Peritoneal dialysis mukurapa zvirwere itsvo

Peritoneal dialysis - mumwe nzira kuzvitsinhanisa kurapwa pamwe havachanyatsogoni renal ushande. Pfungwa iyi mhando yokurapa ndiwo diffusion uye Exchange kuderedzwa samolecular zvinhu zviri pakati uye mvura kuburikidza Kamudzira lining ari abdominal mhango dzaro zvomukati, ropa, pakaitwa mhinduro wadururirwa kupinda abdominal mhango. Kokutanga inobudirira peritoneal dialysis rakaiswa muna 1945 nekuda pakurapa chakasimba renal kukundikana.

Kuti tinzwisise kuti itsvo dialysis, kana nani kutaura ropa dialysis, unofanira kuziva pathophysiological pezvakaitwa kuti kuitika mumuviri iri zvirwere neitsvo.

Peritoneal dialysis inoshandiswa kurapa chakasimba uye chirwere renal insufficiency.

Huru zvirwere kuti kutungamirira kukudziri- echirwere renal kukundikana vari glomerulonephritis, pyelonephritis, systemic zvirwere, itsvo mabwe, chirwere cheshuga, vachiberekwa malformations ari genitourinary ezvinhu, uye vamwe. Yakakomba ingabatanidza kukundikana kunoitika apo kuvhunduka mamiriro, zvikuru Hemorrhagic Fever, obstetric uye kuvhiya zvokurwara. Panyaya iyi kutyora inokosha mashandiro itsvo - excretory uye Exchange, kuramba takatsiga uye electrolyte mwero. Urume chengetedzo kunoitika uye netsvina ayo anowanzoita yabudiswa ne itsvo kubva mumuviri. Kuti tigadzirise mamiriro ezvinhu aya, kunze husaberekana, akashandisa hemodialysis uye peritoneal dialysis, kubatsira kubvisa zvakawandisa mvura uye muchetura.

Sezvataurwa pamusoro apa, musimboti peritoneal dialysis inobva nokupfuuridzirwa mashandiro ose diffusion ose zvinokachidza kubva mumwe unosvikirwa kune mumwe. Muvanhu, runyararo izvi chinhu chinokosha chena mhinduro, muzadze murwere kuti abdominal mhango uye ropa. In hemodialysis, iyo inoitwa pamusoro midziyo "chakagadzirwa itsvo", exchange pakati ropa uye mushonga kunoitika kuburikidza chakaita zvokugadzirwa Kamudzira dialyzer. Uye peritoneal dialysis basa Kamudzira uyu anoita yayo peritoneum (ganda kufukidza abdominal mhango). The peritoneum munhu anokwanisa kupfuura chiduku Morekuru guru. Gang kubva ropa, apo zviri renal kukundikana zvakakwirira, kupinda kuburikidza pores iri mhinduro, nokuda wevasungwa musiyano. Sezvo peritoneal mhinduro unotora shuga iri sezvamunoita yavo, iyo inokwanisa kukwezva mvura, kubviswa akawandisa zvokunwa kunoitika.

Peritoneal dialysis rinoitwa nokudurura kupinda ari peritoneal mhango munhu anokosha chena mhinduro iri bhuku 2,5 litres (munhu mukuru), kuburikidza anobudisa mushonga zvishoma nezvishoma chaiyo akaiswa munzvimbo peritoneal mhango. Pashure vanenge 5 mvura Hourly kubva abdominal mhango iri vakapedzwa uye kutsiviwa. The 4-5 kusuduruka rinoitwa mezuva. Uwandu majana anoenderana murwere uye kunaka kupanana peritoneal nerevane iri kuongororwa ne serum kemisitiri indices.

Kuti aratidze peritoneal dialysis?

Peritoneal dialysis rinoitwa mu varwere zvakakomba mwoyo chirwere, vana vanorwara uye vakwegura. Sezvo rinogona kuitwa pasina nokuda murwere, zvakakodzera varwere vanogara kure hemodialysis nzvimbo.

Kugadzwa anobudisa mushonga zvishoma nezvishoma kunyika abdominal mhango rinoitwa muchipatara, iri uchishandisa mukamuri. Uyezve kurovedza rinoitwa yakazvimirira murwere muitiro, kusarudzwa kuchinja uye dialysate. Pashure pevhiki dzinenge 2-3 murwere pauri kumba, uko vakazvimiririra anoita manipulations zvose. A murwere kamwe pamwedzi anoshanyira kuti dialysis dhipatimendi kuti kupfuura zvinodiwa nemiedzo uye achigadzirira mhinduro. Izvi zvinoshanda vanhu vane chirwere renal kukundikana. Kana chenjera renal kukundikana, peritoneal dialysis rinoitwa muchipatara.

Persons vari pamusoro dialysis, vane chinokosha kudya. Diet dialysis Urume ndiko kushomeka kudyiwa munyu (BP), kushomeka kudyiwa zvekudya potassium yakawanda (michero nemiriwo) uye phosphorus.