Dialyzer inogona kushandiswazve here pakurapa hemodialysis?
Dialyzer, mushonga unoshandiswa zvakanyanya pakurapa itsvo ne dialysis, unoshandisa nzira ye semi-permeable membrane kupinza ropa kubva kuvarwere vane dambudziko reitsvo uye dialysate mu dialyzer panguva imwe chete, uye kuita kuti maviri aya ayerere nenzira dzakasiyana kumativi ese e dialysis membrane, nerubatsiro rwe solute gradient yemativi maviri, osmotic gradient, uye hydraulic pressure gradient. Maitiro aya ekupararira anogona kubvisa chepfu nemvura yakawandisa mumuviri uku achizadza zvinhu zvinodiwa nemuviri uye achichengetedza kuenzana kwema electrolytes ne acid-base.
MaDialyzer anonyanya kuumbwa nezvikamu zvekutsigira uye dialysis membranes. Mhando dzefiber dzisina chinhu dzinoshandiswa zvakanyanya mukurapa. Mamwe ma hemodialyzer akagadzirwa kuti ashandiswezve, ane kuvakwa kwakakosha uye zvinhu zvinogona kutsungirira kucheneswa kakawanda uye kuvhiyiwa. Panguva iyi, ma dialyzer anoraswa anofanira kuraswa mushure mekushandiswa uye haagone kushandiswazve. Zvisinei, pave nekukakavadzana nekuvhiringidzika pamusoro pekuti ma dialyzer anofanira kushandiswazve here. Tichaongorora mubvunzo uyu uye topa tsananguro pazasi.
Zvakanakira nekuipira kwekushandisazve dialyzers
(1) Kubvisa chirwere chekushandisa kekutanga.
Kunyangwe zvinhu zvakawanda zvichikonzera chirwere chekutanga kushandiswa, zvakaita sekuuraya utachiona hwe ethylene oxide, zvinhu zviri mumembrane, ma cytokines anokonzerwa nekubatana kweropa kwe membrane ye dialysis, nezvimwewo, zvisinei nekuti chii chinokonzera, mukana wekuti chirwere ichi chiitike uchadzikira nekuda kwekushandiswa kakawanda kwe dialyzer.
(2) Kuvandudza kushanda kwemuchina we dialyzer uye kuderedza kushanda kwemasoja emuviri.
Mushure mekushandisa dialyzer, jira reprotein rinonamirwa pamusoro pemukati me membrane, izvo zvinogona kuderedza maitiro e blood film anokonzerwa ne dialysis inotevera, uye kuderedza kushanda kwe complement, neutrophil degranulation, lymphocyte activation, microglobulin production, uye cytokine release.
(3) Simba rehuwandu hwekubvisa zvinhu.
Kubviswa kwe creatinine ne urea hakuderedzi. Zvishandiso zve dialyzer zvinoshandiswazve zvakasanganiswa ne formalin ne sodium hypochlorite zvinogona kuita kuti kubviswa kwemasero epakati nepakati (Vital12 ne inulin) kusachinje.
(4) Deredza mari yekuchenesa ropa.
Hapana mubvunzo kuti kushandiswazve kwedialyzer kunogona kuderedza mari yekurapwa kwevarwere vane dambudziko reitsvo uye kupa mukana wekuwana hemodialysis dziri nani asi dzinodhura.
Panguva imwe chete, zvikanganiso zvekushandisa dialyzer zvakare zviri pachena.
(1) Kukanganisa kwakashata nemishonga inouraya utachiona
Kubvisa utachiona hwePeracetic acid kunokonzera kucheneruka uye kuora kweganda redialysis, uye kunobvisawo mapuroteni akachengetwa muganda nekuda kwekushandiswa kakawanda, zvichiwedzera mukana wekushanda kwemushonga wekuwedzera. Kubvisa utachiona hweFormalin kunogona kukonzera Anti-N-antibody uye allergies yeganda muvarwere.
(2) Kuwedzera mukana wekusvibiswa kwedialyzer nemabhakitiriya uye endotoxin uye kuwedzera njodzi yehutachiona hwehutachiona hwehutachiona.
(3) Mashandiro edialyzer anokanganiswa.
Mushure mekunge dialyzer yashandiswa kakawanda, nekuda kwemapuroteni nemaropa akavhara ma fiber bundles, nzvimbo inoshanda inodzikira, uye chiyero chekubviswa kwe fiber uye chiyero chekupfapfaidza chinodzikira zvishoma nezvishoma. Nzira yakajairika yekuyera vhoriyamu ye fiber bundle ye dialyzer ndeyekuverenga huwandu hwe fiber bundle lumens dzese dziri mu dialyzer. Kana chiyero chehuwandu hwe fiber bundle kune dialyzer itsva chiri pasi pe80%, dialyzer haigone kushandiswa.
(4) Wedzera mikana yekuti varwere nevashandi vekurapa vasanganiswe nemishonga inouraya utachiona.
Zvichibva pane ongororo iri pamusoro apa, kuchenesa nekubvisa utachiona kunogona kutsiva zvikanganiso zvekushandisazve dialyzer kusvika pamwero wakati. Dialyzer inogona kushandiswazve chete mushure mekuchenesa kwakasimba uye kubvisa utachiona uye kupasa bvunzo kuti ive nechokwadi chekuti hapana kuputika kana kuvharika kwemembrane mukati. Kusiyana nekushandiswa kwekare nemaoko, kushandiswa kwemichina ye automatic dialyzer reprocessing kunounza maitiro akajairwa mukugadzirisa dialyzer kuderedza zvikanganiso mukushanda nemaoko. Muchina unogona kusuka, kubvisa utachiona, kuyedza, uye kudira mvura, zvichienderana nemaitiro nematanho ekuisa, kuvandudza mhedzisiro yekurapwa kwedialysis, ukuwo uchiita kuti murwere agare akachengeteka uye akachena.
W-F168-B
Muchina weChengdu Wesley wekugadzirisa dialyzer ndiwo muchina wekutanga wekugadzirisa dialyzer otomatiki pasi rose wekuti chipatara chishandise hutachiona, chichenese, chiedze, uye chishandise dialyzer inoshandiswazve mukurapa hemodialysis, ine chitupa cheCE, yakachengeteka uye yakagadzikana. W-F168-B ine double workstation inogona kugadzirisa zvakare mumaminitsi angangoita gumi nemaviri.
Nzira dzekudzivirira pakushandisazve dialyzer
Madialyzer anogona kushandiswazve chete kumurwere mumwe chete, asi mamiriro ezvinhu anotevera haabvumirwi.
1. Ma dialyzer anoshandiswa nevarwere vane zviratidzo zvehepatitis B hazvigone kushandiswazve; ma dialyzer anoshandiswa nevarwere vane zviratidzo zvehepatitis C anofanirwa kuparadzaniswa neevamwe varwere kana ashandiswazve.
2. Ma dialyzer anoshandiswa nevarwere vane HIV kana AIDS haagone kushandiswazve
3. Ma dialyzer anoshandiswa nevarwere vane zvirwere zvinotapukira zvinotapukira muropa haagone kushandiswazve
4. Ma dialyzer anoshandiswa nevarwere vane allergy nemishonga inouraya utachiona inoshandiswa pakugadzirisazve haagone kushandiswazve
Kunewo zvinodiwa zvakasimba pamhando yemvura inoshandiswa pakugadzirisazve hemodialyzer.
Huwandu hwebhakitiriya hahufanirwe kudarika 200 CFU/ml ukuwo muganho wekupindira uri 50 CFU/ml; huwandu hweEndotoxin hahufanirwe kudarika 2 EU/ml. Kuedzwa kwekutanga kwe endotoxin nemabhakitiriya mumvura kunofanirwa kuitwa kamwe chete pasvondo. Mushure mekunge zvabuda zviviri zvakatevedzana zvasangana nezvinodiwa, bvunzo yebhakitiriya inofanira kuitwa kamwe chete pamwedzi, uye bvunzo ye endotoxin inofanira kuitwa kanenge kamwe chete pamwedzi mitatu yega yega.
(Muchina wemvura weChengdu Weslsy weRO unosangana nezvinodiwa zvemvura zveUS AAMI/ASAIO dialysis unogona kushandiswa pakugadzirisa dialyzer zvakare)
Kunyangwe musika wekushandisa ma dialyzers anogona kushandiswazve wave kudzikira gore negore pasi rose, uchiri kukosha mune dzimwe nyika nenzvimbo dzine pfungwa yehupfumi.
Nguva yekutumira: Nyamavhuvhu-16-2024
