Izinto ezi-9 eziphambili zokukhetha inaliti ye-AV ye-Fistula eLungileyo

Xa kuziwa kwi-dialysis, ukukhetha okufanelekileyoinaliti ye-AV ye-fistulaibalulekile. Oku kubonakala kuncinciisixhobo sonyangoidlala indima ebalulekileyo ekuqinisekiseni ukhuseleko lwesigulane, intuthuzelo, kunye nonyango olusebenzayo. Nokuba ungugqirha, umboneleli wezempilo, okanye umphathi wonikezelo lwezonyango, uyayiqonda indlela yokukhetha okulungileyoinaliti ye-fistula ye-dialysisibalulekile.

Kweli nqaku, siza kuphonononga ukuba yintoni inaliti ye-AV fistula, kutheni ibalulekile, kunye nezinto ezi-9 eziphambili ekufuneka ziqwalaselwe xa ukhetha enye. Siza kuphinda sichukumise ubungakanani obuqhelekileyo njengenaliti ye-AV fistula 15G, 16G, kunye ne-17G ukunceda ukukhokela ukhetho lwakho.

Yintoni i-Inaliti ye-AV Fistula?

Inaliti ye-arteriovenous (AV) ye-fistula yinaliti ekhethekileyo ye-dialysis esetyenziselwa ukufikelela kwigazi lomguli nge-arteriovenous fistula ngexesha.hemodialysis. I-AV fistula ludibaniso olwenziwe ngotyando phakathi komthambo kunye nomthambo, ngokuqhelekileyo engalweni, evumela ukuhamba kwegazi okuphezulu okuyimfuneko kwi-dialysis esebenzayo.

Inaliti ye-AV fistula ifakwe kwi-fistula ukutsalwa igazi ukuze licocwe kwaye libuyisele emzimbeni. Ezi naliti zibalulekileizixhobo zonyangokumaziko e-dialysis kunye nezibhedlele, kwaye ukukhetha okulungileyo akukhona nje ngokuhambelana nezixhobo-kumalunga nokuphucula iziphumo zesigulane.

Ubume benaliti ye-AV ye-fistula

Izinto ezi-9 eziphambili zokukhetha iLungeloInaliti ye-AV Fistula

1. Igeyiji yenaliti

Igeyiji yenaliti imisela ububanzi benaliti kwaye ichaphazela ngokuthe ngqo ukuhamba kwegazi. Ubukhulu obuqhelekileyo bubandakanya:

I-AV fistula inaliti 15G: Inikezela ngedayamitha enkulu, ivumela amazinga aphezulu okuhamba kwegazi. Ngokuqhelekileyo isetyenziselwa abantu abadala abane-fistulas.
Inaliti ye-AV fistula 16G: Ubungakanani obuguquguqukayo bokulinganisa ukuhamba kwesantya kunye nokuthuthuzela kwesigulana.
Inaliti ye-AV fistula 17G: I-diameter encinci, ifanele izigulane zabantwana okanye abo banemithambo ebuthathaka.

Ukukhetha igeyiji efanelekileyo kuquka ukuqwalasela imeko yomthambo wemithambo, iimfuno zokuqukuqela kwegazi, kunye nesicwangciso sonyango.

Itheyibhile 1. Igeyiji yokulinganisa kunye nesantya sokuhamba kwegazi

2. Ubude beNaliti

Ubude ngomnye uthunywashe obalulekileyo. Iinaliti zifumaneka ngokubanzi kubude obususela kwi-25mm ukuya kwi-38mm. Ubude benaliti kufuneka bube ngokwaneleyo ukufikelela kwiindonga ze-fistula ngaphandle kokuba zide kakhulu, ezinokubangela umonakalo. Ubude benaliti efanelekileyo buphucula ukuchaneka kokufaka kunye nokunciphisa ukungahambi kakuhle.

Itheyibhile 2. Ukutshatisa ubude benaliti ngokomgama wesikhumba

3. Uyilo lweBevel

I-bevel yincam yokutyibilika yenaliti. Uyilo lwe-bevel olubukhali kakhulu lunokubangela umonakalo kwiindonga ze-fistula, ngelixa i-bevel ebuthuntu kakhulu inokubangela ubunzima bokubhoboza ulusu. Uyilo olufanelekileyo lwe-bevel luya kwahluka kumntu ngamnye ngokuxhomekeke kubukhulu kunye nemeko ye-fistula yabo. Iindidi eziqhelekileyo ziquka:

I-bevel emfutshane: Kulula ukulawula, kuncinci ukukrazula izicubu
I-bevel ende: Ibukhali kwaye ivumela ukungena ngokulula, kodwa kunokufuna isakhono esingaphezulu

Ukukhetha i-bevel efanelekileyo kunokunciphisa kakhulu intlungu yesigulane kunye neengxaki ngexesha lokuqhawula.

4. Izinto yenaliti

Izinto zenaliti zichaphazela zombini ukusebenza kunye nokhuseleko lwesigulane. Iinaliti zentsimbi ezikumgangatho ophezulu zixhaphake kakhulu ngenxa yamandla azo, ubukhali, kunye nokuhambelana kwezinto eziphilayo. Iinaliti ze-Aseptic Fistula kufuneka zenziwe ngezinto ezikumgangatho ophezulu, ezikumgangatho wezonyango ukunciphisa umngcipheko wosulelo. Kubalulekile ukuba ukhethe iinaliti kumvelisi wenaliti ye-av fistula ukuqinisekisa ukhuseleko kunye nokuqina.

5. Iinaliti zeHub eziJikelezayo

Iinaliti zeehabhu ezijikelezayo zivumela ukujikeleza kwe-360-degree ngaphandle kokususa inaliti kwindawo yayo. Olu phawu luluncedo ngakumbi ekunciphiseni i-tubing kinks kunye nokulungelelanisa ukuhamba kwesigulane ngexesha leeseshoni ze-dialysis. Ikwaphucula intuthuzelo kwaye yenza lula uhlengahlengiso ngexesha lonyango.

6. Amaphiko okuBamba ngokuKhuselekileyo

EnamaphikoIinaliti ze-AV ze-fistulaukunika uzinzo olongezelelweyo kunye nokubamba. Ezi zimaphiko zebhabhathane eziguquguqukayo zivumela abanonophelo ukuba bakhusele inaliti ngokulula kwaye banikeze ukubamba okungcono ngexesha lokufakwa. Amaphiko aluncedo kakhulu kwizigulane ezizikhuphayo kwaye zinceda ukunciphisa ukuchithwa ngengozi ngexesha lokucoca.

7. IiNdlela zokuThintela ukuphuma kweGazi ngasemva

Ukuthintela ukuphuma kwegazi umva kubalulekile kukhuseleko lwesigulana. Ezinye iinaliti ze-AV fistula ziyilwe ngeevalvu zendlela enye okanye iindlela zangaphakathi ezinciphisa umngcipheko wokubuyela umva, zinceda:

Thintela ukujiya kwityhubhu
Gcina ubunyumba
Ukuphucula ukusebenza kwe-dialysis

Olu phawu luba lubaluleke ngakumbi kwiiseshoni ze-dialysis ezinde okanye kunye nezigulana ezityekele kwimiba ye-clotting.

8. Indlela yokuNciphisa inaliti

Iindlela zanamhlanje zokurhoxisa iinaliti ziyilelwe ukomeleza ukhuseleko ngokunciphisa umngcipheko wokwenzakala kwinaliti emva kokusetyenziswa. Ezi ndlela zibuyisela inaliti ngokuzenzekelayo kwi-casing yokukhusela emva kwe-cannulation, iqinisekisa ukhuseleko lwesigulane kunye nomnakekeli.

Iinaliti ezibuyiselwayo ziya zisiba semgangathweni kwizicwangciso zeklinikhi ngenxa yokuthobela imimiselo yokhuseleko olubukhali.

9. Beka phambili Intuthuzelo Yesigulane

Ekugqibeleni, eyona inaliti ye-AV fistula yeyona iphakamisa intuthuzelo yesigulana. Ubukhali benaliti, ukugquma, i-engile yokufaka, kunye ne-ergonomics yokupakisha zonke zinegalelo kumava ngokubanzi. Iseshini ye-dialysis egudileyo, engaphantsi kabuhlungu ikhokelela ekuthotyelweni okuphezulu kwesigulane kunye neziphumo ezingcono ekuhambeni kwexesha.

Kutheni le nto inaliti yeFistula eLungileyo ibalulekile?

Ukukhetha inaliti ye-fistula echanekileyo ye-dialysis ayisosigqibo sobugcisa-sichaphazela ngokuthe ngqo impilo yesigulane kunye nentuthuzelo. Nasi isizathu sokuba kubalulekile:

Ukuphucula ukusebenza kwe-dialysis:Ubungakanani benaliti efanelekileyo kunye noyilo lukhuthaza amazinga afanelekileyo okuhamba kwegazi.
Yehlisa iingxaki:Iinaliti ezikhethwe ngokufanelekileyo zinciphisa ukwenzakala, ukungena, kunye nokujika.
Uphucula ukhuseleko:Iimpawu ezinjengeendlela zokurhoxisa kunye noyilo oluchasene nokubuyela umva zikhusela izigulane kunye nabasebenzi.
Yandisa intuthuzelo:Inaliti ekulula ukuyifaka kwaye ibangele ukungonwabi okuncinci ikhulisa ukuthembela kwesigulana kunye nokuzimisela ukufumana unyango rhoqo.

Ngehemodialysis ibe lunyango lwexesha elide, olugcina ubomi, zonke iinkcukacha zibalulekile. Yiyo loo nto iiklinikhi kunye nabasebenzi bezempilo kufuneka batyale ixesha ekukhetheni inaliti efanelekileyo ye-dialysis kwimeko nganye.

Ukuqukumbela

Ngamafutshane, iinaliti ye-AV ye-fistulasisixhobo esingaphezulu nje kwesixhobo-lilungu elibalulekileyo kunikezelo lokhathalelo lwe-dialysis olukhuselekileyo nolusebenzayo. Ukusuka kubungakanani begeyiji kunye nemathiriyeli ukuya kwiimpawu zokurhoxisa kunye nokuthuthuzela kwesigulana, yonke into idlala indima.

Nokuba ukhetha phakathi kwenaliti ye-AV fistula engu-15G, i-16G, okanye i-17G, qwalasela izinto ezingundoqo ezilithoba ezixoxwe ngasentla ukwenza ukhetho olunolwazi. Ngokwenza njalo, awuphuculi kuphela iziphumo zekliniki kodwa uphucula kakhulu amava e-dialysis yesigulana.