Zimakwiyitsa ndipo ndizofala.
Pruritus , kapena monga anthu wamba amachitcha izo, kuyabwa, ndi vuto lomwe limadwalitsa odwala okhala ndi impso kulephera kapena odwala dialysis . Ndi chimodzi mwa mavutowa a matenda opatsirana omwe ali ovuta kumvetsa komanso ovuta kuchiza.
Kodi Vuto Loyamba Ndi Liti?
Chimodzi mwa maphunziro akuluakulu kuti athetse funsoli chinawonetsa kuti kuyabwa kunamuchitikira ochepa theka la odwala dialysis.
Deta imeneyi inasonkhanitsidwa kuchokera kwa odwala a hemodialysis, koma sitikudziwa bwino momwe angapo odwala matenda a impso omwe sanafike pa dialysis, kapena odwala pa diitoneal dialysis, ali ndi vuto ili.
Nchifukwa Chiyani Chimachitika?
Izi sizikumveka bwino. Nazi njira zingapo zomwe timadziwa:
- Lingaliro limodzi ndiloti popeza dialysis ndi boma limene thupi liri ndi matenda aakulu , izi zikhoza kukhala matenda opweteka. Pakhala pali maphunziro omwe ayang'ana pa zomwe zimatchedwa "zizindikiro za kutupa" zomwe zawonetsedwa kuti zilipamwamba kwa odwala omwe ali ndi vuto la impso ali ndi pruritus.
- Khungu louma ndilo vuto lalikulu mwa odwala matenda a dialysis omwe angawathandize.
- Zina zokhudzana ndi zokhudzana ndi zokhudzana ndi zokhudzana ndi zokhudzana ndi zokhudzana ndi zokhudzana ndi ubongo zanenedwa chifukwa cha izi.
Kodi Zizindikiro Ndi Ziti?
Chabwino, inu nonse. Koma apa pali mfundo zingapo izi:
- Kuyamwa kumawonjezereka usiku mpaka pamene kungasokoneze tulo.
- Zimakhala ngati zimakhudza kumbuyo, ngakhale kuti thupi lonse silimalire malire.
- Kutentha kumangowonjezera.
Kodi Zimakhudza Odwala Onse Odwala Dialysis?
Osati kwenikweni. Komabe, palinso odwala amene amadziwika ndi zifukwa zina zoopsa. Izi siziri mndandanda wathunthu chifukwa ichi ndi gawo lochita kafukufuku:
- Kulephera kwa dialysis wokwanira ndilo vuto lalikulu. Odwala omwe samalandira dialyse yokwanira amakhala ndi "uremic". Kuwongolera kumawonjezereka kwambiri kutero.
- Zikuwoneka kuti zikuphatikizidwa ndi phosphorous m'magazi ngakhale zina zosavuta zina monga kuphatikizapo magnesium ndi aluminium zilizonse zikunenedwa.
- Pomalizira pake, odwala dialysis amatha kukhala ndi mahomoni ochuluka, omwe ali mbali ya matenda otchedwa matenda a impso okhudzana ndi mchere ndi matenda a mafupa. Odwalawa amawonanso kuti ali oopsa kwambiri.
Kodi Mumatani Kuti Mukhale ndi Odzola M'magulu Odwala Dialysis?
Kuzindikira chinthu chomwe chimayambitsa chiopsezo chomwe chingakhale choyambitsa ndilo gawo loyamba. Ngati wodwala yemwe sakudwala dialyzed mokwanira kapena akusowa mankhwala akudandaula kuti ayambe kuyamwa, ndiye kuti "mankhwala" oyambirira angakhale odwala mlingo woyenera wa dialysis m'malo moyambitsa wodwalayo pa mankhwala enaake. Njira imodzi yowonjezera mlingo wa dialysis ndiyo kuonjezera nthawi ya chithandizo. Izi, komabe, mwina sungakhale chovomerezeka kwa wodwalayo. Njira zina zomwe zingayesedwe kuti atsimikizire kuti odwala akulandira chithandizo choyenera ndi kuwonjezera kuchuluka kwa magazi pa nthawi ya chithandizo, kapena kuti atsimikizire kuti ali ndi ubwino wabwino wopeza dialysis komwe kulibe kubwerera.
Ngati zitsanzo zili pamwambazi zilipo kale kapena ngati mlingo wa dialysis sungakhale wovuta, ndiye kuti wa nephrologist ayenera kuyang'ana mayesero anu a ma labata. Kodi hormone ya parathyroid (PTH) kapena phosphorus yanu ili pamwamba? Ngati izi kapena zina mwazidzidzidzi zimadziwika mosavuta, zingathetsedwe kuti zithetse. Mwachitsanzo, mafananidwe a vitamini D angathandize kuchepetsa chiwerengero cha PTH. Mipamwamba ya phosphorus ikhoza kuchepetsedwa ndi zakudya zochepa za phosphorous kapena kuika odwala pa omanga phosphorous.
Pomaliza, ngati zonsezi zikulephera, nthawi zambiri timayenera kupita ku mankhwala. Izi zingaphatikizepo antihistaminic monga Benadryl kapena diphenhydramine, kapena mankhwala ena omwe ali otchedwa hydroxyzine.
Mankhwalawa amatha kukhala pansi ndipo sangagwire ntchito nthawi zonse. Loratadine ndi njira yotsutsa.
Mankhwala ena omwe ayesedwa amapezeka ndi gabapentin, pregabalin, ndi antidepressants kuphatikizapo sertraline. Kwa odwala omwe sapeza mpumulo ngakhale mankhwalawa, kutsegula ndi kuwala kwa ultraviolet B kungathandize.