Ibintu 9 byingenzi byo guhitamo urushinge rwiza rwa AV Fistula

Iyo bigeze kuri dialyse, guhitamo igikwiyeUrushinge rwa fistulani ngombwa. Ibi bisa nkaho ari bitoibikoresho by'ubuvuziigira uruhare runini mu kurinda umutekano w’abarwayi, guhumurizwa, no kuvura neza. Waba uri umuganga, utanga ubuvuzi, cyangwa umuyobozi ushinzwe gutanga ubuvuzi, wumva uburyo bwo guhitamo ibyizainshinge ya fistula ya dialyseni ngombwa.

Muri iki kiganiro, tuzasesengura urushinge rwa AV fistula icyo aricyo, impamvu ari ngombwa, nibintu 9 byingenzi ugomba gusuzuma muguhitamo kimwe. Tuzakora kandi kubunini busanzwe nkurushinge rwa AV fistula 15G, 16G, na 17G kugirango tugufashe kuyobora amahitamo yawe.

NikiAV Urushinge rwa Fistula?

Urushinge rwa fistula arteriovenous (AV) ni urushinge rwihariye rwa dialyse rukoreshwa mu kugera kumaraso yumurwayi binyuze muri fistula ya arteriovenous mugihehemodialyse. AV fistula ni uburyo bwo kubaga bwakozwe hagati yo mu mitsi no mu mitsi, ubusanzwe mu kuboko, bigatuma amaraso menshi akenerwa kugira ngo dialyse ikorwe neza.

Urushinge rwa AV fistula rwinjizwa muri fistula kugirango rukuremo amaraso kugirango rusukure hanyuma rusubizwe mumubiri. Urushinge ni ngombwaibikoresho byo kwa mugangamu bigo bya dialyse no mubitaro, no guhitamo igikwiye ntabwo ari uguhuza ibikoresho gusa - ahubwo ni ugutezimbere ibisubizo byabarwayi.

Imiterere y'urushinge rwa AV fistula

Ibintu 9 byingenzi byo guhitamo uburenganziraAV Urushinge rwa Fistula

1. Urushinge rwa Gauge

Igipimo cy'urushinge kigena diameter y'urushinge kandi kigira ingaruka ku maraso. Ingano isanzwe irimo:

Urushinge rwa AV fistula 15G: Itanga diameter nini, ituma umuvuduko ukabije wamaraso. Mubisanzwe bikoreshwa kubarwayi bakuze bafite fistule ikuze.
Urushinge rwa AV fistula 16G: Ingano itandukanye iringaniza umuvuduko woguhumuriza no guhumuriza abarwayi.
Urushinge rwa AV fistula 17G: Diameter ntoya, ibereye abarwayi babana cyangwa abafite imitsi yoroshye.

Guhitamo igipimo gikwiye bikubiyemo gusuzuma imitsi yumurwayi, uko amaraso akenera, na gahunda yo kuvura.

Imbonerahamwe 1. Guhuza igipimo nigipimo cyamaraso

2. Uburebure bw'urushinge

Uburebure ni ikindi kintu cy'ingenzi. Inshinge ziraboneka muburebure buri hagati ya 25mm na 38mm. Uburebure bwurushinge bugomba kuba buhagije kugirango bugere kurukuta rwa fistula bitabaye birebire, bishobora guteza ibyangiritse. Uburebure bukwiye bwa inshinge butezimbere kwinjiza neza kandi bigabanya kutoroherwa.

Imbonerahamwe 2. Guhuza uburebure bwurushinge ukurikije intera iri kuruhu

3. Igishushanyo mbonera

Umuvumo ni impande zinshinge. Igishushanyo cya bevel gikarishye cyane gishobora kwangiza inkuta za fistula, mugihe igitereko cyijimye cyane gishobora kuviramo ingorane zo gutobora uruhu. Igishushanyo cyiza cya bevel kizatandukana kuri buri muntu bitewe nubunini n'imiterere ya fistula. Ubwoko busanzwe burimo:

Bevel ngufi: Biroroshye kugenzura, ntibishobora gutanyagura imyenda
Bevel ndende: Ikarishye kandi yemerera kwinjira byoroshye, ariko birashobora gusaba ubuhanga bwinshi

Guhitamo bevele ikwiye birashobora kugabanya cyane ububabare bwabarwayi nibibazo mugihe cyo kurya.

4. Ibikoresho by'urushinge

Ibikoresho by'urushinge bigira ingaruka kumikorere n'umutekano w'abarwayi. Urushinge rwo mu rwego rwohejuru rutagira ibyuma rusanzwe cyane kubera imbaraga, ubukana, hamwe na biocompatibilité. Urushinge rwa Aseptic Fistula rugomba gukorwa mubikoresho byujuje ubuziranenge, byo mu rwego rwo kwa muganga kugirango bigabanye ibyago byo kwandura. Nibyingenzi guhitamo inshinge mubucuruzi buzwi bwa av fistula kugirango urusheho umutekano no kuramba.

5. Guhinduranya inshinge za Hub

Guhinduranya urushinge hub rwemerera kuzenguruka dogere 360 ​​udakuye urushinge kurubuga rwayo. Iyi mikorere ni ingirakamaro cyane mukugabanya imiyoboro ya tubing no guhuza ibikorwa byabarwayi mugihe cya dialyse. Itezimbere kandi ihumure kandi yoroshya guhinduka mugihe cyo kuvura.

6. Amababa yo gufata neza

IbabaAV inshingetanga umutekano wongeyeho kandi ufate. Aya mababa yikinyugunyugu yoroheje yemerera abarezi kurinda urushinge byoroshye kandi bagatanga gufata neza mugihe cyo gushiramo. Amababa afite akamaro kanini kubarwayi biyitirira kandi bifasha kugabanya impanuka zimpanuka mugihe cya dialyse.

7. Uburyo bwo kwirinda gutembera kw'amaraso

Kwirinda gutembera kw'amaraso ni ngombwa mu mutekano w'abarwayi. Inshinge zimwe na zimwe za AV fistula zakozwe hamwe numuyoboro umwe cyangwa uburyo bwimbere bugabanya ibyago byo gusubira inyuma, bifasha:

Irinde kwambika igituba
Komeza kutabyara
Kunoza imikorere ya dialyse

Iyi mikorere iba ingenzi cyane mumasomo maremare ya dialyse cyangwa hamwe nabarwayi bakunda guhura nibibazo.

8. Uburyo bwo gukuramo inshinge

Uburyo bugezweho bwo gukuramo inshinge bwateguwe hagamijwe kongera umutekano mukugabanya ibyago byo gukomeretsa inshinge nyuma yo gukoreshwa. Izi mikorere zihita zikuramo urushinge murwego rwo gukingira nyuma ya kanseri, kurinda umutekano w’abarwayi n’abarezi.

Urushinge rushobora gukururwa rugenda ruba rusanzwe mubuvuzi kubera kubahiriza amategeko yumutekano.

9. Shyira imbere ihumure ry'abarwayi

Kurangiza, urushinge rwiza rwa AV fistula nimwe rworohereza abarwayi ihumure. Gukomera inshinge, gutwikira, gushyiramo inguni, ndetse no gupakira ergonomique byose bigira uruhare muburambe muri rusange. Isomo ryoroshye, ritababaza cyane dialyse iganisha kumurwayi wubahiriza kandi nibisubizo byiza mugihe.

Kuki Urushinge Rwiza rwa Fistula rufite akamaro?

Guhitamo urushinge rukwiye rwa fistula ya dialyse ntabwo ari icyemezo cya tekiniki gusa - bigira ingaruka kumagara yumurwayi no guhumurizwa. Dore impamvu ari ngombwa:

Kunoza imikorere ya dialyse:Ingano y'urushinge ikwiye hamwe nigishushanyo biteza imbere umuvuduko ukabije wamaraso.
Kugabanya ingorane:Inshinge zatoranijwe neza zigabanya ihahamuka, kwinjira, no kwambara.
Yongera umutekano:Ibiranga uburyo bwo gusubiza inyuma hamwe n'ibishushanyo birwanya gusubira inyuma birinda abarwayi n'abakozi.
Yongera ihumure:Urushinge rworoshye gushiramo kandi rutera kubura amahwemo byongera abarwayi kandi bafite ubushake bwo kwivuza buri gihe.

Hamwe na hemodialyse ari imiti ndende, ikomeza ubuzima, buri kintu kirabaze. Niyo mpamvu amavuriro ninzobere mubuzima bagomba gushora igihe muguhitamo urushinge rukwiye rwa dialyse kuri buri kibazo.

Umwanzuro

Muri make ,.Urushinge rwa fistulabirenze igikoresho gusa - nikintu gikomeye mugutanga ubuvuzi bwiza kandi bwiza. Kuva mubipimo bipima kugeza kubintu bikurura no guhumuriza abarwayi, buri kintu kigira uruhare.

Waba uhitamo hagati y'urushinge rwa AV fistula 15G, 16G, cyangwa 17G, suzuma ibintu icyenda byingenzi byavuzwe haruguru kugirango uhitemo neza. Nubikora, ntabwo uzamura ibisubizo byubuvuzi gusa ahubwo unatezimbere cyane uburambe bwa dialyse yumurwayi.