I-shangshai yeqela leqela leqela lomthengisi wobungcali kunye noMvelisi weIimveliso zonyango ezilahlekileyo, kubandakanya iinaliti ze-AV Fista. Inale ye-AV Fistala sisixhobo esibalulekileyo kwicandelo lehemodialysisisusa ngokufanelekileyo kwaye ibuyise igazi ngexesha lokudalwa. Ukuqonda ubungakanani beIinaliti ze-AV FistilaIbalulekile kubasebenzi bezempilo ukuqinisekisa ukusetyenziswa okukhuselekileyo nangokufanelekileyo kweziizixhobo zonyango.
Isiseko sobume be-AVF Inale
Iimpawu zeInaliti ye-AVF
Inkqubo yokuPhila ePheliweyo kwi-blade ukuba ifuneke ngokulula.
Inaliti yesilika inciphisa iintlungu kunye negazi.
Iliso elingasemva kunye ne-Ultra Mane iqatha ireyithi ephezulu yokuhamba kwegazi.
Iphiko elijikelezayo kunye nephiko elisisigxina liyafumaneka.
Iphakheji ephindwe kabini okanye inye yokhetho.
Ubungakanani begesi ye-AV Fistale
Iinaliti ze-AVF ziyafumaneka kwiintlobo ezahlukeneyo zeedayamitha zangaphandle ezichazwe ngamaNqaku. Iinombolo ze-gauge ezincinci zibonisa iidayimitha ezikhulu zangaphandle. Ububanzi bangaphakathi buxhomekeke kubinigesic kunye nobubanzi be-Wall.
I-gauge idlala indima ebalulekileyo ekuqinisekiseni inqanaba lokuhamba kwegazi ngexesha lokudlala. Ngokwesiqhelo, iinaliti zeFisti festila zivela kwiisayizi ezahlukeneyo, kunye neyona nto ixhaphakileyo i-15, 16, ne-1 gaukani. Ubungakanani buchaphazela ngokuthe ngqo isantya sokurhoxiswa kwegazi kunye nokubuya kwegazi, ke ngoko ubungakanani obufanelekileyo kufuneka kukhethwe ngokomnyango wesigulana kunye ne-dialysis.
Itheyibhile 1. Ukuhambelana ne-gauge kunye nexabiso lokuhamba kwegazi
| Ixabiso lokuhamba kwegazi (BFR) | I-Inaliti ecetyiswayo |
| <300 ml / min | I-gauge |
| I-300-350 ml / min | I-1 gauge |
| > 3550-40 ml / min | I-gauge |
| > 450 ml / min | I-gauge |
Ubude benaliti ye-AV Fistula inale
Ubude benaliti bungahluka, kwaye kubalulekile ukukhetha ubude obufanelekileyo ngokusekwe kwi-anatomy yesigulana kunye nobunzulu bokufikelela kwe-vascular. Ukusebenzisa inaliti emfutshane kakhulu ayinakuvumela ukufikelela ngempumelelo kwi-fistila okanye ingqolowa, ngelixa inaliti ende yonyusa umngcipheko weengxaki, njengokungena kwinqanawa.
| Umgama ukuya kumphezulu wolusu | Ubude benaliti |
| <0.4 cm ngaphantsi komgangatho wolusu | 3/4 "kunye ne-3/5" ye-fistais |
| I-0.4-1 cm ukusuka kumphezulu wolusu | I-1 "yeFistulas |
| ≥1 cm ukusuka kumphezulu wolusu. | I-1 1/4 "ye-fistilais |
Iingcali zezempilo kufuneka zivavanye ngononophelo ukufikelela ngononophelo kwaye ziqwalasele ubungakanani be-gauge yediji ye-gauge kunye nobude bokuqinisekisa ukusebenza kakuhle kunye nokuthuthuzelwa ngomonde ngexesha lokuthuthuzela i-hemodialysis. Uqeqesho olufanelekileyo kunye nokuqonda ubukhulu obahlukileyoge kunye nobude obufumanekayo kwiinaliti ze-AV Fistula zibaluleke kakhulu ukunciphisa umngcipheko weengxaki kunye nokuqinisekisa ukuhanjiswa kwe-diallysis.
I-Shanghai yeQela leQela lizibophelele ekuboneleleni ngeenaliti ezikumgangatho ophezulu kwi-Fieriovenous Fristas kwi-fistinavenius fistles kwi-SARTE YAMABALI NOBUCHULE UKUHLAZIYWA KWEZIFUNDO ZE-PARDE kunye nezigulana. Ukugxila kwinkampani kulawulo olufanelekileyo kunye nolawulo oluphambili kuqinisekisa ukuba iinaliti zayo ze-AV Fistule zihlangabezane nemigangatho yeHlabathi kwaye zibonelela ngentsebenziswano ethembekileyo kuSeto lweKlinikhi.
Ukuqukumbela, ukuqonda ubungakanani beenaliti ze-AV Fistula kubalulekile kubachwephesha bezempilo abachaphazelekayo kwi-hemodialysis. Ukukhetha ubungakanani begeji efanelekileyo kwaye ubude kubalulekile ekuqinisekiseni ukusetyenziswa okukhuselekileyo nangokufanelekileyo kwenaliti ye-AV ye-AV, ekugqibeleni ukunceda ukubonelela ngonyango lwe-dielysis kwizigulana ezinesifo senqanaba lesiphelo. Ngenkxaso yabathengisi abadumileyo abanjengeqela leqela leqela le-shanghai, ababoneleli bezempilo banokufumana iinaliti ezisemgangathweni eziphezulu ezihlangabezana neemfuno ezithile zoqheliso lweklinikhi.
Iposi: Apr-16 ukuya ku-2424