Ukunyamekela ukufikelela kwakho kwe-vascular ye-hemodialysis

Unokufikelela kwi-vascular ye-hemodialysis. Ukunyamekela ukufikelela kwakho kunceda ukuba uhlale ixesha elide.

Landela imiyalelo yomboneleli wakho wezempilo ngendlela yokunyamekela ukufikelela kwakho ekhaya. Sebenzisa olu lwazi lungezantsi njengesikhumbuzo.

Ukufikelela kwemithambo kukuvula okwenziwe kulusu nakwigazi lakho ngexesha lotyando olufutshane. Xa une-dialysis, igazi lakho liphuma lingene kumatshini we-hemodialysis. Emva kokuba igazi lakho lihluziwe kumatshini, libuyela umva ngokungena emzimbeni wakho.

Zintathu iintlobo eziphambili zokufikelela kwi-vasodialysis. Ezi zichazwe ngolu hlobo lulandelayo.

I-Fistula: Umthambo engalweni yakho okanye engalweni ephezulu uthungelwe kumthambo okufuphi.

• Oku kuvumela iinaliti ukuba zifakwe emthanjeni kunyango lwe-dialysis.
• I-fistula ithatha iiveki ezi-4 ukuya kwezi-6 ukuphilisa nokuvuthwa phambi kokuba ikulungele ukuyisebenzisa.

Ubume bomthambo: Umthambo kunye nomthambo engalweni yakho zidityaniswe yityhubhu yeplastiki emise okwe-U phantsi kolusu.

• Iinaliti zifakwa kwi-graft xa une-dialysis.
• I-graft inokulungela ukusetyenziswa kwiiveki ezi-2 ukuya kwezi-4.

I-catheter ye-venous esembindini: Ityhubhu yeplastiki ethambileyo (i-catheter) ijijelwe phantsi kolusu lwakho kwaye ibekwe emthanjeni entanyeni, esifubeni, okanye emhlanjeni. Ukusuka apho, i-tubing iya kumthambo ophakathi okhokelela entliziyweni yakho.

• I-catheter ye-venous esembindini ikulungele ukusetyenziswa kwangoko.
• Ihlala isetyenziswa kuphela iiveki okanye iinyanga ezimbalwa.

Unokuba nobomvu obuncinci okanye ukuvuvukala malunga nendawo yakho yokufikelela kwiintsuku ezimbalwa zokuqala. Ukuba unayo i-fistula okanye i-graft:

• Cacisa ingalo yakho kwimiqamelo kwaye ugcine ingqiniba yakho ngqo ukunciphisa ukudumba.
• Ungayisebenzisa ingalo yakho emva kokuba ufike ekhaya usenziwa utyando. Kodwa, musa ukuphakamisa ngaphezulu kweepawundi ezili-10 (lb) okanye ii-4.5 kilograms (kg), ezimalunga nobunzima begaloni yobisi.

Ukugcina unxiba (ibhandeji):

• Ukuba unegrafti okanye i-fistula, gcina isinxibo somile kwiintsuku ezimbini zokuqala. Ungahlamba okanye uhlambe njengesiqhelo emva kokuba isinxibo sisusiwe.
• Ukuba une-catheter ye-venous esembindini, kufuneka ugcine ukunxiba komile ngalo lonke ixesha. Yigqume ngeplastiki xa uhlamba. Sukuhlamba, uhambe uyokudada, okanye ungene kwindawo yokuhlambela eshushu. Musa ukuvumela nabani na ukuba atsale igazi kwi-catheter yakho.

Iigrafti kunye neecatheters zinokwenzeka ngakumbi ukuba i-fistula isulelwe. Iimpawu zosulelo bubomvu, ukudumba, ukudakumba, iintlungu, ukufudumala, ubofu obujikeleze indawo kunye nomkhuhlane.

Amahlwili egazi angenza kwaye athintele ukuhamba kwegazi kwindawo yokufikelela. Iigrafti kunye neecatheters zinokwenzeka ngakumbi kunefistula yokugquma.

Imithambo yegazi kwi-graft yakho okanye i-fistula inokuba mxinwa kwaye icothise ukuhamba kwegazi ngokufikelela. Oku kubizwa ngokuba yi-stenosis.

Ukulandela ezi zikhokelo kuya kukunceda uphephe usulelo, amahlwili egazi, kunye nezinye iingxaki ngokufikelela kwakho kwimithambo.

• Ngalo lonke ixesha hlamba izandla zakho ngesepha namanzi ashushu ngaphambi nasemva kokuchukumisa ukufikelela kwakho. Coca indawo ejikeleze ukufikelela kwisepha ye-antibacterial okanye uthabathe utywala ngaphambi konyango lwakho lwe-dialysis.
• Jonga ukuhamba (okwabizwa ngokuba kukugcoba) ekufikeleleni kwakho yonke imihla. Umboneleli wakho uya kukubonisa ukuba kanjani.
• Guqula apho inaliti ingena kwi-fistula yakho okanye ekumiliseleni kunyango ngalunye lwe-dialysis.
• Musa ukuvumela nabani na ukuba athathe uxinzelelo lwegazi, aqalise i-IV (intambo efakwa ngaphakathi), okanye utsale igazi kwingalo yakho yokufikelela.
• Musa ukuvumela nabani na ukuba atsale igazi kwi-catheter yakho ye-venous.
• Musa ukulala kwingalo yakho yokufikelela.
• Musa ukuphatha ngaphezulu kwe-10 lb (4.5 kg) ngengalo yakho yokufikelela.
• Musa ukunxiba iwotshi, ubucwebe, okanye iimpahla eziqinileyo kwindawo yakho yokungena.
• Lumka ungangqubeki okanye usike ukufikelela kwakho.
• Sebenzisa ukufikelela kwakho kwi-dialysis kuphela.

Fowunela umboneleli wakho kwangoko xa ubona nayiphi na kwezi ngxaki:

• Ukopha kwindawo yakho yokufikelela kwimithambo
• Iimpawu zosulelo, ezinje ngokubomvu, ukudumba, ukukhathazeka, iintlungu, ukufudumala, okanye ubofu ojikeleze isiza
• Umkhuhlane 100.3 ° F (38.0 ° C) okanye ngaphezulu
• Ukuhamba (ukonwaba) kwi-graft yakho okanye kwi-fistula kunciphisa okanye ungaziva kwaphela
• Ingalo apho ibekwe khona icatheter yakho iyadumba kwaye isandla kwela cala siziva sibanda
• Isandla sakho siyabanda, sindindisholo okanye sibuthathaka

I-fterula yentsholongwane; I-AV V fistula; Ukumiliselwa kwe-A; I-catheter edibeneyo

IKern WV. Usulelo olunxulunyaniswa nemigca ye-intravascular kunye negrafti. Ku: Cohen J, Powderly WG, Opal SM, ii-eds. Izifo ezosulelayo. Ngomhla we-4. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 48.

IZiko leLizwe leSwekile kunye neWebhusayithi kunye neZifo zeZintso. Uhlalutyo lweHemodialysis. www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/hemodialysis. Ukuhlaziywa ngoJanuwari 2018. Kufikeleleke ngoFebruwari 1, 2021.

Yeun JY, Young B, Depner TA, Chin AA. Uhlalutyo lweHemodialysis. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ii-eds. Brenner kunye noMphathi weZintso. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2020: isahl. 63.

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