Ibintu 9 by'ingenzi byo guhitamo urushinge rwa AV Fistula rukwiye

Ku bijyanye no guca isuku (dialysis), guhitamo uburyo bukwiye bwoUrushinge rwa fistula ya AVni ingenzi cyane. Ibi bisa nkaho ari bitoigikoresho cy'ubuvuzibigira uruhare runini mu kurinda umutekano w'umurwayi, ihumure, n'uburyo bwo kuvura neza. Waba uri umuganga, umuvuzi, cyangwa umuyobozi ushinzwe ibikoresho by'ubuvuzi, usobanukiwe uburyo bwo guhitamo nezaurushinge rwa fistula rwo kwisiga dialyseni ingenzi.

Muri iyi nkuru, turasuzuma icyo urushinge rwa AV fistula ari cyo, impamvu ari ingenzi, hamwe n'ibintu 9 by'ingenzi ugomba kuzirikana mu gihe uhitamo rumwe. Tuzavuga kandi ku bunini busanzwe nka AV fistula eneri 15G, 16G, na 17G kugira ngo bigufashe kuyobora amahitamo yawe.

Ni ikiUrushinge rwa AV Fistula?

Urushinge rwa fistula yo mu mitsi (AV) ni urushinge rwihariye rwa dialyse rukoreshwa mu kugera ku maraso y'umurwayi binyuze muri fistula yo mu mitsi mu gihehemodialysisFistula ya AV ni isano iri hagati y'imitsi n'amaraso, akenshi mu kuboko, ituma amaraso atembera neza kugira ngo dialyse ikore neza.

Urushinge rwa AV fistula rushyirwa muri fistula kugira ngo rukure amaraso yo gusukurwa hanyuma rukayasubiza mu mubiri. Urwo rushinge ni ingenziibikoresho by'ubuvuzimu bigo n'ibitaro bya dialyse, kandi guhitamo ikwiye si uguhuza ibikoresho gusa—ni ukunoza umusaruro w'abarwayi.

Imiterere y'urushinge rwa AV fistula

Ibintu 9 by'ingenzi byo guhitamo icyizaUrushinge rwa AV Fistula

1. Igipimo cy'urushinge

Igipimo cy'urushinge kigena umurambararo w'urushinge kandi kikagira ingaruka ku buryo butaziguye ku gutembera kw'amaraso. Ingano zisanzwe zirimo:

Urushinge rwa fistula rwa AV 15G: Rutanga umurambararo munini, rutuma amaraso atembera neza. Ubusanzwe rukoreshwa ku barwayi bakuru bafite fistula ikuze.
Urushinge rwa fistula rwa AV 16G: Rufite ingano nyinshi kandi rutuma umurwayi amererwa neza.
Urushinge rwa fistula rwa AV 17G: Uduce duto, rukwiriye abarwayi b'abana cyangwa abafite imitsi yoroshye.

Guhitamo igipimo gikwiye bikubiyemo gusuzuma imiterere y'imitsi y'umurwayi, ibyo amaraso akeneye gutembera, ndetse na gahunda yo kumuvura.

Imbonerahamwe ya 1. Igipimo gihuye n'umuvuduko w'amaraso

2. Uburebure bw'urushinge

Uburebure ni ikindi kintu cy'ingenzi. Ubusanzwe inshinge ziboneka mu burebure buri hagati ya mm 25 na mm 38. Uburebure bw'urushinge bugomba kuba buhagije kugira ngo bugere ku nkuta za fistula nta burebure bukabije, bishobora kwangiza. Uburebure bukwiye bw'urushinge butuma uburyo bwo gushyiramo urushinge burushaho kuba bwiza kandi bugabanye ububabare.

Imbonerahamwe ya 2. Guhuza uburebure bw'urushinge hakurikijwe intera iri hagati y'uruhu

3. Igishushanyo mbonera cy'umusenyi

Umugozi ni inkombe y'urushinge igoramye. Igishushanyo cy'umugozi gityaye cyane gishobora kwangiza inkuta za fistula, mu gihe umugozi udakomeye cyane ushobora gutera ingorane mu gutobora uruhu. Igishushanyo cy'umugozi cyiza kizatandukana kuri buri muntu bitewe n'ingano n'imiterere ya fistula ye. Ubwoko busanzwe burimo:

Umugozi mugufi: Byoroshye kugenzura, ntabwo byangiza ingirabuzimafatizo
Umugozi muremure: Uratyaye kandi utuma kwinjira byoroha, ariko bishobora gusaba ubuhanga bwinshi.

Guhitamo icyuma gikwiye bishobora kugabanya cyane ububabare n'ingorane umurwayi afite mu gihe cyo gukaraba.

4. Ibikoresho by'urushinge

Ibikoresho by'urushinge bigira ingaruka ku mikorere n'umutekano w'umurwayi. Inshinge z'icyuma kitagira umugese zikunze kugaragara cyane bitewe n'imbaraga zazo, ubukana bwazo, no kuba zihura neza n'ibinyabuzima. Inshinge za Fistula zitagira umugese zigomba gukorwa mu bikoresho byiza kandi byujuje ubuziranenge kugira ngo bigabanye ibyago byo kwandura. Ni ngombwa guhitamo inshinge ku ruganda rukora inshinge za fistula ruzwi cyane kugira ngo rukomeze umutekano kandi rurambe.

5. Inshinge z'aho zizunguruka

Inshinge zizunguruka zituma urushinge ruzunguruka ku bugari bwa dogere 360 ​​rudakuyeho aho rwashyizwe. Iyi mikorere ni ingirakamaro cyane cyane mu kugabanya imiyoboro y'amazi no kumenyera ingendo z'umurwayi mu gihe cyo gusukura. Inongera kandi ihumure kandi yoroshya uburyo bwo kuvura mu gihe cyo kuvurwa.

6. Amababa yo gufata neza

Amababainshinge za fistula ya AVBitanga uburyo bworoshye bwo gufata no gufata neza. Aya mababa y'ikinyugunyugu yoroshye atuma abayitaho bafata urushinge byoroshye kandi bagafata neza mu gihe cyo kuyishyiramo. Amababa ni ingirakamaro cyane ku barwayi biyica kandi agafasha kugabanya kwimuka ku bw'impanuka mu gihe cyo kwivura indwara.

7. Uburyo bwo Kurinda Gusubira mu Maraso

Kurinda ko amaraso asubira inyuma ni ingenzi cyane ku mutekano w'umurwayi. Inshinge zimwe na zimwe za AV fistula zakozwe zifite uburyo bumwe cyangwa uburyo bwo kugabanya ibyago byo gusubira inyuma kw'amaraso, bigafasha:

Irinde kubumba mu muyoboro
Komeza kutabyara
Kunoza imikorere myiza ya dialyse

Iyi mikorere iba ingenzi cyane cyane mu gihe cy’igihe kirekire cyo kwivura indwara ya dialyse cyangwa ku barwayi bafite ibibazo byo kuvura amaraso.

8. Uburyo bwo gukuraho urushinge

Uburyo bugezweho bwo gukuraho urushinge bwagenewe kongera umutekano binyuze mu kugabanya ibyago byo gukomereka kw'urushinge nyuma yo gukoreshwa. Ubu buryo buhita busubiza urushinge mu gipfundikizo cyo kurinda nyuma yo gucukurwa, bigatuma umurwayi n'umwitaho bakomeza umutekano.

Inshinge zishobora gukururwa zigenda zirushaho kuba intangarugero mu bitaro bitewe no kubahiriza amabwiriza agenga umutekano w’inshinge zikozwe mu buryo bwa sharps.

9. Shyira imbere ihumure ry'umurwayi

Amaherezo, urushinge rwa AV fistula rwiza ni urwo gutuma umurwayi amererwa neza cyane. Ubukana bw'urushinge, irangi, inguni yo kwinjiramo, ndetse n'uburyo bwo gupfunyika byose bigira uruhare mu bunararibonye rusange. Isuzuma rya dialysis ryoroshye kandi ritababaza cyane rituma umurwayi yubahiriza amategeko kandi akabona umusaruro mwiza uko igihe kigenda gihita.

Kuki urushinge rwa Fistula rukwiye ari ingenzi?

Guhitamo urushinge rwa fistula rukwiye mu gusukura amaraso si icyemezo cya tekiniki gusa—bigira ingaruka ku buzima bw'umurwayi no kumererwa neza. Dore impamvu ari ingenzi:

Binoza imikorere ya dialyse:Ingano ikwiye y'urushinge n'imiterere yarwo bifasha umuvuduko mwiza w'amaraso.
Bigabanya ingorane:Inshinge zatoranijwe neza zigabanya imvune, kwinjira no kuvura kw'ibisebe.
Yongera umutekano:Ibintu nk'uburyo bwo gukurura ibyuma n'imiterere yo kurwanya gusubira inyuma kw'amazi birinda abarwayi n'abakozi.
Yongera ihumure:Urushinge rworoshye gushyiramo kandi rutera ububabare buke rutuma umurwayi yizera kandi agashaka kuvurwa buri gihe.

Kubera ko hemodialysis ari uburyo bwo kuvura burambye kandi butuma umuntu ahora arwaye, buri kantu kose kagira agaciro. Niyo mpamvu amavuriro n'inzobere mu by'ubuzima bagomba gushora igihe mu guhitamo urushinge rwa dialysis rukwiye kuri buri muntu.

Umwanzuro

Muri make,Urushinge rwa fistula ya AVsi igikoresho gusa—ni ingenzi cyane mu gutanga ubuvuzi bwa dialyse bwizewe kandi bunoze. Kuva ku bunini bw'igipimo n'ibikoresho kugeza ku buryo bwo gukuraho ndetse n'uburyo umurwayi amererwa neza, buri gice kigira uruhare.

Waba uhisemo hagati y’urushinge rwa AV fistula 15G, 16G, cyangwa 17G, tekereza ku bintu icyenda by’ingenzi byavuzwe haruguru kugira ngo uhitemo neza. Ubikoze, ntabwo byongera gusa umusaruro w’ubuvuzi ahubwo unatuma umurwayi arushaho gukora dialyse neza.