Itsvo mbiri dziri mumuviri wedu dzakaita semafirita maviri makuru. Basa guru reitsvo nderekusefa tsvina yese nemvura isingakoshi mumuviri uye kuiburitsa muweti. Zvisinei, nekuda kwezvikonzero zvakasiyana-siyana zvakaita sechirwere cheshuga neBP, kushanda kweitsvo idzi kunogona kudzikira zvishoma nezvishoma. Kana itsvo dzikasashanda zvakanaka, tsvina inoungana mumuviri uye inoisa hupenyu panjodzi huru. Ndipo patinoda kurapwa kunonzi dialysis.
Zvichitaurwa zviri nyore, chii chinonzi dialysis?
Kuongororwa kweropa (dialysis) inzira inoitiswa kana itsvo dzako dzisisina kushanda zvakanaka, uchishandisa muchina kana imwe nzira yekuita basa rinofanira kuitwa neitsvo dzako. Kutaura chokwadi, zvinosanganisira kutora ropa rako, kusefa tsvina (yakadai seurea necreatinine) nemvura dzisina kufanira, uye kudzorera ropa rakacheneswa mumuviri wako. Izvi hazvirapi itsvo dzako, asi zvinobatsira itsvo dzako kuita basa radzo, zvichikubvumidza kurarama hupenyu hwakanaka.
Vanhu verudzii vanoda dialysis?
Kuongororwa kweitsvo kunodiwa kuvanhu vane chirwere cheitsvo chekupedzisira (ESKD), zvichireva kuti mashandiro eitsvo dzavo aderera neanopfuura 15%. Kune zvikonzero zvakawanda zvinokonzera kutadza kushanda kweitsvo.
- Kukwira kweropa
- Chirwere cheshuga
- Zvirwere zvemuviri zvekudzivirira muviri zvakaita se lupus
Dzimwe nguva itsvo dzinogona kutadza kushanda pasina chikonzero chakajeka. Dzimwe nguva, chirwere chakakomba kana tsaona zvinogona kukonzera kutadza kushanda kweitsvo kamwe kamwe (kutadza kushanda kweitsvo zvakanyanya). Mumamiriro ezvinhu akadaro, pane mukana wekuti itsvo dzidzikire.
Kuvhiyiwa kweropa chirwere chakakomba. Kana chiremba wako akasarudza kuti unoda kuvhiyiwa kweropa uye ukasazviita, tsvina ine chepfu inogona kuungana mumuviri wako (uremia) yova inotyisidzira hupenyu. Saka, iyi imishonga inoponesa hupenyu.
Kune mhando mbiri huru dze dialysis.
Kune mhando mbiri huru dze dialysis. Chiremba wako achakutsanangurira nzira yakakunakira, zvichienderana nemararamiro ako uye mamiriro ehutano hwako.
| Rudzi rwe dialysis | Maitikiro azvo | Nguva uye kakawanda |
|---|---|---|
| Kuchenesa ropa | Ropa rinotorwa kubva mutsinga iri muruoko, ropfuudzwa nemuchina (dialyzer) kuti richeneswe, rozodzorerwa mumuviri. Izvi zvinowanzoitirwa muchipatara kana kunzvimbo yedialysis. | Mazuva matatu pasvondo, maawa matatu kusvika mana panguva. |
| Kuvhiyiwa kwePeritoneal Dialysis | Chubhu (catheter) inopinzwa mudumbu (mukati medumbu), mvura yakakosha (dialysate) inopinzwa nayo, uye ropa rinocheneswa uchishandisa jira redumbu (peritoneum). Izvi zvinogona kuitwa kumba. | Unogona kuzviita katatu kusvika kashanu pazuva (maminitsi makumi matatu kusvika makumi mana imwe neimwe) kana husiku paunenge wakarara nemuchina (maawa masere kusvika gumi). |
Kuchenesa ropa
Iyi ndiyo nzira inonyanya kushandiswa. Usati watanga kurapwa uku, tsinga huru yeropa (fistula) inogadzirwa nekubatanidza tsinga netsinga iri muruoko rwako. Izvi zvinoitwa kuti zvive nyore kutakura ropa woridzosera kumuchina we dialysis.
Kuvhiyiwa kwePeritoneal Dialysis
Usati watanga kuita izvi, chubhu yakapfava (catheter) inopinzwa mudumbu mako nekuvhiyiwa. Chipatara chichakudzidzisa majekiseni nekubvisa mvura iyi kumba. Pane nzira mbiri huru dzekuita izvi:
- CAPD (Continuous Ambulatory Peritoneal Dialysis): Mukuita izvi, unochinja mvura yacho nemaoko kakawanda pazuva.
- APD (Automated Peritoneal Dialysis): Izvi zvinosanganisira kuchinjana kwemvura otomatiki uchishandisa muchina paunenge wakarara.
Pane njodzi here pakushandisa dialysis?
Ehe, mishonga yese ine njodzi. Njodzi huru ndeye mukana wekutapukirwa nehutachiona.
- Munguva ye hemodialysis: zvinhu zvakaita sekusafamba zvakanaka kweropa, kuvharika kweropa, uye mavanga panzvimbo inopinzwa tsono zvinogona kuitika.
- Kuvhiyiwa kweropa mudumbu: Kuvhiyiwa kweropa mudumbu chirwere chinotapukira mudumbu. Nekufamba kwenguva, tsandanyama dzemudumbu dzinogona kupera simba uye hernia inogona kuumbwa.
Chiremba wako achakuudza zvakakwana nezvenjodzi idzi dzese.
Unogona kurarama hupenyu hwakajairika paunenge uri pa dialysis here?
Ehe unogona. Vanhu vazhinji vari pa dialysis vanoita mabasa avo, hupenyu hwemhuri, uye zvinhu zvavanoda kuita sezvakajairika. Unogona kutofamba. Kana uri pa hemodialysis, chiremba wako anogona kukubatsira kuti ubatanidze nzvimbo ye dialysis munharaunda yako. Kana uri pa peritoneal dialysis, unogona kutakura mabhegi emvura anodiwa nemuchina.
Kurovedza muviri kwakanakawo. Zvisinei, kana uri pa peritoneal dialysis, ungangoda kuderedza mamwe mabasa anorema uku dumbu rako rizere nemvura. Taura nachiremba wako nezveizvi uye uwane mazano.
Nguva yekufonera chiremba nekukasika
Kana ukaona chimwe kana kupfuura chezviratidzo zvinotevera, taura nachiremba wako nekukurumidza.
| Hunhu hwenjodzi | Tsananguro |
|---|---|
| Zviratidzo zvehutachiona | Fivha, dzihwa, musoro, uye kubuda ropa, kutsvuka, kana kuchinja ruvara kubva panzvimbo yechubhu. |
| Zviratidzo zveBP yakaderera | Dzungu, kupera simba, nyota isingawanzoitiki. |
| Kurwadziwa kwemudumbu | Kurwadziwa kwemudumbu kwakanyanya, kunogara kwenguva refu (kunyanya kuvanhu vari pa peritoneal dialysis). |
| Zvimwe zvinhu | Kuomerwa nekuita weti, kuda kurutsa uye kurutsa, kuzvimba kusingawanzoitiki mudumbu kana muhudyu (zviratidzo zvehernia). |
Kuvhiyiwa kwetsvo (dialysis) inzira inokosha yekurapa inodzivirira chirwere chako kusvika waiswa itsvo. Zvinotora nguva shoma uye zvine mutsauko mukuru muhupenyu hwako, asi zvinokupa hupenyu hwako.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kwetsvo inzira inoponesa hupenyu hwemunhu, kwete mushonga.
- Kune mhando mbiri huru: hemodialysis ne peritoneal dialysis. Chiremba wako achakubatsira kusarudza nzira yakakunakira.
- Vanhu vazhinji vanokwanisa kurarama hupenyu hune simba, kusanganisira basa nehupenyu hwemhuri, pavanenge vachirapwa nedialysis.
- Gara uchitarisa zviratidzo zvehutachiona, kurwadziwa kwakanyanya, uye dzungu. Kana uine zvinokunetsa, taura nachiremba wako nekukasika.
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