Ukunakekela ukufinyelela kwakho kwemithambo ye-hemodialysis

Unokufinyelela kwemithambo yegazi kwe-hemodialysis. Ukunakekela ukufinyelela kwakho kahle kuyasiza ukuthi kuhlale isikhathi eside.

Landela imiyalo yomhlinzeki wakho wezokunakekelwa kwempilo yokuthi ungakunakekela kanjani ukufinyelela kwakho ekhaya. Sebenzisa imininingwane engezansi njengesikhumbuzo.

Ukufinyelela emithanjeni imbobo eyenziwe esikhumbeni sakho nasemthanjeni wegazi ngesikhathi sokuhlinzwa okufushane. Uma une-dialysis, igazi lakho liphuma ngaphandle kokungena emshinini we-hemodialysis. Ngemuva kokuba igazi lakho lihlungiwe emshinini, liphindela emuva ngokungena emzimbeni wakho.

Kunezinhlobo ezi-3 eziphambili zokufinyelelwa ngemithambo yegazi kwe-hemodialysis. Lokhu kuchazwe ngokulandelayo.

I-Fistula: Umthambo engalweni yakho noma engalweni ephezulu uthungelwa emthanjeni oseduze.

• Lokhu kuvumela ukuthi izinaliti zifakwe emthanjeni wokwelashwa kwe-dialysis.
• I-fistula ithatha amasonto amane kuya kwayisithupha ukuphola nokuvuthwa ngaphambi kokuba ilungele ukusetshenziswa.

Ubuthi: Umthambo kanye nomthambo engalweni yakho kuhlanganiswe ithubhu lepulasitiki elimise okwe-U ngaphansi kwesikhumba.

• Izinaliti zifakwa ohlakeni lapho une-dialysis.
• Ukuxhunyelelwa kungakulungela ukusetshenziswa emavikini amabili kuya kwamane.

I-catheter ye-venous emaphakathi: Ishubhu epulasitiki ethambile (i-catheter) idonswa ngaphansi kwesikhumba sakho bese ibekwa emthanjeni entanyeni yakho, esifubeni noma emgodini. Ukusuka lapho, ishubhu lingena emthanjeni ophakathi oholela enhliziyweni yakho.

• I-catheter ye-venous emaphakathi isilungele ukusetshenziswa ngokushesha.
• Imvamisa isetshenziswa kuphela amasonto noma izinyanga ezimbalwa.

Ungaba nokubomvu okuncane noma ukuvuvukala ezungeze isiza sakho sokufinyelela ezinsukwini ezimbalwa zokuqala. Uma une-fistula noma i-graft:

• Phakamisa ingalo yakho emicamelweni bese ugcina indololwane yakho iqonde ukuze kunciphise ukuvuvukala.
• Ungasebenzisa ingalo yakho ngemuva kokufika ekhaya kusuka ekuhlinzweni. Kepha, ungaphakamisi ngaphezu kwamakhilogremu ayi-10 (lb) noma ama-4.5 kilograms (kg), okucishe kube isisindo selitha lobisi.

Ukunakekela ukugqoka (ibhandeshi):

• Uma une-graft noma i-fistula, gcina ukugqoka kumile ezinsukwini ezimbili zokuqala. Ungageza noma ugeze njengenjwayelo ngemuva kokususwa kokugqoka.
• Uma une-catheter ene-venous emaphakathi, kufanele ukugqoka kungomi ngaso sonke isikhathi. Yimboze ngoplastiki lapho ugeza. Ungagezi, uyobhukuda noma ungene kubhavu oshisayo. Ungavumeli noma ngubani ukuthi adonse igazi emgodini wakho wokufaka amanzi emgodini.

Ama-grafting nama-catheters maningi amathuba okutheleleka kune-fistula. Izimpawu zokutheleleka ukubomvu, ukuvuvukala, ukuba buhlungu, ubuhlungu, ukufudumala, ubomvu oluzungeze isiza nomkhuhlane.

Amahlule egazi angakha futhi avimbe ukuhamba kwegazi endaweni yokungena. Ama-grafting nama-catheters maningi amathuba okuthi ama-fistula agqume.

Imithambo yegazi ku-graft yakho noma i-fistula ingaba mincane futhi inciphise ukugeleza kwegazi ngokufinyelela. Lokhu kubizwa ngokuthi yi-stenosis.

Ukulandela le mihlahlandlela kuzokusiza ugweme ukutheleleka, amahlule egazi, nezinye izinkinga ngokufinyelela kwakho kwemithambo yegazi.

• Geza izandla zakho njalo ngensipho namanzi afudumele ngaphambi nangemva kokuthinta ukufinyelela kwakho. Hlanza indawo ezungeze ukufinyelela ngensipho elwa namagciwane noma ngokuhlikihla utshwala ngaphambi kokwelapha kwakho nge-dialysis.
• Hlola ukugeleza (okubizwa nangokuthi ukuthakazelisa) ekufinyeleleni kwakho nsuku zonke. Umhlinzeki wakho uzokukhombisa ukuthi kanjani.
• Shintsha lapho inaliti ingena ku-fistula yakho noma ekuxhunyelelweni kokwelashwa ngakunye kwe-dialysis.
• Ungavumeli noma ngubani ukuthi akuthathele umfutho wegazi, aqale i-IV (intambo efakwa emithanjeni), noma adonse igazi engalweni yakho yokungena.
• Ungavumeli noma ngubani ukuthi adonse igazi emgodini wakho we-venous catheter.
• Ungalali engalweni yakho yokungena.
• Ungaphathi okungaphezu kwe-10 lb (4.5 kg) ngengalo yakho yokungena.
• Ungafaki iwashi, ubucwebe, noma izingubo eziqinile kusayithi lakho lokungena.
• Qaphela ukuthi ungashayisi noma usike ukufinyelela kwakho.
• Sebenzisa ukufinyelela kwakho nge-dialysis kuphela.

Shayela umhlinzeki wakho ngokushesha uma ubona noma iyiphi yalezi zinkinga:

• Ukopha esizeni sakho sokufinyelela semithambo
• Izimpawu zokutheleleka, njengokubomvu, ukuvuvukala, ubuhlungu, ubuhlungu, ukufudumala, noma ubomvu eduze kwesayithi
• Umkhuhlane 100.3 ° F (38.0 ° C) noma ngaphezulu
• Ukugeleza (ukuthakazelisa) ekubambisaneni kwakho noma i-fistula kunciphisa noma awukuzwa nhlobo
• Ingalo lapho kubekwa khona ipayipi lakho iyavuvukala bese isandla sakulolo hlangothi sizwa ukubanda
• Isandla sakho siyagodola, sibe ndikindiki noma sibe buthakathaka

I-arteriovenous fistula; I-A-V fistula; Ukuxhunyelelwa kwe-A-V; Ipayipi le-tunnel

I-Kern WV. Izifo ezihambisana nemigqa ye-intravascular kanye ne-graft. Ku: Cohen J, Powderly WG, Opal SM, ama-eds. Izifo Ezithathelwanayo. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2017: isahluko 48.

I-National Institute of Diabetes kanye newebhusayithi yezifo zeDigestive and Kidney. Ukuhlolwa kweHemodialysis. www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/hemodialysis. Kubuyekezwe uJanuwari 2018. Kufinyelelwe ngoFebhuwari 1, 2021.

I-Yeun JY, i-Young B, i-Depner TA, i-Chin AA. Ukuhlolwa kweHemodialysis. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ama-eds. IBrenner neRector's The Kidney. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 63.

• I-Dialysis