Dialysis - peritoneal

Mālama ʻo Dialysis i ka hopena hakuʻala pae hope ʻole. Lawe ia i nā mea hōʻino mai ke koko ke hiki ʻole nā ​​puʻupaʻa.

Kuhi kēia ʻatikala i ka dialysis peritoneal.

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.

ʻO ka dialysis kidney (peritoneal dialysis a me nā ʻano dialysis) hana i kekahi o nā hana o nā puʻupaʻa ke pau kā lākou hana maikaʻi ʻana. Kēia kaʻina:

• Wehe i ka nui o ka paʻakai, ka wai, a me nā huahana neoneo no laila ʻaʻole lākou e kūkulu i loko o kou kino
• Mālama i nā pae palekana o nā minelala a me nā wikamina i kou kino
• Kōkua i ke kaohi i ke koko
• Kōkua i ka hana ʻana i nā hunaola ʻulaʻula

HEAHA KE KAHI MAKAHI PERITONEAL?

Hoʻopau ka Peritoneal Dialysis (PD) i ka ʻōpala a me nā wai keu ma o nā kīʻaha koko e kū ana i nā paia o kou ʻōpū. ʻO kahi membrane i kapa ʻia ʻo peritoneum e uhi ana i nā paia o kou ʻōpū.

Hoʻopili ʻo PD i ka waiho ʻana i kahi paipu, puha (catheter) i loko o kou lua ʻōpū a hoʻopiha iā ia me kahi wai hoʻomaʻemaʻe (solution dialysis). Aia i loko o ka hopena kahi ʻano kō i huki i nā ʻōpala a me nā wai keu. Hele ka ʻōpala a me ka wai mai kāu mau kīʻaha koko ma o ka peritoneum a i loko o ka hopena. Ma hope o kahi manawa i hoʻonohonoho ʻia, hoʻokahe ʻia ka hopena a me nā ʻōpala a hoʻolei ʻia aku.

ʻO ke kaʻina hana o ka hoʻopiha a me ka hoʻokahe ʻana i kou ʻōpū i kapa ʻia he pānaʻi. ʻO ka lōʻihi o ka manawa e waiho ka wai hoʻomaʻemaʻe i kou kino i kapa ʻia ka manawa noho. Aia ka helu o nā hoʻololi a me ka nui o ka manawa noho i ke ʻano o PD āu e hoʻohana ai a me nā kumu ʻē aʻe.

E hana ana kāu kauka i ke ʻoki kino e waiho ai i ka catheter i loko o kou ʻōpū kahi e noho ai. ʻO ka pinepine kokoke i kāu pihi ʻōpū.

He koho maikaʻi paha ʻo PD inā makemake ʻoe i ke kūʻokoʻa hou aʻe a hiki iā ʻoe ke aʻo e mālama iā ʻoe iho. E loaʻa iā ʻoe nā mea he nui e aʻo ai a pono ʻoe e kuleana no kāu mālama. Pono ʻoe a me kāu poʻe mālama e aʻo pehea e:

• Hana iā PD e like me ke kauoha
• E hoʻohana i nā pono
• Kūʻai a mālama i nā lako
• Kāohi i ka maʻi

Me PD, he mea nui ʻaʻole e heʻe i nā kūkaʻi. Hiki ke weliweli i ka hana ʻana pēlā i kou olakino.

Manaʻo kekahi poʻe he ʻoluʻolu loa ka lawelawe ʻana o kahi kahu mālama ola i kā lākou mālama ʻana. Hiki iā ʻoe a me kāu mea hāʻawi ke hoʻoholo i nā mea pono loa nāu.

NĀ ANO O DIITYAL PERITONEAL

Hāʻawi ʻo PD iā ʻoe i ka maʻalahi hou aʻe no ka mea ʻaʻole pono ʻoe e hele i kahi kikowaena dialysis. Hiki iā ʻoe ke loaʻa i nā mālama ʻana.

• I ka home
• Ma ka hana
• ʻOiai e huakaʻi ana

Aia he 2 ʻano o PD:

• Ke hoʻomau nei i ka dialysis peritoneal dialysis (CAPD). No kēia hana, hoʻopiha ʻoe i kou ʻōpū me ka wai, a laila e hele a puni i kāu hana o kēlā me kēia lā a hiki i ka manawa e hoʻokahe ai i ka wai. ʻAʻole pili ʻoe i kekahi mea i ka wā noho, ʻaʻole pono ʻoe i kahi mīkini. Hoʻohana ʻoe i ka umekaumaha e hoʻokahe i ka wai. ʻO ka manawa noho ma kahi o 4 a 6 mau hola, a pono ʻoe i 3 a 4 mau hoʻololi i kēlā me kēia lā. E lōʻihi kou manawa noho i ka pō ke hiamoe ʻoe.
• Ke holo paikikala hoʻomau peritoneal dialysis (CCPD). Me CCPD, pili ʻoe i kahi mīkini e holoholo ma o 3 a 5 mau hoʻololi i ka pō ke hiamoe ʻoe. Pono ʻoe e hoʻopili i ka mīkini no 10 a 12 mau hola i kēia manawa. I ke kakahiaka, hoʻomaka ʻoe i kahi kuapo me kahi manawa noho e mau ana i ka lā holoʻokoʻa. Hāʻawi kēia iā ʻoe i nā manawa hou aʻe i ka lā me ka hana ʻole o ka hoʻololi.

Aia ke ʻano āu e hoʻohana ai i kāu:

• Nā makemake
• Auila
• Kūlana olakino

Hiki iā ʻoe ke hoʻohana i kekahi hui o nā kiʻina ʻelua. E kōkua kāu mea hāʻawi iā ʻoe e ʻike i ke ʻano e kūpono loa iā ʻoe.

E kiaʻi kāu mea hāʻawi iā ʻoe e ʻike pono i ka hoʻololi ʻana i ka lawe ʻana i nā huahana neoneo. E hoʻāʻo ʻia nō hoʻi ʻoe e ʻike i ka nui o ke kō o kou kino mai ka hoʻomaʻemaʻe wai. Kaukaʻi ʻia i nā hopena, pono ʻoe e hana i kekahi mau hoʻoponopono:

• E hana i nā hoʻololi hou aʻe i kēlā me kēia lā
• E hoʻohana i nā wai hoʻomaʻemaʻe hou aʻe i kēlā me kēia hoʻololi
• E hoʻēmi i ka manawa noho no laila e lawe ʻoe i ka kō kō

I KA WĀ E hoʻomaka ai i ka DIALYSIS

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. I ka hapanui o nā hihia, e hele ʻoe i ka dialysis ke loaʻa iā ʻoe he 10% a 15% wale nō o kāu hana ʻōpū i koe.

Aia kahi pilikia no ka maʻi o ka peritoneum (peritonitis) a i ʻole ke kahua catheter me PD. E hōʻike kāu mea hāʻawi iā ʻoe pehea e hoʻomaʻemaʻe a mālama i kāu catheter a pale i ka maʻi. Eia kekahi ʻōlelo aʻoaʻo:

• E holoi i kou mau lima ma mua o ka hana ʻana i kahi pānaʻi a lawelawe ʻana paha i ka catheter.
• E ʻaahu i kahi pale ʻaukā ke hana nei ʻoe i kahi kuapo.
• E nānā pono i kēlā me kēia ʻeke o ka hopena e nānā i nā hōʻailona o ka haumia.
• E hoʻomaʻemaʻe i ka wahi catheter me kahi antiseptic i kēlā me kēia lā.

E nānā i ka pūnaewele puka no ka pehu ʻana, kahe ʻana o ke kahe, a i ʻole nā ​​hōʻailona o ka maʻi. Kāhea koke i kāu mea hāʻawi inā he kuni kou a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi.

Kāhea koke i kāu mea hāʻawi inā ʻike ʻoe:

• Nā hōʻailona o ka maʻi, e like me ka ʻulaʻula, ka pehu ʻana, ka ʻeha, ka ʻeha, ka mehana, a i ʻole ka pā a puni ka catheter
• Fiva
• Nausea a i ʻole ka luaʻi
• ʻO ke kala maʻamau a i ʻole cloudiness i ka hopena dialysis i hoʻohana ʻia
• ʻAʻole hiki iā ʻoe ke hele i ke kākālina a i ʻole ke neʻe ʻana o ka ʻōpū

Kāhea pū i kāu mea hāʻawi inā ʻike ʻoe i kekahi o nā ʻōuli ma hope loa, a i ʻole ʻoi aku ma mua o 2 mau lā.

• Kāwili
• Pilikia hiamoe
• Pohā a paʻa paʻa paha
• Hiamoe, huikau, a i ʻole nā ​​pilikia e noʻonoʻo ana

Nā hakuʻala hoʻopunipuni - dialysis peritoneal; Renal replacement therapy - peritoneal dialysis; ʻO ka maʻi hōʻino hope loa - dialysis peritoneal; Hewa ʻiʻo - peritoneal dialysis; Hewa kō ʻole - dialysis peritoneal; ʻO ka maʻi maʻi ʻōniʻoniʻo - dialysis peritoneal

ʻO Cohen D, Valeri AM. Iapaau ana o irreversible renal hoʻokō ʻole. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 131.

Correa-Rotter RC, Mehrota R, Saxena A. Peritoneal dialysis. I: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, Brenner BM, eds. ʻO Brenner a me Rector's The Kidney. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 66.

ʻO Mitch WE. Maʻi maʻi ʻōniʻoniʻo. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 130.