Yakakwira njodzi yekutapukirwa uye kufa muFirst Nations vanhu pane peritoneal dialysis
Yakakwira njodzi yekutapukirwa uye kufa muFirst Nations vanhu pane peritoneal dialysis
Anonim

Vanhu Vekutanga muCanada pa peritoneal dialysis vari panjodzi yakawedzera ye peritonitis nerufu, zvisinei nekuti vanogara kumaruwa kana kumadhorobha, vakawana chidzidzo chakabudiswa muCMAJ (Canadian Medical Association Journal) (pre-embargo link chete)

Kuwanda kwechirwere cheshuga, kufutisa uye hypertension muCanada's First Nations, kana maAboriginal, huwandu hwevanhu huri kukonzera kukurumidza kukura kwechirwere cheitsvo uye kutadza kushanda zvakanaka kwetsvo uye nekuda kwekutarisirwa uye dialysis.

Peritonitis kuzvimba kwe peritoneum (mukati memukati wedumbu nemadziro echiuno), kazhinji kunokonzerwa nehutachiona.

Peritoneal dialysis (PD) inoshandisa iyo peritoneum yekusefa tsvina nemvura yakawandisa zvichienzaniswa nehemodialysis iyo inosefa izvi kunze kuburikidza nesefa. Hemodialysis inoda kugara padyo nenzvimbo yedialysis nepo peritoneal dialysis inogona kuitwa nevarwere kumba. MuCanada, vangangoita 18% yevarwere vedialysis vari pa peritoneal dialysis.

Chidzidzo chacho, nevatsvakurudzi veSt. Boniface General Hospital uye University of Manitoba muWinnipeg, Manitoba, vakatarisa vanhu vakuru ve727 vane chirwere chekupedzisira chechirwere chechirwere chepertoneal dialysis kubva ku1997 kusvika ku2007 muManitoba. Pakati peizvi, 161 vaive Marudzi ekutanga uye 566 asiri ekutanga Marudzi.

"Muboka guru iri revarwere veperitoneal dialysis, mamiriro ekutanga enyika akabatanidzwa nekuwedzera kwekufa uye peritonitis mushure mekugadzirisa kwekutanga kwehuwandu hwevanhu, co-morbidities uye peritoneal maitiro, uye izvi zvakawanikwa zvakazvimiririra nekugara mumaguta kana kumaruwa, " anonyora Dr. Manish Sood nevamwe vavanoshanda navo.

Vanyori vanoratidza kuti kuwedzera kwekufa kunogona kunge kuri nekuda kwedialysis clearance, nekuzvimba kwepasi uye kutadza kujekesa mvura, kunyangwe vachisimbisa izvi zvinoda kuongororwa.

Vanocherekedza kuti kunyangwe nzvimbo yekuzviparadzanisa nevamwe uye chinhambwe kubva kuhutano hunogona kusanganiswa nenjodzi yakawedzera yerufu muvanhu vari padialysis, pakanga pasina mutsauko pakati pevarwere vekumadhorobha nekumaruwa veFirst Nations paperitoneal dialysis.

"Sezvo vanhu vazhinji veFirst Nations vanogara kure kure kuchamhembe, zvaisimbisa kuti varwere vari kure nevanovapa hutano havana kuita zvakanyanya kupfuura avo vari padyo," vanonyora vanyori. "Varwere vazhinji, mushure mekusangana neitsvo uye kutanga dialysis, vanotamira kumaguta anovaparadzanisa nemhuri, tsika nenharaunda. Zvatinowana zvinoratidza kuti hapana chikonzero chekutamisa varwere."

Imwe tsvakiridzo yekuvandudza mhedzisiro yeFirst Nations dialysis varwere inodiwa.

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