Kuyathukuthelisa futhi kuvamile!
I-Pruritus , noma njengabantu abavamile bayibiza, i-itching, iyinkinga evamile ehlupha iziguli ezinokuhluleka kwezinso noma iziguli ze-dialysis . Ngenye yalezi zinkinga zezifo ezinsukhuni ezinzima ukuqonda futhi mhlawumbe kunzima ukwelapha.
Yeka Indlela Ejwayelekile Ngayo Inkinga Yokubamba Ama-Dialysis?
Esinye sezifundo ezinkulu zokubhekana nalombuzo kubike ukuthi ukuhlaselwa kwabekwa ngaphansi kweziguli ezingaphansi kwesigamu seziguli ze-dialysis.
Le datha yayiqoqwe ezigulini ku-hemodialysis, kodwa asinalo umbono omuhle weziguli ezinesifo sezinso esiphezulu esingakafiki ku-dialysis, noma ngisho neziguli ezise-dialysis ye-peritoneal, zinenkinga.
Kungani Kuyenzeka?
Lokhu akuqondwa ngokuphelele. Nanka amathuba ambalwa esiwaziyo:
- Ukucatshangelwa okuwukuthi kusukela i-dialysis yindawo lapho umzimba usesimweni sokuvuvukala okungapheli , lokhu kungase kube ukuphazamiseka kokuvuvukala. Kube khona izifundo eziye zabukeka okuthiwa "izimpawu zokuvuvukala" okuye kwaboniswa ukuthi ziphakeme ezigulini ezinokuhluleka kwezinso ezithola i-pruritus.
- Isikhumba esomile kuyinkinga evamile ezigulini ze-dialysis ezingaba yingxenye.
- Ezinye izimbangela eziphathelene nokungezwani komzimba nezimbangela zezinzwa nazo ziye zabekwa icala ngalokhu.
Ziyini Izimpawu?
Kulungile. Kodwa nasi amaphuzu ambalwa athize:
- Ukunambitha kubonakala kubi nakakhulu ebusuku kuze kube lapho kungaphazamisa ubuthongo.
- Kuvame ukuthi kuthinte kakhulu emuva nangona wonke umzimba awunqamuli imingcele.
- Ukushisa kubonakala kukwenza kube kubi nakakhulu.
Ingabe Lithinta Wonke Ogulayo?
Akunjalo ngempela. Kodwa-ke, kuneziguli lapho kunezici ezithile ezingozi eziye zabonakala. Lokhu akulona uhlu oluphelele ngoba lokhu kuyindawo esebenzayo yokucwaninga:
- Ukuntuleka kwe-dialysis eyanele kuyinhloko enkulu engozini. Iziguli ezingatholi i-dialysis eyaneleyo zivame ukuba "ngaphezulu". Ukunambitha kubonakala kubi nakakhulu kuleso simo.
- Kubonakala sengathi kuhlotshaniswa namazinga aphezulu e-phosphorus egazini nakuba amanye amarekhodi angabonakali afaka phakathi i-magnesium ne-aluminium yokugxilisa ingqondo yonke into ebekwe icala.
- Okokugcina, iziguli ze-dialysis zivame ukuba namazinga aphakeme e-hormone ephathekayo, engxenyeni ye-entity ebizwa ngokuthi isifo esithathelwanayo sesifo samaminerali nesifo se-bone. Lezi ziguli nazo zibonakala zingengozi enkulu.
Uziphatha kanjani I-Itching Ku-Dialysis Iziguli?
Ukubona isici esiyinhloko engozini engase ibe imbangela yiyona isinyathelo sokuqala ngempela. Uma isiguli esingasetshenziswanga ngokwanele noma esingekho ngokwelashwa sikhalaza ngokubamba, khona-ke "ukwelashwa" kokuqala cishe kwakuzoba nomthamo omkhulu we-dialysis , kunokuba uqale isiguli kunoma imuphi umuthi othize wokubamba. Enye yezindlela zokwandisa umthamo we-dialysis ukwandisa isikhathi sokwelashwa. Lokhu, noma kunjalo, kungenzeka noma kungabi yindlela yokwamukela isiguli. Okunye ukungenelela okungazama ukuqinisekisa ukuthi iziguli zithola ukwelashwa okuphumelelayo ukwandisa izinga lokugeleza kwegazi ngesikhathi sezokwelapha, noma uqiniseke ukuthi banokufinyelela okuhle kwe-dialysis lapho kungenjalo akukho ukuphindaphindiwe okuqhubekayo.
Uma izinyathelo ezingenhla sezivele zikhona noma uma umthamo we-dialysis ungabonakali uyinkinga, khona-ke isazi sezinkanyezi sidinga ukuhlola izivivinyo zakho zamalebhu. Ingabe i-hormone ye-parathyroid (PTH) noma i-phosphorus yakho ephezulu? Uma lokhu noma ezinye izinto eziyingozi zingabonakala kalula, izinyathelo zingathathwa ukulungisa lokho. Ngokwesibonelo, ama-vitamin D angalingana angasiza ekulehliseni izinga le-PTH. Amazinga aphezulu e-phosphorus anganciphisa ukudla okuphansi kwe-phosphorus noma ngokubeka iziguli kuma-binders e-phosphorus.
Okokugcina, uma konke lokhu kwehluleka, ngokuvamile sivame ukuphendukela kwimithi. Lezi zingabandakanya i-antihistaminic njengo-Benadryl noma i-diphenhydramine, noma enye imithi efana ne-hydroxyzine.
Le mithi izovame ukuhlala phansi futhi ingase ingasebenzi kuzo zonke izimo. I-Loratadine iyindlela ephikisayo.
Eminye imithi eye yahlolwa ihlanganisa i-gabapentin, i-pregabalin, nama-antidepressants kuhlanganise ne-sertraline. Kulezi ziguli ezingatholi usizo ngisho nalezi zidakamizwa, ukuphathwa nge-ultraviolet B kungasiza.