Haasi marudzi ese edialysis accesses akasika zvakafanana
CHII CHINOKOSHA "KUPINDA KWEMASIKA"?
Apo chirwere chepfungwa chirwere chepfungwa chirwere chakakundikana kupfuura pane imwe pfungwa , renal replacement therapy ne dialysis inodiwa. Kune marudzi maviri akasiyana edialysis , zvakanyanya kutaura:
- Hemodialysis
- Peritoneal Dialysis
Kunyange zvazvo peritoneal dialysis inoshandiswa uchishandisa catheter inowanikwa mudumbu romumwe, hemodialysis (iyo inonyanya kufanana nehutachiona hwe dialysis muUnited States) inoitwa nenzira inonzi " vascular access ".
MuchiShona zvakajeka, kupindira kwemavhutura ndiyo nzira iyo ropa rinotorwa kubva mumuviri wako kuti rienderedzwe mumushandisi we dialysis uko racheneswa kubva kunhuwa uye kunyanyisa mvura. Iri "ropa rakachena" rinodzoserwa mumuviri wako kuburikidza nehutano hwekutsvaga.
Kupindira kwemasvikiro ndeyekuchengetedzwa kwemurwere we dialysis . Pasina kuwana, hapana nzira yekuita dialysis yeinso kusagadzikana murwere. Iroreji yeputswe kusagadzikana murwere asina basa repimpure haigoni kurarama kupfuura kwemavhiki mashoma pasina dialysis.
ZVII ZVINONYANYA ZVINOKUDZISA ZVAKASVIKA ZVINOGONA
Kune 3 maitiro akasiyana-siyana ezvingaita sarudzo kana zvasvika pakusarudza kusvibiswa kwemavhukira kune murwere we hemodialysis:
- Arterio-venous fistula
- Arterio-venous greft
- Venous catheter
CHII CHINOKUDZIDZWA PAKATI ZVITATU ZVITATU ZVADIALYSIS ZVAUNOGONA?
Rega ndimbotanga nekutsanangura maitiro ezvakakosha ehurumende pakati pezvisarudzo zvitatu zviri pamusoro apa.
Iwe unogona kuziva kuti "arteriyuta" mishonga yeropa inotakura ropa reoksijeni kubva mumoyo kuenda kune nhengo dzakasiyana-siyana. Mishonga inoputika mu "capillaries", iyo inozopedzisira yaungana pamwe kuumba izvo zvinonzi "mvumbi". iyo oxygijini yakashandiswa, kudzokera kumwoyo.
Heano mifananidzo yekumiririra kweyi pfungwa.
Sezvo iwe unogona kuonga kubva muchidimbu chiri pamusoro apa, arteri uye mitsipa hazvibatanidzi zvakananga . Saka iwe une "mitsara" iyi shoma yemapilisare ari kubuda kubva kugaurwa kwemaseri, iyo inobatanidza kuita mitsetse. Zvino chimbofungidzira kana chimiro chaifanira kugadzira "bhulogi" pakati peyeri uye mutsara zvakananga (saka nokupfuura ma capillaries). Iri bhiriji rinotumidzwa seve fisttula arteriovenous, kana kuburitsa arteriovenous. Izwi rokuti "arterio-venous" rinoreva ropa rinoyerera kubva muhadari kusvika kune mutsva. Kana iyi "bhulogi" ichiitika sechikamu chemuviri wemuviri wega, inonzi ftertula arteriovenous . Zvisinei, kana bhulogi ichiitika sechinhu chakavharidzirwa chekunze, inonzi inhare yekubatanidza .
Pakupedzisira, catheter inotyisa inowanzoita seyeri inopinza mumuganhu. Kunze kwekuti zvishoma uye zvakanyanya uye zvinopindirwa mune rimwe guru re "midzi" mitsipa mumutsipa kana muchero. Iyo inosungirirwa zvachose mumutsipa. Hapana iyo inonzi "bhiriji" iripo pakati peyeri uye mutsara munyaya ino. Zvisinei, catheter ine mahwendefa akawanda, rimwe rayo rinoshandiswa kukwevera ropa kubva kumunhu kusvika kumushandisi we dialysis, uye imwe iyo iyo ropa rakachena rinoyerera kubva kumhepo ye dialysis ichidzokera kumurwere.
Heano vhidhiyo yakanaka inoratidza kuti greft yakaiswa sei uye kuti inoshanda sei.
Verenga pamusoro kuti unzwisise kuti nei kuronga panguva yakakodzera kunokosha zvikuru kana zvichiitika pakuisa dialysis kupinda, uye nei fistulas ndiyo inonyanya kutsvakwa mushure mekutsvaga. Kusava nevanonyanya kufarira kuwanikwa nenguva iyo dialysis inotanga ichechi Achilles chechirwere che dialysis!