I-Pallor iwukuxaka okujwayelekile phakathi kweziguli ezisebenzisa i-hemodialysis, okubhekiselwa kuyo endleleni evame kakhulu yokuqeda uketshezi oluchichimayo nobuthi egazini lapho izinso zingaphinde zenze kanjalo. Nakuba lokhu kwelashwa kubalulekile ezigulini ezinesifo sezinso, kungase futhi kubangele ukwehla okukhulu kwamazinga e-hemoglobin, kubangele ukukhathala, ukusilela, kanye nokuvunguza. Ukulwa nalokhu, abahlinzeki bezinsizakalo zezokwelapha basebenzisa imishini ye-hemodialysis ukuze babheke ukuphaphatheka ezigulini. Kulesi sihloko, sizophenya ngezizathu zokugula kweziguli ze-hemodialysis, umsebenzi wemishini yokuhlaziya i-hemodialysis ekuqondiseni ubuthakathaka, nezindlela zokudla nezidakamizwa ezingasiza ekubuyiseleni amazinga e-hemoglobin azwakalayo. Ngokuqonda izindlela ezihlukene zokubhekana nobuthakathaka abaphathi, abahlinzeki bezinsizakalo zezokwelapha bangasebenzela ukwaneliseka komuntu siqu kanye nemiphumela eminingi yempilo yeziguli zabo ezidlula nge-hemodialysis.
Izimbangela Ze-Anemia Ezigulini Ze-Hemodialysis
Ukugula kuyisimo esijwayelekile esithinta iziguli eziningi ze-hemodialysis. Ichazwa ngezinga eliphansi lamaplatelet abomvu, angadala ukukhathala, ukuntuleka, kanye nomoya. Kunezici ezimbalwa ezengeza ku-pallor ezigulini ze-hemodialysis, okuhlanganisa nokusetshenziswa komshini we-hemodialysis.
Ungomunye wezimbangela eziyinhloko zokugula iziguli ze-hemodialysis ukuntuleka kwegazi phakathi nomjikelezo we-dialysis. Lokhu kungenzeka ngenxa yokusetshenziswa komshini we-hemodialysis, ohambisa igazi futhi uqede ukuchichima koketshezi kanye nezinto ezikhiqizwayo. Phakathi nalo mjikelezo, ingxenye yegazi lesiguli iyakhishwa futhi ilahlwe, okungase kubangele ukuncipha kwamaplatelet abomvu.
Okunye okuguquguqukayo okwenezela ekuphaphathekeni kweziguli ze-hemodialysis ukuntula amandla kwezinso okudala i-erythropoietin eyanele, ikhemikhali evuselela ukwakheka kwamaplatelet abomvu. Ephuzwini lapho izinso zilimale, njengoba kwenzeka izikhathi eziningi ezigulini ze-hemodialysis, ngeke zikwazi ukuletha i-erythropoietin eyanele, okuzobangela ukuncipha kokudalwa kweplatelet ebomvu.
Ngaphandle kwalezi zakhi, ezinye izifo, njengokuntuleka kwe-iron noma ukucasuka njalo, nazo zingangeza ebuthakathakeni ezigulini ze-hemodialysis. Abahlinzeki bokunakekelwa kwezokwelapha kufanele bahlole futhi belaphe ukuwohloka kulezi ziguli, njengoba kungase kuthinte ukwaneliseka kwabo siqu.
Imishini yokuhlaziya i-Hemodialysis kanye nokuphathwa kwe-Anemia
Imishini yokuhlaziya i-hemodialysis iyingxenye ephuthumayo ekuphathweni kokuntuleka kwe-iron ezigulini ezinenkinga yokuphela kwesigaba sokugula kwezinso (ESRD). Ukuphaphatheka kuwukugoqa okujwayelekile kwe-ESRD, futhi ukuphatha kwayo kuvame ukuhlanganisa ukusetshenziswa kochwepheshe be-erythropoietin-invigorating (ESAs) kanye nokufakwa kwensimbi. Noma kunjalo, ukusetshenziswa kwalaba chwepheshe kungavinjelwa imiphumela yabo engaba khona kanye nezindleko. Imishini ye-hemodialysis inikeza indlela ekhethiwe yokubhekana nokugula kulezi ziguli.
Imishini yokuhlaziya i-hemodialysis isebenza ngokususa imiphumela emibi kanye noketshezi oluningi egazini leziguli ezine-ESRD. Lokhu bakwenza ngokudlulisela igazi lesiguli ngomshini wokucofa igazi, osebenza njengezinso zomgunyathi. Phakathi nalo mjikelezo, umshini ngaphezu kwalokho ukhipha insimbi eningi egazini lesiguli, enganezela ku-pallor ezigulini ze-ESRD.
Kanye nokuqeda ukuchichima kwe-iron, imishini ye-hemodialysis ingasetshenziswa ukulawula i-ayoni efakwa emthanjeni ezigulini. Lokhu kuqedwa ngokufaka i-ayoni ku-dialysate, okuwuketshezi olusetshenziswa ukuhlanza igazi lesiguli. Le ndlela ingasiza ikakhulukazi ezigulini ezingakwazi ukubekezelela ama-ESA noma ezingenakho ubuthakathaka bensimbi.
Ukulawulwa Kokudla Kwe-Anemia Ezigulini Ze-Hemodialysis
Ukuphatha okunempilo kuyingxenye ephuthumayo yokwelashwa kokuntuleka kwensimbi ezigulini ze-hemodialysis. Ubuthakathaka kuwubunzima obujwayelekile bokutheleleka kwezinso okungapheli futhi kungabhebhethekiswa yi-hemodialysis. Imishini yokuhlaziya i-hemodialysis ngokususa uketshezi oluningi kanye nemiphumela engemihle egazini, nokho lokhu kusebenzisana kungaqeda izithasiselo ezibalulekile. Ngakho-ke, kubalulekile ukuqinisekisa ukuthi iziguli ze-hemodialysis zithola ukudla okwanele ukuze zigweme futhi zelaphe i-pallor.
Ukudla okunempilo okugcwele okusansimbi, uvithamini B12, kanye ne-folic corrosive kubalulekile ezigulini ezine-hemodialysis. Imithombo yokudla okunothe nge-ayoni, njengenyama ebomvu, inhlanzi, nezinkukhu, ingasiza ekwandiseni amazinga e-hemoglobin futhi inciphise imfuneko yochwepheshe be-erythropoietin-animating (ESAs). Imifino nemikhiqizo ye-organic, njengesipinashi, i-broccoli, namawolintshi, iqukethe i-folic corrosive, eyisisekelo ekwakhiweni kweplatelet ebomvu. I-Vitamin B12 ingalandelelwa phansi ezintweni zobisi, amaqanda, nenyama.
Naphezu kwesimiso sokudla esicebile, iziguli ze-hemodialysis nazo zingazuza ngezithuthukisi zensimbi, ukwelashwa nge-iron emithanjeni, kanye nama-ESA. Noma kunjalo, kubalulekile ukuthi amazinga e-iron esikrinini ahlale kude nomthwalo oweqile wensimbi, okungase kungaphephi. Ngaphezu kwalokho, ukuhlola okumbalwa kuye kwatusa ukuthi ingxenye ephezulu ye-ESA inganweba ukugembula kwezenzakalo zenhliziyo nemithambo yegazi, ngakho ukusetshenziswa kwawo kufanele kucatshangelwe ngokucophelela.
Imithi Yokulawula I-Anemia Ezigulini Ze-Hemodialysis
Isiphetho
Sekukonke, ukuphaphatheka kuyisimo esijwayelekile phakathi kweziguli ze-hemodialysis futhi kungabhekwa ngezindlela ezehlukene, okuhlanganisa ukusetshenziswa kwemishini ye-hemodialysis, ukuphatha okunempilo, kanye nemithi. Imishini yokuhlaziya i-hemodialysis inika abaphathi ukukhetha okukhethekile, kuyilapho ukudla ngendlela efanele okugcwele okusansimbi, uvithamini B12, kanye ne-folic corrosive, kanye nokwengezwa nokuhlola okufanele, nakho kungasiza ekugwemeni nasekwelapheni ukugula. Imiyalelo, isibonelo, ochwepheshe be-erythropoiesis-invigorating (ESAs), i-ayoni supplementation, nemisoco ingasetshenziswa ngokufanayo ukuze kwengamele ubuthakathaka, kodwa idinga ukubhekwa ngokucophelela ukuze kugwenywe imiphumela yesibili engaba khona. Ngokuvamile, ukwengamela ukugula ezigulini ze-hemodialysis kudinga ukucatshangelwa ngokucophelela kwezici ezahlukahlukene futhi ukwelashwa okwenziwe ngokwezifiso kuhlose ukuthuthukisa imiphumela nokwaneliseka komuntu siqu.
