How to maintain the lifeline of patients with uremia

In recent years, the incidence of uremia has increased year by year, and more and more patients entering the dialysis. As the dialysis technology has become more mature, how to better improve the quality of life of patients with dialysis and extend the time of survival. The most important of hard work is the dialysis pathway to protect patients with uremia. The vascular pathway is also called the "lifeline" of patients with hemodialysis. Common dialysis pathways include autologous intravenous fistula, central vein tubes, and artificial blood vessels. Today we answered corresponding answers on the internal fistula -related questions in the autologous dynamic vein.

Q

What is an autologous intravenous fistula?

A: The autologous intravenous fistula uses surgical technology to consolidate the arteries with veins to form a closed circulation, so that the superficial vein gradually "matures", thereby providing good blood flow and completing blood purification treatment.

Q

What problems need to pay attention to after the internal fistula?

A: See: Pay attention to the local situation of the wound after surgery. Touch: Practice the fistula in the fistula and feel the tremor of your festivalent. Listening: Practice the murmur of the internal fistula of auscultation. Protection: For example, properly raising the inner fistula side arm to avoid pressure, avoid tight sleeves, pay attention to local warmth, avoid wearing jewelry, watch, and keep the surgical side limbs clean and dry. Essence

Q

Why does the autologous fistula drum?

A: The "drum bags" often described by patients are called aneurysm. The main reason for the occurrence of aneurysm is repeated local puncture. Repeated damage to the vascular wall to repair the scar, the scar elasticity is poor, and the pressure of the internal fistula is high, which forms a local swelling. In addition, hypertension, internal fistula flow debut near the heart narrowing, excessive anastomosis, and premature use in the internal fistula.

Q

What should I do if the subcutaneous bruises are over after the dialysis?

A: After the dialysis, you can apply it appropriately within 24 hours. After 24 hours, you can perform hot compresses to promote subcutaneous congestion absorption. At the same time, Xi Liao can be painted in the bruised area to promote its absorption. In the next dialysis, patients should take the initiative to tell the doctor of the Bloodpiece and the Nursing Pedigue Persons. After evaluating the function of the internal fistula, the corresponding adjustment and treatment should be performed according to different situations.

Q

How long can the internal fistula be used to take a bath?

What are the problems of taking a bath?

A: After the internal fistula is used, it is generally recommended to take a bath the next day after dialysis. Precautions for bathing: ① Poch points can be sticked to avoid pins to avoid water; ② Bathing water cannot be cooled to avoid the formation of internal fistula thrombus; ③ After bathing, replace the band -aid to avoid acupuncture infections.

Q

How long should I press after the puncture needle pulled out the inner fistula and puncture point?

A: The compression of the intravenous fistula after puncture is preferably not bleeding from the puncture point, but it is necessary to ensure that the internal fistula is smooth. Generally, 15-30 minutes, no less than 15 minutes. After 15 minutes of compression, relax part of the bleeding zone, but still maintain a certain pressure. If there is no bleeding for a few minutes, it can be loosened until it is completely released. Pay attention not to be too long, otherwise it is easy to form thrombosis, causing internal fistula to block.

Q

What are the clinical manifestations of internal fistula thrombus?

A: The most obvious clinical manifestation is that the internal fistula tremor disappears, and the audio of the audio disappears or becomes a high -profile sound. Pain may occur in the formation of thrombosis. The body can be touched by a cable -like or mass thrombus. The internal fistula venous veins in the formation site of the thrombosis cannot be pressed, and the internal fistula venous thrombus forms it. If the tremor of the internal fistula vein turns into pulsation, considering the local severe stenosis or occlusion of the internal fistula vein, the lesion may be caused by thrombosis, or the internal fistula vein hyperplasia can cause severe stenosis. When the above -mentioned internal fistula performance should be found to go to the hospital in time.

Source: Hu Xiyue, Blood Purification Center of Xi'an Traditional Chinese Medicine Hospital

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