Akuzona zonke izinhlobo zokufinyeleleka kwe-dialysis ezidalwa ezifanayo
YINI OKUKHONA "UKUFINYELELA KWESVASCULAR"?
Lapho izinso zesifo sezinso zesifo sezinso sezihlulekile ngaphezu kwephuzu elithile , ukuguqulwa kwama-renal substitution nge- dialysis kuyadingeka. Kunezinhlobo ezimbili ezahlukene ze-dialysis , ekhuluma ngokubanzi:
- I-Hemodialysis
- I-Dialysis ye-Peritoneal
Nakuba i-peritoneal dialysis isenziwa ngokusebenzisa i-catheter efakwe esiswini somuntu, i-hemodialysis (i-modal ejwayelekile kakhulu ye-dialysis e-United States) yenziwa nge-okuthiwa " ukufinyelela kwamasongo ".
NgesiNgisi esicacile, ukutholakala kwemisipha yindlela igazi elidonswa ngayo emzimbeni wakho ukuze lihanjiswe kumshini we-dialysis lapho kuhlanzwa khona ubuthi kanye nokushisa ngokweqile. Leli "igazi elihlanzekile" libuyiselwa emzimbeni wakho ngokusebenzisa lokhu ukufinyelela kwamasongo.
Ukutholakala kwamasuli kuyindlela yokuphila yesiguli se-dialysis . Ngaphandle kokufinyelela, ayikho indlela yokwenza i-dialysis ye-patient failure kwe-kidney. Ukukhubazeka kwesifo sezinso okungenasifo sezinso akunakwenzeka ukuba uphile ngaphezu kwamasonto ambalwa ngaphandle kwe-dialysis.
YINI IZINDABA EZINYE ZOKUTHOLA IZINDAWO ZEMVASI?
Kunezinhlobo ezintathu ezahlukene zezindlela ongakhetha kuzo uma kuziwa ekukhetheni ukufinyelela kwe-vascular for patient hemodialysis:
- I-arterio-fostula ene-venous
- Ukufakelwa kwe-Arterio-venous
- I-catheter yama-Venous
YINI ISIFUNDO NGAPHAKATHI NEZINTATHU EZINTATHU ZOKUFINYELELA KWE-DIALYSIS?
Ake ngiqale ngokuchaza ukungezwani okuyisisekelo phakathi kwezindlela ezingenhla ezintathu.
Ungase ukwazi ukuthi "imishanguzo" imithwalo yegazi ethwala igazi okwenziwe nge-oxygen kusuka enhliziyweni kuya ezihlotsheni ezihlukene. I-Arteries igxuma ibe yi "capillaries", ekugcineni ihlangana ndawonye ukuze idale okuthiwa "imifino." Imivino yizitsha zegazi ezithwala igazi okuvela kuyo umoya-mpilo, emuva enhliziyweni.
Nansi ukumelwa okufanekisayo kwalomqondo.
Njengoba ungase uyithokoze kusuka kusishwankathelo esingenhla, imishanguzo nemivimbo ayixhunyiwe ngokuqondile . Ngakho-ke unayo "imifudlana" encane yamapillazi avela ekuhlukaneni kwemithambo yegazi, ehlanganisa ukudala imithanjeni. Manje ake ucabange ukuthi isakhiwo kwakuzokwakhiwa "ibhuloho" phakathi kwe-artery kanye ne-vein ngqo (ngakho-ke idlula ama-capillaries). Le bhuloho ibizwa ngokuthi i-fistula, noma i-graft arteriovenous. Igama elithi "arterio-venous" libhekisela egazini eligeleza kusukela emthonjeni ukuya emthanjeni. Uma leli "bhuloho" liba yingxenye yomkhumbi wegazi lomzimba, ibizwa ngokuthi i- fistula e-arteriovenous . Kodwa-ke, uma ibhuloho libonakala liyizinto ezivela ngaphandle, libizwa ngokuthi i- graft arteriovenous .
Okokugcina, i-catheter enezinhlungu ngokuyinhloko ifana nomugqa wokungena ohlangothini lwe-peripheral. Ngaphandle kokuba kukhulu kakhulu futhi kufakwe kwelinye lezintambo ezinkulu "eziphakathi" entanyeni noma ku-groin. Ilenga ngokuphelele emthanjeni. Ayikho okuthiwa "ibhuloho" ekhona phakathi kwe-artery ne-vein kulokhu. Kodwa-ke, i-catheter inamachibi amaningi, okunye okusetshenziselwa ukudweba igazi kumuntu ube ngumshini we-dialysis, kanti omunye okuvela kuwo igazi elihlanzekile kusuka kumshini we-dialysis uphindela esigulini.
Nansi ividiyo enhle ekhombisa ukuthi kufakwa kanjani i-graft nokuthi isebenza kanjani.
Funda ukuqonda ukuthi kungani ukuhlelwa ngesikhathi kusemqoka kakhulu uma kuziwa ekubekeni ukufinyelela kwe-dialysis, nokuthi kungani i-fistula yindlela efunwa kakhulu kakhulu yokufinyelela. Ukungabi nalutho okufinyeleleka kakhulu nge-dialysis yesikhathi kuqalwe yi-Achille isithende sesiguli se-dialysis!