Kodi dialyzer amatha kugwiritsidwanso ntchito pa Hemodialysis?
Dialyzer yofunika kwambiri pakuthandizira impso ya impso ya impso, imagwiritsa ntchito mfundo za nembanemba zokwanira ku Eimpso ndi zothandizira mbali ziwiri za dialysis, komanso zolimbitsa thupi. Njira yobalalika iyi imatha kuchotsa poizoni ndi madzi ochulukirapo kuchokera m'thupi ndikubwezeretsa zinthu zomwe zimafunikira thupi ndikusungabe ndalama zamagetsi ndi asidi.
Diarozers makamaka ndi ophatikizidwa ndi zojambula zamankhwala ndi dialysis. Mitundu ya mafashoni imagwiritsidwa ntchito kwambiri pamachitidwe azachipatala. Enawodialyranirs adapangidwa kuti abwezeretsedwe, ndikupanga mwapadera zinthu ndi zida zapadera zomwe zimatha kupirira mayere angapo ndi zitsekele. Pakadali pano, diayzeza wotayika ayenera kutayidwa mutatha kugwiritsa ntchito ndipo sangagwiridwenso ntchito. Komabe, pakhala mikangano komanso chisokonezo chokhudza kuti vayazi zizigwiritsidwanso ntchito. Tiona funsoli ndikupereka malongosoledwe ena pansipa.
Ubwino ndi Zovuta Zogwiritsa Ntchito Diarozhirs
(1) Chotsani matenda oyamba.
Ngakhale zinthu zambiri zimayambitsa matenda oyamba - monga mankhwala opha ma ethylene oxide, ma cytokines omwe amapangidwa ndi zokambirana za dialysis zomwe zimayambitsa kugwiritsidwa ntchito kwa dialyzer.
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Mukatha kugwiritsa ntchito dialyzen, wosanjikiza wa filimu yolumikizidwa pamtunda wa nembanemba, zomwe zimachepetsa mphamvu yamagazi yotsatira, ndipo sinthani kutsegula kwa neutrophyte, kutulutsa cyrokine.
(3) Kutengera kwa Clearance.
Mpukutu wa creatinine ndi urea samachepa. Ma diarosers omwe amagwiritsidwa ntchito ndi ma fortin ndi sodium hypochlorite amatha kuwonetsetsa kuti mitengo ya clearm ya sing'anga ndi yayikulu.
(4) Chepetsani ndalama za hemodialysis.
Palibe kukayika kuti dialyji imagwiritsa ntchito ndalama zathanzi kwa odwala aimpso odwala odwala ndipo amapereka mwayi kwabwino koma hemodialyzers okwera mtengo
Nthawi yomweyo, zoperewera za dialy zimapezekanso.
(1) Zotsatira zoyipa ku matenda ophera tizilombo toyambitsa matenda
Peraceten acid Denowncy imayambitsa kutsutsidwa ndi kuwonongeka kwa dialysis membrane, komanso kuchotsa mapuloteni omwe adasungidwa mu nembanemba chifukwa chogwiritsa ntchito njira zothandizira. Makina ogwiritsira ntchito mphamvu amatha kuyambitsa anti-n-antibody ndi khungu lakhungu
(2) Kuchulukitsa mwayi wa bakiteriya ndi endotoxin kuipitsidwa kwa dialyzer ndikuwonjezera chiopsezo cha matenda
(3) Kuchita kwa dialyzer kumachitika.
Pambuyo pa dialyzer imagwiritsidwa ntchito kangapo, chifukwa cha mapuloteni ndi magazi otsekera mitolo ya fiber, malo othandiza amachepetsedwa, ndipo kuchuluka kwa chilema ndi kuchuluka kwa ultraftist kumachepetsa. Njira yodziwika bwino yoyeza kuchuluka kwa dialyzer ya dialyzer ndikuwerengera mawu onse a fiber yolimba mu dialyzen. Ngati chiwerengero cha kuchuluka kwa dialy-chatsopano chatsopano sichitha 80%, dialyzer sangagwiritsidwe ntchito.
(4) Kuchulukitsa mwayi wa odwala ndi ogwira ntchito zamankhwala akuwonekera pamavuto a mankhwala.
Kutengera ndi kusanthula pamwambapa, kuyeretsa ndi kuyika tizilombo kumatha kupanga zolakwa za kuvomerezedwa mokwanira. Ponenalo imangogwiritsidwanso ntchito pambuyo poyeretsa komanso kuyeretsa njira zochepetsera komanso zoyeserera kuti zitsimikizire kuti palibe ntphule kapena blockge mkati. Chosiyana ndi buku lazikhalidwe lamiyambo, kugwiritsa ntchito makina odziletsa kumayambitsa njira zotsatirira mu dialyzer pochepetsa zolakwika pamanja. Makinawo amatha kutsuka, pothira mankhwala, yesani, ndikukhumudwitsa, malinga ndi njira ndi magawo, kukonzanso chitetezo cha dialysis ndi ukhondo.
W-F168-B
Makina a Diangdu Wesley omwe amadzutsidwa ndi makina oyamba a pempho lodziletsa padziko lapansi kuchipatala kuti adyetse, kuyesedwa, ndikukhumba satifiketi yovomerezeka ya hemodialysis, otetezeka komanso osakhazikika. W-F168-B ndi grastation iwiri imatha kuchitika mobwerezabwereza pafupifupi mphindi 12.
Kusamala kwa dialyzer gwiritsani ntchito
Ma diarozi amatha kugwiritsidwanso ntchito kwa wodwala yemweyo, koma zinthu zotsatirazi ndizoletsedwa.
1.Kugwiritsa ntchito ma diaroz omwe amagwiritsidwa ntchito ndi odwala omwe ali ndi zikwangwani za hepatitis B sayenera kugwiritsidwanso ntchito; Ophunzira omwe amagwiritsidwa ntchito ndi odwala omwe ali ndi matenda a hepatitis C OGERS alemphana ndi odwala ena akamagwiritsa ntchito.
2.Tikugwiritsa ntchito ndi odwala omwe ali ndi HIV kapena Edzi sikungagulidwe
3.Mawopidwe omwe amagwiritsidwa ntchito ndi odwala omwe ali ndi matenda opatsirana ndi magazi sangathe kugwiritsidwanso ntchito
4.Tikunja omwe amagwiritsidwa ntchito ndi odwala omwe amadwala matenda ophera tizilombo omwe amagwiritsidwa ntchito pobweza
Palinso zofunika mokhazikika pamadzi a hemodialyzer.
Mlingo wa mabakiteriya sungathe kupitirira 200 cfu / ml pomwe njira yolumikizidwa ndi 50 cfu / ml; Mulingo wa endotoxin sangathe kupitirira 2 eu / ml. Kuyesa koyambirira kwa endotoxin ndi mabakiteriya m'madzi kuyenera kukhala kamodzi. Pambuyo pa zotsatira zoyeserera motsatizana kukwaniritsa zofunikira, kuyesa kwa bakiteriya kuyenera kukhala kamodzi pamwezi, ndipo mayeso a Endotootin ayenera kukhala osachepera miyezi itatu iliyonse.
(Chengdu Wesly Makina Omwe Amakumana Nafe AAMI / ASAIO Dialysis Madzi angagwiritsidwe ntchito ku dialyzer)
Ngakhale msika wogwiritsira ntchito diarosers wakhala akuchepa chaka ndi chaka padziko lonse lapansi, pakufunikabe m'maiko ena ndi zigawo zina ndi zachuma.
Post Nthawi: Aug-16-2024