Wan strenj kɔndishɔn usay di blɔd vesel dɛn we de insay di bɔdi kin tan lɛk: Lɛ wi jɔs lan bɔt Arteriovenous Fistula!

Yu dɔn ɛva yɛri bɔt dis sik we dɛn kɔl Arteriovenous Fistula ? Sɔntɛm yu dɔn yɛri dis nem bikɔs yu padi de du kidni dayalaysis. Ɔ sɔntɛm yu dɔn notis wan vein sɔmsay na yu bɔdi we dɔn swel ɛn fil strenj we i de pul we yu tɔch am. Dis na di patikyula kɔndishɔn we wi go tɔk bɔt tide. Nɔ wɔri, wi go tɔk bɔt dis simpul wan, insay Sinhala we yu kin ɔndastand.

Wetin na dis arteriovenous fistula?

Fɔ tɔk am simpul wan, arteriovenous fistula na dairekt kɔnekshɔn bitwin at (wan vein we de kɛr blɔd kɔmɔt na di at) ɛn vein (wan vein we de kɛr blɔd bak to di at). I tan lɛk se yu kɔnɛkt tu wata paip dɛn togɛda. dis kin apin enisay na di bכdi, spεshal wan insay wi כgan dεm (e.g., bren, kidni dεm) εn na wi limb dεm.

Tink bɔt dis we: di blɔd we de go na wi bɔdi tan lɛk wan sistɛm we gɛt rod.

• At: Dɛn tin ya tan lɛk big big rod dɛn. Dɛn kin kɛr klin blɔd (we ful-ɔp wit ɔksijɛn) frɔm di at to di ɔda pat na di bɔdi. Di blɔd prɛshɔn de ɔp na ya.
• Vein: Dis na di blɔd vesel dɛm we de kɛr di blɔd we nɔ gɛt ɔksijɛn (we gɛt bɔku kabon dayɔgzayd) bak to di at frɔm difrɛn pat dɛm na di bɔdi. di bכdi prεshכn na dεn vessel dεm ya de lכs pas di atεri dεm.
• di kapilari dεm: dis na rili fayn, sכm, sכm sכm rod dεm (baypas). di bכdi we de kכmכt na di at dεm de pas tru dεn kapilari dεm ya, de gi it to εvri sεl dεm na di bכdi, dεn de go bak na di vein dεm.

Nɔmal wan, di blɔd we de kɔmɔt na di at nɔ kin go dairekt to di vein dɛn. Fɔs i kin go tru wan nɛtwɔk we gɛt rili smɔl smɔl blɔd vesel dɛn we dɛn kɔl kapilari. Bɔt we fistula fɔm, blɔd kin pas dis kapilari sistɛm ɛn jomp dairekt frɔm di at ɛn go insay di vein.

Dis kin mek wi gɛt bɔku prɔblɛm dɛn:

• Di vein dɛn nɔ kin ebul fɔ bia wit di ay blɔd prɛshɔn na di at, so dɛn kin bigin fɔ bɔl ɛn swel.
• Di blɔd we de go ɔlsay kin ambɔg. Sɔm say dɛn nɔ kin gɛt bɛtɛ blɔd.
• If dis fistula big, di at fɔ wok tranga wan fɔ pɔmp blɔd. As tεm de go, dis kin mek di at wik, wan kכndyush כn we wi kin kכl ``Hat Fεil.''

Sɔntɛnde, na dɔktɔ dɛn kin mek dɛn fistula ya bay wilful, mɔ fɔ di wan dɛn we gɛt kidni we nid dayalaysis. Dɔn i kin bɛnifit. Bɔt sɔm fistulas nɔ kin bad, bɔt sɔm kin mek yu gɛt siriɔs wɛlbɔdi prɔblɛm.

Udat kin gɛt dis sik? Aw i kɔmɔn?

Dɛn fistulas ya kin kam pan ɛni ej ɛn pan ɛnibɔdi. Dɛn kin gɛt mɔ prɔblɛm afta dɛn dɔn wund. Sɔm kayn fistulas kin bɔku pan sɔm grup dɛm.

Fɔ tru, dis sik we dɛn kɔl fistula kin rili bɔku. Bɔt nɔto ɔl kayn pipul dɛn tan lɛk dat.

• Di wan dɛn we kin apin mɔ: Fistulas we dɔktɔ dɛn kin mek fɔ trit pipul dɛn we gɛt kidni wit dayalaysis.
• di sכmtin we nכ kin kכmכn: fistula dεm we de de we dεn bכn am (wi kin kכl dεm `(Congenital fistulas)`).

Wetin na di sayn dɛm fɔ fistula?

Di sayn dɛm kin difrɛn difrɛn wan fɔ di say we i de. Sɔm pipul dɛn nɔ kin gɛt ɛni sayn atɔl. Bɔt di sayn dɛm wae kin kam pan pɔrsin na:

• Swɛlin: Sɔntɛm swɛlin de rawnd di fistula. Dis kin notis mɔ pan fistulas we de ɔnda di skin. Fɔ ɛgzampul, wan say na yu an ɔ yu fut kin swel pas di ɔda wan dɛn.
• Di kɔlɔ we di skin kin chenj: Di skin we de na da say de kin tɔn pepul ɔ dak rɛd.
• Varicose veins: di vein dεm kin tan lεk se dεn big εn twist.
• Fɔ fil wam: We yu tɔch di say we di fistula de, i kin fil wam pas ɔda say dɛn.

Di sayn dɛm wae de sho se blɔd nɔ de flɔ bɛtɛ (`(Ischemia)` ɔ `(Steal Syndrome)`)

sכmtεm, if di fistula na wan an כ leg rili big, di bכdi fכ fכlכ to pat dεm na di bכdi we de fa fawe frכm di fistula (e.g., di finga dεm) kin rεdכks. Dɛn kɔl dis ischemia . I tan lɛk se di fistula de "tif" di blɔd we fɔ de go na dɛn pat dɛn de, na dat mek sɔm pipul dɛn kin kɔl am "Steal Syndrome."

Sɔmtɛm lɛk dis, sɔm kayn sayn dɛn lɛk dis kin apin:

• Numbness ɛn tingling sensation.
• Mɔsul dɛn de twitch ɔ pen.
• Skin wund (ulcer) wae kin tek lɔng tɛm fɔ wɛl ɔr nɔr kin wɛl atɔl.

Di sayn dɛn we de sho se yu at nɔ de wok fayn

Big fistula kin mek prɔblɛm wit di at bak. Bikɔs di blɔd nɔ de flɔ fayn fayn wan rawnd di fistula, di at fɔ wok tranga wan fɔ pɔmp blɔd fayn fayn wan. As tɛm de go, dis kin mek di at wik ɛn mek di at nɔ de wok fayn . Di sayn dɛm lɛk:

• I nɔ izi fɔ blo (Dyspnea).
• Taya, taya.
• Swel na di leg ɛn fut (Edima).

Fistulas we dɛn kin bɔn wit (`(Fistulas we dɛn kin bɔn wit)`)

biכs dεn tin ya kin fכm we di pikin stil de na di bεlε, di sayn dεm kin difrεn sכmtεm. dis kin mek chenj dεm na di divεlכpmεnt fכ di bכdi pat we dεn afekt.

• If dεn put am pan an כ leg, dat an/leg kin fulכp wit mכr mכsul pas di כda say, εn di bon dεm kin lכng.
• Sɔm pipul dɛn kin gɛt finga dɛn we dɔn swel, dɛn nel dɛn kin saf, dɛn kin bɔl na di midul, ɛn dɛn kin kɔba dɔŋ na di tip (dɛn kin kɔl dis klab ).
• Sɔntɛnde, di blɔd we de flɔ to di an/leg we di sik afɛkt kin ridyus, ɛn di say kin tɔn blu.

Wetin kin mek dis fistula fɔm?

Tri men rizin dɛn de:

1. Injuri dɛn:Di men rizin fɔ di divɛlɔpmɛnt we dɛn nɔ bin de ɛkspɛkt fɔ gɛt fistula na injuri. Fɔ ɛgzampul, if wan at ɛn wan vein ɔl tu pwɛl, ilɛksɛf na siriɔs aksidɛnt ɔ na nɛf kɔt, dɛn kin stik togɛda ɛn mek kɔnekshɔn lɛk dis as dɛn de wɛl. Sɔntɛnde, dɛn kin jɔs no bɔt dis sɔm ia afta di injuri.

2. di pikin we dεn bכn pikin: Dis na kכndyushכn dεm we de apin we di pikin stil de divεlכp na di bεlε. Bɔrku tɛm, dɛn tin ya na bɔku smɔl smɔl fistula insted ɔf wan big fistula. Bɔt if dis apin na say we rili impɔtant (lɛk di bren), i kin kil pɔsin.

3. Dayalaysis: Fɔ mek dɛn go ebul fɔ du dayalaysis pan di wan dɛn we gɛt kidni we nɔ de wok fayn, di dɔktɔ dɛn kin du ɔpreshɔn ɛn mek dɛn mek fistula bay wilful. Dis kin mek di nidul dɛn we de kɔnɛkt to di dayalaysis mashin fit fayn ɛn blɔd kin flɔ fayn fayn wan. Infakt, dɛn kin si fistulas mɔ fɔ dis rizin.

Na smɔl tɛm nɔmɔ, fistula kin fɔm bak bikɔs ɔf sik dɛn lɛk kansa, sɔm infɛkshɔn, ɔ aneurism, we na wan kɔndishɔn we di wɔl na wan at kin wik ɛn bulge lɛk balyɔn, we kin mek prɛshɔn pan wan vein we de nia de.

Impɔtant: Fistula nɔto sik we pɔsin kin gɛt. Dis min se yu nɔ go ebul fɔ kech am frɔm ɔda pɔsin, ɛn yu nɔ go ebul fɔ spre am to ɔda pɔsin.

Aw dɔktɔ dɛn kin no bɔt dis? (Diagnosis) .

Yu dɔktɔ gɛt bɔku we fɔ no dis sik. Bɔku tɛm, dɛn kin du ɛgzam fɔ dɛn bɔdi ɛn sɔm spɛshal tɛst dɛn we dɛn kin du fɔ tek pikchɔ dɛn.

Na sɔm tin dɛn we yu fɔ du we yu de chɛk yu bɔdi:

• Egzamin: Di dɔktɔ go luk di say na yu bɔdi usay dɛn tink se prɔblɛm de, ɔ ɔda say dɛn we gɛt fɔ du wit am. Dɛn go luk fɔ di vein dɛn we swel, we di kɔlɔ dɔn chenj, ɔ we de bɔl.
• Lisin: Dɛn kin yuz stetɔskɔp fɔ lisin to di fistula we dɛn tink se gɛt. Dis na bikɔs blɔd we de flɔ tru fistula de mek wan sawnd we nɔ kɔmɔn. I kin tan lɛk se mashin de wok, bikɔs di blɔd de flɔ na ɔl tu di say dɛn, nɔto jɔs wan we.
• Palpation: Yu kin fil di pulsation as blɔd de flɔ tru di fistula, we yu kin fil if yu put yu an pan am. Di dɔktɔ kin prɛs di say bak saful wan. If di at rit slo smɔl we yu de du dat, dat na sayn bak fɔ se yu gɛt fistula.

Us tɛst dɛn kin du fɔ no dis sik?

I go mɔs bi se yu go gɛt wan ɔ mɔ pan dɛn tɛst ya:

• Duplex Ultrasound: Dis de yuz ay frikshɔn sawnd wev fɔ luk insay di bɔdi. Dis na di sem tin lɛk aw bat kin yuz sawnd fɔ fɛn tin dɛn na dak. Dis kin ɛp fɔ no usay di fistula de ɛn in saiz.
• Angiogram: 1.insay dis tεst, dεn de injεkt wan spεshal likwid (wi kכl am ``Contrast dye``) insay di bכdi vεsul dεm, εn dεn de tek εks-ray כ CT skan. Dis wata de mek di blɔd vesel dɛn rili klia, ɛn i izi fɔ fɛn ɛni say usay prɔblɛm de wit di blɔd we de flɔ.
• MRI (Magnetic Resonance Imaging): Dis kin yuz wan strɔng magnɛtik fil ɛn kɔmpyuta tɛknɔlɔji fɔ tek pikchɔ dɛn we rili klia bɔt di insay pat na di bɔdi. I kin chɛk bak fɔ no if tin nɔ de apin lɛk fistulas.

Wetin na di tritmɛnt dɛm fɔ dis? Yu tink se dɛn kin mɛn am?

Bɔku pan di fistula dɛn kin mɛn. I dipen pan wetin mek di fistula, in saiz, ɛn usay i de. Pan ɔl we i nɔ kin izi fɔ mɛn di fistulas we dɛn bɔn wit, bɔku tɛm dɛn kin trit am ɛn kɔntrol di prɔblɛm dɛn we i kin kam wit.

Sɔm pipul dɛn nɔ kin nid tritmɛnt fɔs ilɛksɛf dɛn gɛt fistula. Dɛn nid tritmɛnt fɔ dɛn kayn tin ya:

• Ɛmoraji: If di fistula de blɔd, mɔ if i rili bad ɛn dɛn nɔ ebul fɔ stɔp am, dɛn fɔ mek am bak.
• I kin big: If di fistula ɔ di blɔd vesel dɛn we kɔnɛkt to am big ɔ chenj shep, i kin mek prɔblɛm to di tisu dɛn we de rawnd am.
• Blɔd nɔ de flɔ: If fistula blok blɔd flɔ to wan pat na di bɔdi ɔ if blɔd nɔ de go na wan ples, i kin mek siriɔs prɔblɛm.
• Chenj na aw yu luk: Sɔm pipul kin gɛt prɔblɛm wit dɛn filin bikɔs dɛn kin swel ɛn bulging veins we kin kam wit fistula. Bɔrku tɛm, dis apinans kin kam bak wans dɛn dɔn ripɛnt di fistula.

Us kayn mɛrɛsin ɔ tritmɛnt dɛn kin yuz?

Di tritmɛnt dɛm wae dɛn kin yuse mɔr na:

• di we aw dεn de yuz kateshכn: Insay dis, dεn kin put wan lכng tin we lεk tiub (kateshכn) insay wan pan yu big blכd vesel dεm (bכku tεm na di groin) εn dεn kin gayd am to di say we di fistula de. Dɔn, dɛn kin mek di fistula insay am. Dis kin bi bay we yu put smɔl smɔl tin dɛn lɛk kɔyl ɔ stent fɔ lɔk di fistula. Ɔ, dɛn kin yuz wan spɛshal kayn glu we dɛn kɔl saynoakrilɛt glu fɔ lɔk di ol.
• Ɔpreshɔn: Sɔntɛnde, if dɛn nɔ ebul fɔ rich di fistula tru di blɔd vesel, ɔ if di fistula rili big, dɔktɔ we de du ɔpreshɔn kin kɔt dairekt fɔ mek di fistula fayn. Dis kin min fɔ separet di at ɛn di vein, ɔ fɔ tek wan pat pan di blɔd vesel frɔm ɔda pat na di bɔdi ɛn graft am na di say we dɔn pwɛl.
• Radiation therapy: Sɔntɛnde, dɛn kin yuz dis we fɔ pwɛl di kɔnekshɔn bitwin di fistula ɛn di blɔd. di raytin de aim dairekt pan di fistula, we de mek i gɛt skata. Dis kin mek blɔd nɔ de pas insay.

Dɛn kin yuz mɛrɛsin bak fɔ mɛn fistulas. If fistula de pan denja fɔ mek blɔd klɔt, dɛn kin gi am tin dɛn we de mek blɔd tan. Dɛn mɛrɛsin ya kin mek blɔd nɔ fɔdɔm na di blɔd vesel dɛn, ɛn dɛn kin mek di blɔd nɔ brok ɛn stɔp na say dɛn lɛk at, bren, ɔ lɔng, ɛn dis kin mek pɔsin day lɛk at atak, strok, ɔ pulmonary embolism .

Fistula fɔ dayalaysis:

Bɔku tɛm, dɛn nɔ kin trit dɛn tin ya pas dɛn bi prɔblɛm. If prɔblɛm kam, bɔku tɛm na ɔpreshɔn nɔmɔ dɛn kin du.

Di prɔblɛm ɔ di sayd ɛfɛkt dɛm we pɔsin kin gɛt we i de trit kin difrɛn difrɛn wan bay di tritmɛnt, di sayz we di fistula gɛt, ɛn usay i de. Yu dɔktɔ kin ɛksplen dis to yu mɔ.

Aw a kin tek kia ɔf misɛf/manage de symptoms?

Yu nɔ go ebul fɔ no dis fistula kɔndishɔn fɔ yusɛf. Bikɔs sɔm pan di sayn dɛn we i kin gɛt kin tan lɛk ɔda siriɔs sik dɛn lɛk we i kin gɛt anɛrizm ɔ we blɔd kin klɔt. So, nɔ ɛva no yusɛf ɛn trit yusɛf. If yu dɔktɔ tɛl yu se yu gɛt dis sik, i go advays yu bɔt aw fɔ kia fɔ am.

Aw kwik yu go wɛl afta yu dɔn gɛt tritmɛnt, ɛn aw lɔng i go tek fɔ wɛl, go difrɛn difrɛn wan bay di tritmɛnt ɛn aw di fistula tan. Yu dɔktɔ go tɛl yu bak bɔt dis.

Yu tink se dɛn go ebul fɔ ridyus dis tin ɔ fɔ mek dɛn nɔ du am kpatakpata?

Infakt, i nɔ kin izi fɔ mek dɛn fistulas ya nɔ fɔm. Bikɔs di tin dɛn we kin mek pɔsin gɛt injury (we nɔto bay wilful) ɛn we pɔsin bɔn wit. Fistula we dɛn mek fɔ ``(Dialysis)`` na bay wilful dɛn mek am as ɛp fɔ yu tritmɛnt.

Wetin go apin if a gɛt dis sik? (Fyuchɔ vishɔn)

Di tin we go apin to yu go dipen pan di sayz, usay yu de, ɛn di tin we mek yu gɛt di fistula. Smɔl fistulas, ɔ fistulas we de na sɔm say dɛn nɔmɔ, nɔ kin nid fɔ gɛt tritmɛnt. Bɔrku pipul kin gɛt smɔl smɔl sik ɔr nɔr kin gɛt ɛni sayn atɔl.

Bɔt di big big fistulas, ɔ fistulas we de na di say dɛn we impɔtant (lɛk di bren ɔ di at), na dɛn kin mek prɔblɛm. Yu dɔktɔ na di bɛst pɔsin fɔ tɔk to yu bɔt dis.

• Fistulas we dɛn bɔn wit: If dɛn tin ya nɔ de na say we denja, dɛn kin gɛt gud prɔgnosis. Bɔt if dɛn de na say we bad bad tin ɛn dɛn big, dɛn kin mek siriɔs prɔblɛm, ɛn ivin day.
• Fistulas we dɛn mek fɔ dayalaysis: Dɛn tin ya nɔ kin kam wit prɔblɛm. If sayd ɛfɛkt apin, yu dɔktɔ kin trit dɛn.

Aw lɔng fistula kin las?

Smɔl fistula kin de ɔlsay na yu layf, wit ɔ nɔ gɛt ɛni prɔblɛm. Bɔt if di fistula rili bad, i impɔtant fɔ go to dɔktɔ kwik kwik wan. Dis na bikɔs big fistula kin put prɛshɔn pan di at ɛn mek di at nɔ wok fayn.I kin apin. Pan ɔl we sɔm tɛm dɛn de we di at kin kam bak to nɔmal afta dɛn dɔn mek di fistula, dis nɔ kin apin ɔltɛm. So, di mɔ we dɛn gi di tritmɛnt kwik, na di mɔ i go bɛtɛ.

Wetin a fɔ wɔri bɔt? Ustɛm a fɔ go to dɔktɔ?

If yu gɛt fistula wit smɔl ɔ nɔ gɛt ɛni sayn, di bɛst tin we yu go du na fɔ kip yu yay fɔ ɛni chenj.

If yu gɛt fistula we gɛt sayn, yu dɔktɔ go gi yu advays bɔt aw fɔ kia fɔ am ɛn wetin fɔ wach fɔ. Dɛn kin tɛl sɔm pipul dɛn fɔ wɛr spɛshal kɔmpreshɔn klos. Dɛn tin ya kin ɛp fɔ ridyus di wata we de gɛda na di eria.

Si dɔktɔ if yu gɛt dɛn sik ya:

• Nyu pen ɔr di pen we dɔn de we de wɔs.
• di swel we de bכku na di say we di fistula de, nyu tin we de sho lεk lump (if yu nכ no se yu gεt fistula, nyu swel/lump we de apin fכ no rizin).
• di kכla chenj na wan pat na di bכdi we de fa frכm di fistula (fכ egzampl, if di fistula de na di an, na di finga dεm).

If yu gɛt fistula we dɛn mek fɔ `(Dialysis)`:

If pɔsin we gɛt dis kayn fistula notis ɛni wan pan dɛn chenj ya na di say we i de, i fɔ tɛl in dɔktɔ wantɛm wantɛm:

• Sayn dɛm fɔ se yu gɛt di sik: yu kin swel, yu kin rɛd, ɛn yu kin wam we yu tɔch yu.
• wan chenj na di spid we di bכdi de fכlכ tru di fistula we dεn de du dayalaysis.
• Wan ɔnusual bulge ɔ chenj in shep.

Ustɛm yu fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu gɛt sɔm sayn dɛn we de sho se yu de blɔd insay yu bɔdi, ɔ if yu notis se blɔd nɔ de flɔ fayn fayn wan to wan pat na yu bɔdi (espɛshali na yu an ɔ yu leg), go na ɔspitul wantɛm wantɛm.

Dɛn kayn kwaliti dɛn ya na:

• Di kɔlɔ we di skin kin chenj (ni di fistula ɔ ɔlsay na di bɔdi).
• Diziz, layt ed.
• Hat de bit kwik kwik wan ɔ we yu de blo kwik kwik wan.
• I nɔ kin izi fɔ yu fɔ blo.
• Wantɛm we pɔsin kin fil bad bad wan nia di fistula.

Yu dɔktɔ kin tɛl yu bɔt ɔda sayn dɛm wae kin nid fɔ gɛt tritmɛnt kwik kwik wan, i kin dipen pan yu sik.

Fɔ dɔn (Tek-Home Mɛsej) .

Arteriovenous fistula na wan sik wae nɔr kin gɛt ɛni impak pan yu layf sɔmtɛm, bɔt sɔmtɛm i kin kam wit big prɔblɛm. I rili kɔmɔn fɔ mek pipul dɛn we gɛt kidni sik gɛt fistula we dɛn mek wit ɔpreshɔn fɔ dayalaysis, ɛn i fayn fɔ dɛn. Bɔt nɔto ɔltɛm, siriɔs kɔmplikeshɔn kin apin bikɔs ɔf dis. Di gud nyus na dat, wit di advans mɛdikal sayɛns tide, bɔku tɛm dɛn kin trit dis sik, ɛn sɔntɛnde dɛn kin ivin mɛn am. So, if yu gɛt ɛni dawt ɔ kwɛstyɔn bɔt dis, nɔ shem fɔ go to dɔktɔ ɛn tɔk to dɛn.

` Arteriovenous Fistula, Arteriovenous Knot, Venous Tangle, Dayalysis Fistula, At sik, Blɔd Vesɛl, Ɔpreshɔn