Ntchito Yoyamba Yotsalira (kupanga mkodzo pambuyo poyambira dialysis) ndi chinthu chabwino!
KHALANI OTHANDIZA ANA AMAVUTO AMAKHALA OYENERA KUYAMBIRA KUYAMBIRA KUYAMBIRA DIALYSIS
Pofotokoza momveka bwino Obama, inde mungathe . Pokhapokha impso zanu zitatseka ndipo GFR yatsikira ku zero , odwala ambiri adzapitiriza kupanga mkodzo ngakhale atayamba dialysis . Komabe, chifukwa choti mumapangitsa mkodzo sikutanthauza kuti simukusowa dialyse.
Chigamulo choyamba ndi kusunga dialyse chimachokera ku zinthu zambiri kuphatikizapo mayeso a labu ndi zizindikiro za odwala osati kwenikweni muyezo wa mkodzo womwe umapanga.
Mwachidule, kugwira ntchito kwa impso komwe kumakhalabe munthu atayamba dialysis amatchedwa ntchito yotsalira. Zikhoza kukhala gawo laling'ono kwambiri la ntchito yamba ya impso .
Zinthu zomwe zimatsimikizira ngati munthu angasunge ntchito yochuluka yamagazi ingakhale monga:
- Kawirikawiri, odwala pa peritoneal dialysis amachititsa mkodzo kuchokera ku impso zawo kuposa odwala a hemodialysis.
- Chifukwa cha vuto la impso chimapangitsa kusiyana
- Kuthamanga kwa magazi: Madzi othamanga m'magazi amayamba kufulumizitsa kutayika kwa ntchito yamagazi
- Mankhwala: ena amatha kuthandiza vuto lanu, pamene ena akhoza kupweteka (onani m'munsimu)
- Mtundu wa mtundu wa nonwhite umagwiridwa ndi kuthamanga kwachangu mwamsanga
- Kugonana kwachikazi
Kuti mumve tsatanetsatane wa zochitika pamwambapa, yang'anani pa tebulo ili.
KODI IZI ZIDZAKHALA KUTI PATIENT AKHALE KUKHALA KUKHALA KWAMBIRI KUTI ATHE KUYAMBIRA DIALYSIS? N'CHIFUKWA CHIYANI CHOFUNIKA KWAMBIRI KUKHALA NTCHITO YOKHALA YOPHUNZITSIDWA?
Ngakhale kuti sizingakhale zofunikira monga momwe zingayesere, kuchepetsa ntchito yamphongo ndizofunika kwambiri ndikuzisunga ndizofunika kwambiri .
Izi ndi zifukwa zina zomwe kusunga ngakhale impso kamodzi munthu atayamba kuyambitsa dialysis kungapange kusiyana kwakukulu:
- Odwala omwe ali ndi ntchito yochuluka yamagazi amakhala ndi moyo wautali. Kafukufuku wambiri watsimikizira izi. Yang'anani zitsanzo zina apa, ndipo apa.
- Odwala omwe amatha kugwira ntchito yamphongo, amatha kupeza mlingo wokwanira wa dialysis (inde, monga mankhwala ena aliwonse, pali chiwerengero cha dialysis yomwe imayenera kulandira kuti ipindule).
- Mtundu wa moyo ndi wabwino. Izi zimagwirizana ndi mphamvu ya wodwala kuti achoke ndi zoletsera zochepa zodyera. Angakhalenso ndi ufulu wowonjezera ndi kumwa kwawo.
KODI MUNGACHITIRE BWANJI KULENGA NTCHITO YOPHUNZITSIRA YOLEMBEDWA?
Awa ndi gawo lochita kafukufuku mu nephrology. Zimene tikudziwa panopa ndizakuti njira zina zothandizira kusunga nsomba zimakhala zabwino komanso zotalikira, choncho zimatha kumasulira moyo wautali komanso moyo wabwino kwa odwala dialysis. Zina mwazinthuzi ndi :
- Kugonana kwabwino kwa magazi
- Limbikitsani kusuta shuga
- Kugwiritsa ntchito mankhwala ena, otchedwa ACE inhibitors akuwonetsedwa kuti athandizidwe
- Mosiyana ndi zimenezi, kupeĊµa mankhwala ena omwe amadziwika kuti ndi owopsa kwa impso ndi omveka; monga NSAIDs (kapena mankhwala osagwiritsiridwa ntchito ndi anti-inflammatory drugs), aminoglycosides, Amphotericin B, ndi zina zotero.
- Poganizira za kuyambitsa matenda a impso odwala makamaka pa peritoneal dialysis (yotchedwa peritoneal dialysis njira yoyamba) Komabe, izi zimakhalabe zokambirana).
- Pali malingaliro ochokera ku maphunziro ena omwe kuwonjezeka kwapang'onopang'ono kwa hemodialysis kungapangitse kusungidwa kwabwino kwa nsomba.
TUMIZANI
Dzifunseni nokha mwayi ngati mukupitiriza kuyambitsa mkodzo mutayamba dialysis. Ngakhale kuti zingawoneke ngati zopanda phindu, ngakhale kukhala ndi mkodzo pang'ono kungapangitse kusiyana kwakukulu pamoyo wanu komanso umoyo wabwino. Choncho ngati muli pa dialysis koma mukupanga mkodzo, chonde musakhale ndi "maganizo anga" ngati ndikugwira ntchito yokhudzana ndi impso.
Ndipo nthawi yotsatira, aliyense ati, "Zilibe kanthu Mayi / Akazi X ali kale pa dialyse, choncho angathe kupeza ma NSAID kapena ma radiocontrast".