Fistula: ntoni na? Inkcazelo, ubuhle nobubi. fistula pulmonary

Ngaphambili, ukusilela kwezintso sisifo esibulalayo. Ngoku yena iphathwa yi inkqubo ukugawulwa igazi, ebizwa olugqitha esikhumbeni. Le ndlela isetyenziswa kwiimeko izigaba oyingozi futhi ezingapheliyo izifo. Le nkqubo wenziwe isixhobo phantsi kwegama "kidney yokwenziwa". Kwinkqubo ukuba wenziwe ukususwa components pathways ezinobungozi ezifana urea, creatine, kunye nabanye. Kwakhona normalizes balance amanzi kunye electrolyte.

Kamva kweli nqaku siza kuqwalasela le nkqubo iqhutywa njani. Ukususela izinto, uya kufunda into efunekayo fistula, yintoni na, esiye ixabiso ekuphunyezweni yokuntlokothiswa.

indlela yokwenza

fistula Ngoko - ntoni na? Izixhobo "kidney ngumntu" iqhagamshelaniswe ukuhamba kwegazi yomguli ngalo ukufikelela semithambo, eyenziwe yi ngugqirha. Ibizwa ngolu hlobo: fistula arteriovenous (AVF). Loqhakamshelwano iyunithi kwenza iinaliti ezizodwa okuhlatywa eqhagamshelwe dialyzer kusetyenziswa umbhobho. ihaemodialysis Minimal omiselwe iiyure ezili-12 ngeveki, ngamanye 3 x 4 hr. Le nkqubo unokuthatha eminyaka. It ikuvumela ukuba ukubuyisela inxalenye umsebenzi wezintso kwaye yenza umntu ukuqhubeka ukusebenza nokugcina ubomi ngokupheleleyo.

nomgomo

Nokufikelela lwemithambo ingenziwa dialysis ezigulo ezondeleyo. Ngenxa kuye, ukwenza igumbi nokubandakanywa kunye nokurhoxiswa umthamo omkhulu wegazi. Ngexesha ukusebenza ngokuyila kwisitya esinye ngeendonga zamafu ngeziteyipla umthambo kunye umthambo. Ngaphezu koko, akukho kwasekwa flow kwegazi, nto leyo lunezinto, kananjalo kube lula ukuba puncturing kunye neenkqubo zokuphumeza. Amaninzi, le fistula kuba ihaemodialysis luqokelelane kwi ingalo. Oku kungenxa yokuba kukho iimpahla enkulu ukuhamba kwegazi. Noko ke, ukuba zibekwe nzulu, nto leyo eyenza kube nzima ukuba kwenzakalani. Vienna, phezu koko, eziphezu, kodwa iindonga mncane kakhulu. Kungenxa yoko le nto ukhetho osenyongweni crosslinking ezi mpahla. Kulo mzekelo, ihaemodialysis unika isiphumo engcono. Needling ikhutshwa phandle neenaliti ezizodwa, ngaxesha-kwemithambo yegazi nge ezidityanisiweyo AVF izixhobo.

buhle

Kuba indalo yayo, akunyanzelekanga ukuba izinto zedolophu. Emva fistula - ntoni na? Le ukwakheka, eyakhiwa kwithishyu kwabantu. Ukungabikho Ukuqukwa kwezindlela arteriovenous fistula nga kusikhusela usuleleko okanye thrombosis. Kubhaliwe ibekwe phantsi nje kwesikhumba. indlela dialysis ikhethwa izigulane ezininzi kuba unika isiphumo ixesha elide. Ukuza kuthi ga ngoku, fistula - ntoni na? Kuba iingcali ezininzi kwaye izigulane yeyona ndlela ilungileyo ukuzuza ukufikelela kwi egazini. Kananjalo indalo yayo iindlela ezintsha, egqibelele iindlela okuhlatywa nempahla zokonga.

izinto ezimbi

Le ethile ephambili fistula ekukhuleni kwayo elide, nto leyo iinyanga enye enesiqingatha okanye ngaphezulu. Ngamanye amaxesha iinjongo ukuphumeza kwaye ayiyi kuphumelela. Ukungaphumeleli ekuthiwa ekuqaleni kwenzeka izizathu seduyuschim:

1. Ukufunyanwa kwemali kwegazi encinane ukwakheka.

2. Unqongophalo arterialization igazi ngokunciphisa zaphembelela ngemithambo icala kusuka fistula.

3. Le nqanawa kukhethwe kwakhiwe fistula, kuba ngaphantsi kwe-2 mm.

4. Education stenosis phakathi emnyango fistula kunye anastomosis.

imfundo Igcina

Malunga ukunakekelwa fistula kuyacetyiswa phambi nokubunjwa kwayo. Ukuze wenze oku, umele ukukhusela iimpahla zengalo kokufakwa ezingeyomfuneko. Oku kuya kuvumela imithambo ngemithambo ibekwe urhulumente phambili phambi kokusekwa fistula.

Dialysis lwaqhutywa kunye fistula sele ukusekwa noqolileyo. Oku kuya kuqinisekisa ixesha ukusebenza kwalo phezu kwamashumi. Nangona kunjalo, kukho izigulane abo bazisebenzise bazigqiba propati ifumaneka elidlulileyo (emva kweminyaka emi-2).

Xa fistula ukuba ihaemodialysis kukuba kwinqanaba nokwanda kwabo, Nengalo kufuneka ukhuselwe imithwalo ngokugqithiseleyo. Oku kusebenza ixesha postoperative (phambi kokuba ukususwa sutures). Ngenxa ukudumba emva kotyando luya kwenzeka ngokukhawuleza kakhulu. Kuyimfuneko ukuphelisa ukusetyenziswa (ibar, atyhale-ups, njalo njalo). Ukongeza, kucetyiswa ukuba yome fistula yonke imihla. Kwakhona Kucetyiswa ukuba ukuphulaphula ingxolo yayo, kufuneka ibe rhoqo enye. Xa kunjalo, ukuba kukho naluphi na utshintsho, kufuneka udibane nogqirha. Emva kokunikezelwa yegazi kucalulo lakhe esandleni nefistulnoy. imfundo Khipha ikwenze ayikhuthazwa. Ngaphezu koko, akunakwenzeka ukuba umlinganiselo uxinzelelo igazi esandleni, yaye kufuneka bazame ukunqanda ukwehla elibukhali.

fistula pulmonary

Kufuneka ke ukuba le mfundo ayisoloko kunceda umzimba. Umzekelo, ubukho fistula yemiphunga kwinkqubo coronary kunokubangela iingxaki ezinzulu. Ekubeni kukho umthamo othile wegazi evela imithambo yenhliziyo Lisuka nje kule fistula ukuya pulmonary, oko kuphakamisa kwamanani yokumpompoza kwegazi, ukuze ukuba kukho intswelo iikhompawundi zizondlo neoksijini imisipha entliziyweni.