Peritoneal dialysis mankhwalawa matenda a impso

Peritoneal dialysis - ndi njira imodzi M'MALO mankhwala ndi ntchito mkhutu aimpso. Mfundo mtundu wa mankhwala ndi mayamwidwe ndi kufotokoza zinthu otsika maselo a pakati ndi madzi kupyolera Kakhungu kumalumikiza zonse m'mimba ndi ziwalo zake, magazi, njira yapadera udzathiridwa mu zonse m'mimba. Kwa nthawi yoyamba bwino peritoneal dialysis panayikidwa mu 1945 zochizira kulephera pachimake aimpso.

Pofuna kumvetsa zimene impso dialysis, kapena bwino kunena magazi dialysis, muyenera kudziwa njira pathophysiological zimene zimachitika mu thupi matenda a impso.

Peritoneal dialysis amagwiritsidwa ntchito pofuna kuchiza pachimake ndi aakulu aimpso insufficiency.

The matenda waukulu kungathandize kuti apange cha matenda kulephera aimpso ndi glomerulonephritis, pyelonephritis, matenda zokhudza zonse, miyala impso, shuga, kobadwa nako malformations a dongosolo genitourinary ndi ena. Pachimake kulephera kumachitika pamene zinthu zinandivuta aakulu malungo hemorrhagic, obstetric ndi opaleshoni kudwala. Pankhaniyi linaphwanya ntchito yaikulu ya impso - excretory ndi kuwombola, kukhalabe olimba ndi electrolyte bwino. Madzimadzi posungira amapezeka ndi zosafunika zomwe zambiri excreted ndi impso ndi thupi. Pofuna kuthetsa vuto limeneli, kuwonjezera mankhwala, ntchito hemodialysis ndi peritoneal dialysis, kuthandiza kuchotsa madzimadzi owonjezera ndi poizoni.

Monga tanena, akamanena za dialysis peritoneal zachokera limagwirira kufala kwa mayamwidwe wa poizoni kwa sing'anga wina ndi mzake. Anthu, mapangidwe awa ndi wapadera wosabala njira, mudzaze wodwalayo zonse m'mimba ndi magazi. Mu hemodialysis yomwe imachitika pa zida "impso yokumba", angalole pakati magazi ndi njira limapezeka kupyolera kupanga Kakhungu dialyzer. Ndipo peritoneal dialysis udindo wa Kakhungu uyu akuchita peritoneum mwini wake (khungu zofunda zonse m'mimba). The peritoneum ndi luso munthu pochitika yaing'ono molekyulu misa. Zotsalira poyenga zitsulo magazi, kumene zili kulephera aimpso ndi mkulu, mkatikati mwa pores mu njira, chifukwa kusiyana ndende. Popeza peritoneal njira limapangidwa shuga mu zikuchokera awo, chimene chingathe kukopa madzi, kuchotsa madzi owonjezera amapezeka.

Peritoneal dialysis imagwiridwa ndi kuthira mu M'mimbamo peritoneal lina lapadera wosabala yothetsera mu buku la malita 2.5 (munthu wamkulu), kupyolera catheter wapadera anaikapo mu M'mimbamo peritoneal. Pambuyo pa 5 madzi paola ku zinthu zonse m'mimba chatsanulidwa ndi m'malo. The kusintha kosangalatsa 4-5 ikuchitika masana. Chiwerengero cha mosinthana zimadalira mtima ndi ubwino wa nzeru ntchito peritoneal ndi kuunikira akalozera seramu zimapangidwira.

Kusonyeza peritoneal dialysis?

Peritoneal dialysis imagwiridwa odwala ndi matenda mtima, ana odwala ndi okalamba. Popeza angathe kuchitidwa paokha ndi wodwala, n'koyenera kuti odwala amene amakhala kutali ndi malo a hemodialysis.

Unsembe wa catheter mu zonse m'mimba imagwiridwa mu chipatala, mu chipinda cha opareshoni. pophunzitsidwa zina ikuchitika palokha wodwalayo ndondomeko, kusintha kusankha ndi dialysate. Pambuyo za 2-3 masabata wodwala amachoka kunyumba, kumene paokha amachita mwai onse. A mtima kamodzi pamwezi amachezera dipatimenti dialysis kwa kudutsa mayesero chofunika ndi ntchito yokonza njira. Izi imakhudzanso anthu ndi kulephera aakulu aimpso. Pamene pachimake kulephera aimpso, peritoneal dialysis imagwiridwa m'chipatala.

Anthu amene ali pa dialysis, ndi kudya zakudya zapadera. Zakudya dialysis madzimadzi ndi kuchepetsa kudya mchere (BP), kuchepetsa kudya zakudya wolemera potaziyamu (zipatso ndi masamba) ndi phosphorous.