{"id":9086,"date":"2023-08-09T15:53:57","date_gmt":"2023-08-09T15:53:57","guid":{"rendered":"https:\/\/pato.com.sg\/vascularclinicwebsite\/?p=9086"},"modified":"2025-11-24T08:07:05","modified_gmt":"2025-11-24T08:07:05","slug":"improving-hemodialysis-treatment-with-arteriovenous-fistula-avf-access-surgery","status":"publish","type":"post","link":"https:\/\/www.vascularclinic.sg\/id\/improving-hemodialysis-treatment-with-arteriovenous-fistula-avf-access-surgery\/","title":{"rendered":"Meningkatkan Pengobatan Hemodialisis dengan Operasi Akses Arteriovenous Fistula (AVF)."},"content":{"rendered":"
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Operasi akses arteriovenous fistula (AVF) mengacu pada pembuatan hubungan antara arteri dan vena dalam tubuh, biasanya di lengan, untuk memungkinkan perawatan hemodialisis yang lebih mudah dan lebih efisien bagi pasien dengan gagal ginjal.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Gambar di atas menunjukkan pembuatan fistula brachiocephalic di lipatan siku. AVF tidak dapat langsung digunakan dan biasanya memerlukan waktu 6-8 minggu untuk matang sebelum dapat mulai dikanulasi.<\/p>\n

Arteriovenous fistula (AVF) access surgery<\/a> refers to creating a connection between an artery and a vein in the body, usually in the arm, to allow for easier and more efficient hemodialysis treatment for patients with kidney failure. This type of surgery is typically performed by a vascular surgeon and involves connecting a vein and artery together to create a larger, stronger blood vessel, which can withstand the needling process for hemodialysis 3 times a week. The arteriovenous fistula access site is then used for dialysis treatment, where blood is removed from the patient\u2019s body, filtered through a machine, and returned to the body.<\/p>\n

AVF dianggap sebagai standar emas untuk hemodialisis karena memberikan akses vaskular jangka panjang terbaik untuk pasien yang menerima hemodialisis. Ini lebih disukai daripada jenis akses vaskular lainnya, seperti cangkok arteriovenosa (AVG) dan kateter vena sentral (CVC), karena risiko komplikasi yang lebih rendah, termasuk infeksi dan pembekuan.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Fistula arteriovenosa juga dikaitkan dengan hasil jangka panjang yang lebih baik, seperti tingkat rawat inap yang lebih rendah, tingkat kematian yang lebih rendah, dan risiko kejadian kardiovaskular yang lebih rendah dibandingkan dengan jenis metode akses vaskular lainnya. Selain itu, fistula arteriovenosa hemat biaya, karena tidak memerlukan perawatan rutin dan memiliki umur yang lebih panjang daripada AVG dan CVC.<\/p>\n\n

Penting untuk dicatat bahwa fistula arteriovenosa tidak dapat digunakan segera setelah dibuat. Butuh beberapa minggu atau bahkan berbulan-bulan untuk matang dan cocok untuk hemodialisis. Setelah fistula arteriovenosa dibuat, diperlukan waktu untuk mengembangkan aliran darah yang cukup dan vena membesar dan menjadi cukup kuat untuk menahan laju aliran darah tinggi yang diperlukan untuk hemodialisis. Selama waktu ini, pasien mungkin perlu terus menggunakan bentuk lain dari akses vaskular, seperti CVC, hingga fistula arteriovenosa matang dan siap digunakan.<\/p>\n\n

Jumlah waktu yang diperlukan untuk pematangan fistula arteriovenosa dapat bervariasi tergantung pada keadaan individu pasien, termasuk usia, kesehatan secara keseluruhan, dan lokasi fistula arteriovenosa. Penting bagi pasien untuk mengikuti instruksi ahli bedah vaskular mereka dan menghadiri semua janji tindak lanjut untuk memastikan fistula arteriovenosa mereka dipantau dengan benar dan siap digunakan ketika dianggap matang.<\/p>\n\n

Blok saraf dapat digunakan selama prosedur pembuatan fistula arteriovenosa untuk membantu mengatasi rasa sakit dan ketidaknyamanan selama dan setelah prosedur. Ini juga dapat membantu melebarkan vena kecil dan membantu keberhasilan prosedural selama penyambungan vena ke arteri. Pembuatan fistula arteriovenosa di bawah blok saraf dan sedasi dianggap sebagai standar perawatan terbaik dan pasien umumnya memiliki pengalaman yang lebih baik daripada jika AVF dibuat dengan anestesi lokal murni.<\/p>\n\n

Selama blok saraf, obat anestesi lokal disuntikkan di sekitar saraf yang mengirimkan sinyal rasa sakit dari area yang sedang dioperasi. Ini membuat area mati rasa dan membantu mengurangi rasa sakit dan ketidaknyamanan.<\/p>\n\n

Blok saraf umumnya aman dan efektif, tetapi seperti prosedur medis lainnya, ada potensi risiko dan komplikasi. Ini mungkin termasuk perdarahan, infeksi, kerusakan saraf, atau reaksi alergi terhadap obat bius. Namun, ini jarang terjadi di tangan yang berpengalaman. Ahli bedah vaskular Anda akan mendiskusikan potensi risiko dan manfaat blok saraf dengan Anda sebelum prosedur.<\/p>\n\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Gambar di atas menunjukkan Dr Jimmy Phoo, salah satu ahli anestesi AVF reguler dan sangat berpengalaman dari VEC, melakukan blok saraf serviks sebelum pembuatan fistula arteriovenosa.<\/p>\n\n

Singkatnya, operasi akses arteriovenous fistula (AVF) adalah metode yang sangat efektif untuk meningkatkan pengobatan hemodialisis karena memungkinkan hasil yang lebih baik, lebih sedikit komplikasi, dan pengalaman yang lebih nyaman selama hemodialisis. Pasien dapat memperoleh manfaat dari hasil kesehatan yang lebih baik, pengurangan risiko, dan kemudahan yang lebih besar dalam perawatan hemodialisis mereka.<\/p>\n\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Ahli Bedah Vaskular dan Umum Senior <\/a><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Dr Tang Tjun Yip<\/a><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tDr Tang sangat dihormati karena minat dan keterampilan klinis khususnya dalam berbagai kondisi vaskular.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Ahli Bedah Vaskular dan Umum Senior <\/a><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Dr Julian Wong<\/a><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tDr Wong sangat dihormati karena minat dan keterampilan klinis khususnya dalam berbagai kondisi vaskular.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tFacebook-f<\/span>\n\t\t\t\t\t\t<\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tLinkedin-in<\/span>\n\t\t\t\t\t\t<\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

Operasi akses fistula arteriovenosa (AVF) mengacu pada pembuatan sambungan antara arteri dan vena dalam tubuh, biasanya di lengan, untuk memungkinkan perawatan hemodialisis yang lebih mudah dan lebih efisien bagi pasien dengan gagal ginjal. Gambar di atas menunjukkan pembuatan fistula brakiosefalika di lipatan siku. AVF tidak dapat langsung digunakan\u2026<\/p>","protected":false},"author":1,"featured_media":9143,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[8],"tags":[],"featured-on":[],"class_list":["post-9086","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-doctors-column"],"acf":[],"yoast_head":"\nImproving Hemodialysis Treatment with Arteriovenous Fistula (AVF) Access Surgery - The Vascular & Endovascular Clinic<\/title>\n<meta name=\"description\" content=\"Arteriovenous fistula (AVF) access surgery refers to creating a connection between an artery and a vein in the body, usually in the arm, to allow for easier and more efficient hemodialysis treatment for patients with kidney failure.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" 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