Izinto Eziyisi-9 Eziyinhloko Zokukhetha Inalithi Elungile ye-AV Fistula

Uma kukhulunywa nge-dialysis, khetha okufaneleAV inaliti ye-fistulakubalulekile. Lokhu kubonakala kuncaneidivayisi yezokwelaphaidlala indima ebalulekile ekuqinisekiseni ukuphepha kwesiguli, ukunethezeka, kanye nokusebenza kahle kokwelashwa. Kungakhathaliseki ukuthi ungudokotela, umhlinzeki wezokunakekelwa kwempilo, noma umphathi wezokwelashwa, oqonda ukuthi ungakhetha kanjani ilungeloinaliti ye-fistula ye-dialysiskubalulekile.

Kulesi sihloko, sizohlola ukuthi iyini inaliti ye-AV fistula, kungani ibalulekile, nezici ezingu-9 ezibalulekile okufanele zicatshangelwe lapho ukhetha eyodwa. Sizophinde sithinte osayizi abajwayelekile njengenaliti ye-AV fistula 15G, 16G, kanye ne-17G ukusiza ukuqondisa ukukhetha kwakho.

Yini i-Inaliti ye-AV Fistula?

Inaliti ye-fistula ye-arteriovenous (AV) iyinaliti ekhethekile yokuhlanza igazi esetshenziselwa ukufinyelela egazini lesiguli nge-arteriovenous fistula ngesikhathi.hemodialysis. I-AV fistula iwukuxhumana okudalwe ngokuhlinzwa phakathi komthambo wegazi kanye nomthambo, ngokuvamile osengalweni, okuvumela ukugeleza kwegazi okuphezulu okudingekayo ukuze kwenziwe umshini wokudayela ngempumelelo.

Inalithi ye-AV fistula ifakwa ku-fistula ukuze kukhishwe igazi ukuze lihlanzwe bese ilibuyisela emzimbeni. Lezinaliti zibalulekileizinto zokwelaphaezikhungweni ze-dialysis nasezibhedlela, futhi ukukhetha okulungile akukhona nje ukuhambisana nemishini—kumayelana nokuthuthukisa imiphumela yesiguli.

Isakhiwo senaliti ye-AV fistula

Izinto Eziyi-9 Eziyinhloko Zokukhetha OkulungileInaliti ye-AV Fistula

1. I-Needle Gauge

Igeji yenaliti inquma ububanzi benaliti futhi ithinta ngokuqondile ukugeleza kwegazi. Osayizi abajwayelekile bahlanganisa:

I-AV fistula inaliti 15G: Inikeza ububanzi obukhulu, okuvumela amazinga aphezulu okugeleza kwegazi. Ngokuvamile isetshenziselwa iziguli ezikhulile ezine-fistula ekhulile.
I-AV fistula inaliti 16G: Izinga lokugeleza kosayizi ohlukahlukene nokunethezeka kwesiguli.
I-AV fistula inaliti 17G: Idayamitha encane, ilungele iziguli zezingane noma lezo ezinemithambo entekenteke.

Ukukhetha igeji efanele kuhilela ukucabangela isimo semithambo yesiguli, izidingo zokugeleza kwegazi, nohlelo lokwelapha.

Ithebula 1. Igeji yokufanisa nezinga lokugeleza kwegazi

2. Ubude Benaliti

Ubude bungesinye isici esibalulekile. Izinaliti ngokuvamile zitholakala ngobude obusukela ku-25mm kuya ku-38mm. Ubude benaliti kufanele bube ngokwanele ukuze bufinyelele ezindongeni ze-fistula ngaphandle kokude kakhulu, okungabangela umonakalo. Ubude benaliti obufanele buthuthukisa ukunemba kokufaka futhi bunciphise ukungakhululeki.

Ithebula 2. Ukufanisa ubude benaliti ngokuya ngebanga lesikhumba

3. I-Bevel Design

I-bevel iwunqenqema lwenaliti. Idizayini ye-bevel ebukhali kakhulu ingabangela ukulimala ezindongeni ze-fistula, kuyilapho i-bevel ebuthuntu kakhulu ingase ibangele ubunzima ekubhobozeni isikhumba. Idizayini efanelekile ye-bevel izohluka kumuntu ngamunye kuye ngosayizi nesimo se-fistula yabo. Izinhlobo ezijwayelekile zifaka:

I-bevel emfushane: Kulula ukulawula, mancane amathuba okuthi kudabuke izicubu
I-bevel ende: Ibukhali futhi ivumela ukungena okushelelayo, kodwa kungadinga ikhono elengeziwe

Ukukhetha i-bevel efanele kunganciphisa kakhulu ubuhlungu besiguli kanye nezinkinga ngesikhathi sokukhishwa.

4. Inalithi Material

Impahla yenaliti ithinta kokubili ukusebenza nokuphepha kwesiguli. Izinaliti zensimbi engagqwali ezisezingeni eliphezulu zivame kakhulu ngenxa yamandla azo, ubukhali, kanye nokuvumelana kwe-biocompatibility. Izinaliti ze-Aseptic Fistula kufanele zenziwe ngezinto ezisezingeni eliphezulu, ezisezingeni lezokwelapha ukunciphisa ingozi yokutheleleka. Kubalulekile ukukhetha izinaliti kumkhiqizi wezinaliti ohlonishwayo we-av fistula ukuze uqinisekise ukuphepha nokuqina.

5. Izinaliti Zehabhu Elizungezayo

Izinaliti zehabhu ezijikelezayo zivumela ukuzungezisa okungu-360-degree ngaphandle kokususa inaliti endaweni yayo. Lesi sici siwusizo ikakhulukazi ekunciphiseni ama-tubing kinks kanye nokuzivumelanisa nokunyakaza kwesiguli phakathi nezikhathi ze-dialysis. Iphinde ithuthukise ukunethezeka futhi yenze kube lula ukulungisa phakathi nokwelashwa.

6. Amaphiko Okubamba Okuvikelekile

EnamaphikoIzinaliti ze-AV fistulaukunikeza ukuzinza okwengeziwe nokubamba. Lezi zimpiko zovemvane eziguquguqukayo zivumela abanakekeli ukuthi bavikele inaliti kalula futhi banikeze ukubamba okungcono ngesikhathi sokufakwa. Amaphiko awusizo ikakhulukazi ezigulini ezizishayayo futhi asiza ukwehlisa ukuphuma ngephutha ngesikhathi sokuhlinzwa.

7. Izindlela Zokuvimbela Ukugeleza Kwegazi

Ukuvimbela ukugeleza kwegazi kubalulekile ekuphepheni kwesiguli. Ezinye izinaliti ze-AV fistula ziklanywe ngamavalvu endlela eyodwa noma izindlela zangaphakathi ezinciphisa ubungozi bokugeleza emuva, zisize:

Vimbela ukujiya kushubhu
Gcina ubunyumba
Thuthukisa ukusebenza kahle kwe-dialysis

Lesi sici siba sibaluleke kakhulu kumaseshini amade we-dialysis noma ezigulini ezithambekele ezinkingeni zokujiya.

8. Indlela Yokuhoxisa Inaliti

Izindlela zesimanje zokuhoxisa inaliti zenzelwe ukuthuthukisa ukuphepha ngokunciphisa ingozi yokulimala kwezinaliti ngemva kokusetshenziswa. Lezi zindlela zihoxisa ngokuzenzakalelayo inaliti ibe yingosi yokuvikela ngemva kokukhanselwa, iqinisekisa ukuphepha kwesiguli nomnakekeli.

Izinaliti ezihoxiswayo ziya ngokuya ziba yizinga ezimweni zomtholampilo ngenxa yokuhambisana kwazo nemithetho yokuphepha ebukhali.

9. Beka Eqhulwini Induduzo Yesiguli

Ekugcineni, inaliti ye-AV fistula ehamba phambili iyona ekhulisa ukunethezeka kwesiguli. Ubukhali benaliti, ukunamathela, i-engeli yokufaka, ngisho ne-ergonomics yokupakisha konke kunomthelela kulo lonke ulwazi. Iseshini ye-dialysis ebushelelezi, engabuhlungu kakhulu iholela ekuthotshelweni okuphezulu kwesiguli kanye nemiphumela engcono ngokuhamba kwesikhathi.

Kungani Inalithi Elungile Ye-Fistula Ibalulekile?

Ukukhetha inaliti ye-fistula efanele ye-dialysis akusona nje isinqumo sobuchwepheshe—kuthinta ngokuqondile impilo nenduduzo yesiguli. Nakhu ukuthi kungani kubalulekile:

Ithuthukisa ukusebenza kahle kwe-dialysis:Usayizi wenaliti efanele kanye nedizayini ikhuthaza amazinga okugeleza kwegazi alungile.
Yehlisa izinkinga:Izinaliti ezikhethwe kahle zinciphisa ukuhlukumezeka, ukungena nokujiya.
Ithuthukisa ukuphepha:Izici ezifana nezinqubo zokuhoxisa kanye nemiklamo ephikisana nokugeleza kwe-backflow ivikela iziguli nabasebenzi.
Yandisa ukunethezeka:Inalithi efakwa kalula futhi ebangela ukungakhululeki okuncane ikhulisa ukwethenjwa kwesiguli kanye nokuzimisela ukuthola ukwelashwa okuvamile.

Njengoba i-hemodialysis ingukwelashwa kwesikhathi eside, okugcina impilo, yonke imininingwane ibalulekile. Kungakho imitholampilo kanye nabasebenzi bezempilo kumele batshale isikhathi ekukhetheni inaliti efanele ye-dialysis yesimo ngasinye.

Isiphetho

Kafushane, iAV inaliti ye-fistulaingaphezu nje kwethuluzi—iyingxenye ebalulekile ekulethweni kokunakekelwa kwe-dialysis okuphephile nokusebenzayo. Kusukela kusayizi wegeji nokokusebenza kuya kuzici zokuhoxisa kanye nokunethezeka kwesiguli, yonke into idlala indima.

Kungakhathaliseki ukuthi ukhetha phakathi kwenaliti ye-AV fistula engu-15G, i-16G, noma i-17G, cabangela izici eziyisishiyagalolunye ezixoxwe ngenhla ukuze wenze ukukhetha unolwazi. Ngokwenza kanjalo, awugcini nje ngokuthuthukisa imiphumela yomtholampilo kodwa futhi uthuthukisa kakhulu ulwazi lwesiguli lwe-dialysis.