Fistula: kuyini? Incazelo, emihle nemibi. fistula yamaphaphu

Ngaphambili, ukungasebenzi kwezinso ekushoneni. Manje iphathwa yi-inqubo ye Ukugawulwa igazi, ngokuthi hemodialysis. Le ndlela isetshenziswa amacala izigaba oyingozi futhi ezingalapheki izifo. Inqubo wenziwa ngedivayisi ngaphansi kwegama "izinso yokufakelwa". Ngo inqubo ke eyenziwa ukususwa anobuthi izingxenye umzimba ezifana urea, creatine, nabanye. Futhi normalizes amanzi electrolyte ibhalansi.

Kamuva esihlokweni sicabangela indlela inqubo yenziwa. Kusukela yezinto ezibonakalayo, uyothola sazi ukuthi yini edingekayo fistula, kuyini, nanzuzoni-ke has ukuqaliswa zokukhwabanisa.

inqubo

Ngakho fistula - kuyini? Iinsetjenziswa "izinso yokufakelwa" ixhunywe ukugeleza kwegazi lesiguli ngokusebenzisa ukufinyelela semithambo, okuyinto adalwe nodokotela ohlinzayo. Ibizwa ngokuthi kanje: fistula arteriovenous (AVF). Ukuze yokuxhuma iyunithi ukwenza ekhethekile wokubhoboza izinaliti exhunywe kwi-dialyzer esebenzisa uhlelo ipayipi. hemodialysis Minimal esimisiwe amahora 12 ngesonto, isb 3 x 4 ihora. Le nqubo amashumi. It ikuvumela ukuba kancane esikhundleni umsebenzi izinso futhi kwenza umuntu ukuqhubeka isebenze futhi silondoloze ukuphila okugcwele.

phetho

Ngokufinyelela emithambo yegazi zingenziwa zelashwe ezingamahlalakhona. Siyabonga kuye, ukuze wenze isikhala ukumnika kanye kuhoxiswe yenqwaba igazi. Phakathi ukusebenza ngokudala esitsheni esisodwa enezindonga obukhulu kuthiwa staple umthambo futhi Umthambo. Ngaphezu kwalokho, kwakhiwa kukhona ukugeleza kwegazi elihle, okuyinto surfactant, okuyinto ezanele puncturing kanye nokuqaliswa nezinqubo. Ngokuvamile, kwakheka fistula ngoba hemodialysis is on the ingalo. Lokhu kungenxa yokuthi kukhona izitsha ezinkulu ngokuhle ukugeleza kwegazi. Noma kunjalo, zisekujuleni ezijulile, okwenza kube nzima lubhoboze. Vienna, kunalokho, kukhona phezu, kodwa izindonga kakhulu mncane. Yingakho ukhetho best is crosslinking lezi zitsha. Kulokhu, hemodialysis unikeza nomphumela omuhle kakhulu. Needling Kwenziwa izinaliti ekhethekile, kamuva emgudwini wegazi nge exhunyiwe AVF kulandzelana nekuhlunga tinsita.

izinzuzo

Ukuze indalo yayo, akudingi izinto yokufakelwa. Ngemva fistula - kuyini? Lokhu kumiswa, eyakhiwa izicubu womuntu. Ukuswelakala kokusebenza ngokuhlanganyela ukufakwa yokufakelwa arteriovenous fistula ongavikela ezifweni noma thrombosis. Itholakala nje ngaphansi kwesikhumba. isebenzisa umshini wezinso ndlela ikhethwa iziguli eziningi ngoba unikeza yi isikhathi eside. Kuze kube manje, fistula - kuyini? Ochwepheshe abaningi neziguli kuyindlela engcono ukufinyelela egazini. Futhi e indalo yayo izindlela ezintsha, ephelelisiwe izindlela wokubhoboza nezitsha kokulondoloza.

izici ezingezinhle

I ethile eyinhloko esikhathazeka ngayo fistula nokuvuthwa kwawo ubude, izinyanga unyaka nesigamu noma ngaphezulu. Kwesinye isikhathi imigomo ukufeza futhi asisho aphumelele. Okubizwa ngokuthi ukwehluleka ekuseni kwenzeka izizathu seduyuschim:

1. Irisidi amancane ukugeleza kwegazi kwetinhlavu.

2. Ukungabi arterialization igazi ngokunciphisa ingcindezi yayo ngemithambo uhlangothi ukunweba kusukela fistula.

3. Lo mkhumbi wakhethwa kwakhiwe fistula, kuba ngaphansi kuka-2 mm.

4. Ezemfundo stenosis phakathi kwesango fistula futhi anastomosis.

Igcina imfundo

Mayelana ukunakekelwa fistula Kunconywa ngaphambi lasungulwa. Ukuze wenze lokhu, kumele sivikele izitsha ibhodi lemisindo kusukela imijovo ezingadingekile. Lokhu kuzovumela ekhipha igazi enhliziyweni nelifakayo etholakala isimo kuthuthukiswe ngaphambi ekudalweni kwendoda nowesifazane fistula.

Dialysis kwenziwa ne fistula zakhekile nabavuthiwe. Lokhu kuzoqinisekisa isikhathi emsebenzini wayo zizathu amashumi eminyaka. Nokho, kuneziguli asebesebenzise impahla etholakala esikhathini esidlule (emva kweminyaka 2).

Lapho fistula ngoba hemodialysis kuyinto at the stage of nokuvuthwa yabo, ingalo kufanele bavikeleke imithwalo ngokweqile. Lokhu kusebenza isikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa (ngaphambi ukususwa sutures). Ngenxa ukuvuvukala emva kokuhlinzwa kuyokwenzeka ngokushesha okungaka. Kuyadingeka ukuba kuqedwe umsebenzi (bar, push-ups, njll). Ngaphezu kwalokho, kutuswa ukuba ome fistula nsuku zonke. Liphinde belulekwa ukulalela umsindo walo, kumele kube njalo okufanayo. Kuleso simo, uma kukhona noma yiluphi ushintsho, kumele uxhumane nodokotela. Ekulethweni igazi ukuhlaziywa wakhe ethathwe izandla nefistulnoy. imfundo udonse amahanisi is hhayi Kunconywa. Ngaphezu kwalokho, akunakwenzeka ukuba ulinganise wegazi ngesandla, kufanele bazame ukuvimbela nokwehla abukhali.

fistula yamaphaphu

Kumele wathi lokhu imfundo akusho ngaso sonke isikhathi ukuletha izinzuzo emzimbeni. Ngokwesibonelo, ukuba khona fistula yamaphaphu ohlelweni yenhliziyo kungabangela izinkinga ezinkulu. Njengoba umqulu ezithile igazi kusukela nemithambo yegazi yenhliziyo odlula ngokusebenzisa fistula kuya Umthambo yamaphaphu, ke kuphakamisa Ukuwohloka ukugeleza kwegazi, ukuze kukhona kusilela compounds izakhi-mpilo imisipha yenhliziyo.