Yini i-Icodextrin: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Icodextrin uhlobo olukhethekile lwesixazululo se-dialysis esisetshenziselwa i-peritoneal dialysis, ukwelashwa okusiza izinso zakho ukuthi zihluze imfucuza kanye noketshezi oluningi egazini lakho. Lesi sixazululo se-glucose polymer sisebenza ngendlela ehlukile kunoketshezi lwe-dialysis olusekelwe kushukela oluvamile, lunikeza ukususwa koketshezi oluhlala isikhathi eside olungaba usizo ikakhulukazi kubantu abadinga ukwesekwa okwengeziwe izinso zabo.

Uma wena noma othile omkhathalelayo eqala i-peritoneal dialysis, ukuqonda ukuthi i-icodextrin isebenza kanjani kungakusiza ukuthi uzizwe unethemba elikhulu ngalokhu kwelashwa okubalulekile. Ake sihambe kukho konke okudingeka ukwazi ngale mithi ngamagama alula, acacile.

Yini i-Icodextrin?

I-Icodextrin iyimolekyuli enkulu kashukela (i-glucose polymer) eyenzelwe ngokukhethekile i-peritoneal dialysis. Ngokungafani noshukela ovamile wethebula noma i-glucose, i-icodextrin yenziwe ngamayunithi kashukela amaningi axhunyiwe asebenza ndawonye ukuze akhiphe kancane uketshezi oluningi emzimbeni wakho isikhathi eside.

Cabanga ngayo njengomsizi omnene, osebenza isikhathi eside osebenza ngaphakathi esiswini sakho ukuze asuse uketshezi nemikhiqizo yemfucuza izinso ezinempilo ezingayihluza ngokujwayelekile. Umuthi uza njengesixazululo esicacile, esingenazinzwa esifakwa emgodini wakho we-peritoneal ngesikhathi se-catheter ekhethekile.

Lesi sixazululo sibaluleke kakhulu ngoba singasebenza ngempumelelo amahora angu-12 kuya kwangu-16, okwenza silungele izikhathi ze-dialysis zasebusuku lapho ulele. Ithimba lakho lezempilo lizinquma ukuthi ngabe i-icodextrin ilungile yini ezidingweni zakho ezithile ze-dialysis.

Yini i-Icodextrin Esizenzelwa Yona?

I-Icodextrin isetshenziswa ikakhulukazi ku-continuous ambulatory peritoneal dialysis (CAPD) kanye ne-automated peritoneal dialysis (APD) kubantu abahlushwa ukwehluleka kwezinso. Yenzelwe ngqo ukushintshana okuhlala isikhathi eside, ngokuvamile ukuhlala ebusuku ku-APD noma ukuhlala emini okude ku-CAPD.

Udktela wakho angase ancome i-icodextrin uma uhlangabezana nokususwa okunganele koketshezi ngezixazululo ezijwayelekile ze-dialysis ezisekelwe ku-glucose. Abanye abantu bakhula ukubekezelela izixazululo ze-glucose ngokuhamba kwesikhathi, futhi i-icodextrin inganikeza enye indlela esebenzayo yokugcina ibhalansi efanele yamanzi.

Umuthi futhi uyasiza kubantu abanezici zokuthutha eziphezulu, okusho ukuthi i-peritoneal membrane yabo imunca i-glucose ngokushesha. Ezimweni ezinjalo, izakhiwo ze-icodextrin ezisebenza isikhathi eside zingahlinzeka ngokususa okungaguquki ketshezi usuku lonke noma ebusuku.

Isebenza Kanjani I-Icodextrin?

I-Icodextrin isebenza ngenqubo ebizwa nge-osmosis, kodwa ngendlela enobumnene, eqhubekayo kunezixazululo ezijwayelekile ze-glucose. Ama-molecule amakhulu e-icodextrin adala amandla okuqeda aqinile adonsa kancane uketshezi oluningi oluvela emithanjeni yakho yegazi lungene emgodini wakho we-peritoneal, lapho lungakhishwa khona.

Ngokungafani ne-glucose, emuncwa ngokushesha ngumzimba wakho, ama-molecule e-icodextrin makhulu kakhulu ukuthi angamuncwa ngokushesha. Lokhu kusho ukuthi ahlala emgodini wakho we-peritoneal isikhathi eside, enikeza ukususwa okuqhubekayo koketshezi amahora angafika kwangu-16.

Umuthi ubhekwa njengesixazululo se-dialysis esinamandla amaphakathi. Akunamandla njengezixazululo ze-glucose ezinokugxila okuphezulu, kodwa isebenza kahle kunezixazululo ezinokugxila okuphansi ekususeni uketshezi isikhathi eside. Lokhu kuyenza ifaneleke ikakhulukazi kubantu abadinga ukusekelwa kwe-dialysis okuqhubekayo, okungaguquki.

Kufanele Ngiyithathe Kanjani I-Icodextrin?

I-Icodextrin inikezwa nge-catheter yakho ye-peritoneal dialysis, ayithathwa ngomlomo. Isixazululo kufanele sifudunyezwe liye ezingeni lokushisa lomzimba ngaphambi kokusetshenziswa, okuyinto ithimba lakho lezempilo elizokufundisa ukuthi ungalenza kanjani ngokuphepha ekhaya.

Ngaphambi kokushintshana ngakunye, uzodinga ukugeza izandla zakho kahle futhi ulungiselele izinto zakho endaweni ehlanzekile. Isixazululo se-icodextrin siza emasakeni ahlanzekile axhumeka ngqo ohlelweni lwakho lwe-catheter ngamashubhu akhethekile.

Abantu abaningi basebenzisa i-icodextrin isikhathi eside sokuhlala kwabo, ngokuvamile ebusuku kubantu abane-APD noma emini kubantu abane-CAPD. Unesi wakho we-dialysis uzokunikeza ukuqeqeshwa okuningiliziwe ngobuchwepheshe obufanele, okuhlanganisa nendlela yokuhlola noma yiziphi izimpawu zokungcola noma izinkinga ngesisombululo.

Njalo landela isimiso sakho esinqunyiwe ngqo, ngisho noma uzizwa kahle. I-dialysis eqhubekayo ibalulekile empilweni yakho, futhi ukweqa noma ukubambezela ukwelashwa kungaholela ekwakhekeni okuyingozi koketshezi kanye nokuqongelela ubuthi.

Ngingayithatha isikhathi esingakanani i-Icodextrin?

Ngokuvamile uzosebenzisa i-icodextrin isikhathi eside njengoba udinga i-peritoneal dialysis, okungaba izinyanga kuya eminyakeni kuye ngesimo sezinso zakho kanye nohlelo lokwelashwa. Abanye abantu bayayisebenzisa okwesikhashana ngenkathi belinde ukufakelwa izinso, kanti abanye bangayisebenzisa njengenketho yokwelashwa yesikhathi eside.

Udokotela wakho uzohlola njalo ukuthi i-icodextrin isebenza kahle kangakanani kuwe ngokuhlolwa kwegazi nokuhlola ukususwa kwakho koketshezi. Bazohlola ukusebenza kwezinso zakho, ukulinganisela koketshezi, nempilo yakho yonke ukuze banqume ukuthi ngabe kudingeka yini izinguquko ohlelweni lwakho lokwelashwa.

Ubude bokwelashwa buqinisile buxhomeke esimweni sakho somuntu ngamunye. Uma uthola ukufakelwa izinso, uzokwazi ukuyeka i-dialysis ngokuphelele. Uma ukusebenza kwezinso zakho kuthuthuka kakhulu, udokotela wakho anganciphisa imvamisa yokwelashwa noma ashintshele kwenye indlela.

Yiziphi Imiphumela Eceleni ye-Icodextrin?

Abantu abaningi bayayibekezelela kahle i-icodextrin, kodwa njenganoma imuphi umuthi, ingabangela imiphumela emibi. Ukuqonda ukuthi yini ongayilindela kungakusiza ukuthi uzizwe ulungiseleleke kakhulu futhi wazi ukuthi ungaxhumana nini nethimba lakho lezempilo.

Ake siqale ngemiphumela emibi ejwayelekile ongase uyithole. Lezi ngokuvamile ziyaqondakala futhi zivame ukuthuthuka njengoba umzimba wakho ujwayela ukwelashwa:

• Ukuqaqamba okuncane kwesisu noma ukuqunjelwa ngesikhathi sokufakwa kokuqala
• Ushintsho lwesikhashana emazingeni kashukela egazini
• Ukwanda kwesisindo esincane ngenxa yokugcinwa kwamanzi
• Ukuvuvukala kwesikhumba okuncane endaweni ye-catheter
• Isicanucanu ngezikhathi ezithile noma ukuphazamiseka kokugaya ukudla
• Ukukhathala noma ukuzizwa ukhathele ngemva kokwelashwa

Le miphumela evamile ivamise ukuzinza njengoba ujwayela inqubo yokwelashwa. Ithimba lakho lezempilo linganikeza amasu okunciphisa ukungakhululeki futhi likusize uzizwe ukhululekile ngesikhathi sokuhlanza izinso.

Manje, ake sixoxe ngemiphumela engavamile kodwa ebucayi kakhulu edinga ukunakekelwa kwezempilo ngokushesha. Nakuba lokhu kungavamile, kubalulekile ukwazi ukuthi yini okufanele uyibheke:

• Izimpawu ze-peritonitis (ukutheleleka komgodi we-peritoneal): umkhuhlane, ubuhlungu obukhulu besisu, uketshezi lokuhlanza izinso olunamafu
• Ukuphendula okukhulu komzimba: ubunzima bokuphefumula, ukuvuvukala kobuso noma umphimbo, ukuqubuka okubanzi
• Ukugcwala okukhulu koketshezi: ukuvuvukala okukhulu, ukuphefumula kanzima, ubuhlungu besifuba
• Izinkinga ezihlobene ne-catheter: ubuhlungu, ububomvu, ukukhipha, noma ukungasebenzi kahle
• Ukungalingani okukhulu kwe-electrolyte: imisipha eqinile, ukushaya kwenhliziyo okungajwayelekile, ukudideka
• Ukuphuma kwegazi okungavamile noma ukuqina

Uma uhlangabezana nanoma yimiphi yale miphumela emibi, xhumana nesikhungo sakho sokuhlanza izinso noma funa ukunakekelwa kwezempilo ngokushesha. Ukungenelela ngokushesha kungavimbela izinkinga futhi kuqinisekise ukuphepha kwakho.

Ubani Ongafanele Athathe Icodextrin?

Icodextrin ayifanele wonke umuntu, futhi udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinika. Ezinye izimo noma izimo zingenza lo muthi ungafaneleki noma uyingozi kuwe.

Nazi izizathu eziyinhloko zokuthi kungani udokotela wakho engase akhethe enye indlela yokuhlanza izinso esikhundleni se-icodextrin:

• Ukungezwani okwaziwayo ne-icodextrin noma yiziphi izithako ezikuxazululweni
• Ukwehluleka kwenhliziyo okukhulu okwenza ukuphathwa kwamanzi kube yinselele
• Ukuhlinzwa kwesisu okusebenzayo noma kwakamuva okungakalulami ngokugcwele
• Isifo samathumbu esivuvukalayo esibi noma ezinye izimo ezingathi sína zesisu
• Ukunamathela okukhulu noma izicubu ezinamanxeba esiswini
• Ezinye izinhlobo zomdlavuza ezithinta isisu
• Ukungondleki okukhulu noma ukuntula amaprotheni

Ithimba lakho lezempilo lizobuye licabangele isimo sakho sempilo esiphelele, okuhlanganisa ukusebenza kwenhliziyo yakho, impilo yesibindi, nanoma yiziphi ezinye izimo ezingapheli ongase ube nazo. Bafuna ukuqinisekisa ukuthi i-icodextrin izoba kokubili iphephile futhi isebenza ngempumelelo esimweni sakho esithile.

Amagama Omkhiqizo we-Icodextrin

I-Icodextrin itholakala ngaphansi kwamagama amaningana omkhiqizo, i-Extraneal iyona engajwayelekile ukunqunywa emazweni amaningi. Lo mkhiqizo ukhiqizwa yi-Baxter Healthcare futhi utholakala kabanzi emazingeni e-dialysis.

Amanye amagama omkhiqizo angabandakanya i-Adept kwezinye izifunda, nakuba lokhu kuvame ukusetshenziselwa ezinye izinjongo zezokwelapha. Isikhungo sakho se-dialysis sizosebenza nabahlinzeki abathile futhi singasebenzisa amagama omkhiqizo ahlukene kuye ngamakhontrakthi abo nokutholakala kwawo.

Kungakhathaliseki igama lomkhiqizo, zonke izixazululo ze-icodextrin ziqukethe isithako esifanayo esisebenzayo futhi zisebenza ngendlela efanayo. Ithimba lakho lezempilo lizoqinisekisa ukuthi uthola ukugxila okufanele kanye nevolumu yemiyalelo yakho ethile ye-dialysis.

Ezinye izindlela ze-Icodextrin

Ezinye izindlela ze-icodextrin ziyatholakala uma lo muthi ungakulungele noma uma uhlangabezana nemiphumela emibi. Ezinye izindlela ezivamile yizixazululo ze-peritoneal dialysis ezisekelwe ku-glucose emazingeni ahlukahlukene.

Izixazululo ze-glucose ezinomthamo ophansi (1.5%) zithambile kodwa zinikeza ukususwa okuncane kwamanzi, okwenza zifanele abantu abanomsebenzi omuhle wamanye amaphaphu. Izixazululo ezinomthamo ophakathi (2.5%) zinikeza ukususwa okulinganiselwe kwamanzi futhi zivame ukusetshenziselwa ukushintshana okujwayelekile.

Izixazululo ze-glucose ezinomthamo ophezulu (4.25%) zinikeza ukususwa okukhulu kwamanzi kodwa kungaba nzima emshinini wakho we-peritoneal ngokuhamba kwesikhathi. Kukhona futhi izixazululo ezisekelwe ku-amino acid ezinganikeza umsoco ngenkathi kwenziwa i-dialysis, nakuba lezi zisetshenziswa kaningi.

Udokotela wakho uzokusiza ukuthi unqume ukuthi yikuphi ukuhlanganiswa kwezixazululo okusebenza kahle kakhulu ngezidingo zakho, futhi lokhu kungashintsha ngokuhamba kwesikhathi njengoba isimo sakho sithuthuka.

Ingabe i-Icodextrin Ingcono Kunezixazululo Ze-Glucose Ezijwayelekile?

I-Icodextrin akudingeki ukuthi ingcono kunezixazululo ze-glucose, kodwa inikeza izinzuzo ezihlukene ezenza ibaluleke ezimweni ezithile. Ukukhetha kuncike ezidingweni zakho, ukuthi usunesikhathi esingakanani ku-dialysis, nokuthi umzimba wakho usabela kanjani ezixazululweni ezihlukene.

Inzuzo enkulu ye-Icodextrin ikhono layo lokunikeza ukususwa kwamanzi okuqhubekayo emahoreni angu-12-16 ngaphandle kokumuncwa ngokushesha njenge-glucose. Lokhu kuyenza ibe usizo ikakhulukazi ezikhathini ezinde zokuhlala kanye nakubantu abaye bangasabela kahle ezixazululweni ze-glucose ngokuhamba kwesikhathi.

Nokho, izixazululo ze-glucose zinezinzuzo zazo. Zivame ukonga izindleko, zisetshenziswe isikhathi eside ngamaphrofayili okuphepha asungulwe kahle, futhi zingahlinzeka ngokususa okusheshayo kwamanzi uma kudingeka. Abantu abaningi benza kahle kakhulu ngezixazululo ze-glucose kuphela.

Indlela engcono kakhulu ivame ukubandakanya ukusebenzisa zombili izinhlobo zezixazululo ngendlela enamasu. Ithimba lakho lokunakekelwa kwezempilo lizokusiza ukuthi uthole inhlanganisela efanele ngokusekelwe ezidingweni zakho zokususa uketshezi, indlela yokuphila, nokuthi umzimba wakho usabela kanjani ekwelashweni.

Imibuzo Evame Ukubuzwa Mayelana ne-Icodextrin

Umbuzo 1. Ingabe i-Icodextrin iphephile kubantu abanesifo sikashukela?

Yebo, i-icodextrin ngokuvamile iphephile kubantu abanesifo sikashukela futhi ingase ibe ngcono kwezinye izimo. Ngokungafani nezixazululo ze-glucose, i-icodextrin ayikhuphuli kakhulu amazinga kashukela egazini ngoba ithathwa kancane kakhulu ngumzimba wakho.

Noma kunjalo, usazodinga ukuqapha ushukela wakho wegazi ngokucophelela, ikakhulukazi lapho uqala i-icodextrin noma ushintsha inqubo yakho ye-dialysis. Abanye abantu abanesifo sikashukela bathola ukuthi ukulawulwa kukashukela kwabo egazini kuyathuthuka lapho besebenzisa i-icodextrin ekuhlaliseni isikhathi eside esikhundleni sezixazululo ze-glucose ezinokugxila okuphezulu.

Uhlelo lwakho lokuphatha isifo sikashukela lungase ludinge ukulungiswa lapho uqala i-peritoneal dialysis nge-icodextrin. Sebenza ngokubambisana nethimba lakho le-dialysis kanye nomhlinzeki wakho wokunakekelwa kwesifo sikashukela ukuze uqinisekise ukulawulwa okungcono kakhulu kukashukela egazini ngaso sonke isikhathi sokwelashwa kwakho.

Q2. Kufanele Ngenzeni Uma Ngisebenzisa I-Icodextrin Eningi Ngengozi?

Uma ngengozi ufaka i-icodextrin eningi kunaleyo ebekiwe, ungangeni ekuqhumeni, kodwa xhumana nesikhungo sakho se-dialysis ngokushesha ukuze uthole isiqondiso. Ukusebenzisa isixazululo esiningi kakhulu kungaholela ekususweni okukhulu koketshezi, okungase kubangele ukwehla kwegazi, isiyezi, noma ukuqaqamba.

Ziqaphelele izimpawu zokuphelelwa amanzi emzimbeni njengokuthi isiyezi, ukushaya kwenhliziyo okusheshayo, noma ukuzizwa udidekile. Uma uhlangabezana nezimpawu ezinzima, funa ukunakekelwa kwezempilo eziphuthumayo ngokushesha. Ithimba lakho lokunakekelwa kwezempilo lingahlola ukuthi ngabe udinga uketshezi olwengeziwe noma ezinye izindlela zokungenelela.

Ukuvimbela ukweqisa ngengozi, hlola kabili ivolumu yakho ebekiwe ngaphambi kokuqala ukushintshana ngakunye. Gcina ilogi yokwelashwa futhi ulandele uhlelo lwakho lwe-dialysis njengoba nje kubekiwe yithimba lakho lokunakekelwa kwezempilo.

Q3. Kufanele Ngenzeni Uma Ngiphuthelwa Umthamo We-Icodextrin?

Uma uphuthelwa ukushintshana kwe-icodextrin, xhumana nesikhungo sakho se-dialysis ngokushesha ngangokunokwenzeka ukuze uthole isiqondiso esithile. Ukuphuthelwa ukwelashwa kungaholela ekwakhekeni koketshezi kanye nokuqongelela ubuthi, okungaba yingozi uma kwenzeka ngokuphindaphindiwe.

Ungaphindi uphinde umthamo wakho olandelayo ukuze ubuyisele lowo owaphuthelwa. Kunalokho, landela imiyalelo yeqembu lakho lokunakekelwa kwezempilo, okungase kuhlanganise ukulungisa isimiso sakho noma ukusebenzisa enye indlela yesikhashana ukuze ugcine ukwanela kwakho kwe-dialysis.

Zama ukubuyela esimisweni sakho esivamile ngokushesha okukhulu. Uma uvame ukuphuthelwa ukwelashwa ngenxa yezinselelo zokuphila, xoxa ngalokhu neqembu lakho lokunakekelwa kwezempilo. Bangase bakwazi ukulungisa isimiso sakho noma baphakamise amasu okukusiza ukuthi ugcine ukwelashwa okuqhubekayo.

Q4. Ngingayeka nini ukuthatha i-Icodextrin?

Ungayeka ukusebenzisa i-icodextrin lapho udokotela wakho enquma ukuthi awusadingi i-peritoneal dialysis. Lokhu kungenzeka uma uthola ukufakelwa izinso, uma ukusebenza kwezinso zakho kuthuthuka kakhulu, noma uma ushintshela kwenye indlela ye-dialysis.

Ungalokothi uyeke ukusebenzisa i-icodextrin ngokwakho, ngisho noma uzizwa kahle. Umzimba wakho uthembele ku-dialysis ejwayelekile ukuze ususe imikhiqizo yemfucuza kanye noketshezi oluningi. Ukuyeka ukwelashwa ngaphandle kokugadwa kwezokwelapha kungaholela ezinkingeni eziyingozi ezinsukwini ezimbalwa.

Uma ucabangela ukuyeka ukwelashwa ngenxa yemiphumela emibi noma izinkinga zokuphila, xoxa ngalezi zinkinga neqembu lakho lokunakekelwa kwezempilo kuqala. Bavame ukulungisa uhlelo lwakho lokwelashwa noma banikeze izixazululo zokukusiza ukuthi uqhubeke ne-dialysis ngokuphepha nangokunethezeka.

Q5. Ngingahamba yini ngenkathi ngisebenzisa i-Icodextrin?

Yebo, ungahamba ngenkathi usebenzisa i-icodextrin, kodwa kudinga ukuhlela ngokucophelela nokuxhumana neqembu lakho lokunakekelwa kwezempilo. Abantu abaningi bahamba ngempumelelo emsebenzini, ukuvakashela umndeni, noma amaholide ngenkathi begcina isimiso sabo se-peritoneal dialysis.

Isikhungo sakho se-dialysis singasiza ukuhlela ukuthi izimpahla zithunyelwe lapho uya khona noma sikuxhumanise nezikhungo ze-dialysis endaweni ovakashela kuyo. Kuzodingeka ukuthi uhlele kusengaphambili, ngokuvamile emasontweni ambalwa ngaphambi kwesikhathi, ukuze uqinisekise ukuthi unakho konke okudingayo.

Cabanga ukuqala ngohambo olufushane eduze kwasekhaya ukuze wakhe ukuzethemba ekuhambeni nezinto zakho zokuhlanza izinso. Ithimba lakho lokunakekelwa kwezempilo lingakunikeza amathiphu okuhamba futhi likusize ukuthi ulungiselele izimo ezahlukene ongahlangabezana nazo ngenkathi ungekho ekhaya.