Izifo akuzona kuphela inkinga engabangela iziguli ze-PD
Iziguli ezinezinkinga zezinso ezikhetha i-dialysis ye-peritoneal (PD) njengoba izindlela zabo ezikhethiwe zokuphatha isimo sabo kudingeka ziqaphele izinkinga eziza nenqubo. I-PD yindlela eyodwa yokwenza i-dialysis ekhaya ngakho-ke kuhilela ukudluliselwa kwezinga elithile lemithwalo yempilo, kusukela ku- nephrologist kuya kwesiguli. Ukukwazi ukwenza i-PD kuyilungelo ngendlela, kepha njengoba bethi, ngamandla amakhulu kuza nomthwalo wemfanelo omkhulu .
Izifo zohlobo oluthile yizixazululo eziyinhloko zezinkinga ezingathinta iziguli ze-PD, futhi lezi zihlanganisiwe lapha . Nokho, akuzona nje izifo ezinjenge-peritonitis okudingeka siyiqaphe kulezi ziguli. Okunye okuthiwa "umshini" kanye nezinye izinkinga ezingezona ezithathelwanayo nazo kungenzeka.
UKUZIPHUMA KWEZINGENISO
Izinkinga zemizimba zivame ukuhlobene nezindaba zokwakhiwa nge-peritoneal dialysis catheter.
- Lokhu kufaka phakathi ukuvuza kwe-peritoneal dialysis fluid evela endaweni eseduzane nesayithi le-catheter. Kulokhu, iziguli zingaqaphela ukuthi ukugqoka nxazonke kwesayithi lokuphuma noma izingubo zabo zigcwala emva kokuqala kwe-PD
- Uma i-catheter ifakiwe ngokungalungile / kakhulu, ukuhamba kwe-cuff kungenzeka. Ukuze uqonde ukuthi yikuphi "ikhofu" bheka isithombe 1 nesithombe 2 .
- I-Hernia evela ekutheni ifinyelele edongeni lesisu, kokubili ukufakwa kwe-PD catheter kanye nokucindezela okwenziwe ngenxa yetshezi ekhona esiswini
- Ukuhluleka kokuphuma , okusho ukungakwazi ukukhipha umthamo we-peritoneal dialysis kusuka esiswini. Lokhu kungabonakala ngenxa ye- catheter engafanele noma lapho i-catheter ihlanganiswa phakathi kwamathumbu kanye nezicubu ezizungezile. Esinye isizathu esivamile sokuhluleka ukuphuma kungukuqothulwa . Okokugcina, izimbobo zokugcoba zomcengezi zingagqunywa ngento ethiwa i- fibrin.
- Ukuhlukunyezwa okungokwemvelo (kodwa okungenakwenzeka ngokuphelele) kwamakhamera we-PD yindlela yokugoma emathunjini . Kulesi simo, iziguli ziyogula kakhulu ngezihlungu zesisu futhi mhlawumbe izikhukhula eziphezulu kanye nezibonakaliso ezijwayelekile zokutheleleka, nakuba lezi zingekho izimpawu zomhlaba wonke
INFUSION PAIN
Lokhu kubonakala njengendlela yokusabela kokuqukethwe kwe-peritoneal fluid dialysis, kuhlanganise dextrose (ushukela) ne-asidi. Ukwengeza i-bicarbonate (okuyi-alkaline) ku-fluid ngezinye izikhathi kungasiza ukukhulula lobu buhlungu.
UKUHLUNGU OBUSEMHLANE
Lokhu kungenzeka ngenxa yesisindo esengeziwe nokucindezela esiswini esibeka ukucindezeleka emgodleni, ikakhulukazi i- vertebrae lumbar . Lokhu kucindezela kuholela ekuphazamiseni kancane kancane okuqhubekayo kwesivinini somgogodla evamile futhi kubeka ingcindezi emithanjeni yomgogodla. Lesi esinye sezizathu ezenza iziguli zicelwe ukuba zenze izivivinyo eziqinisa imisipha yesisu esisisiza ukuthatha ingcindezi emgodini.
HLELA I-PAIN
Iziguli zithola lokhu uma i-PD yomthamo wegazi ekhishwa esiswini, ikakhulu lapho i-peritoneum iba "yome" ngokuphelele. Lokhu ukungabi khona kwamanzi ngaphakathi kwesisu emva kwamanzi kungenza umcengezi uhlahlele ngaphakathi kwe-peritoneum noma emabilini.
Lokhu kungqubuzana kungaba ngezinye izikhathi okwanele ukubangela ukungahambi kahle kweziguli. Kulokhu, ukushiya i-peritoneal dialysis fluid ngaso sonke isikhathi, (eyaziwa nangokuthi i-dialysisal dialoneal dialysis) ingase isize.
I-GASTROESOPHAGEAL REFLUX NE-GASTRIC EMPTYING
Izimpawu ze-acid reflux zingenzeka, ikakhulu lapho iziguli zingenakubekezelela ivolumu ye-PD yamanzi e-peritoneum. Ukunciphisa le vidiyo kusiza ukunciphisa izimpawu, nakuba lokho kudinga kwenziwe ngokucophelela ukuze kungabonakali umthamo we-dialysis.
UKUSEBENZA KWEZINDLELA
Lokhu kubhekisela ekuqoqweni kwamanzi asemaphandleni. Lokhu kubangelwa into ebizwa ngokuthi i-pleural-peritoneal leak lapho i-PD yamanzi ephunyuka khona esuka emgodini wesisu ukuya endaweni ephazamise amaphaphu (isikhala somlomo).
HYPOKALEMIA
I-Hypokalemia, noma amazinga aphansi e-potassium, angenzeka ngeziguli ze-peritoneal dialysis. Lokhu kuhluke ezigulini ze-hemodialysis ngokuvamile ezivame ukugijima i-potassium ephezulu. Lokhu kungenxa yokukhishwa kwe-potassium ephumelelayo nge-dialysis ye-peritoneal. Ngakho-ke, indlela elula yokulungisa lokhu ukukhulula ukudla kwesiguli noma, uma lokho kungasebenzi, baqale kuzo izithako ze-potassium.