Ukungasebenzi kakuhle kwezintso, okanye 'ukungasebenzi kakuhle kwezintso', yinto eyoyikisa nabani na. Abantu abaninzi bacinga ukuba emva koko, kuya kufuneka baye ezibhedlele ubomi babo bonke ukuze igazi labo licocwe. Kodwa ubusazi na ukuba kukho indlela ekhethekileyo yokucoca igazi onokuyenza ekhaya, kunye nemisebenzi yakho yemihla ngemihla? Yiloo nto siyibiza ngokuba yiPeritoneal Dialysis. Namhlanje, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.
Ngamafutshane, yintoni i-Peritoneal Dialysis?
Cinga ngezintso zakho njengee-super filters ezimbini. Umsebenzi wazo ophambili kukucoca inkunkuma engafunekiyo kunye namanzi angaphezulu egazini. Sibiza ulwelo oluhluzwayo njengomchamo. Kodwa xa izintso zingaphumeleli, esi sihluzo asisebenzi kakuhle. Emva koko inkunkuma kunye neetyhefu ziqala ukuqokelelana egazini. Le meko siyibiza ngokuba yi-"uremia". Ukuba ayinyangwa, oku kunokuba yingozi ebomini.
Kulapho ke unyango lwe-dialysis luqala khona. I-peritoneal dialysis lolunye uhlobo lwe-dialysis. Kodwa kwenzeka into engaqhelekanga kule. Kule, sisebenzisa isihluzo sendalo emzimbeni wakho ukucoca igazi lakho. Leyo yi-membrane encinci ejikeleze amalungu angaphakathi kwesisu sakho. Kwizonyango, le nto siyibiza ngokuba yi-peritoneum.
Ngaphambi kokuba uqale olu nyango, ugqirha uza kwenza utyando oluncinci aze afake ityhubhu ethambileyo nethambileyo (i-catheter) eluswini lwesisu sakho. Emva koko, ngetyhubhu, ulwelo olukhethekileyo olungenazintsholongwane (esilubiza ngokuba yi-"dialysate") luthunyelwa esiswini sakho. Ngelixa olu lwelo lusesiswini sakho iiyure ezininzi, i-peritoneal membrane ifunxa inkunkuma kunye namanzi angaphezulu egazini iye kolu lwelo. Emva koko, ulwelo oluzaliswe yinkunkuma lususwa ngetyhubhu efanayo, kwaye ulwelo olutsha lufakwa kwakhona. Ungayenza le nkqubo ekhaya, amaxesha amaninzi ngemini, okanye nangona ulele ebusuku.
Kukho iindlela ezimbini eziphambili zokwenza oku.
I-Peritoneal dialysis yenziwa ngeendlela ezimbini. Ungakhetha indlela ekulungeleyo ngokuthetha nogqirha wakho.
| Indlela yonyango | Indlela yokwenza oko kunye namanqaku akhethekileyo |
|---|---|
| I-Continuous Ambulatory Peritoneal Dialysis (CAPD) (Indlela yokuzenzela emini) | Akukho matshini usetyenziswayo koku. Kuya kufuneka utshintshe ulwelo ngokwakho malunga nezihlandlo ezi-3-5 ngemini. Kuthatha malunga nemizuzu engama-30-40 ngalo lonke ixesha. Ngelixa olu lwelo lusesiswini sakho, ukhululekile ukwenza umsebenzi wakho njengesiqhelo. |
| I-Automated Peritoneal Dialysis (APD) (Indlela yomatshini yobusuku bonke) | Oku kusebenzisa umatshini omncinci (i-`automated cycler`). Xa uyiqhagamshela kumatshini ngaphambi kokuba ulale ebusuku, umatshini uza kuyifaka ngokuzenzekelayo kwaye uyikhuphe ulwelo amaxesha amaninzi kangangoko kufuneka ubusuku bonke. Unyango lugqityiwe xa uvuka kusasa. Abantu abaninzi bakhetha le ndlela kuba akukho ziphazamiso emini. |
Kodwa kutheni le ndlela ingathandwa kangaka?
Nangona ineenzuzo ezininzi, ayisetyenziswa rhoqo kunendlela ye-hemodialysis esesibhedlele. Kukho izizathu ezahlukeneyo zoku:
- Ukungazi: Izigulane ezininzi, kwaye ngamanye amaxesha kwanabasebenzi bezonyango, abazi ngokupheleleyo ngolu khetho.
- Ukunqongophala kwabasebenzi abaqeqeshiweyo: Bambalwa oogqirha kunye nabongikazi abafumene uqeqesho olukhethekileyo kolu nyango.
- Iingxaki ezivelayo xa kukho imeko engxamisekileyo: Ukuba izintso zomntu ziyayeka ukusebenza ngequbuliso, ayizizo zonke izibhedlele ezinezixhobo zokufaka le tube (catheter). Kwimeko enjalo, kufuneka basebenzise i-hemodialysis, enokuqaliswa lula.
- Ubunzima bokufumana umntu onokunceda: Abanye abantu bakufumanisa kunzima ukwenza oku bodwa. Ngamaxesha anje, ukufumana umntu onokunceda kunokuba ngumceli mngeni.
Zithini iingenelo zale ndlela?
Eyona nzuzo inkulu yoku yinkululeko kunye nokulula okufumanayo. Akunyanzelekanga ukuba ubophe ubomi bakho esibhedlele.
- Ukukhululeka nokuguquguquka: Akunyanzelekanga ukuba uye esibhedlele. Ungakwenza oku kwindawo ecocekileyo, nokuba kusekhaya, emsebenzini, okanye xa useluhambeni.
- Akukho miqathango mikhulu ekutyeni nasekuseleni: Kukho imiqathango embalwa ekutyeni nasekuseleni kunezinye iindlela zokucoca umzimba. Ngenxa yokuba inkunkuma isuswa emzimbeni phantse yonke imihla, ubungakanani benkunkuma eqokelelekayo buncinci.
- Akukho mfuneko yeenaliti: Ngexesha lotyando lwe-dialysis esibhedlele, kufuneka iinaliti ngalo lonke ixesha. Oku kunceda kakhulu umntu oyoyikayo iinaliti.
Akukho zingxaki kunye neengozi?
Njengakwezinye iindlela zonyango, kukho iingozi kunye neengxaki, kwaye kubalulekile ukuzazi.
| Umngcipheko/Ukungalungi | Kalula nje... |
|---|---|
| I-Peritonitis | Le yeyona ngozi ixhaphakileyo. Iintsholongwane zinokungena kwi-peritoneum yesisu ngetyhubhu okanye ngothuli, nto leyo ebangela usulelo. Kubalulekile ukuba ulumke kakhulu malunga nococeko. |
| I-Hernia | I-hernia inokwenzeka ngenxa yoxinzelelo oluvela xa ulwelo luzalisa isisu. |
| Ukutyeba kwakho | Ngenxa yokuba ulwelo olusetyenziswayo luneswekile (i-dextrose), inxalenye yalo iyafunxwa ngumzimba kwaye inokukhokelela ekutyebeni ngokuhamba kwexesha. |
| Ukungasebenzi kakuhle konyango | Emva kweminyaka yolu nyango, abanye abantu banokubona ukwehla komsebenzi we-peritoneal membrane yabo, nto leyo enokufuna ukutshintshela kwenye indlela ye-dialysis. |
| Okufuneka ukwenze yonke imihla | Le yinto ekufuneka yenziwe yonke imihla. Inokubadinisa ingqondo abanye. |
Ziphephe ezi zinto.
Ukuba usebenzisa i-peritoneal dialysis, qaphela ezi zinto zilandelayo:
- Musa ukusebenzisa amayeza anjengeziyobisi ezichasene nokuvuvukala (ii-NSAID) eziyingozi kwizintso ngaphandle kokubonisana nogqirha wakho.
- Kuphephe ukudada emanzini angenachlorine afana namachibi, imilambo, namachibi, kwaye kuphephe ukuntywila kwiibhafu ezishushu. Ezi zinokubangela iintsholongwane. Nangona kunjalo, akukho ngxaki ngokuhlamba yonke imihla.
Ufanele uye nini kugqirha ngoko nangoko?
Ukuba ufumana olu nyango kwaye ufumana naziphi na iimpawu ezilandelayo:Musa ukuyityeshela.
- Intlungu ebuhlungu yesisu okanye ukudumba
- Ukuba uziva ngathi unomkhuhlane
- Ukuba isantya sentliziyo sikhawuleza (i-tachycardia)
- Ubunzima bokuphefumla (ukuphelelwa ngamandla)
- Isicaphucaphu nokuhlanza
- Ukuba ulwelo olukhupha esiswini sakho lunamafu okanye lunombala owahlukileyo kunowesiqhelo (oku kungaba luphawu losulelo)
- Iimpawu zoxinzelelo lwegazi oluphantsi (uxinzelelo lwegazi oluphantsi), ezifana nesiyezi kunye nokuba nentloko ebuthathaka
Ukuba ubona nayiphi na kwezi mpawu, fowunela ugqirha wakho onyangayo okanye ikliniki ngokukhawuleza. Okanye yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane.
Ekugqibeleni, wena nogqirha wakho kufuneka nigqibe kunye ukuba ngaba i-Peritoneal Dialysis okanye i-Hemodialysis yeyona ifanelekileyo kuwe. Imeko yakho yempilo, indlela ophila ngayo, kunye nezinto ozikhethayo kufuneka ziqwalaselwe ukuze kwenziwe isigqibo esifanelekileyo.
Umyalezo Wokuya Ekhaya
- I-Peritoneal dialysis yindlela yonyango esebenza kakhulu enokwenziwa ekhaya ngokukhululeka okukhulu kwizigulana ezinengxaki yezintso.
- Ucoceko lolona luphambili kolu nyango. Hlamba izandla zakho rhoqo kwaye wenze oku kwindawo ecocekileyo. Oku kunokunceda ekuthinteleni usulelo olunzima olufana nePeritonitis.
- Yazi kakuhle iingenelo, iingxaki kunye neengozi zale ndlela. Ukuba uneengxaki, ungathandabuzi ukuthetha nogqirha wakho.
- Soloko ucela icebiso kugqirha wakho ukuze ukhethe indlela ye-dialysis ekufaneleyo.
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