Dialysis atan fistula siam a ngai em? Hemi chungchang hi awlsam takin han sawi ila! (Dialysis Fistula) tih a ni.

I doctor-in i kal hnathawh a tlahniam nasa hle tih leh dam khawchhuah nan dialysis tih a ngai tih a hrilh che khan i hlauthawng hle a, i lungkham hle a ni ngei ang. Chu mai ni lovin, dialysis hmaa i kut ah fistula siam a ngai tih a hrilh che khan zawhna tam tak i rilruah a lo lang leh ngei ang. ‘He fistula hi eng nge ni?’, ‘Hei hi operation lian tak a ni em?’, ‘Hei hnu hian ka kut hi engtin nge a awm ang?’ tih te hi i ngaihtuah a ni ngei ang. Ngaihtuah buai suh, he thuziak hi i rilrua zawhna awm zawng zawng chhanna tur a ni. Engkim hi awlsam tak leh chipchiar takin kan sawi dawn a ni.

A awlsam zawngin, dialysis fistula tih hi eng nge ni?

A awlsam khawp mai. Dialysis fistula hi surgical procedure tenau tak a ni a, awlsam leh him takin dialysis treatment i dawng thei a ni. Hetiang tihnaah hian surgeon chuan i kut chhunga artery leh vein pakhat chu a thlunzawm a. Hei hi i hman tam loh kut (entir nan, dinglam i hman chuan i kut veilam)-ah tih a ni tlangpui.

Hetiang hian han ngaihtuah teh. Dialysis i tih hian i thisen chu i taksa atangin lakchhuah a ni a, machine hmangin a tifai a, chumi hnuah i taksaah dah leh a ni. Hei hian minute khatah thisen tam tak pump chhuah leh chhuah a ngai a ni. Kan thisen kalna (veins) pangngai hian chutiang zat thisen kal chu a tuar thei lo, a chak lo hle. Chuvangin, fistula i siam hian artery atanga high pressure thisen lo chhuak pawh hian vein chhungah kawng a nei a, chu chuan hun kal zelah chu vein chu a lianin a chak zawk thin . Tui pipe te tak te, lian leh chak tak hmanga thlak ang mai a ni. Hei hi arteriovenous (AV) fistula an ti bawk.

Fistula surgery hmain engtin nge i inbuatsaih thin?

Hei hi surgery lian tak, hlauhawm tak a ni lo. Surgery tenau tak a ni a, darkar khat emaw darkar hnih emaw chhunga tihfel a ni tlangpui a, chu ni vek chuan in lamah i haw thei bawk (outpatient procedure).

Surgery hmain i surgeon (a tlangpuiin vascular surgeon) chuan he thil hi a sawipui ang che a, surgery tih dan tur a hrilhfiah ang che. Chu bâkah, a hnuaia zawhnate hi a zâwt ang che:

• I hriselna chanchin kimchang.
• Tuna i damdawi ei zawng zawng (a bik takin thisen tithianghlimtu Aspirin leh Clopidogrel ang chi) chu i sawi ngei ang.
• I allergy chungchang.

Tichuan, doctor chuan i kut ultrasound scan a ti ang a, arteries leh veins dinhmun a en ang a, eng vein nge operation atana tha ber tih a thlang ang.

Fistula surgery tih dan leh chi hrang hrang

Surgery neih ni hian medical team chuan i kut chu a tichak lo turin local anesthetic an pe hmasa ang che. Chuvang chuan engmah hrehawm i nei lovang. Tichuan, incision te tak te an siam ang a, artery leh vein thlan chu an thlunzawm ang a, dissolvable stitches hmangin hliam chu an khar ang.

Doctor-te hman thin fistula chi hrang hrang a awm a, chu chu i kut chhunga vein awmna hmun a zirin a ni.

Operation hnuah fistula hi engtin nge kan enkawl ang?

A hun pawimawh ber chu surgery hnuah a ni. Fistula hi dialysis atana hman tur chuan ‘puitling’ a nih a ngai a ni. Hei hi thla 2 atanga thla 3 vel a ni thei . Hemi hun chhung hian vein chu a lianin a chak chho zauh zauh a.

Fistula avanga "thrill" chu i hre em?

Fistula siam a nih hnuah chuan i kut i nghah chuan vibration tlem emaw, ‘whirr’ ri emaw i nei ang. I kut hnuaiah ui te tak te purring ang mai a ni. Doctor-te chuan hei hi "thrill" an ti. He vibration hi i hriat hian i fistula hian hna a thawk tha tihna a ni. He vibration hi i hriat leh hriat loh nan zing leh tlai tin i kut i enfiah tur a ni. I nitin nunphungah telh la.

Dialysis nurse chuan fistula tichak turin rubber ball te tak te hrual ang chi exercise te tih turin a hrilh ang che.

I fistula venhim nan heng thilte hi ti ngei ang che

I fistula hi i nunna chhanhim thei thil hlu tak a nih avangin enkawl a ngai a ni.

Risk leh engtikah nge doctor pan nghal tur tih te

Fistulas hi a him hle nachungin, a chang chuan harsatna a awm thei.

• Infection: Hliam sen, a hring, natna nasa tak, pus drainage.
• Thrombosis: Hetiang a nih chuan fistula chhungah thisen zam a awm a. Tichuan "thrill" tih hriatna chu a bo ta a ni.
• Stenosis: A chhung lam atanga thisen kalna kawng (vein) a tawi.
• Aneurysm: Thisen kalna kawng bang a chak lo va, balloon ang maia a bulh chhuahna a ni.

Zawhna Zawh fo thin

Dialysis hnuah kal (kidney) hi a dam leh dawn em?

Ni lo, kal natna rei tak avanga kal (kidney) a hlawhchham tawhte chu a dam leh tawh lovang. Dialysis enkawlna tihtawp theihna awmchhun chu kal transplant hlawhtling tak neih hi a ni.

Fistula hi eng chen nge a awm?

I enkawl ṭhat chuan fistula hi kum tam tak, kum sâwm tam tak pawh a awm thei . Chu chu fistula thatna lian ber a ni.

Dialysis hmanga nun hi thil harsa tak a ni tih kan hria. Taksa leh rilru hahthlak tak a ni thei. Mahse, nangmah chauh i ni lo tih hre reng ang che. Mi tam tak, doctor leh nurse te pawhin an pui thei che a ni. Zawhna, hlauhna, a nih loh leh ngaihtuahna i neih apiang chu zalen takin sawipui rawh.