Iinaliti ze-AV Fistula ze-Dialysis: Iintlobo, iiNgenelo kunye nokubaluleka

Inaliti ye-fistula ye-arteriovenous (AV).sisixhobo esibalulekileyo esisetyenziswa kwi-hemodialysis kwizigulane ezinokusilela kwezintso. Idlala indima ephambili ekufikeleleni kwigazi lokususwa ngokufanelekileyo kwee-toxins kunye nolwelo olugqithisileyo oluvela emzimbeni. I-AV fistulas yenziwa ngotyando ngokudibanisa umthambo kwi-vein, inika indawo yokufikelela eyomeleleyo ye-dialysis. Inaliti esetyenziselwa ukufikelela kwesi siza kufuneka ithembeke, ikhululeke, kwaye isebenze kakuhle. Kukho iindidi ngeendidi zeenaliti ze-AV fistula, kunye neentlobo ezahlukeneyo zefistula, ezifana ne-brachiocephalic kunye ne-radiocephalic fistulas, ezivumela iimfuno zezigulane ezahlukeneyo.

Wisikhukhukazi sixoxahemodialysis fistula inaliti, kukho iindidi ezimbini eziphambili eziqhelekileyo ezidalwe ngokuxhomekeke kwimpilo ye-vascular yesigulane kunye neengcebiso zogqirha:

I-Brachiocephalic Fistula: Olu hlobo lwe-fistula lwenziwa ngokudibanisa umthambo we-brachial kwi-cephalic vein, ngokuqhelekileyo kwingalo ephezulu. Iyaziwa ngokubonelela ngenqanawa enkulu ye-dialysis, evumela ukuhamba kwegazi okungcono kwaye inokuxhasa amazinga aphezulu okuhamba kwe-dialysis. I-brachiocephalic fistula isetyenziswa ngokuqhelekileyo kwizigulane ezinemithanjana yengalo engaphantsi ayifanelekanga kwi-fistula.

I-Radiocephalic Fistula: Edla ngokubizwa ngokuba "ngumgangatho wegolide" we-fistula, olu hlobo ludibanisa umthambo we-radial kwi-cephalic vein, ngokuqhelekileyo esihlahleni. Nangona kungathatha ixesha elide ukuvuthwa kwaye kunokuba nokuhamba kwegazi okuphantsi kancinane xa kuthelekiswa ne-brachiocephalic fistula, inika iingenelo ezifana nokugcina imithambo engaphezulu ukuze ufikelelo kwixesha elizayo ukuba kuyimfuneko.

Iinzuzo zokusebenzisa inaliti ye-AV Fistula
Inaliti ye-AV ye-fistula ibonelela ngeenzuzo ezininzi kunyango lwe-dialysis, ngakumbi xa ithelekiswa nezinye izixhobo zokufikelela kwi-vascular ezifana ne-central venous catheters okanye i-synthetic grafts. Ezinye zezibonelelo eziphambili ziquka:

Ukuqina: I-AV fistulas ziyaziwa ngokuhlala kwazo kunye nokusebenza kwexesha elide. Xa sele ikhulile, i-AV fistula inokuhlala iminyaka emininzi, iyenza isisombululo esisisigxina xa kuthelekiswa nezinye iintlobo zokufikelela kwi-vascular.

Umngcipheko ophantsi woSulelo: I-Fistulas inomngcipheko omncinci wosulelo xa kuthelekiswa ne-catheter ye-venous ephakathi, njengoko kungekho nto yangaphandle ngaphakathi emzimbeni enokuthi isebenze njengendawo yokuzalela ibhaktheriya. Ukusetyenziswa kweenaliti ze-AV fistula ezingasebenziyo kunciphisa ngakumbi umngcipheko wosulelo.

Ukuhamba kweGazi okungcono: I-AV fistulas ibonelela ngokuhamba kwegazi okungcono xa kuthelekiswa neecatheter okanye iigrafti. Oku kuhamba kwegazi kuphakamileyo kuqinisekisa unyango olusebenzayo lwe-dialysis, ukuphucula ukukhutshwa kwee-toxins kunye nolwelo olugqithisileyo oluphuma egazini.

I-Clotting encinci: I-AV fistulas ayinakukwazi ukujiyisa kune-grafts eyenziweyo okanye i-catheters. Ngenxa yokuba i-fistula isebenzisa imithambo yegazi yesigulana, umzimba awunakufane uqalise ukujiyisa, nto leyo enokuphazamisana ne-dialysis.

Igcina iVeins Central: I-AV fistulas inceda ukugcina i-veins ephakathi, ebaluleke kakhulu kwizigulane ezinokufuna i-dialysis yexesha elide. Ukugcina le mithambo kuqinisekisa ukuba iindawo zofikelelo kwixesha elizayo kwi-dialysis zihlala zisebenza.

Inkqubo yesigulana esingaphandle: Ukwenziwa kotyando lwe-AV fistula yinkqubo yezigulana ezingaphandle, okuthetha ukuba ayifuni ukuhlala ixesha elide esibhedlele. Izigulane zinokugoduka kwangaloo mini, kwaye xa i-fistula ivuthiwe, banokubuyela kwiiseshoni ze-dialysis rhoqo ngaphandle kwesidingo sotyando olongezelelweyo.

I-Shanghai Teamstand Corporation: uMboneleli othembekileyo weIzixhobo zonyango
Xa kuziwa ekufumaneni iinaliti ze-AV ze-fistula ezikumgangatho ophezulu kunye nezinye izixhobo zonyango, iShanghai Teamstand Corporation ibalasele njengomthengisi oqeqeshiweyo nothembekileyo. Ngeminyaka yamava kwintsimi yonyango, banikezela uluhlu olubanzi lweemveliso zonyango, kubandakanywa izixhobo zokufikelela kwi-vascular, zonke zenziwe ukuhlangabezana nemigangatho yamazwe ngamazwe. Iinaliti zabo ze-AV fistula zenzelwe ukuchaneka, ukhuseleko, kunye nentuthuzelo yesigulane, ukunceda abaqeqeshi bezempilo ukuba banikeze unyango olusebenzayo nolukhuselekileyo lwe-dialysis. Ngezatifikethi ezifana ne-CE, ISO13485, kunye nemvume ye-FDA, iShanghai Teamstand Corporation iqinisekisa ukuthembeka kunye nomgangatho weemveliso zayo, inceda abathengi kwihlabathi liphela.

Ukuqukumbela, iinaliti ze-AV ze-fistula ziyinxalenye ebalulekileyo yonyango lwe-dialysis, ukubonelela ngendlela ehlala ixesha elide, ekhuselekileyo, kunye neyobuchule yokufikelela kwigazi. Ngoncedo lokuhamba kwegazi olungcono, ukunciphisa umngcipheko wosulelo, kunye nokusetyenziswa kwexesha elide, i-AV fistulas zezona zikhethwayo.ukufikelela kwemithambokwizigulane ezininzi ze-dialysis. I-Shanghai Teamstand Corporation, ngokuzibophelela kwayo kumgangatho kunye nokuveliswa kwezinto ezintsha, ibonelela ngeenaliti ze-AV ze-fistula eziphezulu ezihlangabezana neemfuno ezingqongqo zokhathalelo lwangoku lwe-dialysis.