"Nsonga ndi singano" zoterezi zimakhala zokhudzana ndi ubongo
Nthenda yotchedwa Neuropathy, yomwe kwenikweni imatanthauza "matenda a mitsempha" ndi vuto lodziwika kwambiri kwa odwala omwe ali ndi matenda a impso apamwamba kapena odwala matenda a impso otsiriza omwe ali pa dialysis . Mwinamwake mumadziwa bwino matenda a shuga , omwe amachititsa kuti munthu azidwala matenda odwala matenda a shuga.
Komabe, shuga sikuti ndi chifukwa chokha chokhalira ndi ubongo.
Malingana ndi mitsempha yokhudzidwa, zizindikiro zimasiyana kwambiri. Mwachitsanzo, matenda odziwika bwino a khansa ya carpal ndi njira yodziwika bwino ya odwala matenda a dialysis odwala matenda a dialysis. Tiyeni tiyesere kumvetsa vuto ili.
N'CHIFUKWA CHIYANI KUDZAKHALA OTHANDIZA ANTHU OTHANDIZA ANTHU AMENE AMACHITA KUTI AKHALE NTHAWI YONSE?
Odwala omwe ali ndi matenda apamtima apamwamba kapena omwe ali pa dialysis amakhala ndi chiopsezo chachikulu cha matenda a ubongo. Komabe, chifukwa chenicheni sichidziwika bwino. Nazi mfundo zingapo:
- Tikudziwa kuti mitsempha imayamba kufooketsa mu impso kulephera. Pali zongoganiza kuti zoperewera za zakudya zofunika monga thymine kapena zinki zingapangitse izi.
- Matenda ena omwe amakhalapo akupezeka mu odwala dialysis, monga hyperparathyroidism (kuchuluka kwa mahomoni a parathyroid), akhala akunenedwa.
- N'zochititsa chidwi kuti mitundu ina ya matenda opatsirana m'mimba imasonyeza ngati matenda a carpal matumbo amaoneka kuti amapezeka mobwerezabwereza m'dzanja lomwe lili ndi matenda a dialysis (fistula kapena graft) , mwa odwala hemodialysis. Zifukwa zokhudzana ndi matenda a ubongo m'mikhalidwe imeneyo sizimamveka bwino. Komabe, zikuganiziridwa kuti kugwa kwa magazi kumatope opitilira chifukwa cha kuyambira kwa dialysis monga "shunt" yomwe imadutsa magazi kutali ndi dzanja, ikhoza kukhala chothandizira.
- Kuonjezera apo, kuonjezera kupanikizika muzowonjezera dialysis kungayambitse kupatsirana kwa madzi kapena magazi m'magazi ozungulira omwe angapangitse mitsempha.
- Odwala omwe phosphorus amayamba kuthamanga amatha kuona mawonekedwe a calcium phosphate omwe angapangitse kuti asokonezeke.
- Kusalandira mlingo wokwanira wa dialysis ndi chifukwa chobweretsera (zomwe zingawonongeke zina mwazinthu zomwe takambiranazi). Inde, monga mankhwala ena aliwonse, palinso mlingo wa dialysis, ndipo ngati simukupeza zochepa, chiopsezo chanu chokhala ndi matenda a ubongo chikhoza kukhala chapamwamba.
KODI MUNGAGWIRITSE BWANJI VUTO?
Kwambiri. Oposa theka la odwala matenda a dialysis akhoza kukhala ndi zizindikiro za mitsempha ya mitsempha pa kuyesedwa koyesa koma aliyense sangaone zizindikiro. Odwala safunikiranso kukhala pa dialyse. Odwala omwe ali ndi matenda a impso osapitirirabe pa dialysis amapezedwanso kukhala ndi ubongo chifukwa cha matenda awo a impso.
ZIMENE OTHAWI AMAKHALA AMACHITA
Kamodzi kogwiritsa ntchito khunyu kamakula kwambiri, odwala ambiri amadandaula za kumenyedwa kapena kupweteka, kapena kusokonezeka mmanja kapena mapazi. Nthawi zina ululu umatchedwa "kuwotcha", ngakhale buku lopangira "zikhomo ndi singano". Sizifukwa za mavutowa. Pamene matendawa akupitirira, amatha kufooketsa minofu ndipo pamapeto pake amatayika minofu yomwe imatetezedwa ndi mitsempha yowopsya. Izi zimatchedwa "atrophy muscle".
KODI MUKUDZIWA BWANJI KUTI ANTHU AMAKHALA AMAVUTO AMENE AMAKHALA NDI AMAVUTO OTHANDIZA KIDNEY KAPENA KUTI AKHALA PA DIALYSIS
Njira yotsimikizira vutoli ndi yofanana ndi yomwe ingakhale kwa wina aliyense. Nthawi zambiri zimakhazikitsidwa pa "chiweruzo chachipatala" cha nephrologist wanu. Komabe, ngati matendawa akukayikira, zomwe zimatchedwa "maphunziro a mitsempha" zimayenera kuchitidwa.
KODI MUNGAPEZA BWANJI KUKHALA KWA ANTHU OYERA M'ZIKHALIDWE ZA KIDNEY?
Popeza nthenda ya ubongo ingakhale chizindikiro cha dialysis yochuluka mu odwala omwe akulephera kugonjetsa impso, choyamba ndi kwa nephrologist wanu kuti muwone kuti mukulandira mlingo woyenera. Pali mayesero omwe amachitidwa mukakhala pa dialysis kukhazikitsa kuti mutsimikize zimenezo. Ngati mlingoyo sungakwanitse, kulingalira kungaperekedwe kuwonjezereka kuti, mwinamwake powonjezera nthawi yomwe mumagwiritsa ntchito dialysis. Zina mwazidzidzidzi zomwe zingadziŵike, monga nthenda ya hormone yapamwamba kapena phosphorous, iyenera kuyankhidwa. Ngati izi sizilephera, mankhwala monga gabapentin angakhale othandiza.