Maonero: 67 Munyori: Saiti Edhita Nguva Yekuburitsa: 2024-06-07 Mavambo: Site
Pallor chiitiko chakajairwa pakati pevarwere vanoenda kuburikidza nehemodialysis, iyo inoreva nzira yakajairika yekubvisa zvinwiwa zvakawandisa uye chepfu kubva muropa apo itsvo hadzichakwanisa kuita saizvozvo. Kunyangwe kurapwa uku kwakakosha kune varwere vane chirwere cheitsvo, kunogonawo kukurudzira kudzikira kwakanyanya kwemazinga ehemoglobin, zvichikonzera kuneta, kushomeka, uye mhepo. Kurwisa izvi, vatengesi vezvekurapa vanoshandisa michina yehemodialysis kutarisa kucheneruka kwevarwere. Munyaya ino, tichaongorora zvikonzero zvekurwara kwevarwere vehemodialysis, basa remichina yehemodialysis mukutarisira kusasimba, uye nzira dzekudya nemishonga dzinogona kubatsira mukudzoreredza mwero wehemoglobin. Nekunzwisisa nzira dzakasiyana dzekutarisana nekusava nesimba kwevatungamiriri, vatengesi vezvekurapa vanogona kushanda pakugutsikana kwavo uye nemhedzisiro yehutano hwevarwere vavo vari kuburikidza nehemodialysis.
Kurwara chiitiko chinowanzokanganisa varwere vazhinji vane hemodialysis. Inotsanangurwa nedhigirii yakaderera yemaplatelet matsvuku, izvo zvinogona kukurudzira kuneta, kuperevedza, uye mhepo. Pane zvinhu zvishoma zvinowedzera pallor muvarwere vehemodialysis, kusanganisira kushandiswa kwemuchina wehemodialysis.
Imwe yevatyairi vekutanga hurwere mu varwere vehemodialysis ndiko kushomeka kweropa panguva yedialysis cycle. Izvi zvinogona kuitika nekuda kwekushandiswa kwemuchina wehemodialysis, unofambisa ropa uye kubvisa kuwandisa kwezvinwiwa uye zvigadzirwa. Munguva iyi, chikamu cheropa remurwere chinotorwa kunze uye kuraswa, izvo zvinogona kukonzera kuderera kwemaplatelet matsvuku.
Chimwe chinhu chinowedzera kucheneruka muvarwere vehemodialysis kushayiwa simba kweitsvo kugadzira erythropoietin yakakwana, kemikari inosimudzira kugadzirwa kwemaplatelet matsvuku. Panguva iyo itsvo padzinokuvadzwa, sezvakangoita kazhinji mamiriro ezvinhu muvarwere vehemodialysis, havazokwanisi kuendesa erythropoietin yakakwana, zvichikonzera kudzikira mukusikwa kweplatelet tsvuku.
Zvisineyi nezvinhu izvi, zvimwe zvirwere, sekushaikwa kwesimbi kana kugara uchitsamwa, zvinogonawo kuwedzera kushaya simba muvarwere vehemodialysis. Vatengesi vezvokurapa vanofanira kuongorora uye kubata pallor muvarwere ava, sezvo zvichigona kukanganisa kugutsikana kwavo.
Hemodialysis michina chikamu chekukurumidzira mukutonga kwekushayikwa kwesimbi kune varwere vane chirwere chekupedzisira renal chirwere (ESRD). Paleness chinhu chakajairika cheESRD, uye kutonga kwayo kunowanzo sanganisira kushandiswa kwe erythropoietin-invigorating specialists (ESAs) uye iron supplementation. Zvakadaro, kushandiswa kwenyanzvi idzi kunogona kudzikiswa nemhedzisiro yavo uye mutengo. Hemodialysis michina inopa yakasarudzika nzira yekubata nehurwere bhodhi muvarwere ava.
Hemodialysis michina inoshanda nekubvisa mhedzisiro uye kuwanda kwezvinwiwa kubva muropa revarwere vane ESRD. Vanoita izvi kupfurikidza nokupfuudza ropa romurwere kupfurikidza ne<em>dialyzer, iyo inofamba seitsvo yokunyepedzera. Munguva yekutenderera uku, muchina uyu unobvisawo iron yakawanda kubva muropa remurwere, iyo inogona kuwedzera pallor muvarwere veESRD.
Zvakare nekubvisa kuwandisa kwesimbi, michina yehemodialysis inogona zvakare kushandiswa kudzora intravenous iron kune varwere. Izvi zvinopedzwa nekuwedzera iron mudialysate, inova mvura inoshandiswa kuchenesa ropa remurwere. Iyi nzira inogona kunyanya kubatsira kune varwere vasingakwanisi kutsungirira ESAs kana vane kushaya simba kwesimbi.
Kutonga kwakanaka chikamu chekukurumidzira chekurapa kushomeka kwesimbi muvarwere vehemodialysis. Kupera simba ndiko kuoma kwakajairika kwehutachiona hweitsvo uye hunogona kuwedzerwa nehemodialysis. Hemodialysis muchina unokwanisa nekubvisa zvinwiwa zvakawanda uye zvinokonzeresa kubva muropa, zvisinei kusangana uku kunogonawo kubvisa zvakakosha zvekuwedzera. Nekudaro, zvakakosha kuvimbisa kuti varwere vehemodialysis vanowana chikafu chakaringana chekudzivirira uye kurapa pallor.
Chirongwa chekudya chine musoro chine iron, vhitamini B12, uye folic corrosive yakakosha kune varwere vehemodialysis. Zvokudya zvine iron-yakapfuma, senyama tsvuku, hove, uye huku, zvinogona kubatsira nekuwedzera hemoglobin uye kuderedza zvinodiwa kune erythropoietin-animating nyanzvi (ESAs). Miriwo uye organic zvigadzirwa, sepinashi, broccoli, uye maranjisi, zvine folic corrosive, iyo yakakosha pakusikwa kweplatelet tsvuku. Vitamin B12 inogona kurondwa pasi mumukaka zvinhu, mazai, uye nyama.
Zvisineyi nekudya kwakapfuma, varwere vehemodialysis vanogonawo kuwana purofiti kubva kune ekuwedzera iron, kurapwa kwesimbi mutsinga, uye ESAs. Zvakadaro, zvakakosha kuti skrini yesimbi mazinga agare ari kure nesimbi yakawandisa-mutoro, izvo zvinogona kuve zvisina kuchengetedzeka. Zvakare, ongororo shoma dzakakurudzira kuti chikamu chepamusoro cheESAs chinokwanisa kuwedzera kubhejera kwezviitiko zvemoyo, saka mashandisiro azvo anofanirwa kufungwa nezvawo.
Muzvese, kucheneruka chinhu chakajairika pakati pevarwere vehemodialysis uye inogona kutariswa kuburikidza nenzira dzakasiyana, kusanganisira kushandiswa kwemichina yehemodialysis, kutonga kune hutano, uye mushonga. Michina yeHemodialysis inopa sarudzo dzekusarudza kunyorovesa vatungamiriri, nepo kudya kwakanaka kwakawanda mune iron, vhitamini B12, uye folic corrosive, pamwe chete nekuwedzera kwakakodzera uye kutarisa, kunogona kubatsira kudzivirira nekurapa hurwere. Mishonga, semuenzaniso, erythropoiesis-invigorating specialists (ESAs), iron supplementation, uye zvinovaka muviri zvinogonawo kushandiswa kutarisa kusasimba, asi zvinoda kunyatsotariswa kuti urege kubva pane zvingangoitika zvechipiri. Kazhinji, kutarisa kurwara muvarwere vehemodialysis kunoda kungwarira kufunga kwezvinhu zvakasiyana uye kurapa kwakagadzirirwa kunoda kuenderera mberi nekuvandudza mhedzisiro uye kugutsikana kwemunhu.