Ukwahlukana phakathi kweentlobo ezintathu ze-Dialysis Accesses

Azikho zonke iintlobo zokufikelela kwi-dialysis ezidalwa ngokufanayo

YINTONI NGOKUKHONA "UKUFUMANA KWE-VASCULAR"?

Xa iinjongo zesifo sesigulane isifo segulane siphumelele ngaphaya kwendawo ethile , unyango lokutshintshwa kwendlovu efunekayo nge- dialysis iyadingeka. Kukho iintlobo ezi- 2 ze-dialysis , ukuthetha ngokubanzi:

Nangona i-peritoneal dialysis yenziwa ngokusebenzisa i-catheter efakwe kwisisu esisodwa, i-hemodialysis (i-modal ejwayelekile kakhulu ye-dialysis e-United States) yenziwa nge-okuthiwa " ukufikelela kwe-vascular ".

NgesiNgesi esicacileyo, ukungena kwe-vascular yindlela eya kutsalwa ngayo igazi emzimbeni wakho ukuba uhanjiswe kumatshini we-dialysis apho uhlambulula khona i-toxins kunye ne-fluid excessive. Legazi "elihlambulukileyo" libuyiselwa emzimbeni wakho ngokusebenzisa le ndlela yokufikelela kwiisetyhula.

Ukufikeleleka kwe-vascular ngumdla wesifo se-dialysis . Ngaphandle kokufikelela, akukho ndlela yokwenza i-dialysis yesifo sengqondo somntwana. Ukukhubazeka kwesifo segciwane isifo esingenasifo se-kidney akunakwenzeka ukuba siphile ngaphaya kweeveki ezimbalwa kungekho dialysis.

ZINTONI IIMPENDULO EZIFUNDILEYO ZOKUFUMANA KWEZINDAWO

Kukho uhlobo olu-3 lweendlela ezikhethiweyo xa kufikelelwe ekukhetheni ukufikelela kwesifo se-hemodialysis isigulane:

  1. I-Arterio-venous fistula
  2. I-Arterio-venous graft
  3. Catheter

YINTONI INKCAZELO NGAPHAKATHI KWIINTLOKO EZINTATHU ZOKWENZA I-DIALYSIS?

Makhe ndiqale ngokuchazela ukungqinelana kwesiseko esisiseko phakathi kwezi zikhethi ezi-3.

Unokwazi ukuba "imirhoxo" yimithambo yegazi ephethe igazi elenziwe nge-oxygen esuka entliziyweni eya kwiimpawu ezahlukileyo. Iimitha ze-arteries ziyahlaselwa kwi "capillaries", ekugqibeleni zihlangana ukuze zenze oko kuthiwa "imifuno." apho i-oksijeni isetyenzisiwe, ubuyele entliziyweni.

Nantsi ukubonakaliswa okubonakalayo kweli gama.

Njengoko unokuyiqonda ukusuka kwisishwankathelo esingentla, imirhoxo kunye nemifuno ayixhunyiwe ngqo . Ngoko unayo "imifudlana" emincinci yamapillaseri avela kwiqhekeza zeetriyeri, ezidibanisa ukwenza imiva. Ngoku khawucinge ukuba isakhiwo sasiza kwenza "ibhuloho" phakathi komthamo kunye nomgubo ngokuthe ngqo (ngokugqithiseleyo ukugqithisa i-capillaries). Le bhuloho ibhekiselwa kuyo ngokuthi i-fistula ephambili, okanye i-arteriovenous graft. Igama elithi "arterio-venous" libhekisela kwigazi eligeleza kwi-artery ukuya kwi-vein. Ukuba le "bhuloho" iyenzeka ukuba yintonga yesitya somzimba, ibizwa ngokuba yi- fistula e-arteriovenous . Nangona kunjalo, ukuba ibhuloho inokwenzeka ukuba yinto ebonakalayo engaphandle, ibhekiselwa kuyo njenge- graft arteriovenous .

Ekugqibeleni, i-catheter enobuhlungu inokufana nomgca we-peripheral intravenous line. Ngaphandle kokuba inkulu kakhulu kwaye ifakwe kwenye yezona zikhulu zentambo "ephakathi" entanyeni okanye kwi-groin. Ixhomeke ngokupheleleyo kwi-vein. Ayikho into ebizwa ngokuthi "ibhuloho" ikhoyo phakathi komribo kunye nomgubo kule meko. Nangona kunjalo, i-catheter inamachweba amaninzi, enye enye isetyenziselwa ukukhipha igazi kumntu ube ngumatshini we-dialysis, kunye nelinye apho igazi elicocekileyo liphuma kumatshini we-dialysis ebuyela kwisigulane.

Nayi vidiyo efanelekileyo ebonisa indlela ukufakwa kwefayile kunye nendlela esebenza ngayo.

Funda ukuqonda ukuba kutheni ukucwangcisa ngexesha elifanelekileyo kubaluleke kakhulu xa kuziwa ekufakeni ufikelelo lwe-dialysis, kwaye kutheni i-fistula yinto efunwa kakhulu emva kohlobo lokufikelela. Ukungena kwi-accessibility preference xa i-dialysis iqaliswe yi-Achilles isithende sesigulane se-dialysis!