Yako dialysis fistula kana catheter inogona kuva dambudziko rehutano hwe dialysis
Kuti aite hemodialysis kune murwere, chimwe chinodiwa ndiyo nzira yekuwana ropa kubva kumurwere kumushandisi we dialysis. Izvi zvinonzi " kuwanikwa ". Iwe ungangodaro wakanzwa nezvemashoko akaita se grafts, fistulas, uye catheters. Zvose izvi marudzi akasiyana-siyana ekuwana dialysis inogona kushandiswa kuparadzanisa murwere . Tsanangudzo pamusoro peizvi dzakasiyana-siyana zve dialysis inowanikwa pano .
Ichi chinyorwa chinongotaura chete nezvezvinetso zvingave zvakabatana nekuwana 'basa mune murwere we dialysis. Ichi chikamu chezvitevedzana zvezvinyorwa zvichinyora zvinetso zve dialysis (mamwe magwaro pano uye pano ).
GRAFT / FISTULA STENOSIS
Izwi rokuti stenosis rinoreva kuderedza. Zvose mafuta uye fistura anogona kukudziridza kuderera kwechiedza chavo nokuda kwezvikonzero zvakasiyana-siyana (izvo zvinogona kubva pane zvinokonzera panguva panguva yekuiswa, nenzira iyo kuwanikwa kunowanikwa pa dialysis). Dialysis vashandi vachawanzoongorora kubatanidzwa / fistula vasati vashandurwa uye vatarisa zviratidzo zvinoreva stenosis:
- Zvichienderana nenzvimbo ye stenosis, kusvikirwa kunogona kunge kune huwandu hwemhepo , kana kuti kunyange kushaya kubuda kweropa .
- Kufuridzira kana kumira mumubati uko kuwanika kuripo kunogona kuonekwa.
- Kushushikana muhutano kunogona kuchinja uye kucharatidzwa pamapurisa e dialysis.
- Kuwedzera kweropa rinopera nguva mushure mokupera kwekurapa chiratidzo chinowanzofanana.
- Unogona kuona kuti kubudirira kwe dialysis kunogona kuwira pasi nekuda kwekuwana " recirculation ". Kudzokorora kunowanikwa muhutano apo ropa rekudzorerwa richibva kumushandi we dialysis kumurwere, rinosanganiswa neropa riri munzira kubva kumurwere kusvika kumashini, nokudaro kuumba kusagadzikana mukurapa. Izvi zvinowanzoita kuti zvisizvo zvisingakwanisi zve dialysis dose uye kukwana.
- Kana iyo stenosis inobvumirwa kuramba ichireba kwenguva yakareba, inowanzoita kuti ropa rive rakagadzirwa panzvimbo iyoyo kana kuti rinotarisirwa naro, iro rinonzi "thrombus".
GRAFT / FISTULA THROMBOSIS
Izwi rokuti thrombosis rinoreva ropa ravha. Inogona kukura mukati me dialysis grafts, fistulas, kana catheters nokuda kwezvikonzero zvakasiyana, asi chikonzero chakajairika che thrombus kugadzira is stenosis. Pane imwechete thrombus yakaumbwa mune dialysis inosvika, dialysis inobatsira inowanzosakwanisa kusvikira dambudziko rakataridzirwa. Zvose zvinoratidzwa pamusoro apa zvinogoneka mumamiriro ezvinhu ekuwana thrombosis.
KUVENGA KWADIALYSIS KUPINDA STENOSIS OR THROMBOSIS
Kana imwe kliniki isinganzwisisiki pamusoro pezvipingamupinyi zvinobva pane zvakataurwa pamusoro apa, nyanzvi yako yekwenyanzvi angakuendesa kune chiremba chechiremba kana nzvimbo yekufungidzira. Zvimwe zvidzidzo zvinogona kubatsira kusimbisa kuongororwa:
- An ultrasound of the access may show signs of stenosis / thrombosis
- Chirwere ichi chinowanzosimbiswa nekuvhara dhayi chaiyo muhutano nemifananidzo inotorwa, sey x-ray. Iyo nzira inonzi fistulogram uye izvi zvicharatidza nzvimbo ye stenosis kana thrombosis zvakanaka kwazvo
KUDZIDZWA KWADIALYSIS KUSVAKA KUTSENYA KUNA KUTI THROMBOSIS
Mishonga inotarisirwa nevanopindira nephrologist kana vaspiritori vascular.
Munhu anopindira achaisa catheter mukati mekuwana, uye edza kuwedzera chikamu chakaoma, nzira inonzi percutaneous transluminal angioplasty. Kana ropa rinoputika, rinogona kubviswa nemishonga kana magetsi, nzira inonzi thrombectomy. Kana iyo yakaita seyiyi nzira isingasviki iyo isingashandisi, kurongedzwa kwekuvhiya kunogona kudiwa.
MATAMBO ANOKOSHA KUDIALYSIS CATHETERS
Sezvandakareva munyaya ino , dialysis catheters ndiyo nzira inonyanya kufarirwa yekuita hemodialysis nokuda kwezvikonzero zvakanaka. Vanotakura mungozi yakanyanya yehutachiona, uye kunze kwekunge pane chikonzero chakanaka kwete (kana kana chiri chirwere), hapana murwere anofanira kutanga kutora dialysis kuburikidza nekateti.
Kana kangoiswa, catheters inogona kushanda zvakanaka kubva pakuenda-kuenda, chimwe chinhu chinonzi catheter yakatanga kushanda , uye kazhinji kacho nekuda kwekunyadzisa katheter mumupfu. Iyo catheter mumamiriro ezvinhu aya dzimwe nguva inogona kushandiswa uye kugadziriswa kuita kuti iite basa, kana inofanira kuchinjana.
Mune zvimwe zviitiko, catheter iyo yave ichishanda zvakanaka kwemavhiki kusvika kumwedzi inogona kurega kushanda, uye izvi zvinogona kuva chiratidzo chekuvhara ropa mukati mukati kana pedo nekatheta. Iyi thrombus inoda kurapwa, zvichida kushandisa "clot-busting" mishonga yevrombolytic, kana catheter inoda kuchinjwa. Izvi zvinokonzerwa nedambudziko iri kuti dialysis catheters "yakasimbiswa" neanticoagulant mishonga mushure mekushandisa kudzivirira ropa clot maitiro.