Jigilar saurin jini ba abu ne da ba a sani ba a yayin da ake ciki. A cikin jargon likita, yana da haɗarin intra-dialytic. Zai iya zama matsala mai rikitarwa wanda yakan haifar da rashin lafiya ga magungunan koda ba samun isasshen maganin dialysis ba saboda rushewar jiyya. Hakanan zai iya haifar da yawan ruwa da aka bari a kan marasa lafiya, wanda muka sani yana hade da haɗarin mutuwa.
Dalili na Hadarin
Wasu marasa lafiya suna iya ganin lalacewar jini a yayin da yake cikin haushi. Duk da yake na lura bai isa ba a matsayin shaida na likita, nazari na gaggawa na wallafe-wallafen ya nuna cewa wasu marasa lafiya sun fi jin ƙin jini.
- Tsofaffin marasa lafiya
- Marasa lafiya da suka kasance a kan ladabi na tsawon lokaci
- Masu ciwon sukari sun kasance mafi haɗari
- Mace marasa lafiya
- Obese marasa lafiya
- Magunguna da ake buƙatar daɗaɗɗen ƙwayar ruwa, ko matsakaici, saboda yawan kudaden karuwar haɗin gwiwar ƙwararru
- Marasa lafiya marasa nauyi.
- Shan shan magungunan jini a gabanin zubar da jini zai kara haɗarin
- Abincin a lokacin dialysis ne sananne haɗari
Tattaunawar game da dalilin da yasa wadannan marasa lafiya suna da haɗari mai tsanani ba su wuce wannan labarin ba. Dalili na iya bambanta daga cututtukan cututtuka a cikin masu ciwon sukari (mikiya neuropathy), don saurin cirewa a lokacin yaduwa (wanda za'a iya yi a marasa lafiya tare da samun karuwar haɗin kai mai zurfi).
Wannan kuma ba ya hada da maras mawuyaci amma mafi tsanani mawuyacin motsawa a cikin karfin jini wanda zai iya faruwa a lokacin shalysis wanda ya hada da abubuwa kamar cututtuka, da kuma matsaloli tare da zuciya kamar damuwa marar ciki ko har ma da zuciya.
Alamai da cututtuka
Sakamakon haka shi ne cewa hypotension wanda ba zai yiwu ba zai bayyana a matsayin mai sauƙi a cikin karfin jini.
Duk da haka, marasa lafiya za su yi ta yin kuka da zafi, ciwo ko ciwon kirji, ciwon kai, hasken wuta, da dai sauransu.
Rigakafin
Harshen tsinkayar intradialytic zai iya zama kalubalen da za a bi da su, musamman ma marasa lafiya tare da abubuwa masu yawa masu haɗari da aka ambata a sama. Saboda haka, ba tare da faɗi cewa duk abubuwan haɗari masu mahimmanci zasu buƙaci a magance su ba. Wasu shawarwari da zasuyi aiki shine:
- Ku guje wa abinci a lokacin dialysis
- Ka guje wa shan magungunan jini sosai kafin kazalika, ko la'akari da sauyawa sau
- Yana taimakawa wajen karɓar nauyin nauyi a tsakanin magungunan dialysis na gaba; sabili da haka tsada-tsaka-tsaka-tsaka-tsaka tsakanin tsaka-tsaka mai taimako ne mai taimako Rashin ruwan da yake buƙatar kaucewa daga gare ku, mafi sauki don tsarin tsarinku don kula da cutar karfin jini.
- Mahalarcin ku zai iya kwatanta dialysis daban, tare da mafi girma na sodium. Ƙarin bayani game da wannan bai wuce iyakar wannan labarin ba.
- Idan waɗannan matakan sun kasa, yi magana da likitan ku game da yiwuwar ƙarfafa nauyi
Idan ya yi kama da mai haƙuri yana bin yarda da tsarin tsarin ruwa, kuma babu wasu abubuwan haɗari da aka ambata a sama suna samuwa, yana iya zama mai kyau don duba zuciya mai haƙuri.
Matsaloli tare da aikin zuciya ba wani abu ne wanda ba a san shi ba a cikin yaduwar jini, kuma mai haƙuri zai iya amfana daga samun sakonnin echocardiogram. A wannan yanayin, ganin likitan zuciya zai zama kyakkyawan ra'ayin.
Ana amfani da magunguna da ake kira midodrine a matsayin mafakar karshe. Kuma idan babu wani abu da ke aiki kuma matsala ta ci gaba, la'akari da canzawa zuwa diaitsisal dialysis ko gidan hemodialysis.
Jiyya
Yawancin lokaci, ƙananan ruwaye na ruwa za a ba ku a cikin wannan halin da ake ciki. Wannan zai iya haɗawa da ruwa mai kama kamar salin da aka ba da shi a cikin karamin bolus na 250 ml ko haka. Yawancin lokaci, ma'aikatan da za su iya ƙwaƙwalwa su rage ko ma daina dakatar da ruwa daga gare ku gaba daya a wannan lokacin, kuma ku ma za ku zauna a wani matsayi na musamman don ƙara yawan jini zuwa kwakwalwa, wanda ake kira wuri Trendelenburg (wanda ake amfani da ita) .