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Video: Dab tsi yog qhov fistula rau kev lim ntshav?
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2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Cov AV fistula yog cov hlab ntshav ua kom dav dua thiab muaj zog dua los ntawm tus kws phais kom siv cov koob uas tso ntshav kom ntws tawm mus thiab rov los ntawm lub tshuab lim ntshav. Cov neeg feem coob tuaj yeem mus tsev tom qab phais mob sab nrauv.
Kuj nug, ntev npaum li cas cov tshuaj lim ntshav tawm tas?
Cov leeg muaj zog tuaj yeem tau txais cov koob siv rau hemodialysis . Ib -V lub qhov quav feem ntau yuav siv 3 txog 4 lub hlis los kho ua ntej nws tuaj yeem siv rau hemodialysis . Cov lub qhov quav tuaj yeem siv rau ntau xyoo.
Ib yam nkaus, vim li cas thiaj siv AV fistula rau kev lim ntshav? Ib AV fistula yog kev phais txuas ua nruab nrab ntawm cov hlab ntsha thiab cov leeg, tsim los ntawm tus kws kho mob tshwj xeeb vascular. Qhov nce ntws thiab siab ua rau cov leeg loj tuaj. Cov hlab ntsha loj yuav muaj peev xwm xa cov ntshav txaus tsim nyog los muab kom txaus hemodialysis kev kho mob
Ua li no, tus txheej txheem rau lub fistula yog dab tsi?
LIFT txheej txheem Ligation ntawm intersphincteric lub qhov quav txoj kev (LIFT) txheej txheem yog kev kho mob rau qhov quav uas dhau los ntawm cov leeg nqaij sphincter, qhov twg fistulotomy yuav muaj kev pheej hmoo heev. Thaum kho, kev txiav yog ua rau ntawm daim tawv nqaij saum toj saud lub qhov quav thiab cov leeg nqaij sphincter tau txav sib nrug.
Koj puas tuaj yeem ua luam dej nrog lim ntshav fistula?
Tshem cov khaub ncaws thiab ntxuav koj qhov chaw tawm thiab/lossis da dej tom qab ntawd. Tsis tas yuav npog koj li lub qhov quav los yog graft thaum koj ua luam dej . Yog koj muaj a hemodialysis catheter, tsis txhob ua luam dej . Koj zoo li yuav nqhis dej thaum nws kub thiab koj nyob sab nraum ntev dua, thiab yog li feem ntau yuav xav tias lub cev qhuav dej.
Pom zoo:
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Lub twj tso kua mis hauv lub tshuab hemodialysis maj mam rub koj cov ntshav, tom qab ntawd xa nws mus rau lwm lub tshuab hu ua dialyzer. Qhov no ua haujlwm zoo li lub raum thiab lim tawm cov dej ntxiv, pov tseg, thiab kua. Koj cov ntshav ntxuav tau xa rov qab rau hauv koj lub cev los ntawm rab koob thib ob hauv koj lub cev
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Zoo li feem ntau qhov kev kho mob ib txwm muaj txiaj ntsig thiab ntau yam, lub ntsiab lus tuaj yeem sib txawv me ntsis, tab sis feem ntau cov ntsiab lus hauv qab no siv: Ua rau me me hypoxemia: PaO2 = 60 txog 79 mmHg. Qhov nruab nrab hypoxemia: PaO2 = 40 txog 59 mmHg. Hypoxemia hnyav: PaO2 <40 mmHg
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Qee tus neeg yuav tau hloov mus rau hemodialysis tom qab ob peb xyoos kom tsis txhob muaj qhov tshwm sim no. Lwm qhov tsis zoo ntawm kev lim ntshav peritoneal yog tias cov dej lim ntshav siv tau tuaj yeem ua rau txo qis cov protein, uas tuaj yeem ua rau tsis muaj zog thiab, qee zaum, tsis txaus noj zaub mov. Qhov hnyav nce kuj yog qhov ua tau tshwm sim tshwm sim
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Hemodialysis yog ib txoj hauv kev tshem tawm cov khoom pov tseg xws li creatinine thiab urea, nrog rau cov dej dawb los ntawm cov ntshav thaum lub raum tsis ua haujlwm. Cov cuab yeej siv tshuab siv los ntxuav cov neeg mob ntshav hu ua adialyser, tseem hu ua lub raum dag