Hanyoyin samun Hemodialysis

Ana buƙatar samun dama a gare ku don samun gwajin jini. Samun damar shine inda kuka sami hemodialysis. Ta amfani da hanyar, ana cire jini daga jikinka, a tsabtace shi ta injin wankin (wanda ake kira dialyzer), sannan a dawo jikinku.

Yawancin lokaci ana sanya damar a hannunka amma kuma yana iya shiga ƙafarka. Yana ɗaukar weeksan makonni zuwa monthsan watanni kaɗan don samun damar shirye shirye don yin gwajin jini.

Wani likita mai fiɗa zai sanya damar shiga. Akwai hanyoyin samun dama iri uku.

Fistula:

• Likita ya shiga jijiya da jijiya a ƙarƙashin fata.
• Tare da jijiya da jijiya suna hadewa, karin jini na gudana cikin jijiyar. Wannan yana sa jijiyoyin karfi. Saka allura a cikin wannan jijiya mai karfi sun fi sauki ga cutar karancin jini.
• Ciwon yoyon fitsari yakan dauki sati 1 zuwa 4 kafin ya samu.

Dasa:

• Idan kana da kananan jijiyoyin da baza su iya bunkasa a cikin cutar yoyon fitsari ba, likitan zai hada jijiyarka da jijiyar tare da bututun roba da ake kira dasawa.
• Za'a iya shigar da allura a cikin dutsen don maganin hemodialysis.
• Dasau na daukar makonni 3 zuwa 6 kafin ya warke.

Tsarin katako na tsakiya:

• Idan kana bukatar maganin hawan jini nan da nan kuma baka da lokacin jira don cutar yoyon fitsari ko dasawa tayi aiki, likitan na iya sanyawa a catheter.
• Ana saka catheter a cikin jijiya a wuya, kirji, ko kafa na sama.
• Wannan bututun na ɗan lokaci ne. Ana iya amfani dashi don wankin koda yayin jiran fistula ko dasawa ya warke.

Kodan suna zama kamar filtata don tsaftace karin ruwa da sharar jini. Lokacin da kodarka ta daina aiki, ana iya amfani da dialysis domin tsaftace jininka. Dialysis yawanci ana yin shi sau 3 a mako kuma yana ɗaukar awanni 3 zuwa 4.

Tare da kowane irin hanyar shiga, kana da haɗarin kamuwa da cuta ko daskarewar jini. Idan kamuwa da cuta ko toshewar jini, zaka buƙaci magani ko ƙarin tiyata don gyara shi.

Dikitan ya yanke shawarar wuri mafi kyau don saka damar jijiyarka. Samun kyakkyawar hanya yana buƙatar kyakkyawan jini. Doppler duban dan tayi ko gwaje-gwajen veography za'a iya yi don duba gudan jini a wani wurin samun damar shiga.

Samun damar jijiyoyin jini galibi ana yin shi azaman aikin rana. Kuna iya komawa gida bayan haka. Tambayi likitanku idan kuna buƙatar wani ya kai ku gida.

Yi magana da likitanka da likitan kwantar da hankali game da maganin rigakafi don hanyar samun dama. Akwai zabi biyu:

• Mai ba ku kiwon lafiya na iya ba ku magani wanda zai sa ku ɗan ɗan barci da mai sa maye don rage shafin. Mayafi suna kan layi a yankin don haka ba lallai bane ku kalli aikin.
• Mai ba ku sabis na iya ba ku maganin rigakafi na gaba ɗaya don haka kuna barci yayin aikin.

Ga abin da za ku yi tsammani:

• Za ku sami ɗan ciwo da kumburi a hanyar dama bayan tiyata. Dora hannunka sama a kan matashin kai ka sa gwiwar hannu a madaidaiciya don rage kumburi.
• Rike ramin ya bushe. Idan an saka catheter na ɗan lokaci, KADA a jika shi. Fistula ta AV ko dasawa na iya jike awa 24 zuwa 48 bayan an saka shi.
• Kada a ɗaga komai sama da fam 15 (kilo 7).
• Kada kayi komai mai wahala tare da gaɓa tare da samun dama.

Kira likitan ku idan kuna da alamun kamuwa da cuta:

• Jin zafi, ja, ko kumburi
• Lambatu ko fitsari
• Zazzabi akan 101 ° F (38.3 ° C)

Kulawa da damar ku zai taimaka muku kiyaye shi muddin zai yiwu.

A fistula:

• Tsawon shekaru
• Yana da jini mai kyau
• Ba shi da haɗarin kamuwa da cuta ko kuma daskarewa

Jijiyar ku da jijiyar ku sun warke bayan kowacce allura sun tsaya wa hemodialysis.

Gwanin ba ya daɗewa kamar cutar yoyon fitsari. Zai iya wuce shekara 1 zuwa 3 tare da kulawa mai kyau. Rami daga shigarwar allura suna bunkasa a dasa. Gwanin dutsen yafi hatsari ga kamuwa da cuta ko kuma daskarewa fiye da cutar yoyon fitsari.

Rashin koda - ciwan kai koda yaushe; Rashin koda - ciwan dialysis na yau da kullun; Rashin ƙarancin koda na kodayaushe - samun damar wankin koda; Rashin koda na koda - samun damar wankin koda; Rashin ciwan koda - samun damar wankin koda

Cibiyar Nazarin Ciwon Suga ta Duniya da Cutar Kula da Lafiya da Koda. Hemodialysis. www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/hemodialysis. An sabunta Janairu 2018. An shiga Agusta 5, 2019.

Yeun JY, Matasa B, Depner TA, Chin AA. Hemodialysis. A cikin: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner da Rector na Koda. 11th ed. Philadelphia, PA: Elsevier; 2020: babi na 63.