Sikuti mitundu yonse ya maulendo a dialysis ndi ofanana
KODI NDI CHIYANI CHOCHITIKA "KUTHANDIZA KWAMBIRI"?
Pamene impso za wodwala matenda a impso zalephera pamtunda wina , chofunika kuti mankhwala ochotsera matendawa asinthe ndi dialysis . Pali mitundu iwiri yosiyana ya dialysis , poyankhula mwachidule:
- Hemodialysis
- Peritoneal Dialysis
Ngakhale kuti peritoneal dialysis yachitidwa pogwiritsa ntchito catheter yomwe imalowetsedwa m'mimba, hemodialysis (njira yofala kwambiri ya dialysis ku United States) imatha kupyolera mu zotchedwa " vascular access ".
M'Chingelezi chosavuta, njira yofikira magazi ndiyo njira yomwe magazi amachokera mthupi lanu kuti akalowe mu makina a dialysis komwe amatsuka poizoni ndi madzi ambiri. Mwazi "woyera" umabwereranso mthupi mwathu kupyolera mwa kupindula kwamtunduwu.
Kupeza mphamvu kwa mthupi ndi njira yothandizira odwala matenda a dialysis . Popanda kupeza, palibe njira yothetsera dialyse wodwala wodwala matenda a impso. Wodwala wodwala wodwala wodwala wopanda ntchito ya impso sangathe kukhala ndi moyo kupitirira milungu ingapo popanda dialysis.
ZINTHU ZIYANI ZOPHUNZITSIDWA ZA VASCULAR ZILI ZOFUNIKA?
Pali mitundu itatu yokha yomwe mungathe kusankha posankha mthupi mwa wodwala wa hemodialysis:
- Arterio-venous fistula
- Kuphatikizidwa kwa venta
- Catheter yotchedwa Venous
CHIYANI CHIKHALIDWE PAKATI PA ZITATU ZITATU ZA DIALYSIS ZOKHUDZA?
Ndiroleni ine ndiyambe mwa kufotokozera kusiyana kwakukulu pakati pa zigawo zitatu zomwe ziri pamwambapa.
Mutha kudziwa kuti "mitsempha" imakhala ndi mitsempha ya magazi yomwe imanyamula magazi okosijamo kuchokera mu mtima kupita ku ziwalo zosiyana. Mitsempha imasanduka "capillaries", yomwe imadzakhala pamodzi kuti ikhale yotchedwa "mitsempha." Mitsempha ndi mitsempha yamagazi imene imanyamula magazi komwe oxygen yatha, kubwerera kumtima.
Nazi chithunzi choyimira cha lingaliro ili.
Monga momwe mungathere kuchokera ku chidule, mitsempha ndi mitsempha sizigwirizana mwachindunji . Kotero muli ndi "mitsinje" yaing'ono ya ma capillaries omwe amachoka kugawidwa kwa mitsempha, yomwe imayambitsa mitsempha. Tsopano ganizirani ngati mapangidwe amapanga "mlatho" pakati pa mitsempha ndi mitsempha mwachindunji (motero kudutsa ma capillaries). Mlatho uwu umatchulidwa kuti ndi fistula yamtunduwu, kapena kubwezeretsa kwina. Mawu akuti "arterio-venous" amatanthauza magazi omwe akuyenda kuchokera mu mitsempha kupita ku mitsempha. Ngati "mlatho" uwu ukupezeka ngati chidutswa cha mchere wa thupi, umatchedwa fistula . Komabe, ngati mlatho ukhala ngati chinthu chodziwika bwino, umatchulidwa ngati kusindikizidwa kwa arteriovenous .
Pomalizira pake, catheter yowopsa imakhala ngati mzere wodetsedwa. Pokhapokha ngati pang'ono ndikulumikizidwa ku umodzi wa mitsempha yayikuru "" pakati pa khosi kapena groin. Iyo imapachikidwa kwathunthu mu mitsempha. Palibe chomwe chimatchedwa "mlatho" pakati pa mitsempha ndi mitsempha. Komabe, catheter ili ndi madoko angapo, omwe amagwiritsira ntchito kukopa magazi kuchokera kwa munthu kupita ku makina a dialysis, ndi ina yomwe magazi oyera amachokera ku makina a dialysis akubwerera kwa wodwalayo.
Pano pali kanema yabwino yomwe imasonyeza momwe mzere umayikidwa ndi momwe umagwirira ntchito.
Pemphani kuti mumvetsetse chifukwa chake kukonzekera kwa nthawi yake ndikofunikira kwambiri pakuika dialysis kupeza, ndi chifukwa chake fistula ndiyo njira yofunira kwambiri. Kusakhala ndi mwayi wopindulitsa kwambiri nthawi yomwe dialysis yayamba ndi Achilles chidendene cha wodwalayo wa dialysis!