Dialysis - hemodialysis

Mālama ʻo Dialysis i ka hopena hakuʻala pae hope ʻole. Lawe ia i nā ʻōpala mai kou koko ke hiki ʻole i kou puʻupaʻa ke hana hou i kā lākou hana.

Aia nā ʻano ʻokoʻa o ka dialysis hakuʻala. Kuhi kēia ʻatikala i ka hemodialysis.

ʻO ka hana nui a kou hakuʻala ʻo ka hemo ʻana i nā toxins a me nā wai keu mai kou koko. Inā kūkulu ʻia nā huahana ʻōpala i kou kino, hiki ke weliweli a hiki i ka make.

Hemodialysis (a me kekahi ʻano o ka dialysis) hana i kekahi o ka hana o nā puʻupaʻa ke pau lākou i ka hana maikaʻi.

Hiki iā Hemodialysis ke:

• Wehe i ka nui o ka paʻakai, ka wai, a me nā huahana neoneo iʻole e kūkulu lākou i loko o kou kino
• Mālama i nā pae palekana o nā minelala a me nā wikamina i kou kino
• Kōkua i ke kaohi o ke koko
• Kōkua i nā ʻulaʻula koko

I loko o ka hemodialysis, hele kou koko i loko o kahi paipu i loko o kahi kidney a kānana.

• ʻO ka kānana, i kapa ʻia he dialyzer, ua māhele ʻia i ʻelua mau ʻāpana i hoʻokaʻawale ʻia e kahi paia lahilahi.
• Ke hele nei kou koko i loko o kahi ʻāpana o ka kānana, ʻo ka wai kūikawā i kēlā ʻāpana ʻē aʻe e huki i ka ʻōpala mai kou koko.
• Hele hou kou koko i kou kino ma o kahi paipu.

E hana kāu kauka i kahi komo kahi e hoʻopili ai ka paipu. ʻO ka maʻamau, hiki i kahi kīʻaha koko i kou lima.

ʻO ke kīnā ʻole ʻo ke kīnā hope loa o ka maʻi maʻi wā lōʻihi (mau). ʻO kēia ke hiki ʻole i kou puʻupaʻa ke kākoʻo hou aku i nā pono o kou kino. E kūkākūkā kāu kauka me ka dialysis ma mua ou e pono ai. ʻO ka maʻamau, e hele ʻoe i ka dialysis ke loaʻa iā ʻoe he 10% a 15% wale nō o kāu hana ʻōpū i koe.

Pono paha ʻoe i ka dialysis inā kū koke kou mau puʻupaʻa i ka hana ʻana ma muli o ka hōʻino ʻole o ke kōpaʻa nui.

Hana pinepine ʻia ʻo Hemodialysis ma kahi kikowaena dialysis kūikawā.

• E loaʻa iā ʻoe ma kahi o 3 lapaʻau i ka pule.
• Lapaʻau kahi ma kahi o 3 a 4 mau hola i kēlā me kēia manawa.
• Maluhiluhi paha ʻoe i mau hola ma hope o ka dialysis.

Ma kahi kikowaena mālama, e lawelawe kāu poʻe mālama ola i kāu mālama āpau. Eia nō naʻe, pono ʻoe e hoʻonohonoho i kāu manawa i koho ai a hāhai i kahi papaʻai dialysis koʻikoʻi.

Hiki paha iā ʻoe ke loaʻa ka hemodialysis ma ka home. ʻAʻole pono ʻoe e kūʻai i kahi mīkini. E uku ka Medicare a i ʻole kāu ʻinikua olakino no ka hapa nui a i ʻole o kāu uku mālama āpau ma ka home a i ʻole ma kahi kikowaena.

Inā loaʻa ʻoe i ka dialysis ma ka home, hiki iā ʻoe ke hoʻohana i hoʻokahi o nā hoʻolālā ʻelua:

• ʻOi aku ka pōkole (2 a 3 mau hola) i hana ʻia ma kahi o 5 a 7 mau lā i kēlā me kēia pule
• ʻOi aku ka lōʻihi, nā hana pō i 3 i 6 mau pō i kēlā me kēia pule ke hiamoe ʻoe

Hiki paha iā ʻoe ke hana i kahi hui o nā lā a me nā mālama ʻana i ka pō.

Ma muli o ke ʻano pinepine o kāu mālama ʻana a hana lohi ia, loaʻa i kahi home hemodialysis kekahi mau pono:

• Mālama ia i kou kaomi koko i lalo. ʻAʻole pono ka poʻe he nui i nā lāʻau kaomi koko.
• He hana ʻoi aku ka maikaʻi o ka hemo ʻana i nā huahana neoneo.
• ʻOi aku ka maʻalahi o kou puʻuwai.
• Hiki paha iā ʻoe ke hōʻemi i nā ʻōuli mai ka dialysis e like me ka nausea, headache, cramp, ʻume, a me ka māluhiluhi.
• Hiki iā ʻoe ke komo maʻalahi i nā mālama ʻana i kāu papa kuhikuhi.

Hiki iā ʻoe ke hana i ka hoʻomaʻamaʻa iā ʻoe iho, a i ʻole hiki iā ʻoe ke kōkua i kekahi e kōkua iā ʻoe. Hiki i kahi kahu hānai dialysis ke hoʻomaʻamaʻa iā ʻoe a me ka mea mālama i ka hana ʻana i ka dialysis home. Hiki i ka hoʻomaʻamaʻa ke hana i kekahi mau pule i kekahi mau mahina. Pono ʻoe a me kāu poʻe mālama e aʻo i:

• Lawelawe i nā pono
• E kau i ka nila i loko o ka pūnaewele komo
• E nānā i ka mīkini a me kou kaomi koko i ka wā o ka lapaʻau
• Mālama i nā moʻolelo
• E hoʻomaʻemaʻe i ka mīkini
• Nā lako kauoha, i hiki ke lawe ʻia i kou home

ʻAʻole no ka poʻe āpau ka dialysis home. E loaʻa iā ʻoe nā mea he nui e aʻo ai a pono ʻoe e kuleana no kāu mālama. Manaʻo kekahi poʻe i kaʻoluʻolu loa i ka lawelawe ʻana o kahi mea lawelawe i kā lākou mālama. Hoʻohui, ʻaʻole hāʻawi nā kikowaena āpau i ka dialysis home.

He koho maikaʻi paha ka dialysis home inā makemake ʻoe i ke kūʻokoʻa hou aʻe a hiki ke aʻo e mālama iā ʻoe iho. E kamaʻilio me kāu mea hāʻawi. Hiki iā ʻoe ke hoʻoholo i ke ʻano hemodialysis e pono ai nāu.

Kāhea i kāu mea hāʻawi inā ʻike ʻoe:

• Kahe ʻana mai kāu pūnaewele vascular access
• Nā hōʻailona o ka maʻi, e like me ka ʻulaʻula, ka pehu ʻana, ka ʻeha, ka ʻeha, ka mehana, a me ka pā a puni ka pūnaewele
• Ke kuni ma kahi o 100.5 ° F (38.0 ° C)
• ʻO ka lima kahi e waiho ai kāu pahu lūlū a pehu a me ka lima ma kēlā ʻaoʻao ke anuanu
• Anuanu, palu a palupalu paha kou lima

Eia kekahi, e kāhea i kāu kauka inā he koʻikoʻi kekahi o nā hōʻailona aʻe a ʻoi paha ma mua o 2 mau lā.

• Kāwili
• Pilikia hiamoe
• Pohā a paʻa paʻa paha
• ʻO Nusea a me ka luaʻi
• Hiamoe, huikau, a i ʻole nā ​​pilikia e noʻonoʻo ana

Nā hakuʻala hoʻopunipuni - hemodialysis; Dialysis; Renal replacement therapy - hemodialysis; ʻO ka maʻi hōʻeha hope loa - hemodialysis; Hewa ʻiʻo - hemodialysis; Hewa kō ʻole - hemodialysis; Maʻi maʻi ʻōniʻoniʻo - hemodialysis

Kotanko P, Kuhlmann MK, Chan C. Levin NW. Hemodialysis: nā kumu a me nā ʻenehana. I: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Nā Nephrology Haumāna piha. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 93.

ʻO Misra M. Hemodialysis a me hemofiltration. I: Gilbert SJ, Weiner DE, eds. ʻO ka National Primer Foundation ma ka maʻi maʻi maʻi. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 57.

ʻO Jeun JY, Young B, Depner TA, Chin AA. Hemodialisis. I: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. ʻO Brenner a me Rector's The Kidney. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 63.

• Dialysis