Kuchengeta yako vascular kuwana hemodialysis

Iwe une vascular kuwana hemodialysis. Kuchengeta zvakanaka kuwana kwako kunobatsira kuti igare kwenguva refu.

Tevedza rairo yemubatsiri wako wezvehutano nezvekuti ungatarisira sei kuwana kwako pamba. Shandisa ruzivo rwuri pazasi sechiyeuchidzo.

Kuwana kwevascular kuvhura kunoitwa mukati meganda rako uye neropa mutsinga panguva pfupi yekuvhiya. Paunenge uine dialysis, ropa rako rinoyerera richibva kunze kwekuwana kupinda muchina wehemodialysis. Mushure mekusefurwa kweropa rako mumushini, inoyerera ichidzoka kuburikidza nekupinda mumuviri wako.

Kune matatu makuru mhando dzevascular access ye hemodialysis. Izvi zvinotsanangurwa seinotevera.

Fistula: Tsinga iri muchanza chako kana ruoko rwepamusoro rakasonerwa mutsinga iripedyo.

• Izvi zvinobvumira tsono kuiswa mukati mutsinga yekurapa dialysis.
• Fistula inotora kubva kumavhiki mana kusvika kumatanhatu kupora nekukura isati yagadzirira kushandisa.

Girafu: Tsinga uye tsinga paruoko rwako zvakabatanidzwa neU-yakaita plastiki chubhu pasi peganda.

• Tsono dzinoiswa mukati mekubatanidzwa kana iwe uine dialysis.
• Graft inogona kunge yakagadzirira kushandisa mumavhiki maviri kusvika mana.

Central venous catheter: Iyo yakapfava epurasitiki chubhu (catheter) inodonhedzwa pasi peganda rako uye inoiswa mutsinga mumutsipa wako, chifuva, kana kugomera. Kubva ipapo, iyo tubing inoenda mukati yepakati tsinga inotungamira kumoyo wako.

• Iyo yepakati venous catheter yakagadzirira kushandisa ipapo.
• Inowanzo shandiswa kwemavhiki mashoma kana mwedzi mishoma.

Unogona kuve nehutsvuku kana kuzvimba uchitenderedza nzvimbo yako yekuwana kwemazuva ekutanga. Kana iwe uine fistula kana kubatanidzwa:

• Gadzira ruoko rwako pamapiro uye chengetedza gokora rako kuti udzikise kuzvimba.
• Unogona kushandisa ruoko rwako kana wasvika kumba kubva kuvhiya. Asi, usasimudze anodarika gumi mapaundi (lb) kana 4.5 kilograms (kg), inova inenge huremu hwegoroni remukaka.

Kuchengeta kupfeka (bhandeji):

• Kana iwe uine kubatanidzwa kana fistula, chengetedza kupfeka kuome kwemazuva maviri ekutanga. Unogona kugeza kana kugeza senguva dzose mushure mekunge kupfeka kwabviswa.
• Kana iwe uine yepakati venous catheter, iwe unofanirwa kuchengeta kupfeka kwakaoma nguva dzese. Ivhare nepurasitiki paunenge uchigeza. Usatore mabhati, enda kunoshambira, kana kunyura mutabhu inopisa. Usarega chero munhu achiburitsa ropa kubva pane yako catheter.

Graft uye catheters zvinowanzoitika kupfuura fistula kutapukirwa. Zviratidzo zvehutachiona kutsvuka, kuzvimba, kusuruvara, kurwadziwa, kudziya, pus yakakomberedza saiti, uye fivha.

Ropa rakagwamba rinogona kuumba uye kudzivirira kuyerera kweropa kuburikidza neiyo saiti yekuwana. Graft uye catheters zvinowanzoitika kupfuura fistula yekuvhara.

Iyo mitsipa yeropa mune yako kubatanidza kana fistula inogona kudzikira uye kudzikisira kuyerera kweropa kuburikidza nekuwana. Izvi zvinonzi stenosis.

Kuteedzera aya maratidziro kuchakubatsira iwe kudzivirira hutachiona, kuwanda kweropa, uye mamwe matambudziko neako vascular kuwana.

• Nguva dzose geza maoko ako nesipo nemvura inodziya usati uye mushure mekubata kwaunowana. Chenesa nzvimbo yakatenderedza mukana nesipo inorwisa mabhakitiriya kana kukwiza doro usati warapwa dialysis.
• Tarisa kuyerera (kunonziwo kunakidzwa) mukuwana kwako mazuva ese. Wako mupi achakuratidza kuti sei.
• Chinja uko tsono inopinda mufistula yako kana kubatika kune yega dialysis kurapwa.
• Usarega chero munhu achitora BP yako, kutanga IV (intravenous line), kana kutora ropa kubva paruoko rwako rwekuwana.
• Usarega chero munhu achitora ropa kubva kune yako tunneled yepakati venous catheter.
• Usarara pane ruoko rwako rwekupinda.
• Usatakure zvinopfuura gumi lb (4.5 kg) neruoko rwako rwekuwana.
• Usapfeke wachi, zvishongo, kana mbatya dzakakamira pane yako saiti yekuwana.
• Ive nekuchengera kuti usagunze kana kutema kupinda kwako.
• Shandisa kuwana kwako chete kune dialysis.

Fonera mupiki wako ipapo ipapo kana iwe ukaona chero eaya matambudziko.

• Kubuda ropa kubva kune yako vhezheni yekuwana saiti
• Zviratidzo zvehutachiona, senge kutsvuka, kuzvimba, kusuruvara, kurwadziwa, kudziya, kana pus yakakomberedza saiti
• Fivha 100.3 ° F (38.0 ° C) kana yakakwira
• Kuyerera (kunakidzwa) mukubatanidzwa kwako kana fistula kunodzikira kana iwe usingazvinzwe zvachose
• Ruoko kunoiswa catheter yako rinozvimba uye ruoko kudivi irwo rwunonzwa kutonhora
• Ruoko rwako rwunotonhora, rwakabatwa nechiveve kana kupera simba

Arteriovenous fistula; A-V fistula; A-V kubatanidzwa; Catheter inodonhedzwa

Kern WV. Zvirwere zvinosanganisirwa neyemukati mitsara mitsara uye graft. Mune: Cohen J, Powderly WG, Opal SM, eds. Zvirwere zvinotapukira. 4th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 48.

National Institute of Chirwere cheshuga uye Digestive uye Kidney Zvirwere webhusaiti. Hemodialysis. www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/hemodialysis. Yakagadziridzwa Ndira 2018. Yakasvika muna Kukadzi 1, 2021.

Yeun JY, Mudiki B, Depner TA, Chin AA. Hemodialysis. Mune: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner uye Rector Iyo Itsvo. 11th ed. Philadelphia, PA: Elsevier; 2020: chits. 63.

• Dialysis