Kugonjetsedwa kwa mimba ya m'mimba ndi vuto loopsya la PD
Peritoneal Dialysis (kapena PD) ndi mtundu wa dialysis kwa odwala omwe ali ndi impso kulephera kumene mimba ya mimba imatchedwa peritoneum , imakhala ngati impso yokha. Nkhaniyi ndi mbali ya mndandanda umene umakhudza mavuto a dialysis (onse a hemodialysis ndi peritoneal dialysis; onani maumboni apa , apa , ndi apa ). Nkhani yotsatira ikufotokoza mavuto opatsirana omwe angawoneke kwa odwala pa peritoneal dialysis.
ZINTHU ZOFUNIKA KWAMBIRI
Catheter ya dialysis imene imalowetsedwa m'mimba mwa wodwala amene amatenga diitysisal dialysis, yotchedwa catheter PD, nthawi zambiri ndi Achilles chidendene cha wodwala PD. Matenda a mitundu yosiyana akhoza kuchitika malinga ndi malo. Izi zikhoza kukhala pathetiti ya PD catheter (komwe kathetta imachokera pakhungu, yotchedwa matenda otuluka kumalo ), pamtunda "womwewo" (zomwe zimatengera pansi pa khungu komanso m'mimba, yotchedwa matenda opatsirana ) , ndipo pamapeto pake m'kati mwa mimba, yomwe imatchedwa "peritoneum" (ndi matenda omwe amatchedwa peritonitis ). Pano pali chithunzi chomwe chingakuthandizeni kumvetsa izi.
ZOCHITIKA ZOTHANDIZA ZOKHUDZA ZOTHANDIZA ZOYENERA KUDZIWA KWAMBIRI
Magulu ena odwala ali pangozi yaikulu ya matenda opatsirana monga peritonitis. Izi zikuphatikizapo:
- Mtundu wakuda
- Azimayi odwala matenda a shuga
- Odwala omwe achoka ku hemodialysis kupita ku peritoneal dialysis
Kawirikawiri, momwe mumachitira PD (pamanja kapena pogwiritsa ntchito njinga yamoto) musapangitse kusiyana kwa chiopsezo chokhala ndi peritonitis. Malingana ndi deta yochokera ku UK Renal Association, wodwala wodwalayo angayembekezere chiopsezo cha gawo limodzi la peritonitis miyezi 18 iliyonse (0.67 zigawo pamwezi wodwalayo). Ili ndi lamulo chabe la thupi ndipo chiopsezo ndi kufalikira kwa matenda zimasiyana kwambiri.
ZIZINDIKIRO NDI ZIMODZI
Kuyamba kwa matenda nthawi zambiri kumadedwa ndi wodwala poyamba. Zimene wodwalayo amamva, kapena zomwe katswiri wa nephrologist amapeza zimasiyana ndi malo omwe ali ndi kachilomboka:
- Matenda opatsirana ngati matenda ochotsera malo omwe amachokera kumtunda angasonyeze kufiira kapena kutuluka kumene kathete imatuluka khungu. Webusaitiyi ikhoza kukhala yopweteka komanso malungo komanso chifundo.
- Ngati njirayi ikuphatikizidwa, kupweteka pamtsinje wa catheter pamodzi ndi zizindikiro zonsezi ziri zotheka
- Ngati matendawa amalowa m'kati mwa mimba (peritoneum) kapena malo okhawo a matenda, (otchedwa peritonitis), kupweteka kwa m'mimba kumapweteka ndi mvula yamtambo ndizofala. Kawirikawiri, wodwalayo adzawona dontho lao la ultrafiltration volumes. Chiwombankhanso chikanakhoza kukhala chinthu chowonetsera.
ZOCHITIKA
Ngati zinthu zomwe zili pamwambazi zilipo ndikufunsa mafunso okhudza peritonitis, lankhulani ndi nephrologist wanu mwamsanga. Pokhapokha, kuyezetsa thupi kumatsimikizira kukhalapo kwa matenda pa malo a catheter kapena pamtsinje wa catheter. Pachifukwa ichi, zikhalidwe zimatha kutengedwa kuchokera ku malo a catheter kuti atsimikizire kuti ali ndi kachilombo koyambitsa matendawa komanso kuti adziwe kachilombo koyambitsa matendawa (izi kawirikawiri ndi mabakiteriya, koma zamoyo zina monga bowa ndizotheka).
Ngati matendawa ali mkati mwa peritoneum, ndiye kuti nyemba zowonongeka ndizofunika kuti zidzatumizidwe mayesero ena (omwe amatchedwa selo, kuchuluka kwa magalamu, ndi zikhalidwe). Zotsatira za mayesero nthawi zambiri zimasonyeza kukula kwa bakiteriya kapena fungal zomwe zingathandize kutsogolera chithandizo cha peritonitis.
KUYERA
Pulotoniyiti yokhudzana ndi PD imachizidwa ndi maantibayotiki. Maantibayotiki angaperekedwe mwachindunji mkati mwa peritoneum, kuphatikizapo zikwama za dialysis nthawi zonse (kapena njira zambiri), kapena mocheperapo. Chithandizo chingakhale chofunikira kwa masabata pamapeto. Chithandizo cha panthaŵi yake komanso choyenera n'chofunika kuti chitetezo cha piritoneum chisathenso kuwonongeka ndi matenda (zomwe zingathe kutanthawuzira kutha kwa peritoneal dialysis kwa wodwala ndipo zingatheke kuti awonetse hemodialysis).
Matenda opatsirana amatha kukhala ochiritsidwa ndi mankhwala okhaokha. Chigamulo chokhudza izi ndi chabwino kwambiri kwa wa nephrologist wanu.