Matenda a Dialysis Disequilibrium: Mfundo 5 Zimene Mukuyenera Kudziwa

Chowonongeko ichi chikhoza kuyambitsa odwala omwe ayamba kumene ku dialysis

CHIYANI NDI DIALYSIS DISEQUILIBRIUM SYNDROME

Chizindikiro cha matenda a dialysis disequilibrium nthawi zambiri zimachitika potsatira impso wodwala wodwala atangoyamba kumene pa dialysis (ngakhale izi siziri choncho ndipo zikhoza kuchitika pambuyo pake). Monga madzimadzi ndi poizoni amachotsedwa m'thupi ndi dialysis , kusintha kwa thupi komwe kungayambitse zizindikiro zambiri za ubongo zimayamba kuchitika.

Zizindikiro zimatha kusiyana ndi ofatsa ngati mutu, kwa mitundu yoopsa kwambiri kumene odwala angayambe kukhala ndi vuto, ngakhale imfa. Pano pali mndandanda wa zizindikiro zosagwirizana :

• Nausea
• Mutu
• Kusokonezeka
• Kusokonezeka
• Mitengo
• Chizungulire
• Kugonjetsa
• Coma, kapena imfa mu milandu yoopsa

N'CHIFUKWA CHIYANI DIALYSIS DISEQUILIBRIUM SYNDROME IZI: KUDZIWA PHYSIOLOGY YAKE

Mungaganize kuti ngati dialysis ikukhala pafupi kwa zaka makumi asanu ndi limodzi, tidzatha kuzindikira zotsatira zake zonse zoipa. Koma ndi dialysis disequilibrium ngakhale, sizomwezo ndipo njira yeniyeni akadakali yofufuza. Tili ndi njira zina:

1. Imodzi mwa malingaliro omwe aperekedwa ndi chinachake chotchedwa, " kusintha osmotic kusintha", kapena kusintha molakwika urea . Zomwe zikutanthawuza zikutanthauza kuti kamodzi kokha dialysis yakhazikitsidwa, kuchotsedwa kwa poizoni ( magazi urea ) kumabweretsa kuwonjezeka kwakukulu kwa kuchuluka kwa madzi m'magazi . Madzi awa amatha kusuntha m'maselo a ubongo akuwatsogolera kuti abwere, kutulutsa chinachake chotchedwa cerebral edema . Kuphulika kwa maselo a ubongo kudzera mu njirayi kwaganiziridwa kuti ndi chimodzi mwa zifukwa zowonjezera za mavuto omwe amakhalapo pamaganizo okhudza dialysis disequilibrium syndrome.

1. Kuchepetsa pH ya maselo a ubongo . Mwachidule, izi zikutanthauza kuti maselo a ubongo amakhala ndi "asidi" apamwamba. Izi zapangidwa ngati chinthu china chotheka.
2. Zozizwitsa zamaganizo zomwe zimapangidwa mu ubongo (mfundo za chiwerengero cha 2 ndi 3 sizikupezeka pa nkhaniyi).

NDANI AMENE AMAKHALA KUKHALA DIALYSIS DISEQUILIBRIUM SYNDROME: ZINTHU ZOFUNIKA KUKULUKIRA KWAKE?

Mwamwayi, dialysis disequilibrium syndrome ndi chinthu chosowa kwambiri ndipo chiŵerengero chake chikupitirirabe.

Izi zakhala zikuganiziridwa kuti ndizo chifukwa chakuti odwala tsopano ayambitsidwa ku dialysis pamatenda ochepa kwambiri a urea m'magazi.

Nazi zina mwazimene wodwalayo angaoneke kuti ali pangozi yaikulu ya chitukuko cha matenda a dialysis disequilibrium :

• Okalamba ndi ana
• Zatsopano zimayambira pa dialysis
• Odwala omwe ali ndi matenda a ubongo monga kupweteka kapena kupweteka
• Odwala pa hemodialysis (matendawa sapezeka mu odwala peritoneal dialysis )

CAN DIALYSIS DISEQUILIBRIUM SYNDROME KHALANI

Popeza kuti matenda a dialysis disequilibrium amagwirizana ndi kuchotsa msanga kwa poizoni (urea) ndi madzi kuchokera kwa wodwalayo watsopano, zizindikiro zina zingakhale zothandiza. Kudziwa wodwalayo wamkulu, monga tafotokozera pamwambapa, ndi sitepe yoyamba. Kupitirira apo, pali njira zina zomwe zingathandize:

• Kulowera pang'ono kwa dialysis, makamaka kumachepetsa gawo loyambali kwa maola awiri, ndi kuchepa kwa magazi.
• Kubwereza gawoli kwa masiku 3-4 oyambirira, tsiku ndi tsiku, zomwe sizingakhale zofanana nthawi zonse (kotero nthawi zambiri, koma "zokonda" magawo)
• Kulowetsedwa kwa chinachake chotchedwa mannitol

KODI N'ZOTHEKA KUKHALA DIALYSIS ZOTHANDIZA ZOKHUDZA ZOCHITIKA?

Chithandizo ndichizindikiro kwambiri.

Nsowa ndi kusanza zingachiritsidwe mankhwala pogwiritsa ntchito mankhwala monga ondansetron. Ngati mliri umayamba kuchitika, zomwe zimalimbikitsa ndikuletsa dialysis ndikuyambitsa mankhwala osokoneza bongo . Kuwopsa kwa chiwerewere cha dialysis kungafunikire kuchepetsedwa kuti chithandizo chamtsogolo chichitike.