I-Peritoneal Dialysis - Iinkqubo, Ukulungiselela, Iindleko, kunye noBuyiselo

I-Peritoneal Dialysis (PD) yinkqubo yonyango enceda izigulane ezinokusilela kwezintso okanye ukungasebenzi kakuhle kwezintso. Izintso zidlala indima ebalulekileyo ekuhluzeni izinto ezilahlwayo kunye nolwelo oluphuma egazini. Xa bengakwazi ukwenza lo msebenzi ngokufanelekileyo, inkunkuma iqokelela emzimbeni, ekhokelela kwimicimbi enzima yempilo. I-PD inika indlela yokususa ezi mveliso zenkunkuma kunye nolwelo olugqithisileyo kusetyenziswa i-peritoneum, inwebu edibanisa umgodi wesisu.

Ngexesha lenkqubo ye-Peritoneal Dialysis, isisombululo esingenazintsholongwane esibizwa ngokuba yi-dialysate singeniswa kumngxuma wesisu ngecatheter. Esi sisombululo siqulethe i-concentration ethile ye-glucose kunye ne-electrolytes, enceda ukutsala iimveliso zenkunkuma kunye nolwelo olugqithisileyo olusuka kwimithambo yegazi kwi-peritoneal lining. Emva kwexesha elimiselweyo, i-dialysate, ngoku izaliswe yinkunkuma, ikhutshwe kwisisu kwaye ithathelwe indawo ngesisombululo esitsha. Le nkqubo inokwenziwa ngesandla okanye ngoncedo lomatshini, kuxhomekeke kuhlobo lwePD esetyenziswayo.

Eyona njongo iphambili yePeritoneal Dialysis kukulawula iimpawu zokungaphumeleli kwezintso kunye nokugcina ibhalansi ye-electrolytes kunye nolwelo emzimbeni. Kuyinzuzo ngakumbi kwizigulane ezinokuthi zingabi ngabaviwa abafanelekileyo kwi-hemodialysis okanye abo bakhetha ukhetho lonyango oluguquguqukayo. I-PD inokwenziwa ekhaya, ivumela izigulana ukuba zigcine indlela yokuphila eqhelekileyo ngelixa zilawula imeko yazo.

I-Peritoneal Dialysis isetyenziswa ngokuqhelekileyo ukunyanga iimeko ezifana nesifo esingapheliyo sezintso (CKD), isifo se-renal esiphelile (ESRD), kunye nokulimala kwezintso (AKI). Ikwayindlela yokukhetha kwizigulana ezineemeko ezithile zonyango ezenza i-hemodialysis ingasebenzi okanye ibe ngumngeni ngakumbi. Nangona kunjalo, kufuneka wazi ukuba i-PD ayingomgangatho wokuqala we-AKI kwiimeko ezininzi zabantu abadala kwiindawo eziphezulu zezixhobo. Ukusetyenziswa kwePD kwi-AKI kunemeko, hayi yesiqhelo.

Kutheni i-Peritoneal Dialysis yenziwa?

I-Peritoneal Dialysis idla ngokucetyiswa kwizigulana ezineempawu zokungaphumeleli kwezintso okanye eziye zafunyaniswa zineemeko eziphazamisa ukusebenza kwezintso. Ezinye iimpawu eziqhelekileyo ezinokukhokelela ekunconyweni kwePD ziquka:

• Ukukhathala nobuthathaka
• Ukuvuvukala kwemilenze, amaqatha, okanye isisu ngenxa yokugcinwa kwamanzi
• Isihlunu kunye nokuhlanza
• Ukuphelelwa kwesidlo
• Utshintsho kwiipateni zokuchama, njengokuncipha kokuphuma komchamo
• Uxinzelelo lwegazi oluphezulu ekunzima ukululawula

Isigqibo sokuqalisa i-Peritoneal Dialysis sihlala sisekelwe kubunzima bokungasebenzi kakuhle kwezintso, impilo yesigulana iyonke, kunye nezinto abazikhethayo. Ngokuqhelekileyo kuqwalaselwa xa umsebenzi wezintso wehla ukuya kwindawo apho izintso zingasakwazi ukucoca ngokufanelekileyo iimveliso zenkunkuma ezivela egazini, ngokuqhelekileyo ziboniswa yi-glomerular filtration rate (GFR) engaphantsi kwe-15 mL / min.

Kwezinye iimeko, i-Peritoneal Dialysis inokukhethwa ngaphezu kwe-hemodialysis ngenxa yeenzuzo zayo, ezifana nokuguquguquka okukhulu ekucwangciseni, ukukwazi ukwenza unyango ekhaya, kunye nomngcipheko ophantsi weengxaki ezithile ezinxulumene nokufikelela kwi-vascular in hemodialysis. Ukongezelela, ezinye izigulana zinokufumana i-PD ukuba ikhululeke ngakumbi kwaye ingaphazamisi kubomi babo bemihla ngemihla.

Iimpawu zePeritoneal Dialysis

Iimeko ezininzi zeklinikhi kunye neziphumo zovavanyo zinokubonisa ukuba isigulana singumgqatswa ofanelekileyo wePeritoneal Dialysis:

• Isifo sezintso eziNgapheliyo (CKD): Izigulana ezine-CKD ephezulu, ngakumbi ezo zikwinqanaba lesi-5, zihlala zifuna i-dialysis ukulawula imeko yazo. I-PD inokuba lukhetho olusebenzayo kwezi zigulana.
• Isifo Sezintso (ESRD): Xa umsebenzi wezintso uye wehla kangangokuba izintso zingasakwazi ukugcina ubomi, iPD idla ngokucetyiswa njengokhetho lonyango.
• Ukwenzakala Kabukhali Kwezintso (AKI): Kwiimeko zokungaphumeleli kwezintso ngequbuliso, iPD ingasetyenziselwa okwethutyana ukuxhasa ukusebenza kwezintso ngelixa unobangela osisiseko unyangwa.
• Ukugqithiswa kolwelo: Izigulana ezifumana ukugcinwa kolwelo olubalulekileyo olungenakulawulwa ngamayeza zinokuzuza kwi-PD ukunceda ukususa ulwelo olugqithisileyo.
• Ukungalingani kwe-Electrolyte: Iimeko ezikhokelela ekungalingani kwe-electrolytes, ezifana ne-potassium ephezulu okanye amanqanaba e-sodium, kunokufuna ukusetyenziswa kwePD ukubuyisela ukulinganisela.
• Ukhetho lwesigulana: Ezinye izigulana zinokukhetha i-PD ngaphezu kwe-hemodialysis ngenxa yokuqwalaselwa kwendlela yokuphila, njengokukwazi ukwenza unyango ekhaya kunye nokugcina ishedyuli ebhetyebhetye ngakumbi.
• Iimeko zonyango: Iimeko ezithile zonyango, ezifana nesifo senhliziyo okanye imiba yokufikelela kwi-vascular, zinokwenza i-hemodialysis ingafaneleki, ikhokelela ababoneleli bezempilo ukuba bancome i-PD endaweni yoko.
• Ukungakwazi ukunyamezela iHemodialysis: Izigulane ezinobunzima bokunyamezela i-hemodialysis ngenxa yeengxaki okanye ezinye iingxaki zempilo zinokuthi zifaneleke ngakumbi kwi-Peritoneal Dialysis.

Isishwankathelo, i-Peritoneal Dialysis lukhetho olubalulekileyo lonyango kwizigulana ezinokusilela kwezintso, zibonelela ngeendlela zokulawula imeko yazo ngokufanelekileyo. Ngokuqonda inkqubo, injongo yayo, kunye nezalathiso zokusetyenziswa kwayo, izigulane zinokwenza izigqibo ezinolwazi malunga nonyango olukhethayo.

Iintlobo zePeritoneal Dialysis

Kukho iintlobo ezimbini eziphambili zePeritoneal Dialysis, nganye inendlela yayo kunye neenzuzo:

• I-Ambulatory Peritoneal Dialysis (CAPD) eqhubekayo: Le yeyona ndlela ixhaphakileyo yePD. KwiCAPD, izigulana zenza utshintshiselwano lwe-dialysis ngesandla imini yonke. Ngokuqhelekileyo, izigulane ziza kuzalisa isisu sabo nge-dialysate, zivumele ukuba zihlale ixesha elithile, kwaye emva koko zikhuphe. Le nkqubo iphinda iphindwe ngamaxesha amaninzi ngosuku, ivumela unyango oluqhubekayo kwizigulane ezikhetha ukuzimela, ekubeni i-CAPD ayifuni umatshini.
• I-Automated Peritoneal Dialysis (APD): I-APD isebenzisa umatshini obizwa ngokuba yibhayisekile ukwenza utshintshiselwano lwe-dialysis, ngokuqhelekileyo ngelixa isigulana silele. I-cycler igcwalisa ngokuzenzekelayo kwaye ikhuphe i-dialysate ukusuka kwisisu, ivumela ishedyuli yonyango elula ngakumbi. I-APD inokuba luncedo kwizigulana ezinokuba nobunzima bokwenza utshintshiselwano lwezandla okanye zikhethe ukuba unyango lwazo lwenziwe ngobusuku.

Zombini iintlobo ze-Peritoneal Dialysis zineenzuzo zazo kwaye zinokulungiswa ukuhlangabezana neemfuno zomntu ngamnye wezigulane. Ukhetho phakathi kwe-CAPD kunye ne-APD kaninzi luxhomekeke kwindlela yokuphila yesigulana, izinto ezikhethwayo, kunye nokuqwalaselwa kwezonyango.

Ukuqukumbela, i-Peritoneal Dialysis yinkqubo ebalulekileyo yokulawula ukungaphumeleli kwezintso, ukunika izigulane indlela yokugcina impilo kunye nomgangatho wobomi. Ukuqonda inkqubo, izibonakaliso zayo, kunye neentlobo ezikhoyo kunokuxhobisa izigulane ukuba zenze izigqibo ezinolwazi malunga nokhetho lwazo zonyango.

Contraindications for Peritoneal Dialysis

Ngelixa i-peritoneal dialysis (PD) inokuba lunyango olusindisa ubomi kwizigulana ezininzi ezinokusilela kwezintso, ayifanelanga wonke umntu. Iimeko ezithile kunye nezinto ezinokuthi zenze isigulane singafaneleki ngolu hlobo lwe-dialysis. Ukuqonda ezi contraindications kubalulekile kuzo zombini izigulana kunye nababoneleli ngezempilo.

• Iimeko ezimandundu zesisu: Izigulane ezinembali yotyando lwesisu, ezifana nokubambelela ngokubanzi okanye i-hernias, zinokujamelana neengxaki ngexesha lePD. Ezi meko zinokuthintela ukubekwa ngokufanelekileyo kwe-catheter okanye zikhokelela kubunzima ekutshintshisweni kwamanzi.
• Usulelo: Usulelo olusebenzayo, ngakumbi kwindawo yesisu okanye ulusu, lunokubangela ingozi enkulu. I-Peritonitis, usulelo lwe-peritoneum, luyingxaki enkulu yePD, kwaye izigulane ezinosulelo oluqhubekayo zingabi ngabaviwa abalungileyo.
• Imiba yokuphefumla: Izigulana ezinezifo ezinzulu zokuphefumla zinokuzabalaza nokutshintsha kolwelo okwenzeka ngexesha lePD. Uxinzelelo olwandisiweyo lwesisu olusuka kwi-dialysis fluid lunokuchaphazela ukusebenza kwemiphunga, nto leyo eyenza kube nzima kwezi zigulana ukuphefumla kakuhle.
• Izithintelo ngokwasemzimbeni: Ukutyeba ngokugqithiseleyo kunye nesifo esibi se-vascular singayinzima inkqubo yePD. Amafutha amaninzi esisu anokwenza kube nzima ukubeka i-catheter kwaye kunokonyusa umngcipheko wosulelo kunye nezinye iingxaki.
• Imiba yezengqondo: Izigulane ezingenayo inkqubo yenkxaso eyimfuneko yokulawula iPD ekhaya, okanye abo bangenakukwazi ukunamathela kwi-regimen yonyango ngenxa yeengxaki zempilo yengqondo, abanakuba ngabaviwa abafanelekileyo. Inethiwekhi yenkxaso eyomeleleyo ibalulekile kwi-dialysis yasekhaya eyimpumelelo.
• Isifo seswekile esingalawulekiyo: Izigulana ezinesifo seswekile esingalawulwa kakuhle zinokuba neengxaki ezinokuchaphazela ukufaneleka kwazo kwiPD. Amanqanaba aphezulu eswekile yegazi angakhokelela kusulelo kunye neminye imiba yezempilo eyenza nzima inkqubo ye-dialysis.
• ImiHlaza ethile: Izigulana ezineentlobo ezithile zomhlaza, ngakumbi ezo zichaphazela indawo yesisu, zisenokungafaneleki kwiPD. Ubukho be-tumor bunokwenza kube nzima inkqubo kwaye kwandise umngcipheko weengxaki.
• UTshintsho lwezintso: Izigulana ezingabaviwa bokutshintshwa kwezintso zisenokungadingi iPD, njengoko ukutshintshwa kunokubonelela ngesisombululo esisisigxina sokungaphumeleli kwezintso. Nangona kunjalo, kukho abaviwa abafakelwa izintso abafuna i-dialysis de kube ukutshintshwa kufumaneke. I-PD ihlala ikhethwa kwiimeko zangaphambi kokutshintshwa kwiziphumo ezingcono zentliziyo.
• Ukungakwazi ukwenza Ukuzikhathalela: I-PD ifuna inqanaba lokuzilawula elinokuthi lingenzeki kuzo zonke izigulana. Abo bangakwaziyo ukwenza imisebenzi eyimfuneko, enjengokunyamekela i-catheter kunye nokutshintshiselana ngolwelo, kusenokufuneka bacinge ngolunye unyango.

Uyilungiselela njani iPeritoneal Dialysis?

Ukulungiselela i-peritoneal dialysis kubandakanya amanyathelo abalulekileyo aliqela ukuqinisekisa ukuba inkqubo ikhuselekile kwaye iyasebenza. Nantsi into enokuthi ilindeleke kwizigulana kwisikhokelo sokuqalisa iPD.

• Uthethwano nababoneleli ngezempilo: Ngaphambi kokuqala i-PD, izigulana ziya kuboniswana ngokucokisekileyo kunye ne-nephrologist yazo kunye nomongikazi we-dialysis. Le ntlanganiso iya kugubungela izibonelelo kunye nobungozi be-PD, kunye nento onokuyilindela ngexesha lonyango.
• UVavanyo Lwenkqubo Yangaphambili: Izigulana ziya kuqhuba uthotho lweemvavanyo zokuvavanya impilo yazo yonke kunye nokufaneleka kwePD. Oku kunokubandakanya iimvavanyo zegazi ukujonga ukusebenza kwezintso, i-electrolytes, kunye nempilo yonke, kunye nezifundo zokucinga ukuvavanya indawo yesisu.
• Ukubekwa kweCatheter: Ugqirha wakho uya kubeka i-catheter esiswini ukuze avumele ukuba i-dialysis fluid ingene kwaye iphume. Le nkqubo ngokuqhelekileyo yenziwa phantsi kwe-anesthesia yendawo kwaye inokufuna ukuhlala esibhedlele okufutshane.
• Imfundo no qeqesho: Izigulana ziya kufumana imfundo malunga nendlela yokwenza iPD ekhaya. Oku kuquka uqeqesho ngendlela yokudibanisa kunye nokuqhawula izixhobo ze-dialysis, indlela yokulawula i-catheter, kunye nendlela yokuqonda iimpawu zosulelo okanye iingxaki.
• Ulungelelaniso lokutya: Izigulane kunokufuneka zenze utshintsho kwindlela yokutya ukuze zivumelane nonyango lwazo olutsha. I-dietitian inokunceda ukudala isicwangciso sokutya esixhasa impilo yezintso ngelixa siqwalasela izithintelo zolwelo kunye nokutya ezinxulumene nePD.
• Inkxaso yengqondo: Kubalulekile ukuba izigulane zibe nenkqubo yenkxaso ekhoyo. Amalungu osapho okanye abanonopheli kufuneka babandakanyeke kwinkqubo yoqeqesho ukuqinisekisa ukuba banokuncedisa ngonyango njengoko lufuneka.
• Ukulungiselela Ekhaya: Izigulana kufuneka zilungiselele ikhaya labo kwiPD ngokumisela indawo ecocekileyo nelungelelanisiweyo yokubonelela nge-dialysis. Le ndawo kufuneka ingabikho kwizinto eziphazamisayo kwaye kube lula ukufikelela kuyo.
• Uphononongo lwamayeza: Uphononongo lwamayeza angoku luyimfuneko ukuphepha nayiphi na intsebenziswano enokubakho kunye nenkqubo ye-dialysis. Izigulana kufuneka zixoxe ngawo onke amayeza, kubandakanywa amayeza angaphaya kwe-counter-the-counter kunye nezongezo, kunye neqela labo lezempilo.
• Isicwangciso sikaxakeka: Izigulana kufuneka zibe nesicwangciso endaweni yonxunguphalo, kuquka nendlela yokusingatha iingxaki okanye ukuba zifumana iimpawu zosulelo. Ukwazi ixesha lokufuna uncedo lwezonyango kubalulekile.
• Ukulungiselela Ingqondo: Ukuqala iPD kunokuba luhambo lweemvakalelo. Izigulane kufuneka zithathe ixesha lokulungiselela ngengqondo utshintsho kwindlela yabo yemihla ngemihla kunye nokuzinikela okufunekayo kunyango oluyimpumelelo.

I-Peritoneal Dialysis: Inkqubo yeNyathelo ngeNyathelo

Ukuqonda inyathelo ngenyathelo lenkqubo ye-peritoneal dialysis kunokunceda ukuphelisa unyango kwaye wenze izigulana zizive zikhululekile. Nantsi into eyenzekayo phambi, ngexesha, nasemva kwenkqubo.

Phambi kweNkqubo

• Ukulungiselela: Izigulane ziya kufakwa i-catheter yazo kwinkqubo yotyando encinci. Oku kuqhele ukwenziwa esibhedlele okanye kwizigulana ezingalaliswayo. Indawo iya kucocwa, kwaye i-anesthesia yendawo iya kulawulwa.
• Ukubuyisela: Emva kokuba i-catheter ifakwe, izigulane ziya kufuna ixesha elithile lokuchacha. Basenokujongwa iiyure ezimbalwa ukuqinisekisa ukuba akukho zingxaki zangoko.

Ngexesha leNkqubo

• Ukumisela i-Dialysis: Nje ukuba i-catheter iphiliswe kwaye ilungele ukusetyenziswa, izigulane ziya kuqalisa iiseshini zazo ze-dialysis. Oku kunokwenziwa ekhaya okanye kwimeko yeklinikhi.
• Utshintshiselwano ngolwelo: Inkqubo ibandakanya ukuzaliswa komgodi wesisu ngesisombululo se-dialysis esiyinyumba ngecatheter. Esi sisombululo sihlala kwisisu kwixesha elimiselweyo, ukuvumela iimveliso zenkunkuma kunye nolwelo olugqithisileyo ukuba lutsalwe ngaphandle kwegazi nge-membrane ye-peritoneal.
• Ukucoca ulwelo: Emva kwexesha lokuhlala, isisombululo sikhutshwa ngaphandle kwesisu, sithatha inkunkuma kunye nayo. Le nkqubo idla ngokuphindaphindiweyo amaxesha amaninzi ngosuku, ngokuxhomekeke kwirejimeni emiselweyo.

Emva kwenkqubo

• Ukubeka iliso: Izigulana kuya kufuneka zijonge impilo yazo ngokusondeleyo emva kweseshoni ye-dialysis nganye. Oku kubandakanya ukujonga iimpawu zosulelo kwindawo yecatheter, njengokubomvu, ukudumba, okanye ukukhupha.
• Ukuqeshwa kolandelo: Ukuqeshwa rhoqo okulandelwayo kunye neqela lezempilo kubalulekile ukubeka iliso ekusebenzeni kwezintso, ukulungelelanisa unyango njengoko kufuneka, kunye nokujongana nayo nayiphi na inkxalabo.
• Uhlengahlengiso kwindlela yokuphila: Izigulane kunokufuneka zihlengahlengise iindlela zabo zemihla ngemihla ukuze zihambelane neshedyuli yazo ye-dialysis. Oku kubandakanya ukucwangciswa kokuthatha ulwelo, izithintelo zokutya, kunye nokulawula naziphi na iziphumo ebezingalindelekanga.

Ulawulo Lwexesha elide

Ngokuhamba kwexesha, izigulane ziya kufunda ukulawula iPD yazo ngokuzimeleyo. Kuya kufuneka bahlale bephaphile malunga nococeko, bagcine iimpahla zabo, kwaye bagcine umgca ovulekileyo wonxibelelwano neqela labo lezempilo.

Imingcipheko kunye neengxaki ze-Peritoneal Dialysis

Ngelixa i-peritoneal dialysis ikhuselekile kwaye isebenza kakuhle, kubalulekile ukuba izigulana ziqaphele ubungozi obunokubakho kunye neengxaki. Ukuqonda oku kunokunceda izigulane zibone imiba kwangoko kwaye zifune ukhathalelo olufanelekileyo.

Imingcipheko eqhelekileyo

• Usulelo: Owona mngcipheko uqhelekileyo unxulumene nePD yi-peritonitis, usulelo lwe-peritoneum. Iimpawu zinokubandakanya iintlungu zesisu, umkhuhlane, kunye nolwelo olunamafu lwe-dialysis. Unyango olukhawulezileyo lubalulekile.
• Imiba yeCatheter: Iingxaki kunye ne-catheter, ezifana nokuvala okanye ukuchithwa, kunokwenzeka. Izigulane kufuneka ziqeqeshelwe ukuqaphela kunye nokujongana nale miba.
• Ukungalingani kolwelo: Izigulana zinokufumana ukugcwala kolwelo okanye ukuphelelwa ngamanzi emzimbeni ukuba ukuthathwa kolwelo akulawulwanga kakuhle. Ukujongwa rhoqo kobunzima kunye nokuthatha ulwelo kubalulekile.

Imingcipheko eNcinci

• I-Hernias: Ukunyuka koxinzelelo kwisisu kwi-dialysis fluid kunokukhokelela kwi-hernias, ngakumbi kwizigulane ezinobuthathaka obukhoyo ngaphambili kudonga lwesisu.
• Intlungu zesisu: Ezinye izigulana zinokufumana ukungonwabi okanye iintlungu ngexesha lenkqubo ye-dialysis, ngakumbi ngexesha lokutshintshana kwamanzi.

Iingxaki ezinqabileyo

• Ukugqojozwa kwamathumbu: Nangona kunqabile, kukho umngcipheko wokubhoboza amathumbu ngexesha lokubekwa kwecatheter okanye ngenxa yokwanda koxinzelelo lwesisu. Le yimeko emandundu efuna unyango olukhawulezileyo.
• Ukungondleki: I-PD yexesha elide inokukhokelela ekungondlekiyo ukuba iimfuno zokutya azihlangabezwanga ngokwaneleyo. Ukudibana rhoqo nengcali yokutya kunokunceda ekuthinteleni oku.

Impembelelo yengqondo

Iziphumo zovakalelo kunye nezengqondo zokuphila nesifo sezintso kunye ne-dialysis zinokubalulekile. Izigulane zinokuxhalaba, ukudakumba, okanye uxinzelelo olunxulumene nonyango lwazo. Amaqela enkxaso kunye neengcebiso zinokuba luncedo.

Imingcipheko yexesha elide

Ngokuhamba kwexesha, izigulane zinokuvelisa iingxaki ezinxulumene ne-dialysis yexesha elide, njengokutshintsha kwi-membrane ye-peritoneal okanye imiba yokusebenza kwezintso. Ukubeka iliso rhoqo kunye nokhathalelo olulandelayo lubalulekile ukujongana nezi nkxalabo.

Ngokuqonda ukuchasana, amanyathelo okulungiselela, iinkcukacha zenkqubo, kunye neengozi ezinokubakho ezinxulumene ne-peritoneal dialysis, izigulane zinokusondela kunyango lwabo ngokuzithemba kunye nokuqonda. Olu lwazi lubaxhobisa ukuba bathathe inxaxheba ebonakalayo kuhambo lwabo lokhathalelo lwempilo.

Ukubuyisela emva kwePeritoneal Dialysis

Ukuchacha emva kwe-peritoneal dialysis (PD) ngokuqhelekileyo igudile, kodwa iyahluka kumntu nomntu. Uninzi lwezigulana zinokulindela ukuziva zibuyele kwisiqu sazo kwiintsuku ezimbalwa ukuya kwiveki emva kwenkqubo yokuqala. Nangona kunjalo, umda wexesha unokuxhomekeka kwiimeko zempilo zomntu ngamnye, ubukho bazo naziphi na iingxaki, kunye nokuthobela imiyalelo yokhathalelo lwasemva.

Ixesha elilindelekileyo lokuBuyisa kwakhona

• Iintsuku ezimbalwa zokuqala: Emva kokufakwa kwe-catheter, izigulane zinokufumana ukungahambi kakuhle okanye ubuhlungu kwindawo yokufaka. Oku kuqhelekile kwaye kufuneka kuphuculwe kancinci kancinci. Ukulawulwa kweentlungu kunokuxoxwa kunye nomboneleli wakho wezempilo.
• IVeki e-1 emva kweNkqubo: Izigulana ezininzi zinokuphinda ziqalise imisebenzi elula, njengokuhamba okanye ulula imisebenzi yasekhaya. Kubalulekile ukunqanda ukuphakamisa izinto ezinzima okanye umthambo onzima ngeli xesha.
• Iiveki ezi-2-4 emva kweNkqubo: Uninzi lwezigulana zinokubuyela kwimisebenzi yazo yesiqhelo, kuquka nomsebenzi, ukuba ziziva zikhululekile. Nangona kunjalo, kubalulekile ukulandela iingcebiso zomboneleli wakho wezempilo malunga namanqanaba omsebenzi.

Iingcebiso zasemva kononophelo

• Ukhathalelo lwesiza: Gcina indawo yokufaka i-catheter icocekile kwaye yomile. Landela imiyalelo yomboneleli wakho wezempilo ngendlela yokukhathalela isiza ukunqanda usulelo.
• Beka iliso kwiingxaki: Zilumkele iimpawu zosulelo, ezinje ngokuba bomvu, ukudumba, okanye ukukhutshwa kwindawo yecatheter. Ukuba ufumana umkhuhlane, ukugodola, okanye iintlungu zesisu, qhagamshelana nomboneleli wakho wezempilo ngoko nangoko.
• Ukutya kunye nokufakwa kwamanzi: Landela naziphi na iingcebiso zokutya ezinikezelwa liqela lakho lezempilo. Ukuhlala u-hydrated kubalulekile, kodwa ukuthathwa kwamanzi kunokufuneka kubekwe iliso ngokusekelwe kwiimfuno zakho zempilo.

Xa Imisebenzi Yesiqhelo Inokuqalisa kwakhona

Uninzi lwezigulane zinokubuyela kwimisebenzi yazo eqhelekileyo kwiiveki ezi-2-4 emva kwenkqubo. Nangona kunjalo, kubalulekile ukumamela umzimba wakho kwaye udibane nomboneleli wakho wezempilo ngaphambi kokuba uqalise kwakhona nayiphi na imisebenzi enefuthe eliphezulu okanye imidlalo.

Iinzuzo zePeritoneal Dialysis

I-Peritoneal dialysis ibonelela ngophuculo oluphambili lwezempilo kunye neziphumo zomgangatho wobomi kwizigulana ezinokusilela kwezintso. Nazi ezinye zezibonelelo eziphambili:

• Unyango lwaseKhaya: Enye yezona zibonelelo zibalulekileyo ze-peritoneal dialysis kukuba inokwenziwa ekhaya, ivumela izigulana ukuba zigcine ukuzimela kunye nokuthuthuzela. Le ndlela yasekhaya inokukhokelela kumgangatho ongcono wobomi, njengoko izigulane zinokucwangcisa unyango lwazo malunga nemisebenzi yazo yemihla ngemihla.
• Ukuguquguquka kwindlela yokuphila: I-PD ivumela ukuguquguquka okungakumbi xa kuthelekiswa ne-hemodialysis ephakathi. Izigulana zinokwenza utshintshiselwano emini okanye ngobusuku, nto leyo eyenza kube lula ukulawula umsebenzi, usapho, kunye nokuzibophelela kwezentlalo.
• Ubumnene kuMzimba: I-peritoneal dialysis ithathwa njengethambile emzimbeni kunehemodialysis. Inika uhlobo oluqhubekayo lwe-dialysis, olunokunceda ukugcina i-chemistry yegazi oluzinzile kunye nokunciphisa umngcipheko weengxaki ezinxulumene nokutshintsha kwamanzi okukhawuleza.
• ULondolozo oluNgcono lweNtsalela yezintso eSebenzayo: Uphononongo lubonise ukuba izigulana ezikwi-peritoneal dialysis zinokugcina ukusebenza kwezintso okushiyekileyo ixesha elide kunezo zisebenza kwi-hemodialysis. Oku kunokukhokelela kwiziphumo ezingcono zempilo jikelele.
• Ubume beSondlo obuphuculweyo: I-PD inokunceda ukugcina imeko yesondlo esingcono, njengoko izigulana zihlala zinezithintelo ezimbalwa zokutya xa kuthelekiswa nezo ze-hemodialysis. Oku kunokukhokelela kumanqanaba okuphucula amandla kunye nokuphila kakuhle.
• UMngcipheko oNgaphantsi weengxaki zeCardiovascular: Olunye uphando lubonisa ukuba i-peritoneal dialysis inokunxulunyaniswa nomngcipheko ophantsi weengxaki zentliziyo xa kuthelekiswa ne-hemodialysis, ebaluleke kakhulu kwizigulana ezineemeko zentliziyo ezikhoyo.

Lithini ixabiso le-Peritoneal Dialysis eIndiya?

Iindleko ze-peritoneal dialysis eIndiya ziqhelekile ukusuka R1,00,000 ukuya kwi-R2,50,000. Izinto ezininzi zinokuchaphazela iindleko zizonke, kuquka:

• UKhetho lwesibhedlele: Izibhedlele ezahlukeneyo zinokuba nezakhiwo zamaxabiso ezohlukeneyo. Izibhedlele ezaziwayo ezifana nezibhedlele ze-Apollo zihlala zibonelela ngokhathalelo olubanzi kunye nezixhobo eziphambili, ezinokuchaphazela iindleko.
• Indawo: Isixeko okanye ummandla apho unyango lufunwayo nawo unokuchaphazela amaxabiso. Amaziko asezidolophini anokuba neendleko eziphezulu xa kuthelekiswa neendawo zasemaphandleni.
• Uhlobo lwegumbi: Uhlobo lwendawo yokuhlala ekhethiweyo ngexesha lonyango lunokuchaphazela zonke iindleko. Amagumbi abucala adla ngokuxabisa ngaphezulu kweendawo zokuhlala ekwabelwana ngazo.
• Iingxaki: Ukuba kukho naziphi na iingxaki ezivela ngexesha lonyango, iindleko ezongezelelweyo zinokuthi zenziwe ngononophelo lwezonyango olongezelelweyo.

Izibhedlele ze-Apollo zibonelela ngeengenelo ezininzi, kubandakanywa abaqeqeshi bezempilo abanamava, amaziko akumgangatho ophezulu, kunye nendlela yesigulane esiphakathi, okwenza kube lukhetho olukhethiweyo kwabaninzi abafuna i-peritoneal dialysis. Xa kuthelekiswa namazwe aseNtshona, iindleko ze-peritoneal dialysis eIndiya ziphantsi kakhulu, okwenza kube yinto efikelelekayo kwizigulane ezininzi.

Ukufumana amaxabiso achanekileyo kunye nokhetho lokhathalelo lomntu, siyakukhuthaza ukuba uqhagamshelane neApollo Hospitals ngokuthe ngqo.

Imibuzo Ebuzwa Rhoqo malunga ne-Peritoneal Dialysis