I-Pallor yinto entsonkothileyo phakathi kwezigulana ezihamba kwi-hemodialysis, ebhekisa kweyona ndlela ixhaphakileyo yokuphelisa ulwelo olugqithisileyo kunye netyhefu egazini xa izintso zingenakuphinda zenze ngolo hlobo. Ngelixa olu nyango lubalulekile kwizigulana ezinesifo sezintso, lunokuthi ngokunjalo lubangele ukwehla okumandla kumanqanaba e-hemoglobin, okubangela ukudinwa, ukusilela, kunye nomoya. Ukulwa noku, ababoneleli ngeenkonzo zonyango basebenzisa oomatshini be-hemodialysis ukongamela ukuphaphatheka kwizigulana. Kweli nqaku, siza kuphanda ngezizathu zokugula kwabaguli behemodialysis, umsebenzi womatshini wokuhlaziya igazi ekongameleni ubuthathaka, neendlela zokutya namayeza anokunceda ekubuyiseleni umlinganiselo wehemoglobin ephilileyo. Ngokuqonda iindlela ezahlukeneyo zokujongana nobuthathaka abalawuli, ababoneleli ngeenkonzo zonyango banokusebenza ngokwaneliseka komntu kunye neziphumo zempilo enkulu kwizigulane zabo ezihamba nge-hemodialysis.
Iimbangela ze-Anemia kwi-Hemodialysis izigulane
Ukugula yimeko eqhelekileyo echaphazela izigulana ezininzi ze-hemodialysis. Ichazwa ngeqondo eliphantsi leeplatelet ezibomvu, ezinokubangela ukudinwa, ukusilela, kunye nomoya. Kukho izinto ezimbalwa ezongeza kwi-pallor kwizigulane ze-hemodialysis, kubandakanywa nokusetyenziswa komatshini we-hemodialysis.
Ungomnye wabaqhubi bokuqala besifo kwi izigulane ze-hemodialysis kukunqongophala kwegazi ngexesha lomjikelo we-dialysis. Oku kunokwenzeka ngenxa yokusetyenziswa komatshini we-hemodialysis, ohambisa igazi kwaye uphelise ulwelo olugqithisileyo kunye neemveliso. Ebudeni balo mjikelo, inxalenye yegazi lesigulane iyathathwa kwaye ilahlwe, nto leyo enokubangela ukuncipha kweeplatelets ezibomvu.
Olunye uguquko olongeza ukuphaphatheka kwizigulane ze-hemodialysis kukungabi namandla kwezintso ukwenza ierythropoietin eyaneleyo, umchiza ovuselela ukuphuhliswa kweeplatelet ezibomvu. Kwinqanaba apho izintso zonzakala, njengoko kunjalo ngamaxesha amaninzi kwizigulane ze-hemodialysis, aziyi kukwazi ukuhambisa i-erythropoietin eyaneleyo, okubangela ukuncipha kokudalwa kweplatelet ebomvu.
Ngaphandle kwezi zinto, ezinye izigulo, njengokunqongophala kwentsimbi okanye ukucaphuka rhoqo, zinokongeza kubuthathaka kwizigulana zehemodialysis. Ababoneleli bezonyango kufuneka bahlole kwaye banyange i-pallor kwezi zigulana, njengoko zinokuthi zichaphazele ukwaneliseka kwabo.
Hemodialysis Machine s kunye noLawulo Anemia
Oomatshini be-Hemodialysis bayinxalenye engxamisekileyo ekulawuleni ukunqongophala kwentsimbi kwizigulane ezifumana isifo sezintso (ESRD) ekupheleni. Ukuphaphatheka yinto eqhelekileyo ye-ESRD, kwaye ulawulo lwayo luhlala lubandakanya ukusetyenziswa kweengcali ze-erythropoietin-invigorating (ESAs) kunye ne-iron supplementation. Nangona kunjalo, ukusetyenziswa kwezi ngcali kunokuthintelwa ngenxa yeziphumo ezinokwenzeka kunye neendleko. Oomatshini beHemodialysis banika indlela ekhethiweyo yokujongana nokugula kwebhodi kwezi zigulana.
Oomatshini beHemodialysis basebenza ngokususa iziphumo ebezingalindelekanga kunye nolwelo oluninzi egazini lezigulana ezineESRD. Oku bakwenza ngokudlulisela igazi lomguli kwi-dialyzer, ehamba njengezintso zomgunyathi. Ebudeni balo mjikelo, umatshini wongeza ususa i-iron eninzi egazini lomguli, enokongeza kwi-pallor kwizigulane ze-ESRD.
Kunye nokuphelisa i-iron egqithisileyo, oomatshini be-hemodialysis nabo banokusetyenziselwa ukulawula i-iron efakwa kwi-iron kwizigulana. Oku kugqitywa ngokugalela i-iron kwi<em>dialysate, elulwelo olusetyenziselwa ukucoca igazi lomguli. Le ndlela inokuba luncedo ngakumbi kwizigulana ezingakwaziyo ukunyamezela ii-ESAs okanye ezinobuthathaka bentsimbi.
Ulawulo lwezondlo lwe-Anemia kwizigulane ze-Hemodialysis
Ulawulo olulungileyo luyinxalenye engxamisekileyo yonyango lokunqongophala kwentsimbi kwizigulane ze-hemodialysis. Ubuthathaka bubunzima obuqhelekileyo bosulelo lwezintso kwaye lunokwandiswa yi-hemodialysis. Oomatshini beHemodialysis bayakwazi ukuphelisa ulwelo oluninzi kunye neziphumo ebezingalindelekanga ezivela egazini, nangona kunjalo oku kudibana kunokuphelisa izongezo ezisisiseko. Ke ngoko, kubalulekile ukuqinisekisa ukuba izigulana ze-hemodialysis zifumana ukutya okwaneleyo ukuze zithintele kwaye zinyange i-pallor.
Irejimeni yokutya ene-iron eninzi, ivithamin B12, kunye nefolic corrosive ibalulekile kwizigulana zehemodialysis. Imithombo yokutya ene-iron etyebileyo, njengenyama ebomvu, intlanzi, kunye nenkukhu, inokunceda ekwandiseni amanqanaba e-hemoglobin kunye nokunciphisa imfuno yeengcali ze-erythropoietin-animating (ESAs). Imifuno kunye neemveliso ze-organic, ezifana nesipinashi, i-broccoli, kunye neeorenji, ziqulethe i-folic corrosive, eyona nto ibalulekileyo ekudalweni kweplatelet ebomvu. I-Vitamin B12 inokulandelwa kwizinto zobisi, amaqanda, kunye nenyama.
Ngaphandle kokutya ukutya okutyebileyo, izigulana zehemodialysis zisenokuzuza kwizongezo zentsimbi, unyango lwentsimbi, kunye neeESAs. Nangona kunjalo, kubalulekile ukuba amanqanaba entsimbi yesikrini ahlale kude nomthwalo ogqithisileyo wentsimbi, onokuthi ungakhuselekanga. Ngaphezu koko, iimviwo ezimbalwa ziye zacebisa ukuba i-ESAs ephezulu inokwandisa ukungcakaza kwiziganeko zentliziyo, ngoko ke ukusetyenziswa kwazo kufuneka kucingwe ngononophelo.
Amayeza oLawulo lwe-Anemia kwi-Hemodialysis Patients
Ukuqukumbela
Lilonke, ukuphaphatheka yimeko eqhelekileyo phakathi kwezigulane ze-hemodialysis kwaye kunokujongwa ngeendlela ezahlukeneyo, kubandakanywa nokusetyenziswa koomatshini be-hemodialysis, ulawulo olunempilo, kunye namayeza. Oomatshini beHemodialysis banika ukhetho olukhethekileyo kubaphathi, ngelixa ukutya okufanelekileyo okugcwele i-iron, ivithamin B12, kunye ne-folic corrosive, kunye nezongezelelo ezifanelekileyo kunye nokuhlolwa, ngokufanayo kunokunceda ekuthinteleni nasekunyangeni ukugula. Imigqaliselo, umzekelo, iingcali ezivuselela i-erythropoiesis-invigorating (ESAs), i-iron supplementation, kunye nezondlo zinokusetyenziselwa ukongamela ubuthathaka, kodwa zifuna ukujongwa ngokucokisekileyo ukuze kude neziphumo zesibini ezinokubakho. Ngokuqhelekileyo, ukongamela ukugula kwizigulana ze-hemodialysis kufuna ingcinga elumkileyo yezinto ezahlukeneyo kwaye unyango olulungiselelweyo lujolise ekuphuhliseni iziphumo kunye nokwaneliseka komntu.
