Fistula: chii? Description, zvakanakira nekuipira. pulmonary fistula

Kare, itsvo kukundikana chinhu chinouraya. Zvino iye ari kurapwa pachishandiswa nzira yokururamisa ropa, inonzi hemodialysis. Nzira iyi rinoshandiswa Muzviitiko chakasimba uye chisingaperi zvokukura chirwere. The nzira rinoitwa chete mudziyo pasi zita "kubata itsvo". Mukuita yakatakura kubva kubviswa chepfu metabolic zvinoriumba akadai urea, creatine, uye vamwe. Uyewo normalizes mvura uye electrolyte mwero.

isu Gare gare munyaya funga sei muitiro rinoitwa. Kubva acho, uchadzidza chii chinodiwa fistula, chii, chii ukoshi rine iri Implementation ose evanhu.

nzira

Saka fistula - chii? Midziyo "chakagadzirwa itsvo" zvakabatana ropa murwere aibuda kuburikidza vascular kuwana, izvo zvakasikwa pachishandiswa chiremba. Inonzi seizvi: arteriovenous fistula (AVF). Nokuti unobva chikwata kuti unokosha ponji tsono chokuita kuti dialyzer achishandisa nenyere hurongwa. Minimal hemodialysis yakatarwa kwemaawa 12 pavhiki, i.e. 3 x 4 hr. nzira iyi inogona kugara kwemakumi emakore. Kunoitawo kuti ubatanidzwewo kutsiva itsvo nerevane kunoita munhu uchishanda uye kuchengetedza hupenyu huzere.

ramangwana

With venous kuwana zvinogona kuitwa chisingaperi dialysis. Pamusana kwaari, kuti nzvimbo aizomupa uye kushaya hombe Vhoriyamu ropa. Panguva oparesheni kusika munhu chete mudziyo pamwe gobvu masvingo stapled tsinga uye tsinga. Uyezve, pane vakaumba ropa aibuda yakanaka, inova surfactant, chiri nyore nokuti puncturing uye Implementation maitirwe ezvinhu. Kakawanda, fistula nokuti hemodialysis achiumbwa pasi ruoko. Izvi imhaka yokuti pane midziyo makuru neropa chokubuda zvakanaka. Zvisinei, vari papi yakadzika, izvo zvinoita zvakaoma kuponjesa. Vienna, nekusiyana, vari panyika, asi vachiri matete masvingo. Ndokusaka yakanakisisa pfungwa iri crosslinking rwengarava izvi. Muchiitiko chino, hemodialysis anopa yakanakisisa mugumisiro. Needling ari kuitwa chaiwo tsono, vakabva kune muropa nomukombiyuta kunofambidzana AVF midziyo.

zvakwakanakira

Nokuti ayo zvisikwa, haatarisiri chakagadzirwa zvinhu. Mushure fistula - chii? inotungamirwa ichi, rinoumbwa tishu kwevanhu. Kushaya nechekuita mukugarisana kubata arteriovenous fistula anogona kudzivirira kubva chirwere kana thrombosis. Riri chete pasi ganda. dialysis nzira Zvinosarudzwa varwere vakawanda nokuti unopa mugumisiro kwenguva refu. To musi, fistula - chii? For nyanzvi dzakawanda uye varwere ndiyo nzira yakanakisisa kuwana muropa. Uyewo kwayo pakusikwa nzira itsva, wakapedzeredzwa nzira ponji uye kuponesa midziyo.

zvinhu zvisingafadzi

The chikuru drawback iri kwayo refu fistula kuibvisa, riri mwedzi mumwe nehafu kana kupfuura. Dzimwe nguva zvinangwa kuzadzisa uye asingauyi kubudirira. Vanonzi mangwanani kukundikana kunoitika seduyuschim zvikonzero:

1. Kutambirwa ropa kuyerera duku nokuumbwa.

2. Kushaikwa arterialization ropa nokuderedza rayo kumanikidzwa parutivi mutsinga kuti Uchabva fistula.

3. mudziyo wakasarudzwa kuti wezvamatongerwe fistula, zviri pe2 mm.

4. Education stenosis pakati pamukova fistula uye anastomosis.

kuchengetedza dzidzo

About fistula nokutarisirwa inokurudzirwa pamberi kwayo inotungamirwa. Kuti aite izvi, unofanira kuchengetedza midziyo honokono kubva zvisingakoshi majekiseni. Izvi achabvumira arteries uye mutsinga iri dzakabudirira mamiriro isati yasikwa fistula.

Dialysis akanga akatakurwa achiburitswa kunze pamwe kare kuumbwa uye vakura fistula. Izvi zvichaita nechokwadi ya huchishanda pamusoro emakore. Zvisinei, pane varwere vakanga vaneta kuti anowanika pfuma kare (pashure 2 years).

Kana fistula nokuda hemodialysis riri padariro kuibvisa wavo, ruoko inofanira kuchengetedzwa rokurara zvinorema. Izvi zvinoshandawo postoperative nguva (asati kubviswa sutures). Nokuda mumatenhere pashure pokuvhiyiwa kuchaitika zvikuru nokukurumidza. Zvakakodzera kubvisa chiitwa (chihuri, kusunda kupota, etc.). Uyezve, Zvinokurudzirwa kuti aiyanika fistula ose zuva. Zvinonzi zvakare zano kuteerera ruzha kwayo, anofanira kuva dzose zvakafanana. Pakadaro, kana paine kuchinja chero, unofanira kubvunza chiremba. Pamusoro chokuendesa ropa rake ongororo wakatorwa kubva mumaoko nefistulnoy. dzidzo kudhonza joko haisi inokurudzirwa. Uyezve, hazvibviri kuyera BP muruoko, uye vanofanira kuedza kurambidza unopinza kuderera.

pulmonary fistula

Zvinofanira kunzi dzidzo ichi hakuiti zvikomborero kune muviri. Somuenzaniso, kuvapo pulmonary fistula kupinda coronary hurongwa kunogona kukonzera zvinetso zvakakomba. Sezvo mumwe Vhoriyamu ropa kubva coronary arteries nenhokwe kuburikidza fistula kusvika pulmonary tsinga, izvozvo chinokurwadzai kuti Kuparadzwa ropa kuyerera, saka kuti pane dhefisiti pamusoro inotonhorera yeimwe uye okisijeni mumwoyo tsandanyama.