I-Dialysis Ekupheleni Kokuphila
Kulezi ziguli ezinokwehluleka kwezinso, i- dialysis ye-renal ingaba yodwa yokwelashwa okubagcina kuphila, ngakho-ke isinqumo sokuyeka i-dialysis ngokuvamile siyinzima ukwenza. Ngesikhathi sokuyeka i-dialysis ngisho nokuba yindlela yokukhetha, iziguli zivame ukugula futhi zibe nesimiso sempilo esiphuthumayo kangangokuba isinqumo sokuthi singaqhubeka yini noma cha singase kube lula kwabanye.
Uma ngabe isifo se-dialysis esiseduze nokuphela kokuphila noma isinqumo somuntu oyedwa, ungaqiniseka kanjani ukuthi wenza isinqumo esifanele sokuma noma ukuqhubeka ne-dialysis?
Ukuhluleka kwe-Renal
Ukuhluleka kwezinso kungaba nzima (kungazelelwe) noma okungapheli (ukuma isikhathi eside). Ukungaphumeleli okunamandla kokulahlekelwa yinhlamba ukulahlekelwa ngokungazelelwe kwekhono lezinso lokususa imfucuza. Kungabangelwa izifo ezithile, ukucindezeleka kwegazi okwedlulele ngenxa yokugula, ukulimala, ukuhlinzwa noma izifo ezithile. Ukwehluleka ukuguqulwa kwamazinyo ukulahleka kokusebenza kwezinso ngokuhamba kwesikhathi. Isifo sezinso ezingapheli ngokuvamile sibangelwa yisifo sikashukela noma ukucindezeleka kwegazi kodwa kungabangela nezinye izifo eziningi . Isigaba sokugcina sesifo sesifo esingenasifo esibizwa ngokuthi i-end-stage renal disease (ESRD). Iziguli ezithola zibhekene nokuzikhethela ukuqhubeka noma ukuyeka i-dialysis cishe zihlale zibe ne-ESRD.
Uma Kungenzeka Ukuqeda Ukudayiswa Kwe-Dialysis Kucatshangelwa?
I-Dialysis iyindlela yokwelapha impilo futhi inenzuzo kakhulu uma isetshenziswe ngendlela efanele, kodwa kubalulekile ukuqaphela ukuthi i-dialysis nayo inezilinganiso.
Kungase kungabi nenzuzo yokwandisa impilo nge-dialysis uma izinga lepilo lihlupheka kakhulu. Ukwandisa impilo nge-dialysis kungase kube yinkambiso yokufa kwezinye iziguli, okuvame ukungathandeki. Ngokuvamile kuvunyelwene ukuthi iziguli zingase zibheke ukuvimba i-dialysis uma:
- isiguli sinesifo esiyingozi esizobangela ukukhubazeka okukhulu uma esinda (isibonelo, isifo),
- isiguli sinesifo esiqhubekayo nesingenakugula (isifo sikashukela, noma umdlavuza, isibonelo), noma
- isiguli sinomqondo owohloka komqondo noma esinye isifo esibucayi sezinzwa.
Ukuyeka ukudayiswa kwe-dialysis akufanele kubhekwe ngeziguli ezingaqhubeka nokuhola impilo ende futhi ijabulise. Kodwa-ke, uma isiguli sinokuhluleka kwezinso ngenxa yesifo sikashukela, sesiphambene nesiphambano, sinamathele kabili ngezansi-i-knee ukuchotshozwa kwemilenze yakhe, futhi sivalelwe embhedeni wakhe phakathi kohambo ukuya emtholampilo we-dialysis, angase abuze ukuthi uyaqhubeka yini i-dialysis ilungile kuye. Esinye isibonelo yisiguli esiphephile se-dialysis esine-stroke enkulu esonakalise ubuchopho bayo unomphela. Umndeni wakhe ungase uzibuze ukuthi uzoqhubeka yini ne-dialysis futhi ukhulise impilo yakhe noma ngabe kufanele uvumele ukufa kwemvelo .
Ukwenza Isinqumo
Ukumisa i-dialysis noma othandekayo wakho isinqumo somuntu siqu futhi ungenza kuphela. Ukwenza isinqumo okulungile kuwe, ngincoma ukuthatha lezi zinyathelo ezibalulekile:
- Khuluma nodokotela wakho ngezingozi nezinzuzo zokuqhubeka kwe-dialysis kanye nezingozi nezinzuzo zokukuvimba.
- Khuluma nomhlengikazi wakho , ovame ukuchitha isikhathi esiningi nomngane wakho noma othandekayo, mayelana nekhwalithi yokuphila. Ikhwalithi yokuphila ingathinteka kanjani ngokuqhubeka noma ukuvimba i-dialysis?
- Uma wenza isinqumo somunye umuntu, hlola i- Advance Directive yabo ngemininingwane mayelana nokuthi bangathanda ukuchitha kanjani izinsuku zabo zokugcina.
- Khuluma nomndeni wakho nabathandekayo abasondelene ngesinqumo sakho. Kulula kakhulu ukwenza isinqumo uma unenkxaso yabanye.
- Cabanga ngalokho ukufa okufana nalokho umuntu onezinkinga zezinso. Kungase kube kuhle ukumisa i-dialysis futhi ufe ukuhluleka kwezinso kunokuqhubeka no-dialysis futhi ulinde ukufa ngomdlavuza, isifo se-lung , ukushaya isifo, noma esinye isifo esifanayo.
Ngolwazi oluphelele, ucabange ngokucophelela, nenhliziyo enobubele ungaqiniseka ukuthi noma yisiphi isinqumo owenzayo sinesifanele.