Ukwelashwa kwesisu esiswini kwesisu kuyinkimbinkimbi ebesabekayo ye-PD
I-Peraloneal Dialysis (noma i-PD) uhlobo lwe- dialysis yeziguli ezinokwethenjelwa kwezinso lapho isiguli sesisu somzimba-esibizwa ngokuthi i -peritoneum , ngokwayo sisebenza njengezinso zokufakelwa. Lesi sihloko siyingxenye yochungechunge ehlanganisa izinkinga ze-dialysis (kokubili i-hemodialysis ne-peritoneal dialysis; bheka izixhumanisi lapha , lapha , lapha ). Isihloko esilandelayo sichaza izinkinga ezithathelwanayo ezingabonakala ezigulini ze-dialysis ye-peritoneal.
UKUZIPHILA OKUFANELE
I-dialysis catheter efakwe esiswini sesiguli esisebenzela i-peritoneal dialysis, ebizwa ngokuthi i-PD catheter, ngokuvamile i-Achille 'isithende sesiguli se-PD. Izifo ze-hues ezahlukene zingase zenzeke kuye ngokuthi isayithi. Lezi zingase zibe se-PD cathterter exit site (indawo lapho isikhumba siphume khona esikhumbeni, esibizwa ngokuthi isifo sokuphuma kwesayithi ), eduze "nomhubhe" wayo (inkambo ethatha ngaphansi kwesikhumba nasesikhumulweni esiswini, okuthiwa ukutheleleka komhubhe ) , futhi ekugcineni emgodini wesisu, okuthiwa yi "peritoneum" (ene-infection lapho kuthiwa yi- peritonitis ). Nansi isithombe ukukusiza uqonde lokhu.
IZINDLELA ZOKWENZA KANYE NABANTU ABANTU ABANTU ABANTU
Amaqembu athile weziguli angengozini enkulu yokubhekana nezinkinga ezithathelwanayo njenge-peritonitis. Lokhu kufaka:
- Umjaho omnyama
- Abesifazane abayisifo sikashukela
- Iziguli ezidlulisele ku-hemodialysis kuya ku-diitoneal dialysis
Ngokuvamile, ukuthi wenza kanjani i-PD (ngesandla noma usebenzisa ibhayisikili) akumele wenze umehluko engozini yokuthuthukisa i-peritonitis. Njengedatha ngayinye evela e-UK Renal Association, isiguli esiphezulu singalindela ingozi ye- episode eyodwa ye-peritonitis njalo ezinyangeni ezingu-18 (0.67 iziqephu ngonyaka weziguli). Lokhu kungumthetho wesithupha kanti ingozi kanye nokusabalala kokutheleleka kuyahlukahluka kakhulu.
IZIMPAWU NAMAGOMO
Ukuqala kokutheleleka kuvame ukubonwa yisiguli kuqala. Okuzwayo isiguli, noma ukuthi isiphi isifo sezinzwa singase sihluke ngesayithi lokutheleleka:
- Ukutheleleka okungenakuqhathaniswa nokutheleleka kwesayithi okuphumayo kungabonisa ukubomvu noma ukukhipha lapho kuphuma khona isikhala sesikhumba. Leli sayithi lingase libe buhlungu futhi umkhuhlane kanye nesisa kungaba khona.
- Uma umhubhe ubandakanyeka, ubuhlungu emkhatsini we-catheter kanye nazo zonke izimpawu ezingenhla kungenzeka
- Uma ukutheleleka kufinyelela emgodini wesisu (i-peritoneum) noma yiyona ndawo kuphela yesifo, (okuthiwa i-peritonitis), ukusabalalisa ubuhlungu besisu nge- effluent eguquguqukayo yizici ezivamile. Ngokujwayelekile, isiguli sizobona ukwehla kwamanani abo e-ultrafiltration. I-fever ingabuye ibe isici sokuveza.
I-DIAGNOSIS
Uma lezi zici ezingenhla zikhona futhi ziphakamisa imibuzo mayelana ne-peritonitis engenzeka, khuluma nomfelandazi wakho wezinzwa ngokushesha. Ngesikhathi esincane kakhulu, ukuhlola ngokomzimba kuzoqinisekisa ukuthi kukhona ukutheleleka endaweni yesigcawu noma emhubheni we-catheter. Kule nkathi, amasiko angathathwa kusuka endaweni eseduze nendawo yokucwaninga ukuze kuqinisekiswe ukutheleleka futhi abone isifo sofuba esibangele ukutheleleka (lokhu ngokuvamile kuvame ukungena amagciwane, kodwa ezinye izinto eziphilayo ezifana ne-fungus nazo kungenzeka).
Uma ngabe ukutheleleka kungaphakathi kwe-peritoneum noma kunjalo, isampula yomswakama iyadingeka okuzobe ithunyelwe ukuhlola okuthile (okubizwa ngokuthi isibalo se-cell, i-Gram stain, namasiko). Imiphumela yezivivinyo ngokuvamile izobonisa ukukhula kwamabhaktheriya noma amafungal okuzosiza ukuqondisa ukwelashwa kwe-peritonitis.
UKUHLELA
I-peritonitis ehlobene ne-PD iphathwa ngama-antibiotic. Ama-antibiotics anganikezwa ngqo ngaphakathi kwe-peritoneum exubene nezikhwama ezivamile zokudayiswa (umzila okhethwayo ngezikhathi eziningi), noma ngaphansi kokujwayelekile ngaphakathi. Ukwelashwa kungadingeka amasonto ekupheleni. Ukwelashwa okwesikhashana nokufanele kuyadingeka ukuze kuvinjelwe i-peritoneum ukuba ingonakaliswe unomphela ngukutheleleka (okungenjalo okungase kupela ukuphela kwe-peritoneal dialysis yesiguli futhi kungase kudingeke ukuthi ushintsho ku-hemodialysis).
Izifo ezithathelwanayo zingase zitholwe kuphela ngama-antibiotic ngomlomo. Isinqumo esiphathelene nalokhu sishiywe isazi sakho sezinkanyezi.