Hemodiálise

O QUE É A HEMODIÁLISE?

A hemodiálise é uma das formas de tratamento da insuficiência renal. Através da hemodiálise eliminam-se os resíduos tóxicos do sangue, quando os rins deixam de ser capazes de assegurar essa função e que é realizado até ao final da vida ou até que seja efectuado um transplante renal.

COMO FUNCIONA

Durante a hemodiálise, o sangue passa por um filtro especial chamado “dialisador”, antes de ser devolvido ao organismo. O dialisador é composto por muitas fibras minúsculas (tubos), dentro das quais o sangue circula. Cada fibra tem poros nas suas paredes. Um fluido especial, chamado solução de diálise, flui à volta das fibras, purificando o sangue. No entanto esta solução não entra em contacto directo com o sangue. Através dos poros das fibras minúsculas, a água e os resíduos tóxicos em excesso saem do sangue, em direcção à solução de diálise. O sangue purificado regressa ao organismo, enquanto que a solução de diálise é eliminada.

QUANDO E QUANTO TEMPO DURA

A hemodiálise é um tratamento que é efectuado de forma regular. Os tratamentos mais frequentes ou mais prolongados estão associados a melhores resultados para a sua saúde. Em regra, serão feitos entre 3 a 6 tratamentos por semana. Cada sessão poderá demorar em média 4 a 5 horas.

ONDE PODE FAZER

Pode-se optar por vários locais para fazer a hemodiálise:

  • Em casa – com a vantagem de poder escolher o melhor horário para fazer o seu tratamento, podendo até realizar a diálise durante a noite, em que o tratamento é feito durante o sono. Outra vantagem de fazer em casa é o aumento da frequência, o que representa um beneficio para a saúde.  No entanto, em casa será necessário instalar canalizações especiais, ter a máquina ou monitor de hemodiálise, todos os materiais necessários e aprender a fazer o seu tratamento. Enfermeiros ao domicilio poderão dar numa fase inicial não só toda a formação necessária, como inclusivamente poderão monitorar de forma constante todas as sessões de tratamento.
  • Unidade de diálise – geralmente, estas unidades encontram-se na comunidade e têm uma equipa de enfermagem que dá apoio nas sessões de tratamentos.
  • Hospital ou clínica de diálise – esta opção destina-se a quem necessita de apoio médico adicional, sendo ainda em Portugal a forma mais frequente. No hospital ou nas clinicas de diálise, a programação é fixa e regular, geralmente três vezes por semana, sendo que o horário do tratamento depende do Hospital ou da clínica.

SINTOMAS

É natural que durante ou depois das sessões se possam sentir os seguintes sintomas:

  • Indisposição
  • Tonturas
  • Cansaço
  • Fraqueza
  • Cãibras musculares

Estes sintomas são geralmente provocados pela rápida remoção rápida de uma grande quantidade de líquidos, que resulta numa descida da tensão arterial. No entanto podem ser reduzidos se o tratamento durar mais horas e for feito mais frequentemente, nomeadamente quando a hemodiálise é feita em casa e sobretudo se for feita durante o período de sono.

ACESSO VASCULAR

Importa ainda referir que será necessário criar o acesso vascular à corrente sanguínea, o que pressupõe uma pequena cirurgia, geralmente feita em ambulatório.

São três os tipos de acessos vasculares:

  • Fístula: junção entre uma das artérias e uma veia. A veia aumenta de tamanho e passa a ser a zona que recebe as agulhas para a realização da hemodiálise. Geralmente, a fístula localiza-se na parte superior ou inferior do membro superior ou, raramente, no membro inferior.
  • Prótese: tubo material macio colocado entre uma das artérias e uma veia.
  • Cateter: tubo especial, normalmente temporário, colocado numa veia de grande calibre, até que a fístula ou a prótese estejam prontas a ser utilizadas. O cateter pode ser usado imediatamente.

A fim de prevenir infecções terá de ser feita uma boa higiene do acesso criado.

MyNurse tem ao seu dispor enfermeiros ao domicilio com experiência para o ajudar com a diálise. Também os auxiliares MyNurse poderão prestar ajuda aos doentes e familiares de doentes que fazem este tipo de tratamento. Contacte-nos em www.mynurse.pt

 

Posted on: March 9, 2018, by :

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