Fistula: ndichiyani? Kufotokozera, ubwino ndi kuipa. fistula m'mapapo mwanga

Poyamba, impso kulephera ndi matenda oopsa. Tsopano iye ankachitira ndi ndondomeko ya kudula magazi, wotchedwa hemodialysis. Njira ntchito milandu magawo pachimake ndi aakulu a matenda. Ndondomeko ikuchitika ndi chipangizo pansi pa dzina "yokumba impso". Mu ndondomeko izo ikuchitika kuchotsa zigawo poizoni kagayidwe kachakudya monga urea, creatine, ndi ena. Komanso normalizes madzi ndi electrolyte bwino.

Kenako m'nkhani tikambirana momwe ndondomeko ikuchitika. Kuyambira zinthu, mudzaphunzila zofunikira fistula, ndichiyani, kodi phindu lili mu kukhazikitsa mpheto.

ndondomeko

Choncho fistula - ndichiyani? Zida "yokumba impso" chikugwirizana ndi magazi wodwalayo mwa mwayi mtima, amene analengedwa ndi dokotala wa. Njirayi imatchedwa monga izi: arteriovenous fistula (AVF). Pakuti polumikiza unit kupanga masingano wapadera puncture olumikizidwa kwa dialyzer njira dongosolo chitoliro. Kochepa hemodialysis yoti maola 12 pa mlungu, i.e. 3 × 4 hr. njirayi ukhoza kwa zaka zambiri. Iwo limakupatsani pang'ono m'malo impso ntchito ndi limathandiza munthu kupitiriza ntchito ndi kukhala moyo wonse.

tsogolo

Ndi mwayi venous zikhoza kupangidwa dialysis aakulu. Uyamiko kwa Iye, kuti chipinda cha kulowetsedwa ndi achire wa buku lalikulu la magazi. Pa ntchito polenga chidebe limodzi makoma wakuda ndi stapled mtsempha ndi mtsempha wamagazi. Komanso, pali anapanga magazi wabwino otaya, umene ndi surfactant, umene uli yabwino kwa puncturing ndi kukhazikitsa ndondomeko. Nthawi zambiri, ndi fistula kwa hemodialysis aumbike pa mkono. Ichi ndi chifukwa chakuti simuli zotengera lalikulu ndi nthenda yotaya wabwino magazi. Komabe, iwo pabwino kwambiri, zomwe zimachititsa kuti n'kovuta puncture. Vienna M'malo mwake, ndi padziko, koma iwo kwambiri woonda makoma. N'chifukwa chake Njira ndi crosslinking ziwiya izi. Pankhaniyi, hemodialysis amapereka zotsatira zabwino. Needling ikuchitika ndi masingano wapadera, kenako kwa m'magazi kudzera zikugwirizana AVF zida.

ubwino

Pakuti chilengedwe chake, sikutanthauza zipangizo yokumba. Pambuyo fistula - ndichiyani? mapangidwe ili lopangidwa ndi minofu anthu. Chosowa kulolerana wa yokumba arteriovenous fistula akhoza kuteteza ku matenda kapena thrombosis. Malowa ali pamtunda chabe pansi pa khungu. njira dialysis adalipo ndi odwala ambiri chifukwa amapereka chifukwa kwa nthawi yaitali. Pakali pano, fistula - chiyani icho? Chifukwa anthu ambiri ndi odwala ndi njira yabwino mwayi wolankhula ndi m'magazi. Komanso mu chilengedwe chake njira yatsopano, angwiro njira puncture ndi ziwiya yopulumutsa.

zoyipa

The drawback chachikulu ndi fistula yake yaitali kusasitsa, yomwe ili miyezi imodzi ndi theka kapena kuposerapo. Nthawi zina zolinga kukwaniritsa ndipo sachita bwino. Otchedwa kulephera oyambirira amapezeka zifukwa seduyuschim:

1. chiphaso cha otaya ka magazi mu mapangidwe a.

2. Kuchepa arterialization magazi ndi kuchepetsa kukakamiza mu mitsempha mbali imene kuyambira fistula lapansi.

3. chotengera The anasankhidwa kukhazikitsa fistula, ndi zosakwana 2 mm.

4. Education stenosis pakati pa khomo la fistula ndi anastomosis.

yopulumutsa maphunziro

Za chisamaliro fistula bwino pamaso mapangidwe ake. Kuti tichite zimenezi, muyenera kuteteza zipangizo za forearm kwa jekeseni zosafunika. Izi adzalola mitsempha ndi mitsempha yomwe ili m'chigawo anayamba asanalengedwe fistula lapansi.

Dialysis zinachitikadi ndi kale anapanga ndi okhwima fistula. Izi adzaonetsetsa nthawi ya kugwira ntchito kwa zaka zambiri. Komabe, pali odwala amene ayesa chuma zilipo kale (pambuyo pa zaka 2).

Pamene fistula kwa hemodialysis ndi pa siteji ya kusasitsa awo, dzanja ayenera kutetezedwa akatundu kwambiri. Zimenezi zikugwira postoperative nthawi (pamaso kuchotsa sutures). Chifukwa cha kutupa pambuyo opaleshoni zidzachitika mofulumira kwambiri. M'pofunika kuthetsa womberani (kapamwamba, Kankhani akuluakulu, etc.). Komanso, tikulimbikitsidwa kuti ziume fistula tsiku lililonse. Amagwiritsidwanso analangiza kumvera phokoso ake, izo ziyenera kukhala zonse zofanana. Zikatero, ngati pali kusintha kulikonse, muyenera kukaonana ndi dokotala. Pa yobereka za mwazi pa kusanthula ake anatengedwa kuchokera manja nefistulnoy. maphunziro Chikoka oyang'anira ali osavomerezeka. Komanso, n'zosatheka kuyeza magazi kwa dzanja, ndipo ayenera kuyesetsa kupewa kuchepa lakuthwa.

fistula m'mapapo mwanga

Izo ziyenera kuti maphunziro sikuti phindu kwa thupi. Mwachitsanzo, kukhalapo kwa fistula m'mapapo mwanga mu dongosolo inatsekeratu zingachititse mavuto aakulu. Popeza buku ena a magazi kuchokera mitsempha inatsekeratu iri yofulumira mwa fistula kuti mtsempha wamagazi ndi m'mapapo mwanga, izo amakwiya zikutha m'mayiko magazi, kotero kuti pali kuchepekedwa mankhwala michere ndi mpweya mu mnofu mtima.