I-Hemodialysis iyindlela yokuhlanza igazi emikhiqizweni enobuthi emzimbeni emzimbeni ekuhlulekeni okunamandla nokuhlala njalo. I-hemodialysis, idivayisi eyaziwa kubantu njengezinso zokufakelwa isetshenziswa, umshini we-hemodialysis.
Izinkomba ze-hemodialysis
Izinkomba zenkambiso yizifo zokuqothulwa komzimba, ngenxa yokuthi ukuhlanzwa kwegazi kwemvelo emikhiqizweni yomsebenzi obalulekile akunakwenzeka. Lezi yizi:
- ukwehluleka okukhulu kwe-renal nesimo esingapheli sesifo;
- izinhlobo ezimbi zokwehla ubuthi ngamathunya afanele ukungena embundwini we-hemodialysis;
- utshwala obushushu;
- Izinguquko ze-pathological electrolytes egazini;
- ukuphefumula kwamalungu (izakhi ze-cerebral, i-edema ye-pulmona).
Endabeni yokuthola ukuhluleka okukhulu kwezinso, izinqubo eziningana ze-hemodialysis ngezinye izikhathi zidingekile, ukuze isilwane sibuyiselwe futhi umuntu abuyele.
Isikhombisi esikhulu se-hemodialysis ngemuva kokuphela kwesigaba sokugcina sokuhluleka kwezinso ezingapheli. Isetshenziselwa ukukhulula isimo sesiguli nokukhulisa impilo, lapho umzimba ungasakwazi ukwenza umsebenzi wayo wokuhlanza igazi. Umbuzo uphakamisa ukuthi bangaki abantu abahlala ku-hemodialysis. Imithi yesimanje ibiza isibonakaliso esiphezulu - iminyaka engu-20-25.
Ukudla okunomsoco we-hemodialysis yezinso
Emva kokusebenzisa inqubo enjalo, kubaluleke kakhulu ukulandela ukudla, imithetho eyisisekelo yilezi ezilandelayo:
- Ukunciphisa noma, ngezinye izikhathi, uqedela ukukhipha usawoti.
- Ukulawula okuqinile kwevolumu yetshezi esetshenzisiwe.
- Ukwandiswa kokudla kwamaprotheni (uma kuqhathaniswa nesikhathi sokuqala se-dialysis).
- Yehlisa imikhiqizo yokudla, ephezulu e-potassium ne-phosphorus.
Mhlawumbe inzima kunazo zonke kulokhu kudla ukuvinjelwa kwamanzi. Isimiso, esungulwe esikhathini esiphakathi kwe-dialysis, sibalwa ngokumane - akufanele sidlule umthamo we-urine nsuku zonke kanye no-0.5 amalitha ngaphezu kwalokho. Le nqubo ihlanganisa uketshezi olunezinsizi, amaji, izithelo, izitsha zobisi. Ukushintsha kwesisindo, cishe 2 kg ekuqondeni ukwanda, kukhuluma ngokuhlukunyezwa komkhuhlane kanye nokulibala kwalo emzimbeni. Ukuze unciphise ukoma, ungakwazi ukuncelisa iqhwa, elingenakuphela kwamanzi, kodwa futhi kusukela kumanzi. Isiqephu se-Lemon sinikeza nomthelela ekwenzeni ukwanda okukhulu, okuzosiza ekunciphiseni ukoma.
Ukuvimbela noma, uma kunokwenzeka, ukwenqaba okuphelele kwetafula lendabuko kuholela ekuncipheni kokoma. I-salting izitsha kungcono kufomu elenziwe ngomumo. Ukuze ususe usawoti, ngaphandle kokulahlekelwa ukunambitheka kwesidlo, ungasebenzisa i-seasonings, i-leaf leaf, i-pepper, njll.
Esikhathini se-interdialysis, ikhono lomzimba lokuqoqa i-potassium kungaholela emiphumeleni edabukisayo. Ngakho-ke, njengokasawoti, ukusetshenziswa kwemikhiqizo ene-potassium kufanele kungabi nakancane. Lezi yimikhiqizo efana nalokhu:
- ubisi oluphukile;
- imifino (ubhontshisi, amazambane, amakhowe nesipinashi);
- izithelo (ubhanana, izithelo ezomile, i-rhubarb, amantongomane);
- iziphuzo (ikhofi, iwayini, i-cocoa);
- isinkwa, i-bran, i-pastry, equkethe i-cocoa.
Imifino ngaphambi kokudla iphekwe kahle kakhulu emanzini amaningi noma, uthathe izicucu ezincane, cwilisa amahora angu-8-10.
Ukwandisa izinga le-phosphorus emzimbeni womuntu okwesikhashana kungabangela ukuphazanyiswa endleleni yokwelashwa kwe-calcium kanye nokulimala kwamathambo. Kudingeka siqaphe ngokusebenzisa le mikhiqizo:
- ushizi;
- by-imikhiqizo (isibindi, izinso, inhliziyo);
- inhlanzi ethosiwe futhi ethosiwe, i-caviar;
- ushokoledi
- iqanda leqanda.
Amaprotheni kufanele avela ku-60 kuya kwangu-150 amagremu ngosuku futhi abe nezinhlobonhlobo zezinyama (umthala, unogwaja, i-turkey, inkukhu).
Ukungafani kwe-hemodialysis
Ungenzi inqubo yokuhlanza igazi uma izimpawu ezilandelayo noma ukugula kwenzeka:
- umfutho wegazi ophansi;
- ukusika kwegazi okuphansi (lokhu kuqukethe ukuphuma okungalawuleki);
- izifo zesimiso senhliziyo, lapho i-hemodialysis ingabangela ukuguga kwesimo sesiguli;
- ukuvuvukala;
- i-oncology;
- isifo sengqondo.