Ukufakwa kwe-Catheter ye-CAPD

Ukufakwa kwe-Catheter ye-CAPD e-Hyderabad

I-continuous ambulatory peritoneal dialysis (CAPD) iyindlela yokwelapha yokubuyisela izinso ezigulini ezinesifo sezinso esingamahlalakhona. Ngesikhathi se-peritoneal dialysis, imfucuza iyasuswa egazini lapho izinso zakho zingasasebenzi kahle. Igazi lihlungwa ngendlela ehlukile kule nqubo kunaleyo evame kakhulu inqubo hemodialysis. I-catheter ye-CAPD ifakwa ukuze kube lula inqubo ye-peritoneal dialysis.

I-peritoneal dialysis ihlanganisa uketshezi oluhlanzekile olugeleza ngeshubhu (catheter) lungene esiswini sakho. Ulwelwesi lwesisu sakho (i-peritoneum) lukala udoti futhi luyikhiphe egazini. Ngokuhamba kwesikhathi, isisu sakho sikhipha udoti ohlungiwe endaweni ezungezile.

CARE Izibhedlela Umnyango we-Urology inikeza ukuhlolwa okuphelele, ukuxilongwa, kanye nokwelashwa kwezimo ezinzima nezingamahlalakhona kuzo zombili iziguli zabantu abadala kanye nezingane kanye nokwehluleka kwezinso okukhulu nokungapheli.

Odokotela be-Urologist esikhungweni sethu banekhono ezinhlobonhlobo zezindlela ezihlasela kancane, ukuhlinzwa nge-laser, ukuhlinzwa kwe-laparoscopic ngenxa yokuphazamiseka kwezinso nesinye, i-laser endourology yezinso ne-prostate stones, ukungazali kwabesilisa nezinkinga zocansi, kanye ne-urology yezingane, i-urology yabesifazane, i-urology yokuvuselela kanye nokufakelwa kwezinso.

Njengomhlinzeki oholayo wokuxilonga, ukwelashwa, ukuvimbela, kanye nezinsizakalo eziningi zezinkinga ze-urologic nezinso, kuhlanganise ne-CAPD Catheter Insertion e-Hyderabad & Peritoneal Dialysis e-Hyderabad, Izibhedlela ze-CARE zihlanganisa ubuchwepheshe bezokwelapha, ubuchwepheshe obuphambili, nengqalasizinda yesimanje kanye nezindawo zokuhlinza ukuze sizibonise ukuthi siyisibhedlela esingcono kakhulu se-urology.

Izingozi

I-Peritoneal dialysis ingabangela izinkinga ezilandelayo:

• Izifo: Ukutheleleka kolwelwesi lwesisu (i-peritonitis) yizinkinga ezijwayelekile ezihlobene ne-peritoneal dialysis. Kungenzeka futhi ukuthi ukutheleleka kukhule endaweni lapho i-catheter ifakwe khona esiswini sakho ukuze kukhishwe uketshezi lokuhlanza (dialysate). Umuntu osebenzisa i-dialysis ongaqeqeshiwe kahle usengozini enkulu yokutheleleka.

• Inzuzo yesisindo: I-Dialysis fluid iqukethe ushukela (dextrose). Kungakubangela ukuthi ubambe amakhulukhulu amakholori engeziwe nsuku zonke, okuholela ekuzuzeni isisindo. Ushukela ophezulu ungase ubangelwe ama-calories engeziwe, ikakhulukazi uma unesifo sikashukela.

• IHernia: Ukugcina uketshezi isikhathi eside kungabangela ubunzima bemisipha.

• Uhlelo lwe-dialysis olunganele: Ukusebenza kwe-peritoneal dialysis kuncipha ngokuhamba kwesikhathi. Kungenzeka ukuthi uzoshintshela ku-hemodialysis.

Ulungiselela kanjani?

Kudingeka ukuhlinzwa ukuze ufake i-catheter esiswini sakho ethwala i-dialysate ingene iphume. Ukufakwa kungenziwa ngaphansi kwe-anesthesia yendawo noma i-anesthesia ejwayelekile. Ishubhu ngokuvamile lifakwa eduze kwenkinobho yesisu.

Uma indawo ye-catheter isipholile, udokotela wakho angase atuse ukulinda kuze kube yinyanga ngaphambi kokuqala ukwelashwa kwe-peritoneal dialysis.

Ngaphezu kwalokho, uzothola ukuqeqeshwa kokuthi ungayisebenzisa kanjani imishini ye-peritoneal dialysis.

Yini ongayilindela?

I-Peritoneal I-Dialysis e-Hyderabad kwenziwa kanje:

• I-Dialysate igelezela esiswini sakho futhi ihlala lapho isikhathi esinqunyiwe (isikhathi sokuhlala) - ngokuvamile amahora amane kuya kwayisithupha.

• I-Dialysate iqukethe i-dextrose, esiza ekukhipheni udoti, amakhemikhali noketshezi oluningi egazini lakho ngokulihlunga ngemithambo emincane yegazi esesiswini.

• Isikhwama sokuqoqa esiyinyumba sisetshenziselwa ukuqoqa isixazululo, udoti, nemikhiqizo engcolile ethathwe egazini lakho ngesikhathi sokuhlala.

Ushintsha isisu sakho ngemva kokusigcwalisa futhi usikhiphe ngemva kwalokho. Izindlela ezihlukene ze-peritoneal dialysis zidinga amashejuli ahlukene wokuhwebelana. Zimi kanje:

• I-continuous ambulatory peritoneal dialysis (CAPD)

• I-Continuous cycling peritoneal dialysis (CCPD)

I-continuous ambulatory peritoneal dialysis (CAPD)

Isisu sakho sigcwele i-dialysate. Uyivumela ukuthi ihlale isikhathi esinqunyiwe, bese uyikhipha. Uketshezi ludonswa nge-catheter nangaphandle kwesisu sakho ngamandla adonsela phansi.

Nge-CAPD:

• Emini, ungase udinge ukushintshanisa izikhathi ezintathu kuya kweziyisihlanu futhi ulale ngokushintshana okukodwa okuhlala isikhathi eside kunabanye.

• Ukuhwebelana kungenziwa ekhaya, emsebenzini, nanoma yikuphi okuhlanzekile.

• I-Dialysate ithatha isisu sakho ngenkathi usenza imisebenzi yakho evamile.

I-Continuous cycling peritoneal dialysis (CCPD)

I-automated peritoneal dialysis (APD) iwuhlobo lwe-dialysis olusebenzisa umshini (umjikelezo ozenzakalelayo) ukwenza ukushintshana okuningi ngenkathi ulele. Kubhayisikili, i-dialysate igcwaliswa esiswini sakho, ivumele ihlale amahora angu-24, bese ikhishelwa esikhwameni esiyinyumba oyithulula ekuseni.

Nge-CCPD:

• Kuyadingeka ukuthi uhlale unamathele emshinini ubusuku bonke amahora angaba yishumi kuya kwayishumi nambili.

• Umshini awuxhunyiwe phakathi nosuku. Kodwa uma uqala usuku, unokushintshisana okukodwa okuhlala usuku lonke.

• Njengesiguli se-dialysis, ungase ube nengozi encishisiwe ye-peritonitis ngenxa yokuxhumana okungavamile nokunqanyulwa kunalokho ongase ube nakho nge-CAPD.

Udokotela wakho uzocabangela isimo sakho sezempilo, indlela yokuphila, nezinto ozikhethayo uma 

ukunquma ukuthi iyiphi indlela yokushintshisana engcono kakhulu kuwe. Udokotela wakho angase enze iziphakamiso ukuze enze ukushintshana kwakho kube ngokwakho.

Ukuze ubone ukuthi i-dialysis yakho ikhipha udoti owanele yini, udokotela wakho angase asikisele ukuhlolwa okulandelayo:

• Ukuhlolwa kwe-Peritoneal equilibration (PET): Ngesikhathi sokushintshisana, isampula yegazi kanye nesampula yesisombululo se-dialysis kuyaqhathaniswa. Ngokukala ukugeleza kobuthi bemfucuza egazini lakho ukuya ku-dialysate, ungathola ukuthi ubuthi bemfucuza budlula ngokushesha noma kancane. Ungasebenzisa lolu lwazi ukuthola ukuthi i-dialysis yakho ingazuza ngokuhlala okufushane noma okude esiswini sakho.

• Ukuhlolwa kokusula: Ukuze unqume ukuthi ingakanani i-urea ekhishwa egazini lakho ngesikhathi se-dialysis, isampula yegazi kanye nesampula yesisombululo se-dialysis esisetshenzisiwe kuyahlaziywa. Umchamo ungabuye uhlolelwe ukugcwala kwe-urea uma usakhiqiza umchamo.

Udokotela angase ashintshe uhlelo lwakho lwe-dialysis uma ukuhlolwa kubonisa ukuthi uhlelo lwakho lwe-dialysis alususi udoti owanele:

• Nweba ukuhwebelana kwezimpahla namasevisi.

• Sebenzisa i-dialysate eyengeziwe ngesikhathi sokushintshisana ngakunye.

• Khetha i-dialysate equkethe ukuhlushwa okuphezulu kwe-dextrose.

Amasu okufakwa kwe-catheter ye-CAPD

I-catheter ye-PD ingafakwa emgodini wesisu ngezindlela eziningana. Mayelana nokuphepha kanye nemiphumela yokuqala, ukuhlinzwa okuvulekile kanye ukuhlinzeka nge-laparoscopic ziyakhethwa. Iya ngokuya iduma ngenxa yekhono lale nqubo yokuvumela i-omentectomy eyingxenye, i-omentopexy, ne-adhesiolysis ukuthi yenziwe ngesikhathi sokufakwa kwe-catheter yokuqala. Kodwa-ke, kunengozi yokubekwa okungagculisi kwe-catheter kanye nokwenzeka kokubhoboza amathumbu ngokufakwa kwe-catheter percutaneous (radiological).