Esi wò ɖɔkta gblɔ na wò be wò ayiku ƒe dɔwɔwɔ dzi ɖe kpɔtɔ ŋutɔ eye be ehiã be woawɔ ʋu na wò hafi ate ŋu anɔ agbe la, vɔvɔ̃ kple dzimaɖitsitsi anya nɔ ŋuwò. Menye ema ɖeɖeko o, ke esi wògblɔ na wò be ele be nàwɔ fistula le wò alɔnu hafi woawɔ ʋumenugbagbeviɣidɔ na wò la, nyabiase bubu geɖewo anya va susu me na wò. Ànya nɔ nusiwo le abe, ‘Nukae nye fistula sia?’, ‘Ðe esia nye dɔwɔwɔ gã aɖea?’, ‘Nukae adzɔ ɖe nye alɔnu le esia megbe?’ ŋu bum. Mègatsi dzi o, nyati sia nye be yeaɖo biabia siawo katã siwo le susu me na wò la ŋu. Míaƒo nu tso nusianu ŋu le mɔ bɔbɔe aɖe ŋutɔ nu tsitotsito.
Kpuie ko la, nukae nye ʋumenugbagbeviɣidɔ?
Ele bɔbɔe ŋutɔ. Dialysis fistula nye amekoko sue aɖe si wɔnɛ be woate ŋu axɔ dialysis ƒe atike bɔbɔe eye wòanɔ dedie. Le dɔ sia wɔwɔ me la, amekola aɖe doa ka kple ʋuka aɖe kple ʋuka aɖe si le wò alɔnu. Zi geɖe la, wowɔa esia le alɔ si mèzãna wu o me (le kpɔɖeŋu me, wò miasi ne ènye ɖusibɔtɔ).
Bu eŋu ale. Ne woɖe ʋu na wò la, woɖea wò ʋu le wò ŋutilã me, tsɔa mɔ̃ aɖe kɔa eŋu, eye emegbe wogatsɔa wo dea wò ŋutilã me. Esia bia be woaʋuʋu ʋu gbogbo aɖe ayi ŋgɔ kple megbe le miniti ɖeka me. Míaƒe veins (veins) siwo sɔ la mete ŋu kpɔa ʋu ƒe sisi fũ nenema o, wogbɔdzɔ. Eyata ne èwɔ fistula la, ʋu si me ʋu sina tona le ʋukaa me hã kpɔa mɔ yia ʋukaa me, ale be ʋuka ma lolona eye wòsẽna ɖe edzi le ɣeyiɣi aɖe megbe. Ðeko wòle abe tsi ƒe pɔmpi sue aɖe ɖɔliɖɔli kple gã sesẽ aɖe ene. Wogayɔa esia be Arteriovenous (AV) Fistula .
Fistula siae nye mɔ si sɔ wu eye wòle dedie wu si dzi woato axɔ ʋu ahagbugbɔe ana hena ʋumenugbagbeviɣidɔdada. Enye mɔnu si me ʋu ƒe sisi kple dɔlékuiwo xɔxɔ ƒe afɔku le wu.
Aleke nèdzrana ɖo hafi wɔa dɔ na wò le fistula ŋu?
Esia menye amekoko gã aɖe si dzi ŋɔ o. Enye amekoko sue aɖe si zi geɖe wu enu le gaƒoƒo ɖeka alo eve me, eye àte ŋu ayi aƒeme gbemagbe ke (dɔdaƒe si wowɔna le kɔdzi).
Hafi woawɔ dɔa na wò la, wò amekola (zi geɖe la, ʋukawo ƒe amekola) aƒo nu tso esia ŋu na wò eye wòaɖe alesi woawɔ dɔae me na wò. Tsɔ kpe ɖe eŋu la, abia nya siawo wò:
- Wò lãmesẽ ŋutinya bliboa.
- Ele be nàyɔ atike ɖesiaɖe si nèzãna fifia (vevietɔ ʋumenugbagbeviɣitikewo abe Aspirin kple Clopidogrel ene) godoo.
- Ku ɖe wò nulɔdɔwo ŋu.
Emegbe, ɖɔktaa awɔ wò alɔnu ƒe ultrasound scan , alé ŋku ɖe ʋukawo kple ʋukawo ƒe nɔnɔme ŋu, eye wòatia ʋuka siwo sɔ wu na amekoko.
Alesi wowɔa fistula ƒe amekoko kple eƒe ƒomeviwo
Gbesigbe woawɔ dɔa na wò la, atikewɔlawo ƒe ƒuƒoƒoa ana atike si naa alɔ̃dɔdɔ wò le mia gbɔ gbã be wòana wò alɔ natsi. Eyata màse veve aɖeke o. Emegbe, woatso abi sue aɖe, atsɔ ʋuka kple ʋuka si wotia la aƒo ƒui, eye woatsɔ aŋe siwo woate ŋu alɔ la axe abi la.
Fistula ƒomevi vevi geɖe li siwo ɖɔktawo zãna, le afisi ʋuka siwo le wò alɔnu le nu.
| Fistula Ƒomevi | Teƒe si wole ko |
|---|---|
| Radiocephalic fistula ƒe dɔléle | Zi geɖe la, wowɔa esia le asibidɛ dzi. |
| Brachiocephalic fistula ƒe dɔléle si woyɔna be brachiocephalic fistula | Wowɔa esia le abɔta alo le ete vie. |
| Brachiobasilic fistula si wotsɔ yi teƒe bubu | Le nɔnɔme siwo me mɔnu evea siaa si le etame mate ŋu adzɔ o me la, wozãa ʋuka aɖe si le alɔa ƒe akpa si le eme tsɔ wɔa esiae. |
Aleke woawɔ akpɔ fistula la dzi le amekoko vɔ megbe?
Ɣeyiɣi vevitɔ kekeakee nye le amekoko vɔ megbe. Be woateŋu azã fistula la hena ʋumenugbagbeviɣidɔ la, ele be wòanye ‘ame tsitsi’. Esia ate ŋu axɔ abe ɣleti 2 va ɖo 3 ene . Le ɣeyiɣi sia me la, ʋukaa va lolona vivivi eye wòsẽna ɖe edzi.
Ðe nèsea "dzidzɔkpɔkpɔ" si le fistula la mea?
Ne wowɔ fistula la vɔ la, àse ʋuʋudedi vie alo ‘ɣlidodo’ aɖe ne ètsɔ asi ɖo edzi. Ele abe avu sue aɖe si le ɣli dom le wò alɔnu ene. Ðɔktawo yɔa esia be "dzidzɔkpɔkpɔ." Ne èse ʋuʋudedi sia la, efia be wò fistula la le dɔ wɔm nyuie. Ele be nàlé ŋku ɖe wò asi ŋu ŋdi kple fiẽ sia ŋdi be yease ʋuʋudedi sia hã. Na wòanye wò gbesiagbedɔwo ƒe akpa aɖe.
Dɔnɔdzikpɔla si wɔa ʋumenugbagbeviɣidɔa agblɔ na wò be nàwɔ kamededewo abe rababa bɔl sue aɖe mimi be wòado ŋusẽ fistula la ene.
Kpɔ egbɔ be yewɔ nusiawo be yeatsɔ akpɔ yeƒe fistula ta
Wò fistula nye nu xɔasi aɖe ŋutɔ si ate ŋu axɔ wò agbe, eyata ehiã be nàlé be nɛ.
| Mègawɔe o ❌ | Nusiwo woawɔ (Do's) ✅ |
|---|---|
| Mègamlɔ alɔnu eye fistula la le wò alɔnu te o. | Kpɔe ɖa be èsea "dzidzɔ" la gbesiagbe hã. |
| Mègado awu sesẽ, asigɛ, alo gaƒoɖokui ɖe asi ma dzi o. | Klɔ asiwo nyuie kple adzalẽ hafi nàɖe asi le ʋu ŋu. |
| Mègaɖe mɔ na ame aɖeke be wòaxɔ ʋu ƒe sisi (BP) ɖe alɔ si ŋu fistula le la dzi le susu aɖeke ta o. | Na abi la nanɔ dzadzɛ. |
| Mègana woaxɔ ʋu le asi ma ƒe ʋukawo me o. | Wɔ kamedede siwo ɖɔktaa ɖo aɖaŋu na wò. |
Afɔku siwo le eme kple ɣeyiɣi si wòle be woakpɔ ɖɔkta enumake
Togbɔ be fistulas mele dedie ŋutɔ hã la, kuxiwo ate ŋu ado mo ɖa ɣeaɖewoɣi.
- Dɔlékuiwo: Abi la biã, vuvu, vevesese sesẽ, ʋuʋudedi ƒe sisi.
- Ʋuka me ʋu ƒe sisi: Le go sia me la, ʋu ƒe sisi aɖe gena ɖe fistula la me. Emegbe "dzidzɔkpɔkpɔ" ƒe seselelãmea nu yina.
- Stenosis: Vea ƒe ʋuʋu tso ememe.
- Aneurysm: Ʋuka ƒe gli ƒe gbɔdzɔgbɔdzɔ, si wɔnɛ be wòdona abe ʋuʋudedi ene.
Vevietɔ wu: Ne "dzidzɔkpɔkpɔ" si nèsena gbesiagbe la nu tso zi ɖeka la, ate ŋu afia be ʋu ƒe sisi le fistula la me tɔ. Enye nudzɔdzɔ kpata aɖe! Ele be nàƒo ka na wò ɖɔkta enumake alo ayi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) .
Nya Siwo Wobia Enuenu
Ðe ayikuawo ahaya le ʋumenugbagbeviɣidɔ megbea?
Ao, ayiku siwo do kpo nu le ayikudɔléle si nɔa anyi didi ta la magahaya o. Mɔ ɖeka kolia si dzi woato adzudzɔ ʋumenugbagbeviɣidɔdadae nye be woado ayiku na ame dzidzedzetɔe.
Ɣeyiɣi didi kae fistula nɔa anyi?
Ne èlé be nɛ nyuie la, fistula ate ŋu anɔ anyi ƒe geɖe, ƒe bla nanewo gɔ̃ hã . Emae nye viɖe gãtɔ kekeake si le fistula ŋu.
Míenya be agbenɔnɔ kple ʋumenugbagbeviɣidɔ nye kuxi. Ate ŋu ate ɖeɖi ame ŋu le ŋutilã kple susu me. Gake ɖo ŋku edzi be menye wò ɖeka koe o. Ame gbogbo aɖewo, siwo dome ɖɔktawo kple dɔnɔdzikpɔlawo hã le, siwo ate ŋu akpe ɖe ŋuwò. Ðo dze kpli wo gaglãa tso nyabiase, vɔvɔ̃, alo dzimaɖitsitsi ɖe sia ɖe si ate ŋu anɔ mewò ŋu.
Gbedasi si Wotsɔ Yi Aƒeme
- Dialysis fistula ye nye mɔ nyuitɔ kekeake si dzi woato akpɔ ʋumenugbagbeviɣidɔ gbɔ eye wòle dedie wu .
- Menye amekoko gã aɖekee wònye o, ke boŋ enye amekoko sue aɖe si xɔa gaƒoƒo 1-2 zi geɖe.
- Ele vevie be woalé ŋku ɖe "dzidzɔkpɔkpɔ" ƒe seselelãme ŋu le fistula teƒe gbesiagbe le amekoko vɔ megbe. Ne edzudzɔ la, yi ɖɔkta gbɔ enumake.
- Mele be woadzidze ʋu ƒe sisi alo aɖe ʋu tso alɔ si ŋu fistula le la me le nɔnɔme aɖeke me o.
- Ne èlé be na wò fistula nyuie la, axɔ wò agbe ƒe geɖe.
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