Malangizo pa Kukonzanso kwa Hemodialyzers
Njira yogwiritsiranso ntchito magazi ogwiritsidwa ntchito ngati hemodialyzer, pambuyo pa njira zingapo, monga kuchapa, kuyeretsa, ndi kupha tizilombo toyambitsa matenda kuti tikwaniritse zofunikira zomwe zatchulidwa, chithandizo cha dialysis cha wodwala yemweyo chimatchedwa hemodialyzer reuse.
Chifukwa cha zoopsa zomwe zingachitike pakukonzanso, zomwe zingayambitse ngozi kwa odwala, pali malamulo okhwima ogwiritsira ntchito ma hemodialyzers a magazi. Ogwira ntchito ayenera kuphunzitsidwa bwino ndikutsatira malangizo ogwiritsira ntchito pokonzanso.
Madzi Chithandizo System
Kukonzanso kuyenera kugwiritsa ntchito madzi a reverse osmosis, omwe amayenera kukwaniritsa miyezo yachilengedwe yamadzi abwino komanso kukwaniritsa kufunikira kwa madzi pazida zomwe zimagwira ntchito pachimake. Kuchuluka kwa kuipitsa komwe kumayambitsidwa ndi mabakiteriya ndi endotoxins m'madzi a RO kuyenera kuyesedwa pafupipafupi. Kuyang'ana kwamadzi kuyenera kuchitidwa pafupi kapena pafupi ndi cholumikizira chapakati pa dialyzer yamagazi ndi njira yokonzanso. Mlingo wa bakiteriya sungakhale wopitilira 200 CFU/ml, ndi malire a 50 CFU/ml; mlingo wa endotoxin sungathe kupitirira 2 EU/ml, ndi malire a 1 EU/ml. Pamene malire olowerapo afika, kupitirizabe kugwiritsa ntchito madzi opangira madzi ndikovomerezeka. Komabe, njira ziyenera kuchitidwa (monga kupha tizilombo toyambitsa matenda m'madzi) kuti tipewe kuipitsidwanso. Kuyezetsa kwa bakiteriya ndi endotoxin kwa madzi kuyenera kuchitidwa kamodzi pa sabata, ndipo pambuyo poyezetsa kawiri motsatizana kukwaniritsa zofunikira, kuyezetsa bakiteriya kuyenera kuchitika mwezi uliwonse, ndipo kuyezetsa kwa endotoxin kuyenera kuchitidwa kamodzi pa miyezi itatu iliyonse.
Reprocessing System
makina reprocessing ayenera kuonetsetsa ntchito zotsatirazi: kuyika dialyzer mu reverse ultrafiltration boma rinsing mobwerezabwereza chipinda cha magazi ndi dialysate chipinda; kuyesa magwiridwe antchito ndi ma membrane pa dialyzer; kutsuka m'chipinda chamagazi ndi m'chipinda cha dialysate ndi mankhwala ophera tizilombo kuwirikiza katatu kuchuluka kwa chipinda chamagazi, kenako ndikudzaza mu dialyzer ndi mankhwala opha tizilombo.
Makina a Wesley's dialyzer reprocessing-mode W-F168-A/B ndiye makina oyamba odzitchinjiriza padziko lonse lapansi, okhala ndi mapulogalamu ochapira okha, oyeretsa, oyesa, komanso osokoneza, omwe amatha kumaliza kutulutsa kwa dialyzer, disinfection, kuyesa, ndi kulowetsedwa pafupifupi mphindi 12, kukwaniritsa miyezo yogwiritsiranso ntchito dialyzer processing, ndikusindikiza TCV(Total Cell Volume) zotsatira za mayeso. Makina opangira ma dialyzer odzipangira okha amathandizira ntchito ya ogwiritsa ntchito ndikuwonetsetsa chitetezo ndi kuchita bwino kwa zida zamagetsi zomwe zidagwiritsidwanso ntchito.
W-F168-B
Chitetezo Chaumwini
Wogwira ntchito aliyense amene angagwire magazi a odwala ayenera kusamala. Pokonzanso ma dialyzer, ogwira ntchito ayenera kuvala magolovesi oteteza ndi zovala ndikutsatira mfundo zopewera matenda. Pochita njira za poizoni wodziwika kapena wokayikira kapena yankho, ogwira ntchito ayenera kuvala masks ndi zopumira.
M'chipinda chogwirira ntchito, pakhale pampu yamadzi yotsuka m'maso kuti iwonetsetse kutsuka bwino komanso munthawi yake wogwira ntchitoyo akavulazidwa ndi kuwazidwa kwa mankhwala.
Zofunikira pa Ma Dialyzer a Magazi Okonzanso
Pambuyo pa dialysis, dialyzer iyenera kunyamulidwa pamalo aukhondo ndikusamalidwa nthawi yomweyo. Zikachitika mwapadera, ma hemodialyzer amagazi omwe sanachiritsidwe pakatha maola awiri amatha kusungidwa mufiriji mukatsuka, ndipo njira zophera tizilombo toyambitsa matenda ndi njira yotsekera pa dialyzer yamagazi iyenera kutha pakatha maola 24.
●Kutsuka ndi kuyeretsa: Gwiritsani ntchito madzi okhazikika a RO kutsuka ndi kuyeretsa magazi ndi chipinda cha dialysate cha hemodialyzer ya magazi, kuphatikizapo kubwezera mmbuyo. Diluted hydrogen peroxide, sodium hypochlorite, peracetic acid, ndi mankhwala ena reagents angagwiritsidwe ntchito ngati zoyeretsera kwa dialyzer. Koma, musanawonjezere mankhwala, mankhwala am'mbuyomu ayenera kuchotsedwa. Sodium hypochlorite iyenera kuchotsedwa mu njira yoyeretsera musanawonjezere formalin osati kusakaniza ndi peracetic acid.
● Mayeso a TCV a dialyzer: TCV ya dialyzer ya magazi iyenera kukhala yayikulu kuposa kapena yofanana ndi 80% ya TCV yoyambirira ikatha kukonzanso.
● Kuyeza umphumphu kwa membrane wa dialysis: Kuyeza kuphulika kwa membrane, monga kuyesa kuthamanga kwa mpweya, kuyenera kuchitidwa pokonzanso magazi a hemodialyzer.
●Kuthira tizilombo toyambitsa matenda m'magazi ndi kutsekereza: Choyeretsera magazi choyeretsedwacho chiyenera kupha tizilombo toyambitsa matenda kuti tipewe matenda. Zipinda zonse zamagazi ndi chipinda cha dialysate ziyenera kukhala zosabala kapena zokhala ndi mankhwala ophera tizilombo toyambitsa matenda, ndipo dialyzer iyenera kudzazidwa ndi mankhwala ophera tizilombo toyambitsa matenda, ndikuyikirako kufikira 90% ya malamulowo. Polowetsa magazi ndi potulutsira magazi komanso polowera ndi potulutsiramo dialysate ayenera kuthiridwa mankhwala ophera tizilombo kenako ndikuphimbidwa ndi zipewa zatsopano kapena zophera tizilombo.
●Chigoba cha dialyzer: Mankhwala ophera tizilombo otsika kwambiri (monga 0.05% sodium hypochlorite) omwe amasinthidwa kuti apange zinthu za chipolopolo ayenera kugwiritsidwa ntchito kuviika kapena kuyeretsa magazi ndi dothi pa chipolopolo.
● Kusungirako: Ma dialyzer okonzedwa ayenera kusungidwa m'malo osankhidwa kuti asiyanitse ndi ma dialyzer osakonzedwa ngati aipitsidwa ndi kugwiritsidwa ntchito molakwika.
Kuyang'ana Mawonekedwe Akunja Pambuyo Kukonzanso
(1) Palibe magazi kapena banga lililonse kunja
(2) Palibe chipolopolo mu chipolopolo ndi doko la magazi kapena dialysate
(3) Palibe kutsekeka ndi ulusi wakuda pamwamba pa ulusi wopanda pake
(4) Palibe kutseka kwa ma terminals awiri a dialyzer fiber
(5) Tengani zipewa polowera ndi potuluka magazi ndi dialysate ndikuwonetsetsa kuti palibe kutulutsa mpweya.
(6) Chizindikiro cha zomwe wodwala akudziwa komanso kukonzanso kwa dialyzer ndizolondola komanso zomveka.
Kukonzekera Isanafike The Next Dialysis
●Tsukani mankhwala ophera tizilombo toyambitsa matenda: chosindikiziracho chiyenera kudzazidwa ndi kutsukidwa mokwanira ndi saline wamba musanagwiritse ntchito.
● Mayeso otsalira ophera tizilombo: mlingo wotsalira wopha tizilombo mu dialyzer: formalin <5 ppm (5 μg/L), peracetic acid <1 ppm (1 μg/L), Renalin <3 ppm (3 μg/L)
Nthawi yotumiza: Aug-26-2024