Uma kufanele uye esibhedlela izikhathi eziningana ngesonto ukuze uthole imithi, noma lapho umuntu onenkinga yezinso kufanele athole ukwelashwa kwesikhathi eside, njenge- dialysis , ukuze ahlanze igazi, kubuhlungu futhi kuyacasula kangakanani ukufaka inaliti emzimbeni wakho njalo? Cabanga ngokuthola umthambo omusha nsuku zonke bese ufaka inaliti. Ukuze ugweme ukuphazamiseka okunjalo, odokotela basebenzisa idivayisi ekhethekile. Yilokho esikubiza ngokuthi i-permacath.
Ngakho-ke, iyini ngempela i-Permacath?
Kalula nje, i-permacatheter iyipayipi elikhethekile nelithambile ( i-catheter ) elifakwa emthanjeni omkhulu wegazi emzimbeni wakho, ngokuvamile umthambo osentanyeni yakho. Into ekhethekile ngalokhu ukuthi uma isifakiwe, ingashiywa endaweni yayo isikhathi eside, ngezinye izikhathi ngisho unomphela . Yingakho ibizwa ngokuthi 'i-permacatheter', okusho ukuthi 'i-permanent catheter '.
Uma usufakiwe, ungaxhuma ngqo ohlelweni lwakho lwegazi ngaleli payipi, ngaphandle kokusebenzisa izinaliti njalo. Kulula kakhulu ukwelapha ngalokhu. Isetshenziswa kakhulu ku:
- Ukuhlanza izinso nge-hemodialysis: Ukuba ne-permacatheter kuyindlela elula kakhulu yalokhu kwelashwa, okudinga amahora amaningana e-dialysis izikhathi eziningana ngesonto.
- Ukunikeza imithi ekhethekile: Eminye imithi enikezwa izifo ezifana nomdlavuza idinga ukunikezwa isikhathi eside.
- Ukwelashwa nge-Apheresis : Lokhu kuhilela ukuhlukanisa nokususa ezinye zezingxenye eziyingozi egazini. Lokhu kwelashwa kusetshenziselwa izifo ezifana ne -leukemia nesifo se-sickle cell.
Uyini umehluko phakathi kwe-PermaKath nezinye izindlela zokwelapha?
Kunezindlela eziningana zokuxhumanisa imithambo yegazi yakho ukuze kwenziwe i-hemodialysis. Udokotela wakho uzokhetha indlela engcono kakhulu kuwe. Ake sibheke izindlela eziyinhloko.
| Indlela yokwelapha | Kalula nje, | Okufanele ukwazi |
|---|---|---|
| I-AV fistula (i-Arteriovenous fistula - AVF) | Inqubo yokuhlinzwa ixhumanisa umthambo kanye nomthambo engalweni yakho. | Lena yindlela engcono kakhulu futhi ehlala isikhathi eside. Kodwa-ke, uma isidaliwe, kuthatha izinyanga eziningana ukuthi umzimba ube namandla ngokwanele ukuthola ukwelashwa ngayo. |
| I-AV Graft (i-Arteriovenous graft - AVG) | Uma umthambo nomthambo kungenakuxhunywa ndawonye, kufakwa ipayipi elithambile, elenziwe ngokwenziwa phakathi kwalokhu kokubili. | Lena inketho enhle kulabo abangakwazi ukudala i-fistula, kodwa ingozi yokuqhekeka kwegazi (i-thrombosis) iphakeme kancane. |
| I-Permacath | Ipayipi elikhethekile lifakwa emthanjeni omkhulu entanyeni noma esifubeni. | Lesi yisisombululo esingcono kakhulu uma udinga i-dialysis ngokushesha, noma uma ezinye izindlela zingaphumeleli. Singasetshenziswa ngokushesha ngemva kokufakwa. |
Ikakhulukazi, uhlobo lwe-permacatheter olune -'cuff' yilona olusetshenziswa isikhathi eside. Ngenxa yale cuff, ngokuhamba kwesikhathi, izicubu zomzimba wakho ziyakhula ziwuzungezile, ziwugcine endaweni yawo futhi ziwuvimbele ukuthi ungahambi ngaphakathi emzimbeni wakho. Iphinde ivimbele ukutheleleka ukuthi kungangeni.
I-permacatheter ifakwa kanjani emzimbeni?
Lokhu kufana nokuhlinzwa komgudu womchamo . Ngakho-ke akukho okufanele ukhathazeke ngakho. Lokhu kuvame ukwenzeka.
Ngaphambi kokuhlinzwa
Udokotela wakho uzokuchazela kahle inqubo. Uzoxoxa ngazo zonke izinzuzo nezinkinga bese ethola imvume yakho. Esimweni esiphuthumayo, lokhu kungadingeka kwenziwe ngaphandle kwemvume yakho ukuze kusindiswe impilo yakho.
Ngesikhathi sokuhlinzwa
Lokhu kuthatha imizuzu engaba ngu-45 kuphela ukukwenza. Odokotela bazoqinisekisa ukuthi awuzizwa ungakhululekile. Ungase unikezwe i-anesthesia ejwayelekile, noma umuthi wokubulala izinzwa (i-lidocaine) uzojovwa kuphela lapho kufakwa khona i-permacatheter.
Udokotela usebenzisa inqubo ebizwa ngokuthi i-ultrasound noma i-fluoroscopy (i-X-ray ekuvumela ukuthi ubone ividiyo yangempela yangaphakathi lomzimba wakho) ukuze afake ngokucophelela leli payipi emthanjeni wakho. Uhlangothi olulodwa lwepayipi lufakwa e-atrium efanele yenhliziyo yakho. Uhlangothi olunye lukhishwa ngesikhumba sesifuba sakho.
Ngemva kokuhlinzwa
Ngemva kokuhlinzwa, kuzofakwa ibhandeshi elibonakalayo ukuze kugcinwe indawo ihlanzekile. Kujwayelekile ukuzwa ubuhlungu nokuqina endaweni izinsuku ezimbalwa. Kuzokwenziwa i-X-ray yesifuba ukuqinisekisa ukuthi konke kuhambe kahle. Uzokwazi ukuya ekhaya ngemva kwamahora ambalwa okuphumula. Futhi, i-Permacatheter ingasetshenziswa ekwelapheni ngokushesha ngemva kokufakwa kwayo.
Unakekela kanjani i-permalink ekhaya?
Ngenxa yokuthi umuntu one-permacatheter usengozini yokutheleleka, kubaluleke kakhulu ukuyigcina ihlanzekile futhi uyinakekele kahle. Landela imiyalelo kadokotela wakho kahle.
- Ungavumeli amanzi angene emehlweni akho ngosuku lokuqala. Ungagezi noma ubhukude.
- Kujwayelekile ukuthi igazi elincane liphume ku-Permacatheter. Kodwa-ke, uma i-dressing inombala wegazi, yisuse ngokucophelela, uyihlanze ngamanzi, bese ufaka elisha.
- Ungadonsi noma uhambise i-catheter . Uma iphuma endaweni yayo, kungadingeka ukuthi ufake entsha.
- Ungalokothi ususe isivalo esingaphandle kwe-permacatheter. Ukwenza kanjalo kungavumela umoya ukuthi ungene, okubangela isimo esiyingozi.
- Ungafaki noma yimaphi ama-antibiotic cream esilondeni ngaphandle kokuthi uyalelwe udokotela wakho.
Uma unalezi zimpawu, shayela udokotela wakho ngokushesha.
Uma kwenzeka noma yikuphi kwalokhu okulandelayo, yazisa udokotela wakho ngokushesha. Uma kuyisimo esiphuthumayo, iya ngqo eMnyangweni Wezimo Eziphuthumayo (ETU) .
- Uma uzizwa ushisa, ubanda, futhi uthuthumela.
- Uma indawo lapho i-Permacathe isetshenziswe khona ivuvukele, ibomvu, noma ibuhlungu.
- Uma i-catheter ibonakala sengathi isusiwe noma iphumile ngokuphelele endaweni yayo.
- Uma inxeba liphuma igazi njalo imizuzu engaphezu kwengu-20.
Yiziphi izinzuzo nezingozi ze-permacatheter?
Njenganoma iyiphi inqubo yezokwelapha, i-permacatheter inezinzuzo kanye nezingozi.
| Izinzuzo | Izingozi |
|---|---|
| Kulula ukuxhumana isikhathi eside noma unomphela nohlelo lwegazi. | Ukutheleleka: Ukutheleleka ngamagciwane noma ngamagciwane kungavela, ikakhulukazi i-MRSA (i-methicillin-resistant Staphylococcus aureus), igciwane elimelana nama-antibiotic. |
| Kuqeda ubuhlungu kanye nokungakhululeki okubangelwa ukuhlatshwa njalo ngezinaliti. | I-Thrombosis: Kukhona ingozi yokuthi igazi liqhekeke eduze kwe-catheter. |
| Ilungele ukusetshenziswa ngokushesha nje lapho uyifaka. | Ukuphuma: I-catheter ingase isuke noma ishelele endaweni yayo. |
Asikho isidingo sokwesaba lezi zingozi. Into ebaluleke kakhulu ukunakekela i-permalink ngendlela efanele nehlanzekile nokuqaphela izici eziyingozi. Khona-ke ungagwema izinkinga eziningi.
Umlayezo Wokuya Nawe Ekhaya
- I-Permacath iyipayipi elikhethekile lesikhathi eside elisiza ekuqedeni isidingo sokufakwa kwezinaliti njalo ukuze kutholakale ukwelashwa kwesikhathi eside njenge-dialysis.
- Lokhu kufakwa ngokuhlinzwa okuncane futhi kungasetshenziswa ngokushesha ngemva kokufakwa.
- Kubalulekile ukugcina i-permacatheter ihlanzekile kakhulu futhi inakekelwa ngokucophelela ukuze kuvinjelwe ukutheleleka kanye nokuqhekeka kwegazi.
- Hlala uqaphile izimpawu eziyisixwayiso ezifana nomkhuhlane, ukuvuvukala, nokopha ngokweqile. Uma unenkinga, yazisa udokotela wakho ngokushesha.
- Khuluma nodokotela wakho njalo ngokuthi iyiphi indlela yokwelapha engcono kakhulu kuwe.
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