Ubwo muganga wawe yakubwiraga ko imikorere y'impyiko zawe yagabanutse cyane kandi ko ugomba gukora dialyse kugira ngo ubeho, ugomba kuba warumvise ufite ubwoba bwinshi kandi uhangayitse. Si ibyo gusa, ahubwo no igihe yakubwiraga ko ugomba gukora fistula mu kuboko kwawe mbere yo gukora dialyse, hari ibindi bibazo byinshi bigomba kuba byarakuje mu mutwe. Ugomba kuba urimo gutekereza ibintu nka, 'Iyi fistula ni iki?', 'Ese iki ni igikorwa gikomeye?', 'Ni iki kizaba ku kuboko kwanjye nyuma y'ibi?' Ntugire ikibazo, iyi nkuru igamije gusubiza ibi bibazo byose ufite mu mutwe wawe. Tuzaganira kuri byose mu buryo bworoshye kandi burambuye.
Mu magambo make, dialyse fistula ni iki?
Biroroshye cyane. Dialysis fistula ni uburyo bwo kubaga buto bugufasha kuvurwa dialysis byoroshye kandi mu mutekano. Muri ubu buryo, umuganga uhuza imitsi n'umutsi mu kuboko kwawe. Ibi bikunze gukorwa mu kuboko udakoresha cyane (urugero, ukuboko kwawe kw'ibumoso niba ukoresha ukuboko kw'iburyo).
Tekereza muri ubu buryo. Iyo ukoresheje dialyse, amaraso yawe akurwa mu mubiri wawe, agasukurwa n'imashini, hanyuma agasubizwa mu mubiri wawe. Ibi bisaba ko amaraso menshi asukwa buri munota. Imitsi yacu isanzwe (imitsi) ntishobora kwihanganira amaraso menshi atembera, iba ifite intege nke. Rero, iyo ukoze fistula, amaraso afite umuvuduko mwinshi uva mu mitsi nayo yinjira mu mitsi, bityo iyo mitsi irushaho kuba minini kandi ikomeye uko igihe kigenda gihita. Ni nko gusimbuza umuyoboro muto w'amazi n'umuyoboro munini kandi ukomeye. Ibi kandi byitwa fistula yo mu mitsi .
Ubu buryo bwo kwakira no gusubiza amaraso mu buryo buboneye kandi bwizewe bwo kuvurwa hakoreshejwe dialyse. Ni bwo buryo bufite ibyago bike byo kubyimba kw'amaraso no kwandura.
Witegura ute mbere yo kubagwa fistula?
Ubu si ukubaga gukomeye kandi biteye ubwoba. Ni ukubaga guto akenshi kurangira mu isaha imwe cyangwa ebyiri, kandi ushobora gutaha uwo munsi (kubagwa hanze).
Mbere yo kubagwa, umuganga wawe (ubusanzwe umuganga w’imitsi) azakubwira ibi kandi agusobanurire uko kubagwa bizakorwa. Byongeye kandi, azabaza ibibazo bikurikira:
- Amateka yawe yuzuye y'ubuzima.
- Ugomba kuvuga imiti iyo ari yo yose ufata ubu (cyane cyane imiti igabanya amaraso nka Aspirine na Clopidogrel ).
- Ku bijyanye n'uburwayi bwawe bwo kurwara.
Hanyuma, muganga azagukorera isuzuma rya ultrasound ry'ukuboko kwawe, arebe uko imitsi n'imitsi bihagaze, hanyuma ahitemo imitsi ikwiriye kubagwa.
Uburyo n'ubwoko bw'ubuvuzi bwa fistula bikorwa
Ku munsi wo kubagwa, itsinda ry’abaganga rizabanza kuguha umuti ugabanya ububabare kugira ngo ugire ibinure mu kuboko kwawe. Kugira ngo utazagira ububabare ubwo aribwo bwose, bazagukata gato, bahuze imitsi n’imitsi byatoranijwe, hanyuma bafunge igisebe bakoresheje imisumari ishongesha.
Hari ubwoko bwinshi bw'ingenzi bwa fistula abaganga bakoresha, bitewe n'aho imitsi iri mu kuboko kwawe iherereye.
| Ubwoko bwa Fistula | Aho uherereye gusa |
|---|---|
| Fistula yo mu bwonko ifite imirasire y'amaraso | Akenshi bikorerwa ku kuboko. |
| Fistula ya Brachiocephalic | Bikozwe hejuru gato cyangwa munsi y'inkokora. |
| Fistula ya brachiobasilic yahinduwe | Mu gihe uburyo bwombi bwavuzwe haruguru budashoboka, bikorwa hakoreshejwe umutsi uri imbere mu kuboko. |
Ni gute wakwita kuri fistula nyuma yo kubagwa?
Igihe cy'ingenzi ni nyuma yo kubagwa. Kugira ngo fistula ikoreshwe muri dialyse, igomba kuba 'ikuze'. Ibi bishobora gufata amezi 2 kugeza kuri 3. Muri iki gihe, umutsi ugenda ukura kandi urushaho gukomera.
Ese wumva "ibyishimo" bya fistula?
Nyuma yuko fistula imaze kuremwa, uzumva urusaku ruto cyangwa urusaku rw''ingunguru'' iyo uyishyizeho ikiganza. Ni nk'injangwe nto irimo gutontoma munsi y'ukuboko kwawe. Abaganga babyita "ibyishimo." Kumva uku gutontoma bivuze ko fistula yawe ikora neza. Ugomba kugenzura ikiganza cyawe buri gitondo na nimugoroba kugira ngo urebe niba wumva uku gutontoma. Bigire igice cy'imirimo yawe ya buri munsi.
Umuforomo wa dialysis azakubwira gukora imyitozo nko gukanda umupira muto kugira ngo ukomeze fistula.
Menya neza ko ukora ibi bintu kugira ngo ukingire fistula yawe
Fistula yawe ni ikintu cy'agaciro gakomeye gishobora kurokora ubuzima bwawe, bityo rero igomba kwitabwaho.
| Ntugakore ibidakwiye ❌ | Ibyo gukora (Ibyo gukora) ✅ |
|---|---|
| Ntugasinzira ukuboko kwawe kuri munsi y'ukuboko kwawe. | Reba niba wumva "ibyishimo" buri munsi. |
| Ntukambare imyenda igufashe, imikufi, cyangwa amasaha kuri urwo rutoki. | Karaba intoki zawe neza n'isabune mbere yo gukoresha dialyse. |
| Ntukemere ko umuntu yapima umuvuduko w'amaraso (BP) ku kuboko ufite fistula ku mpamvu iyo ari yo yose. | Komeza igisebe gisukuye. |
| Ntimureke ngo bakure amaraso mu mitsi y'icyo kiganza. | Kora imyitozo ngororamubiri wagiriwe inama na muganga. |
Ingaruka n'igihe cyo kubonana na muganga byihutirwa
Nubwo fistula ari nziza cyane, hari igihe ingorane zishobora kubaho.
- Indwara: Gutukura kw'igikomere, kubyimba, ububabare bukomeye, gusohora amashyira.
- Thrombose: Muri iki gihe, amaraso agwa mu gice cy'amaraso cya fistula. Hanyuma "ibyishimo" birashira.
- Stenose: Kugabanuka k'imitsi uhereye imbere.
- Aneurysm: Gucika intege k'urukuta rw'imitsi itwara amaraso, bigatuma ibyimba nk'umupira w'amaguru.
Icy'ingenzi kurushaho: Iyo "ibyishimo" wumva buri munsi bihagaze mu buryo butunguranye, bishobora gusobanura ko amaraso ya fistula yahagaze. Ni ikibazo cyihutirwa! Ugomba guhita uhamagara muganga wawe cyangwa ukajya mu ishami rishinzwe ubutabazi bw'ibanze (ETU) ry'ibitaro biri hafi yawe.
Ibibazo Bikunze Kubazwa
Ese impyiko zizakira nyuma yo gusukura amaraso?
Oya. Impyiko zananiwe kubera indwara y'impyiko idakira ntizizakira. Uburyo bwonyine bwo guhagarika ubuvuzi bwa dialyse ni ugutera impyiko neza.
Fistula imara igihe kingana iki?
Iyo uyifashe neza, fistula ishobora kumara imyaka myinshi, ndetse n'imyaka ibarirwa muri za mirongo . Iyo ni yo nyungu ikomeye ya fistula.
Tuzi ko kubaho ukoresheje dialyse ari ikibazo gikomeye. Bishobora kunaniza umubiri n'ubwenge. Ariko ibuka ko utari wenyine. Hari abantu benshi, barimo abaganga n'abaforomo, bashobora kugufasha. Ganira nabo ku bibazo byose, ubwoba cyangwa impungenge ushobora kuba ufite.
Ubutumwa bwo kujyana mu rugo
- Fistula ya dialyse ni yo nzira nziza kandi yizewe yo kuvura dialyse.
- Si ukubagwa gukomeye, ahubwo ni ukubagwa guto gusanzwe bifata amasaha 1-2.
- Ni ngombwa kugenzura uko "ibyishimo" bigaragarira aho fistula yagaragaye buri munsi nyuma yo kubagwa. Iyo bihagaze, jya kwa muganga ako kanya.
- Nta na rimwe umuvuduko w'amaraso ugomba gupimwa cyangwa ngo amaraso avurwe mu kuboko hamwe na fistula.
- Kwita ku ndwara ya fistula bizakurokora imyaka myinshi.
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