Me hanga he fistula mō te dialysis? Me kōrero māmā noa iho tātou mō tēnei! (Dialysis Fistula)

I te kīnga atu a tō tākuta kua tino heke te mahi a tō whatukuhu, ā, me haere koe ki te dialysis kia ora ai koe, tērā pea i tino mataku koe, i manukanuka hoki. Ehara i te mea koinā anake, engari i tana kīnga atu me hanga he fistula ki tō ringa i mua i te dialysis, he maha atu anō ngā pātai kua puta ake ki tō hinengaro. Tērā pea kei te whakaaro koe ki ētahi mea pēnei i te, 'He aha tēnei fistula?', 'He pokanga nui tēnei?', 'Ka aha taku ringa i muri i tēnei?' Kaua e manukanuka, ko tēnei tuhinga hei whakautu i ēnei pātai katoa kei roto i tō hinengaro. Ka kōrerohia e mātou ngā mea katoa i roto i te huarahi tino māmā me te taipitopito.

He aha te kīanga māmā noa iho, he aha te dialysis fistula?

He tino māmā noa iho. He pokanga iti te dialysis fistula e āhei ai koe ki te whiwhi maimoatanga dialysis me te ngāwari me te haumaru. I roto i tēnei tikanga, ka hono te taote pokanga i te uaua me te uaua i roto i tō ringa. I te nuinga o te wā ka mahia tēnei i te ringa kāore koe e whakamahi nui ana (hei tauira, tō ringa maui mēnā he ringa matau koe).

Whakaarohia pēnei. Ina whiwhi koe i te dialysis, ka tangohia ō toto i tō tinana, ka horoia e te mīhini, kātahi ka whakahokia ki roto i tō tinana. Me nui te toto hei papu i ia meneti. Kāore e taea e ō tātou uaua noa te whakahaere i taua nui o te rere o te toto, he ngoikore. Nō reira, ina hangaia he fistula, ka uru atu te toto pēhanga teitei e puta mai ana i te uaua ki roto i te uaua, ā, ka nui haere, ka kaha haere taua uaua i roto i te wā. He rite ki te whakakapi i tētahi paipa wai iti ki tētahi paipa nui, kaha. Ka kiia hoki tēnei he fistula arteriovenous (AV) .

Me pēhea te whakarite i mua i te pokanga fistula?

Ehara tēnei i te pokanga nui, whakamataku hoki. He pokanga iti tēnei e oti ana i roto i te haora, e rua rānei, ā, ka taea e koe te hoki ki te kāinga i taua rā anō (he pokanga mō te wā kei waho o te hōhipera).

I mua i te pokanga, ka kōrero tō taote pokanga (he taote pokanga toto te nuinga) ki a koe mō tēnei mea, ā, ka whakamārama hoki me pēhea te mahi i te pokanga. Hei tāpiri, ka pātai atu ia ki a koe i ēnei pātai:

• Tō hītori hauora katoa.
• Me kōrero anō hoki koe mō ngā rongoā katoa e tangohia ana e koe (ina koa ko ngā rongoā whakaiti toto pēnei i te Aspirin me te Clopidogrel ).
• Mō ō mate pāwera.

Kātahi ka whakahaerehia e te tākuta he matawai ultrasound o tō ringa, ka tirohia te āhua o ngā uaua me ngā uaua toto, ā, ka whiriwhiri ko ēhea ngā uaua toto e tino pai ana mō te pokanga.

Me pēhea te mahi me ngā momo pokanga fistula

I te rā o te pokanga, ka hoatu tuatahitia e te tīma hauora he rongoā whakamoe ā-rohe hei whakangāwari i tō ringa. Kia kore ai koe e mamae. Kātahi ka tapahia he wahi iti, ka honoa te uaua me te uaua kua tīpakohia, ā, ka kati i te patunga ki ngā tuitui ka taea te rewa.

He maha ngā momo fistula matua e whakamahia ana e ngā tākuta, i runga i te wāhi kei reira ngā uaua i roto i tō ringaringa.

Me pēhea te tiaki i te fistula i muri i te pokanga?

Ko te wā tino nui ko muri i te pokanga. Kia taea ai te whakamahi i te fistula mō te dialysis, me 'pakari'. E rua ki te toru marama pea te roa. I roto i tēnei wā, ka nui haere, ka kaha haere te uaua.

Kei te rongo koe i te "hihiri" o te fistula?

I muri i te hanganga o te fistula, ka rongo koe i te wiri iti, i te tangi 'whirr' rānei ina whakatakotoria tō ringa ki runga. He rite ki te ngeru iti e ngunguru ana i raro i tō ringa. E kiia ana tēnei e ngā tākuta ko te "thrill". Mā te rongo i tēnei wiri e tohu ana kei te pai te mahi a tō fistula. Me tirotiro e koe tō ringa i ia ata, i ia ahiahi hoki kia kite ai mēnā kei te rongo koe i tēnei wiri. Me waiho hei wāhanga o tō mahinga o ia rā.

Mā te nēhi dialysis koe e kī atu kia mahi i ngā mahi whakakori tinana pēnei i te pēhi i tētahi pōro rapa iti hei whakapakari i te fistula.

Kia tino mahi koe i ēnei mea hei tiaki i tō fistula

He mea tino nui tō fistula e whakaora ai i a koe, nō reira me tiaki.

Ngā tūponotanga me te wā tika ki te toro atu ki te tākuta

Ahakoa he tino haumaru ngā fistula, ka puta pea ngā raruraru i ētahi wā.

• Ngā mate urutā: Te whero o te patunga, te pupuhi, te mamae nui, te rerenga o te pūkahukahu.
• Te toto totoka: I tēnei wā, ka mau te toto totoka ki roto i te fistula. Kātahi ka ngaro te kare "hihiri".
• Stenosis: Te whaiti o te uaua mai i roto.
• Aneurysm: He ngoikore o te pakitara o te uaua toto, ka pupuhi pērā i te poihau.

Ngā Pātai Auau

Ka ora ake ngā whatukuhu i muri i te dialysis?

Kāo. Kāore e ora ngā whatukuhu kua ngoikore nā te mate whatukuhu mau tonu. Ko te huarahi anake hei whakamutu i te maimoatanga dialysis ko te whai i tētahi whakawhitinga whatukuhu angitu.

Kia pēhea te roa o te fistula?

Ki te tiakina pai, ka roa pea te fistula mō ngā tau maha, tae atu ki ngā tekau tau . Koinei te painga nui o te fistula.

E mōhio ana mātou he wero te noho me te dialysis. Ka taea e te tinana me te hinengaro te hoha. Engari kia mahara, ehara i te mea ko koe anake. He maha ngā tāngata, tae atu ki ngā tākuta me ngā nēhi, ka taea te āwhina i a koe. Kōrerohia ki a rātou me te tuwhera mō ngā pātai, ngā wehi, ngā āwangawanga rānei kei a koe.