Upfu hweAcid Hemodialysis
Zvinhu zvikuru zviri muhemodialysis powder ndeizvi: sodium, potassium, calcium, magnesium, chlorine, acetate nebicarbonate. Dzimwe nguva glucose inogona kuwedzerwa zvichienderana nezvinodiwa. Kuwanda kwezvikamu zvakasiyana-siyana hakusi kuchinjika, uye kunewo mutsauko mumazinga epotassium necalcium. Inogona kugadziriswa zvichienderana nemazinga e plasma electrolyte uye zviratidzo zvekiriniki zvevarwere panguva ye dialysis.
Zvakanakira
Upfu hweHemodialysis hwakachipa uye huri nyore kutakura. Hunogona kushandiswa pamwe chete ne potassium/calcium/glucose yakawedzerwa zvichienderana nezvinodiwa nemurwere.
Tsanangudzo
1172.8g/bhegi/murwere
2345.5g/bhegi/varwere vaviri
11728g/bhegi/varwere gumi
Mhinduro: tinogona zvakare kugadzira chigadzirwa chine potassium yakawanda, calcium yakawanda uye glucose yakawanda
Zita: Hemodialysis Powder A
Chiyero chekusanganisa: A:B: H2O=1:1.225:32.775
Kushanda: Zviri mukati paLita (chinhu chisina mvura).
NaCl: 210.7g KCl: 5.22g CaCl2: 5.825g MgCl2: 1.666g citric acid: 6.72g
Chigadzirwa ichi chinhu chakakosha chinoshandiswa kugadzira dialysate yehamodialysis ine basa rekubvisa tsvina yemetabolism uye kuchengetedza kuenzana kwemvura, electrolyte uye acid-base nedialyser.
Tsananguro: upfu hwe crystalline chena kana granules
Mashandisirwo: Chinhu chakagadzirwa nehemodialysis powder matching nemuchina wehemodialysis chakakodzera hemodialysis.
Tsanangudzo: 2345.5g/vanhu vaviri/bhegi
Chipimo: bhegi rimwe/varwere vaviri
Mashandisirwo: Uchishandisa bhegi rimwe chete reupfu A, isa mumudziyo we agitation, wedzera 10L ye dialysis fluid, kurunga kusvika yanyungudika zvachose, iyi imvura A.
Shandisa zvichienderana nehuwandu hwekudiridza kwe dialyser nehupfu B uye mvura ye dialysis.
Zvekungwaririra:
Mushonga uyu hausi wekubaiwa jekiseni, haufanirwe kutorwa nemuromo kana ne peritoneal dialysis, ndapota verengai zvakanyorerwa nachiremba musati maisa dialysis.
Upfu A neUpfu B hazvigone kushandiswa zvega, zvinofanira kunyungudika zvakasiyana zvisati zvashandiswa.
Chigadzirwa ichi hachigone kushandiswa semvura inoyerera.
Verenga gwara remushandisi we dialyser, simbisa nhamba yemuenzaniso, kukosha kwePH uye fomura usati waita dialysis.
Tarisa huwandu hweionic uye zuva rekupera kwekushandiswa usati washandisa.
Usashandise kana paine kukuvara kwakaitika pachigadzirwa, shandisa ipapo ipapo paunenge uchichivhura.
Mvura yeDialysis inofanira kutevedzera YY0572-2005 hemodialysis uye mwero wemvura yekurapa wakakodzera.
Kuchengetedza: Kuchengetedza kwakavharwa, kudzivirira zuva rakananga, mhepo yakanaka uye kudzivirira kuomeswa nechando, hakufanirwe kuchengetwa nezvinhu zvine chepfu, zvakasvibiswa uye zvinonhuwa zvakaipa.
Mabhakitiriya endotoxins: Chigadzirwa ichi chinosanganiswa nemvura inoongororwa ne endotoxins, mabhakitiriya endotoxins haafanire kupfuura 0.5EU/ml.
Zvidimbu zvisinganyunguduke: Chigadzirwa chinosanganiswa kuti chiite dialysate, huwandu hwezvidimbu mushure mekubvisa solvent: ≥10um particles hadzifanirwe kupfuura 25's/ml; ≥25um particles hadzifanirwe kupfuura 3's/ml.
Kuganhurirwa kwehutachiona: Zvichienderana nehuwandu hwekusanganiswa, huwandu hwebhakitiriya mu concentrate hahufanirwe kupfuura 100CFU/ml, huwandu hwefungus hahufanirwe kupfuura 10CFU/ml, Escherichia coli haifanirwe kuonekwa.
Chikamu chimwe cheupfu A chakasanganiswa nechikamu makumi matatu nemana chemvura yedialysis, huwandu hweionic hunotevera:
| Zviri Mukati | Na+ | K+ | Ca2+ | mg2+ | Cl- |
| Kuwanda kwehuwandu (mmol/L) | 103.0 | 2.00 | 1.50 | 0.50 | 109.5 |
Kuwanda kwekupedzisira kweIonic mu dialysis fluid pakushandisa:
| Zviri Mukati | Na+ | K+ | Ca2+ | mg2+ | Cl- | HCO3- |
| Kuwanda kwehuwandu (mmol/L) | 138.0 | 2.00 | 1.50 | 0.50 | 109.5 | 32.0 |
Kukosha kwePH: 7.0-7.6
Kukosha kwePH mumurairidzo uyu ndiko mhedzisiro yebvunzo yerabhoritari, kuti ishandiswe pakiriniki, ndapota gadzirisa kukosha kwePH zvichienderana nemaitiro ekurapa e dialysis yeropa.
Zuva rekupera: Mwedzi gumi nemiviri
