Mar 09, 2018 Views: 3510
jl=.vq frda.shdgu lr .; yels mß;dk ldkaÿlrKh Peritoneal Dialysis
jl=.vq frda. w;r iq,nju l;d lrk jl=.vq frda. ;;a;ajhla jkafka ld,sl jl=.vq wlrKhhs' ;jo uq¿ f,dalfha jeäysá ck.yKfhka 10]la muK fï frda. ;;a;ajfhka fmf<a'
fuu frda.h je<ÿK miqj bka iïmq¾Kfhkau jl=.vq wl¾uKH ùug wjqreÿ 10la 15la muK .; fõ' Èhjeähdj" wêreêr mSvkh" jl=.vq wdidok jl=.vqj, .,a yd y÷kdfkd.;a fya;+ka ksid;a fï ;;a;ajh we;súh yelsh'
frda. ,laIK fudkjdo@
fujeks frda. ;;a;ajhlg m;ajqKo idudkHfhka jir 10la - 15la hk f;la ffjoH m%;sldr ,nk w;r;=r frda.shdg idudkH Èúfmfj;la .; l< yelsfõ' kuq;a wjqreÿ oyhla" myf<djla .sh miq frda.shdf.a we. bÈóug mgka .kS' yqiau .ekSu wmyiq fõ' lEu wreÑh we;sfõ'
t;eka isg Ôú;h mj;ajdf.k hEug kï fjk;a m%;sldr i|yd fhduqùug wjYH fõ' ta wjia:dfõ§ reêr ldkaÿlrKhg fhduqùu fyda jl=.vq noaOhla isÿ lsÍu wjYH fõ' tys§ reêr ldkaÿlrKh l%u follg isÿ fõ'
tkï ySfuda vh,hsisia l%uhg ^tkï hka;% wdOdrfhka reêr ldkaÿlrKhg ,la lsÍu& fyda YÍrfha mß;dk mg,h wdOdr lrf.k reêr ldkaÿlrKh isÿ lsÍuhs' tfiau fï l%u folu isÿlrk w;f¾ § fyda fl<skau jl=.vq noaOh o f;dard.; yelsh'
;jo fuu m%;sldr l%u isÿlrñka Ôú;h mj;ajdf.k hEu ;jÿrg;a wÆ;a fohla fkdfõ' f,dalfha ld,hla mqrd isÿjk fohls'
fndfyda frda.Ska yg fï wdldr ;=k ;=<skau Ôú;h mj;ajdf.k hEfï yelshdj we;' kuq;a tla tla wjia:dj,§ u;=jk .egÆ wkqj jeä fokl= f;dard .kqfha mß;dk ldkaÿlrK l%uhhs'
fï m%;sldr l%uh yryd frda.shdg ;udf.a idudkH Ôjk rgdj mj;ajdf.k hEuo myiqh'
ySfuda vh,hsisia ^Heamo Dialysis&
fuys§ isÿjk ld¾hh kï hka;%hla wdOdrfhka jl=.vqfjka isÿlrk hï ld¾hhka isÿlr §uhs' tys§ isref¾ we;s jeämqr c,h" ,jK" wï, NIau" iy hqßhd jeks isrerg wkjYH o%jH bj;alr §ula isÿfõ' fï i|yd frda.shd frday,g meñKsh hq;= w;r i;shg Èk ;=klaj;a wju jYfhka meh y;rla ne.ska frday,g meñK m%;sldr ,nd.; hq;=h'
jl=.vq noaOh
Ôj;ajk fyda fud<h ñh.sh wfhl=f.ka ,nd.;a jl=.vqjla jl=.vq frda.shdf.a isrerg noaO lsÍu u.ska jl=.vqfõ ld¾hNdrh lrf.k hdug wjia:dj ie,iSu fuys§ isÿfõ'
mß;dk ldkaÿlrKh ^Peritoneal Dialysis&
Wor l=yrfha wka;%jgd mß;dk mg,h msysgd we;' fuys§ isÿjkqfha Wor l=yrh ;=<g l=vd ie;alula uÛska le;Sgrhla ^Tencoff Catheter& iïnkaOlr i;s follska muK miq m%;sldr mgka .ekSuhs'
fuu m%;sldr l%ufha úfYaI jdis
reêr ldkaÿlrKfha§ fuka fkdj fuys§ frda.shdf.a jl=.vq l%shdldß;ajfha k;r ùula isÿ fkdfõ'
fuh ksjfia§u frda.shdg isÿlr.; yels m%;sldr l%uhls' fuu.ska ksrka;rfhka jl=.vqj, l%shdldÍ;ajh isÿfõ' fud<fha wd>d;h yd yDondO jeks frda. ;;a;aj we;s whg fï m%;sldr l%uh úfYaIfhka iqÿiqh'
flá ld,lskau mgka.; yels m%;sldr l%uhls' fï i|yd frday,la fyda úfYaI uOHia:dkhlg hdug wjYH fkdùu úfYaIa;jhls' kuq;a fuys§ isÿl< hq;= wksl=;a m%;sldr i|yd frda.shdg uilg muK j;djla frday,g hdug isÿfõ'
m%;sldrh isÿlrk l%uh
úfYaI wiqrKj, .nvd fldg we;s fia,hska jeks Èhrhla fï i|yd Ndú; lrhs' tu wiqrKfha we;s Èhr frda.shdf.a Wor ;=<g fhdod we;s le;Sgrh yryd Worh ;=<g hjkq ,efí'
meh 08lg miq tu Èhrh le;Sgrh wdOdrfhka kej; msg;g .ekSula isÿ lrhs' tys§ isrerg wkjYH wmo%jH ^hqßhd l%shgkSka jeks& msg;g .kS' bkamiq kej; mß;dk ldkaÿlrK Èhr ^Peritoneal Dialysis Fluid& Wor l=yrhg fhduq lrhs' tuÛska B<Û meh 08 we;=<; ksmofjkakdjq wmo%jH fldgia msßiqÿ lsÍu bka isÿfõ'
fuf,i Èklg ;=kaj;djla l< hq;= fõ' ta i|yd tla jrlg .;jk ld,h úkdä 20 la muK fõ'
m%;sldrfha§ msßiqÿlu fnfyúka jeo.;a
fï m%;sldrfha id¾:l;ajh /£ mj;skqfha th fldf;la msßiqÿj isÿlrkafka o hk ldrKh u; fõ' tneúka th b;d ie,els,su;aj isÿlr .ekSug frda.shd úiska j.n,d .; hq;= fõ'
uq,a wjia:dfõ§ frday,a ld¾hh uKav,fha wëlaIKh hgf;a frda.shdg ta i|yd mqyqKqjla ,nd foa'
w;=re wdndO
fï m%;sldrfha§ hï w;=re wdndO yg.; yels w;r tjeks wjia:dj,§ blaukska ffjoH Wmfoia me;sh hq;=h'
tkï"
úiîc we;=¿ ùfï yelshdj" mß;dk ldkaÿmg,j, wdidok" wdÈhhs' fujeks ;;a;ajhkaj,§ blaukska ffjoH Wmfoia me;sh hq;=fõ'
;jo"
wjYH muKg Èhr bj;a lsÍug fkdyels jqjfyd;a isrer bÈóug mgka.; yel' Bg wu;rj Worhg ouk le;sgrh Wor l=yrfha my< fldgfia ;sìh hq;= jqj;a th Worfha fjk;a ia:dkhlg .uka l< yel' túg ksis f,i m%;sldrh isÿ fkdfõ' tfiau le;Sgrh Worhg oeófï§ tu .uka ud¾.h ;=< úiîc we;súh yel' tneúka tjeks lreKq ms<sn| ie,ls,su;aj lghq;= lsÍu jeo.;ah'
tfiau fuu ishÆ m%;sldrj,g wdhq ld,hla we;' tu l%shdldÍ ld,h wjika jQ miqj ;jÿrg;a tu m%;sldrh isÿ lsÍu ksIam%fhdack fõ'
túg jl=.vq noaOhla i|yd fhduqùug frda.shdg isÿjkq we;'
fuu m%;sldrh l< fkdyels wh
;ksju lghq;= lr.; fkdyels mqoa.,hska ^tjeks wjia:djl fjk;a wfhl=f.a Wmldr wjYH fõ&
bkafmr Worfha Y,Hl¾uj,g ,la ù we;s wh
Wor l=yrfha iy ta wjg m%foaYfha úiîc /fËk ;;a;aj iys; wh tkï nvje,aj, ie;alï isÿlsÍfuka miq u,my msg;g .ekSug nE.a iúlr we;s wh& jl=.vq b;d úYd, wjia:dj,§ Worfha úYd, y¾kshd ;;a;aj we;súg §¾>ld,Skj iajik wdndOj,ska fmf<kúg wdÈ jQ ;;a;ajj,§ fuu m%;sldrh l< fkdyels fõ'
fï jk úg f,dalfha fndfyda rgj, fuu m%;sldr l%uh id¾:lj isÿlrkq ,efí' ;jo frda.Ska úiska f;dard.kakd m<uq m%;sldrh jYfhka o fuh ckms%hh' fuuÛska idudkH Èúfmj;la .; lsÍug we;s jeä bvlv fuys úfYaI;ajhhs'
Y%S ,xldfõ uykqjr uy frday, we;=¿ ;j;a frday,a lsysmhl fï m%;sldrh isÿlrk w;r kshuq jHdmD;shla f,i wvq myiqlï iys; .srd÷refldaÜfÜ" ú,a.uqj wd§ m%foaYj, fuu m%;sldrh isÿlrkq ,efí'
iuqo%sld j¾Kl=,