Mukayenera kupita kuchipatala kangapo pa sabata kuti mukalandire mankhwala, kapena munthu amene ali ndi vuto la impso akayenera kulandira chithandizo cha nthawi yayitali, monga dialysis , kuti ayeretse magazi, kodi zimakhala zopweteka komanso zokhumudwitsa bwanji kubaya singano m'thupi lanu nthawi zonse? Tangoganizani kupeza mtsempha watsopano tsiku lililonse ndikuyika singano. Pofuna kupewa zovuta zotere, madokotala amagwiritsa ntchito chipangizo chapadera. Ndicho chimene timachitcha kuti permacath.
Ndiye kodi Permacath ndi chiyani kwenikweni?
Mwachidule, permacatheter ndi chubu chapadera, chofewa ( catheter ) chomwe chimayikidwa mu mtsempha waukulu wamagazi m'thupi lanu, nthawi zambiri mtsempha womwe uli m'khosi mwanu. Chinthu chapadera pa izi ndichakuti chikayikidwa, chimatha kusiyidwa pamalopo kwa nthawi yayitali, nthawi zina ngakhale kosatha . Ndicho chifukwa chake chimatchedwa 'permacatheter', kutanthauza ' catheter yosatha'.
Mukayika, mutha kulumikiza mwachindunji ku dongosolo lanu la magazi kudzera mu chubu ichi, popanda kugwiritsa ntchito singano nthawi zonse. N'zosavuta kuchiza ndi izi. Zimagwiritsidwa ntchito makamaka pa:
- Kuyeretsa impso kwa odwala impso: Kukhala ndi permacatheter ndi njira yabwino kwambiri yothandizira matendawa, yomwe imafuna maola angapo a dialysis kangapo pa sabata.
- Kupereka mankhwala apadera: Mankhwala ena operekedwa ku matenda monga khansa amafunika kuperekedwa kwa nthawi yayitali.
- Chithandizo cha Apheresis : Izi zimaphatikizapo kulekanitsa ndikuchotsa zina mwa zinthu zoopsa m'magazi. Chithandizochi chimagwiritsidwa ntchito pa matenda monga khansa ya m'magazi ndi matenda a sickle cell.
Kodi kusiyana pakati pa PermaKath ndi mankhwala ena ndi kotani?
Pali njira zingapo zolumikizirana ndi mitsempha yanu yamagazi kuti muyeretsedwe magazi. Dokotala wanu adzasankha njira yoyenera kwa inu. Tiyeni tiwone njira zazikulu.
| Njira yochizira | Mwachidule, | Zoyenera kudziwa |
|---|---|---|
| AV fistula (Arteriovenous fistula - AVF) | Opaleshoni imalumikiza mtsempha wamagazi ndi mtsempha m'dzanja lanu. | Iyi ndi njira yabwino kwambiri komanso yokhalitsa. Komabe, ikapangidwa, zimatenga miyezi ingapo kuti thupi likhale lamphamvu mokwanira kuti lilandire chithandizo kudzera mu njira imeneyi. |
| AV Graft (Arteriovenous graft - AVG) | Ngati mtsempha ndi mtsempha sizingalumikizane, chubu chofewa, chopangidwa chimayikidwa pakati pa ziwirizi. | Iyi ndi njira yabwino kwa iwo omwe sangathe kupanga fistula, koma chiopsezo cha magazi kuundana (thrombosis) ndi chachikulu pang'ono. |
| Permacath | Chubu chapadera chimayikidwa mu mtsempha waukulu pakhosi kapena pachifuwa. | Iyi ndi njira yabwino kwambiri ngati mukufuna dialysis mwachangu, kapena ngati njira zina sizikuyenda bwino. Itha kugwiritsidwa ntchito nthawi yomweyo mukangoyiyika. |
Makamaka, mtundu wa permacatheter yomwe ili ndi 'cuff' ndi yomwe imagwiritsidwa ntchito kwa nthawi yayitali. Chifukwa cha cuff iyi, pakapita nthawi, minofu ya thupi lanu imakula mozungulira, ndikuisunga pamalo ake ndikuiletsa kuyenda mkati mwa thupi lanu. Imaletsanso matenda kulowa.
Kodi permacatheter imalowetsedwa bwanji m'thupi?
Izi zili ngati opaleshoni ya mkodzo . Choncho palibe chodetsa nkhawa. Umu ndi momwe zimachitikira nthawi zambiri.
Musanachite opaleshoni
Dokotala wanu adzakufotokozerani bwino za njira yochizira matendawa. Adzakambirana zabwino ndi zoyipa zonse ndipo adzakupatsani chilolezo. Pakagwa mwadzidzidzi, izi zingafunike kuchitika popanda chilolezo chanu kuti mupulumutse moyo wanu.
Pa nthawi ya opaleshoni
Izi zimatenga mphindi 45 zokha kuti zichitike. Madokotala adzaonetsetsa kuti simukumva kupweteka kulikonse. Mungapatsidwe mankhwala oletsa ululu , kapena mankhwala oletsa kumva kupweteka (lidocaine) adzabayidwa pokhapokha ngati permacatheter yaikidwa.
Dokotala amagwiritsa ntchito njira yotchedwa ultrasound kapena fluoroscopy (X-ray yomwe imakulolani kuti muwonere kanema weniweni wa mkati mwa thupi lanu) kuti alowetse chubu ichi mosamala kwambiri mumtsempha wanu. Malekezero ena a chubucho amalowetsedwa mu atrium yakumanja ya mtima wanu. Malekezero ena amatuluka kudzera pakhungu la pachifuwa chanu.
Pambuyo pa opaleshoni
Pambuyo pa opaleshoni, adzagwiritsa ntchito bandeji yowonekera bwino kuti malowo akhale oyera. Ndizachilendo kumva kupweteka ndi kuuma pang'ono m'malowo kwa masiku angapo. X-ray ya pachifuwa idzachitika kuti zonse ziyende bwino. Mudzatha kupita kunyumba mukapuma kwa maola ochepa. Komanso, Permacatheter ingagwiritsidwe ntchito pochiza nthawi yomweyo ikayikidwa.
Kodi mumasamalira bwanji permalink kunyumba?
Popeza munthu amene ali ndi permacatheter ali pachiwopsezo chotenga matenda, ndikofunikira kwambiri kuti ikhale yoyera ndikuisamalira bwino. Tsatirani malangizo a dokotala wanu molondola.
- Musalole madzi kulowa m'maso mwanu tsiku loyamba. Musasambe kapena kuviika m'madzi.
- Ndi zachilendo kuti magazi pang'ono atuluke mu Permacatheter. Komabe, ngati bandejiyo yakhala ndi magazi, ichotseni mosamala, itsukeni ndi madzi, kenako ikani yatsopano.
- Musakoke kapena kusuntha katheta . Ngati yachoka pamalo pake, mungafunike kuyika yatsopano.
- Musachotse chivundikiro chakunja kwa permacatheter. Kuchita zimenezi kungathandize kuti mpweya ulowe, zomwe zingabweretse mavuto.
- Musamagwiritse ntchito mafuta opha tizilombo toyambitsa matenda pachilonda pokhapokha ngati dokotala wanu wakuuzani kuti muchite zimenezo.
Ngati muli ndi zizindikiro izi, imbani dokotala wanu nthawi yomweyo.
Ngati chilichonse mwa izi chikukuchitikirani, dziwitsani dokotala wanu mwamsanga. Ngati ndi zadzidzidzi, pitani mwachindunji ku Dipatimenti Yoona za Zadzidzidzi (ETU) .
- Ngati mukumva kutentha thupi, kuzizira, komanso kunjenjemera.
- Ngati malo omwe Permacathe inagwiritsidwa ntchito ndi otupa, ofiira, kapena opweteka.
- Ngati catheter ikuoneka kuti yasunthidwa kapena yachoka pamalo ake.
- Ngati chilonda chikutuluka magazi mosalekeza kwa mphindi zoposa 20.
Kodi ubwino ndi zoopsa za permacatheter ndi ziti?
Monga njira ina iliyonse yachipatala, permacatheter ili ndi ubwino ndi zoopsa zonse.
| Ubwino | Zoopsa |
|---|---|
| Kulumikizana kwa nthawi yayitali kapena kosatha ndi magazi mosavuta. | Matenda: Matenda a bakiteriya kapena mavairasi amatha kuchitika, makamaka MRSA (methicillin-resistant Staphylococcus aureus), mabakiteriya omwe sagonjetsedwa ndi maantibayotiki. |
| Amachotsa ululu ndi kusasangalala komwe kumachitika chifukwa chobayidwa ndi singano pafupipafupi. | Kutsekeka kwa magazi m'thupi: Pali chiopsezo chakuti magazi amaundana mozungulira katheta. |
| Wokonzeka kugwiritsa ntchito mukangoyiyika. | Kutuluka kwa madzi: Katheta ikhoza kusuntha kapena kutsika pamalo pake. |
Palibe chifukwa choopa zoopsa izi. Chofunika kwambiri ndikusamalira permalink moyenera komanso mwaukhondo komanso kudziwa zoopsa zake. Mukatero mutha kupewa mavuto ambiri.
Uthenga Wopita Nawo Kunyumba
- Permacath ndi chubu chapadera cha nthawi yayitali chomwe chimathandiza kuthetsa kufunikira koika singano pafupipafupi pa chithandizo cha nthawi yayitali monga dialysis.
- Izi zimayikidwa kudzera mu opaleshoni yaying'ono ndipo zitha kugwiritsidwa ntchito nthawi yomweyo mutayikidwa.
- Ndikofunikira kwambiri kusunga permacatheter yoyera komanso yosamaliridwa bwino kuti tipewe matenda ndi magazi kuundana.
- Nthawi zonse samalani ndi zizindikiro monga malungo, kutupa, ndi kutuluka magazi kwambiri. Ngati muli ndi nkhawa iliyonse, dziwitsani dokotala wanu nthawi yomweyo.
- Nthawi zonse lankhulani ndi dokotala wanu za njira yabwino kwambiri yothandizira.
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