butunguranye (gucika intege mu buryo butunguranye mu mpyiko). Muri iyo mimerere, hari amahirwe ko impyiko zizakira.

Hari ubwoko bubiri bw'ingenzi bwa dialyse.

Hari ubwoko bubiri bw'ingenzi bwa dialyse. Muganga wawe azagusobanurira uburyo bukubereye, hashingiwe ku mibereho yawe n'uko ubuzima bwawe buhagaze.

Hemodialysis

Ubu ni bwo buryo bukunze gukoreshwa cyane. Mbere yo gutangira ubu buvuzi, umuyoboro munini w'amaraso (fistula) ukorwa binyuze mu guhuza umutsi n'umutsi mu kuboko kwawe. Ibi bikorwa kugira ngo byoroshye kujyana amaraso no kuyasubiza mu mashini ikoresha dialysis.

Dialysis yo mu nda

Mbere yo gutangira ubu buryo, umuyoboro woroshye (catheter) ubagwa mu gifu cyawe. Ibitaro bizakwigisha uburyo bwo gutera no gukuramo aya mazi mu rugo. Hari uburyo bubiri bw'ingenzi bwo kubikoresha:

• CAPD (Dialysis ihoraho yo mu nda igenda itera imbere): Muri ibi, uhindura amazi n'intoki inshuro nyinshi ku munsi.
• APD (Dialysis y’imbere mu mubiri yikora): Ibi bikubiyemo guhinduranya amazi mu buryo bwikora hakoreshejwe imashini mu gihe usinziriye.

Ese hari ingaruka zishobora guterwa no gukoresha dialyse?

Yego, ubwo buryo bwombi bufite ingaruka zimwe na zimwe. Ingaruka nyamukuru ni uko umuntu ashobora kwandura indwara.

• Mu gihe cyo gupima amaraso mu maraso (hemodialysis): ibintu nk'amaraso atembera nabi, kubumba amaraso, no gukomereka aho urushinge rwashyizwe bishobora kubaho.
• Dialyse y'inda: Peritonite ni indwara ifata igice cyo hagati cy'inda. Uko igihe kigenda gihita, imitsi yo mu nda ishobora gucika intege ndetse n'inyama zishobora kumera nk'izirwaye.

Muganga wawe azakubwira neza izi ngaruka zose.

Ese ushobora kubaho ubuzima busanzwe mugihe uri kuri dialyse?

Birumvikana ko ushobora. Abantu benshi bakora dialyse bakora akazi kabo, ubuzima bwo mu muryango, ndetse n'ibyo bakunda gukora nk'uko bisanzwe. Ushobora no gutembera. Niba uri kuri hemodialysis, muganga wawe ashobora kugufasha guhuza n'ikigo cya dialyse mu gace utuyemo. Niba uri kuri dialyse ya peritoneal, ushobora kujyana amasashe n'imashini by'amazi bikenewe.

Imyitozo ngororamubiri nayo ni nziza. Ariko, niba uri kuri dialyse yo mu nda, ushobora kugabanya imirimo ivunanye mu gihe inda yawe yuzuye amazi. Vugana na muganga wawe kuri ibi kandi umugire inama.

Igihe cyo guhamagara muganga ako kanya

Niba ubonye kimwe cyangwa byinshi muri ibi bikurikira, vugana na muganga wawe vuba bishoboka.

Dialysis ni uburyo bw'ingenzi bwo kuvura butuma ukomeza kubaho neza kugeza igihe uzaba waratewe impyiko. Bifata igihe gito kandi bigira ingaruka zikomeye mu buzima bwawe, ariko biguha ubuzima bwawe.