Inaliti ye-AV Fistala ye-hemodialysis: isicelo, izibonelelo, ubungakanani, kunye neentlobo

I-Arteriovenous (AV) Iinaliti zeFistilaDlala indima ebalulekileyo kwihemodialysis, impatho yokuxhasa ubomi kwizigulana ezinokungaphumeleli kwizintso. Ezi zinaliti zisetyenziselwa ukufikelela kwigazi legazi lesigulana nge-AV Fistula, unxibelelwano olubiwe nge-sundget phakathi kobugcisa kunye nethambo, ukuvumela ukuhamba kwegazi ngokufanelekileyo. Eli nqaku liza kuphonononga isicelo, izibonelelo, ubungakanani, kunye neentlobo zeenaliti ze-AV Fistula ukubonelela ngesishwankathelo esifanelekileyo sonyango.

Ukusetyenziswa kweenaliti ze-AV Fistila kwi-hemodialysis

Inale ye-AV Fistala iyilelwe ngokukodwa kwizigulana eziphantsi kwe-hemodialysis. I-AV Fistala, eyenziwe kwingalo yesigulana, isebenza njengendawo yokungena yexesha elide yenkqubo yokudayala. Ngexesha le-hemodialysis, inaliti ye-AV Fistala ifakwe kwi-fistula, ivumela igazi ukuba liphume emzimbeni ukuya kumatshini wokudambisa, apho ithe yatshaya khona kwaye ibuyele kwisigulana.

Lo msebenzi phambili wenaliti kukubonelela ngokufikelela ngokukuko ngokukuko nangokuthembekileyo ukuvumela ukuhamba kwegazi ngokupheleleyo, eyona nto ibalulekileyo kwinkqubo yokudayanisa ukususa i-toxins kunye nolwelo olugqithisileyo ukusuka kwigazi ngokufanelekileyo. Ukufakwa kwe-AV Fistula inale ifuna ukuchaneka nokukhathalela, njengoko kubekho indawo engachanekanga, njengokungenisa (xa inaliti ingena eludongeni lwenqanawa), ukosulela.

Izibonelelo zeIinaliti ze-AV Fistila

Iinaliti ze-AV Fistila zibonelela ngeenzuzo ezininzi kwimeko ye-hemodialysis, ngakumbi xa zisetyenziswa ngokufanelekileyo kwaye zagcina i-fistulas. Ezinye izibonelelo eziphambili zibandakanya:

1. Ukufikelela okuqinisekileyo kukuhamba kwegazi: Iinaliti ze-AV Fistila zenzelwe ukubonelela ngokufikelela izinzile, ixesha elide. I-fistila ivumela amaxabiso aphezulu okutshisa okuphezulu kwegazi, kubalulekile ukuba ube ne-diallisis efanelekileyo. Ukusebenzisa ezi zinaliti ziqinisekisa ukufikelela kwegazi kwaye kunceda ukugcina umgangatho weseshoni yedayisi.

I-2. Ukuncitshiswa komngcipheko wokosuleleka: ngokuthelekisaI-catheters ephakathi ye-vehethes. Kuba i-AV Fistala idalwe kwimithambo yegazi yesigulana, umngcipheko wokosuleleka njengeBacteremia uncitshisiwe.

3. Ukunyuka kwe-AV fistla iyodwa yeyona ndlela iqinileyo kunye nexesha elide yokufikelela kunezinye iindlela, ezinje ngeegrafu zokwenziwa okanye iigraftic zokwenziwa okanye i-CVCs. I-paidid enezintanjeni ze-AV ye-AV ye-AV, le ndlela yokufikelela inokusetyenziselwa iminyaka, ukunciphisa isidingo seenkqubo eziphindaphindiweyo.

4. Ukuphuculwa kweRhafu yokuhamba kweGazi: Iinaliti ze-AV Fistula, zidityaniswe nefistula esempilweni, zivumela ukuhamba kwegazi elingcono ngexesha lokuhamba kwegazi. Oku kuphucula ukusebenza ngempumelelo kwenkqubo yokudanisa, kukhokelela kwimvume engcono yeetyhefu egazini.

5. Ukunciphisa umngcipheko we-clot: Ukusukela i-AV Fistula luqhagamshelo lwendalo phakathi kobugcisa kunye nethambo, lunomngcipheko ongezantsi wokunxiba ngokuthelekisa ezinye iindlela. Iinaliti ze-AV Fistila zinokusetyenziswa ngokungaguqukiyo ngaphandle kokucinezelwa rhoqo ezinxulumene nezinye iindlela zokufikelela.

Ubungakanani beenaliti ze-AV Fistila

Iinaliti ze-AV Fistale ziza kubalingane eyahlukeneyo, zihlala zilinganiswe nge-gauge, ezigqiba i-diamere yenaliti. Olona nani luqhelekileyo olusetyenziswa kwi-hemodialysis lubandakanya i-14g, i-15g, i-16g kunye ne-17g.

Ungayikhetha njani ubungakanani beenaliti ze-AV Fistale?

Ungayikhetha njani ubude benaliti ye-AV Fistale?

Iindidi ze-AV Fistales

Iindidi ezininzi ze-AV Fisti festies ziyafumaneka, zenzelwe ukuhlangabezana neemfuno ezahlukeneyo zezigulana. Iindidi zinokwahluka kuyilo kunye neempawu, kubandakanya iindlela zokhuseleko kunye nokufakelwa kokufakelwa.

1. Ngokusekwe kwizinto

Iinaliti ze-AVF zihlala zenziwa kwizinto ezimbini eziphambili: isinyithi kunye neplastiki.

a) Iinaliti zensimbi: Inaliti ye-AVF ye-AVF yezona zisetyenziswa kakhulu kwi-hemodialysis. Zimbini iintlobo zenaliti zensimbi ezisekwe kwi-cannique

Inaliti ezibukhali

Iinaliti ze-Blunt: I-Edge ijikeleze, isetyenziswe kwi-Tounter Hole Hole.

b) Iinaliti zeplastiki: isetyenziselwa ithambo elinzulu.
2. Isekwe kwiimpawu zokhuseleko

Iinaliti ze-AVF zikwahlulwa ngokusekwe kubukho beendlela zokhuseleko, ezenzelwe ukukhusela abaguli kunye nabasebenzi bezempilo abavela kwingozi yengozi okanye ungcoliseko. Zimbini iintlobo eziphambili:

Iinaliti ezilahlekileyo ze-AVF: Ezi ziimfuno ze-AVF ezisemgangathweni ngaphandle kweempawu ezongezelelweyo zokhuseleko.

Ukhuseleko lwe-AVF Inaliti: Yenzelwe iindlela zokhuseleko, iinaliti ze-AVF ze-AVF zixhotyiswe ngokuzenzekelayo okanye zokubuyisa inaliti emva kokusetyenziswa.

Ukuqukumbela

I-AV Fistula inaliti yinxalenye ebalulekileyo yenkqubo ye-hemodialysis, inikela ukufikelela kwi-vascular ethembekileyo kwizigulana ezifuna unyango ukungaphumeleli kwezintso. Isicelo sabo kwi-hemodialysis iqinisekisa ukuhamba kwegazi, okukhokelela kwiziphumo zedayitile ezifanelekileyo. Ngobukhulu obahlukeneyo kunye neentlobo, kubandakanya ukhuseleko kunye neenketho zeqhosha, ezi zinaliti zibonelela ngentuthuzelo, ukuqina, kunye nokhuseleko kuzo zombini abaguli nakokhuseleko lwabo bobabini. Ukukhetha ubungakanani benaliti efanelekileyo kunye nohlobo olusekwe kwimeko yesigulana kubalulekile ukuqinisekisa ukuba amava empumelelo.