Lesi simo esilimazayo singabangela iziguli ezisanda kuqalwa ku-dialysis
YINI I-DIALYSIS DISEQUILIBRIUM SYNDROME
Isimo se-dialysis disequilibrium syndrome sivame ukukwenzeka ngemuva kokuhluleka kwesifo sezinso isiguli esisanda kuqaliswa ku-dialysis (nakuba lokhu kungekhona ngempela futhi kungenzeka ngokuhamba kwesikhathi). Njengoba uketshezi kanye nezidakamizwa zisusiwe emzimbeni ophethe i-dialysis , izinguquko zomzimba ezingabangela ukuthi izimpawu eziningi zezinzwa ziqaleke.
Izimpawu zingahlukahluka ezinobumnene ezinjengezinwele, ezinhlobonhlobo ezimbi kakhulu lapho iziguli zingahlakulela i-coma, noma ngisho nokufa. Nasi uhlu olungabonakali lwezimpawu :
- I-nausea
- Izinwele
- Ukukhathazeka
- Ukudideka
- Ama-Cramps
- Isizungu
- Ukuzizwa
- Coma, noma ukufa ezimweni ezimbi
KUNGANI UKUHLELA KWEZINDLELA ZOKUSEBENZISWA KWEZIMALI ZOKUPHILA: UKUQALA UKUPHILA KWESIFUZO
Ungacabanga ukuthi nge- dialysis eseduze cishe nekhulu leminyaka, sizoqonda yonke imiphumela yaso emibi manje. Nokho, nge-dialysis disquibrium, akunjalo futhi indlela ecacile isabhekene nokucwaninga. Sinezinye iziqondiso:
- Enye yezinkolelo eziphakanyisiwe kukhona okuthiwa, " ukuguqula okuguquguqukayo kwe-osmotic", noma ukuguqula umphumela we-urea . Okushiwo lokho kusho ukuthi uma i-dialysis isunguliwe, ukususwa kwezinto ezimbi ( igazi urea ) kuholela ekunyuseni okulinganiselwe emanzini okuhlushwa kwamanzi egazini . Lawa manzi angakwazi ukuthutha emangqamuzaneni obuchopho aholele ekuvupheni, okwenza okuthiwa i -edema ye-cerebral . Lokhu kuvuvukala kwamangqamuzana obuchopho ngale ndlela kuye kwacatshangwa ukuthi kungenye yezizathu ezinokwenzeka zezinkinga ezivamile zezinzwa ezihlobene ne-dialysis disease quilibrium syndrome.
- Kunciphisa i-pH yamaseli obuchopho . Ngokwemibandela, lokhu kungasho ukuthi amangqamuzana ebuchopho anesilinganiso esiphakeme se "asidi". Lokhu kuphakanyisiwe njengenye imbangela ekhona.
- I-osmoles ye-idiogenic eyenziwa ebuchosheni (imininingwane yezinombolo 2 no-3 ingaphezu kwalesi sihloko).
Ubani onokuthi uthuthukise ama-DIALYSIS DISEQUILIBRIUM SYNDROME: AMAKHODI OKUTHUTHUKISA UKUTHUTHUKISWA
Ngenhlanhla, i-dialysis disequilibrium syndrome iyinhlangano engavamile kakhulu futhi isifo sayo siyaqhubeka.
Lokhu kuye kwacatshangwa ukuthi kungenxa yokuthi iziguli manje seziqalisiwe ku-dialysis emakamu okunciphisa kakhulu e-urea egazini.
Nazi ezinye izimo lapho isiguli singabhekwa njengengozi enkulu yokuthuthukiswa kwesifo se-dialysis disquibrium syndrome :
- Iziguli ezindala kanye nezingane
- Ukuqala okusha ku-dialysis
- Iziguli ezisenenkinga yezinzwa ezifana nokuhlukunyezwa noma isifo sohlangothi
- Iziguli ku-hemodialysis (i-syndrome ayibonakali kwiziguli ze- peritoneal dialysis )
I-CAN DIALYSIS SYNDROME YOKUPHILA KUVELA
Njengoba kucatshangwa ukuthi i-dialysis disequilibrium syndrome ihlobene nokususwa ngokushesha kwama-toxins (urea) kanye noketshezi kwesiguli esanda kukhubazeka, izinyathelo ezithile zokuvimbela zingase zibe usizo. Ukubona isiguli esiphezulu, njengoba kushiwo ngenhla, isinyathelo sokuqala. Ngaphandle kwalokho, kunamasu athile angasiza:
- Ukuqalisa kancane kwe-dialysis, mhlawumbe kunciphisa iseshini yokuqala ukuya emahoreni amabili, ngezinga eliphansi lokugeleza kwegazi.
- Ukuphindaphinda iseshini ngezinsuku ezingu-3-4 zokuqala, nsuku zonke, okungenzeka kungabi yivolumu evamile ngokuhamba kwesikhathi (ngakho-ke izikhathi eziningi, kodwa "izikhathi eziningi")
- Ukumnika okuthile okubizwa ngokuthi i-mannitol
INGABE KUFANELE UKUHLELA UKUPHILA KWEMPILO YOKUPHILA KWEZIMALI
Ukwelashwa kuningi kakhulu okuphawulekayo.
I-nausea nokuhlanza kungelashwa ngokwemithi usebenzisa imithi efana ne-ondansetron. Uma ukuhlukunyezwa kwenzeka njalo, incomo evamile ukuyeka i-dialysis futhi iqale imishanguzo yokuhlukunyezwa . Ukuqina nokuhlukumeza kwe-dialysis kungadingeka kunciphise ukwelashwa kwesikhathi esizayo.