Isingeniso: Isihlungi Esiyinhloko Somzimba Wakho
Cabanga ngezinso zakho njengezitshalo ezimbili ezingakhathali, ezisezingeni eliphezulu zokuhlanzwa kwemfucuza. Ubusuku nemini, ahlunga amalitha egazi acishe abe ngu-150 nsuku zonke, akhiphe ubuthi, alinganise ama-electrolyte, alawule umfutho wegazi lakho, futhi akhiphe ama-hormone enza amangqamuzana abomvu egazi. Ngokuthula, bagcina isistimu yakho yonke isebenza kahle. Kodwa lapho laba baqaphi behla, yonke into iyashintsha.
Lapho Abanakekeli Behluleka: Umthelela Wokwehluleka Kwezinso
Ukuhluleka kwezinso, noma i-End-Stage Renal Disease (ESRD), kushaya kakhulu. Izinso zilahlekelwa cishe wonke umsebenzi wazo - ngaphezu kwama-85-90% aphelile. Ubuthi noketshezi kunqwabelana ngokushesha, futhi lokho kubangela ukusabela okulandelanayo: ukukhathala okukhulu, isicanucanu, ukuphefumula kanzima, ukuvuvukala, ukushintsha okuyingozi kwama-electrolyte, nomfutho wegazi ophezulu esibhakabhakeni. Kuyabulala ngaphandle kosizo. Yilapho 'Artificial Kidney' ingena khona.
I-Lifeline: Izinketho Zokwelashwa Zokwehluleka Kwezinso
Kunezindlela ezimbili eziyinhloko zokuthatha izinso ezihlulekile: ukufakelwa kanye ne-dialysis (i-hemodialysis noma i-peritoneal dialysis). Ukufakelwa kabusha kuyindinganiso yegolide, kodwa izinso zabanikelayo kunzima ukuzithola. Ngakho-ke, ezigidini, i-dialysis - ikakhulukazi i-hemodialysis (HD) - iba yimpilo yabo, benza umsebenzi wezinso zabo ezingakwazi.
I-Hemodialysis Inqunywe: Uhambo Lwesinyathelo Ngesinyathelo Segazi Lakho
Masilandele igazi lakho ohambweni lwalo lokuhlanza ngenqubo ye-hemodialysis :
1. Indawo yokufinyelela: Ukufinyelela kwemithambo (i-fistula, i-graft, noma i-catheter) iyakhiwa, isebenze 'njengembobo' eqinile ukuze igazi liphume futhi libuye.
2. Ukuphuma: Igazi lidonswa kancane emzimbeni wakho ngepompo yomshini we-hemodialysis.
3. I-Core Cleanse: Leli gazi lihamba liye ku-dialyzer (izinso zokwenziwa). Lapha, umlingo wenzeka kulwelwesi olungena-permeable.
4. Ukubuya: Igazi elihlanziwe libuyiselwa ngokuphephile emzimbeni wakho.
5. Uzakwethu: I-Dialysate: Isixazululo esikhethekile esibizwa ngokuthi amabhafu e-dialysate ngaphandle kwemicu ku-dialyzer, ekhipha udoti egazini lakho.
Inhliziyo Yomshini: Iyini I-Dialyzer?
Ihhashi langempela lokusebenza lapha i-dialyzer. Kuyishubhu elilayishwe izinkulungwane zemicu emincane engenalutho. I-fiber ngayinye isebenza njengesihlungi esincane sezinso, noma iphron. Igazi lakho ligijima ngaphakathi kwale micu, kuyilapho i-dialysate - ikhambi lokuhlanza - ligeleza liyizungezile.
Ukwakha & Isimiso: Isisefo Esihlakaniphile
Ukwakhiwa: Yonke le micu ipakishwe ngaphakathi kwegobolondo lepulasitiki, elenziwe ngezinto zokwenziwa ezikhethekile ezidlala kahle ngomzimba wakho. Izindonga zemicu zinezimbotshana ezincane.
Isimiso: Konke kumayelana nokusabalalisa kanye ne-ultrafiltration. Ubuthi obufana ne-urea ne-creatinine buhamba ngokwemvelo busuka egazini lakho (lapho kuningi khona) buyiswe ku-dialysate (lapho buncane khona). Uketshezi oluningi lukhishwa ingcindezi - ukucwenga okuphezulu emsebenzini. Izimbotshana ezincane ziklanywe kahle - zincane ngokwanele ukugcina amangqamuzana egazi namaprotheni ngaphakathi, kodwa zivuleke ngokwanele ukuze kuphume udoti.
Isixazululo Sokuhlanza: Iqhaza Le-Dialysis Powder (I-Dialysate Concentrate)
Cabanga nge-dialysate 'njengebhavu lokuhlanza.' Akuwona nje amanzi. I-dialysate ixubene nempushana noma i-concentrate namanzi ahlanzekile.
Ukubunjwa: Yenziwe nge-sodium, i-potassium, i-calcium, i-magnesium, i-chloride, ne-bicarbonate.
Umsebenzi: I-concentration gradient phakathi kwegazi lakho ne-dialysate ikhipha udoti. I-bicarbonate iyangenela ukuze ilwe nokunqwabelana kwe-asidi, inkinga enkulu ekuhlulekeni kwezinso.
Ubani Odinga I-Hemodialysis?
I-Hemodialysis isebenza njengomzila obalulekile wokuphila emaqenjini esiguli alandelayo:
l Iziguli ezine-End-Stage Renal Disease (ESRD): Yakha iqembu elikhulu lapha. Uma izinso zomuntu sezilahlekelwe ngaphezu kuka-85-90% womsebenzi wazo, zidinga i-dialysis noma ukufakelwa kabusha - ayikho indlela yokuyizungeza. Izinso zabo azisakwazi ukuwenza lo msebenzi.
l Iziguli Ezinokulimala Kakhulu Kwezinso (AKI): Lokhu kwenzeka ngokushesha, ngokuvamile ngemva kwezinto ezifana nokutheleleka okubi, ukushaqeka, noma ukungenwa ushevu. Kulezi zimo, i-hemodialysis ingena njengokulungiswa kwesikhashana. Igcina izinto ziqhubeka kuze kube izinso zibuyela emuva zodwa.
l Iziguli ezinoketshezi olunamandla, i-Electrolyte, ne-Acid-Base Disturbances: Ezinye iziguli zibhekana nezinkinga eziyingozi njenge-hyperkalemia enzima, noma i-acidosis embi ngempela. Uma imithi ingasebenzi futhi izinto ziba bucayi, i-hemodialysis ingalungisa ngokushesha lokhu kungalingani futhi izinze isiguli.
l Ezinye Izimo: Isibonelo, umuntu onesifo senhliziyo ongeke asabele ezidakamizweni - ikakhulukazi uma ethwele uketshezi oluningi kakhulu. I-Hemodialysis, ikakhulukazi uma isetshenziselwa ukuhlunga, ingalukhipha lolo ketshezi oluthe xaxa futhi isuse ukucindezela okuthile enhliziyweni.
Gada Abagadi Bakho: Ukuvimbela Ukwehluleka Kwezinso
1. Phila unempilo, yidla kahle, hlala umatasa, zigcine uhlanzekile, futhi ungakweqi ukuhlolwa kwakho.
2. Gwema ukusetshenziswa kwezidakamizwa zezinhlungu zesikhathi eside kanye namakhambi adwetshiwe angalimaza izinso zakho.
3. Bheka izimo eziholela enkingeni yezinso, njengomfutho wegazi ophakeme, isifo sikashukela, i-gout, izifo, noma izinkinga ze-prostate. Lawula lawo, futhi usuvele uphambili.
Ngale Kwe-Dialysis: Intuthuko Enensayo Ngokudla & Indlela Yokuphila
Uma izinso zakho ziqala ukushelela, gxuma esenzweni:
1. Ukudla kuyisihluthulelo. Isazi sokudla kwezinso sikusiza ukuthi unciphise i-sodium, i-potassium, i-phosphorus, futhi ulungise ukudla kwakho amaprotheni noketshezi.
2. Ukubambelela Emithini: Thatha imithi yakho njengoba uyalelwe - ikakhulukazi umfutho wegazi, isifo sikashukela, nokuvikela izinso.
Isiphetho: Ukwamukela Impilo Ngokuzethemba
Ukuthola isifo sezinso kushintsha yonke into, kodwa akudingekile ukuthi kuqede impilo yakho njengoba wazi. I-Hemodialysis, le 'izinso zokwenziwa,' ivumela abantu ukuthi baqhubeke bephila - besebenza, bechitha isikhathi nomndeni, benza okubalulekile. Uma uqonda ukuthi umshini, i-dialyzer, kanye ne-dialysate kusebenza kanjani, i-dialysis iyancipha ukwesabeka. Ikunikeza ukulawula okuthile - kanye nobudlelwano nethimba lakho lokunakekela.
Uzakwethu Omethembayo Ekunakekelweni Okusindisa Ukuphila
Ukuphatha impilo ku-hemodialysis akukhona nje ngodokotela abalungile. Udinga okokusebenza okuthembekile nendawo ezizwa inethezekile. Yilapho iMeCan Medical ingena khona.
Sihlinzeka ngezixazululo ezihambisanayo, zokumisa i-hemodialysis emitholampilo nasezikhungweni, ezihlanganisa:
l Esezingeni eliphezulu Ye- Hemodialysis Imishini
l Ama-Dialyzer kanye nama-Dialyzer/Izinto ezisetshenziswayo
l Ahlanzekile Kakhulu Izinhlelo Zokuhlanza Amanzi
l -Hemodialysis Izihlalo ze eziklanyelwe ukunethezeka nokuphepha ngesikhathi sokwelashwa
Silapha ukuze sikusize wakhe noma uthuthukise isikhungo sokuhlanza igazi esibeka iziguli nokunakekela kuqala. Xhumana nathi ukuze uthole isisombululo esiphelele, esenziwe ngokwezifiso se-hemodialysis.
