Ukudluliswa Kwenyongo Evela Kumuphi Uphilayo

Ekufuthelweni kwinkophe evela kumuphilayo, inkophe ithathelwa umuntu ophilayo inikezwe othile odinga inkophe. Umuntu othola inkophe unezinso ezihlulekile futhi azisebenzi kahle. Isinso sinye kuphela esidingekayo ukuze ube nempilo enhle. Ngenxa yalesi sizathu, umuntu ophilayo anganikela ngesinso futhi aqhubeke ephila impilo enempilo. Ukufuthelwa kwesinso evela kumuphilayo kuyindlela ehlukile yokuthola isinso kumuntu ofile. Ihlobo, umngane noma ngisho nomuntu ongamazi anganikela ngesinso kumuntu ophazamisekile.

Abantu abane-End-Stage Kidney Disease (ESKD) banempumulo engasebenzi. Abantu abane-ESKD kudingeka basuswe ubuthi egazini ukuze baphile. Ubuthi bungasuswa ngomshini ngenqubo ebizwa ngokuthi i-dialysis. Noma umuntu angathola ukutshalwa kwempumulo. Kubantu abaningi abane-kidney disease ephambili noma ukwehluleka kwempumulo, ukutshalwa kwempumulo kuyindlela yokwelapha ekhethwayo. Uma kuqathaniswa nokuphila konke nge-dialysis, ukutshalwa kwempumulo kunikeza ingozi ephansi yokufa nezinketho zokudla eziningi kune-dialysis. Kunezinzuzo ezithile zokutshalwa kwempumulo evela kumnikelo ophilayo kunokutshalwa kwempumulo evela kumnikelo ofile. Izinzuzo zokutshalwa kwempumulo evela kumnikelo ophilayo zihlanganisa: Isikhathi sokulinda esifushane. Isikhathi esincane ohlwini lokuhlala oluzwezwe lungavimbela ukwehla kwempilo yomuntu odinga impumulo. Ukugwema i-dialysis uma ingaqalwanga. Amanani aphezulu okuphulukisa. Ukuhlinzwa kokutshalwa kungahlelwa kusengaphambili uma umnikelo evunyelwe. Ukuhlinzwa kokutshalwa akuhlelwe futhi kuyaphuthuma uma impumulo evela kumnikelo ofile itholakala.

Izingozi zokufakelwa kwinkimbinkimbi yesibindi esivela kumuphilayo zifana nezingozi zokufakelwa kwinkimbinkimbi yesibindi esivela kumuntu ofile. Ezinye zifana nezingozi zanoma iyiphi opharethini. Ezinye zihilela ukwenqatshwa komzimba komthamo kanye nemiphumela emibi yemithi evikela ukwenqatshwa komzimba. Izingozi zihlanganisa: Ubuhlungu. Ukutheleleka endaweni yesigaxa. Ukuphuza igazi. Amaqanda egazi. Ukwenqatshwa komzimba komthamo. Lokhu kuboniswa yitfuthu, ukukhathala, ukukhishwa okuncane kwesisu, nobuhlungu nokuhlunguluka eduze kwenkimbinkimbi entsha. Imiphumela emibi yemithi yokuvimbela ukwenqatshwa komzimba. Lezi zihlanganisa ukukhula kwezinwele, isikhumba, ukwanda kobunzima, umdlavuza kanye nokukhula kwenani lezingozi zokutheleleka.

Uma udokotela wakho ekukhuthaza ukufakelwa kwesibindi, uzokwamukelwa esikhungweni sokufakelwa. Ungakhetha isikhungo sokufakelwa wedwa noma ukhethe isikhungo ohlwini lwabahlinzeki abathandwayo lenkampani yakho yomshuwalense. Ngemva kokukhetha isikhungo sokufakelwa, uzohlolwa ukuze kubonwe ukuthi uyahlangabezana yini nezindinganiso zokufaneleka zesikhungo. Ukuhlolwa kungathatha izinsuku eziningi futhi kuhlanganisa: Ukuhlolwa komzimba okuphelele. Izivivinyo zezithombe, ezifana ne-X-ray, i-MRI noma i-CT scans. Izivivinyo zegazi. Ukuhlolwa komdlavuza. Ukuhlolwa kwengqondo. Ukuhlolwa kokusekelwa komphakathi nemali. Noma yiziphi ezinye izivivinyo eziqondene nomlando wakho wezempilo.

Ukutshalwa kwesibindi esiphilayo kuvame ukuhilela isinye esinikezwe umuntu omthandayo. Kungaba yilungu lomndeni, umngane noma umlingani. Amalungu omndeni ahlobene ngegazi ngokuvamile yibo abanikezeli besibindi esiphilayo abafanelekile kakhulu. Umniki wesibindi esiphilayo angaba yilowo ongamboni. Lokhu kubizwa ngokuthi umniki wesibindi esiphilayo ongaqondakali. Umniki esiphilayo ofuna ukukunika isinye uzohlolwa esikhungweni sokutshalwa kwezitho. Uma umuntu ehlanjululwe ukunikela, kuzwenziwa ukuhlolwa ukuze kubonwe ukuthi isinye salowo muntu lifanelekile yini kuwe. Ngokuvamile, uhlobo lwegazi nethishu yakho kufanele lufaneleke nomniki. Uma isinye somniki sifanelekile, ukuhlinzwa kwakho kokutshalwa kwezitho kuzokuhlelwa. Uma isinye somniki singafaneleki, kunezindlela eziningi. Ezimweni ezithile, iqembu lakho lokutshalwa kwezitho lingasebenzisa ukwelashwa kwezokwelapha ukusiza isimiso sakho sokuvikela umzimba silungele isinye esisha ngaphambi nangemva kokutshalwa kwezitho ukuze kunciphisa ingozi yokwenqatshwa. Enye indlela ukubamba iqhaza ekunikeleni okuhlanganisiwe. Umniki wakho anganika isinye omunye umuntu ofanelekile. Khona-ke uthola isinye esifanelekile kumniki walowo muntu. Lolu hlobo lokushintshana kuvame ukuhilela amaqembu amaningi kunamabili abanikazi nabamukeli, okuholela ekutheni abantu abaningi bathole isinye. Uma wena nomniki wakho nihlanjululwe ukuhlinzwa, iqembu lokutshalwa kwezitho lizokuhlela ukuhlinzwa kwakho kokutshalwa kwezitho. Bazobona futhi ukuthi usaphila kahle ngokujwayelekile futhi baqinisekise ukuthi isinye sifanelekile kuwe. Uma konke kubukeka kuhle, uzokulungiswa ukuhlinzwa. Phakathi nokuhlinzwa, isinye somniki sibekwa esiswini sakho esingezansi. Imithambo yegazi yesinye esisha ixhunyiwe emithambe yegazi engxenyeni engezansi yesisu sakho, nje ngaphezu kwenye yezinyawo zakho. Udokotela uhlanganisa futhi umthamo ovela esinyeni esisha ku-bladder yakho ukuvumela ukugeleza kwemchamo. Lo mthamo ubizwa ngokuthi i-ureter. Udokotela ngokuvamile ushiya izinkimbinkimbi zakho zendawo. Uzochitha izinsuku ezimbalwa kuya kwesonto esibhedlela. Iqembu lakho lokukhathalela impilo lizokucacisela imithi okufanele uyithathe. Bazokutshela futhi izinkinga okufanele uzibheke. Uma usuhambelane nomniki wesibindi esiphilayo, inqubo yokutshalwa kwesibindi izokuhlelwa kusengaphambili. Ukuhlinzwa kokunikela ngesibindi (ukususa isinye) nokutshalwa kwakho ngokuvamile kwenzeka ngosuku olufanayo.