Dialysis yanu fistula kapena catheter ikhoza kukhala gwero la mavuto okhudzana ndi dialysis
Kuti achite hemodialysis kwa wodwala, chofunikira choyamba ndicho njira yopezera magazi kuchokera kwa wodwalayo kupita ku makina a dialysis. Izi zimatchedwa " mwayi ". Mwinamwake mwamvapo za mawu monga grafts, fistula, ndi catheters. Zonsezi ndi njira zosiyana za dialysis zomwe zingagwiritsidwe ntchito kuti ziwononge wodwalayo . Tsatanetsatane wa maulendo osiyanasiyana a dialysis amapezeka pano .
Nkhaniyi ikulankhula zokha za mavuto omwe angakhale okhudzana ndi mwayi wothandizira odwala matenda a dialysis. Ichi ndi gawo la nkhani zofotokoza zovuta za dialysis (nkhani zina apa ndi apa ).
GRAFT / FISTULA STENOSIS
Mawu akuti stenosis amatanthauza kuchepa. Ma graft ndi fistula amatha kukhala ndi zizindikiro zosiyanasiyana (zomwe zimachokera kuzipangizo za opaleshoni panthawi yoperekera, momwe njirayi imagwiritsira ntchito dialysis). Ogwira ntchito ya Dialysis nthawi zambiri amayesa kufalitsa / fistula musanayambe kuchipatala ndikuyang'ana zizindikiro za stenosis:
- Malingana ndi malo a stenosis, kupeza komweko kungakhale koopsa kwambiri , kapena kumakhala kosauka kwa magazi .
- Kutupa kapena kugwedeza mu mkono kumene mwayi ulipo ukhoza kuzindikiridwa.
- Kupanikizika pazomwekusowekera kungasinthe ndipo kudzawonetsedwa pa ma alarm a makina a dialysis.
- Kuchuluka kwa nthawi yakupha pambuyo pa kutha kwa mankhwala ndi chizindikiro chofala.
- Mutha kuona kuti momwe dialysis ingagwiritsire ntchito moyenera chifukwa cha kupeza " recirculation ". Kubwezeretsa kumachitika pakamwa pamene magazi akubwezedwa kuchokera ku makina a dialysis kupita kwa wodwalayo, amasakanikirana ndi magazi omwe ali panjira kuchokera kwa wodwala kupita ku makina, motero amapanga kusagwiritsidwa ntchito pa mankhwala. Izi nthawi zambiri zimayambitsa njira zochepa za dialysis mlingo komanso zokwanira.
- Ngati stenosis imaloledwa kupitiriza kwa nthawi yayitali kwambiri, nthawi zambiri imayambitsa maonekedwe a magazi pamtengowo kapena kufupi ndi iyo, yomwe imatchedwa "thrombus".
GRAFT / FISTULA THROMBOSIS
Mawu akuti thrombosis amatanthauza magazi. Zitha kukhala mkati mwa dialysis grafts, fistula, kapena catheters pa zifukwa zosiyanasiyana, koma chifukwa chodziwika kuti thrombus apange ndi stenosis. Nthawi ina thrombus yakhala ikupezeka mu dialysis, kupeza dialysis yowonjezereka nthawi zambiri sizingatheke mpaka vutoli litayankhidwa. Zonsezi ndizomwe zingatheke pakakhala thrombosis.
KUDZIWA KWA DIALYSIS KUCHITA KUSINTHA KAPENA OR THROMBOSIS
Kamodzi kong'onong'ono kamene kakuleredwa ndi mavutowa pogwiritsa ntchito zomwe tazitchula pamwambapa, katswiri wanu wamatsenga angakuuzeni dokotala wa opaleshoni wamakono kapena malo opangira zojambulajambula. Kafukufuku wina angathandize kutsimikiza kuti:
- Njira yowonjezereka imatha kusonyeza zizindikiro za stenosis / thrombosis
- Komabe matendawa amatsimikiziridwa ndi kujambula dayi yapaderalo m'mawonekedwe ojambula, monga x-ray. Njirayi imatchedwa fistulogram ndipo izi zidzasonyeza malo a stenosis kapena thrombosis bwino kwambiri
KUCHITSA NTCHITO YA DIALYSIS KUTHANDIZA STENOSIS OR THROMBOSIS
Chithandizo chimayendetsedwa ndi othandizira odwala matenda opatsirana pogonana kapena opaleshoni opaleshoni.
Wothandizana nawo amaika kathete muzomwe akupeza, ndipo yesetsani kufalitsa gawo lochepetsedwa, ndondomeko yotchedwa percutaneous transluminal angioplasty. Ngati magazi amapezeka, akhoza kuchotsedwa ndi mankhwala kapena makina, njira yotchedwa Thrombectomy. Ngati zikuwoneka ngati njira yowonongekayi idzagwira ntchito, kukonzekera kukonza kungakhale kotheka.
MAVUTO AMENE AMADZIWA KWA DIALYSIS CATHETERS
Monga ndanenera m'nkhani ino , catheters ya dialysis ndiyo njira yochepetsera hemodialysis pa zifukwa zabwino. Amakhala ndi chiopsezo chachikulu chotenga kachilombo ka HIV, ndipo ngati palibe chifukwa chabwino chokhalira (kapena ngati chiri chodzidzimutsa), palibe wodwalayo ayenera kuyamba dialyse kudzera mu katheta.
Kamodzi kowonjezereka, catheters silingagwire ntchito kuyambira pa kupita, chinachake chomwe chimatchedwa kuti catheter oyambirira , ndipo kawirikawiri zimakhala chifukwa cha kupweteka kwa catheter mumsana. Catheter muzochitikazi nthawi zina ingagwiritsidwe ntchito ndi kuikidwiratu kuti iigwire ntchito, kapena iyenera kusinthana.
Nthawi zina, catheter yomwe yakhala ikugwira ntchito kwa milungu ingapo ikutha kugwira ntchito, ndipo izi zikhoza kusonyeza maonekedwe a magazi mkati kapena pafupi ndi kathete. Mankhwalawa amafunikira chithandizo, pogwiritsira ntchito mankhwala osokoneza bongo, kapena catheter iyenera kusinthidwa. Ndi chifukwa cha chiopsezo ichi kuti diatysis catheters "yatsekedwa" ndi mankhwala a anticoagulant atagwiritsidwa ntchito kuteteza maonekedwe a magazi.