Xa ugqirha wakho ekuxelela ukuba ukusebenza kwezintso zakho kuye kwehla kakhulu kwaye kufuneka wenze i-dialysis ukuze uphile, umele ukuba waziva usoyika kwaye uxhalabile kakhulu. Akuphelelanga apho, kodwa xa ekuxelela ukuba kufuneka wenze i-fistula engalweni yakho ngaphambi kwe-dialysis, kufuneka ukuba kuvele eminye imibuzo emininzi engqondweni yakho. Umele ukuba ucinga ngezinto ezifana nokuthi, 'Yintoni le fistula?', 'Ngaba olu lutyando olukhulu?', 'Kuza kwenzeka ntoni engalweni yam emva koku?' Ungakhathazeki, eli nqaku liza kuphendula yonke le mibuzo onayo engqondweni yakho. Siza kuthetha ngayo yonke into ngendlela elula neneenkcukacha.
Ngamafutshane, yintoni i-dialysis fistula?
Kulula kakhulu. I-dialysis fistula yinkqubo encinci yotyando ekuvumela ukuba ufumane unyango lwe-dialysis ngokulula nangokukhuselekileyo. Kule nkqubo, ugqirha wotyando udibanisa umthambo kunye nomthambo engalweni yakho. Oku kudla ngokwenziwa engalweni ongayisebenzisi kakhulu (umzekelo, ingalo yakho yasekhohlo ukuba usebenzisa isandla sasekunene).
Cinga ngale ndlela. Xa une-dialysis, igazi lakho liyathathwa emzimbeni wakho, licocwe ngomatshini, lize libuyiselwe emzimbeni wakho. Oku kufuna igazi elininzi elimpontshwayo libuyele umva ngomzuzu. Imithambo yethu eqhelekileyo (imithambo) ayikwazi ukumelana nokuhamba kwegazi okuninzi kangako, ibuthathaka. Ngoko ke, xa udala i-fistula, igazi elinoxinzelelo oluphezulu elivela kwimithambo yegazi nalo lingena kwimithambo, ukuze loo mthambo ube mkhulu kwaye ube namandla ngokuhamba kwexesha. Kufana nokutshintsha umbhobho wamanzi omncinci ngombhobho omkhulu, onamandla. Oku kukwabizwa ngokuba yi-arteriovenous (AV) fistula .
Le fistula yeyona ndlela ifanelekileyo nekhuselekileyo yokufumana nokubuyisela igazi kunyango lwe-dialysis. Le yindlela enengozi encinci yokuqhekeka kwegazi kunye nosulelo.
Uzilungiselela njani ngaphambi kotyando lwe-fistula?
Olu asilotyando olukhulu noloyikekayo. Lutyando oluncinci oludla ngokugqitywa kwiyure enye okanye ezimbini, kwaye ungagoduka ngaloo mini inye (inkqubo yokunyanga ngaphandle).
Ngaphambi kotyando, ugqirha wakho (odla ngokuba ngugqirha wemithambo yegazi) uza kuthetha nawe ngale nto aze achaze indlela olu tyando oluza kwenziwa ngayo. Ukongeza, uza kukubuza le mibuzo ilandelayo:
- Imbali yakho epheleleyo yempilo.
- Ngokuqinisekileyo kufuneka ukhankanye nayiphi na imithi oyithathayo ngoku (ingakumbi amayeza okunciphisa igazi afana ne -Aspirin kunye ne-Clopidogrel ).
- Malunga nee-allergies zakho.
Emva koko, ugqirha uza kwenza i-ultrasound scan yengalo yakho, ajonge imeko yemithambo yegazi kunye nemithambo yegazi, aze akhethe ukuba yeyiphi imithambo yegazi efanelekileyo kakhulu yotyando.
Indlela kunye neentlobo zotyando lwe-fistula ezenziwa ngayo
Ngomhla wotyando, iqela lezonyango liza kuqala likunike i-anesthetic yendawo ukuze ungabi nantlungu. Ukuze ungeva ntlungu. Emva koko, baza kwenza umngxuma omncinci, badibanise umthambo okhethiweyo kunye nomthambo, baze bavale inxeba ngezitishi ezinyibilikayo.
Kukho iintlobo ezininzi eziphambili ze-fistula ezisetyenziswa ngoogqirha, kuxhomekeke kwindawo ekuyo imithambo engalweni yakho.
| Uhlobo lweFistula | Indawo elula |
|---|---|
| I-Radiocephalic fistula | Idla ngokwenziwa esihlahleni. |
| I-Brachiocephalic fistula | Yenziwe ngaphezulu okanye ngaphantsi kwengqiniba kancinci. |
| I-fistula ye-brachiobasilic eguquliweyo | Kwimeko apho zombini ezi ndlela zingasentla zingenakwenzeka, kwenziwa kusetyenziswa umthambo ongaphakathi kwengalo. |
Ungayinyamekela njani i-fistula emva kotyando?
Elona xesha libalulekileyo lisemva kotyando. Ukuze i-fistula isetyenziswe kwi-dialysis, kufuneka 'ivuthwe'. Oku kungathatha malunga neenyanga ezi-2 ukuya kwezi-3 . Ngeli xesha, umthambo ukhula kancinci kancinci kwaye uqine.
Ngaba uyayiva "uvuyo" lwe-fistula?
Emva kokuba i-fistula idaliwe, uya kuziva ukungcangcazela okuncinci okanye isandi 'sokuvunguza' xa ubeka isandla sakho kuyo. Kufana nekati encinci ekhala phantsi kwengalo yakho. Oogqirha bakubiza oku ngokuthi "ulonwabo." Ukuva oku kungcangcazela kuthetha ukuba i-fistula yakho isebenza kakuhle. Kufuneka ujonge isandla sakho rhoqo kusasa nangokuhlwa ukuze ubone ukuba uyayiva na le ngcangcazela. Yenze ibe yinxalenye yenkqubo yakho yemihla ngemihla.
Umongikazi we-dialysis uza kukuxelela ukuba wenze imithambo efana nokucinezela ibhola encinci yerabha ukuze uqinise i-fistula.
Qiniseka ukuba wenza ezi zinto ukukhusela i-fistula yakho
I-fistula yakho yinto exabisekileyo kakhulu enokusindisa ubomi bakho, ngoko ke kufuneka inyanyekelwe.
| Izinto ongazifuniyo ❌ | Izinto onokuzenza (Okufanele uzenze) ✅ |
|---|---|
| Musa ukulala nengalo yakho i-fistula phantsi kwengalo yakho. | Jonga ukuba uyayiva na "ulonwabo" yonke imihla. |
| Musa ukunxiba impahla eqinileyo, izacholo, okanye iiwotshi kweso sandla. | Hlamba izandla zakho kakuhle ngesepha ngaphambi kokuba uhlambe nge-dialysis. |
| Musa ukuvumela nabani na ukuba athathe uxinzelelo lwegazi (BP) engalweni ene-fistula nangasiphi na isizathu. | Gcina inxeba licocekile. |
| Musa ukubavumela ukuba bathathe igazi emithanjeni yesandla eso. | Yenza imithambo ecetyiswe ngugqirha. |
Iingozi kunye nexesha lokubona ugqirha ngoko nangoko
Nangona i-fistula ikhuselekile kakhulu, ngamanye amaxesha iingxaki zinokubakho.
- Iintsholongwane: Ukubomvu kwenxeba, ukudumba, iintlungu eziqatha, ukuphuma kobofu.
- I-Thrombosis: Kwimeko enjalo, ihlwili legazi linamathela ngaphakathi kwi-fistula. Emva koko imvakalelo "yokuchwayita" iyanyamalala.
- I-Stenosis: Ukuncitshiswa komthambo ngaphakathi.
- I-Aneurysm: Ubuthathaka bodonga lomthambo wegazi, okubangela ukuba ludumbe njengebhaluni.
Okubaluleke kakhulu: Ukuba "uvuyo" oluvayo yonke imihla luyeka ngequbuliso, oko kuthetha ukuba ukuhamba kwegazi kwi-fistula kuyekile. Yimeko engxamisekileyo! Kufuneka ufowunele ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane.
Imibuzo ebuzwa qho
Ngaba izintso ziya kuphila emva kokucoca igazi?
Hayi. Izintso ezingasebenziyo ngenxa yesifo sezintso esingapheliyo aziyi kuphinda ziphile. Indlela ekuphela kwayo yokuyeka unyango lwe-dialysis kukuba kwenziwe utyando lwezintso oluphumelelayo.
Ihlala ixesha elingakanani i-fistula?
Ukuba uyinyamekela kakuhle, i-fistula ingahlala iminyaka, kwanamashumi eminyaka . Leyo yeyona nzuzo inkulu ye-fistula.
Siyazi ukuba ukuphila nge-dialysis ngumceli mngeni. Kunokuba nzima emzimbeni nasengqondweni. Kodwa khumbula, awuwedwa. Baninzi abantu, kuquka oogqirha kunye nabongikazi, abanokukunceda. Thetha nabo ngokukhululekileyo ngayo nayiphi na imibuzo, uloyiko, okanye iinkxalabo onokuba nazo.
Umyalezo Wokuya Ekhaya
- I-dialysis fistula yeyona ndlela ilungileyo nekhuselekileyo yokufikelela kunyango lwe-dialysis.
- Asilulo utyando olukhulu, kodwa lutyando oluncinci oludla ngokuthatha iyure eli-1-2.
- Kubalulekile ukujonga indlela "yokuvuya" kwindawo ye-fistula yonke imihla emva kotyando. Ukuba iyayeka, bonana nogqirha ngokukhawuleza.
- Akukho naphantsi kweemeko apho kufuneka kulinganiswe uxinzelelo lwegazi okanye kuthathwe igazi engalweni ene-fistula.
- Ukunyamekela kakuhle i-fistula yakho kuya kusindisa ubomi bakho iminyaka emininzi.
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