Gwiritsani Ntchito Madzi Oyera Kwambiri Pazida za Dialysis Kupititsa patsogolo Chitetezo ndi Kuchita Bwino kwa Impso
Kwa nthawi yayitali,machitidwe oyeretsera madzizachithandizo cha hemodialysiszakhala zikuwonedwa ngati zinthu zowonjezerazida za dialysis. Komabe, mu nthawi yachithandizo cha dialysisNjira, 99.3% ya dialysate imapangidwa ndi madzi, omwe amagwiritsidwa ntchito kusungunula kwambiri, kuyeretsa dialyzer, ndi kunyamula mankhwala. Wodwala aliyense amene akudwala dialysis adzakumana ndi 15,000 mpaka 30,000 malita a madzi osefedwa pachaka. Tizilombo tating'onoting'ono, mankhwala, ndi zonyansa zina m'madzi zimatha kuyambitsa matenda, poyizoni, ndi zovuta zina zazikulu kwa odwala matenda a impso omwe amalandila chithandizo cha dialysis, zomwe zimayambitsa zizindikiro monga zovuta zamadzimadzi, dialysis fever, poisoning chloramine, ndi hemolysis. Kafukufuku wofalitsidwa muJournal ya American Society of Nephrologyadawonetsa kuti kugwiritsa ntchito ultra-purereverse osmosis water purifier systemsimatha kuchepetsa kwambiri kuchuluka kwa matenda mwa odwala omwe ali ndi chithandizo cha HD ndi oposa 30%. Choncho, chiyero chahemodialysis madzimwachindunji zimakhudza chitetezo ndi mphamvu yachithandizo cha impso.
Kuti mupeze madzi apamwamba a dialysis, reverse osmosis (RO) madzimachitidwe osefaamagwiritsidwa ntchito kwambiri. Reverse osmosis ndi njira yomwe imalekanitsa madzi kuchokera ku njira yothetsera madzi kudzera mu nembanemba yodutsa pang'ono. Ntchitoyi ndikugwiritsa ntchito kuthamanga kwambiri kuti asamutsire madzi kuchokera kumtunda wokwera kwambiri kudzera pa membrane yochepetsetsa pang'onopang'ono kupita kumalo otsika kwambiri, kuyeretsa madzi ndi kuchotsa zonyansa. Pochita izi, nembanemba yotha kulowa mkati imalola kuti mamolekyu amadzi adutse, ndikulepheretsa zonyansa komanso zonyansa zazikulu. Ukadaulo umenewu umatha kuchotsa bwino tizilombo tating'onoting'ono, zolimba zosungunuka, ndi zinthu zamoyo m'madzi.
(Chithunzi cha Wesley RO Plant Pre-Treatment)
Zomera zamadzi za RO nthawi zambiri zimaphatikizirapo chithandizo chisanachitike, kuyeretsa membrane wa osmosis, komanso kuchiritsa pambuyo. Pachiyambi choyamba, madzi amasefedwa kuchotsa zonyansa zazikulu, kuzifewetsa kuchotsa zinthu zolimba, ndi kupha tizilombo toyambitsa matenda. Ndiye madzi amalowa n'zosiyana osmosis nembanemba kuyeretsedwa kuti anapatukana mu madzi oyera ndi maganizo, kuchotsa ayoni, tizilombo, kutentha, etc. Pomaliza, ultraviolet disinfection kapena ozoni mankhwala ntchito kuonetsetsa muyezo-zovomerezeka dialysis madzi amapangidwa.
Miyezo yapadziko lonse lapansi ya RO madzi, yopangidwa ndi US. Association for the Advancement of Medical Instrumentation (AAMI), imatengedwa ngati miyezo yapamwamba kwambiri. AAMI yakhazikitsa mfundo zokhwima za madzi a dialysis, zomwe zimafuna kuti chiwerengero chonse cha tizilombo toyambitsa matenda m'madzi chikhale chocheperapo 100 CFU / ml, ma conductivity ayenera kukhala osachepera 0.1μS/cm, okwana kusungunuka zolimba ayenera kukhala zosakwana. 200 mg / L, ndipo madzi olemera ayenera kukhala osachepera 100 mg / L, zitsulo ziyenera kukhala zosakwana 0.1 μg / L, ndi zina zotero. pa.
(Makina amadzi a Ultra-Pure RO okhala ndi Magawo Atatu Osefera Madzi)
Kuti apange madzi okhazikika a RO, omwe amakwaniritsa ziphaso zapadziko lonse lapansi, makampani otsogola amagwiritsa ntchito ukadaulo wapamwamba wa reverse osmosis membrane ndi ukadaulo wa ma pass RO system kuti apititse patsogolo madzi a hemodialysis.Makina oyeretsera madzi a ROndi kuyang'anira kokha ndi makina a alamu amatha kuzindikira zovuta zamtundu wa madzi mwamsanga, kuonetsetsa chitetezo ndi kuthamanga kosalekeza kwa madzi a RO.
Monga wopanga zida zochizira madzi a RO okhala ndi matekinoloje apamwamba angapo ovomerezeka, Wesley amagwiritsa ntchito nembanemba zoyambirira za Dow, zomwe zimatsimikizira madzi abwino komanso kupanga madzi okhazikika, ndipo amagwiritsa ntchito makina amadzi a Triple Pass kuti ayeretse madzi a RO mosalekeza. ultra-pure RO madzi. Panthawi yopanga madzi oyera kwambiri, makina otsalira a klorini / kuuma kwapaintaneti ndi chowunikira chotsitsa cha makina athu chikugwira ntchito. Mapulogalamu awa amapangadialysis madzi dongosoloyodalirika komanso yothandiza, ngakhale kugwiritsidwa ntchito m'madera omwe ali ndi madzi abwino monga Africa, akulandiranso kutamandidwa kwakukulu. Mbali ina ya maofesi amene ayenera kutchulidwa kuti mtundu wakunyamula RO madzi makinazilipo.
Nthawi yotumiza: Jun-04-2024