Kodi Dialyzer Ingagwiritsidwenso Ntchito Pochiza Hemodialysis?
Dialyzer, yomwe ndi yofunikira kwambiri pochiza impso, imagwiritsa ntchito njira ya nembanemba yomwe imalowa pang'onopang'ono kuti ilowetse magazi kuchokera kwa odwala omwe ali ndi vuto la impso ndikulowetsa dialyzer mu dialyzer nthawi imodzi, ndikupangitsa kuti magazi awiriwa aziyenda mbali zonse ziwiri za nembanemba ya dialysis, mothandizidwa ndi mbali ziwirizi, kusinthasintha kwa osmotic, ndi kusinthasintha kwa hydraulic pressure. Njira yofalikirayi imatha kuchotsa poizoni ndi madzi ochulukirapo m'thupi pomwe ikubwezeretsanso zinthu zofunika m'thupi ndikusunga bwino ma electrolyte ndi acid-base.
Ma dialyzer amapangidwa makamaka ndi zinthu zothandizira komanso nembanemba ya dialysis. Mitundu ya ulusi wopanda kanthu imagwiritsidwa ntchito kwambiri pachipatala. Ma hemodialyzer ena amapangidwa kuti agwiritsidwenso ntchito, okhala ndi kapangidwe kapadera komanso zinthu zomwe zimatha kupirira kutsukidwa kambirimbiri ndi kuyeretsa. Pakadali pano, ma dialyzer otayidwa ayenera kutayidwa akagwiritsidwa ntchito ndipo sangagwiritsidwenso ntchito. Komabe, pakhala mkangano ndi chisokonezo pankhani yoti ngati ma dialyzer ayenera kugwiritsidwanso ntchito. Tifufuza funso ili ndikupereka kufotokozera pansipa.
Ubwino ndi kuipa kwa ma dialyzer ogwiritsiranso ntchito
(1) Kuthetsa vuto loyamba kugwiritsa ntchito mankhwala.
Ngakhale pali zinthu zambiri zomwe zimayambitsa matenda oyamba kugwiritsidwa ntchito, monga kupha tizilombo toyambitsa matenda a ethylene oxide, zinthu zomwe zili mu nembanemba, ma cytokines omwe amapangidwa ndi kukhudzana kwa magazi ndi nembanemba ya dialysis, ndi zina zotero, mosasamala kanthu za zomwe zimayambitsa, mwayi woti izi zichitike udzachepa chifukwa chogwiritsa ntchito dialyzer mobwerezabwereza.
(2) Konzani kuti dialyzer igwirizane bwino ndi thupi la munthu ndikuchepetsa kuyambika kwa chitetezo cha mthupi.
Pambuyo pogwiritsa ntchito dialyzer, filimu ya mapuloteni imalumikizidwa mkati mwa nembanemba, zomwe zingachepetse momwe filimu ya magazi imayendera chifukwa cha dialysis yotsatira, ndikuchepetsa kuyambika kwa complement, degranulation ya neutrophil, kuyambika kwa lymphocyte, kupanga microglobulin, ndi kutulutsidwa kwa cytokine.
(3) Mphamvu ya kuchuluka kwa zochotsera.
Kuchuluka kwa creatinine ndi urea sikuchepa. Ma dialyzer ogwiritsidwanso ntchito omwe amathiridwa mankhwala ophera tizilombo toyambitsa matenda ndi formalin ndi sodium hypochlorite yowonjezera amatha kutsimikizira kuti kuchuluka kwa clearance ya zinthu zapakati ndi zazikulu (Vital12 ndi inulin) sikunasinthe.
(4) Kuchepetsa ndalama zochotsera magazi m'thupi.
Palibe kukayika kuti kugwiritsanso ntchito dialyzer kungachepetse ndalama zothandizira odwala omwe ali ndi vuto la impso ndikupatsa mwayi wopeza ma hemodialysis abwino komanso okwera mtengo.
Nthawi yomweyo, zofooka za kugwiritsanso ntchito dialyzer nazonso n'zoonekeratu.
(1) Zotsatira zoyipa za mankhwala ophera tizilombo toyambitsa matenda
Kupha tizilombo toyambitsa matenda a Peracetic acid kungayambitse kuwonongeka ndi kuwonongeka kwa nembanemba ya dialysis, komanso kuchotsa mapuloteni omwe amasungidwa mu nembanemba chifukwa chogwiritsidwa ntchito mobwerezabwereza, zomwe zimapangitsa kuti pakhale mwayi woyambitsa ntchito yowonjezera. Kupha tizilombo toyambitsa matenda a formalin kungayambitse ziwengo za Anti-N-antibody ndi khungu mwa odwala.
(2) Kuonjezera mwayi woti dialyzer idetsedwe ndi mabakiteriya ndi endotoxin ndikuwonjezera chiopsezo cha matenda opatsirana pogonana.
(3) Kagwiridwe ka ntchito ka dialyzer kamakhudzidwa.
Pambuyo poti dialyzer yagwiritsidwa ntchito kangapo, chifukwa cha mapuloteni ndi magazi kuundana omwe amatseka ma fiber bundles, malo ogwira ntchito amachepa, ndipo kuchuluka kwa kuchotsedwa kwa fiber bundles ndi ultrafiltration rate kumachepa pang'onopang'ono. Njira yodziwika bwino yoyezera kuchuluka kwa fiber bundles ya dialyzer ndikuwerengera kuchuluka kwa fiber bundles zonse mu dialyzer. Ngati chiŵerengero cha mphamvu yonse ku dialyzer yatsopano chili chochepera 80%, dialyzer singagwiritsidwe ntchito.
(4) Kuonjezera mwayi woti odwala ndi ogwira ntchito zachipatala akumane ndi mankhwala ophera tizilombo.
Kutengera ndi kusanthula komwe kwatchulidwa pamwambapa, kuyeretsa ndi kupha tizilombo toyambitsa matenda kungathandize kuchepetsa zofooka za ma dialyzer ogwiritsidwanso ntchito pamlingo winawake. Dialyzer ingagwiritsidwenso ntchito pokhapokha mutayesa mosamala komanso mutayesa mayeso kuti muwonetsetse kuti palibe kuphulika kapena kutsekeka kwa nembanemba mkati. Mosiyana ndi njira yachikhalidwe yokonzanso ndi manja, kugwiritsa ntchito makina okonzanso okha a dialyzer kumayambitsa njira zokhazikika mu dialyzer reprocessing kuti muchepetse zolakwika pakugwira ntchito ndi manja. Makinawa amatha kutsuka, kupha tizilombo toyambitsa matenda, kuyesa, ndi kusakaniza, malinga ndi njira ndi magawo okhazikitsira, kuti akonze zotsatira za chithandizo cha dialysis, ndikuwonetsetsa kuti wodwala ali otetezeka komanso waukhondo.
W-F168-B
Makina okonzanso dialyzer a Chengdu Wesley ndi makina oyamba okonzanso dialyzer padziko lonse lapansi kuti chipatala chiziyeretse, kuyeretsa, kuyesa, ndikuyika dialyzer yogwiritsidwanso ntchito yomwe imagwiritsidwa ntchito pochiza hemodialysis, yokhala ndi satifiketi ya CE, yotetezeka komanso yokhazikika. W-F168-B yokhala ndi malo ogwirira ntchito awiri imatha kukonzanso mu mphindi pafupifupi 12.
Malangizo Othandizira Kugwiritsanso Ntchito Dialyzer
Ma dialyzer angagwiritsidwenso ntchito kwa wodwala yemweyo, koma zochitika zotsatirazi ndizoletsedwa.
1. Ma dialyzer omwe amagwiritsidwa ntchito ndi odwala omwe ali ndi zizindikiro za kachilombo ka hepatitis B sangagwiritsidwenso ntchito; ma dialyzer omwe amagwiritsidwa ntchito ndi odwala omwe ali ndi zizindikiro za kachilombo ka hepatitis C sayenera kuchotsedwa kwa odwala ena akagwiritsidwanso ntchito.
2. Ma dialyzer omwe amagwiritsidwa ntchito ndi odwala omwe ali ndi kachilombo ka HIV kapena Edzi sangagwiritsidwenso ntchito
3. Ma dialyzer omwe amagwiritsidwa ntchito ndi odwala matenda opatsirana omwe amafalitsidwa m'magazi sangagwiritsidwenso ntchito
4. Ma dialyzer omwe amagwiritsidwa ntchito ndi odwala omwe ali ndi vuto la mankhwala ophera tizilombo omwe amagwiritsidwa ntchito pokonzanso sangagwiritsidwenso ntchito
Palinso zofunikira kwambiri pa khalidwe la madzi a hemodialyzer reprocessing.
Mulingo wa mabakiteriya suyenera kupitirira 200 CFU/ml pomwe malire olowera ndi 50 CFU/ml; mulingo wa Endotoxin suyenera kupitirira 2 EU/ml. Mayeso oyamba a endotoxin ndi mabakiteriya m'madzi ayenera kukhala kamodzi pa sabata. Pambuyo poti zotsatira ziwiri zotsatizana zakwaniritsa zofunikira, mayeso a bakiteriya ayenera kukhala kamodzi pamwezi, ndipo mayeso a endotoxin ayenera kukhala osachepera kamodzi pa miyezi itatu iliyonse.
(Makina a madzi a Chengdu Weslsy omwe akukwaniritsa miyezo ya madzi a dialysis ya US AAMI/ASAIO angagwiritsidwe ntchito pokonzanso dialyzer)
Ngakhale kuti msika wogwiritsa ntchito ma dialyzer ogwiritsidwanso ntchito wakhala ukuchepa chaka ndi chaka padziko lonse lapansi, ukufunikabe m'maiko ndi madera ena chifukwa cha zachuma.
Nthawi yotumizira: Ogasiti-16-2024
