Dialysis - mea i loko o ke kaʻina hana e like me ka mea i wahi? He aha hoomakaukau i pono no ka hakuʻala dialysis?

Hakuʻala dialysis - he ano o ka hana maikaʻi i loko o ke koko i ua mao, mai ke kino, a IeEeAUUXAAaO a pauʻawahia eiiiiiaiou ikea mai i pūnao. O ia Inc E e ia, ina o ka mana o keia hui, o ka urinary'ōnaehana nalowale 85%. I kēia lā, ua nānā aku i ka mea i nāʻano o ka dialysis i ka kela mea keia mea o lakou. I loaʻa mai ka hoomakaukau ana i pono no keia hana, a ina paha he mea kekahi contraindication i kona hana.

ho omńkalakala i manaÿo

Dialysis - he kaʻina hana i replaces i ka hana o nā puʻupaʻa, ina aole lakou e ole hooko kā lākou mau hana. O ka papa kuhikuhi hana o keia kino o keia: e kōkua wehe i toxins mai i ke koko, a me kekahi e kokua i ka malama ana i ke koi 'ia nui o ka moana kaulike i loko o ke kino. Hakuʻala dialysis - mea he hanana i i e pono ai no ka pōkole manawa, a paha paha, e i e pana aku au i ke koena o kona ola, ke kaumaha ma muli o ka mea a me ka oolea o ka maʻi. E like me ka hopena o ke kaʻina hana o nā huahana i hanaʻia ma hope o pūnao, a me toxins i wehe 'ia mai ke kino.

E noonoo i ka wehewehena o "dialysis kumuʻiʻo" manaʻo. Kēia hana o ke kaawale ana o (particles) o okoa nui like 'ole i loko o ka kinowai ukuhiia ma ka lahilahiʻili lahilahi, ai ka ili, ua oi aku ka uuku no o ka hooholo ia ana o nui mānoanoa (nā polokina), akā, i ka manawa hookahi a lakou i hele ai i ka mea hoʻoheheʻe mea pōaka mea. Ua hoʻokaʻawale Liquefaction o ka läÿau, mai ka wai ma ka hoʻohana 'ana i kēia diffuser, uuku droplets hele ma waena o ke'ākeʻakeʻa mai, a me ka noho nui.

ʻano likeʻole hakuʻala dialysis

Ma ke kālā no lapaau, ma laila nō ke koko huikala enehana elua:

1. Hemodialysis. Ma keia hihia, ke kino o connective'aʻaʻa ua wae 'ma kaʻili lahilahi Kānana'ōnaehana kūikawā ka manaʻo e hoʻohuiʻia i ka hoʻomanawanui i ka circulatory kahua.
2. Perinatal dialysis ma i ka abdominal lua ua hanaiia ma ka pāʻoihana. A laila, i kēia kinowai haku mele 'ana ma manawa hoʻomaka e e auaiaea. Eia naʻe, ma ka mea e komo iloko i loko o kēia māhele o ke kino o ke kanaka, ka mea i pono, e hana i ka hana i hāpai i ka catheter.

Nāʻikepili no ka dialysis

Kēia kaʻina hana ua pono no ka hoʻohana a me ka mea kēia mau maʻi puʻuwai.

• ʻaʻa puʻuwai ole;
• ia ka waiʻona mai kaʻapu kōheoheo, hoomake iho no hoi;
• overdose o ai ';
• pilikia hou i loko o ke koko pae o electrolytes;
• coma (hepatic, uremic);
• ka liki ole i ka wai maʻiʻo ma nā puʻupaʻa, oiaiʻike mau Inc ke aloha, a me ke ahonui o ka ola ua literally a kau ma ka pae.

Ka mea ma luna o na kumu e alakai i ka make me ka dialysis.

Inā nā puʻupaʻa hiki ole ke loaʻa hou, laila, i kapa ia ka moku'āina ua hopena-ke kahua ʻaʻa puʻuwai maʻi (ESRD). Ua ua kena ae la ma kekahi illnesses, e like me mimikō, hakuʻala Ka maʻi 'aʻai, lāʻau hainā, i ke alo o ke kiʻekiʻe puʻe. ʻOiai dialysis - ia mea,ʻaʻole he laau no ESRD, akā, e kōkua i ka hoʻomanawanui haha maikaʻi a ola hou. No laila, i kekahi manawa hana i kēia kaʻina hana ka pono, i mea e malama ole wale i ke ola, aka, i ke ola.

Hiʻona o ka hemodialysis

Dialysis ka hoʻohana 'ana i kēia' enehana o ia hoʻi, loaa ia makou ka hoomanawanui i loko o ka haukapila. Kēia ke kaʻina hana no ka pono pipiʻi pono, i hiki ia wale nō i loko o ka haukapilaʻo, ke hoʻomanawanui iā ia iho hiki ole kuai ia. Nolaila, pono i kekahi kanaka i ka manawa e kokoke ana i ka haukapila, ma ka hihia o ka nele 'oe ke hana i ke koko hoʻomaʻemaʻe koke.

Kēia ke kaʻina hana no ua lawe mai kekahi mau manawa o ka pule a me ka mau no e pili ana i 3-5 hola.

Peritoneal dialysis: He aha ka mea a pehea ua lawe mai?

Kēia lua oʻano o ke koko huikalaʻana, i ka mea i hanaʻia ma lalo o kūloko anesthesia. 'Ana i loko o ka abdominal lua kauka inserts he lahilahi ea catheter ma i hala ae i ke kauka, mai 1 a hiki i 2 nā lika o ka monakō koko pāʻoihana, paʻakai, a me ka nui o nā minelala hao. Hana perinatal dialysis ua ma muli o ka mea i loko o ka abdominal lua ua uhiʻia i kaʻili lahilahi i hana like me ka Kānana. Peritoneum i hoopaa mai ai (particles) nui ke koko kahe mua wale nō ke kinowai loa me ka mea hoʻoheheʻe waiwai maloko. Kēia kaʻina hana o ka ʻoki lāʻau lapaʻau hana. Ka dialysate - pāʻoihana hoʻolauna i loko o ka lua a pau me ke kauka neoneo ua hookuu ma ka catheter.

Kēiaʻano o kaʻoki kino ua pinepine hana ma luna o ka outpatient kumu, a me nā hualoaʻa ma hope o ka mea maikaʻi, ina e hana ke kaʻina hana mau kūkaʻi ( 'o ia hoʻi ka hoike ana o ka pōʻaiapuni, a hookuu i ka lāʻau') no ka lā.

Kind o peritoneal dialysis

Aia i ekolu ke ano o keia hana o ke koko huikala:

1. ana ambulatory hana. Perinatal dialysis o kēiaʻano mea loa, he pono ole i ka 'inikua hana, kona manaʻo' aʻole i pono e hoʻohana i ka kamepiula. Ka hana pono e mālama 'ia i loko o ka maemae, ua pono-hoa iho la wahi. Iloko o ana, i ka pāʻoihana hele mai i ka eaʻeke ma ka catheter i loko o ka abdomen. Diazole noho ma laila no kekahi mau hola, a laila, hiki wawe ka moni loa.

I ka pono o keia hana o ke koko huikala:

• hana hiki ke hana i ka wa pono;
• Inc ua mālama 'ia me ka kōkua;
• lapaʻau hiki ke hana i na mea he nui wahi;
• Au e ole e pono ai i ke kamepiula.

2. ikaika cyclical pahaohao. Kēiaʻano o ka peritoneal dialysis mea i 'ano like me ke ano mua, ka mea wale likeʻole mea i ka mea a ua pili i ka catheter i koho hoopiha a pulls ka pāʻoihana, mai ka'ōpū.

Pomaikai o keia hana o ke koko huikalaʻana o ia ke kaʻina hana hiki ke hana i ka po, i ka hiamoe. Akā, ke keakea mea i ole i ke kōkua o kekahi kanaka ke hana, a no kēia papa hana pono i ke kamepiula.

3. ka discrete hana. Ma lalo o kēia koho, dialysis hiki ke lawe mai ma ka hale, akā, IeAUPIIe, IAa IO ia mea nō i loko o ka haukapila. Iapaau ana o keia iaoia mea he hailona hou ma mua me ka cyclic a me ke ana keʻano o ka hanaʻana, a me keia mea konaʻole.

Contraindications

Peritoneal dialysis hiki ole e pili ana ma ka kēia hihia.

• Inā he mau adhesions i loko o ka abdominal lua.
• A hiki aku ai haahaa kānana ano serosa.
• Inā obesity ia lŘlŘ ka wā i ke koko huikala ka hoʻokōʻana o ka dialysis ua ninau aku.
• Inā he mau ili suppurative maʻi i loko o ka abdominal paia.
• Inā 'oe i ka noʻonoʻo kāna hana, a me ka hoʻomanawanui i ole pane pololei, e paa i ka Ahaolelo o peritoneal dialysis.
• Inā he mau auwai i loko o ka abdominal lua.

Hoomakaukau no ka dialysis

1. Ai 'a emi koko clotting (pāʻoihana "heparin" a me ka "Warfarin").
2. Ai 'no ke koko, ke kāohi ( "Atenolol" papa "Capoten", "Cozaar", "Clonidine").
3. Antihistamines (ampoules "Diphenhydramine" "Atarax" dragees);
4. kalipuna kumukanawai a me multivitamins.
5. Medicaments, ec hao a i koi 'ia e paka ulaula koko aeee ( "Epogen," papa).
6. Lapaau i nakinaki phosphorus e ho'ēmi i kona kiʻekiʻe i loko o ke koko.
7. Diuretic ai 'e excrete ka liki ole wai.
8. Laxatives no ka Kāohiʻana o ka constipation, i hiki ke hana me ka hopena o ka hoemi i ka nui o ka loliʻai ana ( "Bisacodyl" papa).

Elue no ke kaʻina hana

koko dialysis hiki ke hua mai i loko o ka kēia hihia.

• Inā urea nā hoailona, e olelo aku i kekahi kanaka hoʻomohala loa degere o kaʻaʻa puʻuwai insufficiency.
• Inā ka hoʻomanawanui mea e hahai mai i kaʻai. Kanakaʻai e komo o ka nui dala o ke kumuʻiʻo, akā, no ka nui o ka paakai a me fluids e pono e e hoemiia. Eia hou, ke kauka e e i ka manao, e lawe i kekahi nui o nā wikamina i ka hoʻomanawanui. ʻai ua pono i ka mea e emi i ka pilikia o ka thrombosis, anaemia a me nāʻano likeʻole o nā complications ma hope o manipulation hana.

• Inā ke hoʻomanawanui i ka makemake e hana i na hana me dialysis. Kēia mea he nui kaʻina hana, no laila, iā ia i ka hoʻomanawanui e e makaukau mentally. A ina he kanaka, haalele aku la ia ia, alaila, aole kekahi e ku e ia i kona makemake, e lawe mai dialysis e ole.
• Inā he mea i ka manawa kūpono no regular repetition o ke koko huikala. Dialysis - he kaʻina hana i pono kaʻaeʻana me ka timetable no i kekahi helu o ke kau. A ina ole Ua hoʻokō me ka manao, ka mea e i ole ai nā mea a pau.
• Inā ke hoʻomanawanui i ka pono dala, a me ka haukapila mai ka kūpono 'inikua lako a pan.

Dialysis: ke kumukuai o ke kaʻina hana

Eia naʻe, i ka lilo o ia ka hanana ma ka huikala ana mai o ke koko mea, ua pipiʻi no ka awelika Lūkini kupa, e like me ka hana e haawi aku i ka awelika o ma kahi o 8000 rubles. A me ka mea e pili ana i kela poe kanaka, ka poe i hoakaka ia dialysis no ke ola? Ua huli mai i ka mea, he pāʻoihana, no ka mea, ma laila nō i hoʻolako 'lehulehu Ho' Oponopono mai kūloko nā moʻohelu kālā. A ma keia hihia, no ka dialysis e loaʻa nui emi ole ole iapaau ana, e e noa.

A ina he kanaka makemake e undergo dialysis'āina'ē, no ka laʻana, i loko o kaʻIseraʻela a me ka US,ʻo ia, e loaʻa i ka uku 200 i 250 dala no ka 1 Ahaolelo.

Ano oe i ka mea he hakuʻala dialysis, a me ka mea mau i nāʻano o nā hana, e hoomaemae i ke koko. We i ike ia ma mua ka hoʻoholo 'ana ma o ka kaʻina hana, e pono e hooko mau aku ana. Akā, i ka lilo o keʻoki kino hilinaʻi nui ma luna o kahi e lawe mai dialysis (i loko o ka lehulehu haukapila a paulele i ka hoʻomana), i loko o a kulanakauhale a me ka aina, e hana ia (aku i mea nui oi pipiʻi ma mua i loko o Rusia), e like me ka makahiki paha o ke kauka.