Izixhobo zonyangozidlala indima ebalulekileyo kwicandelo lezempilo ngokuncedisa kwiindlela ezahlukeneyo zotyando kunye nonyango. Phakathi kwezixhobo ezininzi zonyango,iinaliti ze-fistula eziphuma kwimithambo yegazizifumene ingqwalasela ebanzi ngenxa yendima yazo ebalulekileyoi-hemodialysisIinaliti ze-AV fistula ezinobukhulu obufana ne-15G, 16G kunye ne-17G zithandwa kakhulu kule meko. Kweli nqaku, siza kuhlola ubungakanani obahlukeneyo kunye neempawu zeenaliti ze-AV fistula kunye nokubaluleka kwazo kwicandelo lezonyango.
Iinaliti ze-AV Fistula zenzelwe ukudala i-arteriovenous fistula, ezibaluleke kakhulu kwizigulana ezisebenzisa i-hemodialysis. Ezi naliti zisebenza njengemibhobho phakathi kwegazi nomatshini we-dialysis, zisusa ngempumelelo inkunkuma kunye nolwelo olugqithisileyo emzimbeni. Enye yezona zinto zibalulekileyo xa ukhetha i-Inaliti ye-AV fistulaubungakanani obufanelekileyo ukuqinisekisa ukusebenza kakuhle kunye nentuthuzelo yesigulana.
Ubungakanani beenaliti ze-AV fistula ezisetyenziswa kakhulu yi-15G, 16G, kunye ne-17G. U-“G” ubhekisa kwi-gauge, ebonisa ububanzi benaliti. Amanani e-gauge asezantsi ahambelana nobukhulu beenaliti ezinkulu. Umzekelo,Inaliti ye-AV Fistula 15Ginobubanzi obukhulu xa kuthelekiswa nokhetho lwe-16G kunye ne-17G. Ukukhetha ubungakanani benaliti kuxhomekeke kwizinto ezahlukeneyo, kubandakanya ubungakanani bemithambo yesigulane, ukulula kokufakwa, kunye nokuhamba kwegazi okufunekayo ukuze kusetyenziswe i-dialysis ngokufanelekileyo.
Inaliti ye-AV fistula 15G inobubanzi obukhulu kwaye idla ngokusetyenziswa kwizigulana ezinemithambo etyebileyo. Olu bukhulu luvumela amazinga aphezulu okuhamba kwegazi ngexesha le-dialysis, okuvumela ukususwa kwenkunkuma ngokufanelekileyo kunye nokusebenza kakuhle kotyando. Nangona kunjalo, ukufaka iinaliti ezinkulu kunokuba nzima ngakumbi kwaye kunokubangela ukungakhululeki kwezinye izigulana.
Kubantu abanemithambo ebuthathaka ngakumbi, iinaliti ze-AV fistula eziyi-16G kunye ne-17G zisetyenziswa rhoqo. Ezi naliti zincinci zinobubanzi kulula ukuzifaka, nto leyo eyenza ukuba izigulane zingangeni kakhulu. Nangona ukuhamba kwegazi kusenokuba ngaphantsi kancinci xa kuthelekiswa nenaliti ye-15G, kusanele kwi-dialysis esebenzayo kwiimeko ezininzi.
Ukongeza kubukhulu,iinaliti ze-fistula eziphuma kwimithambo yegazizineempawu ezininzi eziphucula ukusebenza kwazo. Uphawu oluphambili yi-bevel yenaliti, ebhekisa kwincam egobileyo. I-engile kunye nobukhali be-bevel zidlala indima ebalulekileyo ekufakeni lula nasekunciphiseni ukwenzakala kwizicubu zesigulana. Iinaliti ezine-bevels eziyilwe ngononophelo ziphucula amava apheleleyo kwiingcali zempilo kunye nezigulane.
Ukongeza, iinaliti ze-AV fistula zihlala zineendlela zokhuseleko zokuthintela ukwenzakala ngengozi kwinaliti kwaye zikhuthaze ulawulo losulelo. Ezi mpawu zokhuseleko ziquka iindlela ezinokurhoxa okanye zokukhusela ezigubungela inaliti emva kokusetyenziswa, ngaloo ndlela zinciphisa umngcipheko weengozi ezinxulumene nenaliti.
Enye into ebalulekileyo ekufuneka iqwalaselwe ngumgangatho wento yenaliti. Iinaliti ze-AV fistula zihlala zenziwe ngentsimbi engagqwaliyo okanye ezinye izinto ezihambelana ne-biochemical grade. Ukukhethwa kwezinto kuqinisekisa ukuqina kwenaliti kunye nokuhambelana nomzimba wesigulana, kunciphisa iziphumo ezingalindelekanga.
Ngamafutshane, inaliti ye-AV fistula sisixhobo esibalulekileyo sezonyango esisetyenziswa ngexesha le-hemodialysis. Ukukhetha ubungakanani obufanelekileyo, njengenaliti ye-AV fistula 15G, 16G, okanye 17G, kuxhomekeke kwiimpawu neemfuno zesigulana ngasinye. Inaliti ye-15G ivumela ukuhamba kwegazi okuphezulu, ngelixa iinaliti ze-16G kunye ne-17G zilungele ngakumbi izigulana ezinemithambo ebuthathaka. Nokuba zingakanani na, ezi naliti ziquka iimpawu ezifana noyilo olugobileyo kunye neendlela zokhuseleko zokuphucula ukusebenza kwazo kunye nokuqinisekisa ukhuseleko lwesigulana. Umgangatho wezixhobo zenaliti ukwabalulekile ekuboneleleni ngezixhobo zonyango ezinokuthenjwa nezihambelanayo. Njengoko ubuchwepheshe benaliti ye-AV fistula buqhubeka nokuphucula, iingcali zonyango zinokubonelela ngononophelo olungcono kwaye ziphucule amava apheleleyo kwizigulana ezisebenzisa i-hemodialysis.
Ixesha lokuthumela: Disemba-01-2023