Izintso ezimbini emzimbeni wethu zifana nee-super filters ezimbini. Umsebenzi ophambili wezintso kukucoca yonke inkunkuma kunye nolwelo olungafunekiyo emzimbeni kwaye lukhuphe njengomchamo. Nangona kunjalo, ngenxa yezizathu ezahlukeneyo ezifana nesifo seswekile kunye noxinzelelo lwegazi oluphezulu, ukusebenza kwezi zintso kunokuncipha kancinci kancinci. Xa izintso zingasebenzi kakuhle ngokupheleleyo, imveliso yenkunkuma iqokelelana emzimbeni kwaye ibe yingozi enkulu ebomini. Kulapho ke sidinga unyango olubizwa ngokuba yi-dialysis.
Ngamafutshane, yintoni i-dialysis?
I-Dialysis yinkqubo eyenziwa ngokwenziwa xa izintso zakho zingasebenzi, kusetyenziswa umatshini okanye enye indlela yokwenza umsebenzi omele wenziwe zizintso zakho. Ngokuchanekileyo, ibandakanya ukuthatha igazi lakho, ukucoca imveliso engcolileyo (efana ne-urea kunye ne-creatinine) kunye nolwelo olungafunekiyo, nokubuyisela igazi elicociweyo emzimbeni wakho. Oku akuzinyangi izintso zakho, kodwa kunceda izintso zakho ukuba zenze umsebenzi wazo, zikuvumela ukuba uphile ubomi obusempilweni.
Ngabantu abanjani abafuna i-dialysis?
I-Dialysis iyimfuneko kubantu abanesifo sezintso esikwinqanaba lokugqibela (ESKD), oko kuthetha ukuba ukusebenza kwezintso zabo kwehle ngaphezulu kwe-15%. Kukho izizathu ezininzi eziphambili zokungasebenzi kakuhle kwezintso.
- Igazi elonyukayo
- Isifo seswekile
- Izifo zomzimba ezifana ne-lupus
Ngamanye amaxesha izintso zinokungasebenzi kakuhle ngaphandle kwesizathu esicacileyo. Ngamanye amaxesha, ukugula okanye ingozi enzulu inokubangela ukungasebenzi kakuhle kwezintso ngequbuliso (ukungasebenzi kakuhle kwezintso ngokukhawuleza). Kwimeko enjalo, kukho ithuba lokuba izintso ziphinde ziphile.
I-Dialysis yimeko enzima kakhulu. Ukuba ugqirha wakho ugqiba kwelokuba udinga i-dialysis uze ungayenzi loo nto, inkunkuma enetyhefu inokuqokelelwa emzimbeni wakho (uremia) ize ibe yingozi kubomi. Ke ngoko, olu lunyango olusindisa ubomi.
Kukho iintlobo ezimbini eziphambili ze-dialysis.
Kukho iintlobo ezimbini eziphambili ze-dialysis. Ugqirha wakho uza kukuchazela ukuba yeyiphi indlela efanelekileyo kuwe, ngokusekwe kwindlela ophila ngayo kunye nemeko yakho yempilo.
| Uhlobo lwe-dialysis | Kwenzeka njani oku | Ixesha kunye nokuphindaphinda |
|---|---|---|
| I-Hemodialysis | Igazi lithathwa emthanjeni osengalweni, lidluliselwe kumatshini (i-dialyzer) ukuze licocwe, lize libuyiselwe emzimbeni. Oku kudla ngokwenziwa esibhedlele okanye kwiziko le-dialysis. | Malunga neentsuku ezi-3 ngeveki, iiyure ezi-3-4 ngexesha. |
| I-Peritoneal Dialysis | Ityhubhu (i-catheter) ifakwa kwisisu (ngaphakathi esiswini), kufakwa ulwelo olukhethekileyo (i-dialysate) ngayo, kwaye igazi licocwa kusetyenziswa ulwelo lwesisu (i-peritoneum). Oku kungenziwa ekhaya. | Ungakwenza oku izihlandlo ezi-3-5 ngemini (imizuzu engama-30-40 nganye) okanye ebusuku xa ulele nomatshini (iiyure ezi-8-10). |
I-Hemodialysis
Le yeyona ndlela ixhaphakileyo. Ngaphambi kokuba uqale olu nyango, kwenziwa umthambo omkhulu wegazi (i-fistula) ngokudibanisa umthambo kunye nomthambo engalweni yakho. Oku kwenziwa ukuze kube lula ukuthatha igazi ulibuyisele kumatshini wokucoca igazi.
I-Peritoneal Dialysis
Ngaphambi kokuba uqale le nkqubo, kufakwa ityhubhu ethambileyo (i-catheter) esiswini sakho ngotyando. Isibhedlele siza kukufundisa indlela yokufaka nokukhupha olu lwelo ekhaya. Zimbini iindlela eziphambili zokwenza oku:
- I-CAPD (i-Continuous Ambulatory Peritoneal Dialysis): Kule nto, utshintsha ulwelo ngesandla izihlandlo ezininzi ngemini.
- I-APD (i-Automated Peritoneal Dialysis): Oku kubandakanya ukutshintshiselana kolwelo ngokuzenzekelayo kusetyenziswa umatshini ngelixa ulele.
Ngaba kukho naziphi na iingozi kwi-dialysis?
Ewe, zombini ezi ndlela zonyango zinemingcipheko ethile. Umngcipheko ophambili kukuba kungenzeka ukuba kubekho usulelo.
- Ngexesha le-hemodialysis: izinto ezifana nokujikeleza kwegazi okungekuhle, amahlwili egazi, kunye nokuqhekeka kwamanxeba kwindawo yokufaka inaliti zinokwenzeka.
- I-Peritoneal dialysis: I-Peritonitis lusulelo lwe-membrane yesisu. Ekuhambeni kwexesha, izihlunu zesisu zinokuba buthathaka kwaye i-hernia inokwenzeka.
Ugqirha wakho uza kukwazisa ngokupheleleyo ngazo zonke ezi ngozi.
Ungaphila ubomi obuqhelekileyo ngelixa usebenzisa i-dialysis?
Kakade unako. Uninzi lwabantu abakwi-dialysis baqhubeka nemisebenzi yabo, ubomi bentsapho, kunye nezinto abazithandayo njengesiqhelo. Ungahamba nohambo. Ukuba usebenzisa i-hemodialysis, ugqirha wakho anokukunceda uqhagamshelane neziko le-dialysis elikwindawo okuyo. Ukuba usebenzisa i-peritoneal dialysis, ungathatha iingxowa zolwelo ezifunekayo kunye nomatshini.
Ukuzilolonga nako kulungile. Nangona kunjalo, ukuba usebenzisa i-peritoneal dialysis, kunokufuneka unciphise eminye imisebenzi enzima ngelixa isisu sakho sizele lulwelo. Thetha nogqirha wakho ngale nto kwaye ufumane ingcebiso.
Ufanele ubize ugqirha nini ngoko nangoko
Ukuba ufumana enye okanye ngaphezulu kwezi mpawu zilandelayo, thetha nogqirha wakho ngokukhawuleza.
| Uphawu lomngcipheko | Inkcazo |
|---|---|
| Iimpawu zosulelo | Umkhuhlane, ukubanda, intloko ebuhlungu, kunye nokukhupha amanzi, ukuba bomvu, okanye ukutshintsha kombala kwindawo yombhobho. |
| Iimpawu zoxinzelelo lwegazi oluphantsi | Ukudinwa, ukuquleka, unxano olungaqhelekanga. |
| Intlungu zesisu | Iintlungu zesisu eziqatha nezingapheliyo (ingakumbi kubantu abasebenzisa i-peritoneal dialysis). |
| Ezinye iimpawu | Ubunzima bokuchama, isicaphucaphu nokuhlanza, ukudumba okungaqhelekanga esiswini okanye emqolo (iimpawu zehernia). |
I-Dialysis lunyango olubalulekileyo olukugcina uphila kwaye uphilile de utyando lwezintso. Ithatha ixesha elincinci kwaye yenza umahluko omkhulu ebomini bakho, kodwa ikunika ubomi bakho.
Umyalezo Wokuya Ekhaya
- I-Dialysis yindlela yokusindisa ubomi yokungasebenzi kakuhle kwezintso, ayilonyango.
- Kukho iintlobo ezimbini eziphambili: i-hemodialysis kunye ne-peritoneal dialysis. Ugqirha wakho uza kukunceda ukhethe indlela efanelekileyo kuwe.
- Abantu abaninzi bayakwazi ukuphila ubomi obuxakekileyo, kuquka umsebenzi nobomi bosapho, ngelixa befumana unyango lwe-dialysis.
- Soloko ujonge iimpawu zosulelo, iintlungu eziqatha, kunye nesiyezi. Ukuba uneengxaki, xelela ugqirha wakho ngokukhawuleza.
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