Dialysis - ndiko kuti nzira sezvo zvaitika? gadziriro api anodiwa kuti itsvo dialysis?

Itsvo dialysis - nzira yokurapa umo ropa rinocheneswa kubva mumuviri uye anoratidza zvose chepfu zvinoriumba kuonekwa pa muviri. kurapa kwakadaro kunofanira kushandiswa, kana mashandiro anoita nhengo iyi nezvezvimwe zvinetso zvedundira akarasikirwa 85%. Nhasi, tiri kutarisa chii vari mhando dialysis kuti mumwe nomumwe wavo. Tsvakaiwo kuti chii kugadzirira zviri zvinodiwa kuti nzira iyi uye kana pane contraindication nomufambiro waro.

Decoding pfungwa

Dialysis - muitiro kuti unotsiva basa itsvo, kana vasingagari kuzadzisa mabasa avo. Chinangwa chikuru muviri ichi ndeichi: zvinobatsira bvisa zvinokachidza kubva ropa, uye zvinobatsirawo kuramba runodiwa nenhanho munyu zvakanakanaka mumuviri. Itsvo dialysis - chiitiko kuti kungadiwa kwenguva pfupi nguva, kana angava, achava kupedza kwoupenyu hwake, zvichienderana chikonzero nekuomarara chirwere. Somugumisiro nzira zvigadzirwa kuumbwa pashure muviri, uye tsvina vanobviswa kubva mumuviri.

Funga tsanangudzo "dialysis mapuroteni" pfungwa. nzira iyi kupatsanurwa tudonhwe zvakasiyana hukuru iri mvura musanganiswa pedyo nhete Kamudzira, sezvamakaropafadzwa pores madiki nokuda kwemutemo guru tsanga (mapuroteni), asi panguva imwe chete vakapfuura vari yakanyauka crystalline zvinhu. Liquefaction of musanganiswa chakaparadzaniswa mvura achishandisa diffuser ichi, mumate duku nomunyika mhinganidzo, uye kuramba guru.

Varieties itsvo dialysis

In mushonga ano, pane vaviri Michina ropa yokuzvinatsa:

1. Hemodialysis. Panyaya iyi, muviri connective zvinyama iri yakasvinwa kuburikidza Kamudzira Sefa hurongwa mudziyo unokosha unobatanidza kuti murwere kweropa hurongwa.
2. Perinatal dialysis umo abdominal mhango uchaguta kuburikidza mumushonga. Zvadaro, izvi mvura akafanana pamusoro nguva anotanga kuva goho. Zvisinei, kuti kupinda munzvimbo mudunhu iri muviri womunhu, zvinokosha kuita oparesheni kugadzwa zviri anobudisa mushonga zvishoma nezvishoma.

Zvairatidza kuti dialysis

nzira iyi pachii Kushandiswa zvinotevera zvirwere:

• renal kukundikana;
• alcohols chepfu, chepfu;
• ovhadhozi zvinodhaka;
• kuchinja ngozi muropa kwevari electrolytes;
• chaanoziva (hepatic, uremic);
• zvakawandisa mvura tigutsikane mu itsvo, apo kwakajairika kurapa zvinopera, uye upenyu murwere ari chaizvoizvo yakarembera pedyo shinda.

The apa zvinhu kungaita kuti rufu pasina dialysis.

Kana itsvo hazvigoni apora, ipapo ezvinhu akadaro anonzi magumo-Danho renal chirwere (ESRD). It kunokonzerwa zvimwe zvirwere, zvakadai sechirwere cheshuga, kenza itsvo, kushandisa zvinodhaka, kuvapo kumusoro kumanikidzwa. Kunyange zvazvo dialysis - haisi mushonga ESRD, asi zvinobatsira murwere anzwe zviri nani uye kurarama kwenguva yakareba. Saka dzimwe nguva kuita nzira ichi zvakakodzera, kuti achengetedze kwete utano asi upenyu.

Zviri hemodialysis

Dialysis kushandisa michina iyi kunoreva kuwana murwere muchipatara. nzira Izvi zvakakodzera michina zvinodhura, izvo zvinogona chete muzvipatara, murwere pachake haagoni rikatenge. Naizvozvo, munhu anofanira kugara pedyo kuchipatara, kana yokushayiwa unogona kuita ropa yokuzvinatsa pakarepo.

nzira iyi rinoitwa kakawanda pavhiki uye rinovapo kwemaawa anenge 3-5.

Peritoneal dialysis: chii uye sei rinoitwa?

Izvi mhando chechipiri yokunatsa ropa, rinoitwa pasi zvomunharaunda yokutindivadza. Zvakananga ari abdominal mhango chiremba inoisa nhete epurasitiki anobudisa mushonga zvishoma nezvishoma kuburikidza iyo inopfuura chiremba kubva 1 2 litres kuti shuga mhinduro, munyu uye nezvimwe zvinokosha zvicherwa. Action perinatal dialysis kunobva pakuti mukati abdominal mhango rinosanganisira kuva Kamudzira iyo anoita somunhu firita. Peritoneum anoramba nezvimedu ropa hombe achingodzika chete nemvura chikamu pamwe yakanyauka zvinhu mairi. nzira Uyu kuvhiya oparesheni. The dialysate - mhinduro akasuma kupinda mhango pamwechete chiremba tsvina iri asunungurwa kubudikidza anobudisa mushonga zvishoma nezvishoma.

Izvi mhando wokuvhiya iri kazhinji akaita pamusoro outpatient hwaro, uye migumisiro shure kwazvo, kana iwe ukaita nzira dzakawanda exchanges (kureva pakatanga zvinogara uye kusunungura mushonga) pazuva.

Mhando peritoneal dialysis

Kune mhando nhatu nzira iyi ropa yokuzvinatsa:

1. ambulatory nzira Chinogara chichingoitwa. Perinatal dialysis iyi mhando ndiyo Inonyanya kubata okurapa, ayo Implementation haafaniri kushandisa kombiyuta. The nzira inofanira kuitwa nenzira yakachena, nzvimbo zvakanaka-Lighted. Panguva mashandiro, mushonga rinopfuura kubva mapurasitiki bhegi kuburikidza anobudisa mushonga zvishoma nezvishoma mudumbu. Diazole chiripo pemaawa mashomanana, uye ipapo nyore vakapedzwa.

Zvakanakira nzira iyi ropa yokuzvinatsa:

• nzira dzinogona kuitwa panguva imwe nguva;
• ARV kuitwa pasina rubatsiro;
• kurapwa kunogona kuitwa munzvimbo dzakawanda;
• Handifaniri kombiyuta.

2. Constant cyclical mufashoni. Izvi mhando peritoneal dialysis akafanana nzira yokutanga, musiyano chete ndechokuti mudziyo izvo zvakabatana anobudisa mushonga zvishoma nezvishoma rwoga anozadza uye kuminyuka mushonga kubva mudumbu.

Kushandisa nzira iyi ropa kucheneswa kuti nzira dzinogona kuitwa usiku, panguva hope. Asi zvakaipira ndechokuti pasina rubatsiro mweni kuita, uye kuti nzira iyi kunoda kombiyuta.

3. discrete nzira The. Pasi pfungwa iyi, dialysis anogona kuitwa pamusha, asi kazhinji ndiwo achiri muchipatara. Mabatirwo nzira iri yakawanda kupfuura vane cyclic uye kuramba urongwa, uye ichi ndicho kwayo chinetso.

Contraindications

Peritoneal dialysis haagoni kushandiswa zvinotevera nyaya:

• Kana pane adhesions ari abdominal mhango.
• Kana nekusimba pasi filtration unhu serosa.
• Kana kufutisa kunoitika apo ropa yokunatsa kunyatsoshanda kuti dialysis iri mibvunzo.
• Kana pane ganda suppurative nezvirwere abdominal pamadziro.
• Kana uine chirwere chepfungwa, uye murwere varege kupindura zvakarurama kubata chirongwa pamusoro peritoneal dialysis.
• Kana pane drains the ari abdominal mhango.

Kugadzirira dialysis

1. Zvinodhaka izvo kuderedza kweropa (mhinduro "heparin" uye "Warfarin").
2. Zvinodhaka kuti BP kudzora ( "Atenolol" Mahwendefa "Capoten", "Cozaar", "Clonidine").
3. Antihistamines (ampoules "Diphenhydramine" "Atarax" dragees);
4. karusiyamu zvokuwedzera uye multivitamins.
5. Medicaments kuitika simbi iyo waitoda kubudisa matsvuku masero ( "Epogen," Mahwendefa).
6. Medicines kuti sungira phosphorus kuderedza pamwero yaro ropa.
7. zvinodhaka Diuretic kuti excrete zvakawandisa zvokunwa.
8. Laxatives nokuti kudzivirira kupatira, izvo zvinogona kuitika somugumisiro kuderedza uwandu Urume yaunodya ( "Bisacodyl" Mahwendefa).

Prerequisites nokuti nzira

ropa dialysis anogona kubudiswa zvinotevera nyaya:

• Kana urea zviratidzi vachati kuti munhu yakatanga kwazvo mwero renal insufficiency.
• Kana murwere kutevera zvokudya. Human Kudya kunofanira yakawanda mapuroteni, asi uwandu munyu uye zvinwiwa vanofanira kuderedzwa. Mukuwedzera, chiremba anofanira zano kutora imwe mari mavhitamini kumurwere. Diet kunodiwa kuti yekuzvidzivirira thrombosis, kupererwa neropa uye nekuve yematambudziko pashure evanhu inoitwa.

• Kana murwere ane chido kuita mabasa akadai dialysis. Iyi haisi nzira, saka kwaari murwere vazvigadzirire mupfungwa. Uye kana munhu anosiya kwake, zvino hapana pamusoro zvaanoda kuita dialysis haazovanzwiri.
• Kana paine mukana dzose kudzokororwa ropa acheneswe. Dialysis - muitiro chinoda zvaidiwa nguva imwe nhamba yezvirongwa. Uye kana asina vakateerera zano, zvichaita kuva nomugumisiro zvose.
• Kana murwere ane mari inodiwa, uye muchipatara ane yakakodzera zvokurapa michina.

Dialysis: mutengo nzira

Zvinosuruvarisa mari yakadaro chiitiko pamusoro wokunatswa ropa zvinodhura zvikuru kuti paavhareji Russian mugari, sezvo paminiti nzira inofanira kupa avhareji vanenge 8000 rubles. Uye zvakadini nevaya vanhu vari ushandiswe dialysis upenyu? Zvakaratidza kuti pane mhinduro, nekuti pane voruzhinji zvipatara zviri mari kubva omunharaunda zvemari. Zvino ichi zvazvingava, dialysis achava mari ndoda kana pasina kurapwa achava wakasununguka.

Uye kana munhu achida kumbotambudzika dialysis kunze, somuenzaniso, muIsraeri kana US, achava kubhadhara 200 kusvika 250 emadhora kuti 1 pachirongwa.

Zvino munoziva chinhu itsvo dialysis, uye chii vari mhando remapazi kuchenesa ropa. Tinewo akawana kuti vasati kusarudza nzira, unofanira kuzadzisa ezvinhu akawanda. Asi mari yokuvhiyiwa kwacho kunoenderana apo aite dialysis (mu pachena muchipatara kana voga), umo guta kana nyika kuzviita (kunze kwenyika zvikuru anodhura kupfuura Russia), uyewo kodzero navanachiremba.