Inaliti ye-fistlis fistlas, kwaziwa njengeInale ye-AV Fistala, kubalulekileIsixhobo sonyangoisetyenziswe ngexeshahemodialysis. Le nkqubo inceda ekususeni inkunkuma kunye nokugqithisa i-fluid kwigazi xa izintso azisakwazi ukwenza lo msebenzi ngokufanelekileyo. Licandelo eliphambili ekuqinisekiseni impumelelo yonyango lweHmodialysis kwaye idlala indima ebalulekileyo kwimpilo nentlalo-ntle yezigulana ezinesifo sezintso.
I-Shanghai yeQela leQelan yingcaliUmthengisi weSixhobo soNyangokunye noMvelisi ugxile ekuboneleleni ngeemveliso ezikumgangatho ophezulu kwiinkqubo zonyango ezahlukeneyo kubandakanya i-hemodialysis. Phakathi kwezixhobo zabo zonyango, banikezela ngeemfuno eziphezulu ze-fistis fistulassis fistlassis ezenzelwe ukuhlangabezana neemfuno ezithile zabasebenzi bezempilo abaziingcali kwezempilo kunye nezigulana ezijonga unyango lwe-hemodialysis.
Imisebenzi yeInaliti ye-fistlis fistlas:
Umsebenzi ophambili we-distlysis bistlas fistlas kukuseka ukufikelela kwigazi elihamba nge-arteriovenous (AV) i-Fistal okanye i-AV) isuse ngokufanelekileyo kwaye ibuyisele igazi ngexesha le-hemodialysis. Le nkqubo ibalulekile ekususwe ngokufanelekileyo iimveliso zenkunkuma kunye nolwelo olungaphezulu egazini, ekugqibeleni zincedise ukugcina impilo nentlalo-ntle yabantu abaphumeleli kwizintso.
Amanqaku e-diallysis fistla inale:
Iinaliti ze-fistis fistlas zenziwe ngoluhlu lweempawu ezibalulekileyo ukuze zisetyenziswe ngokukhuselekileyo nangokufanelekileyo ngexesha le-hemodialysis. Ezi mpawu zibandakanya:
I-1. Izixhobo ezikumgangatho ophezulu: I-Dialylis inaliti yenziwa ngezixhobo zebanga lezonyango kwaye inokusetyenziswa ngokukhuselekileyo emzimbeni womntu. Oku kuqinisekisa ukuba inaliti iyinto ye-biompatid kwaye ayizinzi mngcipheko wokuphendula phantsi okanye iingxaki ezinzima kwisigulana.
2. Ukupakisha i-sterales: Iineliti ze-fistlas fistlas zichithwe kwaye zifakwe ngokukodwa ukugcina ukuchuma kwabo kude kube bekulungele ukusetyenziswa. Oku kunceda ukunciphisa umngcipheko wokosuleleka kwaye kuqinisekisa ukhuseleko lwezimonde ngexesha le-hemodialysis.
3. I-Benula ebukhali ye-cannula: Inaliti yenzelwe i-cannula ebukhali, enokuthi ifake i-fistiovenous ye-arteriovenous okanye i-grafts, ukunciphisa uxinzelelo kwizicubu ezijikelezileyo kwaye zinciphise isigulana sobubele.
I-4. Inale ekhuselekileyo: Inale ye-fistlas fistula inemakhi yoqhagamshelo olukhuselekileyo eqinisekisa itywina eliqinileyo phakathi kwenaliti kunye nenqanawa yegazi. Oku kunceda ukukhusela ukuvuza kwegazi kwaye kugcine ingqibelelo yesekethe ye-hemodialysis ngexesha lonyango.
Izicelo zeenaliti ze-dialysis fistula:
Iinaliti ze-fistlas fistlas ziyilelwe ngokukodwa ukuba zisetyenziswe kwinkqubo ye-hemodialysis kwaye zidlale indima ebalulekileyo ekumiseleni nasekulondolozeni ukuhamba kwegazi kwizigulana. Ezi zinaliti zisetyenziselwa ukugoba i-AV Fistais okanye iigrafti zokususa ngokufanelekileyo kwaye zibuyisele igazi ngexesha le-hemodialysis.
Ngamafutshane, inaliti ye-fistlas fistula sisixhobo esibalulekileyo sezonyango esiyimpumelelo se-hemodialysis ephumeleleyo. Ngemisebenzi yayo ekhethekileyo, amanqaku aphambili kunye nezicelo ezithile, iba sisixhobo esibalulekileyo soochwephesha bezempilo kunye nezigulana. I-shangstai yeqela leqela leqela leqela le-changstai lizibophelele ekuboneleleni ngeenaliti ezikumgangatho ophezulu we-fistrasis ezihlangabezana neyona migangatho iphakamileyo yokhuseleko kunye nempumelelo kwimpilo yezigulana iyonke ye-hemodialysis.
IXESHA LOKUQALA: I-DEC-06-2023