Kupsyinjika kwa magazi sikumangokhala kovuta kumvetsa pa hemodialysis. M'maganizo azachipatala, ndi intra-dialytic hypotension. Zitha kukhala vuto lalikulu lomwe nthawi zambiri limapangitsa kuti impso zilepheretse kuti odwala asatenge dialysis yokwanira chifukwa cha kutha kwadzidzidzi kwa mankhwala. Zingatithandizenso kuti madzi ochepa amusiyidwe pa odwala, omwe tikudziwa kuti akuphatikizapo chiopsezo chachikulu cha imfa.
Zowopsa
Odwala ena amawoneka madontho othamanga m'magazi awo pa dialysis. Ngakhale kuti zolemba zanga sizikwanira ngati umboni wovomerezeka wa zachipatala, kupenda mofulumira kwa zolemba kumasonyeza kuti odwala ena amawoneka madontho a magazi.
- Odwala achikulire
- Odwala omwe akhala akudwala dialyse kwa nthawi yaitali
- Odwala matenda a shuga amakhala ndi chiopsezo chachikulu
- Odwala achikazi
- Odwala ovuta kwambiri
- Odwala omwe amafunika kuchuluka kwa kuchulukitsa kwa madzi, kapena ultrafiltration, chifukwa cha kuchuluka kwa matenda a dialytic wolemera
- Odwala omwe ali otsika kwambiri.
- Kugwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala osokoneza bongo posana ndi dialysis kudzawonjezera ngozi
- Zakudya pa dialysis ndizodziwika bwino
Nkhani yokambirana chifukwa chake odwalawa ali pachiopsezo chachikulu sichikupezeka pa nkhaniyi. Zifukwa zikhoza kusiyana ndi mitsempha ya matenda a shuga (odwala matenda odwala matenda a shuga), kuthamanga kwa madzi ozizira mofulumira pa dialysis (zomwe zingachititsidwe kwa odwala omwe ali ndi vuto lolemera la di-dialytic).
Izi sizikuphatikizanso zochepa zomwe zimayambitsa kugwidwa kwa magazi zomwe zimachitika panthawi ya dialysis zomwe zikuphatikizapo zinthu monga matenda, ndi mavuto omwe ali ndi mtima ngati chizoloŵezi chachilendo kapena ngakhale kuvutika kwa mtima.
Zizindikiro ndi Zizindikiro
Gawo lodziwika bwino ndiloti intradialytic hypotension idzawonetsa ngati ikufulumira kuthamanga kwa magazi.
Komabe, odwala nthawi zambiri amangodandaula za zipsinjo, kupweteka kumbuyo kapena kupweteka pachifuwa, kupweteka kwa mutu, kumutu, ndi zina zotero. Zizindikiro za vagal nerve zokopa zimatha kuwonedwa ndipo nthawi zambiri zimawoneka ngati kukwera.
Kupewa
Kuopsa kwa hytractional intradialytic kungakhale kovuta kwambiri kuchiza, makamaka odwala omwe ali ndi zifukwa zambiri zomwe zimatchulidwa pamwambapa. Choncho, sitinganene kuti zifukwa zonse zomwe zingayambitse chiopsezo ziyenera kuyankhulidwa payekha. Malingaliro ena omwe angagwire ntchito ndi awa:
- Pewani zakudya pa dialysis
- Pewani kumwa mankhwala a magazi pokhapokha musanatenge dialysis, kapena ganizirani nthawi yosintha
- Zimathandiza kuti musapindule kwambiri pakati pa mankhwala opatsirana odwala dialysis; Choncho kupweteka kwakukulu kwa matenda a dialytic kumathandiza. Madzi otsika omwe amafunikira kuchotsedwa kwa inu, ndizosavuta kuti musamayende magazi.
- Katswiri wanu wam'nthrologist angapereke dialysis mosiyana, ndi sodium yapamwamba kwambiri. Zambiri za izi sizingatheke pa nkhaniyi.
- Ngati izi zitheka, lankhulani ndi katswiri wanu wa zachipatala kuti mwina mukuwonjezera kulemera kwanu
Ngati zikuwoneka ngati wodwalayo akugwirizana ndi zomwe akuyenera kuchita, ndipo palibe zifukwa zina zomwe zatchulidwa pamwambazi, zingakhale zothandiza kuyang'ana mtima wa wodwalayo.
Mavuto ndi mtima samagwiritsidwa ntchito kawirikawiri chifukwa cha madontho a magazi, ndipo wodwala angapindule ndi kupeza echocardiogram. Muzochitika izi, kuwona katswiri wa zamoyo kungakhale chinthu chabwino.
Mankhwala otchedwa midodrine amagwiritsidwa ntchito ngati njira yomaliza. Ndipo ngati palibe chinthu china chomwe chimagwira ntchito ndipo vuto limakhala lobwerezabwereza, ganizirani kusintha kwa peritoneal dialysis kapena kunyumba hemodialysis.
Chithandizo
Kawirikawiri, madzi amchere amatha kupatsidwa kwa inu. Izi zingaphatikizepo madzi amodzi monga saline omwe amaperekedwa mu 250 ml kapena apo. Kawirikawiri, ogwira ntchito ya dialysis amachepetsa kapena amaletsa kuchotsa madzi kuchokera kwa inu nthawi yonseyi, ndipo mukhoza kuchepetsedwa mwachindunji kuti muwonjezere kuthamanga kwa magazi ku ubongo, wotchedwa Trendelenburg udindo (momwe ntchitoyo ingagwiritsidwe ntchito) .