Iinkqubo zokufikelela kwiHemodialysis

Unyango luyafuneka ukuze ufumane i-hemodialysis. Ukufikelela kulapho ufumana khona ihemodialysis. Sebenzisa ukufikelela, igazi liyasuswa emzimbeni wakho, licocwe ngumatshini we-dialysis (obizwa ngokuba yi-dialyzer), emva koko libuyiselwe emzimbeni wakho.

Ngokwesiqhelo ukufikelela kufakwa engalweni yakho kodwa kunokuhamba nasemlenzeni wakho. Kuthatha iiveki ezimbalwa ukuya kwiinyanga ezimbalwa ukufumana ukufikelela kwi-hemodialysis.

Ugqirha uya kufaka ukungena. Kukho iintlobo ezintathu zokufikelela.

Fistula:

• Ugqirha ujoyina umthambo kunye nomthambo phantsi kolusu.
• Ngomthambo kunye nomthambo oxhunyiwe, igazi elininzi liphuma liye emthanjeni. Oku kwenza umthambo womelele. Ukufakwa kwenaliti kulo mthambo womeleleyo kulula kwi-hemodialysis.
• Ifistula ithatha iiveki ezi-1 ukuya kwezi-4 ukuyila.

Uludwe:

• Ukuba unemithambo encinci engakwaziyo ukukhula ibe yifistula, ugqirha wotyando udibanisa umthambo kunye nomthambo ngombhobho owenziweyo obizwa ngokuba kukumiliselwa.
• Ukufakwa kweenaliti kunokwenziwa kulungelelwaniso lwehemodialysis.
• Ukudibanisa kuthabatha iiveki ezi-3 ukuya kwezi-6 ukuzinyanga.

Icatheter esembindini:

• Ukuba ufuna i-hemodialysis kwangoko kwaye awunalo ixesha lokulinda ukuba i-fistula okanye i-graft isebenze, ugqirha unokufaka kwi-catheter.
• I-catheter ifakwa emthanjeni entanyeni, esifubeni, okanye emlenzeni ongasentla.
• Le catheter yexeshana. Ingasetyenziselwa i-dialysis ngelixa ulinde i-fistula okanye i-graft yokuphilisa.

Izintso zisebenza njengezihluzi ukucoca ulwelo olongezelelweyo kunye nenkunkuma egazini lakho. Xa izintso zakho ziyeke ukusebenza, i-dialysis ingasetyenziselwa ukucoca igazi lakho. I-Dialysis ihlala isenziwa kathathu ngeveki kwaye ithatha malunga neeyure ezi-3 ukuya kwezi-4.

Ngalo naluphi na uhlobo lokufikelela, unomngcipheko wokuba nosulelo okanye ukopha kwegazi. Ukuba usulelo okanye amahlwili egazi ayavela, uyakufuna unyango okanye utyando olungaphezulu ukuze ulungiswe.

Ugqirha uthatha indawo efanelekileyo yokubeka ukufikelela kwakho kwimithambo. Ukufikelela kakuhle kufuna ukuhamba kwegazi okufanelekileyo. I-Doppler ultrasound okanye uvavanyo lwe-venography lunokwenziwa ukujonga ukuhamba kwegazi kwindawo enokwenzeka yokufikelela.

Ukufikelela kweVascular kuhlala kwenziwa njengenkqubo yosuku. Ungagoduka emva koko. Buza ugqirha wakho ukuba uya kufuna umntu oza kukuqhubela ekhaya.

Thetha kugqirha wakho kunye nodokotela obulala iintlungu malunga neanesthesia yenkqubo yokufikelela. Zimbini izinto onokukhetha kuzo:

• Umboneleli wakho wokhathalelo lwempilo angakunika iyeza elenza ukuba ulale kancinci kunye ne-anesthetic yendawo ukuze ubambe isiza Amalaphu abekwe kwindawo yentente ngenxa yoko akufuneki ubukele inkqubo.
• Umboneleli wakho unokukunika i-anesthesia ngokubanzi ukuze ulale ngexesha lenkqubo.

Nantsi into onokuyilindela:

• Uya kuba neentlungu nokudumba ekufikeleleni kanye emva kotyando. Cwangcisa ingalo yakho phezulu kwimiqamelo kwaye ugcine ingqiniba yakho ngokuthe ngqo ukunciphisa ukudumba.
• Gcina ubushushu bomile. Ukuba ufakwa i-catheter yethutyana, Sukuyifumana imanzi. I-AV fistula okanye ufakelo lunokumanzi kwiiyure ezingama-24 ukuya kuma-48 emva kokuba lufakiwe.
• Sukuphakamisa nantoni na ngaphezulu kweekhilogram ezili-15 (iikhilogram ezisi-7).
• Sukwenza nantoni na enzima ngelungu elinofikelelo.

Biza ugqirha wakho ukuba unayo nayiphi na imiqondiso yosulelo:

• Intlungu, ubomvu, okanye ukudumba
• Umjelo wamanzi okanye ubofu
• Umkhuhlane ongaphezu kwe-101 ° F (38.3 ° C)

Ukunyamekela ukufikelela kwakho kuya kukunceda ugcine ixesha elide ngangokunokwenzeka.

Ifistula:

• Ihlala iminyaka emininzi
• Inegazi elifanelekileyo
• Unomngcipheko omncinci wosulelo okanye ukujiya

Umthambo wakho kunye nomthambo uyaphilisa emva kwentonga nganye yenaliti yehemodialysis.

Udrafti aluhlali ixesha elide njengefistula. Inokuhlala i-1 ukuya kwi-3 iminyaka ngononophelo olufanelekileyo. Imingxunya evela ekufakweni kwenaliti iyaphuhliswa kulungelelaniso. Igrafti inomngcipheko omkhulu wosulelo okanye ukujiya kwegazi kunefistula.

Ukungaphumeleli kwezintso - okungapheliyo - ukufikelela kwedialysis; Ukungaphumeleli kwe-renal-okungapheliyo-ukufikelela kwi-dialysis; Ukungaphumeleli kwezintso okungapheliyo - ukufikelela kwi-dialysis; Ukungaphumeleli kwezintso ezingapheliyo - ukufikelela kwi-dialysis; Ukungaphumeleli kwezintso ezingapheliyo-ukufikelela kwi-dialysis

IZiko leLizwe leSwekile kunye neWebhusayithi kunye neZifo zeZintso. Uhlalutyo lweHemodialysis. www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/hemodialysis. Ukuhlaziywa ngoJanuwari 2018. Ifikeleleke ngo-Agasti 5, 2019.

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.