To protect the blood transparency life line, you have to understand these points of the icing vein fistula knowledge, and take the small book to remember it.

In recent years, the incidence of chronic kidney disease (CKD) has continued to increase. Popular disease research shows that the prevalence of Chinese adult CKD in 2012 was 10.8%.

Hematoplabyzer is one of the main methods for treating end -stage nephropathy. A good functional vascular pathway is the prerequisite for hemodialysis. The intravenous fistula is the first choice of vascular pathway and is called the first "lifeline" of patients with hemodialysis.

So what is the internal fistula? Angel vein fistula is divided into autologous intravascular fistula and transplanted vascular fistula. The autologous dynamic vein fistula conslose with the arteries with adjacent veins through surgical surgery. The radial artery and head vein are most commonly used. Combined with the patient's movement and vein.

The first choice of autologous intravenous fistula. Angel vein fistula provides sufficient blood for hemodialysis, and provides a guarantee for the adequacy of dialysis treatment.

The dynamic fistula has a life span, which is closely related to its own blood vessel quality, surgery, method and maintenance method. Then after the surgery is established, the use of internal fistulas and maintenance methods are particularly important.

1. Precautions after internal fistulating

1. Properly raised the side limbs after surgery to reduce body edema.

2. Prevent the internal fistula's side arm pressure. Avoid lying on the fistula -side arm during sleep.

3. The operation of the fistula side arm is prohibited from measurement of blood pressure, intravenous injection, infusion, and blood drawing.

4. Keep the inner fistula -side arm and wound dressing clean and dry to prevent wound infection. Pay attention to observe whether there is hematoma at the inner fistula and whether there is any blood inflating or whether the inner fistula is painful.

5. Observe whether the internal fistula blood vessels are unobstructed. First of all, whether the inner fistula blood vessels are touched by hand (rustling, cat panting), or hearing vascular murmur. If you can't touch the tremor or you can't hear the noise, you should exclude whether the local dressing is too tight and the internal fistula blood vessels should be tightly bandaged. Adjustable and inform the medical staff in time to deal with it.

6. If there is no bleeding after 24 hours after surgery, the surgical side hand can be appropriately performed by fisting and wrist joints to promote blood circulation and prevent thrombosis. Change the medicine once every 3 days, and remove the wires for 10 to 14 days. Pay attention not to add pressure when bandaging the dressing. The maturity of the internal fistula usually takes 4-6 weeks. It is recommended to use it at 8-12 weeks. It should not be used prematurely to avoid adverse consequences such as internal fistula hematoma and internal fistula occasions.

2. Maintenance of internal fistulating period

1. First, pay attention to keep the internal fistula on the body warm to avoid cold. Do not wear hand ornaments, such as watches, bracelets, etc., so that the inner fistula arms are kept comfortable and loose. Avoid operations such as blood pressure measurement, intravenous injection, infusion, and blood drawing in the internal fistula.

2. Prevent hypotension: Control the weight growth during the two dialysis period does not exceed 5%of the dry weight, and use antihypertensive drugs on the day of dialysis to avoid eating a lot of food during dialysis.

3. Pay attention to keeping the internal fistula clean and hygiene, keep clean before dialysis puncture. After the needle is pulled out, observe whether there is swelling and bleeding at the puncture. If you find that the thumb is pressed along the blood vessel direction to stop bleeding, and the needle is slightly loosening the gauze strip for about 30 minutes. The specific compression time varies from person to person. Avoid bathing within 24 hours of dialysis to prevent wound infections.

4. Persist in "internal fistula exercises": Use the inner fistula to pinch the rubber ball, slowly pinch, 1234 in a few seconds, slowly let go, 1234 a few seconds, 10-15 minutes each time, 3-4 times a day. You can also hold the upper arm on the inner fistula side with a healthy side. The surgical side handles the fist or hold the ball. It can be repeated 10-20 times a day for 1-2 minutes each time.

5. Beauty for internal fistula:

Hot compress: Put the clean small towels in hot water at 50-60 ° C, wet and wet, wet and wet, change it every 3-5 minutes, 15-20 minutes each time, 3-4 times a day.

Tudou: Wash and peel the potatoes and cut into a 2mm thick piece. It is applied to the internal fistula blood vessel segment, 30-60 minutes each time, 3-5 times a day.

Xiliao Pharma: The main component of Xiliao Pu is polysulfonic acid, which has the functions of anti -thrombosis, anti -inflammatory and promoting regeneration of the hoof tissue. Can inhibit the formation and softening of scars. Usage: Take the Xixi Liao 2-3g and rub the direction of the inner fistula blood vessels at the center of the puncture point, gently massage until the drug is completely absorbed, 1-2 times a day.

6. You must check the internal fistula 3-4 times a day at home.

1) Local pain or tremor or noise disappear in the internal fistula.

2) Local redness and swelling, exudation, accompanied by chills, high heat, indicating that there is infection.

3) Local trauma, seek medical treatment in time after compressing hemostasis.

(Edit ZS.)

Hunan Medical Chat Special Author: Liu Lizhu, Xinhua County Traditional Chinese Medicine Hospital

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