Wakambonzwa chiremba achitaura nezvedambudziko reitsvo mumhuri yako kana mudiwa wako here? Patinonzwa chimwe chinhu chakadai sekuti, "Itsvo dzese dzakundikana, uye ikozvino tinofanira kuita dialysis," tinonzwa kutya kukuru uye kushamisika. Chii chaizvo chinonzi dialysis? Ichi chinhu chekutya here? Unogona kurarama hupenyu hwakajairika nekurapwa uku? Pamwe une mibvunzo yakawanda yakaita seiyi mupfungwa dzako. Usazvidya mwoyo. Nhasi, tichataura nezvazvo zviri nyore, nenzira yaunogona kunzwisisa zvakanaka.
Chii chinonzi dialysis, zviri nyore?
Zvichitaurwa zviri nyore, dialysis inzira yekurapa inoita basa rinofanira kuitwa neitsvo dzedu kana dzisiri kushanda zvakanaka.
Fungidzira kuti muviri wedu ifekitari hombe. Sero rega rega riri mufekitori iyi riri kushanda. Basa iri rinoburitsa mhando dzakasiyana dzetsvina. Itsvo dzedu dzakaita senzira yakanakisisa yekusefa mufekitori iyi. Basa radzo guru nderekusefa tsvina isingakoshi, chepfu, nemvura yakawandisa kubva muropa uye kuiburitsa mumuviri seweti. Zvinhu zvakaita senitrogen marara (urea) uye tsvina kubva mutsandanyama (creatinine) zvinobviswa nenzira iyi.
Zvino fungidzira kuti chii chingaitika kana sisitimu iyi yekusefa ikatyoka kana kumira kushanda? Marara ese anogadzirwa mufekitori iyoyo aizoungana uye sisitimu yese yaizovhiringidzika, handiti? Ndizvo zvinoita kuti, kana itsvo dzisashande zvakanaka, chepfu, tsvina, uye mvura isina kufanira zvitange kuungana muropa redu. Mamiriro aya ane njodzi zvikuru kuhupenyu hwedu.
Ndizvo zvinoitwa nedialysis. Kureva kuti, inoita basa rekuchenesa ropa risingakwanise kuitwa neitsvo, kungave nerubatsiro rwemuchina kana imwe nzira yakakosha. Sezvinoita kana sefa yedu yemvura yapwanyika kumba, tinounza mabhodhoro emvura akachena kubva kuchitoro, kana itsvo dzisisashande, tinochenesa ropa kuburikidza nenzira inonzi dialysis.
Ndiani anoda kurapwa ne dialysis?
Havasi vese vane chirwere cheitsvo vanoda dialysis. Izvi zvinongodiwa chete kune vanhu vane chirwere cheitsvo chiri padanho rekupedzisira, kana chirwere cheitsvo chekupedzisira (ESKD).
Kazhinji pane matanho mashanu echirwere cheitsvo. Padanho rechishanu, itsvo dzinenge dzichishanda pasi pe15% yehuwandu hwadzo hwenguva dzose. Panguva ino, muviri unenge usingachakwanisi kubvisa chepfu dzinoungana mumuviri wega. Panguva iyoyo, dialysis kana kuti kuisirwa itsvo zvinodikanwa kuti urarame. Vamwe vanhu vanorapwa dialysis pakati peizvi kusvika vaisirwa itsvo.
Ndezvipi zvikonzero zvikuru zvekutadza kushanda kweitsvo?
- Kukwira Kweropa: Kukwira kweropa kusingadzoreki kwenguva yakareba ndicho chikonzero chikuru chekukuvara kweitsvo.
- Chirwere cheshuga:Kuwanda kweshuga muropa kunokonzerwa nechirwere cheshuga kunokuvadza tsinga dzeropa dzakatetepa dziri muitsvo.
- Zvirwere zvakaita seLupus: Izvi zvirwere apo masoja emuviri anorwisa nhengo dzawo.
- Zvimwe zvinokonzera: Dzimwe nguva, tsaona inongoerekana yaitika kana utachiona hwakakomba zvinogona kukonzera kutadza kushanda kweitsvo. Uyewo, vamwe vanhu vanogona kurwara neitsvo pasina chikonzero chinozivikanwa.
Kutanga dialysis chisarudzo chakakomba. Asi kana munhu ane dambudziko reitsvo akasaita dialysis, anogona kuva neuremia (kuunganidza chepfu muropa) uye kufa mukati memazuva kana mavhiki. Saka, iyi inyaya yakakosha yekurapa inoponesa hupenyu.
Kune nzira mbiri huru dze dialysis:
Patinofunga nezve dialysis, chinhu chega chinouya mupfungwa inzira yekuchenesa ropa nekuribatanidza nemuchina mukuru. Asi pane nzira mbiri huru dze dialysis. Ngatingonzwisisai musiyano uripo pakati pezviviri izvi.
1. Kuchenesa ropa
2. Kuongororwa kwePeritoneal Dialysis
Chiremba wako achasarudza nzira idzi mbiri mushure mekufunga nezvezvinhu zvakaita sehutano hwako uye mararamiro ako.
| Chinhu | Kuchenesa ropa | Kuvhiyiwa kwePeritoneal Dialysis |
|---|---|---|
| Nzvimbo yekuita | Kazhinji zvinoitwa muchipatara kana panzvimbo ye dialysis. | Unogona kuzviita wega kumba. |
| Maitiro | Muchina unotora ropa mumuviri, worisefa netsvo yekugadzira (dialyzer), wodzosera ropa rakachena mumuviri. | Peritoneum, membrane iri mukati medumbu, inoshanda sesefa yechisikigo yekuchenesa ropa. |
| Nguva uye kakawanda | Zvinotora maawa matatu kusvika mana panguva, mazuva matatu pasvondo. | Zvinoitwa zuva nezuva, katatu kusvika kashanu pazuva (maminitsi makumi matatu kusvika makumi mana) kana husiku panguva yekurara uchishandisa muchina. |
| Kuvhiya | Kurapa kusati kwatanga, kuvhiyiwa kudiki (fistula) kunofanira kuitwa kuti tsinga dzeropa dziri paruoko dzikure. | Kuvhiyiwa kunodiwa kuti chubhu yakapfava (catheter) iiswe zvachose mudumbu. |
Zvimwe zvishoma nezve hemodialysis
Iyi ndiyo nzira inonyanya kushandiswa ye dialysis pasi rose. Hezvino zvinoitika:
1. Kugadzirira: Nekuti muchina we dialysis unofanira kupomba ropa nekukurumidza, tsinga dzedu dzakajairika hadzigone kuzvibata. Saka, chiremba anovhiya achaita oparesheni diki uye anobatanidza tsinga netsinga muruoko rwako kuti agadzire tsinga yeropa yakakura uye yakasimba (fistula). Izvi ndizvo zvinoshandiswa kutora nekudzorera ropa kuti riiswe dialysis.
2. Kurapa: Paunoenda kunzvimbo yekurapa chirwere chedialysis, mukoti anoisa tsono mbiri mutsinga yeropa yakagadzirwa. Mumwe wavo anobvisa ropa mumuviri wako oritumira kumuchina wekurapa chirwere chedialysis. Parinopfuura nemufirita wekugadzira unonzi dialyzer mukati memuchina, tsvina nemvura yakawandisa zvinobviswa muropa. Ipapo ropa rakacheneswa rinodzoserwa mumuviri wako kuburikidza neimwe tsono. Maitiro aya anotora maawa angangoita matatu kusvika mana. Munguva iyi, unogona kugara pachigaro woita chimwe chinhu chakadai sekuverenga bhuku kana kuona TV.
Ruzivo nezve Peritoneal Dialysis
Nzira iyi yakasiyana zvishoma. Haishandisi muchina mukuru. Asi, inoshandisa chimwe chinhu chiri mumuviri wedu sesefa.
1. Kugadzirira: Kurapa uku kusati kwatanga, chiremba anovhiya achaisa chubhu yakapfava inogara kwenguva refu (catheter) mudumbu mako, pamusoro peganda.
2. Kurapa: Mvura yekuchenesa inonzi 'dialysate' inodururwa mudumbu kuburikidza nechubhu iyi. Chidimbu chinonzi 'peritoneum' chinofukidza madziro emukati medumbu chine mitsipa mizhinji yeropa mitete. Kana mvura iyoyo iri mudumbu, inoshanda semagineti ekukwevera tsvina nemvura yakawandisa kubva muropa. Mushure memaawa mashoma, mvura inenge yaungana mumarara inoburitswa zvakare kuburikidza nechubhu imwe chete yobviswa. Maitiro aya anonzi 'exchange'.
Pane nzira mbiri dzekuita izvi:
- CAPD (Continuous Ambulatory Peritoneal Dialysis):Muchiitiko ichi, uchafanira kuchinja mvura iyi kanenge katatu kusvika kashanu pazuva. Kana bhegi remvura rakaturikwa pamusoro pefudzi rako, simba rinokwevera pasi richaita kuti mvura ipinde mudumbu mako. Izvi zvinotora maminetsi angangoita makumi matatu kusvika makumi mana.
- APD (Automated Peritoneal Dialysis): Izvi zviri nyore kuvanhu vazhinji. Usati warara husiku, unenge wakabatana nemuchina mudiki. Paunorara, muchina wacho unochinjana mvura otomatiki kakawanda husiku hwese.
Upenyu hwakaita sei ne dialysis? Pane zvinokunetsa here?
Iyi ndiyo mimwe yemibvunzo mikuru inobvunzwa nemunhu anenge ava kuda kutanga dialysis. Ngationgororei imwe neimwe.
Kubvisa dialysis kunorwadza here?
- Hemodialysis: Panongova nekunzwa kushoma kwekurwadza kana tsono ikapinzwa mutsinga. Mushure meizvozvo, hapana kurwadziwa kunoitika panguva yekurapwa.
- Kuchenesa kwedumbu: Hapana kurwadziwa mune izvi. Zvisinei, mvura yacho painozadza dumbu, inogona kunzwa yakaguta uye inorema.
Ndeipi njodzi dzekurapa dialysis?
Kufanana nedzimwe nzira dzekurapa, dialysis ine njodzi dzayo.
- Mukurapa kweropa: Pane njodzi yehutachiona panzvimbo yekupinda ropa. Uyewo, ropa rakagwamba rinogona kuvhara tsinga yeropa. Dzimwe nguva BP inogonawo kuderera. Asi musazvidya mwoyo, michina ine masisitimu ekuchengetedza. Kana chimwe chinhu chikafamba zvisina kunaka, alarm inorira uye muchina unomira, saka hapana kukuvara kukuru kuchaitika.
- Mu peritoneal dialysis: Njodzi huru i peritonitis. Izvi zvinogona kuitika kana utachiona hukapinda munzvimbo inopinzwa chubhu. Saka, maitiro aya anofanira kuitwa nekuchena kwakanyanya. Uyewo, nekufamba kwenguva, tsandanyama dzemudumbu dzinogona kupera simba uye hernias inogona kuitika.
Kuongororwa kwetsvo (dialysis) kuchavandudza itsvo dzangu here?
Uyu mubvunzo unobvunzwa nevanhu vazhinji. Dialysis haisi mushonga wechirwere cheitsvo. Inongotora basa reitsvo kwenguva pfupi. Chirwere cheitsvo chekupedzisira (ESKD) chirwere chisingadzoreki. Saka, dialysis inodiwa kweupenyu hwako hwese kusvika waisirwa itsvo.
Munhu ari pa dialysis anogona kurarama kwenguva yakareba sei?
Hapana mhinduro imwe chete pane izvi. Zvinosiyana zvikuru kubva pamunhu kusvika pamunhu. Zvinoenderana nezvinhu zvakawanda, zvakaita sezera rako, hutano hwako hwese, uye chirwere chakakonzera kutadza kushanda kweitsvo. Asi kune vanhu vazhinji, nekurapwa kwakakodzera uye kutevedzera mirairo yachiremba wavo, vanorarama vachifara kwemakore, kunyange makumi emakore.
Ndingashanda zvakanaka here ne dialysis?
Ehe unogona.Kuongororwa kweropa (dialysis) hazvirevi kuti hupenyu hwako hwapera. Vanhu vazhinji vanoenderera mberi nehupenyu hwavo hwezuva nezuva, vachiita mabasa avo, uye vachitarisira mhuri dzavo. Unogona kutofamba. Kana uri pa hemodialysis, unogona kutaura ne dialysis centre iri munharaunda yako woronga kuti uwane kurapwa ikoko. Kana uri pa peritoneal dialysis, zviri nyore nekuti unogona kutakura mabhegi ako emvura.
Chenjerera zviratidzo izvi: Udza chiremba wako nekukasika
Kana uri kurapwa ne dialysis, zivisa chiremba wako kana nzvimbo yekurapa nekukasika kana ukaona chimwe chezviratidzo zvinotevera.
| Chiratidzo | Tsananguro |
|---|---|
| Kuoma kwekuita weti | Kudzikira kana kumira zvachose kwekuita weti. |
| Kuderera kweropa | Dzungu, kupera simba, maziso ebhuruu, nyota isingawanzoitiki. |
| Zviratidzo zvehutachiona | Fivha, dzihwa, musoro, kutsvuka, kuzvimba, kana kuti urwa panzvimbo yakapinzwa chubhu. |
| Kurwadziwa kwakanyanya mudumbu | Izvi zvinogona kuva chiratidzo chehutachiona, kunyanya kune avo vari pa peritoneal dialysis. |
| Kusvotwa nekurutsa | Kusvotwa kana kurutsa zvisinganzwisisike. |
| Zviratidzo zveHernia | Kuzvimba kana bundu risingawanzoitika mudumbu kana munzvimbo yehudyu. |
Mharidzo Yekuenda Nayo Kumba
- Kurapa kwechirwere cheitsvo (dialysis) inzira inoponesa hupenyu hwemunhu ane dambudziko reitsvo. Usazvitya.
- Kune mhando mbiri huru dze dialysis (hemodialysis ne peritoneal dialysis). Chiremba wako anogona kukubatsira kusarudza nzira inonyatsokodzera mararamiro ako uye hutano hwako.
- Uku kungava kurapwa kwehupenyu hwese (kusvika pakuisirwa itsvo), asi zvinokwanisika kurarama hupenyu hwakazara, hune simba paunenge uri padialysis.
- Kana uri kuita peritoneal dialysis , chenjerera zvakanyanya nezvehutsanana. Zvakakosha zvikuru kuzvidzivirira kubva kuzvirwere.
- Tevedzera mirairo yachiremba wako nemazvo maererano nekudya kwako, mvura yaunonwa, uye mishonga.
- Taura pachena nachiremba wako nezvemibvunzo kana zvinokunetsa. Vanogara vakagadzirira kukubatsira.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment