Umsebenzi ohlala njalo we-Renal (okwenza umchamo emva kokuqala i-dialysis) into enhle!
INGABE UKUPHILA KWABANTU ABANTU ABANTU ABANTU BABASEBENZA BENZA UKUQALA NGEMVA KUNYAKA KUQALA UDIALYSIS
Ukufanisa u-Obama, yebo ungakwenza . Ngaphandle kokuba izinso zakho zivale ngokuphelele futhi i-GFR iye yehla ngokuphelele , iziguli eziningi zizoqhubeka nokukhiqiza umchamo ngisho nangemva kokuqala i-dialysis . Noma kunjalo, ngenxa yokuthi wenza umchamo akusho ukuthi awudingi i-dialysis.
Isinqumo sokuqala nokugcina i-dialysis sisekelwe ezintweni eziningi ezibandakanya izivivinyo zelabhu nezibonakaliso zesiguli futhi hhayi ngokukhululeka komchamo owodwa.
Ngamazwi alula, umsebenzi wezinso ohlala emva kokuqala kokuqala kwe-dialysis ubizwa ngokuthi umsebenzi oshiswayo we-renal. Kungaba yingxenye encane kakhulu yalokho okusebenzayo kwezinso ezivamile .
Izinto eziqaphela ukuthi umuntu angayilondoloza yini umsebenzi wezintambo ezisalayo zingabandakanya:
- Ngokuvamile, iziguli ezitholakala nge-peritoneal dialysis ziyokwenza umchamo kusuka ezinso zabo isikhathi eside kuneziguli ze-hemodialysis.
- Isizathu sokuhluleka kwezinso kwenza umehluko
- Ukulawulwa kwengcindezi yegazi: Amadonsa ekucindezelekeni kwegazi ayovame ukusheshisa ukulahlekelwa komsebenzi wezintambo ezisele
- Imithi: abathile bangasiza imbangela yakho, kanti abanye bangalimala (bona ngezansi)
- Umncintiswano wama-nonwhite uhlotshaniswa nokulahlekelwa okusheshayo kokusebenza kwezinso
- Ubulili besilisa
Ukuze uthole imininingwane yezibalo mayelana nalezi zici ezingenhla, bheka leli tafula.
INGABE KUBALULEKILE KANYE UKUTHI UMPATI WENZA UKUQALA NGEMVA KUSUKA KUDIALYSIS? KUNGANI KUBALULEKILE UKUPHATHA UMSEBENZI WOKUSEBENZA KWEZINDABA?
Njengoba kungabalulekile njengokuba kungase kubonakale, umsebenzi oshisayo we-renal kuyinto enkulu futhi ukugcina kubaluleke kakhulu .
Lezi ezinye zezizathu ezenza ukugcina ngisho nokusebenza kwezinso ezincane emva kokuba othile eqale i-dialysis kungenza umehluko omkhulu:
- Iziguli ezinomsebenzi oshisayo wezinyosi zivame ukuhlala isikhathi eside. Ucwaningo oluningi luqinisekisile lokhu. Bheka ezinye izibonelo lapha, futhi lapha.
- Iziguli ezinomsebenzi wokuqeda izintuthwane ezingasetshenzisiwe zingase zithole umthamo okwanele we-dialysis (yebo, njenganoma imuphi omunye umuthi, kukhona inani elithile elincane / umthamo we-dialysis okudingeka umuntu athole ukuze athole izinzuzo).
- Ikhwalithi yokuphila ingcono. Lokhu kuhlobene ngokulinganayo nekhono lesiguli lokuhamba nemikhawulo engondleki yokudla. Kungaba futhi ukukhululeka okuncane kakhulu ngokudla kwabo oketshezi.
UNGENZA KANJANI UKUSEBENZA UMSEBENZI WOKUSEBENZA KOMHLABA WOKUPHAKATHI
Lena indawo esebenzayo yokucwaninga ku-nephrology. Lokho esikwaziyo kuze kube manje ukuthi ukungenelela okunye kungasiza ukugcina umsebenzi wezintambo ezihleliwe kangcono nangaphezulu, ngakho-ke kungase kuhunyushwe esikhathini eside sempilo kanye nekhwalithi engcono yokuphila kweziguli ze-dialysis. Ezinye zalezi zingenelelo ziyi :
- Ukulawula okuhle kwegazi
- Ukulawula ushukela wegazi
- Ukusetshenziswa kwemithi ethile, okuthiwa i-ACE inhibitors iye yaboniswa ukusiza
- Ngakolunye uhlangothi, ukugwema imishanguzo ethile eyaziwa ukuthi iyingozi kunezinso ziba nengqondo; njenge-NSAIDs (noma izidakamizwa ezingekho ukuvuvukala), aminoglycosides, Amphotericin B, njll.
- Ukucabangela ukuqala ukuhluleka kwezinso zezinso ku-diitysis ye-peritoneal (okuthiwa yi-peritoneal-first-first strategy).
- Kukhona iziphakamiso ezivela kwezinye izifundo ukuthi ukwanda kancane kancane kwe-hemodialysis kungaholela ekugcineni ukulondolozwa okungcono kokusebenza kwenhlamba.
QAPHELA
Cabanga ngokwakho inhlanhla uma usaqhubeka ukwenza umchamo ngemuva kokuqala i-dialysis. Ngisho noma kungase kubonakale kungabalulekile, ukuba nomkhiqizo omncane ngisho nokuncane komchamo kungenza umehluko omkhulu empilweni yakho yokuphila kanye nekhwalithi yokuphila. Ngakho uma u-dialysis kodwa usenza umchamo, sicela ungabi naso "Anginakho ukulahlekelwa" isimo sengqondo uma kuziwa ekulondolozeni umsebenzi wakho wezinso ezisele.
Ngesikhathi esilandelayo, noma ubani othi, "Akunandaba, uNksz / Mnu. X usuvele e-dialysis. Ngakho-ke, bangathola ama-NSAID noma ama-radiocontrast angenangqondo" ... bacele ukuthi baxoxe kuqala nososayensi wakho wezobuciko .