Dokotala wanu atakuuzani kuti ntchito ya impso yanu yachepa kwambiri ndipo muyenera kuchita dialysis kuti mukhale ndi moyo, muyenera kuti munali ndi mantha komanso nkhawa kwambiri. Sikuti zokhazo, komanso pamene anakuuzani kuti muyenera kupanga fistula m'dzanja lanu musanachite dialysis, mafunso ambiri ayenera kuti anabwera m'maganizo mwanu. Muyenera kuti mukuganiza zinthu monga, 'Kodi fistula iyi ndi chiyani?', 'Kodi iyi ndi opaleshoni yayikulu?', 'Kodi chidzachitike ndi chiyani ku dzanja langa pambuyo pa izi?' Musadandaule, nkhaniyi ikuyankha mafunso onsewa omwe muli nawo m'maganizo mwanu. Tikambirana chilichonse m'njira yosavuta komanso yatsatanetsatane.
Mwachidule, kodi dialysis fistula ndi chiyani?
Ndi zophweka kwambiri. Dialysis fistula ndi opaleshoni yaying'ono yomwe imakulolani kulandira chithandizo cha dialysis mosavuta komanso mosamala. Mu njirayi, dokotala wa opaleshoni amalumikiza mtsempha wamagazi ndi mtsempha m'dzanja lanu. Izi nthawi zambiri zimachitika m'dzanja lomwe simugwiritsa ntchito kwambiri (mwachitsanzo, dzanja lanu lamanzere ngati muli ndi dzanja lamanja).
Taganizirani izi motere. Mukachita dialysis, magazi anu amatengedwa m'thupi lanu, amatsukidwa ndi makina, kenako amabwezeretsedwa m'thupi lanu. Izi zimafuna kuti magazi ambiri atulutsidwe m'thupi lanu mphindi imodzi. Mitsempha yathu yachibadwa (mitsempha) singathe kunyamula magazi ambiri choncho, imakhala yofooka. Chifukwa chake, mukapanga fistula, magazi othamanga kwambiri ochokera m'mitsempha amalowanso m'mitsempha, kotero kuti mtsemphawo umakula ndikukhala wamphamvu pakapita nthawi. Zili ngati kusintha chitoliro chaching'ono cha madzi ndi chachikulu, champhamvu. Izi zimatchedwanso arteriovenous (AV) fistula .
Fistula iyi ndiyo njira yoyenera komanso yotetezeka kwambiri yolandirira ndikubwezera magazi kuti akalandire chithandizo cha dialysis. Ndi njira yomwe ili ndi chiopsezo chochepa cha magazi kuundana komanso matenda.
Kodi mumakonzekera bwanji musanachite opaleshoni ya fistula?
Iyi si opaleshoni yaikulu komanso yoopsa. Ndi opaleshoni yaying'ono yomwe nthawi zambiri imachitika mkati mwa ola limodzi kapena awiri, ndipo mutha kupita kunyumba tsiku lomwelo (njira yochizira matenda akunja).
Opaleshoni isanachitike, dokotala wanu (nthawi zambiri dokotala wa mitsempha yamagazi) adzakambirana nanu za izi ndikukufotokozerani momwe opaleshoniyo idzachitikire. Kuphatikiza apo, adzakufunsani mafunso otsatirawa:
- Mbiri yanu yonse ya thanzi.
- Muyenera kutchula mankhwala aliwonse omwe mukumwa panopa (makamaka mankhwala ochepetsa magazi monga Aspirin ndi Clopidogrel ).
- Za ziwengo zanu.
Kenako, dokotalayo adzakujambulani mkono wanu ndi ultrasound , ayang'ane momwe mitsempha ndi mitsempha zilili, ndikusankha mitsempha yoyenera kwambiri opaleshoni.
Momwe opaleshoni ya fistula imachitikira komanso mitundu yake
Pa tsiku la opaleshoni, gulu lachipatala lidzayamba lakupatsani mankhwala oletsa ululu kuti mkono wanu usachite dzanzi. Kuti musamve ululu uliwonse. Kenako, adzadula pang'ono, kulumikiza mtsempha wosankhidwa ndi mitsempha, ndikutseka bala ndi zosokera zosungunuka.
Pali mitundu ikuluikulu ingapo ya fistula yomwe madokotala amagwiritsa ntchito, kutengera komwe mitsempha ili m'dzanja lanu.
| Mtundu wa Fistula | Malo osavuta |
|---|---|
| Fistula ya Radiocephalic | Kawirikawiri imachitidwa pa dzanja. |
| Brachiocephalic fistula | Kuchitidwa pang'ono pamwamba kapena pansi pa chigongono. |
| Fistula ya brachiobasilic yosinthidwa | Ngati njira zonse ziwiri zomwe zili pamwambapa sizingatheke, zimachitika pogwiritsa ntchito mtsempha mkati mwa mkono. |
Kodi mungasamalire bwanji fistula mutatha opaleshoni?
Nthawi yofunika kwambiri ndi pambuyo pa opaleshoni. Kuti fistula igwiritsidwe ntchito pochotsa magazi m'thupi, iyenera kukhala 'yokhwima'. Izi zitha kutenga miyezi iwiri kapena itatu . Panthawiyi, mtsempha umakula pang'onopang'ono komanso mwamphamvu.
Kodi mukumva "chisangalalo" cha fistula?
Pambuyo poti fistula yapangidwa, mudzamva kugwedezeka pang'ono kapena phokoso la 'whirr' mukayika dzanja lanu pa iyo. Zili ngati mphaka wamng'ono akufuula pansi pa mkono wanu. Madokotala amatcha izi "chisangalalo." Kumva kugwedezeka kumeneku kumatanthauza kuti fistula yanu ikugwira ntchito bwino. Muyenera kuyang'ana dzanja lanu m'mawa uliwonse ndi madzulo kuti muwone ngati mukumva kugwedezeka kumeneku. Pangani kukhala gawo la zochita zanu za tsiku ndi tsiku.
Namwino woyezetsa magazi adzakuuzani kuti muchite masewera olimbitsa thupi monga kufinya mpira waung'ono wa rabara kuti mulimbitse fistula.
Onetsetsani kuti mwachita izi kuti muteteze fistula yanu
Fistula yanu ndi chinthu chamtengo wapatali kwambiri chomwe chingapulumutse moyo wanu, choncho iyenera kusamalidwa.
| Zosayenera kuchita ❌ | Zinthu zoti muchite (Zochita) ✅ |
|---|---|
| Musagone ndi mkono wanu ndi fistula pansi pa mkono wanu. | Onani ngati mukumva "chisangalalo" tsiku lililonse. |
| Musamavale zovala zolimba, zibangili, kapena mawotchi pa dzanja limenelo. | Sambani m'manja mwanu bwino ndi sopo musanagwiritse ntchito dialysis. |
| Musalole aliyense kuyeza kuthamanga kwa magazi (BP) pa mkono wokhala ndi fistula pazifukwa zilizonse. | Sungani bala loyera. |
| Musalole kuti atenge magazi m'mitsempha ya dzanja limenelo. | Chitani masewera olimbitsa thupi omwe dokotala wakupatsani. |
Zoopsa ndi nthawi yoti muwone dokotala nthawi yomweyo
Ngakhale kuti fistula ndi yotetezeka kwambiri, nthawi zina mavuto amatha kuchitika.
- Matenda: Kufiira kwa bala, kutupa, kupweteka kwambiri, kutuluka kwa mafinya.
- Kutsekeka kwa magazi m'thupi: Pankhaniyi, magazi amaundana mkati mwa fistula. Kenako kumverera kwa "chisangalalo" kumatha.
- Stenosis: Kuchepa kwa mtsempha kuchokera mkati.
- Aneurysm: Kufooka kwa khoma la mtsempha wamagazi, zomwe zimapangitsa kuti lizitupa ngati baluni.
Chofunika kwambiri: Ngati "chisangalalo" chomwe mumamva tsiku lililonse chatha mwadzidzidzi, zingatanthauze kuti magazi mu fistula asiya kuyenda. Ndi zadzidzidzi! Muyenera kuyimbira foni dokotala wanu nthawi yomweyo kapena kupita ku Dipatimenti Yothandiza Pangozi (ETU) yapafupi.
Mafunso Ofunsidwa Kawirikawiri
Kodi impso zidzachira pambuyo pa dialysis?
Ayi. Impso zomwe zalephera kugwira ntchito chifukwa cha matenda osatha a impso sizidzachira. Njira yokhayo yoletsera chithandizo cha dialysis ndikukhala ndi kusintha kwa impso bwino.
Kodi fistula imatenga nthawi yayitali bwanji?
Ngati mutasamalira bwino, fistula imatha kukhalapo kwa zaka zambiri, ngakhale zaka zambiri . Umenewo ndiye ubwino waukulu wa fistula.
Tikudziwa kuti kukhala ndi dialysis ndi vuto. Kungakhale kovuta mwakuthupi komanso m'maganizo. Koma kumbukirani kuti simuli nokha. Pali anthu ambiri, kuphatikizapo madokotala ndi anamwino, omwe angakuthandizeni. Lankhulani nawo momasuka za mafunso, mantha, kapena nkhawa zilizonse zomwe mungakhale nazo.
Uthenga Wopita Nawo Kunyumba
- Njira yabwino komanso yotetezeka kwambiri yothandizira dialysis ndi fistula.
- Si opaleshoni yaikulu, koma opaleshoni yaying'ono yomwe nthawi zambiri imatenga maola 1-2.
- Ndikofunikira kuyang'ana momwe "chisangalalo" chikumvekera pamalo a fistula tsiku lililonse mutatha opaleshoni. Ngati chasiya, pitani kwa dokotala nthawi yomweyo.
- Mulimonse momwe zingakhalire , kuthamanga kwa magazi sikuyenera kuyezedwa kapena kutengedwa magazi kuchokera m'dzanja ndi fistula.
- Kusamalira bwino fistula yanu kudzakupulumutsani kwa zaka zambiri.
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