Acid Hemodialysis Powder
Zigawo zazikulu za ufa wa hemodialysis ndi: sodium, potaziyamu, calcium, magnesium, chlorine, acetate ndi bicarbonate. Nthawi zina glucose amatha kuwonjezeredwa malinga ndi zosowa. Kuchuluka kwa zigawo zosiyanasiyana sikukhazikika, komanso palinso kusiyana kwa potaziyamu ndi calcium. Itha kusinthidwa molingana ndi kuchuluka kwa ma electrolyte a plasma komanso mawonetsedwe azachipatala a odwala panthawi ya dialysis.
Ubwino
Hemodialysis ufa ndi wotchipa komanso wosavuta kunyamula. Itha kugwiritsidwa ntchito limodzi ndi potaziyamu / calcium / glucose wowonjezera malinga ndi zosowa za odwala.
Kufotokozera
1172.8g/chikwama/odwala
2345.5g/thumba/2 odwala
11728g/thumba/10 odwala
Zindikirani: titha kupanganso mankhwalawa ndi potaziyamu wambiri, calcium yambiri komanso shuga wambiri
Dzina: Hemodialysis Powder A
Kusakaniza chiŵerengero: A:B: H2O=1:1.225:32.775
Magwiridwe: Zomwe zili pa Lita (zinthu zopanda madzi).
NaCl: 210.7g KCl: 5.22g CaCl2: 5.825g MgCl2: 1.666g citric acid: 6.72g
Chogulitsacho ndi zida zapadera zomwe zimagwiritsidwa ntchito pokonzekera haomodialysis dialysate yomwe ntchito yake ndikuchotsa zinyalala za metabolic ndikusunga madzi, electrolyte ndi acid-base ndi dialyser.
Kufotokozera: ufa woyera wa crystalline kapena granules
Kugwiritsa ntchito: The conscentrate yopangidwa kuchokera ku hemodialysis ufa yofananira ndi makina a hemodialysis ndiyoyenera haemodialysis.
Mfundo: 2345.5g/2 munthu/chikwama
Mlingo: 1 thumba / 2 odwala
Kagwiritsidwe: Pogwiritsa ntchito thumba limodzi la ufa A, ikani m'chotengera chosokoneza, onjezani 10L yamadzimadzi a dialysis, gwedezani mpaka kusungunuka kwathunthu, ichi ndi madzimadzi A.
Gwiritsani ntchito molingana ndi kuchuluka kwa dilution ya dialyser ndi ufa B ndi dialysis fluid.
Kusamalitsa:
Mankhwalawa si a jakisoni, osamwedwa pakamwa kapena peritoneal dialysis, chonde werengani malangizo a dokotala musanayambe dialyzing.
Ufa A ndi ufa B sungagwiritsidwe ntchito payekha, uyenera kusungunuka padera musanagwiritse ntchito.
Izi sizingagwiritsidwe ntchito ngati madzimadzi osasunthika.
Werengani kalozera wogwiritsa ntchito dialyser, tsimikizirani nambala yachitsanzo, mtengo wa PH ndi kapangidwe kake musanayambe dialysis.
Yang'anani ndende ya ionic ndi tsiku lotha ntchito musanagwiritse ntchito.
Osagwiritsa ntchito pamene kuwonongeka kulikonse kwachitika kwa mankhwala, gwiritsani ntchito nthawi yomweyo pamene akutsegulidwa.
Dialysis madzimadzi ayenera kutsatira YY0572-2005 hemodialysis ndi yoyenera mankhwala madzi muyezo.
Kusungirako: Zosungirako zotsekedwa, kupewa kuwala kwa dzuwa, mpweya wabwino komanso kupewa kuzizira, siziyenera kusungidwa ndi zinthu zapoizoni, zoipitsidwa ndi fungo loipa.
Mabakiteriya endotoxins: Chogulitsacho chimachepetsedwa ku dialysis ndi madzi oyesa endotoxin, ma endotoxins a bakiteriya sayenera kupitirira 0.5EU/ml.
Insoluble particles: The mankhwala kuchepetsedwa kuti dialysate, tinthu zili pambuyo deducting zosungunulira:≥10um particles sayenera kupitirira 25's/ml; ≥25um particles sayenera kupitirira 3's/ml.
Kuchepetsa kwa tizilombo toyambitsa matenda: Malingana ndi chiwerengero chosakanikirana, chiwerengero cha mabakiteriya omwe ali mkati mwake sichiyenera kupitirira 100CFU / ml, chiwerengero cha bowa sichiyenera kupitirira 10CFU / ml, Escherichia coli sayenera kudziwika.
Gawo limodzi la ufa A wochepetsedwa ndi 34 gawo la madzi a dialysis, ndende ya ionic ndi:
| Zamkatimu | Na+ | K+ | Ca2+ | mg2+ | Cl- |
| Kukhazikika (mmol/L) | 103.0 | 2.00 | 1.50 | 0.50 | 109.5 |
Ma Ionic omaliza a dialysis fluid mukamagwiritsa ntchito:
| Zamkatimu | Na+ | K+ | Ca2+ | mg2+ | Cl- | HCO3- |
| Kukhazikika (mmol/L) | 138.0 | 2.00 | 1.50 | 0.50 | 109.5 | 32.0 |
PH Mtengo: 7.0-7.6
Phindu la PH mu malangizowa ndi zotsatira za mayeso a labotale, kuti mugwiritse ntchito kuchipatala chonde sinthani mtengo wa PH molingana ndi kachitidwe ka magazi ka dialysis.
Tsiku Lomaliza Ntchito: Miyezi 12
