Peritoneal dialysis na ọgwụgwọ nke akụrụ ọrịa

Peritoneal dialysis - bụ otu usoro nke nnọchi ọgwụgwọ na mkpọchị gbasara akụrụ ọrụ. Ụkpụrụ nke ụdị ọgwụ bụ mgbasa na mgbanwe nke ala-na-molekụla bekee nke n'etiti na mmiri mmiri site akpụkpọ ahụ lining na abdominal uji eze na ya akụkụ, ọbara, a pụrụ iche ihe ngwọta na-wụsara n'ime abdominal oghere. N'ihi na oge mbụ a ọma peritoneal dialysis mee ke 1945 maka ọgwụgwọ nke nnukwu gbasara akụrụ odida.

Iji ghọta ihe akụrụ dialysis, ma ọ bụ mma na-ekwu na ọbara dialysis, mkpa ka ị mara na pathophysiological Filiks na-erukwa na ahụ na ọrịa na nke akụrụ.

Peritoneal dialysis na-eji na-emeso nnukwu na-adịghị ala ala gbasara akụrụ insufficiency.

The isi ọrịa na-eduga mmepe nke na-adịghị ala gbasara akụrụ odida na-glomerulonephritis, pyelonephritis, systemic ọrịa, akụrụ nkume, ọrịa shuga, congenital malformations nke genitourinary usoro, na ndị ọzọ. Nnukwu ọdịda na-adị mgbe ujo ọnọdụ, oké hemorrhagic fever, obstetric na ịwa ahụ daa ọrịa. Na nke a na-emebi ihe ndị bụ isi ọrụ nke akụrụ - excretory na mgbanwe, ịnọgide na-enwe nguzozi na electrolyte itule. Ọmụmụ njigide emee na adịghị nke na-ejikari anyụpụ site akụrụ si ahụ. Iji dozie ọnọdụ a, na mgbakwunye na-aṅụ ọgwụ, na-eji hemodialysis na peritoneal dialysis, aka wepu ngafe ọmụmụ na nsị.

Dị ka e kwuru n'elu, ọdịdị zuru oke nke peritoneal dialysis dabeere na nnyefe usoro nke mgbasa nke toxins si onye na-ajụ ọzọ. Na ụmụ mmadụ, ndị a gburugburu dị a pụrụ iche akpali mmasị solution, jupụta ndidi na abdominal uji eze na ọbara. Na hemodialysis, nke a na ẹkenịmde ke ngwa "wuru akụrụ", mgbanwe n'etiti ọbara na ihe ngwọta na-adị site na a sịntetik akpụkpọ ahụ dialyzer. Na na peritoneal dialysis ọrụ nke a akpụkpọ ahụ rụrụ ya peritoneum (akpụkpọ ekpuchi abdominal oghere). The peritoneum bụ onye nwere ikike ruo a obere molekul uka. Slag si ọbara, ebe ọdịnaya nke gbasara akụrụ odida dị elu, banye n'ime site pores na ngwọta, n'ihi na ịta dị iche. Ebe ọ bụ na peritoneal ngwọta mejupụtara glucose na ha mejupụtara, nke bụ ike nke na-adọta mmiri, mwepụ nke ngafe mmiri mmiri emee.

Peritoneal dialysis a rụrụ site agbapụtara n'ime ndị peritoneal oghere nke a pụrụ iche akpali mmasị ngwọta na a olu nke 2.5 lita (n'ihi na onye toro eto), site na a pụrụ iche catheter etinyere na peritoneal oghere. Mgbe ihe 5 mmiri mmiri hour obula si abdominal oghere a na-drained na-anọchi. The 4-5 mgbanwe a rụrụ n'ụbọchị. Number nke agbanwerịta ibe na-adabere na onye ọrịa ahụ na àgwà nke mgbanwe nke peritoneal ọrụ na-ekwu site ọbara onwu indices.

Iji gosi peritoneal dialysis?

Peritoneal dialysis a rụrụ n'ime ọrịa na oké njọ ọrịa obi, ọrịa na-arịa ọrịa ụmụaka na ndị agadi. Ebe ọ nwere ike rụrụ onwe site onye ọrịa, na ọ bụ ihe kwesịrị ekwesị ka ọrịa ndị na-adị ndụ anya site hemodialysis emmepe.

Nwụnye nke catheter n'ime abdominal oghere a rụrụ n'ime n'ụlọ ọgwụ, na ọrụ ime ụlọ. Ọzọkwa ọzụzụ a rụrụ onwe ha nke ọrịa na-usoro, nhọrọ mgbanwe na dialysate. Mgbe ihe 2-3 izu ọrịa atara n'ụlọ, ebe ọ na-onwe-eme niile manipulations. A ndidi ugboro n'ọnwa ẹyak dialysis ngalaba maka agafe achọrọ ule na maka nkwadebe nke ihe ngwọta. Nke a na-emetụta ndị na- adịghị ala ala gbasara akụrụ odida. Mgbe nnukwu gbasara akụrụ odida, peritoneal dialysis a rụrụ n'ime ụlọ ọgwụ.

Persons bụ ndị na dialysis, nwere ihe pụrụ iche na-eri. Diet dialysis ọmụmụ bụ amachi oriri nke nnu (ọbara mgbali elu), amachi oriri nke ihe oriri ọgaranya potassium (mkpụrụ osisi na akwụkwọ nri) na site.