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

Xa kufikwa kwi-dialysis, ukukhetha unyango olufanelekileyoInaliti ye-AV fistulaOku kubonakala kuncinci.isixhobo sezonyangoidlala indima ebalulekileyo ekuqinisekiseni ukhuseleko lwesigulane, intuthuzelo, kunye nokusebenza kakuhle konyango. Nokuba ungugqirha, umboneleli wezempilo, okanye umphathi weenkonzo zonyango, ukuqonda indlela yokukhetha indlela efanelekileyoinaliti ye-fistula ye-dialysiskubalulekile.

Kweli nqaku, siza kuhlola ukuba yintoni inaliti ye-AV fistula, kutheni ibalulekile, kunye nezinto ezi-9 eziphambili ekufuneka uziqwalasele xa ukhetha enye. Siza kujonga nobukhulu obuqhelekileyo njengenaliti ye-AV fistula 15G, 16G, kunye ne-17G ukuze sikuncede ukhethe.

Yintoni iInaliti ye-AV Fistula?

Inaliti ye-arteriovenous (AV) fistula yinaliti ekhethekileyo ye-dialysis esetyenziselwa ukufikelela kwigazi lomguli nge-arteriovenous fistula ngexesha lotyando.i-hemodialysisI-AV fistula lunxibelelwano oludalwa ngotyando phakathi komthambo nomthambo, oqhele ukuba sengalweni, oluvumela ukuhamba kwegazi okuphezulu okufunekayo ukuze kwenziwe i-dialysis esebenzayo.

Inaliti ye-AV fistula ifakwa kwi-fistula ukuze ikhuphe igazi ukuze licocwe ize ibuyiselwe emzimbeni. Ezi naliti zibalulekileizixhobo zonyangokwiindawo zokucoca igazi kunye nezibhedlele, kwaye ukukhetha eyona ifanelekileyo akupheleli nje ekuhambelaneni nezixhobo—kukwamalunga nokwenza ngcono iziphumo zesigulana.

Ulwakhiwo lwenaliti ye-AV fistula

Izinto ezi-9 eziphambili zokukhetha okulungileyoInaliti ye-AV Fistula

1. Igeyiji yenaliti

I-needle gauge imisela ububanzi benaliti kwaye ichaphazela ngokuthe ngqo ukuhamba kwegazi. Ubungakanani obuqhelekileyo buquka:

Inaliti ye-AV fistula eyi-15G: Inika ububanzi obukhulu, ivumela amazinga aphezulu okuhamba kwegazi. Isetyenziswa rhoqo kwizigulana zabantu abadala abane-fistula ekhulileyo.
Inaliti ye-AV fistula 16G: Isantya sokuhamba esiguquguqukayo kunye nentuthuzelo yesigulana.
Inaliti ye-AV fistula eyi-17G: Ububanzi bayo buncinci, ifanelekile kwizigulane zabantwana okanye abo banemithambo ebuthathaka.

Ukukhetha igeyiji efanelekileyo kubandakanya ukuqwalasela imeko yemithambo yomguli, iimfuno zokuhamba kwegazi, kunye nesicwangciso sonyango.

Itheyibhile 1. Ireyithingi yokuthelekisa kunye nesantya sokuhamba kwegazi

2. Ubude benaliti

Ubude yenye into ebalulekileyo. Iinaliti zihlala zifumaneka ngobude obuqala kwi-25mm ukuya kwi-38mm. Ubude benaliti bufanele banele ukufikelela eludongeni lwe-fistula ngaphandle kokuba bude kakhulu, nto leyo enokubangela umonakalo. Ubude benaliti obufanelekileyo buphucula ukuchaneka kokufakwa kwaye bunciphisa ukungonwabi.

Itheyibhile 2. Ukulinganisa ubude benaliti ngokwebanga eliphakathi kwesikhumba

3. Uyilo lweBevel

I-bevel ngumphetho othe tyaba wenaliti. Uyilo lwe-bevel olubukhali kakhulu lunokubangela umonakalo kwiindonga ze-fistula, ngelixa i-bevel ebuthathaka kakhulu inokubangela ubunzima ekubhobozeni ulusu. Uyilo lwe-bevel olufanelekileyo luya kwahluka kumntu ngamnye kuxhomekeke kubukhulu kunye nemeko ye-fistula yakhe. Iindidi eziqhelekileyo ziquka:

I-bevel emfutshane: Kulula ukuyilawula, akunakwenzeka ukuba ikrazule izicubu
I-bevel ende: Ibukhali kwaye ivumela ukungena okuthambileyo, kodwa inokufuna ubuchule obungakumbi

Ukukhetha i-bevel efanelekileyo kunokunciphisa kakhulu iintlungu kunye neengxaki zesigulana ngexesha lokukhupha i-cannulation.

4. Izinto zenaliti

Izinto zenaliti zichaphazela ukusebenza kakuhle kunye nokhuseleko lwesigulane. Iinaliti zentsimbi engagqwaliyo ezikumgangatho ophezulu zixhaphake kakhulu ngenxa yokuqina kwazo, ubukhali, kunye nokuhambelana kwazo nezinto eziphilayo. Iinaliti zeFistula ezingasebenzi kakuhle kufuneka zenziwe ngezinto ezikumgangatho ophezulu, ezikumgangatho ophezulu wezonyango ukunciphisa umngcipheko wosulelo. Kubalulekile ukukhetha iinaliti kumvelisi weenaliti ze-av fistula odumileyo ukuqinisekisa ukhuseleko kunye nokuqina.

5. Iinaliti zeHub ezijikelezayo

Iinaliti zehabhu ezijikelezayo zivumela ukujikeleza kwe-360-degree ngaphandle kokususa inaliti kwindawo yayo. Olu phawu luluncedo kakhulu ekunciphiseni ii-kinks zetyhubhu kunye nokuziqhelanisa nokuhamba kwesigulana ngexesha leeseshoni ze-dialysis. Ikwaphucula intuthuzelo kwaye yenza kube lula ukulungiswa ngexesha lonyango.

6. Amaphiko Okubambelela Ngokukhuselekileyo

AmaphikoIinaliti ze-AV fistulazibonelela ngozinzo olongezelelekileyo kunye nokubamba. La maphiko ebhabhathane aguquguqukayo avumela abanakekeli ukuba baqinise inaliti ngokulula kwaye banike ukubamba okungcono ngexesha lokufakwa. Amaphiko aluncedo kakhulu kwizigulana ezizikhupha ngokwazo kwaye anceda ekunciphiseni ukuphuma ngengozi ngexesha lokucoca igazi.

7. Iindlela Zokuthintela Ukubuyela Kwegazi

Ukuthintela ukubuya kwegazi kubalulekile kukhuseleko lomguli. Ezinye iinaliti ze-AV fistula zenziwe ngeevalvu ezijonga indlela enye okanye iindlela zangaphakathi ezinciphisa umngcipheko wokubuyela kwegazi, nto leyo enceda:

Thintela ukujiya kwe-clotting kwityhubhu
Gcina ukungabi nabantwana
Ukuphucula ukusebenza kakuhle kwe-dialysis

Olu phawu luba lubaluleke kakhulu kwiiseshoni ezinde ze-dialysis okanye xa izigulana zinengxaki yokujiya kwegazi.

8. Indlela yokuRhoxisa inaliti

Iindlela zanamhlanje zokurhoxa kwenaliti zenzelwe ukuphucula ukhuseleko ngokunciphisa umngcipheko wokwenzakala kwenaliti emva kokusetyenziswa. Ezi ndlela zirhoxa ngokuzenzekelayo inaliti ibe yingxobo yokukhusela emva kokukhutshwa kwenaliti, ukuqinisekisa ukhuseleko lwesigulana kunye nomnakekeli.

Iinaliti ezirhoxayo ziya zisiba yinto eqhelekileyo kwiindawo zonyango ngenxa yokuthobela kwazo imithetho yokhuseleko lwe-sharp.

9. Beka phambili intuthuzelo yesigulana

Ekugqibeleni, inaliti ye-AV fistula engcono kakhulu yileyo inika intuthuzelo enkulu kwisigulana. Ubukhali benaliti, ukugquma, i-engile yokufaka, kunye ne-ergonomics yokupakishwa konke kunegalelo kumava apheleleyo. Iseshoni ye-dialysis ethambileyo nengenabuhlungu ikhokelela ekuthobeleni okuphezulu kwesigulana kunye neziphumo ezingcono ngokuhamba kwexesha.

Kutheni Inaliti yeFistula Efanelekileyo Ibalulekile?

Ukukhetha inaliti ye-fistula efanelekileyo xa kusenziwa i-dialysis akusosigqibo sobuchwephesha nje kuphela—kuyichaphazela ngqo impilo yesigulana kunye nentuthuzelo. Nantsi isizathu sokuba kubalulekile:

Iphucula ukusebenza kakuhle kwe-dialysis:Ubungakanani benaliti efanelekileyo kunye noyilo kukhuthaza ukuhamba kwegazi okufanelekileyo.
Inciphisa iingxaki:Iinaliti ezikhethwe kakuhle zinciphisa ukwenzakala, ukungena, kunye nokuqhekeka kwamalungu omzimba.
Iphucula ukhuseleko:Iimpawu ezifana neendlela zokurhoxa kunye noyilo oluchasene nokurhoxa zikhusela izigulane kunye nabasebenzi.
Yandisa intuthuzelo:Inaliti ekulula ukuyifaka nebangela ukungakhululeki okuncinci ikhulisa ukuthembana kwesigulana kunye nokuzimisela ukwenza unyango rhoqo.

Njengoko i-hemodialysis ilunyango oluhlala ixesha elide noluxhasa ubomi, yonke into ibalulekile. Yiyo loo nto iikliniki kunye neengcali zezempilo kufuneka zichithe ixesha ekukhetheni inaliti ye-dialysis efanelekileyo kwimeko nganye.

Isiphelo

Ngamafutshane,Inaliti ye-AV fistulaayisiyonto nje yesixhobo—yinto ebalulekileyo ekunikezelweni konyango olukhuselekileyo nolusebenzayo lwe-dialysis. Ukususela kubungakanani begeyiji kunye nezinto ukuya kwiimpawu zokurhoxa kunye nentuthuzelo yesigulana, yonke into idlala indima.

Nokuba ukhetha phakathi kwenaliti ye-AV fistula engu-15G, 16G, okanye 17G, cinga ngezinto ezisithoba eziphambili ekuthethwe ngazo apha ngasentla ukuze wenze ukhetho olunolwazi. Ngokwenza njalo, awupheleli nje ekuphuculeni iziphumo zonyango kodwa ukwaphucula kakhulu amava esigulana e-dialysis.