Hemodialysis yog tsim rau cov kab mob xws li mob raum tsis ua haujlwm thiab mob ntev. Cov teeb meem muaj xws li cov tshuaj tiv thaiv dialyzer, cov tsos mob hypotension, thiab dialysis imbalance syndrome. Nws raug nquahu kom qhia rau tus kws kho mob hauv lub sijhawm thaum cov tsos mob tsis xis nyob tshwm sim, thiab siv cov kev kho mob tsim nyog raws li qhov xwm txheej tshwj xeeb los tiv thaiv kev txhim kho ntxiv ntawm tus kab mob.
1. Dialyzer cov tshuaj tiv thaiv: Nws tuaj yeem pom hauv thawj zaug thiab rov ua cov neeg siv hemodialysis, uas tej zaum yuav muaj kev ua pa nyuaj, ua npaws hauv zos lossis lub cev kub cev, mob hauv siab thiab nraub qaum vim yog siv cov tshuab hemodialysis tshiab. Rau cov neeg uas muaj cov tsos mob me, cov tsos mob tuaj yeem ntsuas tau, xws li kev nqus pa oxygen lossis siv cov ntsiav tshuaj ibuprofen thiab acetaminophen ntsiav tshuaj raws li kws kho mob tau sau tseg. Rau cov neeg uas muaj cov tsos mob hnyav, kev lim ntshav yuav tsum tau nres rau lub sijhawm thiab cov tshuaj xws li cetirizine hydrochloride ntsiav tshuaj thiab cov ntsiav tshuaj desloratadine yuav tsum tau siv raws li kws kho mob tau sau tseg;
2. Cov tsos mob hypotension: Thaum lub sij hawm hemodialysis, vim muaj cov yam ntxwv xws li cov ntshav ntim qis, kev hloov pauv hauv cov ntshav osmotic siab, thiab kev ua haujlwm tsis zoo, cov ntshav siab systolic poob qis dua 20 mmHg lossis txhais tau tias cov ntshav siab poob qis dua 10 mmHg. Raws li kev qhia ntawm tus kws kho mob, cov tshuaj potassium chloride, cov kua qab zib, thiab lwm yam tuaj yeem ua rau infused intravenously kom ntxiv cov ntshav ntim thiab nce ntshav siab;
3. Dialysis imbalance syndrome: Nws feem ntau tshwm sim thaum hemodialysis lossis ntxov tom qab hemodialysis. Cov mob me tuaj yeem ua rau mob taub hau, xeev siab, ntuav, ntxhov siab, thiab lwm yam, thiab cov mob hnyav tuaj yeem ua rau mob taub hau, tsis nco qab, tsis nco qab, thiab lwm yam. Cov tsos mob tuaj yeem kho raws li kws kho mob qhia. Piv txwv li, yog tias mob taub hau tsis tuaj yeem tiv taus, cov tshuaj tua kab mob xws li ibuprofen ntsiav tshuaj thiab lysine aspirin hmoov tuaj yeem siv. Yog tias ntuav hnyav, cov tshuaj xws li domperidone ntsiav tshuaj thiab metoclopramide hydrochloride txhaj tuaj yeem siv tau;
4. Lwm tus: Cov neeg mob hemodialysis kuj tuaj yeem muaj teeb meem xws li kub taub hau, ntshav siab, los ntshav, arrhythmia, noj tsis txaus, thiab lwm yam, thiab cov kev ntsuas sib raug yuav tsum tau ua raws li tus kws kho mob cov lus qhia raws li qhov xwm txheej tshwj xeeb. Piv txwv li, cov neeg mob kub taub hau tuaj yeem siv tshuaj xws li nimesulide capsules thiab txhaj tshuaj analgin, thiab cov neeg mob arrhythmia tuaj yeem siv cov ntsiav tshuaj propranolol hydrochloride thiab verapamil hydrochloride sustained-tso ntsiav tshuaj, uas tuaj yeem tswj lub plawv dhia thiab txhim kho kev tsis xis nyob.
Cov neeg mob hemodialysis yuav tsum muaj kev noj zaub mov kom zoo, ua ke ntawm cov nqaij thiab zaub, thiab ua tib zoo saib xyuas cov khoom noj uas muaj cov khoom noj muaj txiaj ntsig zoo xws li cov protein, vitamins, minerals, xws li zaub tshiab, nqaij, taum, thiab lwm yam. Yog tias lub cev muaj peev xwm tso cai. , lawv tuaj yeem tawm dag zog kom tsim nyog los txhim kho lawv lub cev lub cev thiab txo qhov tshwm sim ntawm cov teeb meem.