We yu dɔktɔ tɛl yu se yu kidni dɔn rili go dɔŋ ɛn yu nid fɔ du dayalaysis fɔ mek yu kɔntinyu fɔ liv, yu go dɔn rili fred ɛn wɔri. Nɔto dat nɔmɔ, bɔt we i tɛl yu se yu nid fɔ mek fistula na yu an bifo yu du dayalaysis, bɔku ɔda kwɛstyɔn dɛn go dɔn kam na yu maynd. Yu go mɔs de tink tin dɛn lɛk, ‘Wetin na dis fistula?’, ‘Dis na big ɔpreshɔn?’, ‘Wetin go apin to mi an afta dis?’ Nɔ wɔri, dis atikul na fɔ ansa ɔl dɛn kwɛstyɔn ya we yu gɛt na yu maynd. Wi go tɔk bɔt ɔltin insay wan rili simpul ɛn ditayli we.
Fɔ tɔk am simpul wan, wetin na dayalaysis fistula?
I rili simpul. Dayalaysis fistula na smɔl ɔpreshɔn we de mek yu ebul fɔ gɛt dayalaysis tritmɛnt izi ɛn sef wan. We dɛn de du dis, dɔktɔ we de du ɔpreshɔn kin kɔnɛkt wan at ɛn wan vein na yu an. dis kin bi na di an we yu nכ de yuz mכst (fכ egzampl, yu lεft an if yu na rayt-an).
Tink bɔt am dis we. We yu du dayalaysis, dɛn kin pul yu blɔd na yu bɔdi, dɛn kin yuz mashin fɔ klin am, dɔn dɛn kin put am bak na yu bɔdi. Dis kin min se yu fɔ muv bɔku bɔku blɔd go bifo ɛn biɛn insay wan minit. wi nכmal vein dεm (vein dεm) nכ kin ebul fכ handle dat bכku bכdi fכ fכlכ, dεn wik. So, we yu mek fistula, di ay prɛshɔn blɔd we de kɔmɔt na di at kin gɛt we bak fɔ go insay di vein, so dat vein kin big ɛn strɔng as tɛm de go. I tan lɛk se yu de chenj smɔl wata paip wit big wan we strɔng. Dɛn kin kɔl dis bak Arteriovenous (AV) Fistula .
Dis fistula na di bɛst ɛn sef we fɔ gɛt ɛn gi bak blɔd fɔ dayalaysis tritmɛnt. Na di we we gɛt di smɔl risk fɔ mek blɔd klɔt ɛn fɔ gɛt infɛkshɔn.
Aw yu kin pripia bifo yu du fistula ɔpreshɔn?
Dis nɔto big ɔpreshɔn we de mek pɔsin fred. Na smɔl ɔpreshɔn we dɛn kin dɔn insay wan ɔ tu awa, ɛn yu kin go na os di sem de (outpatient procedure).
Bifo di ɔpreshɔn, yu ɔpreshɔn (bɔku tɛm na vaskul ɔspitul) go tɔk to yu bɔt dis ɛn ɛksplen aw dɛn go du di ɔpreshɔn. Apat frɔm dat, i go aks yu dɛn kwɛstyɔn ya:
- Yu kɔmplit wɛlbɔdi istri.
- Yu fɔ rili tɔk bɔt ɛni mɛrɛsin we yu de tek naw (especially blood thinners lɛk Aspirin ɛn Clopidogrel ).
- Bɔt yu alɛji dɛn.
Dɔn, di dɔktɔ go du ɔltra saund skan fɔ yu an, luk aw di at ɛn vein dɛn de, ɛn pik us vein dɛn we fayn fɔ ɔpreshɔn.
Aw ɛn di kayn ɔpreshɔn we dɛn kin du fɔ di fistula
Di de we dɛn go du di ɔpreshɔn, di mɛdikal tim go gi yu wan lokal anestetik fɔs fɔ mek yu an nɔ fil fayn. So yu nɔ go fil ɛni pen. Dɔn, dɛn go mek smɔl say, kɔnɛkt di at ɛn vein we dɛn dɔn pik, ɛn lɔk di wund wit stich dɛn we kin sɔlv.
Bɔku men kayn fistulas de we dɔktɔ dɛn kin yuz, i kin dipen pan usay di vein dɛn na yu an de.
| Tayp fɔ Fistula | Na jɔs di say we yu de |
|---|---|
| Fistula we gɛt rediosɛfalik | Bɔku tɛm, dɛn kin du am na di an. |
| Brachiocephalic fistula we gɛt di sik | Dɛn kin du am smɔl ɔp ɔ dɔŋ di ɛlb. |
| Fistula we dɛn dɔn transpɔz brakiɔbasilik | insay kes dεm we di tu mεtכd dεm we de oba nכ posbul, dεn kin du am bay we dεn de yuz wan vein we de insay di an. |
Aw fɔ kia fɔ di fistula afta dɛn dɔn du di ɔpreshɔn?
Di tɛm we impɔtant pas ɔl na afta dɛn dɔn du di ɔpreshɔn. fכ mek dεn yuz di fistula fכ dayalaysis, i nid fכ bi ‘mature’. Dis kin tek lɛk 2 to 3 mɔnt . Insay dis tɛm, di vein de gro smɔl smɔl ɛn strɔng.
Yu fil di "thrill" na di fistula?
Afta di fistula dɔn mek, yu go fil smɔl vaybreshɔn ɔ ‘whirr’ sawnd we yu put yu an pan am. I tan lɛk se smɔl pusi de purr ɔnda yu an. Dɔktɔ dɛn kɔl dis di "thrill." We yu fil dis vaybreshɔn, dat min se yu fistula de wok fayn fayn wan. Yu fɔ chɛk yu an ɛvri mɔnin ɛn ivintɛm fɔ si if yu fil dis vaybreshɔn. Mek am pat pan di tin dɛn we yu kin du ɛvride.
Di dayalaysis nɔs go tɛl yu fɔ du ɛksɛsayz lɛk fɔ swɛt smɔl rɔba bɔl fɔ mek di fistula strɔng.
Mek shɔ se yu du dɛn tin ya fɔ protɛkt yu fistula
Yu fistula na tin we rili valyu we kin sev yu layf, so yu nid fɔ tek kia ɔf am.
| Nɔto fɔ du am ❌ | Tin dɛn fɔ du (Do’s) ✅ |
|---|---|
| Nɔ slip wit di an wit di fistula ɔnda yu an. | Si if yu fil di "thrill" evride. |
| Nɔ wɛr tayt klos, breslɛt, ɔ wach na da an de. | Wash yu an fayn fayn wan wit sop bifo yu du dayalaysis. |
| Nɔ alaw ɛnibɔdi fɔ tek blɔd prɛshɔn (BP) na di an wit di fistula fɔ ɛni rizin. | Kip di wund klin. |
| Nɔ mek dɛn tek blɔd na da an de in veins. | Du di ɛgzampul dɛn we di dɔktɔ advays. |
Risk ɛn ustɛm fɔ go to dɔktɔ wantɛm wantɛm
Pan ɔl we fistulas nɔ kin rili sef, sɔm tɛm dɛn kin gɛt prɔblɛm dɛn.
- Infεkshכn: di wund de rεd, i de swεla, i de fil bad bad wan, i de kכmכt na di pus.
- Trombosis: Insay dis kes, wan blɔd we de klɔt kin stɔp insay di fistula. Den di "thrill" filin de disappear.
- Stenosis: di vein de sכmtεm frכm insay.
- Aneurysm: Na we di wɔl na blɔd vesel wik, we kin mek i bɔl lɛk balyɔn.
di tin we impɔtant pas ɔl: If di "thrill" we yu kin fil ɛvride stɔp wantɛm wantɛm, i kin min se di blɔd we de flɔ na di fistula dɔn stɔp. Na imejensi! Yu fɔ kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) .
Kwɛstyɔn dɛn we Dɛn kin Aks Bɔku tɛm
Yu tink se di kidni dɛn go wɛl afta dɛn dɔn dayalysis?
Nɔ, di kidni dɛn we dɔn fel bikɔs ɔf di sik we dɛn kin gɛt na di kidni we nɔ de dɔn, nɔ go wɛl. Di wangren we fɔ stɔp di tritmɛnt fɔ dayalaysis na fɔ gɛt saksesful kidni transplant.
Aw lɔng fistula kin las?
If yu tek kia ɔf am gud gud wan, fistula kin las fɔ lɔng lɔng tɛm, ivin fɔ bɔku bɔku ia . Dat na di big advantej fɔ fistula.
Wi no se fɔ liv wit dayalaysis na prɔblɛm. I kin mek yu taya na yu bɔdi ɛn yu maynd. Bɔt mɛmba se nɔto yu wangren de. Bɔku pipul dɛn de we go ɛp yu, lɛk dɔktɔ ɛn nɔs dɛn. Tɔk to dɛn opin wan bɔt ɛni kwɛstyɔn, fred, ɔ tin we de mɔna yu.
Mɛsej we dɛn kin kɛr go na os
- Dayalaysis fistula na di bɛst ɛn sef akses rod fɔ dayalaysis tritmɛnt.
- I nɔto big ɔpreshɔn, bɔt na smɔl ɔpreshɔn we kin tek 1-2 awa.
- i impɔtant fɔ chɛk di sɛns we di "thrill" de fil na di say we di fistula de ɛvride afta dɛn dɔn du di ɔpreshɔn. If i stɔp, go to dɔktɔ wantɛm wantɛm.
- Nɔbɔdi nɔ fɔ mɛzhɔ blɔd prɛshɔn ɔ pul blɔd na di an we gɛt di fistula.
- If yu tek kia ɔf yu fistula fayn fayn wan, dat go sev yu layf fɔ bɔku ia.
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