Matenda si vuto lokha limene lingathe kudwala odwala PD
Odwala omwe ali ndi impso omwe amalephera kuthandizira odwala peritoneal dialysis (PD) monga momwe iwo amafunira kuti athetse vuto lawo ayenera kuzindikira mavuto omwe amabwera ndi ndondomekoyi. PD ndi njira imodzi yochitira dialysis kunyumba ndipo motero ndikuphatikizapo kutumiza udindo wina wathanzi, kuchokera kwa nephrologist kupita kwa wodwala. Kukhala wokhoza kuchita PD ndi mwayi mwa njira, koma monga akunena, ndi mphamvu yaikulu amabwera udindo waukulu .
Matenda a mitundu yosiyanasiyana ndi mavuto akuluakulu omwe angakhudze odwala PD, ndipo izi zikufotokozedwa apa . Komabe, si matenda okha omwe amagwiritsidwa ntchito ndi peritonitis omwe tiyenera kuyang'anitsitsa odwalawa. Zina zotchedwa "mechanical" ndi mavuto ena omwe si opatsirana ndizotheka.
ZINTHU ZOFUNIKA ZOFUNIKA
Mavuto a maselo amadziwika kwambiri ndi zochitika zogwirizana ndi peritoneal dialysis catheter.
- Izi zimaphatikizapo kutaya kwa peritoneal dialysis madzi kuchokera kumalo a katheter. Pachifukwa ichi, odwala amatha kuona kuti kuvala pafupi ndi malo otuluka kunja kapena zovala zawo zimathamanga pambuyo poyambitsa PD
- Ngati catheter yatumizidwa molakwika / nayenso, kuthamanga kwa mfuti kungachitike. Kuti mumvetse tanthauzo la "chikho" onani chithunzi 1 ndi chithunzi 2 .
- Hernia kufooka kwa khomo la m'mimba, kuchokera ku PD catheter kulembedwa komanso kuchokera ku mavuto opangidwa chifukwa cha madzi akumwa m'mimba
- Kuchokera kuphulika , kutanthauza kuti sitingathe kukhetsa peritoneal dialysis madzi kuchokera m'mimba. Izi zikhoza kuwonedwa chifukwa cha catheter yosokonezeka kapena pamene catheter imakhala mkatikati mwa matumbo ndi minofu yozungulira. Chifukwa china chofala cha kutuluka mwachinyengo ndi kudzimbidwa. Pomaliza, mabowo a catheter amatha kutsekedwa ndi chinachake chotchedwa fibrin.
- Chokhalira (koma osati chosayembekezereka kwenikweni) chodziwikiratu cha PD catheters ndi matumbo a m'mimba . Pachifukwa ichi, odwala adzakhala odwala kwambiri ndi zilonda za m'mimba komanso mwina kutentha kwakukulu komanso zizindikiro za matenda, ngakhale kuti izi sizisonyezo
KUFUNA KWAMBIRI
Izi zimawonedwa ngati zomwe zimachitika pa peritoneal dialysis madzi, kuphatikizapo dextrose (shuga) ndi asidi. Kuonjezera bicarbonate (yomwe ndi alangizi) kwa madzi amatha nthawi zina kuthandizira kuthetsa ululu uwu.
BUTA PAIN
Izi zikhoza kuchitika chifukwa cha kuwonjezeka kwa thupi ndi kupanikizika m'mimba zomwe zimayambitsa msana, makamaka malemba a lumbar . Kupanikizika kumeneku kumapangitsa kuti pang'onopang'ono pang'onopang'ono kusokonezeka kwa msana kumapangitsa kuti mitsempha ya m'mimba ikhale yovuta. Ichi ndi chimodzi mwa zifukwa zomwe odwala akufunsidwa kuti azichita masewera olimbikitsa mimba ya m'mimba yomwe imathandiza kuthamanga msana.
YAM'MBUYO YOTSATIRA
Odwala amadziwa izi pamene PD imayambitsidwa kuchokera m'mimba, makamaka pamene peritoneum imakhala "yayuma". Izi zilibe madzi mkati mwa mimba pambuyo poti madzi amatha kupangitsa kathetta kupaka mkati mwa peritoneum kapena matumbo.
Kusemphana kotereku kungakhale nthawi zina kuti zisawononge odwala. Pankhaniyi, kusiya piritoneal dialysis madzi nthawi zonse, (amadziwikanso kuti tidal peritoneal dialysis) angathandize.
GASTROESOPHAGEAL REFLUX NDI KUTHANDIZA GASTRIC EMPTYING
Zizindikiro za acid reflux zikhoza kuchitika, makamaka pamene odwala sangathe kulekerera pulogalamu ya PD yamadzi mu peritoneum. Kuchepetsa bukuli kumathandiza kuchepetsa zizindikiro, ngakhale kuti ziyenera kuchitidwa mosamala kuti zisamawononge mlingo wa dialysis.
KUTHANDIZA KWAMBIRI
Izi zikutanthauza kusonkhanitsa kwa madzi m'mapapo. Izi zimachokera ku chinthu china chotchedwa pleural-peritoneal leak pomwe PD imachoka pamimba pamimba kupyolera m'mapapo.
HYPOKALEMIA
Hypokalemia, kapena otsika kwambiri potaziyamu, amatha kupezeka pa odwala peritoneal dialysis. Izi ndi zosiyana ndi odwala a hemodialysis amene amakonda kuthamanga kwambiri potaziyamu. Izi ndi chifukwa cha kuchotsedwa kwa potaziyamu kudzera mwa peritoneal dialysis. Choncho, njira yosavuta yothetsera izi ndi kumasula chakudya cha wodwalayo kapena, ngati izo sizigwira ntchito, ayambeni pazowonjezeramo potaziyamu.