Ukwehluleka kwezinso, noma 'ukwehluleka kwezinso', kuyinto eyethusa noma ubani. Abantu abaningi bacabanga ukuthi ngemva kwalokho, kuzodingeka baye ezibhedlela impilo yabo yonke ukuze bahlanzwe igazi labo. Kodwa bewazi yini ukuthi kukhona indlela ekhethekile yokuhlanza igazi ongayenza ekhaya, kanye nemisebenzi yakho yansuku zonke? Yilokho esikubiza ngokuthi i-Peritoneal Dialysis. Namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.
Kalula nje, kuyini i-Peritoneal Dialysis?
Cabanga ngezinso zakho njengezihlungi ezimbili ezinkulu. Umsebenzi wazo oyinhloko ukuhlunga imfucuza engafuneki kanye namanzi angaphezulu egazini. Sibiza uketshezi oluhlungiwe ngokuthi umchamo. Kodwa uma izinso zihluleka, lesi sihlungi asisebenzi kahle. Khona-ke imfucuza kanye nobuthi kuqala ukuqongelela egazini. Lesi simo sibizwa ngokuthi "uremia". Uma singalashwa, lokhu kungaba yingozi empilweni.
Yilapho-ke ukwelashwa nge-dialysis kungena khona. I-dialysis ye-peritoneal ingenye yalezi zinhlobo ze-dialysis. Kodwa kwenzeka into engavamile kakhulu kulokhu. Kulesi, sisebenzisa isihlungi semvelo emzimbeni wakho ukuhlanza igazi lakho. Leso yi -membrane encane ezungeze izitho ngaphakathi kwesisu sakho. Kwezokwelapha, lokhu sikubiza ngokuthi i-peritoneum.
Ngaphambi kokuqala lokhu kwelashwa, udokotela uzokwenza ukuhlinzwa okuncane bese efaka ipayipi elincane kakhulu nelithambile (i-catheter) esikhumbeni sesisu sakho. Ngemuva kwalokho, ngepayipi, kuthunyelwa uketshezi olukhethekile olungenamagciwane (esilubiza ngokuthi "i-dialysate") esiswini sakho. Ngesikhathi lolu ketshezi lusesiswini sakho amahora amaningana, ulwelwesi lwe-peritoneal lumunca imfucuza namanzi angaphezulu egazini lungene kulolu ketshezi. Ngemuva kwalokho, uketshezi olugcwele imfucuza lukhishwa ngepayipi elifanayo, bese kufakwa uketshezi olusha futhi. Ungenza le nqubo ekhaya, izikhathi eziningana ngosuku, noma ngisho nalapho ulele ebusuku.
Kunezindlela ezimbili eziyinhloko zalokhu.
I-Peritoneal dialysis yenziwa ngezindlela ezimbili. Ungakhetha indlela ekulungele kakhulu ngokukhuluma nodokotela wakho.
| Indlela yokwelapha | Indlela yokukwenza kanye namaphuzu akhethekile |
|---|---|
| I-Continuous Ambulatory Peritoneal Dialysis (CAPD) (Indlela yokuzenzela wena emini) | Akukho mshini osetshenziswayo kulokhu. Kufanele uzishintshele uketshezi cishe izikhathi ezi-3-5 ngosuku. Kuthatha cishe imizuzu engama-30-40 isikhathi ngasinye. Ngesikhathi lolu ketshezi lusesiswini sakho, ukhululekile ukwenza umsebenzi wakho njengokujwayelekile. |
| I-Automated Peritoneal Dialysis (APD) (Indlela yomshini wobusuku bonke) | Lokhu kusebenzisa umshini omncane (i-`automated cycler`). Uma uwuxhuma emshinini ngaphambi kokulala ebusuku, umshini uzowufaka ngokuzenzakalelayo bese ukhipha uketshezi izikhathi eziningi ngangokunokwenzeka ubusuku bonke. Ukwelashwa kuqediwe uma uvuka ekuseni. Abantu abaningi bakhetha le ndlela ngoba akukho ukuphazamiseka emini. |
Kodwa kungani le ndlela ingathandwa kangaka?
Naphezu kwezinzuzo zayo eziningi, ayisetshenziswa kakhulu kunendlela ye-hemodialysis esesibhedlela. Kunezizathu eziningana zalokhu:
- Ukuntuleka kolwazi: Iziguli eziningi, futhi ngezinye izikhathi ngisho nabasebenzi bezokwelapha, abazi ngokugcwele ngale ndlela.
- Ukuntuleka kwabasebenzi abaqeqeshiwe: Bambalwa odokotela nabahlengikazi abathole ukuqeqeshwa okukhethekile kulokhu kwelashwa.
- Izinkinga eziphakamayo esimweni esiphuthumayo: Uma izinso zomuntu zihluleka ngokuzumayo, akuzona zonke izibhedlela ezinezindawo zokufaka leli payipi (i-catheter). Esimweni esinjalo, kufanele basebenzise i-hemodialysis, engaqala kalula.
- Ubunzima bokuthola umuntu ozosiza: Abanye abantu bakuthola kunzima ukwenza lokhu bodwa. Ezikhathini ezinjengalezi, ukuthola umuntu ozosiza kungaba yinselele.
Yiziphi izinzuzo zale ndlela?
Inzuzo enkulu yalokhu inkululeko kanye nokulula okutholayo. Akudingeki uvale impilo yakho esibhedlela.
- Ukulula nokuguquguquka: Akudingeki uye esibhedlela. Ungakwenza lokhu endaweni ehlanzekile, kungaba sekhaya, emsebenzini, noma ngenkathi usohambweni.
- Akukho mingcele emikhulu ekudleni nasekuphuzeni: Kunemikhawulo embalwa ekudleni nasekuphuzeni kunezinye izindlela zokuhlanza igazi. Ngenxa yokuthi imfucuza isuswa emzimbeni cishe nsuku zonke, inani lemfucuza eqongelelekayo lincane.
- Asikho isidingo sezinaliti: Ngesikhathi sokuhlanza igazi esibhedlela, kudingeka izinaliti njalo. Lokhu kuyimpumuzo enkulu kumuntu owesaba izinaliti.
Azikho yini izinkinga nezingozi?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezingozi kanye nokungalungi, futhi kubalulekile ukuzazi.
| Ingozi/Ububi | Kalula nje... |
|---|---|
| I-Peritonitis | Lena ingozi evame kakhulu. Amagciwane angangena ongqimbeni lwesisu ngepayipi noma ngodaka, okubangela ukutheleleka. Kubalulekile ukuqaphela kakhulu ngokuhlanzeka. |
| I-Hernia | I-hernia ingenzeka ngenxa yokucindezela okubangelwa uketshezi olugcwalisa isisu. |
| Ukwanda kwesisindo | Ngenxa yokuthi uketshezi olusetshenziswayo luqukethe ushukela (i-dextrose), olunye lwalo luyamuncwa umzimba futhi lungabangela ukukhuluphala ngokuhamba kwesikhathi. |
| Ukungasebenzi kahle kokwelashwa | Ngemva kweminyaka eminingi yalokhu kwelashwa, abanye abantu bangase babhekane nokwehla kokusebenza kwe-peritoneal membrane yabo, okungase kudingeke ukuthi bashintshele kwenye indlela ye-dialysis. |
| Okufanele ukwenze nsuku zonke | Lokhu kuyinto okudingeka yenziwe nsuku zonke. Kungaba nzima kwabanye. |
Gwema lezi zinto.
Uma usebenzisa i-peritoneal dialysis, qaphela lezi zinto ezilandelayo:
- Ungasebenzisi imithi efana nemithi elwa nokuvuvukala engeyona i-steroidal (ama-NSAID) eyingozi ezinso ngaphandle kokubonisana nodokotela wakho.
- Gwema ukubhukuda emanzini angena-chlorine njengamachibi, imifula, namachibi, futhi ugweme ukucwiliswa emanzini ashisayo. Lokhu kungenzeka kakhulu ukuthi kungenise amagciwane. Kodwa-ke, akukho nkinga ngokugeza nsuku zonke.
Kufanele ubonane nodokotela ngokushesha nini?
Uma uthola lokhu kwelashwa futhi uhlangabezana nanoma yiziphi izimpawu ezilandelayo:Ungakushayi indiva.
- Ubuhlungu obukhulu besisu noma ukuqunjelwa
- Uma uzizwa sengathi unomkhuhlane
- Uma ukushaya kwenhliziyo kushesha (i-tachycardia)
- Ubunzima bokuphefumula (ukuphelelwa umoya)
- Isicanucanu nokuhlanza
- Uma uketshezi olukhipha esiswini sakho lunamafu noma lunombala ohlukile kunojwayelekile (lokhu kungaba uphawu lokutheleleka)
- Izimpawu zomfutho wegazi ophansi (ukwehla komfutho wegazi), njengesiyezi kanye nokuphelelwa yikhanda
Uma ubona noma yiziphi zalezi zimpawu, shayela udokotela wakho okwelaphayo noma emtholampilo ngokushesha. Noma uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (i-ETU).
Ekugcineni, wena nodokotela wakho kufanele ninqume ndawonye ukuthi i-Peritoneal Dialysis noma i-Hemodialysis ikulungele yini. Isimo sempilo yakho, indlela ophila ngayo, kanye nezintandokazi zakho kufanele kucatshangelwe ukuze kwenziwe isinqumo esingcono kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- I-Peritoneal dialysis iyindlela yokwelapha ephumelela kakhulu engenziwa ekhaya ngenkululeko enkulu yeziguli ezinenkinga yezinso.
- Ukuhlanzeka kuyinto yokuqala kulokhu kwelashwa. Geza izandla zakho njalo futhi wenze lokhu endaweni ehlanzekile. Lokhu kungasiza ekuvimbeleni izifo ezinkulu njenge-Peritonitis.
- Yazi kahle izinzuzo, ukungalungi, kanye nezingozi zale ndlela. Uma unemibuzo, ungangabazi ukukhuluma nodokotela wakho.
- Hlala ufuna iseluleko sikadokotela wakho ukuze ukhethe indlela ye-dialysis ekufanele kakhulu.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho