Dialyse ya peritonayo
Ibyerekeye iki kizamini
Dialysis ya peritoneum (per-ih-toe-NEE-ul die-AL-uh-sis) ni uburyo bwo gukuraho ibintu byangiza umubiri biri mu maraso. Ni ubuvuzi bw’uburwayi bw’impumyi, uburwayi aho impumyi zitabasha gukora neza akazi kazo ko gukora isuku y’amaraso. Mu gihe cy’ubuvuzi bwa dialysis ya peritoneum, amazi asukura anyura mu muyoboro winjira mu gice cy’igice cy’inda, cyitwa igice cy’inda. Igice cy’imbere cy’igice cy’inda, kizwi nka peritoneum, gikora nk’umucunga kandi kikuraho ibintu byangiza umubiri biri mu maraso. Nyuma y’igihe runaka, amazi arimo ibintu byangiza umubiri byakuweho ava mu gice cy’inda maze akagenda.
Impamvu bikorwa
Ukeneye dialyse iyo impyiko zawe zitakikora neza. Akenshi, ikibazo cy'impyiko kijya kibyibuha uko imyaka igenda ishira kubera ibibazo by'ubuzima nkibi: Diabete mellitus. Umuvuduko ukabije w'amaraso. Indwara zitandukanye zizwi nka glomerulonephritis, zangiza igice cy'impyiko gishinzwe gukora isuku y'amaraso. Indwara zikomoka ku mubyeyi, harimo indwara yitwa polycystic kidney disease itera imikaya myinshi mu mpyiko. Gukoresha imiti ishobora kwangiza impyiko. Ibi birimo gukoresha imiti igabanya ububabare mu gihe kirekire cyangwa cyane nk'aspirin, ibuprofen (Advil, Motrin IB, n'izindi) na naproxen sodium (Aleve). Muri hemodialyse, amaraso akurwa mu mubiri agakorerwa isuku mu mashini. Hanyuma amaraso asukuwe agasubizwa mu mubiri. Iyi nzira ikorwa cyane mu bitaro, nk'ibigo byita ku barwaye dialyse cyangwa mu bitaro. Rimwe na rimwe, ishobora gukorwa mu rugo. Ubwoko bwombi bwa dialyse bushobora gukora isuku y'amaraso. Ariko inyungu za peritoneal dialysis ugereranyije na hemodialyse harimo: Kwigira cyane no kugira umwanya wo gukora imirimo yawe ya buri munsi. Akenshi, ushobora gukora peritoneal dialysis iwawe, ku kazi cyangwa ahandi hose hatuje kandi hakeye. Ibi birashobora koroherera abantu bafite akazi, abajya mu ngendo cyangwa baba kure y'ibigo byita ku barwaye hemodialyse. Kurya ibiryo bitagira imipaka. Peritoneal dialysis ikorwa mu buryo buhoraho kurusha hemodialyse. Ibi bituma potassium, sodium na fluide bitagira umwanya munini mu mubiri. Ibi bituma ushobora kurya ibiryo bitandukanye kurusha ibyo wakwemererwa muri hemodialyse. Impyiko zikora igihe kirekire. Iyo impyiko zananiranye, ziba zataje ubushobozi bwo gukora. Ariko zishobora kuguma zikora gato igihe runaka. Abantu bakoresha peritoneal dialysis bashobora kugumana ubushobozi buke bw'impyiko zabo kurusha abantu bakoresha hemodialyse. Utabona ibinini mu mutsi. Mbere yo gutangira peritoneal dialysis, umuyoboro wa catheter ushyirwa mu nda hakoreshejwe ubuvuzi. Amazi asukura amaraso yinjirayo asohoka mu mubiri binyuze muri uyu muyoboro igihe utangiye kuvurwa. Ariko muri hemodialyse, ibinini bigomba gushyirwa mu mutsi mu ntangiriro y'ubuvuzi kugira ngo amaraso asukwe hanze y'umubiri. Ganira n'abaganga bawe ku bwoko bwa dialyse bushobora kuba bukubereye. Ibintu byo gutekerezaho harimo: Uko impyiko zawe zikora. Ubuzima bwawe muri rusange. Ibyo ukunda. Aho uba. Ubuzima bwawe bwa buri munsi. Peritoneal dialysis ishobora kuba amahitamo meza niba: Ufite ikibazo cyo guhangana n'ingaruka mbi zishobora kubaho muri hemodialyse. Ibi birimo kurwara umunaniro cyangwa kugwa k'umuvuduko w'amaraso. Ushaka ubuvuzi butoroshye mu mirimo yawe ya buri munsi. Ushaka gukora cyangwa kujya mu ngendo byoroshye. Ufite ubushobozi buke bw'impyiko. Peritoneal dialysis ishobora kutakora niba ufite: Ibikomere mu nda biturutse ku buvuzi bwakozwe mbere. Agice kinini cy'imikaya yoroshye mu nda, bizwi nka hernia. Udashobora kwita kuri we ubwawe, cyangwa udashobora kubona ubufasha bwo kwita kuri we. Indwara zimwe na zimwe zigira ingaruka ku buryo bw'igogorwa, nka inflammatory bowel disease cyangwa diverticulitis ikunda kugaruka. Mu gihe, birashoboka ko abantu bakoresha peritoneal dialysis bazatakaza ubushobozi bw'impyiko zabo kugira ngo bakeneye hemodialyse cyangwa gutera impyiko.
Ingaruka n’ibibazo
Ingaruka z'ubuvuzi bwa peritonite zishobora kuba: Ubwandu. Ubwandu bw'urugingo rw'imbere mu nda rwitwa peritonite. Iyi ni ingaruka zisanzwe zo kuvura indwara ya peritonite. Ubwandu bushobora kandi gutangira aho kateteri ishyirwa kugira ngo izane umusemburo ukoranya umwanda, witwa dialysate, mu nda no kuyivamo. Icyago cyo kwandura kirakomeye iyo umuntu ukora ubuvuzi atatojwe neza. Kugira ngo ugabanye ibyago byo kwandura, kumesa intoki zawe n'isabune n'amazi ashyushye mbere yo gukora kuri kateteri yawe. Buri munsi, kumesa ahantu umuyoboro winjira mu mubiri wawe - baza umuvuzi wawe umuti wo gukoresha. Kureka kateteri yumye keretse mu gihe cyo koga. Nanone, kwikingira umwenda wo kubaga ku mazuru na kandi mu kanwa mu gihe ukuramo kandi wongera umusemburo ukoranya umwanda. Kugira ibiro byiyongereye. Dialysate irimo isukari yitwa dextrose. Niba umubiri wawe ufashe bimwe muri iyi mvura, bishobora gutuma winjiza ama calorie arenga magana buri munsi, bigatuma wongera ibiro. Amacalorie yiyongereye ashobora kandi gutuma isukari y'amaraso ikaza, cyane cyane niba ufite diyabete. Hernia. Kugumana amazi mu mubiri igihe kirekire bishobora guhombya imitsi y'inda. Ubuvuzi burahagarika gukora. Ubuvuzi bwa peritonite bushobora guhagarara nyuma y'imyaka myinshi. Ushobora gukenera guhindura hemodialysis. Niba ufite ubuvuzi bwa peritonite, uzakenera kwirinda: Imiti imwe ishobora kwangiza impyiko, harimo imiti idafite steroide. Koga mu bwogero cyangwa mu bwogero bushyuha. Cyangwa koga muri pisine idafite chlorine, ikiyaga, ikidende cyangwa umugezi. Ibi bintu byongera ibyago byo kwandura. Byiza gufata douche buri munsi. Byiza kandi koga muri pisine ifite chlorine igihe ahantu kateteri yawe isohoka ku ruhu rwawe imaze gukira neza. Kumanura ako gace hanyuma uhindura imyenda yumye nyuma yo koga.
Uko witegura
Uzakeneye kubagwa kugira ngo bashyire kateteri mu gice cy'inda yawe, akenshi hafi y'inda. Kateteri ni icupa rijyana amazi asukura mu nda no hanze. Ubu buvuzi bukorwa hakoreshejwe imiti igutera ubunebwe, yitwa anestezi. Nyuma yo gushyiramo icupa, umuvuzi wawe arashobora kugutegeka gutegereza byibuze ibyumweru bibiri mbere yo gutangira kuvurwa kwa peritonite. Ibi biha umwanya aho bashyize kateteri gukira. Uzahugurwa kandi uko wakoresha ibikoresho byo kuvura kwa peritonite.
Icyo kwitega
Mu gihe cyo kuvura impyiko hakoreshejwe umusemburo: Icyogeranyo cyo gukuraho umwanda cyitwa dialysate kijya mu nda. Kimazeyo igihe runaka, akenshi amasaha 4 kugeza kuri 6. Ibi bita igihe cyo kuba mu nda (dwell time). Umuganga wawe ni we ugena igihe kimazeyo. Isukari ya dextrose iri muri dialysate ifasha gukuraho imyanda, ibintu byangiza umubiri n'amazi y'umubiri arenze urugero. Ibikura mu mitsi mito mito y'amaraso iri ku rukuta rw'inda. Igihe cyo kuba mu nda kirangiye, dialysate- hamwe n'imyanda yakuwe mu maraso yawe- bijya mu gipfunyika cyiza. Igikorwa cyo kuzuza hanyuma ugaha umusemburo mu nda bita gusimburana. Ubwoko butandukanye bwo kuvura impyiko hakoreshejwe umusemburo bufite gahunda zitandukanye zo gusimburana. Ubwoko bubiri nyamukuru ni: Gusimburana buri gihe hakoreshejwe umusemburo (CAPD). Gusimburana buri gihe hakoreshejwe imashini (CCPD).
Gusobanukirwa ibisubizo byawe
Ibintu byinshi bigira ingaruka ku buryo dialyse ya peritonéale ikora neza mu gukuraho imyanda n'amazi y'umubiri mu maraso. Ibyo bintu birimo: Ubunini bwawe. Umuvuduko wa membrane y'imbere y'inda yawe mu gusukura imyanda. Ubwinshi bw'amazi akoreshwa muri dialyse. Umubare w'imikorere ya buri munsi. Igihe cyo gusiga amazi mu nda. Igipimo cy'isukari mu mazi akoreshwa muri dialyse. Kugira ngo umenye niba dialyse yawe ikuraho imyanda ihagije mu mubiri wawe, ushobora gukenera ibizamini bimwe na bimwe: Ibizamini byo kuringaniza peritonéale (PET). Iki kizamini kigereranya ibipimo by'amaraso yawe n'amazi akoreshwa muri dialyse mu gihe cyo kuyasukura. Ibyavuye muri iki kizamini bigaragaza niba imyanda ica vuba cyangwa buhoro mu maraso yerekeza mu mazi akoreshwa muri dialyse. Amakuru nk'ayo afasha kumenya niba dialyse yawe yakora neza iyo amazi asukura asize igihe gito cyangwa kirekire mu nda yawe. Ibizamini byo gupima ubushobozi bwo gukuraho imyanda. Iki kizamini ki genzura igipimo cy'imyanda mu maraso no mu mazi akoreshwa muri dialyse amaze gukoreshwa, harebwa urugero rw'imyanda yitwa urée. Iki kizamini gifasha kumenya umubare w'urée ikurwa mu maraso yawe mu gihe cya dialyse. Niba umubiri wawe ukiri kwinnya, itsinda ry'abaganga bawe rishobora kandi gufata urugero rw'inkari kugira ngo bapime urugero rw'urée irimo. Niba ibizamini bigaragaje ko gahunda yawe ya dialyse idakuraho imyanda ihagije, itsinda ry'abaganga bawe rishobora: Kugwiza umubare w'imikorere ya buri munsi. Kugwiza umubare w'amazi akoreshwa muri buri mikorere. Gukoresha amazi akoreshwa muri dialyse afite isukari nyinshi ya dextrose. Urashobora kubona ibisubizo byiza bya dialyse no kunoza ubuzima bwawe muri rusange urya ibiryo bikwiye. Ibyo birimo ibiryo bikungahaye kuri poroteyine, ariko bikaba bike muri sodium na phosphore. Umuganga w'inzobere mu mirire ashobora gukora gahunda y'ibiryo bikubereye. Ibiryo byawe bizashingira ku bunini bwawe, ibyo ukunda, n'uburyo impumuro yawe y'impyiko ikora. Bizashingira kandi ku bindi bibazo by'ubuzima ufite, nka diyabete cyangwa umuvuduko w'amaraso. Fata imiti yawe ukurikije uko yagutegetswe. Ibi bigufasha kubona ibisubizo byiza bishoboka. Mu gihe ukora dialyse ya peritonéale, ushobora gukenera imiti ifasha: Kugenzura umuvuduko w'amaraso. Gufasha umubiri gukora utubuto tw'amaraso. Kugenzura urugero rw'ibintu bimwe na bimwe mu maraso. Kuburizamo ko phosphore yiyongera mu maraso.
Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.