Ufa wa Acid Hemodialysis
Zigawo zazikulu za ufa wa hemodialysis ndi izi: sodium, potaziyamu, calcium, magnesium, chlorine, acetate ndi bicarbonate. Nthawi zina shuga imatha kuwonjezeredwa malinga ndi zosowa. Kuchuluka kwa zigawo zosiyanasiyana sikokhazikika, komanso pali kusiyana kwa potaziyamu ndi calcium. Itha kusinthidwa malinga ndi kuchuluka kwa electrolyte m'magazi ndi zizindikiro zachipatala za odwala panthawi ya dialysis.
Ubwino
Ufa wa hemodialysis ndi wotsika mtengo komanso wosavuta kunyamula. Ungagwiritsidwe ntchito pamodzi ndi potaziyamu/calcium/glucose wowonjezera malinga ndi zosowa za wodwala.
Kufotokozera
1172.8g/thumba/wodwala
2345.5g/thumba/odwala awiri
11728g/thumba/odwala 10
Zindikirani: Tithanso kupanga mankhwalawa ndi potaziyamu wambiri, calcium yambiri komanso shuga wambiri
Dzina: Ufa wa Hemodialysis A
Chiŵerengero chosakaniza: A:B: H2O=1:1.225:32.775
Magwiridwe antchito: Zomwe zili pa lita imodzi (mankhwala osathira madzi).
NaCl: 210.7g KCl: 5.22g CaCl2: 5.825g MgCl2: 1.666g citric acid: 6.72g
Chogulitsachi ndi zipangizo zapadera zomwe zimagwiritsidwa ntchito pokonzekera dialysate ya haemodialysis yomwe ntchito yake ndi kuchotsa zinyalala za kagayidwe kachakudya ndikusunga bwino madzi, electrolyte ndi acid-base ndi dialyser.
Kufotokozera: ufa woyera wa kristalo kapena granules
Kugwiritsa Ntchito: Chosakaniza chopangidwa kuchokera ku ufa wa hemodialysis wofanana ndi makina a hemodialysis ndi choyenera ku hemodialysis.
Kufotokozera: 2345.5g/anthu awiri/thumba
Mlingo: thumba limodzi/ odwala awiri
Kagwiritsidwe Ntchito: Pogwiritsa ntchito thumba limodzi la ufa A, ikani mu chotengera choyatsira, onjezerani 10L ya madzi oyeretsera, sakanizani mpaka itasungunuka kwathunthu, iyi ndi madzi A.
Gwiritsani ntchito molingana ndi kuchuluka kwa kusungunuka kwa dialysis ndi ufa B ndi madzi a dialysis.
Kusamalitsa:
Mankhwalawa si oti agwiritsidwe ntchito jakisoni, sayenera kumwedwa pakamwa kapena pa peritoneal dialysis, chonde werengani malangizo a dokotala musanagwiritse ntchito dialysis.
Ufa A ndi Ufa B sizingagwiritsidwe ntchito zokha, ziyenera kusungunuka padera musanagwiritse ntchito.
Chogulitsachi sichingagwiritsidwe ntchito ngati madzi osunthika.
Werengani buku lotsogolera la dialyser, tsimikizirani nambala ya chitsanzo, PH ndi kapangidwe kake musanayese dialysis.
Yang'anani kuchuluka kwa ayoni ndi tsiku lotha ntchito musanagwiritse ntchito.
Musagwiritse ntchito ngati chinthucho chawonongeka, gwiritsani ntchito nthawi yomweyo mukachitsegula.
Madzi oyeretsera ayenera kutsatira YY0572-2005 hemodialysis ndi muyezo woyenera wa madzi oyeretsera.
Kusungira: Kusungirako kotsekedwa, kupewa kuwala kwa dzuwa mwachindunji, mpweya wabwino komanso kupewa kuzizira, sikuyenera kusungidwa ndi zinthu zoopsa, zoipitsidwa komanso fungo loipa.
Ma endotoxin a bakiteriya: Mankhwalawa amachepetsedwa kuti agwiritsidwe ntchito mu dialysis pogwiritsa ntchito madzi oyesera a endotoxin, ma endotoxin a bakiteriya sayenera kupitirira 0.5EU/ml.
Tinthu tosasungunuka: Mankhwalawa amachepetsedwa kukhala dialysate, kuchuluka kwa tinthu timeneti mukachotsa chosungunulira: ≥10um tinthu tisakhale kupitirira 25's/ml; ≥25um tinthu tisakhale kupitirira 3's/ml.
Kuchepa kwa tizilombo toyambitsa matenda: Malinga ndi kuchuluka kwa kusakaniza, chiwerengero cha mabakiteriya mu concentrate sichiyenera kupitirira 100CFU/ml, chiwerengero cha bowa sichiyenera kupitirira 10CFU/ml, Escherichia coli sichiyenera kudziwika.
Gawo limodzi la ufa A wochepetsedwa ndi gawo 34 la madzi a dialysis, kuchuluka kwa ayoni ndi:
| Zamkati | Na+ | K+ | Ca2+ | mg2+ | Cl- |
| Kuchuluka kwa madzi (mmol/L) | 103.0 | 2.00 | 1.50 | 0.50 | 109.5 |
Kuchuluka komaliza kwa madzi a dialysis mu Ionic mukamagwiritsa ntchito:
| Zamkati | Na+ | K+ | Ca2+ | mg2+ | Cl- | HCO3- |
| Kuchuluka kwa madzi (mmol/L) | 138.0 | 2.00 | 1.50 | 0.50 | 109.5 | 32.0 |
Mtengo wa PH: 7.0-7.6
Mtengo wa PH mu malangizo awa ndi zotsatira za mayeso a labotale, kuti mugwiritse ntchito kuchipatala chonde sinthani mtengo wa PH malinga ndi njira yogwiritsira ntchito dialysis ya magazi.
Tsiku Lotha Ntchito: Miyezi 12
