Malangizo a kubweza kwa hemodialyzers
Njira yogwiritsira ntchito magazi hemodialyzerzerzer, monga njira zingapo, zokutira, kuyeretsa, ndikusiyanitsa zofuna za dialysis wodwala amatchedwa hedialyzerzer.
Chifukwa cha zoopsa zomwe zingachitike pobweza, zomwe zitha kuwononga chitetezo kwa odwala, pali malamulo okhwima ogwiritsa ntchito he hemodialyzirs. Ogwiritsa ntchito amayenera kuphunzitsidwa bwino komanso kutsatira malangizo ogwirira ntchito pobweza.
Mankhwala othandizira madzi
Kudzudzula kuyenera kugwiritsa ntchito madzi osinthira osmosis, zomwe ziyenera kukwaniritsa miyezo yachilengedwe ya mtundu wamadzi ndikukwaniritsa madzi ogwirira ntchito pochita opareshoni. Kukula kwa kuwonongeka komwe kumayambitsidwa ndi mabakiteriya ndi endotooxins mu madzi madzi kuyenera kuyesedwa nthawi zonse. Kuyendera kwamadzi kuyenera kuchitika kapena pafupi ndi cholumikizira pakati pa magazini ya magazi ndi njira yodzudzula. Mlingo wa bakiteriya sungathe kupitirira 200 cfu / ml, ndi malire a 50 cfu / ml; Mulingo wa endotoxin sungakhale wopitilira 2 eu / ml, ndi malire a 1 eu / ml. Mlandu wolowererapo ukafikiridwa, kupitiriza kugwiritsa ntchito dongosolo la mankhwalawa ndikovomerezeka. Komabe, miyeso iyenera kumwedwa (monga kuthira madzi dongosolo lamadzi) kuti mupewe kuipitsidwanso. Bacteriological ndi Endotoxin kuyesa kwa madzi ayenera kuchitika kamodzi pa sabata, ndipo kuyesa kwa mankhwalawa kuyenera kuchitidwa pamwezi, ndipo kuyesa kwa endototoxin kuyenera kuchitidwa kamodzi miyezi itatu iliyonse.
Dongosolo lobweza
Makina olakwika ayenera kuonetsetsa izi: kuyika dialyzer pamtundu wosinthira wa chipinda cham'madzi mobwerezabwereza; Kuwongolera magwiridwe antchito ndi membrane kuyeserera pa seya; Kuyeretsa chipinda cha magazi ndi dialysate chipinda choperewera kwa nthawi zosachepera katatu kafuule wa magazi, kenako ndikudzaza dialyzer mogwirizana ndi mankhwala ophera tizilombo toyambitsa matenda.
Makina a Wesley omwe amadzudzula - Mode w-f168-A / B ndi makina oyambira, ndikusindikiza, ndikusindikiza ma TCV (omwe ali ndi vuto la maselo) Makina owonda a peroly a pempholi amapusitsa amasandulika ntchito ya ogwiritsa ntchito ndipo amawonetsetsa chitetezo komanso kugwiritsa ntchito luso la ma diasezars a magazi.
W-F168-B
Chitetezo Chaumwini
Wogwira ntchito aliyense yemwe angakhudze magazi a odwala ayenera kusamala. Mu dialyzer onyoza, ogwiritsa ntchito ayenera kuvala magolovesi oteteza komanso zovala ndikusunga pogwiritsa ntchito miyezo yopezera matenda. Mukamachita zinthu zosadziwika kapena zowoneka bwino kapena yankho, ogwiritsa ntchito ayenera kuvala masks ndi kupuma.
Mu chipinda chogwirira ntchito, kampu yam'madzi yadzidzidzi idzakhazikitsidwa kuti isambitsidwe ndi nthawi yanthawi yomwe wogwira ntchitoyo akangopwetekedwa chifukwa cha kunenepa.
Zofunikira za dialyzeza wamagazi akudzudzula
Pambuyo dialysis, dialyzer ayenera kunyamulidwa m'malo oyera ndikugwiridwa nthawi yomweyo. Pankhani ya zochitika zapadera, he hemodiansers omwe sanathandizidwe mu maola awiri akhoza kuphika pambuyo poti amaliza, njira zosinthira ndi njira zosalitsa za dialyzer wa magazi zimayenera kumaliza maola 24.
● Kufuula ndi kuyeretsa: gwiritsani ntchito madzi okwanira mutsuke ndikuyeretsa magazi ndi veansate chipinda cha magazi hemodialyzerzer. Kuchepetsedwa hydrogen peroxide, sodium hypochlorite, peracetic acid, ndi ma reagents ena a mankhwala angagwiritsidwe ntchito ngati oyeretsa a dialyzer. Koma, musanawonjezere mankhwala, mankhwala am'mbuyomu ayenera kuchotsedwa. Sodium Hyporite iyenera kuchotsedwa pa yankho loyeretsa musanawonjezere mawonekedwe osakanikirana ndi Peracetiki Acid.
● Kuyesedwa kwa TCV: TCV ya dialyzer dialy ayenera kukhala wamkulu kuposa kapena wofanana ndi 80% ya TCV yoyamba itabweza.
● Dialysis membrane mayeso a umphumphu: Kuyesa kwa bata, monga kuyesa kwa mpweya, kuyenera kuchitidwa mukamadzudzula magazi hemodialyzerzer.
● Dialy Discin and Stewirization: Magazi oyeretsa hemodialyzer ayenera kutetezedwa kuti aletse tizilombo toyambitsa matenda. Chipinda cha m'chipinda cha magazi ndi dialysate chipinda chiyenera kukhala chosabala kapena mu thupi lokhala ndi kachilomboka, ndipo dialyze ayenera kudzazidwa ndi mankhwala ophera tizilombo, mothandizidwa ndi 90% ya malamulo. Magazi ophatikizira ndi malo otsegulira ndipo malo otsegulira a dialys ayenera kupaka kachilombo kenako ndikuphimbidwa ndi zisoti zatsopano kapena zowonongeka.
● Chipolopolo cha dialy:
● Kusunga: Diarozeza wokonzedwa amayenera kusungidwa m'malo omwe sanasankhe kupatukana ndi diayzers osavomerezeka ngati kuwonongeka ndi kugwiritsidwa ntchito molakwika.
Mawonekedwe akunja akuwona
(1) Palibe magazi kapena banga lina kunja
(2) Palibe Cranny mu chipolopolo ndi doko la magazi kapena diaysate
(3) Palibe chovala ndi chibeber chakuda pamwamba
(4) Palibe chovala m'matumba awiri a dialy
.
(6) Zolemba za wodwalayo komanso chidziwitso cha dialyzer ndi cholondola.
Kukonzekera musanayambe dialysis yotsatira
● Funsani mankhwala opha tizilombo: Dialyzer ayenera kudzazidwa ndi kuweta mokwanira mchere wabwinoko musanagwiritse ntchito.
● Distint mankhwala othandizira:
Post Nthawi: Aug-26-2024
