Chii chinonzi Icodextrin: Zvazvinoshandiswa, Mushonga, Mhedzisiro uye Zvimwe

Icodextrin imhando yakakosha yemushonga we dialysis unoshandiswa kune peritoneal dialysis, kurapwa kunobatsira itsvo dzako kusefa tsvina uye mvura yakawandisa kubva muropa rako. Iyi glucose polymer solution inoshanda zvakasiyana nemvura ye dialysis yakajairika-based, ichipa kubviswa kwemvura kwenguva refu kunogona kubatsira zvikuru vanhu vane itsvo dzinoda rubatsiro rwakawedzerwa.

Kana iwe kana mumwe munhu waunoda ari kutanga peritoneal dialysis, kunzwisisa kuti icodextrin inoshanda sei kunogona kukubatsira kuti unzwe wakavimbika pamusoro pekurapa uku kwakakosha. Ngatifambei tichipfuura zvese zvaunoda kuziva nezve mushonga uyu mumashoko akareruka, akajeka.

Chii chinonzi Icodextrin?

Icodextrin imolekuru huru yeshuga (glucose polymer) yakagadzirirwa zvakakosha peritoneal dialysis. Kusiyana neshuga yakajairika yetafura kana glucose, icodextrin inogadzirwa nemayuniti akawanda eshuga akabatana anoshanda pamwechete kuti atore zvishoma nezvishoma mvura yakawandisa kubva mumuviri wako kwenguva yakareba.

Funga nezvazvo semubatsiri munyoro, anogara achiita basa mukati memudumbu mako kuti abvise mvura uye tsvina iyo itsvo dzine hutano dzaizojairika kusefa. Mushonga uyu unouya semhinduro yakajeka, isina utachiona inoiswa mumukati memudumbu mako kuburikidza necatheter yakakosha.

Mhinduro iyi inokosha zvikuru nokuti inogona kushanda zvakanaka kwemaawa 12 kusvika ku16, zvichiita kuti ive yakanaka kune husiku dialysis sessions paunenge uchivata. Chikwata chako chehutano chichasarudza kana icodextrin yakakodzera zvaunoda zve dialysis.

Chii chinonzi Icodextrin chinoshandiswa?

Icodextrin inonyanya kushandiswa kune continuous ambulatory peritoneal dialysis (CAPD) uye automated peritoneal dialysis (APD) muvanhu vane kukundikana kwetsvo. Yakagadzirirwa zvakanyanya kuchinjanisa kwenguva refu, kazhinji husiku hwakagara muAPD kana nguva refu yemasikati muCAPD.

Chiremba wako angakurudzira icodextrin kana uri kusangana nekubviswa kwemvura kusina kukwana nemhinduro dzenguva dzose dzekugeza dzakavakirwa glucose. Vamwe vanhu vanovaka kushivirira kumhinduro dze glucose nekufamba kwenguva, uye icodextrin inogona kupa imwe nzira inoshanda yekuchengetedza chiyero chemvura chakakodzera.

Mushonga uyu unobatsirawo vanhu vane hunhu hwekufambisa hwakanyanya, zvinoreva kuti membrane yavo yeperitoneal inotora glucose nekukurumidza. Muzviitiko izvi, zvivakwa zve icodextrin zvinogona kupa kubviswa kwemvura kunoenderana zuva rese kana usiku.

Icodextrin Inoshanda Sei?

Icodextrin inoshanda kuburikidza nekuita kunonzi osmosis, asi nenzira yakapfava, yakatsigirwa zvakanyanya kupfuura mhinduro dzenguva dzose dze glucose. Mamorekuru makuru e icodextrin anogadzira simba rinogara richikwevera rinotora mvura yakawandisa kubva mumidziyo yako yeropa ichienda mumukati mako weperitoneal, uko inogona kubviswa.

Kusiyana ne glucose, iyo inotorwa nekukurumidza nemuviri wako, mamorekuru e icodextrin akakura zvakanyanya kuti atore nekukurumidza. Izvi zvinoreva kuti vanogara mumukati mako weperitoneal kwenguva refu, vachipa kubviswa kwemvura nguva dzose kwemaawa gumi nematanhatu.

Mushonga uyu unoonekwa semhinduro yekugeza ine simba repakati. Haina hukasha semhinduro dzeglucose dzakanyanya, asi inoshanda zvakanyanya pane dzakaderera-concentration dzemvura kwenguva refu. Izvi zvinoita kuti ive yakakodzera kune vanhu vanoda kutsigirwa kwenguva refu, nguva dzose.

Ndingatora Sei Icodextrin?

Icodextrin inoiswa kuburikidza ne catheter yako yeperitoneal dialysis, kwete kutora nemuromo. Mhinduro inofanira kudziiswa kusvika kutembiricha yemuviri isati yashandiswa, iyo timu yako yehutano ichakudzidzisa kuti ungazviita sei zvakachengeteka kumba.

Pamberi pekutsinhana kwega kwega, unozofanira kugeza maoko ako zvakakwana uye kugadzirira zvinhu zvako munzvimbo yakachena. Mhinduro ye icodextrin inouya mumabhegi akachena anobatanidza zvakananga kune yako catheter system kuburikidza nemapombi akakosha.

Vanhu vazhinji vanoshandisa icodextrin panguva yavo yakareba yekugara, kazhinji husiku kune varwere veAPD kana masikati kune varwere veCAPD. Mukoti wako we dialysis achakupa kudzidziswa kwakadzama pamusoro pehunyanzvi hwakakodzera, kusanganisira maitiro ekuongorora zviratidzo zvekusvibiswa kana matambudziko nemhinduro.

Nguva dzose tevera chirongwa chako chakanyorwa zvakanyatso, kunyangwe uchinzwa zvakanaka. Dialysis inogara iri yakakosha kuhutano hwako, uye kusvetuka kana kunonotsa kurapwa kunogona kutungamira mukuvaka kwemvura kunotyisa uye kuunganidzwa kwetoxin.

Ndingatora Icodextrin Kwenguva Yakareba Sei?

Iwe unowanzo shandisa icodextrin kwenguva yakareba sezvaunoda peritoneal dialysis, iyo inogona kuva mwedzi kana makore zvichienderana nemamiriro ako eitsvo uye chirongwa chekurapa. Vamwe vanhu vanoishandisa kwenguva pfupi vakamirira kutapurirwa itsvo, nepo vamwe vachigona kuishandisa sechisarudzo chekurapa kwenguva refu.

Chiremba wako achagara achiongorora kuti icodextrin iri kushanda sei kwauri kuburikidza nemiedzo yeropa uye kuongorora kubviswa kwemvura yako. Vanoongorora basa reitsvo yako, chiyero chemvura, uye hutano hwese kuti vaone kana kuchinjwa kuchidikanwa kuchirongwa chako chekurapa.

Kureba kwekurapa kunoenderana nemamiriro ako ega. Kana iwe ukagamuchira kutapurirwa itsvo, unozokwanisa kumisa dialysis zvachose. Kana basa reitsvo yako rikavandudzika zvakanyanya, chiremba wako anogona kuderedza kakawanda kwekurapa kana kuchinja kune imwe nzira.

Ndezvipi Zvakaipa zveIcodextrin?

Vanhu vazhinji vanotsungirira icodextrin zvakanaka, asi semushonga chero upi zvake, unogona kukonzera mhedzisiro. Kunzwisisa zvekutarisira kunogona kukubatsira kuti unzwe wakagadzirira uye kuziva nguva yekubata timu yako yehutano.

Ngatitange nemhedzisiro yakajairika yaungasangana nayo. Izvi zvinowanzo manejwa uye kazhinji zvinovandudzika sezvo muviri wako uchigadzirisa kurapwa:

• Kusagadzikana mudumbu kudiki kana kuzvimba panguva yekutanga yekupinza mushonga
• Kuchinja kwenguva pfupi mumazinga eshuga yeropa
• Kuwedzera uremu kudiki kubva pakuchengetwa kwemvura
• Kutsamwa kweganda kudiki pedyo nenzvimbo yekatheta
• Nyonganyonga dzimwe nguva kana kusagadzikana mudumbu
• Kuneta kana kunzwa kuneta mushure mekurapa

Izvi zvinowanzoitika zvinowanzoita kuti muviri ujairane nekurapa. Chikwata chako chehutano chinogona kupa nzira dzekuderedza kusagadzikana uye kukubatsira kuti unzwe wakasununguka panguva yekudhayiza.

Zvino, ngatitaurire nezve mhedzisiro isingawanzoitiki asi yakakomba inoda kutariswa kwekurapa nekukurumidza. Kunyangwe izvi zvisingawanzoitiki, zvakakosha kuziva zvekutarisa:

• Zviratidzo zveperitonitis (hutachiona hwegomba remudumbu): fivha, kurwadziwa kwakanyanya mudumbu, mvura yekudhayiza ine makore
• Maitiro akakomba ekurwara: kuoma kufema, kuzvimba kumeso kana pahuro, kuputika kwakapararira
• Kuwanda kwemvura kwakanyanya: kuzvimba kwakanyanya, kufema nekukurumidza, kurwadziwa muchipfuva
• Matambudziko ane chekuita nekatheta: kurwadziwa, kutsvuka, kubuda, kana kusashanda zvakanaka
• Kusagadzikana kwakanyanya kweelectrolyte: mhasuru dzemhasuru, kurova kwemoyo kusingaite, kuvhiringidzika
• Kubuda ropa kusingaite kana kupwanya

Kana ukaona chero mhedzisiro yakakomba iyi, taura neiyo dialysis center yako kana kutsvaga rubatsiro rwekurapa nekukurumidza. Kupindira kwekutanga kunogona kudzivirira matambudziko uye kuona kuchengeteka kwako.

Ndiani Asingafaniri Kutora Icodextrin?

Icodextrin haina kukodzera munhu wese, uye chiremba wako achanyatsoongorora nhoroondo yako yekurapa usati wairaira. Mamiriro akati wandei kana mamiriro anogona kuita kuti mushonga uyu usakodzere kana kuisa njodzi kwauri.

Heano zvikonzero zvikuru nei chiremba wako angasarudza imwe mhinduro yekudhayiza panzvimbo yeicodextrin:

• Kuziva allergy ku icodextrin kana chero zvinhu zviri mumushonga
• Kukundikana kwemoyo kwakanyanya kunoita kuti manejimendi emvura ave nematambudziko
• Kuvhiyiwa mudumbu kuri kushanda kana kwakaitwa munguva pfupi yapfuura kusati kwapora zvizere
• Kutambudzika kwakanyanya kwematumbu anopisa kana mamwe mamiriro akakomba mudumbu
• Kunamira kwakanyanya kana nyama ine mavanga mudumbu
• Mhando dzekenza dzichikanganisa dumbu
• Kushaya chikafu kwakanyanya kana kushaikwa kweprotein

Chikwata chako chekuchengetedza hutano chichafungawo nezve hutano hwako hwese, kusanganisira basa remoyo wako, hutano hwechiropa, uye chero mamwe mamiriro akareba aunogona kunge uine. Vanoda kuona kuti icodextrin ichave yakachengeteka uye inoshanda kune mamiriro ako chaiwo.

Mazita eBrand eIcodextrin

Icodextrin inowanikwa pasi pemazita akati wandei ebrand, Extraneal ndiyo vhezheni inonyanya kurairwa munyika dzakawanda. Iri brand rinogadzirwa neBaxter Healthcare uye rinowanikwa zvakanyanya mumakiriniki e dialysis.

Mamwe mazita ebrand anogona kusanganisira Adept mune dzimwe nzvimbo, kunyangwe izvi zvakajairika kushandiswa kune zvimwe zvinangwa zvekurapa. Nzvimbo yako ye dialysis ichashanda nevagadziri vakati wandei uye inogona kushandisa mazita akasiyana ebrand zvichienderana nemakondirakiti avo uye kuwanikwa.

Zvisinei nezita rebrand, mhinduro dzese dze icodextrin dzine chinhu chimwe chete chinoshanda uye dzinoshanda nenzira imwechete. Chikwata chako chekuchengetedza hutano chichaona kuti unogamuchira kuwanda kwakakodzera uye vhoriyamu yeresipi yako chaiyo ye dialysis.

Zvimwe zvingashandiswa panzvimbo peIcodextrin

Zvimwe zvingashandiswa panzvimbo pe icodextrin zvinowanikwa kana mushonga uyu usingakukodzere kana uine mhedzisiro. Zvimwe zvingashandiswa zvakajairika ndeye glucose-based peritoneal dialysis solutions mune akasiyana kuwanda.

Mhinduro dzeglucose dzine huwandu hushoma (1.5%) dzine mutsa asi dzinobvisa mvura shoma, zvichiita kuti dzikodzere vanhu vane basa rakanaka rematsvo. Mhinduro dzine huwandu hwepakati (2.5%) dzinopa kubviswa kwemvura kwepakati uye dzinowanzo shandiswa pakuchinjana nguva dzose.

Mhinduro dzeglucose dzine huwandu hwakanyanya (4.25%) dzinopa kubviswa kwemvura yakanyanya asi dzinogona kuva dzakaoma pamembrane yako yeperitoneal nekufamba kwenguva. Kune zvakare mhinduro dzakavakirwa paamino acid dzinogona kupa chikafu panguva yekuitisa dialysis, kunyangwe izvi zvisingawanzo shandiswa.

Chiremba wako achakubatsira kuona kuti ndeipi musanganiswa wemhinduro unoshanda zvakanyanya pazvido zvako, uye izvi zvinogona kuchinja nekufamba kwenguva sezvo mamiriro ako achichinja.

Ko Icodextrin Zviri Nani Pane Mhinduro dzeGlucose Dzenguva Dzose?

Icodextrin haisi nani pane mhinduro dze glucose, asi inopa zvakanakira zvakasiyana zvinoita kuti ive yakakosha kune mamiriro akati wandei. Sarudzo inoenderana nezvido zvako, kuti wanga uri pa dialysis kwenguva yakareba sei, uye kuti muviri wako unoita sei kumhinduro dzakasiyana.

Chinhu chikuru cheIcodextrin kugona kwayo kupa kubviswa kwemvura kwakatsiga kwemaawa gumi nemaviri kusvika gumi nematanhatu pasina kunyudzwa nekukurumidza seglucose. Izvi zvinoita kuti zvive zvakakosha kune nguva refu dzekugara uye kune vanhu vakave vasina kupindura kumhinduro dze glucose nekufamba kwenguva.

Zvisinei, mhinduro dze glucose dzine zvakanakira zvavo. Dzinowanzo shanda zvakanyanya, dzave dzichishandiswa kwenguva refu nemaprofiles akasimbiswa ekuchengetedza, uye dzinogona kupa kubviswa kwemvura nekukurumidza kana zvichidiwa. Vanhu vazhinji vanoita zvakanaka nemhinduro dze glucose chete.

Nzira yakanakisisa inowanzo sanganisira kushandisa mhando mbiri dzemhinduro zvine hungwaru. Chikwata chako chehutano chichakubatsira kuwana musanganiswa wakakodzera zvichienderana nezvido zvako zvekubvisa mvura, mararamiro, uye kuti muviri wako unoita sei kurapwa.

Mibvunzo Inowanzo Bvunzwa Nezve Icodextrin

Mubvunzo 1. Icodextrin Yakachengeteka Kune Vanhu vane Chirwere cheShuga?

Hongu, icodextrin inowanzova yakachengeteka kune vanhu vane chirwere cheshuga uye inogona kunge iri nani mune dzimwe nguva. Kusiyana nemhinduro dzeglucose, icodextrin haikwidzi zvakanyanya mazinga eshuga yeropa nekuti inotorwa zvishoma nezvishoma nemuviri wako.

Zvisinei, uchiri kuda kutarisa shuga yako yeropa zvakanyanya, kunyanya paunotanga icodextrin kana kuchinja maitiro ako e dialysis. Vamwe vanhu vane chirwere cheshuga vanowana kuti kutonga kwavo shuga yeropa kunovandudzika pavanoshandisa icodextrin kwenguva refu panzvimbo yemhinduro dzeglucose dzakanyanya.

Chirongwa chako chekutungamira chirwere cheshuga chinogona kuda kugadziriswa paunotanga peritoneal dialysis ne icodextrin. Shanda pedyo nechikwata chako che dialysis uye mupi wehutano hwechirwere cheshuga kuti uve nechokwadi chekudzora shuga yeropa zvakanaka mukati mekurapa kwako.

Q2. Ndoitei kana ndikashandisa icodextrin yakawandisa netsaona?

Kana netsaona ukaisa icodextrin yakawanda kupfuura yakarairwa, usavhunduka, asi taura ne dialysis center yako nekukurumidza kuti uwane gwara. Kushandisa mhinduro yakawandisa kunogona kutungamira kubviswa kwemvura yakawandisa, iyo inogona kukonzera kudzikira kweropa, dzungu, kana cramping.

Zvizvitarise iwe pachako kuti uone zviratidzo zvekushaya mvura mumuviri zvakaita sedzungu, kurova kwemoyo nekukurumidza, kana kunzwa kufenda. Kana ukaona zviratidzo zvakakomba, tsvaga rubatsiro rwekurapa nekukurumidza. Chikwata chako chehutano chinogona kuongorora kana uchida mvura yakawanda kana mamwe maitiro.

Kuti udzivise overdose netsaona, gara uchitarisa kaviri huwandu hwako hwakarairwa usati watanga kuchinjana kwega kwega. Chengeta log yekurapa uye uteedzere chirongwa chako che dialysis sezvakarairwa nechikwata chako chehutano.

Q3. Ndoitei kana ndikarasikirwa nedosi ye Icodextrin?

Kana ukakanganwa kuchinjana kwe icodextrin, taura ne dialysis center yako nekukurumidza kuti uwane gwara rakatarwa. Kurasa kurapwa kunogona kutungamira mukuvaka mvura uye kuunganidzwa kwetoxin, izvo zvinogona kuva nengozi kana zvikaitika kakawanda.

Usavhura kaviri mushonga wako unotevera kuti ugadzirise uyo wawakarasikirwa. Pane kudaro, tevera mirairo yechikwata chako chekuchengetedza hutano, iyo ingasanganisire kugadzirisa chirongwa chako kana kushandisa imwe mhinduro kwenguva pfupi kuchengetedza dialysis yako yakakwana.

Edza kudzokera pachirongwa chako chese zuva rinotevera nekukurumidza sezvinobvira. Kana iwe uchikanzwa kurapwa kazhinji nekuda kwezvipingamupinyi zvehupenyu, kurukura izvi nechikwata chako chekuchengetedza hutano. Vanogona kugadzirisa chirongwa chako kana kupa mazano ekukubatsira kuchengetedza kurapwa kwakagadzikana.

Q4. Ndingamira Rini Kutora Icodextrin?

Unogona kumira kushandisa icodextrin kana chiremba wako achiona kuti hauchadi peritoneal dialysis. Izvi zvinogona kuitika kana ukagamuchira kidney transplant, kana basa rako rekidney richivandudza zvakanyanya, kana ukachinjira kune imwe mhando ye dialysis.

Usambomira kushandisa icodextrin wega, kunyangwe uchinzwa zvakanaka. Muviri wako unovimba ne dialysis yenguva dzose kubvisa marara uye mvura yakawandisa. Kumisa kurapwa pasina kutariswa kwechiremba kunogona kutungamira kumatambudziko ane njodzi mukati memazuva.

Kana iwe uchifunga kumisa kurapwa nekuda kwemigumisiro kana zvinonetsa zvehupenyu, kurukura nyaya idzi nechikwata chako chekuchengetedza hutano kutanga. Vanogona kazhinji kugadzirisa chirongwa chako chekurapa kana kupa mhinduro dzekukubatsira kuenderera mberi ne dialysis zvakachengeteka uye zvakanaka.

Q5. Ndingafamba Ndiri Kushandisa Icodextrin Here?

Hongu, unogona kufamba uchishandisa icodextrin, asi zvinoda kuronga zvakanaka uye kubatana nechikwata chako chekuchengetedza hutano. Vanhu vazhinji vanofamba zvakabudirira kubasa, kushanya kwemhuri, kana mazororo vachichengetedza maitiro avo e peritoneal dialysis.

Nzvimbo yako ye dialysis inogona kubatsira kuronga kuti zvinhu zvitumirwe kunzvimbo yako kana kukubatanidza nenzvimbo dze dialysis munzvimbo yaunoshanyira. Iwe uchada kuronga mberi, kazhinji mavhiki akati wandei pamberi, kuti uve nechokwadi chekuti une zvese zvaunoda.

Funga kutanga nerwendo rwemapfupi pedyo nemusha kuti uvake chivimbo mukufamba nezvinhu zvako zve dialysis. Chikwata chako chehutano chinogona kukupa mazano ekufamba uye kukubatsira kugadzirira mamiriro akasiyana aunogona kusangana nawo uri kure nemusha.