Izinqubo zokufinyelela zeHemodialysis

Ukufinyelela kuyadingeka ukuze uthole i-hemodialysis. Ukufinyelela kulapho uthola khona i-hemodialysis. Kusetshenziswa ukufinyelela, igazi liyasuswa emzimbeni wakho, lihlanzwe ngomshini we-dialysis (obizwa nge-dialyzer), bese libuyiselwa emzimbeni wakho.

Imvamisa ukufinyelela kufakwa engalweni yakho kepha kungangena nasemlenzeni wakho. Kuthatha amasonto ambalwa kuya ezinyangeni ezimbalwa ukuthola ukufinyelela okulungele i-hemodialysis.

Udokotela ohlinzayo uzofaka ukungena. Kunezinhlobo ezintathu zokufinyelela.

I-Fistula:

• Udokotela ohlinzayo ujoyina umthambo nomthambo ngaphansi kwesikhumba.
• Njengoba umthambo nomthambo kuxhunyiwe, igazi eliningi ligelezela emthanjeni. Lokhu kwenza umthambo uqine. Ukufakwa kwenaliti kulo mthambo onamandla kulula kwi-hemodialysis.
• I-fistula ithatha amaviki awu-1 kuya kwayi-4 ukuyakha.

Ubuciko:

• Uma unemithambo emincane engakwazi ukukhula ibe i-fistula, udokotela ohlinzayo uxhuma umthambo nomthambo ngethambo lokwenziwa elibizwa ngokuthi yi-graft.
• Ukufakwa kwenaliti kungenziwa ohlakeni lwe-hemodialysis.
• Ukuxhunyelelwa kuthatha amaviki amathathu kuya kwayisithupha ukuphola.

Ipayipi le-venous elimaphakathi:

• Uma udinga i-hemodialysis khona manjalo futhi awunaso isikhathi sokulinda i-fistula noma i-graft ukuze isebenze, udokotela ohlinzayo angafaka ipayipi.
• Ipayipi lifakwa emthanjeni entanyeni, esifubeni noma emlenzeni ongaphezulu.
• Leli catheter lingelesikhashana. Ingasetshenziselwa i-dialysis ngenkathi ulinde i-fistula noma i-graft ukuphola.

Izinso zisebenza njengezihlungi ukuhlanza uketshezi oluthe xaxa nemfucuza egazini lakho. Lapho izinso zakho ziyeka ukusebenza, i-dialysis ingasetshenziselwa ukuhlanza igazi lakho. I-Dialysis ivame ukwenziwa kathathu ngesonto futhi ithatha cishe amahora amathathu kuya kwayi-4.

Nganoma yiluphi uhlobo lokufinyelela, unengozi yokuthola ukutheleleka noma i-clot yegazi. Uma ukutheleleka noma amahlule egazi ekhula, uzodinga ukwelashwa noma ukuhlinzwa okwengeziwe ukukulungisa.

Udokotela ohlinzayo unquma indawo engcono yokubeka ukufinyelela kwakho kwemithambo yegazi. Ukufinyelela okuhle kudinga ukuhamba kahle kwegazi. Ukuhlolwa kwe-Doppler ultrasound noma kwe-venography kungenziwa ukubheka ukugeleza kwegazi endaweni okungena kuyo.

Ukufinyelela kwe-Vascular kuvame ukwenziwa njengenqubo yosuku. Ungaya ekhaya ngemuva kwalokho. Buza udokotela wakho ukuthi uzodinga umuntu ozokuyisa ekhaya.

Khuluma nodokotela wakho ohlinzayo nodokotela obulala izinzwa mayelana ne-anesthesia ngenqubo yokufinyelela. Kunezinketho ezimbili:

• Umhlinzeki wakho wezokunakekelwa kwempilo angakunika umuthi okwenza ukuthi ubuthongo obuncane futhi ube nendawo yokubulala izinzwa yasendaweni ukuze ukhulule isayithi. Izindwangu zifakwe etendeni phezu kwendawo ngakho-ke akudingeki ubuke inqubo.
• Umhlinzeki wakho angakunika i-anesthesia ejwayelekile ngakho ulele ngesikhathi senqubo.

Nakhu ongakulindela:

• Uzoba nobuhlungu nokuvuvukala ekufinyeleleni ngemuva kokuhlinzwa. Phakamisa ingalo yakho phezu kwemicamelo bese ugcina indololwane yakho iqonde ukwehlisa ukuvuvukala.
• Gcina imbobo yomile. Uma ufakwa ipayipi lesikhashana, UNGALITHUMI libe manzi. I-AV fistula noma i-graft ingaba manzi amahora angama-24 kuye kwangama-48 ngemuva kokufakwa kwayo.
• Ungaphakamisi lutho ngaphezu kwamakhilogremu ayi-15.
• Ungenzi lutho olukhathazayo ngomlenze ngokufinyelela.

Shayela udokotela wakho uma unezimpawu zokutheleleka:

• Ubuhlungu, ubomvu, noma ukuvuvukala
• Ukugeleza kwamanzi noma ubomvu
• Imfiva engaphezu kuka-101 ° F (38.3 ° C)

Ukunakekela ukufinyelela kwakho kuzokusiza ukukugcina isikhathi eside ngangokunokwenzeka.

I-fistula:

• Ihlala iminyaka eminingi
• Inokugeleza okuhle kwegazi
• Inengozi encane yokutheleleka noma yokuqina

Umthambo nomthambo wakho kuyaphola ngemuva kwenduku ngayinye yenaliti ye-hemodialysis.

Ukuxhunyelelwa akuhlali isikhathi eside njenge-fistula. Ingahlala unyaka owodwa kuya kwemi-3 ngokunakekelwa okufanele. Izimbobo ezivela ekufakweni kwenaliti ziyathuthuka ekuxhumeleni. Ukuxhunyelelwa kunengozi enkulu yokutheleleka noma yokujiya kune-fistula.

Ukwehluleka kwezinso - ukufinyelela okungapheli - kwe-dialysis; Ukwehluleka kwezinso - ukufinyelela okungapheli - kwe-dialysis; Ukungasebenzi kahle kwezinso okungapheli - ukufinyelela nge-dialysis; Ukwehluleka kwezinso okungamahlalakhona - ukufinyelela nge-dialysis; Ukwehluleka kwezinso okungamahlalakhona - ukufinyelela nge-dialysis

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 ngo-Agasti 5, 2019.

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.