Hemodialysis inzira yekuchenesa ropa kubva kune zvinodhaka zvinokonzera mishonga mumuviri muhutu hunoparara uye husingaperi. Ne hemodialysis, chigadzirwa chinozivikanwa nevanhu seyiyo inoshandiswa inoshandiswa, hemodialysis machine.
Zviratidzo zve hemodialysis
Zviratidzo zvehutano ndezvirwere zvechirwere, semugumisiro wekuti kuchenesa kwepanyama kubva pane zvakagadzirwa zvebasa rinokosha hazvibviri. Izvi ndezvi:
- kukanganisika kwemainal uye kusingaperi kwechirwere chacho;
- mhando dzakawanda dzehupfu hunopisa nehupfu hunokwanisa kupindira membrane ye hemodialysis;
- doro rinopisa;
- pathological changes mu electrolytes muropa;
- kushaya muviri kune nhengo (cerebral edema, pulmonary edema).
Muchiitiko chekuona kushaya kwepfungwa yakaoma, maitiro mazhinji ehemodialysis dzimwe nguva anodiwa, kuitira kuti nhengo ive yakadzorerwa uye munhu wacho adzorerwa.
Chiratidzo chikuru che hemodialysis mushure mezvose zvikamu zvekupedzisira zvekusagadzikana kwetsvo kusingaperi. Inoshandiswa kugadzirisa mamiriro ehutano uye nekuwedzera hupenyu, kana muviri usingakwanisi kuita basa rekuchenesa ropa. Mubvunzo unomuka pamusoro pevanhu vangani vanogara pa hemodialysis. Mishonga yemazuva ano inoshevedza chiratidzo chepakati-20-25 makore.
Zvokudya zvinovaka zvephenyo hemodialysis
Mushure mokunge maitiro akadaro, zvakakosha zvikuru kutevera kudya, mitemo yekutanga iyo ndeyotevera:
- Kuderedza kana, pane dzimwe nguva, kugadziriswa kusina munyu.
- Kurongedza kwakasimba kwehuwandu hwemvura inoshandiswa.
- Kuwedzera kweprotheni inowedzera (inofananidzwa ne-pre-dialysis nguva).
- Kuderedza muzvigadzirwa zvekudya, zvakanyanya mu potassium uye phosphorus.
Zvichida zvakanyanya kuoma mukudya uku ndiko kudziviswa kwemvura kushandiswa. Chimiro, chakasimbiswa panguva iyo pakati pe dialysis, inorongororwa chete - haifaniri kudarika zuva rega rega urine pamwe ne 0.5 liter kuwedzera. Uyu mutemo unosanganisira mvura iri mumasobho, maji, michero, mukaka ndiro. Iyo kuchinja kwekuyera, inenge 2 kg mumutungamiri wekuwedzera, inotaura nezvekushungurudzika kwechirwere uye kukanganisa kwayo mumuviri. Kuti uderedze nyota, iwe unogona kunwisa chidimbu chechando, izvo zvisingagoneki kubva pamvura chete, asiwo kubva kumusi. Chikamu cheMaroni chinobatsirawo kuwedzera salivation, iyo ichabatsira kubvisa nyota.
Kurambidzwa kana, kana zvichibvira, kuramba zvakakwana kwetafura yemunyu kunotungamirira pakuderera kwenyota. Salting ndiro ndiro zviri nani muzvigadzirwa zvakagadzirwa. Kuti ushandise munyu, usingarasikirwi nekadha, unogona kushandisa seasonings, leaf leaf, pepper, nezvimwewo.
Mune nguva ye interdialysis, kukwanisa kwomuviri kuunganidza potaziyamu kunogona kutungamirira kumigumisiro inosuruvarisa. Nokudaro, semunyu, kushandiswa kwemiti ye potassium inofanira kunge isina kukwana. Idzi zvinhu zvakadai se:
- evaporated milk;
- mishonga (nyemba, mbatata, mushwa uye sipinashi);
- michero (bhanana, michero yakaomeswa, rhubarb, nuts);
- zvinwiwa (kofi, waini, kocoa);
- chingwa, mabhanhire, pastry, ane cocoa.
Miti usati wadya zvinonaka zvakabikwa mumvura yakawanda kana kuti, kudzvurwa kuita zviduku, kuvhara kwemaawa 8-10.
Kuwedzera kwezinga re phosphorus mumuviri womunhu kwenguva yakati kunogona kukonzera kukanganisa mukugadzirwa kwe calcium metabolism uye bone kuparadzwa. Tinofanira kuva vakangwarira kushandisa zvishandiso izvi:
- cheese;
- ne-michina (chiropa, itsvo, moyo);
- kusvuta uye hove yakabikwa, caviar;
- chocolate
- egg yolk.
Puroteni inofanira kuva kubva pamakumi matanhatu kusvika ku1 150 girasi pazuva uye inosanganisira marudzi akaonda nyama (veal, rabbit, turkey, huku).
Contraindications kune hemodialysis
Usaita chirongwa chekuchenesa ropa kana zviratidzo zvinotevera kana zvirwere zvichiitika:
- kuderera kwemuviri weropa;
- kudzika ropa kuvhara (ichi chakazara neropa risina kudzora);
- zvirwere zvepfungwa yemwoyo, umo hemodialysis inogona kukuvadza kuipa kwemamiriro emurwere;
- kutuka;
- oncology;
- chirwere chepfungwa.