Izixhobo zonyangoDlala indima ebalulekileyo kwicandelo lezempilo ngokunceda utyando olwahlukileyo kunye nonyango. Phakathi kwezixhobo ezininzi zonyango,I-Arteriovenous Fistla iFistilaufumene ingqalelo ebanzi ngenxa yendima yabo ebalulekileyo kwihemodialysis. I-AV Fistula inaliti ye-ANG anjenge-15g, i-16g ne-17G ithandwa kakhulu kule meko. Kweli nqaku, siza kuphonononga ubungakanani obahlukeneyo kunye neempawu ze-AV Fisti Fistula kunye nokubaluleka kwazo kwicandelo lezonyango.
I-AV Fistale inaliti yenzelwe ukwenza i-fistiovenues ye-arteriovenous, ebaluleke kakhulu kwizigulana ezikwi-hemodialysis. Le nto inaliti isebenza njengokudindela phakathi kwegazi kunye nomatshini wokudayanisa, ukususa iimveliso zenkunkuma kunye nolwelo olugqithisileyo emzimbeni. Enye yeengcinga eziphambili xa ukhetha iInale ye-AV Fistalaubungakanani obufanelekileyo ukuqinisekisa ukusebenza kakuhle kunye nokuthuthuzela ngomonde.
Eyona isetyenziswa rhoqo i-AV Fistain ye-ANTALE ye-15g, i-16g, kunye ne-17G. "G" Ibhekisa kwiGayo, ebonisa ubukhulu beenaliti. IINOMBOLO ZE-GAUGE ZEPHEPHA Ihambelana nesayizi enkulu yenaliti. Umzekelo,I-AV FIstala inale 15gInomgangatho omkhulu xa kuthelekiswa neenketho ze-16g kunye ne-17G. Ukukhetha ubungakanani benaliti kuxhomekeke kwizinto ezininzi, kubandakanya ubungakanani bethambo lesigulana, ukukhululeka kokufakelwa kwempahla, kunye nokuhamba kwegazi kuyafuneka ukuze ube ne-dialysis.
I-AV Fistala inale i-15g ine-switter enkulu kwaye ihlala isetyenziswa kwizigulana ezinemithambo emnyama. Obu bungakanani bavumela amaxabiso aphezulu okuhamba kwegazi kwi-dialysis, evumela ukufuduka kwenkunkuma esebenzayo kwaye kwandise ukusebenza kakuhle. Nangona kunjalo, ukufaka iinaliti ezinkulu kunokuba lucelomngeni ngakumbi kwaye kunokubangela ukungonwabi kwizigulana.
Kubantu abathile abanemithambo ebuthathaka ngakumbi, i-AV Fistales 16g kunye ne-17G zihlala zisetyenziswa. Ezi zinaliti zincinci zincinci zedayinti zilula ukuyifaka, ukudala amava amancinci okuhlasela kwizigulana. Nangona ukuhamba kwegazi kunokuthelekiswa kancinane xa kuthelekiswa nenaliti ye-15g, kusanele ukulinganiswa okusebenzayo kwiimeko ezininzi.
Ukongeza kubungakanani,I-Arteriovenous Fistla iFistilaYiba neepropathi ezininzi ezikhuthaza ukusebenza kwazo. Inqaku eliphambili leli inqwelwana yenaliti, ebhekisele kwi-engled. I-Angle kunye nebukhali ye-Gevel Dlala indima ebalulekileyo yokufakelwa kwaye inciphise i-traumation ye-tishu yesigulana. Iinaliti ezinemigangatho ecwecwe ngononophelo iphucula amava apheleleyo koochwephesha bezempilo kunye nezigulana.
Ukongeza, iinaliti ze-AV Fistis zihlala zinezindlela zokhuseleko ukuthintela ukwenzakala ngengozi kunye nokukhuthaza ulawulo losulelo. Ezi mpawu zokhuseleko ziquka iindlela zokuhlawula okanye ezikhuselayo ezigubungela inaliti emva kokusetyenziswa, ngaloo ndlela kuncitshiswa umngcipheko weengozi ezinxulumene nenaliti.
Enye into ebalulekileyo ekufuneka uyiqwalasele ngumgangatho wezinto ezinaliti. Iinaliti ze-AV Fistale zihlala zenziwe ngentsimbi engenasimo okanye ezinye zexabiso lezixhobo ze-biomphelid. Ukhetho lwezinto ezibonakalayo luqinisekisa ukuqina kwenaliti kunye nokuhambelana nomzimba wesigulana, ukunciphisa izinto ezinokubakho.
Isishwankathelo, inaliti ye-AV Fistala sisixhobo esibalulekileyo sonyango esisetyenziswa ngexesha le-hemodialysis. Ukukhetha ubungakanani obufanelekileyo, njenge-AV Fistale i-15g, i-16g, okanye i-17G, ixhomekeke kwiimpawu zomlingane ngamnye kunye neemfuno. Inaliti ye-15g ivumela ukuhamba kwegazi okuphezulu, ngelixa iimfuno ze-16g kunye ne-17G zilungele nje izigulana ezinendawo ezibuthathaka. Nokuba ubukhulu, ezi zinaliti zibandakanya izinto ezifana noyilo olufundisiweyo kunye neendlela zokhuseleko ukuphucula ukusebenza kwazo kunye nokuqinisekisa ukhuseleko lwezigulana. Umgangatho wezinto ezinaliti nawo ubalulekile ekuboneleleni ngezixhobo zonyango ezinokuthenjwa. Itekhnoloji ye-AV Fistala iFistila iyaqhubeka nokuqhubela phambili kwaye iphucule, iingcali zempilo zinokubonelela ngononophelo olungcono kwaye liphucule amava ngokubanzi kwizigulana ezijonga i-hemodialysis.
IXESHA LOKUQALA: I-DEC-01-2023