He aha ka Peritoneal Dialysis? Ke Kumu, nā Pae/Kaʻina Hana & nā Hopena

He ala mālie ka peritoneal dialysis e hoʻomaʻemaʻe i kou koko ke hiki ʻole i kou mau puʻupaʻa ke hana pono i kā lākou hana. Ma kahi o ka hoʻohana ʻana i kahi mīkini e like me ka dialysis kuʻuna, hoʻohana kēia lapaʻau i ka uhi maoli i loko o kou ʻōpū i kapa ʻia ʻo ka peritoneum ma ke ʻano he kānana. He wai kūikawā e kahe ana i loko o kou ʻōpū, e unuhi ana i ka ʻōpala a me ka wai keu mai kou koko, a laila e kahe ana, e lawe ana i nā mea ʻawaʻawa me ia.

He aha ka peritoneal dialysis?

Hana ka peritoneal dialysis ma ka hoʻololi ʻana i kou ʻōpū i ʻōnaehana kānana maoli. ʻO kou peritoneum he membrane lahilahi a maʻemaʻe e laina ana i kou lua ʻōpū a uhi i kou mau ʻōkana e like me ke kapa pale. He mau kīʻaha koko liʻiliʻi kēia membrane e holo ana ma waena ona, e hana ana i mea kūpono no ka kānana ʻana i ka ʻōpala mai kou koko.

I ka wā o ka lapaʻau, kahi paipu palupalu i kapa ʻia he catheter e noho mau ana i loko o kou ʻōpū. He wai dialysis maʻemaʻe e kahe ana ma kēia catheter i loko o kou lua ʻōpū, kahi e noho ai no kekahi mau hola. Hana ka wai e like me ka magnet, e huki ana i nā huahana ʻōpala a me ka wai keu mai kou koko ma o ka membrane peritoneal.

Ma hope o ka pau ʻana o ke kaʻina hana hoʻomaʻemaʻe, hoʻokahe ʻoe i ka wai i hoʻohana ʻia ma o ka catheter like. Kapa ʻia kēia kaʻina hana he hoʻololi, a hana ka hapa nui o nā kānaka i 3-4 manawa i kēlā me kēia lā. Lawe kēlā me kēia hoʻololi ma kahi o 30-40 mau minuke, e hāʻawi ana iā ʻoe i ka maʻalahi e hana ma ka home, ka hana, a i ʻole ma kahi e ʻoluʻolu ai.

No ke aha e hana ʻia ai ka peritoneal dialysis?

He mea pono ka peritoneal dialysis ke nalowale ka hiki i kou mau puʻupaʻa ke kānana i ka ʻōpala a me ka wai keu mai kou koko. Hana maʻamau kēia ke hāʻule ka hana puʻupaʻa ma lalo o 10-15% o ka hiki maʻamau. Me ka ʻole o kēia lapaʻau, e kūkulu ʻia nā mea ʻawaʻawa weliweli a me ka wai i loko o kou kino, e alakaʻi ana i nā pilikia olakino koʻikoʻi.

Hiki i kāu kauka ke ʻōlelo aku i ka peritoneal dialysis inā loaʻa iā ʻoe ka maʻi kīkī maʻi i hoʻokumu ʻia e ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole nā maʻi kīkī ʻē aʻe. Koho pinepine ʻia e nā poʻe e makemake ana i ke kūʻokoʻa a me ka maʻalahi i kā lākou papa hana lapaʻau i hoʻohālikelike ʻia me ka hemodialysis i loko o ke kikowaena.

He kūpono loa kēia lapaʻau no ka poʻe e hana ana i ka mimi, loaʻa ka mākaukau lima maikaʻi, a makemake e mālama i kā lākou mālama ma ka home. Nui nā maʻi i ʻike he kūpono ia me nā papa hana hana, nā kuleana ʻohana, a me nā hoʻolālā huakaʻi no ka mea hiki iā ʻoe ke hana i nā hoʻololi ma nā wahi āpau me nā lako kūpono.

He aha ke kaʻina hana no ka peritoneal dialysis?

Hoʻomaka ke kaʻina hana peritoneal dialysis me kahi hana ʻoki liʻiliʻi e waiho i kāu catheter. Hoʻokomo ʻia kēia paipu, ma kahi o ka mānoanoa o ka penikala, i loko o kou ʻōpū ma kahi ʻoki liʻiliʻi. ʻO ka hapa nui o nā kānaka e hana i kēia ma ke ʻano he kaʻina hana outpatient a hiki ke hele i ka home i ka lā like.

Pono kāu catheter i 2-3 mau pule e hoʻōla pono ma mua o kou hiki ke hoʻomaka i nā lapaʻau dialysis. I kēia manawa, e hana ʻoe me kahi kahu dialysis e aʻo pehea e hana ai i nā hoʻololi palekana a ʻike i nā hōʻailona o ka maʻi a i ʻole nā pilikia ʻē aʻe.

Hahai kēlā me kēia hoʻololi i ʻehā mau ʻanuʻu maʻalahi e lilo i mea maʻamau me ka hoʻomaʻamaʻa:

1. E hoʻokahe i ka wai dialysis i hoʻohana ʻia mai kou ʻōpū i loko o kahi ʻeke hōʻiliʻili
2. E hoʻopiha i kou ʻōpū me ka hopena dialysis maʻemaʻe a sterile ma o ka catheter
3. E waiho i ka wai i loko o kou ʻōpū no 4-6 mau hola i ka wā e hoʻomaʻemaʻe ai i kou koko
4. E hana hou i ke kaʻina hana me kahi hoʻololi hou

ʻO ke kaʻina hana hoʻololi holoʻokoʻa e lawe ma kahi o 30-40 mau minuke o ka manawa lima. Ma waena o nā hoʻololi, hiki iā ʻoe ke hele e pili ana i kāu mau hana maʻamau i ka wā e hana ana ka wai i kāna hana hoʻomaʻemaʻe i loko o kou ʻōpū.

Pehea e hoʻomākaukau ai no kāu peritoneal dialysis?

ʻO ka hoʻomākaukau ʻana no ka dialysis peritoneal e pili ana i nā hana kino a me nā hana hoʻonaʻauao e hōʻoia i kou palekana a me ka holomua. E alakaʻi kāu hui mālama ola iā ʻoe ma o ka hoʻomaʻamaʻa piha e lawe ana i 1-2 pule e hoʻopau.

Ma mua o ka hoʻomaka ʻana i ka mālama ʻana, pono ʻoe i kekahi mau hoʻokolohua olakino e hōʻoia i ka pono o ka dialysis peritoneal iā ʻoe. Pākuʻi ʻia kēia mau hoʻokolohua koko e nānā i kāu hana kīkī, nā haʻawina kiʻi o kou ʻōpū, a i kekahi manawa he hoʻokolohua liʻiliʻi e ʻike ai i ka maikaʻi o ka kānana ʻana o kou membrane peritoneal i ka ʻōpala.

Eia ka mea āu e manaʻo ai i ka wā o kāu hoʻomākaukau ʻana:

• Ke aʻo ʻana i ka holoi lima kūpono a me ka ʻenehana sterile e pale ai i nā maʻi
• Ke hoʻomaʻamaʻa ʻana i ka hoʻopili ʻana a me ka wehe ʻana i kāu catheter me ka palekana
• Ke hoʻomaopopo nei i ke ana a me ka hoʻopaʻa ʻana i kāu wehe wai
• Ke ʻike nei i nā hōʻailona hōʻailona e koi ai i ka lāʻau lapaʻau koke
• Ke hoʻonohonoho nei i kahi wahi maʻemaʻe, i hoʻolaʻa ʻia i kou home no nā hoʻololi

E kūkākūkā pū kāu hui dialysis i kāu ʻai, nā lāʻau lapaʻau, a me nā hoʻololi ola. Hiki i ka hapa nui o nā kānaka ke mālama i nā hana ʻai maʻamau, ʻoiai paha e pono ʻoe e nānā i ka ʻai protein a kaupalena i kekahi mau meaʻai kiʻekiʻe i ka phosphorus a i ʻole potassium.

Pehea e heluhelu ai i kāu hopena dialysis peritoneal?

ʻO ka hoʻomaopopo ʻana i kāu hopena dialysis peritoneal e kōkua iā ʻoe e noho ma ke ala me kāu mau pahuhopu lapaʻau. Nānā kāu hui mālama ola i kekahi mau ana nui e hōʻoia i ka hana pono ʻana o kāu lapaʻau a hoʻoponopono i kāu kauoha inā pono.

ʻO ke ana nui loa kāu Kt/V ratio, e hōʻike ana i ka maikaʻi o ka wehe ʻana o kāu lapaʻau i nā huahana ʻōpala. ʻO ka pahuhopu olakino he 1.7 a i ʻole ke kiʻekiʻe i kēlā me kēia pule ke hoʻohui ʻana i kāu hoʻomaʻemaʻe dialysis me kekahi hana kīkī i koe āu e loaʻa ai.

E nānā pū kāu hui lapaʻau i kēia mau hōʻailona nui:

• Ka hoʻomaʻemaʻe ʻana i ka creatinine - ana i ka maikaʻi o ka wehe ʻana o nā huahana ʻōpala
• Ka wehe ʻana i ka wai - e hōʻoia ana e lawe ana ʻoe i ka nui kūpono o ka wai keu
• Hoʻokolohua kaulike peritoneal - nānā i ka wikiwiki o ka lawe ʻana o kou membrane i ka ʻōpala
• Ke kahe koko a me nā ʻano kaumaha - hōʻike i ka mana kaulike wai
• Nā waiwai laboratory e like me ka potassium, phosphorus, a me nā pae hemoglobin

Hoʻopaʻa ʻia kēia mau helu i kēlā me kēia mahina i kāu mau kipa ʻana i ka hale lapaʻau. Hiki ke hoʻololi ʻia kāu kauoha dialysis ma muli o kēia mau hopena, ʻo ia hoʻi ka hoʻololi ʻana i ka ikaika o kāu hopena, nā manawa noho, a i ʻole ka nui o nā hoʻololi i kēlā me kēia lā.

Pehea e hoʻomaikaʻi ai i kāu mālama ʻana i ka dialysis peritoneal?

ʻO ka loaʻa ʻana o ka mea nui mai kāu mālama ʻana i ka dialysis peritoneal e pili ana i ka hahai ʻana i kāu hana maʻamau i kuhikuhi ʻia a me ka mālama ʻana i nā hana olakino maikaʻi. Hiki i nā koho liʻiliʻi i kēlā me kēia lā ke hana i kahi ʻokoʻa nui i ka maikaʻi o kāu hana lapaʻau.

ʻO ka pili ʻana i kāu papa hoʻololi he mea nui ia no ka mālama ʻana i ka wehe ʻana o ka ʻōpala. ʻO ka nalo ʻana i nā hoʻololi a i ʻole ka ʻoki ʻana i nā manawa noho hiki ke alakaʻi i ka hōʻiliʻili ʻana o ka toxin a me ka paʻa wai. Inā pono ʻoe e hoʻoponopono i ka manawa i kekahi manawa, e hana me kāu hui mālama ola e hoʻololi palekana i kāu papa.

Hiki i kēia mau mea ola ke kōkua i ka hoʻomaikaʻi ʻana i ka pono o kāu lapaʻau:

• Ka mālama ʻana i ka meaʻai maikaʻi me ka lawa ʻana o ka protein
Ke noho ikaika kino i loko o kou pae ikehu
• Ka mālama ʻana i ke koko a me ke kō koko inā he maʻi diabetes kāu
• Lawe mau i nā lāʻau lapaʻau i kuhikuhi ʻia
• Ka mālama ʻana i kāu puka catheter maʻemaʻe a maloʻo
• Ke hele nei i nā manawa lapaʻau i hoʻonohonoho ʻia

Hiki ke loli kou lawa ʻana o ka dialysis i ka manawa, no laila ke kōkua nei ka nānā mau ʻana i ka hopu ʻana i nā pilikia i ka wā mua. Pono kekahi poʻe e hoʻololi i ka hemodialysis inā lilo kā lākou membrane peritoneal i mea liʻiliʻi i ka kānana ʻana i ka ʻōpala.

He aha nā mea pilikia no nā pilikia dialysis peritoneal?

ʻOiai palekana ka dialysis peritoneal, hiki i kekahi mau mea ke hoʻonui i kou pilikia o nā pilikia. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia e kōkua iā ʻoe a me kāu hui mālama ola e hana i nā hana pale a nānā pono i kāu lapaʻau.

ʻO ka mea pilikia nui loa ka ʻenehana sterile maikaʻi ʻole i ka wā o nā hoʻololi ʻana, hiki ke alakaʻi i ka peritonitis - kahi maʻi o ka membrane peritoneal. Hoʻopilikia kēia pilikia koʻikoʻi ma kahi o 1 i 18 mau maʻi i kēlā me kēia makahiki, akā hiki i ka hoʻomaʻamaʻa kūpono a me ka ʻenehana akahele ke hōʻemi nui i kēia pilikia.

Hiki i kekahi mau maʻi olakino a me nā mea ola ke hoʻonui i kou pilikia pilikia:

• Diabetes, ʻoi aku ka maikaʻi ʻole o ka mālama ʻana i ke kō koko
• Nā ʻoki ʻōpū mua i hana i ka ʻiʻo ʻeha
• ʻO ka maʻi ʻāʻī inflammatory a i ʻole ka paʻa mau
• ʻO ka ʻōnaehana pale maʻi nāwaliwali mai nā lāʻau lapaʻau a i ʻole ka maʻi
• ʻO ka maikaʻi ʻole o ka lima lima a i ʻole nā pilikia ʻike e pili ana i ka ʻenehana
• Ke noho nei i nā wahi me ka maʻemaʻe maikaʻi ʻole

ʻAʻole hoʻokaʻawale ka makahiki wale nō iā ʻoe mai ka dialysis peritoneal, akā hiki i nā mākua ʻelemakule ke kū i nā pilikia hou me ka lima lima a i ʻole ka hoʻomanaʻo ʻana i nā kaʻina hana paʻakikī. Hiki i ke kākoʻo ʻohana a i ʻole ke kōkua mālama home ke kōkua i ka lanakila ʻana i kēia mau pilikia me ka palekana.

He aha nā pilikia hiki ke loaʻa i ka dialysis peritoneal?

Hana maikaʻi ka hapa nui o nā kānaka me ka dialysis peritoneal, akā e like me nā lāʻau lapaʻau, hiki ke loaʻa nā pilikia. ʻO ka ʻike ʻana i nā pilikia hiki ke kōkua iā ʻoe e ʻike i nā hōʻailona hōʻailona i ka wā mua a ʻimi i ka lāʻau lapaʻau wikiwiki ke pono.

ʻO ka Peritonitis ka pilikia koʻikoʻi loa, e hana ana i ka wā e komo ai ka bacteria i loko o kou lua peritoneal a hoʻoulu i ka maʻi. ʻO nā hōʻailona mua e pili ana i ka wai dialysis ʻōpua, ka ʻeha o ka ʻōpū, ke kuni, a me ka nausea. Me ka lāʻau antibiotic wikiwiki, hoʻoponopono piha ka hapa nui o nā hihia, akā hiki i nā maʻi koʻikoʻi ke hōʻino i kou membrane peritoneal.

ʻO nā pilikia ʻē aʻe e pono ai ʻoe e ʻike e pili ana i kēia mau mea:

• Nā maʻi e pili ana i ka catheter a puni ka puka ma kou ʻili
• Nā paʻa catheter mai nā clots fibrin a i ʻole nā pilikia kūlana
• Ka mālama ʻana i ka wai inā ʻaʻole e wehe kāu lapaʻau i ka wai nui
• Hernias mai ka hoʻonui ʻana i ke kaomi ʻana o ka ʻōpū i ka wā o nā hoʻololi
• ʻEha hope mai ke kaumaha o ka wai dialysis i kou ʻōpū
• Ka nalowale ʻana o ka hana membrane peritoneal i ka manawa

Hiki ke mālama ʻia ka hapa nui o nā pilikia ke hopu ʻia i ka wā mua. E aʻo kāu hui mālama ola iā ʻoe i nā hōʻailona hōʻailona e nānā ai a hāʻawi i nā ʻōlelo maopopo e pili ana i ka wā e kāhea ai i ke kōkua. Hāʻawi nā manawa nānā maʻamau i ka ʻike ʻana i nā pilikia ma mua o ka lilo ʻana i mea koʻikoʻi.

I ka manawa hea e ʻike ai au i ke kauka no nā hopohopo dialysis peritoneal?

ʻO ka ʻike ʻana i ka manawa e hoʻopili ai i kāu hui mālama ola hiki ke pale i nā pilikia liʻiliʻi mai ka lilo ʻana i nā pilikia koʻikoʻi. Pono kāu kikowaena dialysis e hāʻawi iā ʻoe i ka ʻike pili 24-hola no nā hopohopo wikiwiki ʻaʻole hiki ke kali a hiki i nā hola ʻoihana maʻamau.

E kelepona koke i kāu kauka inā ʻike ʻoe i ka wai dialysis ao e puka mai ana i ka wā o ka hoʻololi ʻana, no ka mea, hōʻike pinepine kēia i ka peritonitis. ʻO nā hōʻailona wikiwiki ʻē aʻe e pili ana i ka ʻeha nui o ka ʻōpū, ke kuni ma luna o 100.4°F, a i ʻole nā ​​hōʻailona o ka maʻi catheter e like me ka ʻulaʻula, ka pehu, a i ʻole ka pus a puni kāu puka.

E hoʻopili koke i kāu hui mālama ola no kēia mau hōʻailona e pili ana:

• He paʻakikī ka hoʻokahe ʻana i ka wai dialysis a i ʻole ka wehe ʻana i ka wai maikaʻi ʻole
• ʻEha ʻōpū maʻamau a i ʻole ka ʻeha i ka wā o nā hoʻololi
• Ka loaʻa ʻana o ke kaumaha a i ʻole ka pehu ʻana i kou mau wāwae a i ʻole ka maka
• Nausea mau, ka luaʻi, a i ʻole ka nalowale o ka ʻai
• ʻO ka hanu ʻana a i ʻole ka ʻeha o ka umauma
• ʻO ka pōʻino catheter a i ʻole ka hemo ʻana i ka ulia

Mai kānalua e kelepona me nā nīnau a i ʻole nā hopohopo, ʻoiai inā he mea liʻiliʻi lākou. Makemake kāu hui dialysis e kamaʻilio i nā pilikia liʻiliʻi ma mua o ka hana ʻana me nā pilikia koʻikoʻi ma hope. Ke kōkua nei ke kamaʻilio mau i ka hōʻoia ʻana e noho ana kāu lapaʻau ma ke ala.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka dialysis peritoneal

Q1: He mea pono anei ka dialysis peritoneal e like me ka hemodialysis?

Hiki i ka dialysis peritoneal ke hana pono e like me ka hemodialysis ke hana pololei a mau. Hōʻike nā haʻawina he like nā helu ola ma waena o nā lapaʻau ʻelua, ʻoiai i nā makahiki mua. ʻO ke kī, ʻo ia ka hahai ʻana i kāu papa hana i kauoha ʻia a me ka mālama ʻana i ka ʻenehana maikaʻi.

Hana mau a mālie ka dialysis peritoneal, kahi mea i ʻike ʻia e kekahi poʻe he maʻalahi ma ko lākou kino ma mua o nā loli wai wikiwiki o ka hemodialysis. Eia naʻe, pili ka pono i nā mea e like me kāu hana kīkī i koe, pehea ka maikaʻi o kāu membrane peritoneal e kānana i ka ʻōpala, a me kou hiki ke hana pono i nā hoʻololi.

Q2: Hiki iaʻu ke hele i ka wā e hana ana i ka dialysis peritoneal?

ʻAe, hiki iā ʻoe ke hele me ka dialysis peritoneal, ʻoiai e koi ana i ka hoʻolālā mua a me ka hoʻopili ʻana me kāu kikowaena dialysis. Nui nā maʻi i ʻike i kēia maʻalahi i kekahi o nā mea maikaʻi nui o ka dialysis peritoneal i hoʻohālikelike ʻia me ka hemodialysis i loko o ke kikowaena.

Hiki i kāu hui dialysis ke hoʻonohonoho i nā lako e hāʻawi ʻia i kāu huakaʻi a i ʻole ke kōkua iā ʻoe e ʻimi i nā kikowaena dialysis e hiki ke hāʻawi i ke kākoʻo i kāu huakaʻi. Pono ʻoe e hoʻopili pono i nā lako sterile a mālama i kāu papa hoʻololi i ka wā e hele ai.

Q3: Pehea ka lōʻihi e hiki ai iaʻu ke noho ma ka dialysis peritoneal?

Hiki i ka hapa nui o nā kānaka ke noho ma ka dialysis peritoneal no 5-7 mau makahiki, ʻoiai ke hoʻomau nei kekahi me ka holomua no ka lōʻihi. ʻO ka mea e kaupalena ana, ʻo ia nā loli mālie i kāu membrane peritoneal e hoʻemi ai i ka pono i ka kānana ʻana i ka ʻōpala i ka manawa.

E nānā mau ana kāu hui mālama ola i ka pono o kāu lapaʻau a e kūkākūkā lākou i nā koho inā e emi ana ka pono o ka dialysis peritoneal. Hoʻololi kekahi poʻe i ka hemodialysis ma hope, a lilo kekahi poʻe i moho no ke kanu ʻana i ka puʻupaʻa.

Q4: E pili ana anei ka dialysis peritoneal i koʻu ʻai a me ke kaumaha?

Hiki i ka dialysis peritoneal ke pili i kou ʻai a me ke kaumaha ma nā ʻano like ʻole. Aia i loko o ka hopena dialysis ke kō e komo ai kou kino, hiki ke kōkua i ka loaʻa ʻana o ke kaumaha a hiki ke hōʻemi i kou pōloli i ka wā ʻai.

ʻIke ka nui o nā kānaka e hoʻomaikaʻi ana ko lākou ʻai i ka wā e hoʻomaka ai lākou i ka dialysis no ka mea e hana ana ka hōʻiliʻili ʻana o nā mea ʻawaʻawa iā lākou e maʻi ai. Ke hana pū me kahi meaʻai meaʻai renal e kōkua iā ʻoe e kaulike i kāu mau pono meaʻai i ka wā e mālama ana i nā loli kaumaha mai ka lapaʻau.

Q5: Hiki iaʻu ke hana i ka wā e hana ana i ka dialysis peritoneal?

Hiki i ka hapa nui o nā kānaka ke hoʻomau i ka hana i ka wā e hana ana i ka dialysis peritoneal, ʻoiai inā hiki iā lākou ke hoʻonohonoho i ka hoʻonohonoho maʻalahi no nā hoʻololi. ʻO ka hiki ke lawe ʻia o ka lapaʻau a me ka manawa lima pōkole e kūpono ia me nā wahi hana he nui.

Pono paha ʻoe e kūkākūkā i nā hoʻokipa me kāu mea hana, e like me ke komo ʻana i kahi wahi maʻemaʻe a pilikino no nā hoʻololi a i ʻole nā manawa hoʻomaha maʻalahi. ʻIke ka nui o nā maʻi e hiki ai i ka dialysis peritoneal ke mālama i nā papa hana maʻamau ma mua o ka hemodialysis i loko o ke kikowaena.