Xa kufuneka uye esibhedlele amaxesha amaninzi ngeveki ukuze ufumane amayeza, okanye xa umntu onengxaki yezintso kufuneka efumane unyango olude, olufana ne -dialysis , ukuze kuhlanjululwe igazi, kubuhlungu kwaye kuyacaphukisa kangakanani ukufaka inaliti emzimbeni wakho ngalo lonke ixesha? Khawuthelekelele ufumana umthambo omtsha yonke imihla uze ufake inaliti. Ukuze uphephe iingxaki ezinjalo, oogqirha basebenzisa isixhobo esikhethekileyo. Yiloo nto siyibiza ngokuba yi-permacath.
Ngoko ke, yintoni kanye kanye iPermacath?
Ngamafutshane, i-permacatheter yityhubhu ekhethekileyo, ethambileyo ( i-catheter ) efakwa kumthambo omkhulu wegazi emzimbeni wakho, ngesiqhelo umthambo osentanyeni yakho. Into ekhethekileyo ngale nto kukuba xa ifakiwe, ingashiywa endaweni yayo ixesha elide, ngamanye amaxesha ide ihlale ngonaphakade . Yiyo loo nto ibizwa ngokuba yi-'permacatheter', oko kuthetha ' i-catheter esisigxina'.
Nje ukuba ifakwe, ungaqhagamshela ngqo kwinkqubo yakho yegazi ngale tyhubhu, ngaphandle kokusebenzisa iinaliti ngalo lonke ixesha. Kulula kakhulu ukuyinyanga ngale nto. Isetyenziselwa ikakhulu:
- I-Hemodialysis yezigulana zezintso: Ukuba ne-permacatheter kulula kakhulu kolu nyango, nto leyo efuna iiyure ezininzi ze-dialysis amaxesha amaninzi ngeveki.
- Ukunika amayeza akhethekileyo: Amanye amayeza anikwa izifo ezinje ngomhlaza kufuneka anikwe ixesha elide.
- Unyango lwe -Apheresis : Oku kuquka ukwahlula nokususa ezinye zezinto eziyingozi egazini. Olu nyango lusetyenziselwa izifo ezifana ne -leukemia kunye nesifo se-sickle cell.
Yintoni umahluko phakathi kwePermaKath kunye nezinye iindlela zonyango?
Kukho iindlela ezahlukeneyo zokunxibelelana nemithambo yegazi yakho ukuze kwenziwe i-hemodialysis. Ugqirha wakho uza kukhetha indlela efanelekileyo kuwe. Makhe sijonge iindlela eziphambili.
| Indlela yonyango | Kalula nje, | Yintoni ekufuneka uyazi |
|---|---|---|
| I-AV fistula (i-Arteriovenous fistula - AVF) | Inkqubo yotyando idibanisa umthambo kunye nomthambo ongalweni yakho. | Le yeyona ndlela ilungileyo nehlala ixesha elide. Nangona kunjalo, xa sele yenziwe, kuthatha iinyanga ezininzi ukuba umzimba ube namandla ngokwaneleyo ukuze ufumane unyango ngayo. |
| I-AV Graft (i-Arteriovenous graft - AVG) | Ukuba umthambo kunye nomthambo azikwazi ukudityaniswa, kufakwa umbhobho othambileyo nowokwenziwa phakathi kwezi zimbini. | Olu lukhetho olufanelekileyo kwabo bangenako ukwenza i-fistula, kodwa umngcipheko wokuqhekeka kwegazi (thrombosis) uphezulu kancinci. |
| I-Permacath | Ityhubhu ekhethekileyo ifakwa kumthambo omkhulu entanyeni okanye esifubeni. | Le yeyona ndlela ilungileyo ukuba udinga i-dialysis ngokukhawuleza, okanye ukuba ezinye iindlela aziphumelelanga. Ingasetyenziswa ngoko nangoko emva kokufakwa. |
Ngokukodwa, uhlobo lwe-permacatheter ene -'cuff' yileyo isetyenziswa ixesha elide. Ngenxa yesi cuff, ngokuhamba kwexesha, izicubu zomzimba wakho ziyakhula zijikeleze yona, ziyigcina isendaweni yayo kwaye ziyithintele ukuba ingahambi ngaphakathi emzimbeni wakho. Ikwathintela ukuba usulelo lungangeni.
I-permacatheter ifakwa njani emzimbeni?
Oku kufana notyando lomgudu womchamo . Ngoko ke akukho nto ixhalabisayo. Le yindlela edla ngokwenzeka ngayo.
Ngaphambi kotyando
Ugqirha wakho uza kukuchazela kakuhle ngenkqubo. Uza kuxoxa ngazo zonke izinto ezilungileyo nezingalunganga aze afumane imvume yakho. Kwimeko engxamisekileyo, oku kungafuneka kwenziwe ngaphandle kwemvume yakho ukuze kusindiswe ubomi bakho.
Ngexesha lotyando
Oku kuthatha malunga nemizuzu engama-45 kuphela ukukwenza. Oogqirha baya kuqinisekisa ukuba awuziva ungonwabanga. Usenokunikwa i-anesthesia eqhelekileyo, okanye iyeza lokudambisa iintlungu (i-lidocaine) liza kufakwa kuphela apho i-permacatheter ibekwe khona.
Ugqirha usebenzisa indlela ebizwa ngokuba yi-ultrasound okanye i-fluoroscopy (i-X-ray ekuvumela ukuba ubone ividiyo yangempela yomzimba wakho) ukuze afake ngononophelo le tube emthanjeni wakho. Elinye icala le tube lifakwa kwi-atrium yasekunene yentliziyo yakho. Elinye icala likhutshwa ngesikhumba sesifuba sakho.
Emva kotyando
Emva kotyando, kuya kufakwa ibhandeji elibonakalayo ukuze kugcinwe indawo icocekile. Kuqhelekile ukuba uzive iintlungu nokuqina kwindawo kangangeentsuku ezimbalwa. Kuya kwenziwa i-X-ray yesifuba ukuqinisekisa ukuba yonke into ihamba kakuhle. Uya kukwazi ukuya ekhaya emva kweeyure ezimbalwa zokuphumla. Kwakhona, i-Permacatheter ingasetyenziselwa unyango kwangoko emva kokuba ifakiwe.
Uyinyamekela njani i-permalink ekhaya?
Ngenxa yokuba umntu one-permacatheter usemngciphekweni wokosuleleka, kubaluleke kakhulu ukuyigcina icocekile kwaye uyinyamekele kakuhle. Landela imiyalelo kagqirha wakho ngokuchanekileyo.
- Musa ukuvumela amanzi angene emehlweni akho ngosuku lokuqala. Musa ukuhlamba okanye untywilisele emanzini.
- Kuqhelekile ukuba igazi elincinci liphume kwiPermacatheter. Nangona kunjalo, ukuba ibhandeji liba negazi, lisuse ngononophelo, ulihlambe ngamanzi, uze ufake elitsha.
- Musa ukuyitsala okanye ukuyisusa i-catheter . Ukuba ayisebenzi kakuhle, kunokufuneka ufake entsha.
- Ungaze ususe isigqubuthelo esingaphandle kwe-permacatheter. Ukwenza njalo kunokuvumela umoya ukuba ungene, nto leyo ebangela imeko eyingozi.
- Musa ukuthambisa naziphi na iikhrimu zokubulala iintsholongwane enxebeni ngaphandle kokuba uyalelwe ngugqirha wakho ukuba wenze njalo.
Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza.
Ukuba kukho nanye kwezi zilandelayo eyenzeka kuwe, yazisa ugqirha wakho ngaphandle kokulibazisa. Ukuba yingxamiseko, yiya ngqo kwiSebe leNgxamiseko (ETU) .
- Ukuba uziva umkhuhlane, ubanda, kwaye uqhaqhazela.
- Ukuba indawo apho iPermacathe isetyenziswa khona idumbile, ibomvu, okanye ibuhlungu.
- Ukuba i-catheter ibonakala ngathi isusiwe okanye ayisekho kwindawo yayo kwaphela.
- Ukuba inxeba liphuma igazi ngokuqhubekayo kangangemizuzu engaphezu kwama-20.
Zithini iingenelo kunye neengozi ze-permacatheter?
Njengayo nayiphi na inkqubo yezonyango, i-permacatheter ineenzuzo kunye neengozi.
| Iinzuzo | Iingozi |
|---|---|
| Kulula ukunxibelelana nenkqubo yegazi ixesha elide okanye ngokusisigxina. | Iintsholongwane: Iintsholongwane okanye iintsholongwane zinokwenzeka, ingakumbi i-MRSA (i-methicillin-resistant Staphylococcus aureus), intsholongwane enganyangekiyo kwii-antibiotics. |
| Isusa iintlungu kunye nokungonwabi okubangelwa kukuhlatywa rhoqo ngeenaliti. | I-Thrombosis: Kukho umngcipheko wokuba igazi liqhekeke ngeenxa zonke kwi-catheter. |
| Ilungele ukusetyenziswa kwangoko emva kokuba uyifakile. | Ukukhutshelwa ngaphandle: I-catheter inokuhamba okanye iphume endaweni yayo. |
Akukho mfuneko yokoyika ezi ngozi. Eyona nto ibalulekileyo kukunyamekela i-permalink ngokufanelekileyo nangokucocekileyo kwaye uqaphele izinto ezinokubangela umngcipheko. Emva koko unokuphepha iingxaki ezininzi.
Umyalezo Wokuya Ekhaya
- I-Permacath yityhubhu ekhethekileyo yexesha elide enceda ekupheliseni isidingo sokufakwa rhoqo kweenaliti kunyango lwexesha elide olufana ne-dialysis.
- Oku kufakwa ngotyando oluncinci kwaye kungasetyenziswa kwangoko emva kokufakwa.
- Kubalulekile ukugcina i-permacatheter icocekile kwaye inyanyekelwa ngononophelo ukuthintela usulelo kunye nokuqhekeka kwegazi.
- Soloko ujonge iimpawu ezilumkisayo ezinje ngomkhuhlane, ukudumba, kunye nokopha kakhulu. Ukuba uneengxaki, yazisa ugqirha wakho ngoko nangoko.
- Soloko uthetha nogqirha wakho malunga nonyango olulungele wena.
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