Na-elekọta gị vaskụla ohere maka hemodialysis

Have nwere ohere vaskụla maka hemodialysis. Ilekọta uzo gi nke oma na enyere aka mee ka o di ogologo.

Soro ntuziaka nke onye nlekọta ahụike gị banyere otu esi elekọta ohere gị n'ụlọ. Jiri ozi dị n'okpuru dị ka ihe ncheta.

A ohere vaskụla bụ oghere mere gị akpụkpọ na ọbara arịa n'oge a obere ọrụ. Mgbe ị na-agwọ ọrịa, ọbara gị na-apụ site na ịbanye n'ime igwe hemodialysis. Mgbe edozichara ọbara gị na igwe, ọ na - agbanyeghachi site na ịbanye n'ime ahụ gị.

Enwere ụdị ụzọ isi atọ nke vaskụlalas maka hemodialysis. A kọwara ndị a.

Fistula: A na-adaba akwara akwara na nkwonkwo aka gị ma ọ bụ aka elu na akwara dị nso.

• Nke a na-enye ohere ịtinye mkpịsị ụkwụ n'ime akwara maka ọgwụgwọ dialysis.
• Fistula na-ewe site na izu 4 ruo 6 iji gwọọ ma tozuo tupu ọ dị njikere iji.

N'aka: Akwara akwara na akwara aka gị jikọtara ya na tube rọba dị n'okpuru akpụkpọ ahụ.

• A na-etinye agịga na ntụdo mgbe ị na-agwọ ọrịa.
• Aka aka nwere ike ịdị njikere iji n'ime izu 2 ruo 4.

Central keshina catheter: Igwe rọba rọba (catheter) na-agbanye n'okpuru anụ ahụ gị ma tinye ya na akwara gị n'olu, obi, ma ọ bụ ukwu. Site n'ebe ahụ, tubing ahụ na-abanye n'ime akwara etiti nke na-eduga gị n'obi.

• A Central venous catheter dị njikere iji ozugbo.
• Ọ na-ejikarị ya maka izu ole na ole ma ọ bụ ọnwa ole na ole.

May nwere ike ịnwe ntakịrị ọbara ọbara ma ọ bụ ọzịza gburugburu saịtị ịnweta gị maka ụbọchị ole na ole ndị mbụ. Ọ bụrụ na ị nwere fistula ma ọ bụ aka:

• Debe ogwe aka gị na ohiri isi ma debe ikpere aka gị iji belata ọzịza.
• You nwere ike iji ogwe aka gị mgbe ị rụsịrị ịwa ahụ. Ma, ebulala ihe karịrị 10 kilogram (lb) ma ọ bụ kilogram 4.5, nke dị ihe dị ka galọn nke mmiri ara ehi.

Na-elekọta mgbakwasa (bandeeji):

• Ọ bụrụ na ị nwere aka ma ọ bụ fistula, dobe mgbakwasa ahụ maka ụbọchị abụọ mbụ. Nwere ike ịsa ahụ ma ọ bụ ịsa ahụ dị ka ọ dị na mbụ mgbe ewepụchara akwa ahụ.
• Ọ bụrụ na ị nwere eriri ikuku dị n'okpuru, ị ga-edebe mgbakwasa ahụ oge niile. Kpuchie ya na plastik mgbe ị na-asa ahụ. Esila saa ahụ, gaa igwu mmiri, ma ọ bụ banye n'ime mmiri ọkụ. Ekwela ka onye ọ bụla wepụ ọbara na ihe nkedo gị.

Grafts na catheter nwere ike karịa ọrịa fistulas na-ebute ọrịa. Ihe ịrịba ama nke ibute ọrịa bụ ọbara ọbara, ọzịza, ọnya mgbu, ụfụ, ikpo ọkụ, akụrụ na saịtị ahụ na ahụ ọkụ.

Mgbochi ọbara nwere ike ịmalite ma gbochie ọbara na-agba site na saịtị nnweta. Grafts na catheters nwere ike karịa fistulas ka clot.

Mbara ọbara gị dị n'akụkụ gị ma ọ bụ fistula nwere ike ịdị warara ma belata usoro ọbara site na ịnweta. A na-akpọ nke a stenosis.

Gbaso ụkpụrụ nduzi ndị a ga-enyere gị aka izere ibute ọrịa, mkpụkọ ọbara, na nsogbu ndị ọzọ gbasara ịnweta vaskụla gị.

• Jiri ncha na mmiri ọkụ sachaa aka gị mgbe ọ bụla tupu ị metụ ụzọ gị aka. Jiri ncha antibacterial ma ọ bụ ị alcoholụ mmanya na-ehicha ebe ị na-abanye tupu ị gwọchaa ọgwụgwọ gị.
• Lelee mmụba (nke a na-akpọkwa obi ụtọ) na ịnweta gị kwa ụbọchị. Onye na-enye gị ọrụ ga - egosi gị etu.
• Gbanwee ebe agịga ahụ na-abanye na fistula ma ọ bụ aka gị maka ọgwụgwọ ọ bụla.
• Ekwela ka onye ọ bụla were ọbara mgbali gị, malite usoro IV (intravenous line), ma ọ bụ wepụ ọbara site na ogwe aka gị.
• Ekwela ka onye ọ bụla wepụ ọbara site na catheter etiti gị.
• Anọla ụra na oghere ịnweta gị.
• Ejila ihe karịrị 10 lb (4.5 n'arọ) jiri ogwe aka gị nweta.
• Ejila akwa elekere, ọla, ma ọ bụ uwe mwụda gafee saịtị gị.
• Kpachara anya ka ị ghara ịkụtu ma ọ bụ belata ohere gị.
• Jiri ohere gị naanị maka dialysis.

Kpọọ onye na-eweta ọrụ gị ozugbo ọ bụrụ na ị chọpụta otu n'ime nsogbu ndị a:

• Ọbara na saịtị vaskụla gị
• Ihe ịrịba ama nke ibute ọrịa, dị ka ọbara ọbara, ọzịza, ọnya, ihe mgbu, ikpo ọkụ, ma ọ bụ ihe ọkụkụ na saịtị ahụ
• Ahụ ọkụ 100.3 ° F (38.0 ° C) ma ọ bụ karịa
• Ọfụma (mkpali) na aka gị ma ọ bụ fistula na-ebelata ma ọ bụ na ị naghị anụ ya ma ọlị
• Ogwe aka ebe etinyere catheter gị na-aza ọfụma yana aka n'akụkụ ahụ na-echekwa oyi
• Aka gị na-ajụ oyi, kpọnwụọ ma ọ bụ ghara ịdị ike

Ọrịa arteriovenous; Ọkpụkpọ A-V; A-V akaf; Tunneled catheter

Kern WV. Ọrịa metụtara eriri intravascular na grafts. Na: Cohen J, Powderly WG, Opal SM, eds. Ọrịa Na-efe Ọrịa. Agba nke anọ. Philadelphia, PA: Elsevier; 2017: isi 48.

Ebe nrụọrụ weebụ National Institute of Diabetes and Digestive and Kidney Disease. Hemodialysis. www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/hemodialysis. Emelitere Jenụwarị 2018. Nweta February 1, 2021.

Yeun JY, Young B, Depner TA, Chin AA. Hemodialysis. Na: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner na Rector nke akụrụ. Nke 11. Philadelphia, PA: Elsevier; 2020: isi 63.

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