Ngesikhathi udokotela wakho ekutshela ukuthi ukusebenza kwezinso zakho kwehle kakhulu nokuthi udinga ukwenza i-dialysis ukuze usinde, kumelwe ukuthi wazizwa wesaba kakhulu futhi ukhathazekile. Akukhona lokho kuphela, kodwa nalapho ekutshela ukuthi udinga ukwenza i-fistula engalweni yakho ngaphambi kwe-dialysis, kumele ukuthi kwafika eminye imibuzo eminingi engqondweni yakho. Kufanele ukuthi ucabanga izinto ezinjengokuthi, 'Kuyini lokhu?', 'Ingabe lokhu kuwukuhlinzwa okukhulu?', 'Kuzokwenzekani engalweni yami ngemva kwalokhu?' Ungakhathazeki, lesi sihloko sizophendula yonke le mibuzo onayo engqondweni yakho. Sizoxoxa ngakho konke ngendlela elula kakhulu nenemininingwane.
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Kalula nje, iyini i-dialysis fistula?
Kulula kakhulu. I-dialysis fistula inqubo encane yokuhlinzwa ekuvumela ukuthi uthole ukwelashwa kwe-dialysis kalula nangokuphephile. Kule nqubo, udokotela ohlinzayo uxhuma umthambo kanye nomthambo engalweni yakho. Lokhu kuvame ukwenziwa engalweni ongayisebenzisi kakhulu (isibonelo, ingalo yakho yesobunxele uma usebenzisa isandla sokudla).
Cabanga ngale ndlela. Uma une-dialysis, igazi lakho liyathathwa emzimbeni wakho, lihlanzwe ngomshini, bese libuyiselwa emzimbeni wakho. Lokhu kudinga ukuhambisa inani elikhulu legazi emuva naphambili ngomzuzu. Imithambo yethu evamile (imithambo) ayikwazi ukuphatha ukugeleza kwegazi okungaka, ibuthakathaka. Ngakho-ke, uma udala i-fistula, igazi elinomfutho ophezulu elivela emthanjeni nalo lingena emthanjeni, ukuze lowo mthambo ube mkhulu futhi ube namandla ngokuhamba kwesikhathi. Kufana nokushintsha ipayipi elincane lamanzi ngombhobho omkhulu, oqinile. Lokhu kubizwa nangokuthi i-Arteriovenous (AV) Fistula .
Le fistula iyindlela efanele nephephile kakhulu yokuthola nokubuyisela igazi ukuze lisetshenziswe ekwelashweni nge-dialysis. Iyindlela enengozi encane kakhulu yokuqhekeka kwegazi kanye nokutheleleka.
Uzilungiselela kanjani ngaphambi kokuhlinzwa kwe-fistula?
Lokhu akusilo ukuhlinzwa okukhulu nokwesabekayo. Kuwukuhlinzwa okuncane okuvame ukwenziwa phakathi nehora noma amabili, futhi ungaya ekhaya ngalolo suku (inqubo yokulaliswa esibhedlela).
Ngaphambi kokuhlinzwa, udokotela wakho ohlinzayo (ngokuvamile udokotela ohlinzayo wemithambo yegazi) uzokhuluma nawe ngalokhu futhi achaze ukuthi ukuhlinzwa kuzokwenziwa kanjani. Ngaphezu kwalokho, uzokubuza imibuzo elandelayo:
- Umlando wakho wezempilo ophelele.
- Kufanele nakanjani usho noma yimiphi imithi oyithathayo njengamanje (ikakhulukazi imithi yokunciphisa igazi efana ne -Aspirin ne-Clopidogrel ).
- Mayelana nokungezwani komzimba kwakho.
Ngemuva kwalokho, udokotela uzokwenza ukuhlolwa kwengalo yakho nge-ultrasound , abheke isimo semithambo yegazi, bese ekhetha ukuthi yimiphi imithambo efaneleka kakhulu ukuhlinzwa.
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Check Availability →Indlela kanye nezinhlobo zokuhlinzwa kwe-fistula ezenziwa ngayo
Ngosuku lokuhlinzwa, ithimba lezokwelapha lizoqala ngokukunikeza umuthi wokubulala izinzwa wendawo ukuze uqede ingalo yakho. Ukuze ungezwa ubuhlungu. Ngemuva kwalokho, bazokwenza ukusika okuncane, baxhumanise umthambo okhethiwe kanye nomthambo, bese bevala inxeba ngezithungo ezincibilikayo.
Kunezinhlobo eziningana eziyinhloko ze-fistula ezisetshenziswa odokotela, kuye ngokuthi imithambo ingalweni yakho ikuphi.
| Uhlobo lwe-Fistula | Indawo elula |
|---|---|
| I-fistula ye-Radiocephalic | Ngokuvamile kwenziwa esihlakaleni. |
| I-fistula ye-Brachiocephalic | Kwenziwe ngaphezulu noma ngaphansi kwendololwane kancane. |
| I-fistula ye-brachiobasilic eguquliwe | Ezimweni lapho zombili lezi zindlela ezingenhla zingenakwenzeka, kwenziwa kusetshenziswa umthambo ongaphakathi kwengalo. |
Ungayinakekela kanjani i-fistula ngemva kokuhlinzwa?
Isikhathi esibaluleke kakhulu ngemva kokuhlinzwa. Ukuze i-fistula isetshenziswe ekuhlanzeni igazi, kudingeka 'ivuthwe'. Lokhu kungathatha cishe izinyanga ezimbili kuya kwezintathu . Phakathi nalesi sikhathi, umthambo ukhula kancane kancane futhi uqine.
Uyakuzwa "ukujabula" kwe-fistula?
Ngemva kokuba i-fistula isidalwe, uzozwa ukudlidliza okuncane noma umsindo 'wokuvunguza' uma ubeka isandla sakho kuyo. Kufana nekati elincane elikhala ngaphansi kwengalo yakho. Odokotela bakubiza lokhu ngokuthi "ukujabula." Ukuzwa lokhu kudlidliza kusho ukuthi i-fistula yakho isebenza kahle. Kufanele uhlole isandla sakho njalo ekuseni nakusihlwa ukuze ubone ukuthi uyakuzwa lokhu kudlidliza. Kwenze kube yingxenye yenqubo yakho yansuku zonke.
Umhlengikazi we-dialysis uzokutshela ukuthi wenze izivivinyo ezifana nokucindezela ibhola elincane lerabha ukuze uqinise i-fistula.
Qiniseka ukuthi wenza lezi zinto ukuze uvikele i-fistula yakho
I-fistula yakho iyinto eyigugu kakhulu engasindisa impilo yakho, ngakho-ke idinga ukunakekelwa.
| Okungafanele ukwenze ❌ | Izinto okufanele uzenze (Okufanele uzenze) ✅ |
|---|---|
| Ungalali nengalo yakho i-fistula ngaphansi kwengalo yakho. | Bona ukuthi uzizwa yini "ujabule" nsuku zonke. |
| Ungagqoki izingubo eziqinile, amasongo, noma amawashi kulelo sandla. | Geza izandla zakho kahle ngensipho ngaphambi kokusebenzisa i-dialysis. |
| Ungavumeli muntu ukuthi athathe umfutho wegazi (BP) engalweni ene-fistula nganoma yisiphi isizathu. | Gcina inxeba lihlanzekile. |
| Ungabavumeli bathathe igazi emithanjeni yaleso sandla. | Yenza izivivinyo eziyalwe udokotela. |
Izingozi nokuthi kufanele ubonane nodokotela nini ngokushesha
Nakuba i-fistula iphephile kakhulu, ngezinye izikhathi izinkinga zingavela.
- Izifo: Ukubomvu kwesilonda, ukuvuvukala, ubuhlungu obukhulu, ukuphuma kobomvu.
- I-Thrombosis: Kulesi simo, ihlule legazi libhajwa ngaphakathi kwe-fistula. Bese umuzwa "wokujabula" uyanyamalala.
- I-Stenosis: Ukuncipha komthambo kusuka ngaphakathi.
- I-Aneurysm: Ubuthakathaka bodonga lomthambo wegazi, okubangela ukuba luvuvuke njengebhaluni.
Okubaluleke kakhulu: Uma "umsindo" owuzwa nsuku zonke uyeka ngokuzumayo, kungase kusho ukuthi ukugeleza kwegazi ku-fistula kuyekile. Kuyisimo esiphuthumayo! Kufanele ushayele udokotela wakho ucingo ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
imibuzo ejwayelekile ukubuzwa
Ingabe izinso zizolulama ngemva kokuhlanza igazi?
Cha. Izinso eziye zahluleka ngenxa yesifo sezinso esingamahlalakhona ngeke zisaphila. Okuwukuphela kwendlela yokumisa ukwelashwa nge-dialysis ukuba nokufakelwa kwezinso okuphumelelayo.
I-fistula ihlala isikhathi esingakanani?
Uma uyinakekela kahle, i-fistula ingahlala iminyaka, ngisho namashumi eminyaka . Leyo inzuzo enkulu ye-fistula.
Siyazi ukuthi ukuphila nge-dialysis kuyinselele. Kungaba nzima ngokomzimba nangokwengqondo. Kodwa khumbula, awuwedwa. Kunabantu abaningi, okuhlanganisa odokotela nabahlengikazi, abangakusiza. Khuluma nabo ngokukhululekile nganoma yimiphi imibuzo, ukwesaba, noma ukukhathazeka ongase ube nakho.
Umlayezo Wokuya Nawe Ekhaya
- I-dialysis fistula iyindlela engcono kakhulu nephephile yokufinyelela ukwelashwa kwe-dialysis.
- Akuyona ukuhlinzwa okukhulu, kodwa ukuhlinzwa okuncane okuvame ukuthatha ihora elilodwa kuya kwamabili ukuqedwa.
- Kubalulekile ukuhlola umuzwa "wokujabula" endaweni ye-fistula nsuku zonke ngemva kokuhlinzwa. Uma kuyeka, bona udokotela ngokushesha.
- Akufanele nanini kulinganiswe umfutho wegazi noma kuthathwe igazi engalweni ene-fistula.
- Ukunakekela kahle i-fistula yakho kuzosindisa impilo yakho iminyaka eminingi.
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