Ni ibihe bibazo bikunze kubaho mu gihe cyo gusukura amaraso?

Hemodialysis ni uburyo bwo kuvura busimbura imikorere y'impyiko kandi bukoreshwa cyane cyane ku barwayi bafite ikibazo cy'impyiko kugira ngo bufashe gukura imyanda ya metabolisme n'amazi menshi mu mubiri. Ariko, mu gihe cyo gusukura amaraso, bamwe mu barwayi bashobora guhura n'ingorane zitandukanye. Gusobanukirwa ibi bibazo no kumenya uburyo bwiza bwo guhangana nabyo bishobora gufasha abarwayi kurangiza ubuvuzi bwabo mu mutekano no mu buryo bunoze.

Wesley'imashini zikoreshwa mu bigo bya dialyse mu gihugu cy'umukiriya

01.Umuvuduko w'amaraso uri hasi - Kuzunguza no gucika intege mu gihe cyo gusukura amaraso?

Q1:· Kuki ibi bibaho?

Mu gihe cyo gukora dialyse, amazi ari mu maraso ayungururwa vuba (uburyo buzwi nka ultrafiltration), bishobora gutuma ingano y'amaraso igabanuka ndetse n'umuvuduko w'amaraso ukagabanuka.

Q2:·Ibimenyetso bisanzwe？

● Kuzungera, umunaniro

● Isesemi, kutabona neza (kubona umwijima)

● Kunanirwa mu bihe bikomeye

Q3:Uburyo bwogukemura ikibazo?

Genzura amazi unywa: Irinde kongera ibiro byinshi mbere yo gukoresha dialyse (muri rusange nturenze 3%-5% by'ibiro byumye).

● Hindura umuvuduko wa dialyse: Hindura igipimo cyo kuyungurura amaraso mu buryo bwa ultrafiltration.

● Kuzamura amaguru yo hasi: Niba wumva umeze nabi, gerageza kuzamura amaguru kugira ngo amaraso atembera neza.

● Indyo irimo umunyu muke: Gabanya umunyu kugira ngo wirinde ko amazi asigara.

02.Kubabara kw'imitsi - Wakora iki niba ubabara amaguru mu gihe cyo gusukura amaraso?

Q1:Kuki ibi bibaho?

● Gutakaza amazi vuba cyane, bigatuma amaraso adahagije mu mitsi.

● Kudahuza kwa electrolyte (urugero, hypocalcemia, hypomagnesemia).

Q2:Ibimenyetso bisanzwe

● Kubabara mu buryo butunguranye no kubabara imitsi y'ikibero cyangwa y'ikibuno

● Bishobora kumara iminota myinshi cyangwa irenga

Q3:Uburyo bwogukemura ikibazo?

● Hindura igipimo cyo kuyungurura amazi mu buryo bwa ultrafiltration: Irinde ko amazi agabanuka cyane mu mubiri.

● Massage yo mu gace hamwe n'umukandara ushyushye: Igabanya umuvuduko w'imitsi.

● Inyongera ya kalisiyumu na manyeziyumu: Fata inyongeramusaruro uyobowe na muganga nibiba ngombwa.

03.Anemia - Uhora wumva unaniwe nyuma yo gukoresha dialyse?

Q1:Kuki bibaho?

● Gutakaza uturemangingo dutukura mu gihe cyo gukoresha dialyse.

● Kugabanuka k'umusaruro wa erythropoietin bitewe n'imikorere y'impyiko igenda igabanuka.

Q2:Ibimenyetso bisanzwe

● Ibara ry'uruhu ryerurutse kandi rituma umuntu ananirwa cyane

● Umutima utera cyane kandi uhumeka nabi

Q3:Wabigenza ute? Wabyitwaramo ute?

● Kurya ibiryo byinshi birimo feri: Nk'inyama zidafite ibinure byinshi, umwijima w'inyamaswa, epinari, n'ibindi.

● Inyongera ya Vitamine B12 na aside folike: Ishobora kuboneka binyuze mu mirire cyangwa imiti.

● Shyira erythropoietin mu gihe bibaye ngombwa: Abaganga bazayigutera bakurikije imiterere y'umuntu ku giti cye.

04.Dialysis Disequilibrium Syndrome – Kuribwa umutwe cyangwa kuruka nyuma yo kwandura dialysis?

Q1:Kuki bibaho?

Iyo dialyse yihuta cyane, uburozi mu maraso (nk'umunyu ukomoka kuri urea) bukurwa vuba, ariko uburozi mu bwonko bukurwa buhoro buhoro, bigatera kutagira ingano ya osmotic no kubyimba mu bwonko.

Q2:Ibimenyetso bisanzwe

●Kubabara umutwe, isesemi no kuruka

●Ukwiyongera k'umuvuduko w'amaraso no gusinzira

●Kurwara indwara yo mu mutwe mu gihe cy'uburwayi bukomeye

Q3:Wabigenza ute? Wabyitwaramo ute?

● Gabanya imbaraga za dialyse: Imyitozo ya mbere ya dialyse ntigomba kuba ndende cyane.

● Kuruhuka cyane nyuma yo gukoresha dialyse: Irinde gukora imirimo ivunanye.

● Irinde indyo irimo poroteyine nyinshi: Gabanya poroteyine mbere na nyuma yo gusukura kugira ngo wirinde ko uburozi bwiyongera vuba.

Incamake: Ni gute wakora hemodialysis itekanye?

1. Genzura amazi unywa kugira ngo wirinde kwiyongera ibiro cyane.

2. Guma urya indyo yuzuye hamwe n'indyo ihagije (irimo umunyu muke, poroteyine iringaniye)

3. Gukora isuzuma buri gihe kugira ngo urebe umuvuduko w'amaraso, electrolytes, n'ibindi bimenyetso.

4. Vugana vuba: Bibwire abakozi b'ibitaro vuba niba wumva utameze neza mu gihe cyo gusukura amaraso.

WIbikoresho bya Esley byo gupima amaraso byashyizeho uburyo bwihariye bwo gusuzuma amaraso kugira ngo bikemure ibibazo byavuzwe haruguru, bukwiriye cyane indwara za buri murwayi.，Ifite ubwoko 8 bw'uburyo bwo guhuza UF profilling na sodium concentration profilling bishobora gufasha kugabanya no kugabanya ibimenyetso by'uburwayi nka imbalance syndrome, hypotension, imitsi ihungabana, umuvuduko ukabije w'amaraso, no kunanirwa k'umutima mu buvuzi. Agaciro kayo mu buvuzi ni ubushobozi bwo guhitamo ibipimo bihuye n'imikorere n'uburyo bwo gukora dialyse mu bihe bitandukanye binyuze mu gikorwa cya "button imwe" ku bantu batandukanye, no kurangiza mu buryo bwikora igikorwa cyose cyo kuvura dialyse.

Ubwoko 8 bw'uruvange rw'ibipimo bya UF na sodium 

Guhitamo Wesley ni uguhitamo umukunzi mwiza, ushobora gutanga uburambe bwo kuvurwa neza kurushaho.