Dialysis - ndi mu ndondomeko monga izo zikuchitika? Kodi kukonzekera ndi zofunika impso dialysis?

Impso dialysis - njira ya mankhwala mu magazi anachotsa thupi ndipo amasonyeza zigawo zonse poizoni kuwonekera pa kagayidwe. mankhwala ayenera kugwiritsidwa ntchito ngati ntchito ya chiwindi a dongosolo mkodzo anataya 85%. Lero, ife timayang'ana pa zomwe muli mitundu ya dialysis kuti ali yense wa iwo. Komanso kupeza zimene kukonzekera ndi zofunika njirayi ndipo ngati pali contraindication makhalidwe ake.

Zikhulupiriro Decoding

Dialysis - ndondomeko kuti m'malo ntchito ya impso, akapanda kukwaniritsa ntchito zawo. Cholinga cha thupi ili ndi ichi: zimathandiza kuchotsa poizoni kwa magazi, ndiponso amatithandiza kusungabe mlingo chofunika kosamala mchere m'thupi. Impso dialysis - ndi chinthu chimene chingakhale chofunika kwa nthawi yochepa, kapena mwina, adzakhala ndi nthawi moyo wake wonse, malingana chifukwa ndi kukula kwa matendawa. Chifukwa cha ndondomeko mankhwala anapanga pambuyo kagayidwe, ndi poizoni achotsedwa ku thupi.

Taganizirani tanthauzo la "dialysis mapuloteni" lingaliro. Njira yolekanitsa particles zamitundu yosiyanasiyana mu osakaniza madzi ndi Kakhungu woonda, mmene pores ndi ang'ono kwambiri kuti ndimeyi wa mbewu yaikulu (mapuloteni), koma pa nthawi yomweyo iwo anapambana kusungunuka crystalline zakuthupi. Liquefaction wa osakaniza analekana ndi madzi pogwiritsa ntchito diffuser ichi, madontho ang'onoang'ono kudutsa chotchinga, ndi kukhala lalikulu.

Mitundu impso dialysis

Mu mankhwala amakono, pali awiri kuyeretsedwa magazi luso:

1. Hemodialysis. Pankhaniyi, thupi connective minofu ndi osasankhidwa kupyolera Kakhungu fyuluta dongosolo chipangizo wapadera kuti zikugwirizana dongosolo wodwalayo magazi.
2. Perinatal dialysis limene zonse m'mimba akudyetsedwa kudzera njira. Kenako, izi zikuchokera madzi pa nthawi iyamba kukhala linanena bungwe. Komabe, kuti kudutsa mu dera lino la thupi, m'pofunika opaleshoni kuti khazikitsa ndi catheter.

Zikuonetsa kuti dialysis

njirayi akulimbikitsidwa kugwiritsa ntchito matenda otsatirawa:

• aimpso kulephera;
• alcohols poizoni, ziphe;
• ambiri osokoneza mankhwala;
• kusintha zowopsa milingo magazi a electrolytes;
• chikomokere (kwa chiwindi, uremic);
• owonjezera madzi zili mu impso, pamene mankhwala ochiritsira sichitha, ndi moyo wodwalayo kwenikweni atapachikidwa ndi ulusi.

Zikhalidwe pamwamba zingachititse kuti imfa popanda dialysis.

Ngati impso sangathe kubwezeretsedwanso, pamenepo boma wotchedwa mapeto gawo aimpso matenda (ESRD). Iwo amayamba ndi matenda ena, monga matenda a shuga, kansa impso, mankhwala ozunguza bongo, pamaso pa kuthamanga. Ngakhale dialysis - si mankhwala ESRD, koma amathandiza wodwalayo kumva bwino ndipo amakhala moyo wautali. Choncho, nthawi zina kuchita njirayi n'kofunika pofuna osati thanzi komanso moyo.

Features wa hemodialysis ndi

Dialysis ntchito luso izi zikutanthauza kupeza m'chipatala. njirayi n'kofunika mtengo zida, zimenezi kokha mu zipatala, wodwalayo sangathe kugula izo. Choncho, munthu ayenera nthawizonse kukhala pafupi ndi chipatala, vuto la kusowa mukhoza kuchita kuyeretsedwa magazi nthawi yomweyo.

Ndondomeko ikuchitika kangapo pa mlungu ndi kumatenga za 3-5 maola.

Peritoneal dialysis: ndichiyani ndi mmene ikuchitika?

Mtundu wachiwiri wa kuyeretsedwa magazi, chimene pansi mankhwala oletsa ululu pamalopo. Mwachindunji ndi m'mimba M'mimbamo dokotala amaika ndi woonda pulasitiki catheter kudzera wakupambana dokotala ku malita 1 2 a shuga njira, kuphatikizapo mchere zina zofunika. Action perinatal dialysis zachokera chakuti mkati zonse m'mimba aphimbidwa ndi Kakhungu amene amachita monga fyuluta. Peritoneum akuzisunga particles magazi zikuluzikulu molowera kutsogolo yekha madzi gawo ndi mankhwala kusungunuka mmenemo. njirayi ndi ntchito opaleshoni. The dialysate - njira anadzetsa M'mimbamo pamodzi ndi dokotala zinyalala akatulutsidwa kudzera catheter lapansi.

Mtundu wa opaleshoni kawirikawiri anachita pa outpatient maziko, ndipo zotsatira pambuyo kwambiri, ngati inu kuchita ndondomeko kuphana angapo (ie kumayambiriro m'zinthu ndi kumasula mankhwala) patsiku.

Mitundu ya dialysis peritoneal

Pali mitundu itatu ya njira ya chiyeretso magazi:

1. wopitiriza ambulatory njira. Perinatal dialysis wa mtundu uwu ndi ambiri mu yochizira matenda, kukhazikitsa sayenera kugwiritsa ntchito kompyuta. Ndondomeko ziyenera kuchitikira mu malo abwino bwino linawala. Pa ntchito, yankho amapatsirana thumba pulasitiki kupyolera catheter m'mimba. Diazole kukhala pamenepo kwa maola angapo, kenako mosavuta chatsanulidwa.

Ubwino wa njira ya chiyeretso magazi:

• ndondomeko angathe kuchitidwa pa nthawi yabwino;
• Therapy imachitika popanda thandizo;
• chithandizo angathe kuchitidwa mu malo ambiri;
• Sindifuna kompyuta.

2. zonse cyclical mafashoni. Mtundu wa dialysis peritoneal ndi ofanana ndi njira woyamba, kusiyana kokha ndi chipangizo chimene chikugwirizana ndi catheter kuti basi amadzadza ndi imakoka yankho kuchokera m'mimba.

Ntchito njira ya chiyeretso magazi kuti ndondomeko angathe kuchitidwa pa usiku, akagona. Koma sangathe ndiye kuti popanda thandizo la wakunjayo sangakhoze kuchita, ndipo njira imeneyi kumafuna kompyuta.

3. The njira apawokha. Mu njira iyi, dialysis akhoza kuchitika kunyumba, koma nthawi zambiri akadali m'chipatala. Chithandizo cha njira iyi kwambiri yaitali kuposa njira ozungulira ndi mosalekeza, ichi ndi mwayi wake.

contraindications

Peritoneal dialysis sangathe ntchito milandu zotsatirazi:

• Ngati pali adhesions mu zonse m'mimba.
• Pamene kutsimikiziridwa otsika makhalidwe kusefera serosa.
• Ngati kunenepa kumachitika pamene kuyeretsedwa magazi dzuwa la dialysis zifunsidwa.
• Ngati pali khungu matenda suppurative mpanda m'mimba.
• Ngati muli ndi matenda okhudza ubongo, ndi kuleza mtima sakulabadira molondola kukachititsa phunziro la dialysis peritoneal.
• Ngati pali bere mu zonse m'mimba.

Kukonzekera dialysis

1. Mankhwala amene kuchepetsa magazi clotting (njira "heparin" ndi "Warfarin").
2. Mankhwala kulamulira magazi ( "Atenolol" miyala "Capoten", "Cozaar", "Clonidine").
3. Antihistamine (ampoules "ndi diphenhydramine" "Atarax" dragees);
4. zowonjezera kashiamu ndi multivitamins.
5. Medicaments chikukhudza chitsulo chimene wafuna Maselo ofiira a magazi ( "Epogen," mapiritsi).
6. Mankhwala kumumanga phosphorous kuchepetsa mlingo wake m'magazi.
7. mankhwala Diuretic kuti excrete madzi owonjezera.
8. Mankhwalawa kwa kupewa kudzimbidwa, amene angayambe chifukwa cha kuchepetsa kuchuluka kwa madyedwe madzimadzi ( "Bisacodyl" mapiritsi).

Prerequisites kwa ndondomeko

magazi dialysis akhoza kupangidwa milandu zotsatirazi:

• Ngati urea zizindikiro adzanena kuti munthu anayamba digiri choopsa cha insufficiency aimpso.
• Ngati wodwala kutsatira zakudya. zakudya munthu ayenera zigwirizana ndalama zambiri zomanga thupi, koma kuchuluka kwa mchere ndi madzi ayenera kuchepetsedwa. Komanso, dokotala ayenera analangiza kutenga kuchuluka kwa mavitamini m'thupi la wodwalayo. Zakudya chofunika kuti kuchepetsa chiopsezo thrombosis, magazi m'thupi ndi mitundu yosiyanasiyana ya mavuto pambuyo mpheto maphunziro.

• Ngati wodwalayo chilakolako kugwira ntchito monga dialysis. Iyi ndi ndondomeko lalikulu, kotero kuti wodwalayo ayenera kukhala okonzeka m'maganizo. Ndipo ngati munthu asiya lake, palibe amene motsutsana ndi chifuniro chake kuchita dialysis sadzatero.
• Ngati pali kuthekera kwa kubwerezabwereza zonse kuyeretsa magazi. Dialysis - ndondomeko kuti amafuna kutsatira ndondomeko yake ya nambala inayake ya magawo. Ndipo ngati si anamvera dongosolo, izo ziribe mphamvu zonse.
• Ngati wodwalayo ndalama zofunika, ndipo achipatalawo ali ndi zipangizo zoyenera mankhwala.

Dialysis: mtengo wochita

Mwatsoka, mtengo wa chochitika zinthu pa kuyeretsa magazi ndi okwera mtengo kwambiri kwa pafupifupi Russian nzika, monga pa ndondomeko apereke avareji pafupifupi 8000 rubles. Nanga bwanji anthu amene Kwalamulidwa dialysis moyo? Iwo likukhalira kuti pali njira, chifukwa pali zipatala zina ndalama zolipirira kwa ndalama m'deralo. Ndipo mu nkhani iyi, dialysis ndalama zochepa kapena palibe mankhwala mudzakhala mfulu.

Ndipo ngati munthu akufuna kukumana dialysis kunja, mwachitsanzo, mu Isiraeli kapena US, iye kulipira madola 200 mpaka 250 pa 1 gawo.

Tsopano inu mukudziwa zomwe ndi impso dialysis, ndipo kodi mitundu ya ntchito kutisambitsa magazi. Ife anapeza kuti musanaganize pa ndondomeko, muyenera kukwaniritsa zinthu zingapo. Koma mtengo wa opaleshoni amadalira kumene kuchita dialysis (mu chipatala, pagulu kapena mwachinsinsi), mu mzinda kapena dziko kuchita izo (kunja zambiri mtengo kuposa mu Russia), komanso ziyeneretso za madokotala.