Ingabe nawe kuzodingeka wenze i-dialysis? Ake sithole konke ngalokhu!

Ngezinye izikhathi udokotela wethu uthi, "Ukusebenza kwezinso zakho kwehle kancane, ake siqaphele lokhu." Ngezikhathi ezinjalo, siyesaba kancane, akunjalo? Ikakhulukazi umbuzo othi "Ingabe kuzodingeka ngenze i-dialysis?" uvela endaweni ethile ezingqondweni zethu. Empeleni lokhu ukwesaba abantu abaningi abanakho. Ngakho-ke namuhla, ake sixoxe ngokuthi i-dialysis iyini ngempela, ukuthi ubani oyidingayo, nokuthi yenziwa kanjani ngendlela elula kakhulu, ngendlela ongayiqonda.

Okokuqala, ake sibone ukuthi iyini i-dialysis.

Kalula nje, i-dialysis yilapho izinso zakho zingasakwazi ukwenza umsebenzi wazo kahle, futhi zikwenza ngendlela yokwenziwa, kungaba ngosizo lomshini noma ngenye indlela. Cabanga ngale ndlela: izinso zakho zifana nezihlungi ezimbili ezinkulu. Ziyizitho ezimise okwebhontshisi ezitholakala kuzo zombili izinhlangothi zomgogodla wakho, ngaphansi nje kwekheji lakho lezimbambo. Umsebenzi wazo oyinhloko ukuhlunga igazi lakho nokususa ukungcola kanye noketshezi oluningi emzimbeni wakho njengomchamo. Ngaphezu kwalokho, izinso zakho zilawula nomfutho wegazi lakho, zigcine amathambo akho eqinile, zigcine amazinga afanele amaminerali njenge-potassium kanye ne-sodium (usawoti) egazini lakho, futhi zikhiqize ama-hormone asiza ekwakheni amaseli abomvu egazi. Lapho izinso zakho ziyeka ukusebenza kahle, ubuthi buqala ukwakheka emzimbeni wakho. Yilapho i-dialysis iba ukwelashwa okusindisa impilo.

Ubani odinga ukwelashwa nge-dialysis?

Uma isifo sezinso siba sibi kakhulu, okusho ukuthi izinso zakho zibuthakathaka kakhulu ukuhambisana nemisebenzi yomzimba wakho, ungase udinge i-dialysis noma ukufakelwa izinso. Isifo sezinso singabangelwa izimo ezifana nomfutho wegazi ophakeme, isifo sikashukela , i-lupus, izingozi ezithile, noma ngaphandle kwesizathu nhlobo. I-dialysis ivame ukuqala lapho uqala ukuba nezimpawu zokwehluleka kwezinso noma lapho ukuhlolwa kwegazi kubonisa ukuthi igazi lakho linobuthi obuningi kakhulu. Izimpawu zifaka phakathi isicanucanu , ukukhathala, ukuvuvukala, nokuhlanza .Udokotela wakho uzonquma ukuthi kufanele uqale nini i-dialysis nokuthi iyiphi indlela engcono kakhulu kuwe, ngokusekelwe eminyakeni yakho, izinga lamandla, impilo iyonke, imiphumela yokuhlolwa kwegazi, nokuthi uzimisele kangakanani ohlelweni lwakho lokwelashwa.

Yiziphi izinhlobo ze-dialysis ezikhona?

Kunezinhlobo ezimbili eziyinhloko ze-dialysis. Ake sibheke umehluko phakathi kwalezi ezimbili. Ngaphezu kwalokho, kukhona indlela ekhethekile ebizwa ngokuthi i-`Continuous Renal Replacement Therapy (CRRT),` enikezwa kancane amahora angama-24 ngosuku ezigulini ezigula kakhulu ezise-Intensive Care Unit (ICU) ezingakwazi ukubekezelela i-dialysis ejwayelekile.

Okunye okwengeziwe nge-hemodialysis

Kule ndlela, umshini udonsa igazi emzimbeni wakho. Lokhu kuhilela inqubo encane yokuhlinzwa ukuze kudalwe indawo yokufinyelela ngaphansi kwesikhumba sengalo yakho engaxhuma emithanjeni yegazi. Kunezindlela ezintathu eziyinhloko zalokhu.

• I-Fistula: Lokhu kuhilela ukuxhuma umthambo kanye nomthambo engalweni yakho. Lena yindlela engcono kakhulu nehlala njalo. Kodwa-ke, kuthatha cishe amasonto ayisithupha ukuze ukwazi ukuyisebenzisa.
• Ukufakelwa: Lokhu kuhilela ukuxhuma umthambo nomthambo kusetshenziswa ipayipi lepulasitiki. Lokhu kungasetshenziswa isikhathi esifushane esingamaviki amabili. Kodwa-ke, akuhlali isikhathi eside njenge-fistula.
• I-Catheter : Uma udinga ukuqala i-dialysis ngokushesha, ipayipi eliguquguqukayo (i-catheter) lifakwa emthanjeni omkhulu entanyeni yakho, engalweni, noma embotsheni . Lesi yisisombululo sesikhashana.

Ngesikhathi sokwelashwa, ngenkathi ulele esihlalweni, uchwepheshe ufaka izinaliti ezimbili ku-fistula noma i-graft engalweni yakho. Inaliti eyodwa ikhipha igazi emzimbeni wakho, ilihlanze ngomshini, bese enye inaliti ibuyisela igazi elihlanziwe emzimbeni wakho. Lokhu kwelashwa kuthatha cishe amahora ama-3-5 futhi kwenziwa cishe kathathu ngesonto.

Imininingwane mayelana ne-Peritoneal Dialysis (PD)

Le ndlela ihlukile kancane. Lapha, ulwelwesi oluncane olusemgodini wesisu sakho (i-peritoneum) lusebenza njengesihlungi semvelo. Cishe emavikini amathathu ngaphambi kokuqala kokwelashwa kwakho, kwenziwa inqubo encane yokuhlinzwa yokufaka unomphela ipayipi elithambile (i-catheter) esiswini sakho. Ngemuva kwalokho, uketshezi lwe-dialysis lufakwa esiswini sakho ngaleli payipi. Lolu ketshezi lusebenza ukususa imfucuza egazini lakho emahoreni ambalwa. Imfucuza ibe isikhishwa iye kwesinye isikhwama. Le nqubo ibizwa ngokuthi "ukushintshana." Ungakwenza lokhu ekhaya, ngakho akudingeki uye esibhedlela kaningi. Kunezindlela ezimbili zokwenza lokhu:

• I-Automated Peritoneal Dialysis: Le nqubo yokushintshana kwenzeka ebusuku, ngenkathi ulele, usebenzisa umshini.
• I-Continuous Ambulatory Peritoneal Dialysis: Kufanele wenze le nqubo yokushintshana ngesandla, izikhathi eziningana ngosuku.

Ingabe ikhona imiphumela emibi ye-dialysis?

I-Dialysis ayibuhlungu. Kodwa-ke, ungase ube nemiphumela emibi ngesikhathi noma ngemva kokwelashwa. Uma uzwa ubuhlungu, tshela udokotela wakho ngokushesha. Imiphumela emibi evamile ihlanganisa:

• Isikhumba esilumayo
• Umfutho wegazi ophansi (ikakhulukazi kubantu abanesifo sikashukela)
• Izinkinga zokulala
• Uketshezi oluningi ngokweqile
• Ukutheleleka (ikakhulukazi endaweni ye-catheter)
• Ukucindezeleka noma ukushintsha kwemizwelo
• Isicanucanu nokuhlanza
• Ukuqaqamba kwemisipha
• Ukukhathala okukhulu

Nakekela lezi zinto ukuze uhlale uphilile phakathi nalokhu kwelashwa:

• Hlola indawo yakho yokungena nsuku zonke ukuze uthole ukubomvu, ubomvu, noma ukuvuvukala. Uma ubona noma yikuphi kwalokhu, shayela udokotela wakho ngokushesha.
• Gcina njalo ibhandishi elimboze i-catheter lihlanzekile futhi lomile.

Umlayezo Wokuya Nawe Ekhaya

• Uma ukusebenza kwezinso kwehla ngaphansi kuka-10%-15%, ukwelashwa nge-dialysis kungadingeka ukuze kususwe udoti emzimbeni.
• Kunezinhlobo ezimbili eziyinhloko ze-dialysis: i-hemodialysis kanye ne-peritoneal dialysis. Khuluma nodokotela wakho ukuze unqume ukuthi iyiphi indlela engcono kakhulu kuwe.
• Ukwelashwa nge-dialysis akubuhlungu, kodwa kungase kube nemiphumela emibi. Tshela udokotela wakho nganoma yikuphi ukungakhululeki.
• Uma udinga ukuyeka ukwelashwa, ungazithathi wedwa isinqumo, kodwa qiniseka ukuthi uxoxa ngaso nodokotela wakho.
• I-Dialysis iyindlela yokwelapha eyandisa impilo, hhayi ikhambi elifanele wonke umuntu. Kubalulekile ukukhuluma nodokotela wakho ngalokho okulungele isimo sakho.

I-Dialysis, isifo sezinso, ukwehluleka kwezinso, i-hemodialysis, i-peritoneal dialysis, i-dialysis sinhala, ukwehluleka kwezinso sinhala