Peritoneal dialysis ma ka iapaau ana o ka hakuʻala mai

Peritoneal dialysis - o kekahi ano o ka hakahaka lapaʻau me kaʻoleʻaʻa puʻuwai kuleana pili i. I ka rula o keia ano o ka Inc o ka maholahune a me ka hoonohonoho hou ana i haʻahaʻa-hakakino waiwai o ka waena a me ka wai maʻili lahilahi naʻau i ka abdominal lua a me kona nā loko, ke koko, he hana pāʻoihana ua nininiʻia i loko o ka abdominal lua. No ka mea manawa mua i noi i ka holomua peritoneal dialysis i ka makahiki 1945 no ka iapaau ana o ka huʻiʻaʻa puʻuwai ole.

I mea e maopopo ka hakuʻala dialysis, a maikaʻi, e olelo aku i ke koko dialysis, e pono e ike i ka pathophysiological keʻano o ka hanaʻana i ana i loko o ke kino i loko o nā maʻi o nā puʻupaʻa.

Peritoneal dialysis ua hoʻohana 'ia no ka hana huʻi a me ka maʻiʻaʻa puʻuwai insufficiency.

I ka papa kuhikuhiE maʻi e alakai ai i ka hooulu ana o ka maʻi ʻaʻa puʻuwai 'ole i glomerulonephritis, pyelonephritis, systemic maʻi, hakuʻala pohaku, mimikō, congenital malformations o ka genitourinary oihana, a me kekahi poe e ae. Huʻi hoʻokō' ole 'ia lŘlŘ ka wā hawewe kūlana, loa hemorrhagic kuni, obstetric aʻoki lāʻau lapaʻau pathology. Ma keia hihia aʻe i ka walaʻauʻana hana o nā konāhuaʻelua - excretory a me ka hoonohonoho hou, e malama kaulike a me ka electrolyte koena. Loli ka mālama ia lŘlŘ a me impurities i mea maʻamau excreted ma nā puʻupaʻa o ke kino. I mea e hoʻonā i keia kulana, i hou i ka lāʻau Inc, hoʻohana hemodialysis a me peritoneal dialysis, e kōkua wehe oi loli a me toxins.

I haiia ae maluna,, i ka i loko o peritoneal dialysis ua ma muli o ka EYIʻano papa hana o ka maholahune o toxins mai kekahi meakino i kekahi. Ma kānaka, i kēia mau hana kūpono o ka hana sterile pāʻoihana, hoʻopiha i ka hoʻomanawanui i ka abdominal lua a me ke koko. Ma hemodialysis, a ua paʻa ia ma ka nakeke "ʻimi hoʻopunipuni hakuʻala", ke wehe aʻe ma waena o ke koko, a me ka pāʻoihana ia lŘlŘ ma ka kemikalaʻili lahilahi dialyzer. A ma peritoneal dialysis kūlana o keiaʻili lahilahi hanaʻia kona mau peritoneum (ili e uhi ana i ka abdominal lua). Ke peritoneum mea he kanaka ka hana i ka kekahi, he uuku lātoma nui. Slag mai i ke koko, ma kahi o kaʻaʻa puʻuwai 'ole mea kiʻekiʻe, komo iloko ma ka ili ma ka pāʻoihana, ma muli o ia i ka lehulehu koena unuhi. No peritoneal pāʻoihana maupaʻa monakō koko i loko o kā lākou haku mele 'ana, i ka hiki ana o Kaʻahumanu i ka wai, ana o ka loa wai a ia lŘlŘ.

Peritoneal dialysis ua hana ma ka ninini ana i loko o ka peritoneal lua o ka kūikawā sterile pāʻoihana i loko o ka buke o 2,5 nā lika (no ka makua), ma ka kūikawā catheter hookomoia ma ka peritoneal lua. Ma hope iho ma kahi o 5 wai a Hawaii, mai ka abdominal lua ua moni loa a auou caiaiai. Na 4-5 naeaeaa ua lawe mai i ka lā. Ka helu o nā hoʻololi ai hilinaʻi nui ma luna o ka hoʻomanawanui, a ua ua hoʻonānā i ka pono o ka wehe ana o peritoneal hana ma ka lāʻau lapaʻau kemika indices.

E hōʻike peritoneal dialysis?

Peritoneal dialysis ua hana i loko o nā mea maʻi me ka mea naʻau maʻi, maʻi nā keiki a me nā kūpuna. No ka mea, hiki ke lawe mai kū kaʻawale ma ka hoomanawanui, e mea pono i nā mea maʻi e noho mamao mai ka hemodialysis-oaio? A.

Mea hoʻonoho o ka catheter i loko o ka abdominal lua ua hana i loko o ka haukapila, i loko o ka pae'ōnaehana lumi. E möakäka hou aʻo ua lawe mai kuokoa o ke ahonui i ka kaʻina hana, i ke koho hou a me ka dialysate. Ma hope iho e pili ana i 2-3 pule i ka hoʻomanawanui ua hookuu hale, kahi āna i kū kaʻawale hanaʻia nā mea a pau manipulations. A hoomanawanui, hoʻokahi nō ka mahina nā kipa 'ka dialysis Oihana no ka hele i ke koi' ia e ho'āʻo ai, a no ka makaukau o ka pāʻoihana. Keia pili i ka poʻe me ka maʻiʻaʻa puʻuwai ole. I ka huʻiʻaʻa puʻuwai e hemahema, peritoneal dialysis ua hana i loko o ka haukapila.

Kanaka e noho ana ma dialysis, i kūikawāʻai. ʻai dialysis loli mea, e kali i ka hoopau ana o ka paakai (kiʻekiʻe ke koko,), e kali i ka hoopau ana o kaʻai waiwai ma ka potasiuma (hua a me kaʻai iā) a me ka phosphorus.