I ka wā i haʻi aku ai kāu kauka iā ʻoe ua emi nui ka hana o kou puʻupaʻa a pono ʻoe e hana i ka dialysis e ola ai, ua makaʻu nui ʻoe a me ka hopohopo. ʻAʻole wale kēlā, akā i kāna haʻi ʻana iā ʻoe e pono ʻoe e hana i kahi fistula ma kou lima ma mua o ka dialysis, ua nui nā nīnau hou aʻe i hiki mai i kou manaʻo. Pono ʻoe e noʻonoʻo i nā mea e like me, 'He aha kēia fistula?', 'He hana nui anei kēia?', 'He aha ka mea e hiki mai ana i koʻu lima ma hope o kēia?' Mai hopohopo, ʻo kēia ʻatikala e pane i kēia mau nīnau a pau āu e noʻonoʻo nei. E kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi a kikoʻī hoʻi.
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I ka ʻōlelo maʻalahi, he aha ka dialysis fistula?
He mea maʻalahi loa ia. He hana ʻoki liʻiliʻi ka dialysis fistula e hiki ai iā ʻoe ke loaʻa ka mālama dialysis me ka maʻalahi a me ka palekana. Ma kēia kaʻina hana, hoʻopili ke kauka lapaʻau i kahi aʻa a me kahi vein i kou lima. Hana pinepine ʻia kēia ma ka lima āu e hoʻohana ʻole ai (no ka laʻana, kou lima hema inā he lima ʻākau ʻoe).
E noʻonoʻo i kēia ʻano. Ke hana ʻoe i ka dialysis, lawe ʻia kou koko mai kou kino, hoʻomaʻemaʻe ʻia e kahi mīkini, a laila hoʻihoʻi ʻia i loko o kou kino. Pono kēia i ka neʻe ʻana i ka nui o ke koko i mua a i hope i kēlā me kēia minuke. ʻAʻole hiki i ko mākou mau aa maʻamau (veins) ke lawelawe i kēlā nui o ke kahe koko, ua nāwaliwali lākou. No laila, ke hana ʻoe i kahi fistula, ʻo ke koko kiʻekiʻe e hele mai ana mai ke aʻa e komo pū i loko o ke aʻa, i nui a ikaika ai kēlā aʻa i ka hala ʻana o ka manawa. Ua like ia me ka hoʻololi ʻana i kahi paipu wai liʻiliʻi me kahi paipu nui a ikaika. Ua kapa ʻia hoʻi kēia he Arteriovenous (AV) Fistula .
ʻO kēia fistula ke ala kūpono loa a palekana loa e loaʻa a hoʻihoʻi i ke koko no ka mālama ʻana i ka dialysis. ʻO ia ke ʻano me ka pilikia haʻahaʻa loa o nā ʻōpū koko a me ka maʻi.
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki ʻana i ka fistula?
ʻAʻole kēia he ʻoki kino nui a weliweli. He ʻoki kino liʻiliʻi ia e hoʻopau pinepine ʻia i loko o hoʻokahi a ʻelua paha hola, a hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi (kaʻina hana ma waho).
Ma mua o ke ʻoki ʻana, e kamaʻilio kāu kauka ʻoki (ʻo ia hoʻi he kauka ʻoki vascular) me ʻoe e pili ana i kēia a wehewehe pehea e hana ʻia ai ke ʻoki ʻana. Eia kekahi, e nīnau ʻo ia iā ʻoe i kēia mau nīnau:
- Kou mōʻaukala olakino piha.
- Pono ʻoe e haʻi pono i nā lāʻau lapaʻau āu e lawe nei (ʻoi aku hoʻi nā lāʻau hoʻokahe koko e like me Aspirin lāua ʻo Clopidogrel ).
- E pili ana i kāu mau maʻi allergies.
A laila, e hana ke kauka i kahi scan ultrasound o kou lima, e nānā i ke kūlana o nā aʻa a me nā aʻa koko, a koho i nā aʻa koko kūpono loa no ke ʻoki ʻana.
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Check Availability →Pehea a me nā ʻano o ke ʻoki ʻana o ka fistula e hana ʻia ai
I ka lā o ke ʻoki kino, e hāʻawi mua ke kime lapaʻau iā ʻoe i kahi anesthetic kūloko e hoʻomāno i kou lima. No laila, ʻaʻole ʻoe e ʻeha. A laila, e hana lākou i kahi ʻoki liʻiliʻi, e hoʻohui i ke aʻa a me ke aʻa i koho ʻia, a pani i ka ʻeha me nā humuhumu hiki ke hoʻoheheʻe ʻia.
Aia kekahi mau ʻano nui o nā fistula a nā kauka e hoʻohana ai, ma muli o kahi o nā veins i kou lima.
| ʻAno Fistula | Kahi wale nō |
|---|---|
| ʻO ka fistula Radiocephalic | Hoʻomoe pinepine ʻia ma ka pulima. |
| ʻO ka fistula Brachiocephalic | Hana ʻia ma luna iki a ma lalo paha o ke kuʻekuʻe lima. |
| ʻO ka fistula brachiobasilic i hoʻololi ʻia | I nā hihia kahi hiki ʻole ai nā ʻano hana ʻelua i luna, hana ʻia me ka hoʻohana ʻana i kahi aa ma loko o ka lima. |
Pehea e mālama ai i ka fistula ma hope o ke ʻoki ʻana?
ʻO ka manawa koʻikoʻi loa ma hope o ke ʻoki ʻana. I mea e hoʻohana ʻia ai ka fistula no ka dialysis, pono ia e 'oʻo'. Hiki i kēia ke hala ma kahi o 2 a 3 mau mahina . I loko o kēia manawa, ulu mālie a ikaika ka aa.
Ke manaʻo nei ʻoe i ka "pīhoihoi" o ka fistula?
Ma hope o ka hana ʻia ʻana o ka fistula, e ʻike ʻoe i kahi haʻalulu iki a i ʻole ke kani 'whirr' ke kau ʻoe i kou lima ma luna. Ua like ia me kahi pōpoki liʻiliʻi e purging ana ma lalo o kou lima. Ua kapa nā kauka i kēia he "thrill." ʻO ka manaʻo ʻana i kēia haʻalulu ʻo ia hoʻi ke hana maikaʻi nei kāu fistula. Pono ʻoe e nānā i kou lima i kēlā me kēia kakahiaka a me ke ahiahi e ʻike inā ʻike ʻoe i kēia haʻalulu. E hoʻolilo iā ia i ʻāpana o kāu hana maʻamau i kēlā me kēia lā.
Na ke kahu maʻi dialysis e haʻi aku iā ʻoe e hana i nā hoʻoikaika kino e like me ke ʻūmi ʻana i kahi pōpō laholio liʻiliʻi e hoʻoikaika i ka fistula.
E hōʻoia e hana i kēia mau mea e pale i kāu fistula
He mea waiwai nui kou fistula e hiki ke hoʻōla i kou ola, no laila pono e mālama ʻia.
| Nā mea pono ʻole ❌ | Nā mea e hana ai ✅ |
|---|---|
| Mai hiamoe me ka lima me ka fistula ma lalo o kou lima. | E ʻike inā ʻoe e manaʻo nei i ka "hauʻoli" i kēlā me kēia lā. |
| Mai ʻaʻahu i nā lole paʻa, nā kūpeʻe lima, a i ʻole nā wati ma kēlā lima. | E holoi pono i kou mau lima me ke kopa ma mua o ka dialysis. |
| Mai ʻae i kekahi e ana i ke koko (BP) ma ka lima me ka fistula no kekahi kumu. | E mālama i ka ʻeha maʻemaʻe. |
| Mai ʻae iā lākou e lawe i ke koko mai nā aʻa koko o kēlā lima. | E hana i nā hoʻoikaika kino i ʻōlelo ʻia e ke kauka. |
Nā pilikia a me ka wā e ʻike koke ai i ke kauka
ʻOiai he palekana loa nā fistulas, hiki ke loaʻa nā pilikia i kekahi manawa.
- Nā maʻi: ʻUlaʻula o ka ʻeha, pehu, ʻeha nui, kahe ʻana o ka pus.
- Thrombosis: I kēia hihia, paʻa kahi ʻūpā koko i loko o ka fistula. A laila nalowale ka manaʻo "pīhoihoi".
- Stenosis: Ka hāiki ʻana o ke aʻa koko mai loko mai.
- Aneurysm: Ka hoʻonāwaliwali ʻana o ka paia o ke kīʻaha koko, e hoʻoulu ai iā ia e puʻupuʻu e like me ka pōpō.
ʻO ka mea nui loa: Inā pau koke ka "pīhoihoi" āu e ʻike ai i kēlā me kēia lā, ʻo ia hoʻi ua pau ke kahe ʻana o ke koko i loko o ka fistula. He pilikia ia! Pono ʻoe e kāhea koke i kāu kauka a i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
Nā Nīnau i Nīnau Pinepine ʻia
E hoʻōla anei nā puʻupaʻa ma hope o ka dialysis?
ʻAʻole. ʻAʻole e ola hou nā puʻupaʻa i hāʻule ma muli o ka maʻi puʻupaʻa mau loa. ʻO ke ala wale nō e hoʻōki ai i ka mālama ʻana i ka dialysis, ʻo ia ka loaʻa ʻana o kahi hoʻoili puʻupaʻa kūleʻa.
Pehea ka lōʻihi o ka lōʻihi o ka fistula?
Inā mālama pono ʻoe iā ia, hiki i ka fistula ke mau no nā makahiki, a hiki i nā makahiki he ʻumi . ʻO ia ka pōmaikaʻi nui o ka fistula.
Ua ʻike mākou he paʻakikī ke ola ʻana me ka dialysis. Hiki ke luhi i ke kino a me ka noʻonoʻo. Akā e hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. Nui ka poʻe, me nā kauka a me nā kahu maʻi, hiki ke kōkua iā ʻoe. E kamaʻilio ākea me lākou e pili ana i nā nīnau, nā makaʻu, a i ʻole nā hopohopo āu e loaʻa ai.
Leka Lawe-Home
- ʻO ka dialysis fistula ke ala maikaʻi loa a palekana loa no ka mālama ʻana i ka dialysis.
- ʻAʻole ia he ʻoki kino nui, akā, he ʻoki kino liʻiliʻi e mau ana he 1-2 hola.
- He mea nui e nānā i ke ʻano o ka "haʻalulu" ma kahi o ka fistula i kēlā me kēia lā ma hope o ke ʻoki ʻana. Inā pau, e ʻike koke i ke kauka.
- ʻAʻole loa e ana ʻia ke koko a huki ʻia paha ke koko mai ka lima me ka fistula.
- ʻO ka mālama pono ʻana i kou fistula e hoʻōla i kou ola no nā makahiki he nui.
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