Zvinogumbura uye zvakajairika!
Pruritus , kana sevanhuwo zvavo vanoriidza, kutema, idambudziko rinowanzokonzera varwere vane hono kusakatika kana varwere ve dialysis . Icho chimwe chezvinetso zvepfungwa yakakura yepfungwa yakaoma kunzwisisa uye zvichida zvakaoma kurapa.
Iyo Inowanzonje Dambudziko Rokuita In Dialysis Patients?
Chimwe chezvidzidzo zvakakosha kugadzirisa mubvunzo uyu chakashuma kuti kubvisa kwave kwakagadziriswa nechepasi pehafu yevatachiona ve dialysis.
Iyi deta yakaunganidzwa kubva kune varwere pa hemodialysis, asi isu tisati tine pfungwa yakanaka yehuwandu hwevarwere vane chirwere chepfungwa chakakura chisati chave pane dialysis, kana kunyange varwere pa peritoneal dialysis, vane dambudziko iri.
Nei Zvichiitika?
Izvi hazvinyatsonzwisiswi. Heano maitiro mashomanana atinoziva pamusoro apa:
- Imwe tsanangudzo ndeyokuti kubva dialysis inyika umo muviri uri munharaunda yekusagadzikana kusingaperi , izvi zvinogona kuva chirwere chinopisa. Pakave nedzidzo dzave dzichitarisa izvo zvinonzi "zviratidzo zvekuputika" izvo zvakaratidzwa kuti zvakakwirira kune varwere vane hosha kusakona vane pruritus.
- Danda rakachena ndiro dambudziko rinowanikwa muvarwere ve dialysis iyo inogona kuve iyo inobatsira.
- Zvimwe zvinokonzerwa nehutano hwehutano uye hutsinye hunokonzerwa nehutano zvakare zvakatongerwa mhosva iyi.
Ndezvipi Zviratidzo?
Zvakanaka, iwe itch. Asi apa pane mazita mashomanana:
- Itching inowedzera kuva yakaipa usiku kusvikira pane iyo inogona kuvhiringidza kurara.
- Iko kunowanzowanzopindira mushure, asi muviri wose hausi kurega kupera.
- Kuchena kunoratidzika kuchiita kuti kuwedzere.
Inobata Mumiririri Wega Dialysis Here?
Kwete hazvo. Zvisinei, kune varwere mune dzimwe njodzi dzinowanikwa. Iri haisi rondedzero yakakwana sezvo iyi inzvimbo inoshanda yekutsvakurudza:
- Kusina dialysis yakakwana ndiyo ngozi huru. Varwere vasingagamuchiri dialysis yakakwana vanowanzova "uremic". Itching inowedzera kuipa mumamiriro ezvinhu akadaro.
- Iyo inoratidzika seyo inobatanidzwa nepamusoro ye phosphorus muropa asi mamwe maitiro asina kukwana anosanganisira yakakura magnesium uye aluminium concentrations zvose zvakapomerwa mhosva.
- Pakupedzisira, varwere ve dialysis vanowanzova nehupamhi hwehomoni yepathyroid, iyo iri chikamu chechirwere chinonzi chirwere chisingaperi chine chokuita nemamineral uye bone disorder. Ava varwere vanoonekwawo kuti vane ngozi yakanyanya.
Iwe Unobata Sei Iching In Dialysis Patients?
Kuziva kuti chii chinowanzoisa njodzi chinogona kuva chikonzero ndicho chaicho chiito chekutanga. Kana murwere asiri kushaya dialyzed zvakakwana kana kurasikirwa nemishonga inoshungurudza kudonha, ipapo "kutanga" kurapa kungangodaro kuri kurongedza kuwanda kwechirwere che dialysis , panzvimbo pokutanga murwere pane chero mishonga chaiyo yekuita. Imwe yenzira dzekuwedzera chiremba che dialysis ndeyokuwedzera nguva yekurapa. Izvi, zvisinei, zvingave kana zvingasava nzira inogamuchirwa kune murwere. Zvimwe zvinopindira zvinogona kuedzwa kuve nechokwadi kuti varwere vari kuwana kurapa kwakanaka ndiko kuwedzerwa ropa ravo mazera ekurapa, kana kuve nechokwadi chokuti vane dialysis yakanaka iyo inosvika kana pasina chikonzero chekudzokorora chiri kuitika.
Kana matanho ari pamusoro apa atove aripo kana kuti chirwere che dialysis hachiratidzika sechinhu, ipapo nephrologist inofanirwa kutarisa maitiro ako ekuongorora. Ndiyo horhemone yepathyroid (PTH) kana phosphorus yako yakakwirira here? Kana izvi kana zvimwe zvipingamupinyi zviri nyore kuziva, matanho anogona kutorwa kuti agadzirise izvozvo. Somuenzaniso, vitamine D zvakafanana zvinogona kubatsira kuburitsa pasi iyo PTH level. High phosphorus mazinga anogona kuderedzwa nehotera yakaderera phosphorus kana kuisa varwere phosphorus binders.
Pakupedzisira, kana izvi zvose zvisingakwanisi, tinowanzofanira kuenda kumishonga. Izvi zvinogona kusanganisira antihistaminic seBenadryl kana diphenhydramine, kana imwe mishonga iyo yakafanana inonzi hydroxyzine.
Iyi mishonga inofanirwa kunge ichigara uye inogona kushanda mumatambudziko ose. Loratadine inzira isingabatsiri.
Mimwe mishonga yakave ichiedzwa inosanganisira gabapentin, pregabalin, uye zvinodhaka zvinosanganisira sertraline. Kune varwere vasina kuwana ruyamuro kunyange nemishonga iyi, kupoteredza chirwere cheSviviolet B chingabatsira.