Izvi zvinokonzera kukanganisa zvinogona kutambudza vatsva vachangotanga pa dialysis
CHII CHII DIALYSIS DISEQUILIBRIUM SYNDROME
Chiitiko che dialysis disequilibrium syndrome chinowanzoitika mushure mekutsamwa kwepvo murwere achangobva kutangwa pa dialysis (kunyange izvi zvisingaitiki uye zvinogona kuitika mushure mezvo). Sezvo mvura inoshandiswa uye chepfu inobviswa mumuviri ne dialysis , kuchinja kwepanyama kunogona kukonzera zviratidzo zvehutano zvehutano zvinotanga kuitika.
Zviratidzo zvinogona kusiyana kubva kune vanyoro vanoita sepfungwa, kune miitiro yakaoma zvikuru apo varwere vanogona kukudziridza coma, kana kunyange rufu. Heino isiri risina kunyorwa yezviratidzo :
- Nausea
- Headache
- Disorientation
- Kusanganiswa
- Cramps
- Chizutu
- Kugumburwa
- Coma, kana rufu mukutambudzika kwakanyanya
CHII CHINOITA DIALYSIS DISEQUILIBRIUM SYNDROME HAPPEN: KUZIVA PHYSIOLOGY YAKE
Iwe unofunga kuti ne dialysis iri kumativi kwehafu yezana remakore, tinogona kunzwisisa zvose zvinokanganisa zvayo zvino. Ne dialysis disequilibrium kunyange zvakadaro, iyo haisi iyo uye iyo chaiyo yakagadziriswa ichiri nyaya yekutsvakurudza. Tine zvimwe zvinotungamirira:
- Imwe yezvinyorwa zvange zvataurwa pane chimwe chinhu chinonzi " reverse osmotic shift", kana kuti reverse effect urea effect . Chaizvoizvo zvinorevei ndezvokuti once dialysis inotangwa, kubviswa kwehupfu ( ropa urea ) kunoita kuti kuwedzera kuwedzerwa muwandu hwekusanganiswa kwemvura muropa . Mvura iyi inogona kuenderera mumasero europi achiitungamirira kuti irere, zvichiita chimwe chinhu chinonzi cerebral edema . Uku kubwinya kwemasero europi kuburikidza nenzira iyi yakambofungidzirwa seimwe yezvikonzero zvinokonzerwa nezvinetso zvemaurological zvinowanzobatanidzwa ne dialysis disequilibrium syndrome.
- Yakaderera pH yemasero europi . Muzvinyorwa, izvi zvinoreva kuti masero europi ane huwandu hwe "acid". Izvi zvakarongedzwa seimwe chikonzero chinokonzera.
- Idiogenic osmoles inokonzerwa muuropi (tsanangudzo dze nhamba 2 ne3 dzisingasviki pakukura kwenyaya ino).
NDIANI ANO KUTI AKUDZE DIALYSIS DISEQUILIBRIUM SYNDROME: ZVINHU ZVINOITA KUTI UYE HUTSANGURI
Nenzira yakanaka, dialysis disequilibrium syndrome chinhu chisingawanzoiti uye chiitiko chacho chinoramba chichidonha.
Izvi zvave zvichifungidzirwa kuti ndezvikonzero nekuda kwekuti varwere vava ikozvino vakaiswa pa dialysis pamusana muduku wakadzika weUrea muropa.
Heano mamwe mamiriro ezvinhu apo murwere anogona kuonekwa sekukuvadza kukuru kwekukura kwe dialysis disequilibrium syndrome :
- Vakura nevarwere
- Rutsva rinotanga dialysis
- Varwere vanotova nehutano hwepfungwa sezvinonzi kugumburwa kana kurohwa
- Varwere pa hemodialysis (chirwere hachionekwi muvanhu vanonzi diitoneal dialysis )
CAN DIALYSIS DISEQUILIBRIUM SYNDROME KUVARIDZWA
Sezvo dialysis disequilibrium syndrome inofungidzirwa kuti yakabatana nekukurumidza kubviswa kwezvinokonzera (urea) uye mvura inobva kumurwere anenge achangobva kuora, dzimwe nzira dzokudzivirira dzinogona kubatsira. Kuziva murwere ane njodzi huru, sezvataurwa pamusoro apa, ndiro danho rokutanga. Kupfuura izvozvo, pane dzimwe nzira dzinogona kubatsira:
- Kutanga zvishoma kwema dialysis, zvichida kuvhara chirongwa chekutanga kusvika kwemaawa maviri, nechinono chekuyerera kweropa.
- Kudzokorora chidzidzo chekutanga kwemazuva 3-4, zuva rimwe nerimwe, izvo zvingasava zviitiko zvinowanikwa munguva refu (naizvozvo kakawanda kakawanda, asi "gentler" zvidzidzo)
- Kuvharirwa kwechinhu chinonzi mannitol
ZVINOKOSHA KUTI TREAT DIALYSIS ONE ZVINHU ZVINHU ZVINHU ZVINOPA
Mishonga inowanzoita zviratidzo.
Nausea uye kurutsira kunogona kurapwa mishonga uchishandisa mishonga seoddsetron. Kana kukanganisa kuchiitika nguva dzose, zvinowanzodiwa kukurudzira dialysis uye kutanga mishonga inodhaka . Kuwedzera uye kushungurudzika kwe dialysis kunogona kudikanwa kuderedzwa kwekurapa kweramangwana.