He kaiwhakarato ngaio, he kaihanga hoki a Shanghai Teamstand Corporation ongā hua hauora whakakorekore, tae atu ki ngā ngira AV fistula. He taputapu nui te ngira AV fistula i roto i te mara ote whakaheke totoe tango ana, e whakahoki ana hoki i te toto i te wā o te dialysis. Te mārama ki ngā āhuatanga oNgā ngira fistula AVhe mea nui mā ngā tohunga hauora kia haumaru, kia whai hua hoki te whakamahinga o ēneingā taputapu hauora.
Hanganga taketake o te ngira AVF
Ngā Āhuatanga oNgira AVF
He tukanga whakakanapa pai i te mata kia ngāwari ai te wero.
Ka whakaitihia te mamae me te toto totoka e te ngira hiraka.
Mā te pakitara angiangi o te kanohi o muri ka tere te rere o te toto.
Kei te wātea ngā parirau hurihuri me ngā parirau pumau.
Mōkihi takirua, takitahi rānei hei kōwhiringa.
Te rahi o te ngira AV Fistula
He whānuitia ngā diameter o waho e wātea ana mō ngā ngira AVF, e whakaahuatia ana e ngā tau ine. Ko ngā tau ine iti ake e tohu ana i ngā diameter o waho nui ake. Ko te diameter o roto e whakawhirinaki ana ki te matotoru o te ine me te pakitara.
He mea nui te ine i te tere o te rere o te toto i te wā o te dialysis. I te nuinga o te wā, he maha ngā rahi o ngā ngira AV fistula, ko ngā mea tino noa ko te ine 15, 16, me te 17. Ka pā tika te rahi ki te tere o te tango toto me te hokinga mai o te toto, nō reira me whiriwhiri te rahi e tika ana i runga i te urunga toto me te whakahaunga dialysis a te tūroro.
Ripanga 1. Te whakataurite i te ine me te tere rere o te toto
| Te tere rere o te toto (BFR) | Ine ngira e taunakitia ana |
| <300 ml/min | 17 ine |
| 300–350 ml/min | 16 ine |
| >350–450 ml/min | 15 ine |
| >450 ml/min | 14 ine |
Te roa o te ngira o te ngira AV fistula
Ka rerekē pea te roa o ngā ngira, ā, he mea nui kia whiriwhiria te roa e tika ana i runga i te hanganga o te tūroro me te hohonu o te urunga atu ki ngā oko toto. Mā te whakamahi i te ngira poto rawa, kāore pea e taea te uru atu ki te fistula, ki te graft rānei, engari mā te ngira roa rawa ka nui ake te tūponotanga o ngā raruraru, pērā i te urunga o te pakitara oko toto, te poka rānei.
| Te tawhiti ki te mata o te kiri | Te roa o te ngira e taunakitia ana |
| <0.4 cm i raro i te mata o te kiri | 3/4” me te 3/5” mō ngā fistula |
| 0.4-1 cm mai i te mata o te kiri | 1 inihi mō ngā fistula |
| ≥1 henimita mai i te mata o te kiri. | 1 1/4” mō ngā fistula |
Me arotake marie e ngā tohunga hauora te urunga toto o te tūroro, me te whakaaro ki te rahi me te roa o te ine ngira e tika ana kia pai ai te mahi me te whakamarie o te tūroro i te wā o te hemodialysis. He mea nui te whakangungu tika me te mārama ki ngā rahi me ngā roa rerekē o te ine e wātea ana mō ngā ngira AV fistula hei whakaiti i te mōrearea o ngā raruraru me te whakarite kia whai hua te maimoatanga dialysis.
E whakapau kaha ana a Shanghai Teamstand Corporation ki te whakarato i ngā ngira fistula arteriovenous kounga teitei i roto i ngā rahi me ngā roa rerekē hei whakatutuki i ngā hiahia kanorau o ngā kaiwhakarato hauora me ngā tūroro. Ko te arotahi a te kamupene ki te hangarau tika me te mana whakahaere kounga tino pakari ka whakarite kia tutuki i ana ngira fistula AV ngā paerewa o te ao, ā, ka whakarato i te mahi pono i roto i ngā taiao haumanu.
Hei whakamutunga, he mea nui te mārama ki ngā rahi o ngā ngira AV fistula mō ngā tohunga hauora e uru ana ki te hemodialysis. He mea nui te whiriwhiri i te rahi me te roa e tika ana hei whakarite kia haumaru, kia whai hua hoki te whakamahinga o te ngira AV fistula, ā, hei āwhina i te whakarato i te maimoatanga dialysis tino pai ki ngā tūroro e pāngia ana e te mate whatukuhu wāhanga whakamutunga. Mā te tautoko a ngā kaiwhakarato rongonui pērā i a Shanghai Teamstand Corporation, ka taea e ngā kaiwhakarato hauora te tiki ngira AV fistula kounga teitei e tutuki ai ngā whakaritenga motuhake o ā rātou mahi haumanu.
Wā tuku: Paenga-whāwhā-16-2024