We yu fɔ go na ɔspitul bɔku tɛm insay di wik fɔ go tek mɛrɛsin, ɔ we pɔsin we gɛt kidni nɔ de wok fayn fɔ gɛt tritmɛnt fɔ lɔng tɛm, lɛk dayalaysis , fɔ mek di blɔd klin, aw i kin mek yu fil pen ɛn i kin mek yu vɛks we yu gɛt fɔ stik nidul na yu bɔdi ɛvri tɛm? Imajin se yu de fɛn nyu vein ɛvride ɛn put nidul insay. Fɔ mek dɛn nɔ gɛt dɛn kayn prɔblɛm dɛn de, dɔktɔ dɛn kin yuz wan spɛshal tin. Na dat wi de kɔl permacath.
So, wetin rili na Pɛmakat?
Fɔ tɔk am simpul wan, pɔmakateta na spɛshal tiub we saf saf ( kateta ) we dɛn kin put insay wan big blɔd vesel na yu bɔdi, bɔku tɛm na vein na yu nɛk. Di spɛshal tin bɔt dis na dat, we dɛn dɔn put am insay, dɛn kin lɛf am na in ples fɔ lɔng tɛm, sɔntɛnde dɛn kin ivin lɛf am fɔ ɔltɛm . na dat mek dεn kכl am ‘pεrmakateta’, we min ‘pεrmanεnt katesh כn ’.
We yu dɔn put am, yu kin kɔnɛkt dairekt to yu blɔd sistɛm tru dis tiub, ɛn yu nɔ nid fɔ yuz nidul ɛvri tɛm. I rili izi fɔ trit wit dis. Dɛn kin yuz am mɔ fɔ:
- Ɛmodayalis fɔ di wan dɛn we gɛt kidni: Fɔ gɛt pɔmakateta na fayn tin fɔ dis tritmɛnt, we kin mek dɛn nid fɔ dayalaysis fɔ sɔm awa bɔku tɛm insay di wik.
- Fɔ gi spɛshal mɛrɛsin: Sɔm mɛrɛsin dɛn we dɛn kin gi fɔ sik dɛn lɛk kansa nid fɔ gi am fɔ lɔng tɛm.
- Afɛresis tritmɛnt: Dis kin min fɔ separet ɛn pul sɔm pan di bad tin dɛn we de na di blɔd. Dɛn kin yuse dis tritmɛnt fɔ sik dɛm lɛk lukimiya ɛn siklɔs sik.
Wetin na di difrɛns bitwin PermaKath ɛn ɔda tritmɛnt dɛn?
Bɔku we dɛn de fɔ kɔnɛkt to yu blɔd vesel fɔ ɛmodayalis. Yu dɔktɔ go pik di we we go fayn fɔ yu. Lɛ wi luk di men we dɛn fɔ du am.
| Di we aw dɛn kin trit am | Fɔ tɔk am simpul wan, . | Wetin fɔ no |
|---|---|---|
| AV fistula (Arteriovenous fistula - AVF) we de mek yu fil bad. | Wan ɔpreshɔn we dɛn kin du kin kɔnɛkt wan at ɛn wan vein na yu an. | Dis na di bɛst we ɛn we go de fɔ lɔng tɛm. Bɔt we dɛn dɔn mek am, i kin tek sɔm mɔnt fɔ mek di bɔdi strɔng fɔ gɛt tritmɛnt tru am. |
| AV Graft (Arteriovenous graft - AVG) we de mek yu gɛt di sik. | if di at εn di vein nכ kin kכnεkt togeda, dεn kin put wan sכft, atifishal tכb bitwin di tu. | Dis na gud opshɔn fɔ di wan dɛn we nɔ kin ebul fɔ gɛt fistula we dɛn mek, bɔt di risk fɔ mek blɔd klɔt (thrombosis) kin bɔku smɔl. |
| Pɛmakath | Dɛn kin put spɛshal tiub insay wan big vein na di nɛk ɔ chɛst. | Dis na di bɛst sɔlv if yu nid fɔ du dayalaysis kwik kwik wan, ɔ if ɔda we dɛn nɔ wok fayn. Yu kin yuz am wantɛm wantɛm afta dɛn dɔn put am insay. |
spεshal wan, di kayn pεrmakateta we gεt ‘kכf’ na di wan we dεn de yuz fכ lכng tεm. Bikɔs ɔf dis kɔf, as tɛm de go, yu bɔdi in tisu dɛn de gro rawnd am, we de kip am na in ples ɛn mek i nɔ muv rawnd insay yu bɔdi. I de mek bak di infɛkshɔn nɔ go insay.
Aw dɛn kin put pɔmakateta insay di bɔdi?
Dis tan lɛk we dɛn de du ɔpreshɔn pan di urinary tract. So natin nɔ de fɔ wɔri bɔt. Dis na aw i kin apin ɔltɛm.
Bifo dɛn du di ɔpreshɔn
Yu dɔktɔ go ɛksplen to yu gud gud wan bɔt aw fɔ du am. I go tɔk bɔt ɔl di gud ɛn bad tin dɛn ɛn gɛt yu kɔnsɛntmɛnt. If ɛnitin apin we nɔ izi fɔ du, yu go nid fɔ du dis we yu nɔ gri fɔ mek yu sev yu layf.
We dɛn de du di ɔpreshɔn
Dis kin tek lɛk 45 minit nɔmɔ fɔ du. Di dɔktɔ dɛn go mek shɔ se yu nɔ fil ɛni prɔblɛm. Dɛn kin gi yu jenɛral anestezi , ɔ dɛn go injɛkt yu wan mɛrɛsin we de mek yu nɔ fil fayn (lidocaine) na usay dɛn put di pɔmakateta nɔmɔ.
Di dɔktɔ kin yuz wan we we dɛn kɔl ɔltra saund ɔ fluoroscopy (wan X-ray we kin mek yu si rial-taym vidio fɔ di insay pat na yu bɔdi) fɔ tek tɛm put dis tiub insay yu vein. wan ɛnd pan di tiub de insay di rayt atria na yu at. Dɛn kin pul di ɔda ɛnd kɔmɔt na di skin na yu chɛst.
Afta di ɔpreshɔn
Afta di ɔpreshɔn, dɛn go put wan transparent dresin fɔ mek di say klin. Na nɔmal tin fɔ fil sɔm pen ɛn stif na di say fɔ sɔm dez. Dɛn go du ɛkstrem rayt na di chɛst fɔ mek shɔ se ɔltin go fayn. Yu go ebul fɔ go na os afta yu dɔn rɛst fɔ sɔm awa. Dɔn bak, dɛn kin yuz di Pɛmakatɛta fɔ trit am wantɛm wantɛm afta dɛn dɔn put am insay.
Aw yu kin kia fɔ wan permalink na os?
Bikɔs pɔsin we gɛt pɔmakateta kin gɛt di sik, i rili impɔtant fɔ kip am klin ɛn tek kia ɔf am gud gud wan. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
- Nɔ mek wata kam na yu yay di fɔs de. Nɔ was ɔ go swim.
- I nɔmal fɔ mek smɔl blɔd kɔmɔt na di Pɛmakatɛta. Bɔt if di dresin gɛt blɔd, tek tɛm pul am, was am wit wata, ɛn put nyu wan pan am.
- Nɔ pul ɔ muv di kateshɔn . If i kɔmɔt na in ples, yu go nid fɔ put nyu wan insay.
- Nɔ ɛva pul di kap we de na do na di pɔmakateta. If yu du dat, dat kin mek di briz go insay, ɛn dis kin mek tin denja.
- Nɔ put ɛni antibayɔtik krim pan di wund pas yu dɔktɔ tɛl yu fɔ du dat.
If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
If ɛni wan pan dɛn tin ya apin to yu, tɛl yu dɔktɔ ɛn nɔ de te. If na imejensi, go stret to di Imejɛnsi Dipatmɛnt (ETU) .
- If yu fil fiva, kol, ɛn shek shek.
- If di say we dɛn put di Pɛmakɛt swel, rɛd, ɔ i de fil pen.
- If i tan lɛk se dɛn dɔn muf di kateshɔn ɔ i dɔn kɔmɔt na in ples kpatakpata.
- If di wund de blɔd kɔntinyu fɔ pas 20 minit.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we pɔsin kin gɛt we i de yuz pɔmakateta?
Lɛk ɛni mɛrɛsin, pɔmakatɛta gɛt bɛnifit ɛn prɔblɛm dɛn.
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
| I izi fɔ gɛt kɔnekshɔn fɔ lɔng tɛm ɔ fɔ ɔltɛm to di blɔd sistɛm. | Infεkshכn: Baktri כ vayral infεkshכn kin apin, spεshal wan MRSA (methicillin-resistant Staphylococcus aureus), wan baktri we nכ de rεsist antibaytik. |
| I de pul di pen ɛn diskɔmfɔt we pɔsin kin gɛt we i de chuk nidul ɔltɛm. | Trombosis: Risk de fɔ mek blɔd klɔt fɔm rawnd di kateshɔn. |
| Rɛdi fɔ yuz jɔs afta yu put am insay. | Dislodgement: Di kateshɔn kin muf ɔ slip kɔmɔt na in ples. |
No nid nɔ de fɔ fred dɛn bad tin ya. Di tin we impɔtant pas ɔl na fɔ tek kia ɔf di pɔmalink fayn ɛn klin wan ɛn fɔ no di tin dɛn we kin mek yu gɛt dis sik. Dɔn yu kin avɔyd bɔku prɔblɛm dɛn.
Mɛsej we dɛn kin kɛr go na os
- Pɛmakat na spɛshal tyub we de tek lɔng tɛm we de ɛp fɔ mek dɛn nɔ nid fɔ put nidul ɔltɛm fɔ lɔng tɛm tritmɛnt lɛk dayalaysis.
- Dɛn kin put dis insay tru smɔl ɔpreshɔn ɛn dɛn kin yuz am wantɛm wantɛm afta dɛn put am.
- I impɔtant fɔ kip di pɔmakateta rili klin ɛn tek tɛm kia fɔ am fɔ mek i nɔ gɛt di sik ɛn fɔ mek di blɔd nɔ klɔt.
- Ɔltɛm, de wach fɔ si sayn dɛn we de wɔn yu lɛk fiva, swɛlin, ɛn blɔd we de kɔmɔt pasmak. If yu gɛt ɛnitin we de mɔna yu, mek yu dɔktɔ no wantɛm wantɛm.
- Tɔk to yu dɔktɔ ɔltɛm bɔt us tritmɛnt we bɛtɛ fɔ yu.
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