Hemodialysis inzira yekurapa inopiwa kuvarwere vane hosha kusakanganiswa apo ropa rinotorwa kubva mumuviri wevarwere kuburikidza nekuwana dialysis uye kucheneswa mumushandisi we dialysis. Uyu mishonga ye dialysis inoshanda seyiyo yepfungwa, uye inoedza kudzokorora zvinetso zvevanhu zvinowanzoita. Uturu hwakabviswa, kupisa kwemvura kunotorwa, uye ropa rakachena rinodzoserwa kumurwere.
Hemodialysis inongova imwe yemhando dzakasiyana-siyana dzechirwere che dialysis asi ndiyo yakanyanya kufanana nayo yekurapa mafungiro asina hanya, kunyanya muUnited States. Izvi zvinowanzodiwa kana tsvina yenhengo ichiramba ichienda kune imwe nzvimbo apo murwere anotanga kukudziridza zvipatara zvehuputi kukanganisa, kunonzi uremia, iyo inoonekwa pamwe chete neonguva dzisingaoneki zvepfungwa dzemabasa (yakakwirira creatinine uye yakaderera GFR). Kuti uite dialze murwere, kuwanikwa kwe dialysis kunodiwa.
Nyaya iyi inongororongedzo yezvinetso zvakasarudzwa zvinogona kuitika mumurwere pa hemodialysis, nehurukuro yakazara inonyanya kutaurwa pamusoro pemakumbo, chimwe chezvinetso zvinowanzoitika kana varwere vari kuwana dialysis. Zvisinei, iyi haisi yeruzhinji-yakabatanidzwa nhamba chero ipi zvayo.
Zvinetso Zvakajairika
Izvi zvinosanganisira:
- Nausea
- Itching
- Headaches
- Kutambudzika shure
- Chipfuva chepfu
- Kudzora
- Fever
- Muscle makampu
Nzira dzakasiyana-siyana dzinokonzera kuchinja uku.
Nhamba uye utsinye hwe dialysis zvinhu zvinokosha. Semuenzaniso, kurwadziwa shure shure kunowanzoonekwa pamwe chete nekukurumidza kushandiswa kwemvura ku dialysis. Fever, kune rumwe rutivi, inogona kuitika kubva kune hutachiona, asi inogonawo kungoita zvinokonzerwa nea dialyzer. Kuchepa kwepfupa pa dialysis kunoda kutorwa zvakanyanyisa uye kunogona kuitika nekuda kwemadonhe muropa (zvichiita kuti kudonhedzwa ropa kugove pamwoyo, kunonziwo myocardial ischemia ), uye zvinowanzowanzobva mumhepo zvichipinda mumhepo, kana mweya embolism.
Pano pane zvirongwa zvinoparidzirwa kuti zvipinde pamichina yakawanda yezuva re dialysis kana chero chinhu chakadai chikaonekwa.
Zvimwe zvezvinetso izvi zvinogona kuitika pamwe chete, kunyanya kana murwere achangotanga pa dialysis, uye izvi zvinonzi dialysis disequilibrium syndrome .
Chikonzero nei Varwere Vanoputika paDailysis
Chimwe chezvinonyanya kukanganisika nezvehutano hwe dialysis, zvipfeko zvinowanzoitika kana hemodialysis ine utsinye; iyo iyo apo yakawanda yehupfu uye mvura inonaya inobviswa kubva murwere munguva shomanana yenguva panguva ye dialysis. Saka haisi kungova kungoita kuwandisa kwemvura, uyewo kuti nokukurumidza kubviswa sei. Mune mamwe mazwi, murwere angangodaro ane 2 malita emvura inobviswa panguva yokurapa kwake dialysis (kwete chiyero chisina kujairika), zvisinei, kana mari iyi yakabviswa pamusoro penguva yeawa imwe chete, zvinogona kukonzera kupera simba.
Zvipfeko zvinowanzorova varwere vanoona kurema kwepamusoro pakati peal dialysis mishonga (inter-dialytic weight gain, kana IDWG) kakawanda. Kune vanhu vatova dialysis, ungave uchiziva izwi rokuti "uremu hwakaoma." Usati watanga dialysis yako kurapa vashandi ve dialysis vachakuyera, uye kuverenga kuwanda kwehuwandu hwawakawana kubva pakucherechedzwa kwechidialysis yapfuura pawakasiya (yakaoma uremu).
Misiyano iri pakati pekurema kwako ikozvino uye uremu hwakaoma ndehuwandu hwemvura inowanzoguma yekubviswa. Iyo yakakwirira ichi chiyero, iyo inowanzoita kuti zviputi zvive nekukura Saka, mazano anowanikwa kune vanorwara ne dialysis ndeyokusawana kuwandisa kwakawandisa kwehutano pakati pehutano hwe dialysis. Saka, varwere ve dialysis vanotarisirwa kutarisa kuti vanodya kana kunwa zvakadini pakati pemishonga.
Kudzivirira Cramping pa Dialysis
Zvingaitwa nemurwere: Chengetedza uremu hwema-dialytic uwane pasi nekucherechedza kunwa kwemvura
Zvinoitwa nevaridzi ve dialysis: Deredza kudhura / chiyero chemvura inoshandiswa panguva yekurapa kwe dialysis.
Kuyera kuderedzwa kunogona kuwanikwa kuburikidza nekuwedzera chirwere che dialysis, saka kunyange zvazvo chiyero chose chemvura chinenge chabviswa chingangove chakafanana, chiyero chemvura yakabviswa paawa chiri pasi. Muviri kazhinji uchava nemukana wakanaka wekugadzirisa kushanduka kwemvura uye zvishoma zvishoma kuti uite pasi. Doro rakaoma rinogona kugadziriswa pane dzimwe nguva.
Kurapa Dialysis Yakagadziriswa
Pane humwe uchapupu hwokuti vitamini E uye mishonga se gabapentin inogona kubatsira nemakumbo anokonzerwa ne dialysis, uye inogona kuedzwa kune varwere vanopwanya kakawanda. Chirwere chinonzi quinine chinoshandiswa kushandiswa nekuda kweizvi zvakare, asi hachisati chakurudzirwa neRWA chinopa kutyisa kwayo.