Dialysis Peritoneal kwi unyango lwezifo sezintso

dialysis Peritoneal - yenye indlela yonyango endaweni ne umsebenzi othile sezintso. Umgaqo olu hlobo unyango na ukudibana nokutshintshiselana kwezinto ephantsi ngemolekyula ezininzi kunye ulwelo nge inwebu ngakwimida kwisisu kunye neziseko zayo, igazi, isisombululo olulodwa engekabili ithiwa kwisisu. Kuba okokuqala dialysis ngempumelelo peritoneal busetyenzisiwe ngo-1945 ukulungiselela unyango ukusilela ahlekise kwezintso.

Ukuze siqonde oko kidney dialysis, okanye kungcono ukuba zithi dialysis igazi, kufuneka ukwazi iinkqubo pathophysiological ukuba kwenzeka komzimba izifo nezintso.

dialysis Peritoneal isetyenziselwa ukunyanga insufficiency etsolo kunye ezingapheliyo sezintso.

Izifo eziphambili ezikhokelela kuphuhliso bezifo ukusilela kwezintso zezi glomerulonephritis, pyelonephritis, izifo lwenkqubo, amatye kwizintso, isifo seswekile, malformations iziphene kwenkqubo genitourinary, kunye nabanye. Ukusilela kwingxakeko kwenzeka xa iimeko Ndothuka kakhulu ukopha, kwizifo yokubelekisa kunye yotyando. Kulo mzekelo yayikukwaphula umsebenzi esisiseko kwizintso - excretory kwemalike, ukuba uhlale uphilile kwaye electrolyte imali eseleyo. ukugcinwa fluid kwenzeka kunye ubumdaka enikwayo edla kwazona yi izintso emzimbeni. Ukuze ukusombulula le meko, ukongeza kunyango ngamachiza, ihaemodialysis ezisetyenzisiweyo dialysis peritoneal, ukuze ususe fluid abangaphezu kwemfuneko kunye ityhefu.

Njengoko kukhankanyiwe ngasentla, eli dialysis peritoneal isekelwe kwindlela ukudluliselwa le nokuhanjiswa ityhefu ukusuka kwenye eliphakathi ukuya kwenye. Xa abantu, aba-bume sisisombululo ekhethekileyo ludlolo, balizalise isigulane kwisisu kunye negazi. Xa wehemodialysis, ibanjwa kwisixhobo "kidney ngumntu", ukutshintshisana phakathi kwegazi kunye isisombululo kwenzeka ngokusebenzisa inwebu dialyzer zokwenziwa. Kwaye indima dialysis peritoneal yale inwebu lenza peritoneum ngokwayo (isikhumba egubungele kwisisu). Le peritoneum Amandla bomntu Kwathi ubunzima encinane molecule. SLAG egazini, apho imixholo ukusilela kwezintso liphezulu, angene ngenxa pores e isisombululo, ngenxa umahluko yoxinaniso. Ekubeni isisombululo peritoneal uquka glucose kumafa zabo, ezinako etsala amanzi, ukususwa ulwelo kwemfuneko kwenzeka.

dialysis Peritoneal lwenziwa ngokugalela kwisisu peritoneal kwesisombululo ekhethekileyo abawaziyo, zibe ngumqulu seelitha 2.5 (kuba umntu omdala), ngokusebenzisa catheter ekhethekileyo kufakwa em- peritoneal. Emva malunga 5 ulwelo ngeyure kwisisu likhanyelwe kwaye endaweni. Utshintsho 4-5 lwenziwa ngexesha lasemini. Inani kweenguqu ixhomekeke isigulane kunye nomgangatho ngokutshintshiselana umsebenzi peritoneal ibekwe esweni indices chemistry serum.

Ukubonisa dialysis peritoneal?

dialysis Peritoneal lwenziwa izigulane kunye nesifo sentliziyo kakhulu, abantwana abagulayo kunye nabantu abadala. Ekubeni kunokuba kwenziwa ngokuzimeleyo isigulane, kufanelekile ukuba izigulane abahlala kude kumaziko olugqitha esikhumbeni.

Ukufakelwa le catheter kulo kwisisu lwenziwa esibhedlele, kwigumbi yokusebenza. uqeqesho Eminye ikhutshwa phandle elizimeleyo ogulayo nkqubo, iinguqulelo ukukhethwa dialysate. Emva malunga 2-3 iiveki isigulane iyakhutshwa ekhaya, apho ngokuzimeleyo owenza zonke zazo. Isigulana kanye ngenyanga utyelela isebe dialysis abapasa ezi mvavanyo ezifunekayo kunye nokulungiselela izisombululo. Oku kusebenza kubantu abane ukusilela ezinganyangekiyo kwezintso. Xa ukusilela etsolo kwezintso, dialysis peritoneal lwenziwa esibhedlele.

Abantu eziphezu dialysis, kufuneka batye ukutya okuthile. Ukutya dialysis fluid ukunciphisa ukusetyenziswa yetyuwa (uxinzelelo lwegazi oluphezulu), ukunciphisa ukusetyenziswa okune potassium (iziqhamo nemifuno) kunye phosphorus.