Nammude Arogyam July 2018 | Page 22

sajosâ klm-b-an-ÃmsX sN¿p¶ \mw kÀÆ-km-[m-c-W -bmbn sN¿p¶ CAPD coXn-bm-Wn-Xv. t\ct¯ ]d-ª-Xp-t]mse DZ-c-¯n- \p-Ån-te¡v {ZmhIw \nd-bv¡p-¶Xv tcmKntbm ASp¯ ip{iq-j-It\m Bbn-cn-¡pw. hb-dn-\p-Ån  {ZmhIw \nd-bv¡p¶ ka-b¯v tcmKn Itk-c -bn Ccn-¡p-Itbm InS-¡p -Itbm sN¿-Ww. Ubm-en -tkäv \nd¨v _mKv tcmKn- tb-¡mÄ Db-c-¯n kvYm-]n-¨n«pÅ Hcp I¼n -bnse sImfp-¯n Xq¡n -bn-Sp-¶p. Cu _mKv Syq_nw Kv hgn I¯o-äp-ambn _Ôn-¨n-cn-¡pw. _mKv Xpd-¡p-t¼mÄ tcmKn-bpsS DZ-c-¯n-\p-Ån {ZmhIw \nd-bpw. \ndªp Ign-bp -t¼mÄ I¯oäpw _mKp-am -bpÅ _Ôw thÀs]-Sp -¯p-I. 4þ8 aWn-¡qÀ Cu {ZmhIw DZ-c-¯n-\p-Ån APD CAPD (Fig. 5) Fresh Dialysis Solution Transfer Set Clamp Disposable tubing Fig . 5 \ne-\n¡pw. Cu CS-th -fsb Un kabw F¶p- ]-d-bp-¶p. Cu CS--th-f- bn tcmKn kzX-{´-\m-bn- cn-¡pw. kz´w tPmen-I -fn hym]r-X-\m-Im³ tcmKn¡v Ign-bpw. \nÝnX CS-thf Ign-ªm Cu {ZmhIw Hcp Hgnª Drain bag _mKnte¡v Xpd-¶p-hn-Sp -¶p. AXv tSmbve-än Hgn-¨p-I-f-bp-¶p. Ubm-en -knkv {ZmhIw ico-c-¯n -te¡v IS-¯n-hn-Sm³ ]¯p an\näpw ]pd-t¯¡v If-bp -hm-\pÅ kabw 30 an\näpw BWv. (Hm-t«m-tamUv s]cn-t«m-Wn-b Ubm-en-knkv) CAPD bpsS asämcp hI-t`-Z-amWv APD. CXv cm{Xn-bn \nÀh-ln-¡-s¸ -Sp¶ Hcp {]{In-b-bmWv Ubm-en -knkv Syq_pw {Zmh-Ihpw sskIvkÀ F¶-dn-b-s¸-Sp¶ sImïp \S-¡m³ Ign-bp¶ Hcp sNdnb sajo-\p-ambn LSn-¸n-¡p-¶p. Cu sajo³ tcmKn Dd-§p¶ ka-b¯v At±-l-¯nsâ ico-c-¯n FIvkvtN©v \S-¯p -¶p. (A-Xm-bXv {ZmhIw AI-t¯¡v \nd-bv¡p-Ibpw ]pdt¯bv¡v FSp-¡p-Ibpw sN¿p¶ {]{Inb) sajo\pw {Zmh-Ihpw InS-¡-bpsS kao-]¯p hbv¡p-¶p. 22 \½p-sS B-tcm-Kyw | Pqsse 2018 (Fig. 6) ]I apgp-h³ tcmKn kzX-{´-am-bn-cn-¡pw. an¡ tcmKn-IÄ¡pw cmhnse sajo-\n \n¶v _Ôw thÀs]-Sp-¯p-¶-Xn\v ap¼v Hcn-¡Â IqSn {ZmhIw DZ-c-¯n-\p-Ån \nd-bv¡p-¶p. ASp¯ FIvkvtN©v hsc Cu {ZmhIw hb-dn-\p-Ån¯s¶ \n¡pw. Fig. 6