حنين مغترب
08-03-2010, 07:02 PM
هو علاج (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B9%25D9%2584%25D8%25A7%25D8%2 5AC) يُستخدم عند توقف (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AA%25D9%2588%25D9%2582%25D9%2 581) آليتي الجسم عن العمل بشكل جيد، حيث تتم إزالة السوائل والفضلات الزائدة من الجسم باستخدام غسيل الكلى (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25BA%25D8%25B3%25D9%258A%25D9%2 584_%25D8%25A7%25D9%2584%25D9%2583%25D9%2584%25D9% 2589). وهناك نوعان من غسيل الكلى (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25BA%25D8%25B3%25D9%258A%25D9%2 584_%25D8%25A7%25D9%2584%25D9%2583%25D9%2584%25D9% 2589): • غسيل الكلى (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25BA%25D8%25B3%25D9%258A%25D9%2 584_%25D8%25A7%25D9%2584%25D9%2583%25D9%2584%25D9% 2589) الدموي • غسيل الكلى (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25BA%25D8%25B3%25D9%258A%25D9%2 584_%25D8%25A7%25D9%2584%25D9%2583%25D9%2584%25D9% 2589) الصفاقي
غسيل الكلى (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25BA%25D8%25B3%25D9%258A%25D9%2 584_%25D8%25A7%25D9%2584%25D9%2583%25D9%2584%25D9% 2589) الدموي
يتم خلال (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AE%25D9%2584%25D8%25A7%25D9%2 584) غسيل الكلى (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25BA%25D8%25B3%25D9%258A%25D9%2 584_%25D8%25A7%25D9%2584%25D9%2583%25D9%2584%25D9% 2589) الدموي ضخ آميات صغيرة من الدم إلى خارج الجسم (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AE%25D8%25A7%25D8%25B1%25D8%2 5AC_%25D8%25A7%25D9%2584%25D8%25AC%25D8%25B3%25D9% 2585) عبر (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B9%25D8%25A8%25D8%25B1) جهاز (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AC%25D9%2587%25D8%25A7%25D8%2 5B2) يُسمى الكلى الصناعية. يقوم هذا الجهاز (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AC%25D9%2587%25D8%25A7%25D8%2 5B2) بترشيح السوائل والفضلات الزائدة من الدم، وبعدذلك يتم إرجاع (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25A5%25D8%25B1%25D8%25AC%25D8%2 5A7%25D8%25B9) الدم إلى الجسم. ويستغرق هذا العلاج (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B9%25D9%2584%25D8%25A7%25D8%2 5AC) حوالي (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AD%25D9%2588%25D8%25A7%25D9%2 584%25D9%258A) أربع ساعات ويتم القيام به ثلاث مرات أسبوعيًا.
ويلزم لهذا النوع من العلاج (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B9%25D9%2584%25D8%25A7%25D8%2 5AC) توافر م (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2585%25D9%2588%25D8%25B6%25D8%2 5B9)وضع (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2588%25D8%25B6%25D8%25B9) يتم سحب الدم منه ثم إرجاع (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25A5%25D8%25B1%25D8%25AC%25D8%2 5A7%25D8%25B9)ه إلى دفق (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AF%25D9%2581%25D9%2582) الدم. وهذا يطلق عليه م (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2585%25D9%2588%25D8%25B6%25D8%2 5B9)وضع (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2588%25D8%25B6%25D8%25B9) الوصول. وبعد تحديد (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AA%25D8%25AD%25D8%25AF%25D9%2 58A%25D8%25AF) م (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2585%25D9%2588%25D8%25B6%25D8%2 5B9)وضع (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2588%25D8%25B6%25D8%25B9) الوصول والتئامه، يتم إدخال إبرتين في م (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2585%25D9%2588%25D8%25B6%25D8%2 5B9)وضع (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2588%25D8%25B6%25D8%25B9) الوصول. ويتم سحب الدم إلى الخارج عبر (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B9%25D8%25A8%25D8%25B1) إحدى الإبرتين بينما يتم إرجاع (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25A5%25D8%25B1%25D8%25AC%25D8%2 5A7%25D8%25B9) الدم إلى الجسم عبر (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B9%25D8%25A8%25D8%25B1) الإبرة الأخرى.
مواضع الوصول
توجد ثلاثة أنواع رئيسية من مواضع الوصول:
• الناسور الشريان (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B4%25D8%25B1%25D9%258A%25D8%2 5A7%25D9%2586)ي الوريد (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2588%25D8%25B1%25D9%258A%25D8%2 5AF)ي – حيث يتم إجراء جراحة (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AC%25D8%25B1%25D8%25A7%25D8%2 5AD%25D8%25A9) طفيفة لربط شريان (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B4%25D8%25B1%25D9%258A%25D8%2 5A7%25D9%2586) بوريد (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2588%25D8%25B1%25D9%258A%25D8%2 5AF) أسفل الجلد. وهذا يتم غالبًا في أحد الذراعين.
• الزرع – يتم إجراء جراحة (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AC%25D8%25B1%25D8%25A7%25D8%2 5AD%25D8%25A9) طفيفة لإدخال أنبوب (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25A3%25D9%2586%25D8%25A8%25D9%2 588%25D8%25A8) بلاستيك ليّن لربط الشريان (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B4%25D8%25B1%25D9%258A%25D8%2 5A7%25D9%2586) والوريد (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2588%25D8%25B1%25D9%258A%25D8%2 5AF) أسفل الجلد.
• القثطار (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2582%25D8%25AB%25D8%25B7%25D8%2 5A7%25D8%25B1) المرآزي – بالنسبة لغسيل الكلى (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25BA%25D8%25B3%25D9%258A%25D9%2 584_%25D8%25A7%25D9%2584%25D9%2583%25D9%2584%25D9% 2589) المؤقت، يمكن أن يضع الطبيب قثطار (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2582%25D8%25AB%25D8%25B7%25D8%2 5A7%25D8%25B1)ًا في وريد (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2588%25D8%25B1%25D9%258A%25D8%2 5AF) آبير، وغالبًا ما يكون ذلك في الرقبة.
غسيل الكلى (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25BA%25D8%25B3%25D9%258A%25D9%2 584_%25D8%25A7%25D9%2584%25D9%2583%25D9%2584%25D9% 2589) الصفاقي
يتم خلال (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AE%25D9%2584%25D8%25A7%25D9%2 584) غسيل الكلى (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25BA%25D8%25B3%25D9%258A%25D9%2 584_%25D8%25A7%25D9%2584%25D9%2583%25D9%2584%25D9% 2589) البريتوني وضع (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2588%25D8%25B6%25D8%25B9) قثطار (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2582%25D8%25AB%25D8%25B7%25D8%2 5A7%25D8%25B1) في البطن.ثم يوضع (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2588%25D8%25B6%25D8%25B9) سائل (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B3%25D8%25A7%25D8%25A6%25D9%2 584) خاص، يسمى الديالة، في البطن عبر (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B9%25D8%25A8%25D8%25B1) القثطار (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2582%25D8%25AB%25D8%25B7%25D8%2 5A7%25D8%25B1). يظل السائل (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B3%25D8%25A7%25D8%25A6%25D9%2 584) في البطن لساعات عديدة. وفي غضون (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25BA%25D8%25B6%25D9%2588%25D9%2 586) ذلك، تنتقل السوائل والفضلات الزائدة بالجسم من الدم إلى السائل (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B3%25D8%25A7%25D8%25A6%25D9%2 584). هذا السائل (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B3%25D8%25A7%25D8%25A6%25D9%2 584) يشبه البول آثيرًا ويتم تصريفه بعد ذلك من الجسم عبر (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B9%25D8%25A8%25D8%25B1) القثطار (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2582%25D8%25AB%25D8%25B7%25D8%2 5A7%25D8%25B1). وبعد ذلك، يوضع (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2588%25D8%25B6%25D8%25B9) سائل (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B3%25D8%25A7%25D8%25A6%25D9%2 584) نظيف في البطن وتكرر الخطوات.
يوجد نوعان رئيسيان لغسيل الكلى (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25BA%25D8%25B3%25D9%258A%25D9%2 584_%25D8%25A7%25D9%2584%25D9%2583%25D9%2584%25D9% 2589) البريتوني: (CAPD) • غسيل الكلى (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25BA%25D8%25B3%25D9%258A%25D9%2 584_%25D8%25A7%25D9%2584%25D9%2583%25D9%2584%25D9% 2589) البريتوني المستمر المتنقل يتم إجراؤه من 4 إلى 5 مرات – يوميًا ويظل السائل (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B3%25D8%25A7%25D8%25A6%25D9%2 584) في البطن لمدة من 3 إلى 4 ساعات. ويمكن القيام بذلك في أي مكان توجد به منطقة (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2585%25D9%2586%25D8%25B7%25D9%2 582%25D8%25A9) نظيفة وخاصة.
– (CCPD) • غسيل الكلى (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25BA%25D8%25B3%25D9%258A%25D9%2 584_%25D8%25A7%25D9%2584%25D9%2583%25D9%2584%25D9% 2589) البريتوني الدوري المستمريتم القيام به باستخدامه جهاز (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AC%25D9%2587%25D8%25A7%25D8%2 5B2) خاص، ويظل السائل (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B3%25D8%25A7%25D8%25A6%25D9%2 584) في البطن لمدة أقصر، حوالي (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AD%25D9%2588%25D8%25A7%25D9%2 584%25D9%258A) ساعة (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B3%25D8%25A7%25D8%25B9%25D8%2 5A9) ونصف. يتم إعداد الجهاز (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AC%25D9%2587%25D8%25A7%25D8%2 5B2) وتوصيل الشخص به لمدة من 8 إلى 10 ساعات أثناء الليل. ويتم فصل (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2581%25D8%25B5%25D9%2584) الجهاز (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AC%25D9%2587%25D8%25A7%25D8%2 5B2) عن الشخص أثناء النهار.
غسيل الكلى (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25BA%25D8%25B3%25D9%258A%25D9%2 584_%25D8%25A7%25D9%2584%25D9%2583%25D9%2584%25D9% 2589) الدموي
يتم خلال (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AE%25D9%2584%25D8%25A7%25D9%2 584) غسيل الكلى (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25BA%25D8%25B3%25D9%258A%25D9%2 584_%25D8%25A7%25D9%2584%25D9%2583%25D9%2584%25D9% 2589) الدموي ضخ آميات صغيرة من الدم إلى خارج الجسم (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AE%25D8%25A7%25D8%25B1%25D8%2 5AC_%25D8%25A7%25D9%2584%25D8%25AC%25D8%25B3%25D9% 2585) عبر (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B9%25D8%25A8%25D8%25B1) جهاز (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AC%25D9%2587%25D8%25A7%25D8%2 5B2) يُسمى الكلى الصناعية. يقوم هذا الجهاز (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AC%25D9%2587%25D8%25A7%25D8%2 5B2) بترشيح السوائل والفضلات الزائدة من الدم، وبعدذلك يتم إرجاع (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25A5%25D8%25B1%25D8%25AC%25D8%2 5A7%25D8%25B9) الدم إلى الجسم. ويستغرق هذا العلاج (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B9%25D9%2584%25D8%25A7%25D8%2 5AC) حوالي (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AD%25D9%2588%25D8%25A7%25D9%2 584%25D9%258A) أربع ساعات ويتم القيام به ثلاث مرات أسبوعيًا.
ويلزم لهذا النوع من العلاج (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B9%25D9%2584%25D8%25A7%25D8%2 5AC) توافر م (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2585%25D9%2588%25D8%25B6%25D8%2 5B9)وضع (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2588%25D8%25B6%25D8%25B9) يتم سحب الدم منه ثم إرجاع (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25A5%25D8%25B1%25D8%25AC%25D8%2 5A7%25D8%25B9)ه إلى دفق (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AF%25D9%2581%25D9%2582) الدم. وهذا يطلق عليه م (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2585%25D9%2588%25D8%25B6%25D8%2 5B9)وضع (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2588%25D8%25B6%25D8%25B9) الوصول. وبعد تحديد (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AA%25D8%25AD%25D8%25AF%25D9%2 58A%25D8%25AF) م (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2585%25D9%2588%25D8%25B6%25D8%2 5B9)وضع (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2588%25D8%25B6%25D8%25B9) الوصول والتئامه، يتم إدخال إبرتين في م (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2585%25D9%2588%25D8%25B6%25D8%2 5B9)وضع (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2588%25D8%25B6%25D8%25B9) الوصول. ويتم سحب الدم إلى الخارج عبر (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B9%25D8%25A8%25D8%25B1) إحدى الإبرتين بينما يتم إرجاع (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25A5%25D8%25B1%25D8%25AC%25D8%2 5A7%25D8%25B9) الدم إلى الجسم عبر (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B9%25D8%25A8%25D8%25B1) الإبرة الأخرى.
مواضع الوصول
توجد ثلاثة أنواع رئيسية من مواضع الوصول:
• الناسور الشريان (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B4%25D8%25B1%25D9%258A%25D8%2 5A7%25D9%2586)ي الوريد (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2588%25D8%25B1%25D9%258A%25D8%2 5AF)ي – حيث يتم إجراء جراحة (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AC%25D8%25B1%25D8%25A7%25D8%2 5AD%25D8%25A9) طفيفة لربط شريان (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B4%25D8%25B1%25D9%258A%25D8%2 5A7%25D9%2586) بوريد (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2588%25D8%25B1%25D9%258A%25D8%2 5AF) أسفل الجلد. وهذا يتم غالبًا في أحد الذراعين.
• الزرع – يتم إجراء جراحة (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AC%25D8%25B1%25D8%25A7%25D8%2 5AD%25D8%25A9) طفيفة لإدخال أنبوب (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25A3%25D9%2586%25D8%25A8%25D9%2 588%25D8%25A8) بلاستيك ليّن لربط الشريان (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B4%25D8%25B1%25D9%258A%25D8%2 5A7%25D9%2586) والوريد (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2588%25D8%25B1%25D9%258A%25D8%2 5AF) أسفل الجلد.
• القثطار (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2582%25D8%25AB%25D8%25B7%25D8%2 5A7%25D8%25B1) المرآزي – بالنسبة لغسيل الكلى (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25BA%25D8%25B3%25D9%258A%25D9%2 584_%25D8%25A7%25D9%2584%25D9%2583%25D9%2584%25D9% 2589) المؤقت، يمكن أن يضع الطبيب قثطار (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2582%25D8%25AB%25D8%25B7%25D8%2 5A7%25D8%25B1)ًا في وريد (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2588%25D8%25B1%25D9%258A%25D8%2 5AF) آبير، وغالبًا ما يكون ذلك في الرقبة.
غسيل الكلى (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25BA%25D8%25B3%25D9%258A%25D9%2 584_%25D8%25A7%25D9%2584%25D9%2583%25D9%2584%25D9% 2589) الصفاقي
يتم خلال (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AE%25D9%2584%25D8%25A7%25D9%2 584) غسيل الكلى (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25BA%25D8%25B3%25D9%258A%25D9%2 584_%25D8%25A7%25D9%2584%25D9%2583%25D9%2584%25D9% 2589) البريتوني وضع (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2588%25D8%25B6%25D8%25B9) قثطار (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2582%25D8%25AB%25D8%25B7%25D8%2 5A7%25D8%25B1) في البطن.ثم يوضع (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2588%25D8%25B6%25D8%25B9) سائل (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B3%25D8%25A7%25D8%25A6%25D9%2 584) خاص، يسمى الديالة، في البطن عبر (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B9%25D8%25A8%25D8%25B1) القثطار (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2582%25D8%25AB%25D8%25B7%25D8%2 5A7%25D8%25B1). يظل السائل (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B3%25D8%25A7%25D8%25A6%25D9%2 584) في البطن لساعات عديدة. وفي غضون (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25BA%25D8%25B6%25D9%2588%25D9%2 586) ذلك، تنتقل السوائل والفضلات الزائدة بالجسم من الدم إلى السائل (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B3%25D8%25A7%25D8%25A6%25D9%2 584). هذا السائل (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B3%25D8%25A7%25D8%25A6%25D9%2 584) يشبه البول آثيرًا ويتم تصريفه بعد ذلك من الجسم عبر (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B9%25D8%25A8%25D8%25B1) القثطار (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2582%25D8%25AB%25D8%25B7%25D8%2 5A7%25D8%25B1). وبعد ذلك، يوضع (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2588%25D8%25B6%25D8%25B9) سائل (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B3%25D8%25A7%25D8%25A6%25D9%2 584) نظيف في البطن وتكرر الخطوات.
يوجد نوعان رئيسيان لغسيل الكلى (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25BA%25D8%25B3%25D9%258A%25D9%2 584_%25D8%25A7%25D9%2584%25D9%2583%25D9%2584%25D9% 2589) البريتوني: (CAPD) • غسيل الكلى (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25BA%25D8%25B3%25D9%258A%25D9%2 584_%25D8%25A7%25D9%2584%25D9%2583%25D9%2584%25D9% 2589) البريتوني المستمر المتنقل يتم إجراؤه من 4 إلى 5 مرات – يوميًا ويظل السائل (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B3%25D8%25A7%25D8%25A6%25D9%2 584) في البطن لمدة من 3 إلى 4 ساعات. ويمكن القيام بذلك في أي مكان توجد به منطقة (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2585%25D9%2586%25D8%25B7%25D9%2 582%25D8%25A9) نظيفة وخاصة.
– (CCPD) • غسيل الكلى (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25BA%25D8%25B3%25D9%258A%25D9%2 584_%25D8%25A7%25D9%2584%25D9%2583%25D9%2584%25D9% 2589) البريتوني الدوري المستمريتم القيام به باستخدامه جهاز (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AC%25D9%2587%25D8%25A7%25D8%2 5B2) خاص، ويظل السائل (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B3%25D8%25A7%25D8%25A6%25D9%2 584) في البطن لمدة أقصر، حوالي (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AD%25D9%2588%25D8%25A7%25D9%2 584%25D9%258A) ساعة (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25B3%25D8%25A7%25D8%25B9%25D8%2 5A9) ونصف. يتم إعداد الجهاز (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AC%25D9%2587%25D8%25A7%25D8%2 5B2) وتوصيل الشخص به لمدة من 8 إلى 10 ساعات أثناء الليل. ويتم فصل (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D9%2581%25D8%25B5%25D9%2584) الجهاز (http://www.mgtrben.com/portal/redirector.php?url=http%3A%2F%2Fwww.altibbi.com%2F definition%2F%25D8%25AC%25D9%2587%25D8%25A7%25D8%2 5B2) عن الشخص أثناء النهار.