Kev lim ntshav - hemodialysis

Kev lim ntshav zoo rau kev mob raum tsis ua haujlwm. Nws tshem tawm cov khib nyiab ntawm koj cov ntshav thaum koj ob lub raum tsis tuaj yeem ua haujlwm ntxiv.

Nws muaj ntau hom kev lim ntshav lim ntshav. Kab lus no hais txog kev mob hemodialysis.

Koj ob lub raum ua haujlwm tseem ceeb yog tshem cov co toxins thiab kua dej ntxiv hauv koj cov ntshav. Yog tias cov khoom pov tseg tsim hauv koj lub cev, nws tuaj yeem tsim kev phom sij thiab ua rau tuag taus.

Hemodialysis (thiab lwm yam kev lim ntshav) ua qee txoj haujlwm ntawm lub raum thaum lawv tsis ua haujlwm zoo.

Hemodialysis tuaj yeem:

• Tshem cov ntsev ntxiv, dej, thiab cov khoom pov tseg kom lawv tsis txhob txhim tsa hauv koj lub cev
• Saib xyuas kom muaj kev nyab xeeb ntawm cov zaub mov thiab vitamins hauv koj lub cev
• Pab tswj xyuas cov ntshav siab
• Pab tsim cov qe ntshav liab

Thaum mob hemodialysis, koj cov ntshav hla lub raj rau hauv ib lub raum lossis lim dej.

• Lub lim dej, hu ua dialyzer, tau muab faib ua 2 ntu sib cais los ntawm nyias ntsa.
• Thaum koj cov ntshav hla ib ntu ntawm lub taub lim, cov kua dej tshwj xeeb hauv lwm seem tawm cov khoom pov tseg los ntawm koj cov ntshav.
• Koj cov ntshav ces nkag rov rau koj lub cev los ntawm txoj yas.

Koj tus kws kho mob yuav tsim kev nkag mus rau qhov chaw uas cov raj txuas. Feem ntau, kev nkag mus yuav nyob rau hauv cov hlab ntshav hauv koj txhais caj npab.

Lub raum tsis ua hauj lwm yog theem kawg ntawm kev mob ncua ntev (mob raum) mob raum. Nov yog thaum koj ob lub raum tsis tuaj yeem pab txhawb koj lub cev cov kev xav tau. Koj tus kws kho mob yuav sib tham txog kev lim ntshav nrog koj ua ntej koj xav tau. Feem ntau, koj yuav mus tso ntshav thaum koj tsuas muaj 10% mus rau 15% ntawm koj lub raum ua haujlwm sab laug.

Koj kuj yuav raug lim ntshav yog tias koj ob lub raum cia li tsum tsis ua haujlwm lawm vim yog lub raum khiav tsis zoo.

Hemodialysis feem ntau ua rau ntawm qhov chaw lim ntshav tshwj xeeb.

• Koj yuav muaj kwv yees li 3 kev kho mob nyob rau ib lub lim tiam.
• Kev kho mob yuav siv li 3 mus rau 4 teev txhua lub sijhawm.
• Koj yuav mloog zoo li ntau teev tom qab txoj kev lim ntshav.

Ntawm chaw kho mob, koj cov kws kho mob yuav saib xyuas txhua qhov kev kho mob. Txawm li cas los xij, koj yuav tsum tau teem caij koj qhov kev teem caij thiab ua raws li kev noj zaub mov kom nruj.

Koj tuaj yeem tuaj yeem muaj mob hemodialysis tom tsev. Koj tsis tas yuav siv lub tshuab. Medicare lossis koj li ntawv them nqi kho mob yuav them rau feem ntau lossis tag nrho koj cov nqi kho mob hauv tsev lossis hauv tsev kho mob.

Yog tias koj muaj lim ntshav hauv tsev, koj tuaj yeem siv ib qho ntawm ob lub sijhawm:

• Cov neeg luv (2 mus rau 3 teev) kev kho mob tsawg kawg yog 5 txog 7 hnub hauv ib lis piam
• Ntev ntev, hmo ntuj cov kev kho mob ua tiav 3 txog 6 hmo hauv ib lis piam thaum koj tsaug zog

Koj kuj tseem tuaj yeem ua kev sib txuam ua ke txhua hnub thiab hmo ntuj kho mob.

Vim tias koj tau txais kev kho mob ntau dua thiab nws tshwm sim qeeb dua, kab mob hauv tsev muaj qee cov txiaj ntsig:

• Nws yuav pab ua kom koj cov ntshav qis. Coob leej ntau tus tsis xav siv tshuaj noj ntshav ntxiv lawm.
• Nws ua haujlwm zoo dua ntawm kev tshem cov khoom pov tseg.
• Nws yooj yim dua hauv koj lub siab.
• Tej zaum koj yuav muaj cov tsos mob tsawg dua los ntawm kev lim ntshav xws li xeev siab, mob taub hau, cramps, khaus, thiab nkees.
• Koj tuaj yeem kho cov kev kho kom haum rau koj lub sijhawm.

Koj tuaj yeem ua txoj kev kho koj tus kheej, lossis koj tuaj yeem muaj ib tus neeg pab koj. Kev lim ntshav lim ntshav tuaj yeem cob qhia koj thiab tus neeg saib xyuas kev noj ntshav hauv tsev. Kev cob qhia tuaj yeem siv sijhawm ntev mus rau ob peb lub hlis. Koj thiab koj cov neeg saib xyuas yuav tsum kawm kom:

• Siv cov khoom siv
• Muab rab koob tso rau hauv qhov chaw nkag
• Saib xyuas lub tshuab thiab koj cov ntshav siab thaum kho
• Khaws cov ntaub ntawv cia
• Huv huv lub tshuab
• Kev txiav txim cov khoom siv, tuaj yeem xa tuaj rau koj lub tsev

Kev lim ntshav hauv tsev tsis yog rau txhua tus. Koj yuav muaj ntau yam kev kawm thiab xav tau lub luag haujlwm rau kev saib xyuas koj. Qee cov neeg mloog zoo dua tuaj nrog tus kws kho mob lis lawv txoj kev kho. Ib qho ntxiv, tsis yog txhua lub chaw zov menyuam muaj kev lim ntshav hauv tsev.

Kev lim ntshav hauv tsev tuaj yeem yog qhov kev xaiv zoo yog tias koj xav tau kev ywj pheej ntau dua thiab muaj peev xwm kawm los kho koj tus kheej. Tham nrog koj tus kws kho mob. Ua ke, koj tuaj yeem txiav txim siab hom hemodialysis zoo rau koj.

Hu rau koj tus kws khomob yog koj pom:

• Los ntshav los ntawm koj lub tsev tso ntshav
• Cov tsos mob ntawm kis tau, xws li liab, o, mob, mob, sov siab, los yog hnoos qeev nyob ib ncig ntawm qhov chaw
• Kub taub hau tshaj 100.5 ° F (38.0 ° C)
• Lub caj npab uas koj catheter tso swells thiab txhais tes rau sab ntawd hnov ​​txias
• Koj txhais tes tau txias, loog lossis tsis muaj zog

Thiab, hu rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob hauv qab no yog mob hnyav lossis kav ntev dua 2 hnub:

• Khaus
• Teeb meem pw
• Mob plab zawv lossis cem quav
• Xeev siab thiab ntuav
• Kev nkees nkees, tsis meej pem, lossis teeb meem kev xav

Lub raum tsim - hemodialysis; Kev lim ntshav; Kev hloov kho hlaws pob zeb - kev kho mob hloov kho; Mob raum ntu kawg - kab mob hlwb (hemodialysis); Raum tsis ua haujlwm - hemodialysis; Mob raum tsis ua haujlwm - hemodialysis; Mob raum - kab mob hemodialysis

Kotanko P, Kuhlmann MK, Chan C. Levin NW. Hemodialysis: cov qauv thiab cov txuj ci. Hauv: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Cov Chaw Kho Mob Tshaj LojCov. 6 tus ed. Philadelphia, PA: Elsevier; 2019: chap 93.

Misra M. Hemodialysis thiab ntshav tsis ua haujlwm. Hauv: Gilbert SJ, Weiner DE, eds. Teb chaws raum Foundation tus pib kho mob raumCov. 7 tus ed. Philadelphia, PA: Elsevier; 2018: chap 57.

Yeun JY, Young B, Depner TA, Chin AA. Hemodialysis. Hauv: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner thiab Rector's RaumCov. 11th ed. Philadelphia, PA: Elsevier; 2020: chap 63.

• Kev lim ntshav