Nibihe bibazo bikunze kugaragara mugihe cya dialyse?

Hemodialyse ni uburyo bwo kuvura busimbuza imikorere y'impyiko kandi bukoreshwa cyane cyane ku barwayi bafite impyiko zifasha gukuramo imyanda ya metabolike n'amazi menshi mu mubiri. Ariko, mugihe cya dialyse, abarwayi bamwe bashobora guhura nibibazo bitandukanye. Gusobanukirwa nibi bibazo no kumenya uburyo bwiza bwo guhangana nabyo birashobora gufasha abarwayi kurangiza kwivuza neza kandi neza.

Wesley'Imashini zikoreshwa mubigo bya dialyse mugihugu cyabakiriya

01.Umuvuduko ukabije w'amaraso - Kuzunguruka n'intege nke mugihe cya dialyse?

Q1：· Kuki ibi bibaho?

Mugihe cya dialyse, amazi mumaraso arayungurura vuba (inzira izwi nka ultrafiltration), ibyo bikaba bishobora gutuma umuvuduko wamaraso ugabanuka ndetse numuvuduko wamaraso ugabanuka.

Q2：·Ikimenyetso rusange？

Kuzunguruka, umunaniro

● Isesemi, kutabona neza (kubona umwijima)

Kunanirwa mu bihe bikomeye

Q3：Niguteikemure?

Igenzura gufata amazi: Irinde kwiyongera ibiro byinshi mbere ya dialyse (muri rusange ntibirenza 3% -5% byuburemere bwumye).

Guhindura umuvuduko wa dialyse: Hindura igipimo cya ultrafiltration.

Kuzamura ingingo zo hepfo: Niba wumva utameze neza, gerageza kuzamura amaguru kugirango utume amaraso atembera.

Diet Indyo yumunyu muke: Kugabanya gufata umunyu kugirango wirinde gufata amazi.

02.Imitsi - Niki wakora mugihe ubonye amaguru mugihe cya dialyse?

Q1：Kuki ibi bibaho?

Loss Gutakaza amazi menshi byihuse, biganisha kumaraso adahagije kumitsi.

Balance Uburinganire bwa electrolyte (urugero, hypocalcemia, hypomagnesemia).

Q2：Ibimenyetso bisanzwe

Kubabara gutunguranye no kubabara inyana cyangwa imitsi yibibero

● Gicurasi ishobora kumara iminota mike cyangwa irenga

Q3：Niguteikemure?

Guhindura igipimo cya ultrafiltration: Irinde umwuma mwinshi cyane.

Mass Massage yaho + compress ishyushye: Kuraho imitsi.

● Ongeramo calcium na magnesium: Fata inyongera uyobowe na muganga nibiba ngombwa.

03.Anemia - Buri gihe wumva unaniwe nyuma ya dialyse?

Q1：Kuki bibaho?

Gutakaza ingirabuzimafatizo zitukura mugihe cya dialyse.

Kugabanuka k'umusaruro wa erythropoietin kubera kugabanuka kw'imikorere y'impyiko.

Q2：Ibimenyetso bisanzwe

Iion Ibara ryoroshye n'umunaniro woroshye

Umutima wihuta no guhumeka neza

Q3：Nigute dushobora kubyitwaramo?

Kurya ibiryo bikungahaye kuri fer: nk'inyama zinanutse, umwijima w'inyamaswa, epinari, n'ibindi.

Ongeramo vitamine B12 na aside folike: Urashobora kuboneka binyuze mumirire cyangwa imiti.

Injiza erythropoietin nibiba ngombwa: Abaganga bazayandikira bashingiye kumiterere yabo.

04.Indwara ya Dialysis Disequilibrium - Kubabara umutwe cyangwa kuruka nyuma ya dialyse?

Q1：Kuki bibaho?

Iyo dialyse yihuta cyane, uburozi buri mumaraso (nka urea) burahanagurwa vuba, ariko uburozi mubwonko burasukurwa buhoro buhoro, biganisha ku busumbane bwa osmotic no kuribwa mu bwonko.

Q2：Ibimenyetso bisanzwe

Kubabara umutwe, isesemi, no kuruka

Kwiyongera k'umuvuduko w'amaraso no gusinzira

Guhungabana mu bihe bikomeye

Q3：Nigute dushobora kubyitwaramo?

Kugabanya ubukana bwa dialyse: Intangiriro yambere ya dialyse ntigomba kuba ndende cyane.

Kuruhuka byinshi nyuma ya dialyse: Irinde ibikorwa bikomeye.

Irinde indyo yuzuye ya poroteyine: Kugabanya gufata poroteyine mbere na nyuma ya dialyse kugirango wirinde kwihuta kw’uburozi.

Incamake: Nigute ushobora gukora hémodialyse itekanye?

1.Genzura amazi gufata kugirango wirinde kwiyongera cyane.

2.Gumana indyo yuzuye hamwe nimirire ihagije (umunyu muke, proteine iringaniye)

3.Kora buri gihe kwisuzumisha kugirango ukurikirane umuvuduko wamaraso, electrolytite, nibindi bipimo.

4.Ganira vuba: Menyesha abakozi b'ubuvuzi ako kanya niba wumva utameze neza mugihe cya dialyse.

Wesley's hemodialysis ibikoresho byateje imbere imikorere ya dialyse yihariye kugirango ikemure ibibazo byavuzwe haruguru, ikaba ikwiranye nubuzima bwa buri murwayi，hamwe na 8kinds yo guhuza UF profiling hamwe na sodium yibitekerezo birashobora gufasha kugabanya no kugabanya ibimenyetso byamavuriro nka syndrome de imbalance, hypotension, spasms yimitsi, hypertension, hamwe no kunanirwa kumutima mubuvuzi. Agaciro kayo kavura gashingiye mubushobozi bwo guhitamo ibipimo byakazi hamwe nuburyo bwa dialyse mugihe gitandukanye binyuze mumikorere ya "buto imwe" kubantu batandukanye, hanyuma igahita irangiza inzira yose yo kuvura dialyse.

8kinds yo guhuza UF ishushanya hamwe na sodium yibanze 

Guhitamo Wesley ni uguhitamo umufasha mwiza ， ushobora gutanga uburambe bwo kuvura neza.