I-dialysis yakho ye-fistula noma i-catheter ingaba umthombo wezinkinga ezihlobene ne-dialysis
Ukuze enze i-hemodialysis ngesiguli, okunye okudingekayo kuyindlela yokuthola igazi kumguli kumshini we-dialysis. Lokhu kubizwa ngokuthi " ukufinyelela ". Ungase uzwe ngemigomo efana ne-graft, fistula, ne-catheters. Zonke lezi zinhlobo ezahlukene zokufinyelela kwe-dialysis ezingase zisetshenziselwe ukukhubazeka ngesiguli . Imininingwane mayelana nalezi zindlela ezihlukahlukene zokufinyelela nge-dialysis zihlanganisiwe lapha .
Lesi sihloko sizokhuluma kuphela ngezinkinga ezingase zihlobene nokufinyelela 'emsebenzini kwisiguli se-dialysis. Lokhu kuyingxenye yochungechunge lwezihloko ezithinta izinkinga ze-dialysis (ezinye izihloko lapha nalapha ).
I-GRAFT / FISTULA STENOSIS
Igama elithi stenosis lisho ukuncipha. Zombili ama-graft kanye ne-fistula zingathuthukisa ukukhanya kwe-lumen yazo ngezizathu ezihlukahlukene (ezingaba zibangelwa izimbangela zokuhlinzeka ngesikhathi sokubekwa, endleleni yokufinyelela egcinwe ngayo ku-dialysis). Abasebenzi be-Dialysis bazohlola ngokujwayelekile ama-graft / fistula ngaphambi kokunye ukwelashwa futhi babheke izimpawu ze-stenosis:
- Kuye ngokuthi indawo yesimo se-stenosis, ukufinyelela kungahle kube yinkimbinkimbi yegazi , noma kube nokugeleza kwegazi okuncane .
- Ukuvuvukala noma ukubopha engalweni lapho ukutholakala khona khona kungaqashelwa.
- Ukucindezela ekufinyeleleni kungashintsha futhi kuzobonakala kuma-alamu womshini we-dialysis.
- Isikhathi sokuphumula esiphuthumayo ngemva kokuphelelwa ukwelashwa kuyisibonakaliso esivamile.
- Ungase ubone ukuthi ukusebenza kahle kwe-dialysis kungahle kwenzeke ngenxa yokungena " ukuphindaphinda ". Ukubuyisela emuva kuyenzeka ekufinyeleleni lapho igazi eliphathwayo libuyiselwa kumshini we-dialysis kuya kwesiguli, lixubene negazi elisendleleni eya egulini kuya kumshini, ngaleyo ndlela kudala ukungasebenzi kahle ekwelapheni. Lokhu kuzovame ukuholela ezinyathelo ezingenele zokwelashwa kwe-dialysis nokufaneleka.
- Uma i-stenosis ivumelekile ukuba iqhubeke isikhathi eside kakhulu, iyovame ukuholela ekwakheni i-blood clot kuleyo sayithi noma ixhomeke kuyo, okuthiwa "i-thrombus".
I-GRAFT / FISTULA THROMBOSIS
I- thrombosis yegama ithinta i-clot yegazi. Kungathuthuka ngaphakathi kwe-dialysis grafts, fistula, noma ama-catheter ngezizathu ezihlukahlukene, kodwa isizathu esivamile sokuthi i-thrombus ifomu is stenosis. Uma i-thrombus isungule ekufinyeleleni kwe-dialysis, i-dialysis ewusizo ngokuvamile ayinakwenzeka kuze kube yilapho inkinga iqondiswa. Zonke izimpawu ezingenhla zingenzeka esimweni sokufinyelela kwe-thrombosis.
I-DIAGNOSIS YE-DIALYSIS UKUFINYELELA UKUFINYELELA KANYE NOMA THROMBOSIS
Uma sekusolakala ukuthi kukhona ukusola okusemtholampilo ngalezi zixazululo ezisekelwe ezicatshangweni ezingenhla, isazi sakho sezinzwa singase sikubheke kumhlinzeki wezinambuzane we-vascular noma isikhungo sokucabanga. Ucwaningo oluthile lungasiza ukuqinisekisa ukuthi ukuxilongwa:
- I-ultrasound yokufinyelela ingase ikhombise izimpawu zesimo se-stenosis / thrombosis
- Kodwa ukuxilongwa kuthiwa kuvame ukuqinisekiswa ngokufaka idayi ekhethekile ekufinyeleleni kwezithombe ezithathwe, njenge-ray ray. Le nqubo ibizwa ngokuthi i- fistulogram futhi lokhu kuzobonisa indawo yesimo senhliziyo noma isifo sofuba kahle kakhulu
UKUHLELA KWE-DIALYSIS UKUFINYELELA OKUFANELEKILE KANYE NOMA UKUQALA
Ukwelashwa kulawulwa yizinsana ze-nephrologists ezihlinzayo noma abahlinzayo bama-vascular.
U-interventionalist uzofaka i-catheter ekufinyeleleni, bese uzama ukwandisa ingxenye encane, inqubo ebizwa nge-angioplasty yokuhumusha engaphelele. Uma i-clot yegazi itholakala, ingasuswa yimithi noma imishini, inqubo ebizwa ngokuthi i-thrombectomy. Uma kubonakala sengathi le ndlela encane engavumelani nayo ngeke isebenze, ukulungiswa kokuhlinzwa kungadingeka.
IZINDLELA ZOKUPHAKATHI KWABANTU BABANTU BABANTU BAMADIALYSIS
Njengoba ngishilo kulesi sihloko , ama-catheters e-dialysis yiyona ndlela engcono kakhulu yokwenza i-hemodialysis ngezizathu ezinhle. Bathwala ingozi enkulu yokutheleleka, futhi ngaphandle uma kukhona isizathu esihle sokuthi (noma uma kuyiphuthumayo), akekho isiguli okufanele siqale i-dialysis nge-catheter.
Uma kufakwe, ama-catheters angase angasebenzi kahle kusukela ekuhambeni, into okuthiwa i- catheter yokuqala engasebenzi kahle , futhi ngokuvamile ngenxa yokulimaza i-catheter emthanjeni. I-cathterter kuleso simo ngezinye izikhathi ingasetshenziswa futhi ihlelwe kabusha ukuze isebenze, noma idinga ukushintshaniswa.
Kwezinye izimo, i-catheter esebenze kahle amasonto kuya ezinyangeni ingayeka ukusebenza, futhi lokhu kungabonisa ukubunjwa kwe-clot yegazi ngaphakathi noma eduze komcathisi. Le thrombus izodinga ukwelashwa, noma isebenzisa imithi ye-thrombolytic "ye-clot-busting," noma i-catheter idinga ukuguqulwa. Kungenxa yengozi ukuthi ama-catheters e-dialysis "avaliwe" ngemithi ye-anticoagulant ngemuva kokusetshenziswa ukuvimbela ukwakheka kwegazi le-clot.