Ngā Painga me ngā Whakamahinga o te Ngira Dialysis 15G

Mō ngā tūroro e whiwhi ana i te hemodialysis, me whiriwhiri i te rongoā tikangira tātaritangaHe mea nui tēnei hei whakarite i te haumaru, te whakamarie, me te whai hua o te maimoatanga. I roto i ngā rahi ngira dialysis e wātea ana, ko te ngira dialysis 15G tētahi o ngā kōwhiringa e whakamahia whānuitia ana i roto i te hemodialysis pakeke. Ka whakaratohia he taurite pai i waenga i te rere o te toto me te whakamarie o te tūroro, ka waiho hei taputapu hauora pai rawa atu i roto i ngā pokapū dialysis puta noa i te ao.

E whakamārama ana tēnei tuhinga i ngā painga o te ngira tātaritanga 15G, ngā whakamahinga o te ngira tātaritanga 15G, me ngā āhuatanga e pai ai mō te maimoatanga tātaritanga auau.

He aha te ngira Dialysis?

He ngira motuhake te ngira dialysis e whakamahia ana hei uru atu ki te rere o te toto o te tūroro i te wā o te hemodialysis. I te nuinga o te wā ka werohia ki roto i te wāhi o te ngira AV fistula — he fistula arteriovenous, he graft rānei. E rua ngā ngira e hiahiatia ana mō ia maimoatanga:

Ngira uaua: ka tangohia te toto mai i te tūroro
Ngira uaua: ka whakahokia te toto i muri i te tātari

He rerekē ngā ngira tātaritanga i runga i te rahi, te momo pito, me te hoahoa, engari ko te ngira tātaritanga 15G tonu te whiringa paerewa mō ngā tūroro pakeke kua pakeke te urunga ki ngā oko toto.

Te Mārama ki te Rahi o te Ngira Dialysis (Pūnaha Ine)

I roto i te pūnaha ine, ko te iti o te tau ine, ko te nui ake o te whānui. Mā te rahi tika o te ngira ka pumau te rere o te toto me te tiaki i te wāhi urunga.

Ripanga 1. Ngā mea noaNgā Rahi o ngā Ngira Dialysisme tā rātou whakamahinga noa

Ka tutuki i te kōwhiringa 15G te taurite tino pai i waenga i te whakamarie me te mahi.

Ngā Painga Matua o te Ngira Dialysis 15G

1. Te Rere Toto Nui mō te Pai Ake o te Dialysis

Ko tētahi painga nui o te ngira tātaritanga 15G ko tōna kaha ki te whakatutuki i ngā tere rere toto tino pai, tae atu ki te 400 mL/min, e āhei ai:

te tango pai ake i ngā paitini,
he poto ake te wā maimoatanga,
te pai ake o te dialysis (Kt/V).

2. He pai mō te whakamahinga roa

He nui te rahi 15G mō te rere pumau engari he iti hoki hei whakaiti i te mamae o te cannulation me te whakaiti i te ahotea ki te urunga toto. He mea nui rawa tēnei taurite mō ngā tūroro hemodialysis roa.

3. Te iti o te mōrearea o ngā raruraru urunga

Mā te whakamahi tonu i te ngira AV fistula rahi tika ka whakaiti i te mōrearea o:

Te whakaurunga,
Te toto toto,
Te whara o te oko toto,
Te toto roa.

4. He pai mo te AV Fistula me te Whakapai

Ko te nuinga o ngā fistula AV me ngā tākai kua pakeke ka ngāwari te mau i ngā ngira 15G, ā, he pai mō te nuinga o ngā tūroro hemodialysis pakeke katoa.

5. Hototahi ki ngā Tikanga Dialysis Pakeke Paerewa

Nā te mea he nui ake te rere o te wai i roto i te nuinga o ngā tikanga hemodialysis mō ngā pakeke, ko te ngira 15G te whiringa whānui, pono hoki mō ngā maimoatanga o ia rā.

Ngā Whakamahinga o te Ngira Dialysis 15G

Ko te whakamahinga o te ngira dialysis 15G e whakawhirinaki ana ki te āhua o te tūroro me ngā whāinga maimoatanga. Ko ngā whakamahinga haumanu noa ko:

1. Te Hemodialysis Auau mō ngā Pakeke

Ko te nuinga o ngā tūroro dialysis pakeke kua pakeke te urunga ki ngā oko toto, ka whakamahi i ngā ngira 15G i ia wā, i ia wā.

2. Te Dialysis Rere-Tiketike me te Tino Whai Hua

E hiahiatia ana he rere toto nui ake mō ngā tātari rere-nui, ā, ko te ngira 15G te rahi e hiahiatia ana.

3. Te Tātaritanga o ngā Fistula AV Kua Pakari

I muri i te pakari o te fistula (te tikanga i roto i ngā wiki 6–12), ka piki ake te rahi o ngā tūroro i te 16G, i te 17G rānei ki te 15G.

4. Te Tātaritanga o ngā Tātaritanga AV

Ka tautokohia e ngā tākai hangai te rere o te toto, ā, he tino pai mō te werohanga ngira 15G.

5. Hemodialysis mō te wā roa

Ka whai hua ngā tūroro e hiahia ana ki te dialysis i ngā wā maha o te wiki mai i te cannulation pumau, iti te whara me ngā ngira 15G.

Ngā Āhuatanga o te Ngira Dialysis 15G Kounga Teitei

He maha ngā āhuatanga hoahoa o tētahi taputapu hauora pono mō te dialysis hei whakarei ake i te whakamahinga me te whakamarie o te tūroro:

Ripanga 2. Ngā Āhuatanga Matua o te Ngira Dialysis 15G

Ka whai wāhi atu ēnei āhuatanga ki ngā wā hemodialysis haumaru ake, whai hua ake hoki.

Te Kōwhiri i te Rahi Tika o te Ngira Dialysis

I te wā e whiriwhiri ana i te rahi o te ngira dialysis, ka whai whakaaro ngā tākuta ki ngā mea e whai ake nei:

Ripanga 3. Me pēhea te whiriwhiri i te ine ngira e tika ana

He pai te ngira 15G mō te nuinga o ngā tūroro pakeke.

He aha i pai ake ai ngā pokapū dialysis ki ngā ngira 15G

He maha ngā wā ka whiriwhiria e ngā pokapū dialysis te rahi 15G nā te mea:

Te rere toto tiketike tonu,
He whakaurunga whakamarie mō te whakamahinga roa,
Te hototahitanga ki te dialysis rere-teitei,
Te whakaiti i ngā tere o ngā raruraru,
Te whakapai ake i te whai huatanga whānui o te maimoatanga.

Mō ngā kaihoko me ngā kaiwhakarato hauora, ko ngā ngira 15G te whakatakotoranga ngira dialysis e tino hokona ana.

Whakamutunga

He taputapu nui te ngira dialysis 15G i roto i ngā mahi o ēnei rāte whakaheke toto, e whakarato ana i te rere toto tino pai, te whakamarie o te tūroro, me teurunga totote tiakitanga. Mā te mārama ki ngā painga o ngā ngira dialysis 15G me ngā whakamahinga o ngā ngira dialysis 15G ka āwhina i ngā tākuta me ngā kaihoko hua hauora ki te whiriwhiri i te taputapu hauora pai rawa atu mō te maimoatanga hemodialysis haumaru me te whai hua.