Maonedwe: 67 Wolemba: Mkonzi wa Pukuto wa Pukute: 2024-06-07 adachokera: Tsamba
Pallor ndi gawo lodziwika bwino pakati pa odwala omwe akudutsa hemodialysis, omwe amafotokoza njira yofala kwambiri yochotsa zakumwa zochulukirapo ndi ziphe za m'magazi pomwe impso sizingachitenso izi. Ngakhale chithandizo ichi ndi chofunikira kwa odwala omwe ali ndi matenda a impso, zingateronso kutsika kwambiri kwa hemoglobin milingo yovuta, kusokoneza kutopa, kuperewera, kumabweretsa kugwedezeka, komanso kugwedezeka, komanso kuwongolera. Kuti athe kulimbana ndi izi, othandizira azachipatala amagwiritsa ntchito makina a hemodialysis kuti ayang'anire kupatuka kwa odwala. Munkhaniyi, tifufuza zifukwa zodwala mu hemodialysis odwala, ntchito ya makina a hemodialysis mu kuyang'anira zolakwa, komanso njira zamankhwala zomwe zingathandize kukonzanso magawo a hemoglobin. Mwa kumvetsetsa njira zosiyanasiyana zothanirana ndi omwe akuthandizira, othandizira azachipatala amatha kugwiritsa ntchito kukhutira kwanu komanso komanso zotsatira zazikulu zothandizira odwala awo akudutsa hemodialysis.
Kudwala ndi chinthu chomwe chimapangitsa odwala ambiri hemodialysis. Amafotokozedwa ndi mapulateleti ofiira, omwe amatha kutopa, kuperewera, komanso kudekha. Pali zinthu zingapo zomwe zimawonjezera polmor mu hemodialysis odwala, kuphatikizapo kugwiritsa ntchito makina a hemodialysis.
M'modzi mwa oyendetsa matenda amwali Odwala hemodialysis ndiye kuchepa kwa magazi panthawi ya dialysis. Izi zitha kuchitika chifukwa chogwiritsa ntchito makina a hemodialysis, omwe amasintha magazi ndikuchotsa zakumwa zochulukirapo komanso zochokera. Panthawi imeneyi, gawo la magazi a wodwala limachotsedwa ndikutaya, zomwe zingalimbikitse zocheperako zofiira.
Chosintha china chomwe chimawonjezera kupatulika mu hemodialysis ndi kusagwiritsa ntchito impso kuti mupange erythrophen yokwanira, mankhwala omwe amathandizira kukula kwa mapulange ofiira. At the point when the kidneys are harmed, as is many times the situation in hemodialysis patients, they will be unable to deliver sufficient erythropoietin, prompting a lessening in red platelet creation.
Ngakhale zinthu zina, matenda ena, monga kusowa kwachitsulo kapena kukwiya kosalekeza, nawonso kungawonjezerenso kufooka mu hemodialysis odwala. Ogulitsa chithandizo chamankhwala ayenera kujambula ndikuchiritsa pallor odwala awa, chifukwa imathanso kukhudza kukhutira kwawo.
Makina a hemodialysis ndi gawo lofulumira mu makonzedwe a chitsulo chochepa kwambiri mwa odwala omwe akukumana ndi matenda aimpso (esrd). Kupaka kwapakati paudindo, ndipo makonzedwe ake amakhalanso kugwiritsidwa ntchito kwa erythropoetin-akatswiri olimbikitsa (Esis) ndi zowonjezera chitsulo. Komabe, kugwiritsa ntchito akatswiriwa kumangolekeredwe ndi zotsatira zake zomwe zingachitike komanso ndalama zake. Makina a hemodialysis amapereka njira yothandizira kuthana ndi vuto la odwala.
Makina a hemodialysis amagwira ntchito pochotsa zoyipa komanso zakumwa zambiri kuchokera m'magazi a odwala omwe ali ndi ESRD. Amachita izi podutsa magazi a wodwalayo kudzera mu dialyzer, womwe umakhala ngati impso yonyenga. Panthawi imeneyi, makinawo amathetsanso chitsulo chochuluka kuchokera ku magazi a wodwalayo, omwe amatha kuwonjezera pagalor odwala esrd.
Komanso kuchotsanso chitsulo champhamvu, makina a hemodialysis angathe kugwiritsidwanso ntchito kuwongolera chitsulo. Izi zatha powonjezera chitsulo kwa dialyshate, chomwe chimakhala madzi ogwiritsa ntchito kuyeretsa magazi a wodwalayo. Njira imeneyi imatha kukhala yothandiza kwambiri kwa odwala omwe sangathe kupirira za Epas kapena amene alibe kufooka kwachitsulo.
Makina oyang'anira abwino ndi gawo lofulumira la kuchepa kwachitsulo mu hemodialysis odwala. Zachisoni ndi zovuta wamba za matenda olimbikira a impso ndipo amatha kuchulukitsidwa ndi hemodialysis. Makina a hemodialysis pochotsa zakumwa zochulukirapo komanso zotsatira zoyipa kuchokera m'magazi, komabe kulumikizana uku, ngakhale kulumikizanaku kungathetsenso zowonjezera zazikulu. Chifukwa chake, nkofunika kuti odwala a Hemodialysis apeze chakudya chokwanira kuti atherelell ndikuchiritsa pallor.
Kudya Kwabwino Kwambiri mu Ironchiro, Vitamini B12, ndi masamba a foshoni yofunika odwala hemodialysis odwala. Magwero olemera olemera, monga nyama yofiira, nsomba, ndi nkhuku, zimatha kuthandiza kukulitsa magawo a hemoglobin ndikuchepetsa zomwe akatswiri a erythropoet-zojambula (Esis). Masamba ndi zinthu zachilengedwe, monga sipinachi, broccoli, ndi malalanje, okhala ndi masamba, omwe ndi ofunikira kwambiri zolengedwa zofiira. Vitamini B12 amatha kutsatiridwa ndi zinthu zamkaka, mazira, ndi nyama.
Osatengera kuwonjezera ntchito zakudya zochulukirapo, odwala hemodialysis amathanso kupindulitsa kuchokera ku zitsulo, mankhwala amitsempha inyimbo, ndi Esias. Komabe, ndilofunika kuti chizikhala chowoneka ngati chitsulo chimakhala kutali ndi chitsulo chopanda chitsulo, chomwe chingakhale chosatetezeka. Kuphatikiza apo, mayeso angapo alimbikitsa kuti Emas seweroli azitha kukulitsa kutchova ngutrana kwa mtima, kotero kugwiritsidwa ntchito kwawo kuyenera kukhala kovuta.
Zonse mwazinthu, kuperewera kwapakati pa hemodialysis odwala ndipo kumatha kudzikonda kudzera m'makonzedwe osiyanasiyana, kuphatikizapo kugwiritsa ntchito makina a hemodialysiss, makonzedwe azaumoyo. Makina a hemodialysis amapereka zisankho zosankha zothandizira, ngakhale kuti azichita zambiri mwachisawawa, mavitamini B12, ndi mawonekedwe okwanira, nawonso angathandizenso kuchipatala. Mwachitsanzo, mankhwala a Erythropoielis - akatswiri olimbikitsa (es), zowonjezera zitsulo zitha kugwiritsidwanso ntchito, komabe zimafunikira kuyang'anitsitsa kuti tithane ndi zotsatirapo zina. Nthawi zambiri, oyang'anira matenda a hemodialysissississississississississis amafunikira lingaliro lofunikira kwambiri ndi mankhwala osiyanasiyana omwe akufuna kuti akwaniritse zotsatira zake.