Inaliti ye-arteriovenous (AV) fistulaiyithuluzi elibalulekile elisetshenziswa ekuhlanzeni igazi ezigulini ezinenkinga yezinso. Idlala indima ebalulekile ekufinyeleleni egazini ukuze kususwe ubuthi kanye noketshezi oluningi emzimbeni ngempumelelo. Ama-AV fistula adalwe ngokuhlinzwa ngokuxhuma umthambo emthanjeni, okuhlinzeka ngendawo yokufinyelela eqinile ye-dialysis. Inaliti esetshenziswa ukufinyelela kule ndawo kumele ibe nokwethenjelwa, ikhululeke, futhi isebenze kahle. Kunezinhlobo ezahlukene zezinaliti ze-AV fistula, kanye nezinhlobo ezahlukene ze-fistula, njenge-brachiocephalic kanye ne-radiocephalic fistula, ezihlangabezana nezidingo ezahlukene zesiguli.
Winkukhu ixoxainaliti ye-fistula ye-hemodialysis, kunezinhlobo ezimbili eziyinhloko ezivame ukudalwa kuye ngempilo yemithambo yegazi yesiguli kanye nezincomo zikadokotela ohlinzayo:
I-Brachiocephalic Fistula: Lolu hlobo lwe-fistula lwakhiwa ngokuxhuma umthambo we-brachial nomthambo we-cephalic, ngokuvamile engalweni engenhla. Yaziwa ngokuhlinzeka ngomthambo omkhulu we-dialysis, ovumela ukugeleza kwegazi okungcono futhi ongasekela amazinga aphezulu okugeleza kwe-dialysis. I-brachiocephalic fistula ivame ukusetshenziswa ezigulini ezinemithambo yazo engezansi engafaneleki i-fistula.
I-Radiocephalic Fistula: Ngokuvamile ibizwa ngokuthi “izinga legolide” le-fistula, lolu hlobo luxhumanisa umthambo we-radial nomthambo we-cephalic, ngokuvamile esihlakaleni. Nakuba kungathatha isikhathi eside ukuvuthwa futhi kungase kube nokugeleza kwegazi okuphansi kancane uma kuqhathaniswa ne-brachiocephalic fistula, inikeza izinzuzo ezifana nokugcina imithambo eminingi eseduze ukuze itholakale esikhathini esizayo uma kudingeka.
Izinzuzo Zokusebenzisa Inaliti Ye-AV Fistula
Inaliti ye-AV fistula inikeza izinzuzo eziningi ekwelashweni kwe-dialysis, ikakhulukazi uma kuqhathaniswa nezinye izinto zokufinyelela imithambo yegazi njenge-central venous catheters noma i-synthetic grafts. Ezinye zezinzuzo ezibalulekile zifaka:
Ukuqina: Ama-fistula e-AV aziwa ngokuqina kwawo kanye nokusetshenziswa kwawo isikhathi eside. Uma esevuthiwe, i-fistula ye-AV ingahlala iminyaka eminingana, okwenza kube yisisombululo esihlala njalo uma kuqhathaniswa nezinye izinhlobo zokufinyelela kwemithambo yegazi.
Ingozi Ephansi Yokutheleleka: Ama-fistula anengozi ephansi yokutheleleka uma kuqhathaniswa nama-catheter aphakathi emithambo yegazi, njengoba kungekho zinto zangaphandle emzimbeni ezingasebenza njengendawo yokuzalela amabhaktheriya. Ukusetshenziswa kwezinaliti ze-AV fistula ezingenamagciwane kunciphisa kakhulu ingozi yokutheleleka.
Ukugeleza Kwegazi Okungcono: Ama-AV fistula ahlinzeka ngokugeleza kwegazi okungcono uma kuqhathaniswa nama-catheter noma ama-graft. Lokhu kugeleza kwegazi okuphezulu kuqinisekisa ukwelashwa kwe-dialysis okusebenzayo kakhudlwana, kuthuthukisa ukususwa kobuthi kanye noketshezi oluningi egazini.
Ukuvaleka Okuncane: Ama-fistula e-AV awathambekele kakhulu ekuvalekeni njengezinto zokufakelwa noma ama-catheter. Ngenxa yokuthi i-fistula isebenzisa imithambo yegazi yesiguli, umzimba awunamathuba amaningi okubangela izindlela zokuvaleka, okungaphazamisa i-dialysis.
Ivikela Imithambo Ephakathi: I-AV fistula isiza ukulondoloza imithambo ephakathi, okubaluleke kakhulu ezigulini ezingadinga i-dialysis yesikhathi eside. Ukulondoloza le mithambo kuqinisekisa ukuthi izindawo zokufinyelela zesikhathi esizayo ze-dialysis zihlala zisebenza.
Inqubo Yokwelapha Ngaphandle: Ukuhlinzwa kokwenziwa kwe-AV fistula kuyinqubo yokwelapha ngaphandle, okusho ukuthi ayidingi ukuhlala isikhathi eside esibhedlela. Iziguli ngokuvamile zingaya ekhaya ngalolo suku, futhi uma i-fistula isivuthiwe, zingabuya ukuze zithole izinqubo zokuhlanza njalo ngaphandle kwesidingo sokuhlinzwa okwengeziwe.
I-Shanghai Teamstand Corporation: Umhlinzeki Othembekile we-Amadivayisi Ezokwelapha
Uma kukhulunywa ngokuthola izinaliti ze-AV fistula ezisezingeni eliphezulu kanye namanye amadivayisi ezokwelapha, iShanghai Teamstand Corporation ivelele njengomhlinzeki ochwepheshe nothembekile. Njengoba beneminyaka eminingi yesipiliyoni emkhakheni wezokwelapha, bahlinzeka ngemikhiqizo eminingi yezokwelapha, okuhlanganisa namadivayisi okufinyelela emithanjeni yegazi, wonke enzelwe ukuhlangabezana nezindinganiso zomhlaba wonke. Izinaliti zabo ze-AV fistula zenzelwe ukunemba, ukuphepha, kanye nenduduzo yesiguli, kusiza ochwepheshe bezempilo ukuthi banikeze ukwelashwa kwe-dialysis okusebenzayo nokuphephile. Ngezitifiketi ezifana ne-CE, i-ISO13485, kanye nokuvunyelwa yi-FDA, iShanghai Teamstand Corporation iqinisekisa ukuthembeka kanye nekhwalithi yemikhiqizo yayo, ikhonza amakhasimende emhlabeni jikelele.
Ekuphetheni, izinaliti ze-AV fistula ziyingxenye ebalulekile yokwelashwa nge-dialysis, zihlinzeka ngendlela eqinile, ephephile, nephumelelayo yokufinyelela egazini. Ngezinzuzo zokugeleza kwegazi okungcono, ingozi encishisiwe yokutheleleka, kanye nokusebenziseka kwesikhathi eside, i-AV fistula yizona ezikhethwayo.ukufinyelela kwemithambo yegazikweziguli eziningi ezihlinzwa ngokuhlanza igazi. I-Shanghai Teamstand Corporation, ngokuzibophezela kwayo ekhwalithini nasekusunguleni izinto ezintsha, inikeza izinaliti ze-AV fistula ezisebenza kahle ezihlangabezana nezidingo eziqinile zokunakekelwa kwe-dialysis yesimanje.
Isikhathi sokuthunyelwe: Okthoba-21-2024