Dialysis yeparitali

Dialysis yeperitoneal (per-ih-toe-NEE-ul die-AL-uh-sis) inzira yekubvisa zvinhu zvisina basa muropa. Iri mushonga wekukundikana kweitsvo, mamiriro ayo itsvo dzisingachagoni kuchenesa ropa zvakakwana. Panguva ye dialysis yeperitoneal, mvura yekuchenesa inoyerera kuburikidza nehwamanda kuenda kune chikamu chemudumbu, chinonziwo abdomen. Lining yemukati yemudumbu, inozivikanwa se peritoneum, inoshanda sechigadziriso uye inobvisa zvinhu zvisina basa muropa. Mushure menguva yakatarwa, mvura ine zvinhu zvisina basa zvakacheneswa inoyerera kubva mudumbu uye inoraswa.

Unoda dialysis kana itsvo dzako dzisingacha shandi zvakanaka. Kukuvadzwa kweitsvo kazhinji kunowedzera mumakore mazhinji nekuda kwezvinetso zvehutano zvakadai se: Chikosoro cheshuga. Kuwanda kweropa. Boka rezvirwere zvinonzi glomerulonephritis, izvo zvinokuvadza chikamu cheitsvo chinoyerera ropa. Zvirwere zvemagwenya, kusanganisira rimwe rinonzi polycystic kidney disease rinokonzera cysts dzakawanda kuumbwa muitsvo. Kushandisa mishonga inogona kukuvadza itsvo. Izvi zvinosanganisira kushandiswa kwakanyanya kana kwenguva refu kwezvinorwadza senge aspirin, ibuprofen (Advil, Motrin IB, nezvimwe) uye naproxen sodium (Aleve). Muhemodialysis, ropa rinobviswa mumuviri uye rinoyerera kuburikidza nemaoko. Wobva waratidza ropa racho kumudumbu. Iyi nzira kazhinji inoitirwa munzvimbo yekuchengetedza hutano, senge dialysis center kana chigejo. Dzimwe nguva, inogona kuitwa kumba. Marudzi ese e dialysis anogona kuyerera ropa. Asi zvakanakira peritoneal dialysis kana ichienzaniswa ne hemodialysis zvinosanganisira: Kuwedzera kuzvimiririra uye nguva yekushanda kwako kwezuva nezuva. Kazhinji, unogona kuita peritoneal dialysis kumba, kubasa kana chero kupi kune kuchena uye kuoma. Izvi zvinogona kuva nyore kana uine basa, kufamba kana kugara kure ne dialysis center. Kudya kwakaderera. Peritoneal dialysis inoitirwa nenzira yakaramba ichifamba kupfuura hemodialysis. Potassium shoma, sodium uye mvura inoungana mumuviri semhedzisiro. Izvi zvinokubvumira kuti uve nedhayeti yakasununguka kupfuura yaunogona kuita pa hemodialysis. Kuita kwenguva refu kweitsvo. Nekukundikana kweitsvo, itsvo dzinorasikirwa nechikamu chakakura chebasa radzo. Asi dzinogona kuchiita basa shoma kwenguva. Vanhu vanoshandisa peritoneal dialysis vangave nekuita kwemitsvo kwenguva yakareba kupfuura vanhu vanoshandisa hemodialysis. Hapana tsono mumutsinga. Usati watanga peritoneal dialysis, chubhu ye catheter inochengetwa mudumbu rako nekuvhiya. Mvura yekuchenesa dialysis inopinda uye inobuda mumuviri wako kuburikidza nechubhu iyi kana watanga kurapwa. Asi ne hemodialysis, tsono dzinofanira kuiswa mumutsinga pakutanga kwekurapa kuitira kuti ropa rigone kucheneswa kunze kwemuviri. Taura nechikwata chako chekuchengetedza nezve rudzi rwe dialysis rwakakodzera kwauri. Zvinhu zvekufunga nezvazvo zvinosanganisira: Kuita kweitsvo. Hutano hwese. Zvaunoda. Nzvimbo yekumba. Mararamiro. Peritoneal dialysis inogona kunge iri sarudzo iri nani kana iwe: Uine dambudziko rekugadzirisa zvinokonzerwa nezvinogona kuitika panguva ye hemodialysis. Izvi zvinosanganisira marwadzo emhasuru kana kudonha kwakapfupi kweropa. Unoda kurapwa kunoshoma kukanganisa basa rako rezuva nezuva. Unoda kushanda kana kufamba nyore. Une basa shoma reitsvo. Peritoneal dialysis ingashaye basa kana iwe uine: Makanda mudumbu rako kubva pakuvhiya yapfuura. Nzvimbo huru yemhasuru yakasimba mudumbu, inonzi hernia. Dambudziko rekuzvichengeta, kana kushayikwa kwekuchengetedza. Zvimwe zvinhu zvinokanganisa turakiti rekurima, senge inflammatory bowel disease kana zvirwere zvakawanda zve diverticulitis. Panguva iyoyo, zvinokwanisika kuti vanhu vanoshandisa peritoneal dialysis vachapera basa reitsvo rakakwana kuti vaone hemodialysis kana kupandikirwa kweitsvo.

Zvinetso zveperitoneal dialysis zvinogona kusanganisira: Kuvira. Kuvira kwekunze kwechidumbu kunonzi peritonitis. Iri dambudziko rinowanzoitika reperitoneal dialysis. Kuvira kunogona kutangawo panzvimbo yekuiswa kwe catheter yekutakura mvura yekuchenesa, inonzi dialysate, mukati nekunze kwedumbu. Njodzi yekuvira yakakura kana munhu anoita dialysis asina kudzidziswa zvakanaka. Kuderedza njodzi yekuvira, geza maoko ako neshampo nemvura inodziya usati wasangana ne catheter yako. Zuva rega rega, chenesa nzvimbo iyo chubhu inopinda mumuviri wako - bvunza chiremba wako kuti uchenesei. Chengeta catheter yakaoma kunze kwekunge uri kushambira. Uyewo, pfeka mask yekuvhiya pamhino nekanwa kwako paunenge uchibudisa uye uchizadza mvura yekuchenesa. Kuwedzera uremu. Dialysate ine shuga inonzi dextrose. Kana muviri wako ukatora imwe yemvura iyi, inogona kukonzera kuti utore mamwe macalorie mazana zuva nezuva, zvichikonzera kuwedzera uremu. Macalorie akawedzerwa anogona kukonzera shuga yakakwira yeropa, kunyanya kana uine chirwere cheshuga. Hernia. Kuve nemvura mumuviri kwenguva yakareba kunogona kukanganisa misumbu yedumbu. Kurapa kunova kusina kukwana. Peritoneal dialysis inogona kurega kushanda mushure memakore akati wandei. Ungada kuchinja kuenda ku hemodialysis. Kana uine peritoneal dialysis, unofanira kurega: Mishonga yakati wandei inogona kukuvadza itsvo, kusanganisira mishonga inorwisa kuzvimba. Kushambira mumabhati kana hot tub. Kana kushambira mudziva risina chlorine, gungwa, dziva kana rwizi. Izvi zvinowedzera njodzi yekuvira. Zvakanaka kugeza zuva nezuva. Zvakanakawo kushambira mudziva rine chlorine kana nzvimbo iyo catheter yako inobuda panzvimbo yako yepasi yakapora zvachose. Omesa nzvimbo iyi uye shandura kuita nguo dzakaoma mushure mekushambira.

Uchazoda kuvhiyiwa kuti mukwende uiswe munzvimbo yomudumbu mako, kazhinji pedyo nemboro. Mukwende ndiwo chubhu chinounza mvura yekuchenesa mukati nekunze kwemudumbu mako. Kuvhiyiwa kunoitirwa mushonga unokurinda kurwadziwa, unonzi anesthesia. Mushure mokunge chubhu chaiswa, mushandi wehutano wenyu angakurudzire kuti mire kwemavhiki maviri usati watanga kurapwa kwe peritoneal dialysis. Izvi zvinopa nguva yenzvimbo yemukwende kuti ipore. Muchagamuchirawo kudzidziswa maitiro ekushandisa michina ye peritoneal dialysis.

Panguva yeku dialisa peritoneal: Mvura yekuchenesa inonzi dialysate inoyerera mudumbu. Inoramba iripo kwenguva yakati, kazhinji maawa 4 kusvika ku6. Izvi zvinonzi dwell time. Chiremba wenyu ndiye anoona kuti ingaramba kwenguva yakareba sei. Shuga yeDextrose iri mudialysate inobatsira kubvisa tsvina, kemikari uye mvura yakawandisa iri muropa. Inobvisa izvi kubva ku ropa duku maduku ari muchikamu chemudumbu. Kana dwell time yapera, dialysate - pamwe chete nezvinhu zvakasvibiswa zvakatorwa muropa rako - inoyerera muhomwe yakachena. Maitiro ekudzaza uye wobva wadurura mudumbu rako anonzi exchange. Marudzi akasiyana e peritoneal dialysis ane maitiro akasiyana ekutsinhanisa. Marudzi maviri makuru ndeiyi: Continuous ambulatory peritoneal dialysis (CAPD). Continuous cycling peritoneal dialysis (CCPD).