Jesduvroq
UDaprodustat usethwe ekwelapheni ukushoda kwegazi okubangelwa yisifo sikidneyi esingapheli (CKD) kubantu abaye basebenzisa i-dialysis okungenani izinyanga ezingu-4. Lolu dokotela usebenza ngokwandisa i-erythropoietin (i-protein) ukusiza umzimba ukwenza amaseli egazi abomvu amaningi. Kusetshenziswa futhi ukunciphisa noma ukuvimba isidingo sokudlulisela igazi. Lolu dokotela lutholakala kuphela ngomyalo wodokotela wakho. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:
Uma kunqunywe ukusebenzisa imithi, kufanele kuqhathaniswe ingozi yokusebenzisa imithi nezinzuzo ezizolethwa yiyo. Lo ngumqondo owenzayo wena nodokotela wakho. Kule mithi, kufanele kucabangelwe okulandelayo: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluhlwempuzekile noma lokuphazamiseka okungokwe-alerji kule mithi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zokuphazamiseka okungokwe-alerji, njengokudla, izidakamizwa, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ukuhlola ubudlelwano phakathi nobudala nemiphumela ye-daprodustat kubantu abancane. Ukuphepha nokuphumelela akukaqiniswa. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingalinda ukusetshenziswa kwe-daprodustat kubantu abadala. Ayikho izifundo ezanele kubesifazane zokunquma ingozi yengane uma kusetshenziswa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokusebenzisa le mithi ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angafuna ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingadingeka. Uma usebenzisa le mithi, kubaluleke kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma usebenzisa noma iyiphi imithi ehlwini elingezansi. Ukusebenzisana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwako okungenzeka futhi akuyona yonke into. Akunconywa ukusebenzisa le mithi nanoma iyiphi imithi elandelayo. Udokotela wakho anganquma ukungakwelaphi ngale mithi noma ashintshe ezinye izidakamizwa ozithathayo. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile akunconywa, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili izidakamizwa. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi sokudla noma eduze kwesikhathi sokudla noma ukudla izinhlobo ezithile zokudla ngoba kungenzeka kube khona ukusebenzisana. Ukusebenzisa utshwala noma utshaba nezinye izidakamizwa kungabangela ukusebenzisana. Xoxa nochwepheshe bakho bezempilo ngokusetshenziswa kwemithi yakho ngokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale mithi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Thatha leli leyeza kuphela njengoba kunqunyiwe udokotela wakho. Ungathathi okuningi kwalokhu, ungathathi kaningi, futhi ungathathi isikhathi eside kunalokho udokotela wakho akuyalile. Ukwenza kanjalo kungandisa amathuba ezingozi ezihambisana naleli leyeza. Ungasebenzisi leli leyeza njengesikhombisi sokwelashwa okuphakathi kwesikhathi sokushoda kwegazi (isib. ukuthuthukiswa kwegazi). Leli leyeza liza neNcwadi Yokwelapha. Funda futhi ulandele lezi zinkomba ngokucophelela. Buza udokotela wakho uma unemibuzo. Gwinya ithebulethi yonke. Ungayi siki, ungayicwili, noma ungayikunye. Inani leli leyeza lizohluka kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esembolekweni. Ulwazi olulandelayo luhlanganisa kuphela amanani aphakathi aleli leyeza. Uma inani lakho lihlukile, ungalishintshi ngaphandle kokuthi udokotela wakho akuqondise ukuba wenze njalo. Inani leyeza olithathayo lixhomeke emandleni eleyeza. Futhi, inani lezinani olithathayo nsuku zonke, isikhathi esivunyelwe phakathi kwezinani, nobude besikhathi olithatha khona leli leyeza kuya ngenkinga yezokwelapha oyisebenzisela ngayo leli leyeza. Uma uphuthelwa yisilinganiso saleli leyeza, silithathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi sesilinganiso sakho esilandelayo, susa isilinganiso esiphuthelwe bese ubuyela esimweni sakho sokuthatha isilinganiso. Ungawandisi amanani. Gcina leli leyeza esitsheni esivalekile ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okuqondile. Gcina ungawagqabi. Gcina ungafinyeleleki kubantwana. Ungagcini leyeza eliphelile noma leyeza elingasadingeki. Buza ochwepheshe bakho bezempilo ukuthi kufanele ulahle kanjani noma yiliphi leyeza olungasetshenziswanga.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.