I-Hemodialysis yindlela yokwelapha enikezwa iziguli ezinokuhluleka kwezinso lapho igazi lisuswa emzimbeni wesiguli ngokusebenzisa ukufinyelela kwe-dialysis futhi kuhlanzwa kumshini we-dialysis. Lo mshini we-dialysis usebenza njengezinso zokufakelwa, futhi uzama ukuphinda uphendule ukuthi izinso zomuntu ezivamile zizokwenza kanjani. Amakhomikhali asusiwe, uketshezi okwedlulele kukhishwa, futhi igazi elihlanzekile libuyiselwa isiguli.
I-Hemodialysis ingenye yezinhlobo ezahlukene zokwelashwa kwe-dialysis kodwa yiyona ndlela evamile kakhulu yokuphatha ukwehluleka kwezinso, okungenani e-United States. Kuyadingeka uma umsebenzi wezinso wehla lapho umuthi eqala khona ukuthuthukisa izici zokwelapha zokuhluleka kwezinso, okuthiwa i-uremia, ebonakala ngokubambisana nezivivinyo zomsebenzi ezingavamile (i-creatinine ephakeme ne-GFR ephansi). Ukuze ugcizelele isiguli, ukufinyelela kwe-dialysis kuyadingeka.
Lesi sihloko sihlolisisa izixazululo ezikhethiwe ezingase zenzeke esigulini ku-hemodialysis, enengxoxo eningiliziwe ngokukhethekile mayelana ne-cramps, enye yezinkinga ezivame kakhulu ezingenzeka uma iziguli zithola i-dialysis. Nokho, lokhu akulona uhlu olubandakanya konke nganoma yisiphi isilinganiso.
Izinkinga Ezivamile
Lokhu kufaka:
- I-nausea
- Itching
- Izinsizwa
- Ukuhlungu obusemhlane
- Ubuhlungu besifuba
- Ukuvota
- Fever
- Ama-cramp muscle
Izinqubo eziningi zibhekene nalezi zinguquko.
Umthamo nokuhlukumeza kwe-dialysis yizinto ezibalulekile. Ngokwesibonelo, ubuhlungu be-back emuva buvame ukubonwa ngokuhambisana nokususwa okusheshayo kwamanzi e-dialysis. Ngakolunye uhlangothi, i-fever ingase isuke ekutheleleni, kodwa futhi ingase ibe yindlela yokwehliswa kwesifo se-dialyzer. Ubuhlungu be-chest ku-dialysis kudinga ukuthathwa ngokungathí sina futhi kungenzeka ngenxa yamaconsi e-blood pressure (okubangela ukwehla kwegazi enhliziyweni, eyaziwa nangokuthi i- myocardial ischemia ), nokunye okungavamile ukusuka emoyeni ukuya ekuhambeni, noma emoyeni embolism.
Kukhona ama-alamu ahlelwe ukuphuma kumshini wesimanje we-dialysis uma kufanele kutholakale noma yini enjengale.
Ezinye zezinkinga zingase zenzeke ndawonye, ikakhulu uma isiguli sesisanda kuqalwa ku-dialysis, futhi lokhu kubizwa ngokuthi i- dialysis disquibrium syndrome .
Okwenza Iziguli Zidumbule Nge-Dialysis
Enye yezinkinga ezihlobene kakhulu ze-dialysis, ama-cramps angase athuthuke lapho i-hemodialysis inonya; yilapho iningi lamakhemikhali kanye noshukela likhishwa kwisiguli ngesikhashana esifushane phakathi ne-dialysis. Ngakho-ke akuyona nje kuphela inani lokukhishwa kwamanzi abilayo, futhi nokuthi kususwa ngokushesha kangakanani. Ngamanye amazwi, isiguli singase sibe namalitha angu-2 kuphela omshini osusiwe ngenkathi ukwelashwa kwakhe kwe-dialysis (hhayi imali engavamile), noma kunjalo, uma le mali isuswe ngaphezu kwesikhawulo sehora elilodwa nje kuphela, kungase kubangele izigumbane ezilimazayo.
I-cramps ijwayele ukushaya iziguli ezibona isisindo esiphakeme phakathi kwe-dialysis zokwelashwa (inzuzo ye-inter-dialytic, noma IDWG) kaningi. Kulabo bantu asebevele e-dialysis, ungase ujwayele igama elithi "isisindo esomile." Ngaphambi kokuqala ukwelashwa kwakho kwe-dialysis abasebenzi be-dialysis bayokulinganisa, futhi balinganise ukuthi unesisindo esingakanani esitholile kusukela ekwelashweni kwe-dialysis yangaphambilini lapho ushiye (isisindo esomile).
Umehluko phakathi kwesisindo sakho samanje nesisindo esomile kungukuthi uketshezi oluzophela lukhishwe. Ukuphakama kwalesi samba, kungenzeka ukuthi izikhukhula zizokhula Ngakho-ke, izeluleko ezivamile ezinikezwa iziguli ze-dialysis ukungazitholi isisindo esingalingani phakathi kwezokwelapha ze-dialysis. Ngakho-ke, iziguli ze-dialysis kulindeleke ukuba zibuke ukuthi zidla kangakanani noma ziphuza phakathi kwamaphilisi.
Ukuvimbela i-Cramping ku-Dialysis
Okushiwo yisiguli: Gcina ukuncipha kwesisindo se-inter-dialytic ngokubukela kokudla okuneziketshezi
Okushiwo abasebenzi be-dialysis: Nciphise izinga / inani lokukhishwa kwamanzi ngesikhathi sokuphathwa kwe-dialysis.
Ukunciphisa izinga lokunciphisa kungatholakala ngokukhulisa ukwelashwa kwe-dialysis, ngakho-ke noma inani eliphelele lokususwa ketshezi lingase lifanane, inani lemfucuza elisusiwe ngehora liphansi. Umzimba ngokuvamile uyoba nethuba elingcono lokuguqula ukushintshwa kwamanzi futhi kungenakwenzeka ukuba uqede. Isisindo esomile singalungiswa kwezinye izimo.
Ukwelapha ama-Cramps ahlobene
Kunobunye ubufakazi bokuthi i-vitamin E kanye nemithi efana ne-gabapentin ingase isize ngama-cramps ahlotshaniswa ne-dialysis, futhi ingahlolwa ezigulini eziqhekeza kakhulu. Isidakamizwa esibizwa ngokuthi i-quinine esetshenziselwa ukusetshenziselwa lokhu futhi, kodwa asisakunyuswa yi-FDA enikezwe ubuthi bayo.