I-Arteriovenous (AV) Izinaliti ze-FIDALdlala indima ebalulekile ngaphakathihemodialysis, ukwelashwa okusekela impilo kweziguli ezinokwehluleka kwezinso. Lezi zinaliti zisetshenziselwa ukufinyelela igazi lesiguli ngokusebenzisa i-AV Fistula, ukuxhumana okudalwe ngokuhlinzwa phakathi kwe-artery kanye nomthambo, okuvumela ukuhamba ngegazi okusebenzayo ngesikhathi sokudaya. Le ndatshana izohlola uhlelo lokusebenza, izinzuzo, osayizi, nezinhlobo zezinaliti ze-AV Fistula zokuhlinzeka ngesibukezo esibanzi sale divayisi yezokwelapha ebalulekile.
Ukusetshenziswa kwezinaliti ze-AV FIDALA eHemodialysis
Inaliti ye-AV Fistula yakhelwe ngqo iziguli ezenzelwa i-hemodialysis. I-AV Fistula, idalwe engalweni yesiguli, isebenza njengendawo yokufinyelela yesikhathi eside yenqubo ye-dialysis. Ngesikhathi se-hemodialysis, inaliti ye-AV Fistula ifakwa eFistula, ivumela igazi ukuba liphume emzimbeni liye emshinini we-dialysis, lapho kuhlungwa khona futhi kubuyela esigulini.
Lo msebenzi wenaliti oyinhloko ukuhlinzeka ngokufinyelela kwe-vascular okusebenzayo futhi okuthembekile ukuvumela ukugeleza kwegazi okulungile, okubaluleke kakhulu kwinqubo ye-dialysis ukususa ubuthi kanye noketshezi oluningi oluvela egazini ngempumelelo. Ukufakwa kwe-AV Fistula Wistule inaliti kudinga ukunemba nokunakekelwa, njengoba ukubekwa okungalungile kungaholela ezinkingeni, njengokungenayo (lapho inaliti ingena odongeni lwamathambo), ukopha, noma ukutheleleka.
Izinzuzo zeI-AV Fistula Izinaliti
I-AV FIDALLASALINGELLS inikeza izinzuzo eziningana kumongo we-hemodialysis, ikakhulukazi uma isetshenziswa nge-fistulas efanele futhi yagcinwa. Ezinye izinzuzo ezibalulekile zifaka:
1 I-fistula ivumela amanani aphezulu okugeleza kwegazi, okubalulekile ukuze kudayiswe nge-dialysis esebenzayo. Ukusebenzisa lezi zinaliti kuqinisekisa ukufinyelela okufanele egazini futhi kusiza ukugcina ikhwalithi yeseshini ye-dialysis.
2. Okuncishisiwe engcupheni yokutheleleka: kuqhathaniswaAma-careters asemaphakathi aseCentral(CVCS) esetshenziselwa i-dialysis, izinaliti ze-av fistula zibeka engcupheni ephansi yokutheleleka. Njengoba i-AV Fistula idalwe emithanjeni yegazi yesiguli, ingozi yokutheleleka okufana ne-bacteremia incishiswa kakhulu.
I-3. Ukuqina okukhulayo: I-AV FIstula ngokwayo yindlela ehlala isikhathi eside futhi ehlala isikhathi eside yokufinyelela kwe-vascular kunezinye izindlela, njengezindlela zokwenziwa noma ama-CVC. I-paird ene-AV ye-AV ye-AV eyenziwe kahle ye-AV, le ndlela yokufinyelela ingasetshenziswa iminyaka, inciphisa isidingo sezinqubo eziphindaphindwayo.
4. Amanani athuthukisiwe wokugeleza kwegazi: Izinaliti ze-FIstula ze-AV, ezihlanganiswe ne-fistula enempilo, zivumele ukugeleza kwegazi okungcono ngesikhathi se-dialysis. Lokhu kuthuthukisa ukusebenza kahle kwenqubo ye-dialysis, okuholele ekungeneni okungcono kobuthi egazini.
5 Izinaliti ze-Av FIstula zingasetshenziswa ngokungaguquki ngaphandle kwamaphutha ajwayelekile ahambisana nezinye izindlela zokufinyelela.
Usayizi we-AV Fistula Adraintelles
Izinaliti ze-Av FIstula ziza ngosayizi abahlukahlukene, imvamisa zilinganiswa ngegeji, enquma ububanzi benaliti. Osayizi abavame kakhulu abasetshenziswa e-hemodilysis bafaka i-14G, 15G, 16G ne-17G.
Ungayikhetha kanjani ngosayizi wenaliti we-AV Fistula Wiste?
| I-RECONSMMMENDITING Inaliti Gauge | Izinga lokugeleza kwegazi | Umbala |
| -Lwendlelwana khona | <300ml / min | -Okuphinki |
| -Humushi | 300-350ml / Min | -Yimpatho |
| Ipithisi elithile | 350-450ml / Min | -Qanda |
| 14 | > 450ml / min | -Okusabukhwebezane |
Ungayikhetha kanjani ubude benaliti we-AV Fistula Wiste?
| Ubude benaliti obuyekisa kabusha | Ukujula kusuka endaweni yesikhumba |
| 3/4 "Futhi 3/5" | <0.4cm ngaphansi komhlaba wesikhumba |
| 1 " | 0.4-1cm kusuka endaweni yesikhumba |
| 1 1/4 " | > 1cm kusuka endaweni yesikhumba |
Izinhlobo zezinaliti ze-AV Fistula
Izinhlobo eziningi ze-AV Fistula Izinaliti ziyatholakala, zenzelwe ukuhlangabezana nezidingo ezahlukahlukene zeziguli ze-dialysis. Izinhlobo zingahlukahluka ekuklameni naseziciniso, kufaka phakathi izindlela zokuphepha kanye nokufakwa kalula.
1. Kususelwa ezintweni ezibonakalayo
Izinaliti ze-AVF zivame ukwenziwa kusuka ezintweni ezimbili eziphambili: insimbi nepulasitiki.
a) Izinaliti zensimbi: Izinaliti zensimbi zensimbi zivame ukusetshenziswa kakhulu e-hemodilysis. Kunezinhlobo ezimbili zezinaliti zensimbi ezisuselwa kwinqubo yokuhlaselwa:
Izinaliti ezibukhali: Unqenqemeni lubukhali, lusetshenziswa ku-cape Ladder Canction.
Izinaliti ezi-Blunt: Unqenqemeni luyindilinga, lusetshenziswe ku-inkinobho hole Canction.
b) Izinaliti zepulasitiki: ezisetshenziselwa umthambo ojulile.
2. Kususelwa ezicini zokuphepha
Izinaliti ze-AVF nazo zihlukaniswa ngokususelwa ekubakhona kwezindlela zokuphepha, zenzelwe ukuvikela zombili iziguli kanye nabasebenzi bezempilo abalimele ngengozi noma ekungcolisweni. Kunezinhlobo ezimbili ezibalulekile:
Izinaliti ezilahlwayo ze-AVF: Lezi yizinaliti ezijwayelekile ze-AVF ngaphandle kwezici ezengeziwe zokuphepha.
Izinaliti zezokuphepha ze-AVF: Iklanywe ngezindlela zokuphepha ezakhelwe ngaphakathi, izinaliti zezokuphepha ze-AVF zihlomele ngokuzenzakalela ukuvikela noma ukutholwa kabusha ngenaliti ngemuva kokusetshenziswa.
Ukugcina
Izinaliti ze-Av FIstula ziyingxenye ebalulekile yenqubo ye-herodialysis, enikeza ukufinyelela kwe-vascular okuthembekile ezigulini ezidinga ukwelashwa ukwehluleka kwezinso. Uhlelo lwazo e-Hemodialysis luqinisekisa ukuhamba kwegazi okusebenzayo, okuholela emiphumeleni efanelekile ye-dialysis. Ngosayizi nezinhlobo ezahlukahlukene, kufaka phakathi izinketho zokuphepha ne-butterhole, lezi zinaliti zinikeza induduzo, ukuqina nokuphepha kuzo zombili iziguli nabahlinzeki bezokunakekelwa kwempilo. Ukukhetha usayizi ofanele wenaliti bese uthayipha ngokususelwa esimweni sesiguli kubalulekile ukuze uqinisekise isipiliyoni se-dialysis esiphumelelayo.
Isikhathi Sokuthumela: Oct-14-2024