Zomwe ndakumana nazo ndi peritoneal dialysis
Peritoneal dialysis ndi njira yofunikira pochiza kulephera kwa impso.
Mayi Sarah, yemwe akudwala matendawa, adalowererapo kuti afotokoze zomwe adakumana nazo polandira chithandizo komanso zabwino zomwe adaziwona.
Mayi Sarah ali ndi zaka 37 ndipo akhala akudwala matenda a impso kwa zaka zisanu ndi ziwiri.
Anafunikira chithandizo cha peritoneal dialysis mwachangu kuti ayeretse thupi lake ku poizoni ndi zinyalala zomwe impso sizikanatha kuzisefa mwachilengedwe.
M’chaka chathachi, Mayi Sarah anayamba kulandira chithandizo cha peritoneal aimpso katatu pamlungu kwa maola anayi pagawo lililonse.
Mayi Sarah akuti akumva bwino kwambiri kuyambira pomwe adayamba kulandira chithandizo.
Chifukwa cha njirayi, adatha kuthetsa poizoni ndi zowonongeka, ndipo mphamvu zake ndi umoyo wake unakula.
Ubwino wina wodziŵika kwambiri umene Mayi Sarah anaona pa chithandizochi ndi kusintha kwa thupi ndi maganizo ake.
Kuphatikiza apo, kuchita masewera olimbitsa thupi pafupipafupi kunathandiza kuti impso ziyambenso kugwira ntchito bwino, kutulutsa mkodzo bwino, ndiponso kuchepetsa kuthamanga kwa magazi.
Kuphatikiza apo, peritoneal dialysis ndiyosavuta kupereka komanso yotetezeka kwa odwala.
Sizimafuna khama lalikulu kapena maphunziro ochuluka.
Kwa Mayi Sarah, ulendo wamankhwala unayamba ndi zinthu zochepa zochapa zovala zachipatala, zomwe zinakhala zosavuta komanso zowonjezereka pakapita nthawi.
Zimene Mayi Sarah anakumana nazo ndi chitsanzo chabwino cha ubwino wa peritoneal dialysis pochiza matenda a impso.
Chifukwa cha chithandizochi, Sarah adapezanso moyo wabwino ndipo adatha kuthana ndi matendawa bwino.
Mwanjira imeneyi, amatha kusangalala ndi moyo wake wonse ndikuchita nawo zochitika zachizolowezi komanso zosangalatsa.
Pamapeto pake, mbiri ya Mayi Sarah imasonyeza kuti peritoneal dialysis ndi chida champhamvu pochiza matenda aakulu a aimpso.
Tikukhulupirira kuti nkhani yake idzalimbikitsa anthu omwe akudwala matendawa kuti apeze chithandizo choyenera chomwe chingasinthe moyo wawo.
Kodi munthu amakhala nthawi yayitali bwanji pa peritoneal dialysis?
Peritoneal dialysis ndi mtundu wa dialysis womwe umagwiritsidwa ntchito ngati impso zikulephera kugwira ntchito zake moyenera.
Panthawi imeneyi, impso zimatchedwa dialyzed pogwiritsa ntchito nembanemba ya peritoneal yomwe imayikidwa pamimba.
Zinyalala ndi madzi owonjezera amatengedwa m'magazi kudzera mu nembanemba ndipo magazi amasefedwa ndikubwereranso mthupi.
Ndikofunikira kudziwa kuti zaka zambiri za munthu pa peritoneal dialysis ndi ziti? Izi zimadalira zinthu zingapo, kuphatikizapo thanzi la munthuyo ndi kukhalapo kwa zovuta zina za thanzi.
Komabe, munthu akhoza kukhala ndi moyo kwa nthawi yaitali pa peritoneal dialysis ngati alandira chisamaliro choyenera ndikutsatira moyo wathanzi.
M'malo mwake, pali anthu omwe amapulumuka pa peritoneal dialysis kwa zaka 20, zomwe zimawalola kupitiliza kukhala ndi moyo wabwinobwino.
Komabe, peritoneal dialysis ikhoza kukhala njira yodetsa nkhawa kwa munthuyo ndipo ingafunike kusintha kwa zakudya komanso moyo watsiku ndi tsiku.
Ndikofunikira kuti munthuyo adzipereke kutsatira ndondomeko yawo ya dialysis ya peritoneal ndi kumwa mankhwala omwe apatsidwa.
Ngati mukudwala matenda a impso ndipo mukufunikira dialysis, ndikofunikira kukaonana ndi dokotala kuti awone ngati peritoneal dialysis ndiyo njira yoyenera kwa inu komanso thanzi lanu.
Gulu lachipatala likhoza kukupatsani zambiri ndi chitsogozo cha momwe mungachitire izi ndikusintha moyo wanu pa peritoneal dialysis.
Kodi pali peritoneal dialysis ku Egypt?
Ku Egypt, peritoneal dialysis imapezeka ngati njira imodzi yochizira matenda a impso.
Dr. Mohamed Ghoneim, yemwe ndi mpainiya woyambitsa impso ku Egypt, adatsimikizira kuti peritoneal dialysis si njira yatsopano, koma imapezeka kudzera m'zipatala zingapo m'dzikoli, monga Arab Contractors Center ndi Abu Al-Futouh Medical. Pakati.
Dongosololi lalandiridwa bwino kwambiri chifukwa chosavuta kukhazikitsa komanso kuchita bwino pakuyeretsa magazi komanso kuchiza matenda a impso.
M'mawu apadera ku "Tsiku lachisanu ndi chiwiri," Dr. Dina Abdel Latif adalongosola kuti peritoneal dialysis imachitika kudzera pamimba, ndipo ndi njira yotetezeka ya dialysis yachikhalidwe kudzera mu impso.
Amachepetsa zovuta zomwe zingabwere kuchokera ku dialysis yachikhalidwe, monga kudzikundikira kwa poizoni m'thupi ndi kusintha kwa peritoneum.
Anatsindikanso kuti peritoneal dialysis imatha kuchitidwa mosavuta ndipo ndi yoyenera kwa mibadwo yonse popanda kuyika singano zowawa za dialysis.
Kuphatikiza apo, ziyenera kudziwidwa kuti pali mitundu yosiyanasiyana ya dialysis ya peritoneal yomwe ikupezeka ku Egypt, monga intermittent dialysis (IPD), continuous ambulatory dialysis (CADD), ndi continuous rotary dialysis (CCPD).
Mitundu yosiyanasiyana ya peritoneal dialysis imagwiritsidwa ntchito pochiza kulephera kwa impso zosiyanasiyana ndikusefa magazi moyenera.
Kodi wodwala matenda a impso akodza?
Inde, wodwala impso akhoza kukodza.
Odwala ena amatha kukodza mkodzo wambiri, pamene mkodzo umasiyana nthawi zina malinga ndi zovuta komanso mtundu wa kukodza.
Odwala amathanso kumva mkodzo wokhala ndi magazi kapena kumva kuwawa kapena kutentha akamakodza.
Pakhoza kukhala kuchepa kwa kupanga mkodzo kapena zizindikiro zina zosonyeza kulephera kwa impso.
Kulephera kwa impso kumagawidwa m'mitundu iwiri: oliguria kapena kukodza pafupipafupi.
Mu oliguria, odwala amakodza madzi osakwanira kuti achotse poizoni.
Kuchuluka kwa kukodza kumatha kuchepa kapena sipangakhalenso kukodza konse.
Ndikoyenera kudziwa kuti palibe chithandizo cha matenda a impso, koma ndi chithandizo choyenera, odwala akhoza kukhala ndi moyo wautali.
Madokotala nthawi zina amagwiritsa ntchito dialysis kwa odwala omwe ali ndi matenda a impso.
Kulephera kwa impso kumaphatikizapo zizindikiro monga kukodza usiku, kutopa, nseru, ndi kuyabwa.
Kuphatikiza apo, thanzi la impso limatha kudziwika ndi kukodza.
Mtundu ndi zovuta kapena kumasuka pokodza zitha kuwoneka.
Pankhani ya kulephera kwa impso, odwala ena angafunikire kuchita khama pokodza.
Kodi dialysis imafuna anesthesia?
Nthawi zambiri, dialysis imafuna kuti wodwalayo agonekedwe.
Njira yotsuka imachitidwa pansi pa anesthesia wamba, womwe ndi mtundu wa anesthesia womwe umagwiritsidwa ntchito kuletsa gawo linalake la thupi.
Opaleshoni ya m'deralo imachititsa dzanzi malo omwe catheter idzayikidwa kapena opaleshoni yaying'ono ya impso.
Opaleshoni yochotsa mtsempha wa aimpso kapena kupatsirana kwatsopano kwa impso nthawi zambiri imagwiritsidwa ntchito pansi pa anesthesia wamba, womwe ndi mtundu wa anesthesia womwe umapangitsa wodwalayo kugona tulo tofa nato ndipo sadzuka panthawi ya opaleshoni.
Ngati muli ndi vuto la impso ndipo mukufunikira dialysis nthawi zonse, anesthesia yam'deralo idzagwiritsidwa ntchito pamene catheter kapena zipangizo zina za dialysis zimayikidwa.
Anesthesia amagwiritsidwa ntchito pochita izi pofuna kuonetsetsa kuti wodwalayo sakumva ululu panthawi ya ndondomekoyi.
Odwala omwe akudwala peritoneal dialysis kunyumba angafunikire kulowetsa catheter kudzera pa khoma la m'mimba kulowa m'mimba.
Pamene catheter imayikidwa, anesthesia ya m'deralo imayikidwa kuti iwononge malo ndikuchepetsa ululu uliwonse kapena kusamva bwino.
Izi zimathandiza wodwala kuchita magawo oyeretsera bwino komanso mosamala.
Nthawi zambiri, njira za dialysis zimagwiritsa ntchito opaleshoni yam'deralo kuti athetse ululu ndi kusapeza kulikonse panthawi ya ndondomekoyi.
Cholinga chachikulu cha anesthesia ndikuwonetsetsa chitonthozo ndi chitetezo cha wodwalayo panthawi yonse ya chithandizo.
Kusiyana pakati pa peritoneal ndi hemodialysis
Pali kusiyana kwakukulu pakati pa peritoneal dialysis ndi hemodialysis.
Mu peritoneal dialysis, poizoni amachotsedwa m'magazi mwa kuyamwa madzi kuchokera m'magazi kudzera pamimba ya m'mimba yotchedwa peritoneum.
Pamene ali mu hemodialysis, magazi enieniwo amatengedwa ndi kuyeretsedwa kunja kwa thupi.
Kusiyana kwina ndikwakuti peritoneal dialysis imachitidwa ndi wodwala kunyumba tsiku lililonse, pomwe hemodialysis imafuna kuti wodwalayo abwere kuchipatala kuti adzachite.
Izi zikutanthauza kuti kuwunika pafupipafupi komanso chizolowezi chomwe hemodialysis imafuna ndizovuta komanso zimatenga nthawi.
Komanso, kuchuluka kwa magawo ochapira omwe amafunikira akhoza kusiyana pakati pa njira.
Peritoneal dialysis nthawi zambiri imatenga nthawi yayitali komanso mosalekeza, pomwe hemodialysis imafuna kupita kuchipatala pafupipafupi kwa maola angapo.
Kuphatikiza apo, peritoneal dialysis imagwira ntchito kwambiri kwa odwala omwe ali ndi zovuta zina zomwe zimawalepheretsa kupita kuchipatala pafupipafupi.
Kwa anthu omwe ali ndi vuto la clotting kapena contraindications, peritoneal dialysis ingakhale njira yabwino komanso yabwino.
Kutalika kwa peritoneal dialysis
Peritoneal dialysis imatenga pafupifupi mphindi 30 mpaka 40 nthawi iliyonse, ndipo imakhala mkati mwamimba kwa maola anayi kapena asanu ndi limodzi.
Peritoneal dialysis imachitika kudzera mu peritoneal nembanemba yomwe imaphimba ziwalo zamkati, pomwe zinyalala zimasinthidwa pakati pa ziwiya.
Kutalika kwa nthawi yomwe wodwalayo ayenera kulumikizidwa ndi makina a peritoneal dialysis ndi maola 10 mpaka 12 usiku.
Pankhani ya hemodialysis, zimatenga pafupifupi maola 5 mpaka 6 pa gawo lililonse la chithandizo.
Matumba amadzimadzi amalumikizidwa ku catheter kuchokera kunja kuti alowetse madzi pamimba, ndipo yankho limakhalabe mkati mwa thupi la wodwalayo kwa nthawi yoyambira pakati pa 4 ndi 12 maola.
Muyenera mosalekeza ambulatory peritoneal dialysis (CAPD) kuti musunge kusinthanitsa zinyalala.
Odwala amachita peritoneal dialysis kunyumba bwinobwino, chifukwa palibe zipangizo zina zofunika.
Pali machitidwe angapo a mtundu uwu wa kuchapa, ndipo kaŵirikaŵiri amachitidwa katatu, kanayi kapena kasanu m’nyengo ya maola 24 pamene wodwala ali maso ndi kuchita ntchito zake zachibadwa.
Kusintha kulikonse kumatenga pafupifupi mphindi 30 mpaka 40.
Peritoneal dialysis ndi hemodialysis imafuna nthawi yayitali, kuyambira maola 24 mpaka 48, koma odwala amatha kukhala ndi moyo wabwino panthawiyi.
Cholinga cha njira zonsezi ndi kuyeretsa magazi ku poizoni ndi zowonongeka ndikusunga thanzi ndi ntchito ya impso moyenera.
Zowopsa za peritoneal dialysis
Zotsatira zoyipa za peritoneal dialysis zimaphatikizapo kuiwala mobwerezabwereza kapena kulumpha magawo a dialysis, kuchititsa poizoni kuwunjikana m'thupi ndikupangitsa kusintha kwachiwopsezo.
Mavuto omwe angakhalepo a peritoneal dialysis angaphatikizepo matenda, kuphatikizapo peritonitis ya m'mimba, chomwe ndi vuto lodziwika bwino la njirayi.
Peritoneal dialysis cholinga chake ndi kuchotsa zinyalala kudzera mu nembanemba mkati mwa khoma la m'mimba, lotchedwa peritoneum, lomwe limazungulira ziwalo zamkati.
Zina mwazoyipa za peritoneal dialysis, zimatha kupangitsa kuti wodwalayo anenepa kwambiri chifukwa cha njira ya dialysis yomwe ili ndi shuga, motero amawonjezera zopatsa mphamvu.
Kuonjezera apo, matenda amatha kuchitika pakati pa anthu chifukwa cha catheter yosatsekedwa, zomwe zimayambitsa kupweteka kwambiri m'mimba.
Peritonitis ndi vuto lofala kwambiri, lomwe nthawi zambiri limatsagana ndi kutentha thupi komanso kupweteka kwam'mimba.
Type XNUMX anemia imathanso kuchitika chifukwa cha peritoneal dialysis.
Kuonjezera apo, peritonitis ikhoza kuchitika pamene catheter imayikidwa ndikugwiritsidwa ntchito, zomwe zimayambitsa kupweteka kwa m'mimba, nseru, ndipo nthawi zina kutsekula m'mimba.
