Iyo ugomba kujya kwa muganga inshuro nyinshi mu cyumweru kugira ngo uhabwe imiti, cyangwa iyo umuntu ufite ikibazo cy'impyiko agomba kuvurwa igihe kirekire, nka dialyse , kugira ngo asukure amaraso, bibabaza kandi bikababaza gute gushyira urushinge mu mubiri wawe buri gihe? Tekereza gushaka umutsi mushya buri munsi ugashyiramo urushinge. Kugira ngo wirinde ingorane nk'izo, abaganga bakoresha igikoresho cyihariye. Ni cyo twita permacath.
None se, Permacath ni iki mu by'ukuri?
Mu magambo make, permacatheter ni umuyoboro wihariye, woroshye ( catheter ) winjizwa mu mitsi minini y'amaraso mu mubiri wawe, akenshi umutsi uri mu ijosi ryawe. Ikintu cyihariye kuri ibi ni uko iyo uyinjijwemo, ishobora gusigara mu mwanya wayo igihe kirekire, rimwe na rimwe ndetse burundu . Niyo mpamvu yitwa 'permacatheter', bivuze ' catheter ihoraho'.
Iyo umaze gushyirwamo, ushobora guhuza amaraso yawe neza unyuze muri uyu muyoboro, utiriwe ukoresha inshinge buri gihe. Biroroshye cyane kuvura ibi. Bikoreshwa cyane cyane kuri:
- Hemodialysis ku barwayi b'impyiko: Kugira permacatheter ni uburyo bwiza bwo kuvura ubu buryo, busaba amasaha menshi yo gusukura impyiko inshuro nyinshi mu cyumweru.
- Gutanga imiti yihariye: Imiti imwe n'imwe itangwa ku ndwara nka kanseri igomba gutangwa igihe kirekire.
- Kuvura Apheresis : Ibi bikubiyemo gutandukanya no gukura bimwe mu bice byangiza mu maraso. Ubu buryo bukoreshwa mu kuvura indwara nka kanseri y'amaraso n'indwara ya sickle cell.
Ni irihe tandukaniro riri hagati ya PermaKath n'ubundi buryo bwo kuvura?
Hari uburyo bwinshi bwo guhuza imitsi yawe y'amaraso kugira ngo habeho hemodialysis. Muganga wawe azaguhitiramo uburyo bukubereye. Reka turebe uburyo bw'ingenzi.
| Uburyo bwo kuvura | Mu magambo make, | Icyo ugomba kumenya |
|---|---|---|
| Fistula ya AV (Arteriovenous fistula - AVF) | Kubagwa bihuza imitsi n'umutsi wo mu kuboko kwawe. | Ubu ni bwo buryo bwiza kandi burambye. Ariko, iyo bumaze gukorwa, bifata amezi menshi kugira ngo umubiri ube ukomeye bihagije kugira ngo uhabwe ubuvuzi binyuze muri bwo. |
| AV Igishushanyo (Arteriovenous graft - AVG) | Iyo umutsi n'imitsi bidashobora guhuzwa, umuyoboro woroshye kandi w'ubukorano ushyirwa hagati y'ibyo byombi. | Ubu ni uburyo bwiza ku bantu badashobora kugira fistula, ariko ibyago byo kubyimba kw'amaraso (thrombosis) biri hejuru gato. |
| Permakath | Umuyoboro wihariye ushyirwa mu mutsi munini uri mu ijosi cyangwa mu gituza. | Ubu ni bwo buryo bwiza cyane niba ukeneye dialyse byihutirwa, cyangwa niba ubundi buryo budakora neza. Bushobora gukoreshwa ako kanya nyuma yo gushyirwamo. |
By’umwihariko, ubwoko bwa permacatheter ifite 'cuff' ni bwo bukoreshwa igihe kirekire. Kubera iyi cuff, uko igihe kigenda gihita, ingingo z’umubiri wawe zirakura ziwukikije, zikawugumana mu mwanya wawo kandi zikawubuza kugenda mu mubiri wawe. Binarinda ko indwara zinjira.
Permacatheter yinjizwa ite mu mubiri?
Ibi ni nko kubagwa inkari . Nta kintu na kimwe cyo guhangayika. Uku niko bikunze kubaho.
Mbere yo kubagwa
Muganga wawe azagusobanurira neza uburyo bwo kuvura. Azakubwira ibyiza n'ibibi byose kandi akubwire uburenganzira bwawe. Mu gihe cy'impanuka, ibi bishobora kuba ngombwa ko ubikora utabanje kubyemera kugira ngo urokore ubuzima bwawe.
Mu gihe cyo kubaga
Ibi bifata iminota 45 gusa. Abaganga bazagenzura neza ko nta kibazo wumva. Ushobora guhabwa ikinya rusange, cyangwa umuti ugabanya ububabare (lidocaine) ugaterwa gusa aho permacatheter ishyizwe.
Muganga akoresha uburyo bwitwa ultrasound cyangwa fluoroscopy (X-ray igufasha kureba videwo y'imbere mu mubiri wawe mu buryo bw'imbonankubone) kugira ngo yinjize uyu muyoboro mu mitsi yawe witonze. Impera imwe y'umuyoboro ishyirwa mu gice cy'iburyo cy'umutima wawe. Impera yindi isohoka inyuze mu ruhu rw'igituza cyawe.
Nyuma yo kubagwa
Nyuma yo kubagwa, hashyirwaho agapfundikizo kabonerana kugira ngo agace gasukure. Ni ibisanzwe kumva ububabare n'ubukomere mu gace mu minsi mike. Hazakorwa X-ray yo mu gituza kugira ngo byose bigende neza. Uzashobora gutaha nyuma y'amasaha make yo kuruhuka. Nanone, Permacatheter ishobora gukoreshwa mu kuvura ako kanya nyuma yo kuyishyiramo.
Ni gute wakwitaho igihe cyose uri mu rugo?
Kubera ko umuntu ufite permacatheter aba afite ibyago byo kwandura, ni ngombwa cyane kuyisukura no kuyiyitaho neza. Kurikiza amabwiriza ya muganga wawe neza.
- Ntukareke amazi yinjira mu maso yawe ku munsi wa mbere. Ntukajye koga cyangwa ngo ujye koga.
- Ni ibisanzwe ko amaraso make asohoka muri Permacatheter. Ariko, niba irangi ryahindutse amaraso, rikuremo witonze, woge n'amazi, hanyuma ushyireho irindi rishya.
- Ntukure cyangwa ngo wimure catheter . Iyo ivuye aho iri, ushobora gukenera kuyishyiramo nshya.
- Ntuzigere ukuramo umupfundikizo uri inyuma y'icyuma gikingira umwuka. Kubikora bishobora gutuma umwuka winjira, bigatera akaga.
- Ntugashyire amavuta yo kwisiga ku gisebe keretse muganga wawe abigutegetse.
Niba ufite ibi bimenyetso, hamagara muganga wawe ako kanya.
Niba hari kimwe muri ibi bikurikira kikubayeho, menyesha muganga wawe vuba. Niba ari ikibazo cyihutirwa, jya mu Ishami ry’Ubutabazi bw’Indwara (ETU) .
- Niba wumva ufite umuriro, ubukonje, kandi uhinda umushyitsi.
- Niba ahantu Permacathe yakoreshejwe harabyimbye, hatukura, cyangwa harababaza.
- Niba catheter isa nkaho yimuwe cyangwa yavuye mu mwanya wayo burundu.
- Iyo igikomere kimaze kuva amaraso mu gihe kirenga iminota 20.
Ni izihe nyungu n'ingaruka za permacatheter?
Kimwe n'ubundi buryo bwose bwo kwa muganga, permacatheter ifite ibyiza n'ibyago.
| Ibyiza | Ingaruka |
|---|---|
| Koroshya guhuza amaraso igihe kirekire cyangwa burundu. | Kwandura: Indwara za bagiteri cyangwa virusi zishobora kubaho, cyane cyane MRSA (Staphylococcus aureus idashobora guterwa na methicillin), ubwoko bwa bagiteri idashobora guterwa na antibiyotike. |
| Ikuraho ububabare n'ingorane biterwa no gukubitwa urushinge kenshi. | Thrombose: Hari ibyago byo kuzura amaraso akikije catheter. |
| Biteguye gukoreshwa ukimara kubishyiraho. | Gusohoka: Catheter ishobora kwimuka cyangwa kuva aho iri. |
Nta mpamvu yo gutinya izi ngaruka. Icy'ingenzi ni ukwita ku murongo uhoraho neza kandi usukuye no kumenya ibintu bishobora gutera ingorane. Icyo gihe ushobora kwirinda ibibazo byinshi.
Ubutumwa bwo kujyana mu rugo
- Permacath ni umuyoboro wihariye w’igihe kirekire ufasha gukuraho gukenera kwinjizwamo urushinge kenshi mu gihe kirekire nko mu gihe cyo kuvurwa hakoreshejwe dialyse.
- Ibi bishyirwamo binyuze mu kubagwa gato kandi bishobora gukoreshwa ako kanya nyuma yo gushyirwamo.
- Ni ngombwa cyane kugira ngo permacatheter ikomeze gusukurwa neza kandi yitabwaho neza kugira ngo hirindwe kwandura no kubyimba kw'amaraso.
- Buri gihe komeza witondere ibimenyetso by'umuburo nko kugira umuriro, kubyimba, no kuva amaraso menshi. Niba ufite impungenge, menyesha muganga wawe ako kanya.
- Buri gihe vugana na muganga wawe ku buryo bwo kuvura bukubereye.











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