Izici Eziyi-9 Eziyinhloko Zokukhetha Inaliti Efanele Ye-AV Fistula

Uma kukhulunywa nge-dialysis, ukukhetha i-dialysis efaneleInaliti ye-AV fistulakubalulekile. Lokhu kubonakala kuncaneidivayisi yezokwelaphaidlala indima ebalulekile ekuqinisekiseni ukuphepha kwesiguli, induduzo, kanye nokusebenza kahle kokwelashwa. Kungakhathaliseki ukuthi ungudokotela, umhlinzeki wezempilo, noma umphathi wezinsiza zezokwelapha, ukuqonda ukuthi ungakhetha kanjani okulungileinaliti ye-fistula yokuhlanza igazikubalulekile.

Kulesi sihloko, sizohlola ukuthi iyini inaliti ye-AV fistula, ukuthi kungani ibalulekile, kanye nezici ezingu-9 eziyinhloko okufanele uzicabangele lapho ukhetha eyodwa. Sizophinde sithinte osayizi abavamile njengenaliti ye-AV fistula engu-15G, 16G, kanye ne-17G ukusiza ekuqondiseni ukukhetha kwakho.

KuyiniInaliti ye-AV Fistula?

Inaliti ye-arteriovenous (AV) fistula iyinaliti ekhethekile ye-dialysis esetshenziselwa ukufinyelela egazini lesiguli nge-arteriovenous fistula ngesikhathi sokuhlinzwa.i-hemodialysisI-AV fistula iwukuxhumana okwenziwe ngokuhlinzwa phakathi komthambo nomthambo, ngokuvamile osengalweni, okuvumela ukugeleza kwegazi okuphezulu okudingekayo ukuze kwenziwe i-dialysis ephumelelayo.

Inaliti ye-AV fistula ifakwa ku-fistula ukuze ikhiphe igazi ukuze lihlanzwe bese ilibuyisela emzimbeni. Lezi zinalithi zibalulekileizinto zokwelaphaezikhungweni ze-dialysis nasezibhedlela, futhi ukukhetha okulungile akukhona nje ukuhambisana nemishini—kumayelana nokwenza ngcono imiphumela yesiguli.

Isakhiwo senaliti ye-AV fistula

Izici Eziyi-9 Eziyinhloko Zokukhetha OkufaneleInaliti ye-AV Fistula

1. Isilinganiso Senaliti

Igeyiji yenaliti inquma ububanzi benaliti futhi ithinta ngqo ukugeleza kwegazi. Osayizi abavamile bahlanganisa:

Inaliti ye-AV fistula engu-15G: Inikeza ububanzi obukhulu, okuvumela amazinga aphezulu okugeleza kwegazi. Ngokuvamile isetshenziselwa iziguli ezindala ezine-fistula ezivuthiwe.
Inaliti ye-AV fistula 16G: Izinga lokugeleza eliguquguqukayo lokulinganisa ubukhulu kanye nenduduzo yesiguli.
Inaliti ye-AV fistula engu-17G: Ububanzi obuncane, bufanele iziguli zezingane noma labo abanemithambo ebuthakathaka.

Ukukhetha igeyiji efanele kuhilela ukucabangela isimo semithambo yesiguli, izidingo zokugeleza kwegazi, kanye nohlelo lokwelashwa.

Ithebula 1. Isilinganiso sokufanisa kanye nezinga lokugeleza kwegazi

2. Ubude Benaliti

Ubude bungenye into ebalulekile. Izinaliti ngokuvamile zitholakala ngobude obusukela ku-25mm kuya ku-38mm. Ubude benaliti kufanele bube banele ukufinyelela ezindongeni ze-fistula ngaphandle kokuba bude kakhulu, okungadala umonakalo. Ubude benaliti obufanele buthuthukisa ukunemba kokufakwa futhi bunciphisa ukungakhululeki.

Ithebula 2. Ukufanisa ubude benaliti ngokuya ngebanga lesikhumba

3. Umklamo we-Bevel

I-bevel iwumphetho ogobile wenaliti. Umklamo we-bevel obukhali kakhulu ungabangela umonakalo ezindongeni ze-fistula, kanti i-bevel ebuthakathaka kakhulu ingabangela ubunzima ekubhobozeni isikhumba. Umklamo we-bevel ofanele uzohluka kumuntu ngamunye kuye ngobukhulu nesimo se-fistula yakhe. Izinhlobo ezivamile zifaka:

I-bevel emfushane: Kulula ukuyilawula, cishe ayidabuli izicubu
I-bevel ende: Ibukhali futhi ivumela ukungena okubushelelezi, kodwa kungadinga ikhono elengeziwe

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

4. Izinto Zenaliti

Izinto zenaliti zithinta kokubili ukusebenza kahle kanye nokuphepha kwesiguli. Izinaliti zensimbi engagqwali ezisezingeni eliphezulu zivame kakhulu ngenxa yamandla azo, ubukhali, kanye nokuhambisana kwazo nezinto eziphilayo. Izinaliti ze-Aseptic Fistula kufanele zenziwe ngezinto zekhwalithi ephezulu, zezinga lezokwelapha ukuze kuncishiswe ingozi yokutheleleka. Kubalulekile ukukhetha izinaliti kumkhiqizi wezinaliti ze-av fistula odumile ukuqinisekisa ukuphepha nokuqina.

5. Izinaliti Zehabhu Ezijikelezayo

Izinaliti ze-hub ezijikelezayo zivumela ukujikeleza kwama-degree angu-360 ngaphandle kokususa inaliti endaweni yayo. Lesi sici siwusizo kakhulu ekunciphiseni ama-kink epayipi kanye nokuzivumelanisa nokunyakaza kwesiguli ngesikhathi seseshini ye-dialysis. Siphinde sithuthukise induduzo futhi senze lula ukulungiswa ngesikhathi sokwelashwa.

6. Amaphiko Okubamba Okuphephile

AmaphikoIzinaliti ze-AV fistulaanikeza ukuzinza okwengeziwe nokubamba. La maphiko e-butterfly aguquguqukayo avumela abanakekeli ukuthi baqinise inalithi kalula futhi banikeze ukubamba okungcono ngesikhathi sokufakwa. Amaphiko awusizo kakhulu ezigulini ezizikhipha ngokwazo futhi asiza ekunciphiseni ukuphuma ngengozi ngesikhathi sokuhlanza igazi.

7. Izindlela Zokuvimbela Ukugeleza Kwegazi Emuva

Ukuvimbela ukubuyela emuva kwegazi kubalulekile ekuphepheni kwesiguli. Ezinye izinaliti ze-AV fistula zakhiwe ngama-valve ahamba ngendlela eyodwa noma izindlela zangaphakathi ezinciphisa ingozi yokubuyela emuva kwegazi, okusiza:

Vimbela ukujiya kwe-tube
Gcina ukungazali
Thuthukisa ukusebenza kahle kwe-dialysis

Lesi sici siba sibaluleke kakhulu ezifundweni ezinde ze-dialysis noma ezigulini ezivame ukuba nezinkinga zokujiya kwegazi.

8. Indlela Yokuhoxisa Inaliti

Izindlela zesimanje zokuhoxisa inaliti zenzelwe ukuthuthukisa ukuphepha ngokunciphisa ingozi yokulimala kwenaliti ngemva kokusetshenziswa. Lezi zindlela zihoxisa inaliti ngokuzenzakalelayo ibe yisikhwama esivikelayo ngemva kokukhishwa kwenaliti, okuqinisekisa ukuphepha kwesiguli kanye nomnakekeli.

Izinaliti ezihoxiswayo ziya ngokuya ziba yizinga elijwayelekile ezindaweni zezokwelapha ngenxa yokuthobela kwazo imithetho yokuphepha ye-sharps.

9. Beka Induduzo Yesiguli Kuqala

Ekugcineni, inaliti ye-AV fistula engcono kakhulu yileyo ekhulisa induduzo yesiguli. Ukubukhali kwenaliti, ukumboza, i-engeli yokufaka, ngisho ne-ergonomics yokupakishwa konke kunegalelo ekuhlangenwe nakho konke. Iseshini ye-dialysis ebushelelezi nengabuhlungu kangako iholela ekulandeleni okuphezulu kwesiguli kanye nemiphumela engcono ngokuhamba kwesikhathi.

Kungani Inaliti Efanele Ye-Fistula Ibalulekile?

Ukukhetha inalithi efanele ye-fistula yokuhlanza i-dialysis akuyona nje isinqumo sobuchwepheshe—kuthinta ngqo impilo yesiguli kanye nenduduzo. Nasi isizathu sokuba kubalulekile:

Kuthuthukisa ukusebenza kahle kwe-dialysis:Usayizi wenaliti ofanele kanye nomklamo kukhuthaza amazinga okugeleza kwegazi afanele.
Kunciphisa izinkinga:Izinaliti ezikhethwe kahle zinciphisa ukulimala, ukungena kanye nokujiya.
Kuthuthukisa ukuphepha:Izici ezifana nezindlela zokuhoxa kanye nemiklamo yokulwa nokugeleza emuva zivikela iziguli nabasebenzi.
Kwandisa induduzo:Inaliti okulula ukuyifaka futhi ebangela ukungakhululeki okuncane ikhulisa ukwethembana kwesiguli kanye nokuzimisela kokuthola ukwelashwa okuvamile.

Njengoba i-hemodialysis iyindlela yokwelapha ehlala isikhathi eside nesekela impilo, yonke imininingwane ibalulekile. Yingakho imitholampilo kanye nochwepheshe bezempilo kumele bachithe isikhathi ekukhetheni inalithi efanele ye-dialysis yesimo ngasinye.

Isiphetho

Ngamafuphi, iInaliti ye-AV fistulaakulona nje ithuluzi—kuyisici esibalulekile ekulethweni kokunakekelwa kwe-dialysis okuphephile nokusebenzayo. Kusukela kusayizi wegeyiji nezinto kuya kuzici zokuhoxa kanye nenduduzo yesiguli, zonke izici zidlala indima.

Kungakhathaliseki ukuthi ukhetha phakathi kwenaliti ye-AV fistula engu-15G, 16G, noma 17G, cabanga ngezici eziyisishiyagalolunye eziyinhloko okuxoxwe ngazo ngenhla ukuze wenze ukukhetha okunolwazi. Ngokwenza kanjalo, awugcini nje ngokuthuthukisa imiphumela yezokwelapha kodwa futhi uthuthukisa kakhulu ulwazi lwesiguli nge-dialysis.