Chiitiko changu ne peritoneal dialysis uye musiyano pakati peperitoneal uye hemodialysis

mohamed elsharkawy
2023-09-10T08:00:01+00:00
ruzivo rwangu
mohamed elsharkawyYakatariswa na: nancyGunyana 10, 2023Yekupedzisira update: 8 mwedzi yapfuura

Chiitiko changu ne peritoneal dialysis

Peritoneal dialysis inzira yakakosha yekurapa kusashanda kweitsvo. Mai Sarah, avo vanorwara nechirwere ichi, vakapindira kuti vataure zvavakasangana nazvo mukurapwa uye hunhu hwavakaona.

Mai Sarah vane makore makumi matatu nemanomwe ekuberekwa uye vave nemakore manomwe vachirwara neitsvo. Aida nekukurumidza peritoneal dialysis kurapwa kuti achenese muviri wake wehupfu uye tsvina iyo itsvo yaisakwanisa kusefa zvakangoitika.

Mugore rapfuura, Mai Sarah vakatanga kurapwa neperitoneal renal katatu pasvondo kwemaawa mana pachikamu chimwe nechimwe. Mai Sarah vanotaura kuti vakanzwa kuvandudzika kuri pachena kubva pavakatanga kurapwa. Nekuda kwekuita uku, akakwanisa kunyatsobvisa chepfu uye tsvina, uye simba rake uye hupenyu hwehupenyu hwakawedzera.

Chimwe chezvakanakira zvikuru zvakaonekwa naMai Sarah kubva mukurapwa uku kuvandudzwa kwechimiro chavo chemuviri nepfungwa. Pamusoro pezvo, misangano yenguva dzose yakabatsira kudzorera kushanda kweitsvo, kunatsiridza kubuda kweweti, uye kudzora BP.

Mukuwedzera, peritoneal dialysis iri nyore kubata uye yakachengeteka kune varwere. Hazvidi kushanda nesimba kukuru kana kudzidziswa kwakawanda. Kuna Amai Sarah, rwendo rwekurapwa rwaisanganisira kutanga nekushomeka kwemidziyo yekuwachira yekurapa, izvo zvakava nyore uye zvakanyanya kuwanikwa nekufamba kwenguva.

Zvakaitika kuna Amai Sarah zvinopa muenzaniso wezvakanakira peritoneal dialysis mukurapa itsvo dzisingaperi. Nekuda kwekurapwa uku, Sarah akawanazve hupenyu hwake uye akakwanisa kubata chirwere ichi zviri nani. Nenzira iyi, anokwanisa kunakidzwa zvizere nehupenyu hwake uye kutora chikamu mune zvenguva dzose uye zvekutandara.

Pakupedzisira, nhoroondo yaAmai Sarah inoratidza kuti peritoneal dialysis chishandiso chine simba mukurapwa kwechirwere chetsvo chisingaperi. Tinovimba kuti nyaya yake ichakurudzira vanhu vari kurwara nechirwere ichi kuti vatsvage kurapwa kwakakodzera kunogona kuita mutsauko wakanaka muhupenyu hwavo.

Chiitiko changu ne peritoneal dialysis, kukosha kwayo uye kukuvadza - Al-Laith webhusaiti

Munhu anogara kwenguva yakareba sei pa peritoneal dialysis?

Peritoneal dialysis imhando ye dialysis iyo inoshandiswa kana itsvo dzisingakwanisi kuita mabasa adzo nemazvo. Munguva iyi, itsvo dzinoshandiswa dialyzed uchishandisa peritoneal membrane inoiswa mudumbu. Marara uye mvura yakawandisa inotorwa kubva muropa kuburikidza ne membrane uye ropa rinosefa rodzoserwa mumuviri.

Zvakakosha kuziva kuti ndeipi avhareji yehupenyu hwemunhu pane peritoneal dialysis? Izvi zvinoenderana nezvakawanda, kusanganisira mamiriro ehutano hwemunhu uye kuvapo kwemamwe matambudziko ehutano. Zvisinei, munhu anogona kurarama kwenguva yakareba pa peritoneal dialysis kana akagamuchira kutarisirwa kwakakodzera uye kutevera mararamiro ane hutano.

Muchokwadi, kune vanhu vanopona pa peritoneal dialysis kweanosvika makore makumi maviri, zvichivabvumira kuenderera nehupenyu hunenge hwakajairika. Nekudaro, peritoneal dialysis inogona kuve imwe nzira inoshungurudza kumunhu uye ingangoda shanduko mukudya uye hupenyu hwezuva nezuva. Zvakakosha kuti munhu akazvipira kutevera purogiramu yavo yeperitoneal dialysis uye kutora mishonga yavo yavakatemerwa.

Kana uine matambudziko eitsvo uye uchida dialysis, zvakakosha kuonana nachiremba ane hunyanzvi kuti aone kana peritoneal dialysis iriyo sarudzo yakakodzera kwauri uye hutano hwako. Chikwata chekurapa chinogona kukupa rumwe ruzivo uye gwara rekuita maitiro aya uye kugadzirisa hupenyu hwako pane peritoneal dialysis.

Pane peritoneal dialysis muEgypt here?

MuEgypt, peritoneal dialysis inowanikwa seimwe yenzira dzekurapa dzekutadza kweitsvo. Dr. Mohamed Ghoneim, piyona wekuiswa kweitsvo muEgypt, akasimbisa kuti peritoneal dialysis haisi itsva, asi inowanikwa kuburikidza nehuwandu hwezvipatara munyika, zvakadai seArab Contractors Center uye Abu Al-Futouh Medical. Center. Iyi sisitimu yakagamuchirwa zvakanyanya nekuda kwekureruka kwayo kwekuita uye kushanda mukuchenesa ropa nekurapa matambudziko eitsvo.

Mune chirevo chakakosha ku "Zuva Rechinomwe," Dr. Dina Abdel Latif akatsanangura kuti peritoneal dialysis inoitwa kuburikidza nemudumbu, uye ndiyo yakachengeteka imwe nzira kune yechinyakare dialysis kuburikidza neitsvo. Iyo inoderedza matambudziko anogona kumuka kubva kune echinyakare dialysis, senge kuunganidzwa kwehupfu mumuviri uye shanduko mu peritoneum. Akasimbisa kuti peritoneal dialysis inogona kuitwa nyore uye inokodzera mazera ese pasina kukosha kwekuisa zvinorwadza dialysis tsono.

Pamusoro pezvo, zvinofanirwa kucherechedzwa kuti kune akasiyana marudzi eperitoneal dialysis anowanikwa muEgypt, akadai se intermittent dialysis (IPD), inoenderera mberi ambulatory dialysis (CADD), uye inoenderera rotary dialysis (CCPD). Aya marudzi akasiyana eperitoneal dialysis anoshandiswa kurapa akasiyana itsvo kutadza uye zvinobudirira kusefa ropa.

Chiitiko changu ne peritoneal dialysis - Director's Encyclopedia

Murwere aneitsvo angaite weti here?

Hongu, murwere ane itsvo isingashande anogona kuita weti. Vamwe varwere vanogona kuita weti mune yakajairika weti, nepo weti inogona kusiyana mune dzimwe nguva zvichienderana nekuoma uye rudzi rweweti. Varwere vanogonawo kunzwa weti ine ropa kana kunzwa kurwadziwa kana kupisa panguva yeweti. Panogona kuve nekuderera kwekugadzirwa kweweti kana zvimwe zviratidzo zvinoratidza kutadza kweitsvo.

Terminal itsvo kukundikana kwakakamurwa kuita mhando mbiri: oliguria kana weti muhuwandu huri padyo neyakajairwa. Mu oliguria, varwere vanoita weti isina kukwana huwandu hwemvura kubvisa chepfu. Kuwanda kweweti kunogona kuderera kana kuti panogona kunge pasina weti zvachose.

Zvakakosha kuziva kuti hapana mushonga weitsvo, asi nekurapa kwakakodzera, varwere vanogona kurarama hupenyu hurefu. Vanachiremba dzimwe nguva vanoshandisa dialysis kune varwere vane zvimwe zvirwere zvinokonzerwa neitsvo dzine chirwere. Kukundikana kweitsvo kunosanganisira zviratidzo zvakadai sekuita weti mukati mehusiku, kuneta, kusvotwa, uye kukoira.

Mukuwedzera, hutano hweitsvo hunogona kuonekwa nekuita weti. Iwe unogona kuona ruvara uye kuvapo kwekuomerwa kana kureruka mukuita weti. Panyaya yekutadza kushanda kweitsvo, vamwe varwere vangangoda kushanda nesimba pakuita weti.

Dialysis inoda anesthesia here?

Muzviitiko zvakawanda, dialysis inoda kuti murwere atindiswe. Kugeza kunoitwa pasi peanesthesia yemunharaunda, inova rudzi rweanesthesia inoshandiswa kuita chiveve nzvimbo chaiyo yemuviri. Nharaunda yemunharaunda inopedza nzvimbo iyo catheter ichapinzwa kana kuvhiyiwa kweitsvo kudiki.

Kuvhiyiwa kwekubvisa tsinga yerenal kana kuisirwa itsvo itsva kunowanzoshandiswa pasi peanesthesia, inova rudzi rweanesthesia inoisa murwere muhope huru uye haamuki panguva yekushanda.

Kana uine matambudziko eitsvo uye uchida dialysis nguva dzose, anesthesia yemunharaunda ichashandiswa apo catheter kana zvimwe zvigadzirwa zve dialysis zvakaiswa. Anesthesia inoshandiswa mukuita uku kuti ave nechokwadi chokuti murwere haanzwi kurwadziwa panguva yekuita.

Varwere vari kuitiswa peritoneal dialysis kumba vangangoda kuti catheter iiswe nemumadziro edumbu mugomba redumbu. Kana iyo catheter yakaiswa, anesthesia yemunharaunda inoshandiswa kuti iite chiveve nzvimbo uye kuderedza chero marwadzo kana kusagadzikana. Izvi zvinobvumira murwere kuita zvirongwa zvekuchenesa zvakanaka uye zvakachengeteka.

Kazhinji, maitiro e dialysis anoshandisa anesthesia yemunharaunda kubvisa chero marwadzo uye kusagadzikana panguva yekuita. Chinangwa chikuru cheanesthesia ndechekuona kunyaradzwa uye kuchengeteka kwemurwere munguva yose yekurapa.

Chiitiko changu ne peritoneal dialysis - Egypt Brief

Kusiyana pakati peperitoneal uye hemodialysis

Pane misiyano yakawanda pakati peperitoneal dialysis uye hemodialysis. Mu peritoneal dialysis, chepfu inobviswa muropa nekutora zvinwiwa kubva muropa kuburikidza nemucheka wepadumbu unonzi peritoneum. Paunenge uri muhemodialysis, ropa pacharo rinotorwa rocheneswa kunze kwemuviri.

Mumwe musiyano ndewekuti peritoneal dialysis inoitwa nemurwere ari kumba zuva nezuva, ukuwo hemodialysis inoda kuti murwere auye kuchipatara kuzozviita. Izvi zvinoreva kuti kuongororwa uye maitiro anodiwa nehemodialysis zvakanyanya kuoma uye zvinotora nguva.

Uyewo, nhamba yezvikamu zvekugeza zvinodiwa zvinogona kusiyana pakati penzira. Peritoneal dialysis inowanzotora nguva yakareba uye inoenderera mberi, nepo hemodialysis inoda kurongwa nguva dzose muchipatara mukati memaawa mashoma.

Mukuwedzera, peritoneal dialysis inonyanya kushanda kune varwere vane mamwe matambudziko ehutano anovadzivisa kushanyira chipatara nguva dzose. Kune vanhu vane matambudziko ekuvhara kana zvimwe zvinopesana, peritoneal dialysis inogona kunge yakachengetedzeka uye iri nyore sarudzo.

Nguva yeperitoneal dialysis

Peritoneal dialysis inotora anenge 30 kusvika 40 maminetsi nguva yega yega, uye inoramba iri mukati medumbu remukati kwemaawa mana kusvika matanhatu. Peritoneal dialysis inoitwa kuburikidza ne peritoneal membrane inovhara nhengo dzomukati, uko tsvina inotsinhaniswa pakati pemidziyo. Hurefu hwenguva murwere anofanirwa kuramba akabatana nemuchina weperitoneal dialysis ndeye gumi kusvika maawa gumi nemaviri husiku.

Panyaya yehemodialysis, inotora maawa mashanu kusvika matanhatu pamusangano wekurapa. Mabhegi emvura anobatanidzwa necatheter kubva kunze kuti abaye mvura mudumbu, uye mushonga unoramba uri mukati memuviri wemurwere kwenguva inotangira pakati pe5 ne6 maawa. Iwe unoda kuenderera mberi ambulatory peritoneal dialysis (CAPD) kuchengetedza tsvina kuchinjana.

Varwere vanoita peritoneal dialysis kumba kazhinji, sezvo pasina mimwe michina inodiwa. Kune masisitimu akawanda erudzi urwu rwekuwacha, uye anowanzoitwa katatu, kana kana kashanu munhambo yemaawa 24 apo murwere anenge akamuka uye achiita mabasa ake enguva dzose. Kutsinhana kwega kwega kunotora maminitsi makumi matatu kusvika makumi mana.

Peritoneal dialysis uye hemodialysis inoda nguva yakareba, kubva pamaawa makumi maviri nemana kusvika makumi mana nemasere, asi varwere vanogona kurarama hupenyu hwavo hwemazuva ese panguva iyi. Chinangwa chemaitiro ese ari maviri ndechekuchenesa ropa kubva kune chepfu uye tsvina uye kuchengetedza hutano uye kushanda kweitsvo zvakanaka.

Zvinokuvadza zvinokonzerwa neperitoneal dialysis

Izvo zvinokuvadza zvinokonzerwa neperitoneal dialysis zvinosanganisira kukanganwa kasingaperi kana kusvetuka dialysis zvikamu, zvichiita kuti chepfu iungane mumuviri uye ichikonzera shanduko munjodzi. Zvinetso zvinogoneka zve peritoneal dialysis zvinogona kusanganisira kutapukira, kusanganisira peritonitis yegumbo remukati, inova inowanzoitika complication yemaitiro. Peritoneal dialysis ine chinangwa chekubvisa tsvina kuburikidza ne membrane mukati memadziro emimba, inozivikanwa se peritoneum, iyo yakakomberedza nhengo dzomukati.

Pakati pekukuvadza kwe peritoneal dialysis, zvinogona kuita kuti murwere awedzere huremu semhedzisiro yedialysis solution ine shuga, nekudaro kuwedzera mamwe macalorie. Mukuwedzera, hutachiona hunogona kuitika pakati pevanhu semugumisiro wekuti catheter isati yaitwa sterilized, zvichikonzera kurwadziwa kwakanyanya munzvimbo yedumbu.

Peritonitis ndiyo inonyanya kuoma, kazhinji inoperekedzwa nefivha uye kurwadziwa mudumbu. Type XNUMX anemia inogonawo kuitika semhedzisiro ye peritoneal dialysis. Mukuwedzera, peritonitis inogona kuitika kana catheter inoiswa uye inoshandiswa, zvichiita kuti mudumbu murware, kusvotwa, uye dzimwe nguva manyoka.

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