Nhungamiro dzekugadzirisazve maHemodialyzer
Maitiro ekushandisa zvakare hemodialyzer yeropa yakashandiswa, mushure mekuita mabasa akasiyana-siyana, akadai sekusuka, kuchenesa, uye kubvisa utachiona kuti zvienderane nezvinodiwa, pakurapa kwemurwere mumwe chete anonzi hemodialyzer reuse.
Nekuda kwenjodzi dzinogona kuitika pakugadzirisazve mishonga, izvo zvinogona kukonzera njodzi kuvarwere, kune mitemo yakasimba yekushandisazve mishonga yekubvisa ropa. Vashandi vanofanirwa kudzidziswa zvakakwana uye kutevedzera mitemo yekushanda panguva yekugadzirisazve mishonga.
Sisitimu Yekurapa Mvura
Kugadzirisa patsva kunofanira kushandisa mvura ye reverse osmosis, iyo inofanira kusangana nezvinodiwa zvehupenyu zvehunhu hwemvura uye kusangana nezvinodiwa zvemvura zvemidziyo inoshanda panguva yekushanda kwakanyanya. Hukuru hwekusvibiswa kunokonzerwa nemabhakitiriya nema endotoxins mumvura yeRO hunofanira kuongororwa nguva nenguva. Kuongororwa kwemvura kunofanirwa kuitwa padyo kana pedyo nepanosangana dialyzer yeropa nesystem yekugadzirisa. Hunhu hwebhakitiriya hahufanirwe kupfuura 200 CFU/ml, nemuganhu wekupindira we50 CFU/ml; huwandu hwe endotoxin hahufanirwe kupfuura 2 EU/ml, nemuganhu wekupindira we1 EU/ml. Kana muganho wekupindira wasvika, kuramba uchishandisa system yekurapa mvura kunogamuchirwa. Zvisinei, matanho anofanirwa kutorwa (akadai sekuuraya utachiona musystem yekurapa mvura) kudzivirira kusvibiswa kwakawanda. Kuongororwa kwehunhu hwemvura nebhakitiriya kunofanirwa kuitwa kamwe chete pasvondo, uye mushure mekuongororwa kaviri kwakatevedzana kunosangana nezvinodiwa, kuongororwa kwebhakitiriya kunofanirwa kuitwa mwedzi wega wega, uye kuongororwa kwe endotoxin kunofanirwa kuitwa kanenge kamwe chete pamwedzi mitatu yega yega.
Sisitimu Yokugadzirisazve
Muchina wekugadzirisazve unofanira kuve nechokwadi chekuti unoshanda mabasa anotevera: kuisa dialyzer mu reverse ultrafiltration state yekusukwa kakawanda kweropa nekamuri ye dialysate; kuita bvunzo dzekushanda uye membrane integrity pa dialyzer; kuchenesa ropa nekamuri ye dialysate nemushonga wekuuraya utachiona une huwandu hunopfuura ka3 huwandu hweropa, uye wozozadza dialyzer nemushonga wekuuraya utachiona une concentration inoshanda.
Muchina weWesley wekugadzirisa dialyzer--mode W-F168-A/B ndiwo muchina wekutanga wekugadzirisa dialyzer unoshanda otomatiki pasi rose, une mapurogiramu ekuchenesa, ekuedza, uye ekubvisa tsvina otomatiki, ayo anogona kupedzisa kupukuta dialyzer, kuchenesa, kuyedza, uye kuisa mushonga mumaminitsi angangoita gumi nemaviri, achizadzisa zvizere mwero wekushandisa dialyzer, uye kudhinda mhinduro yebvunzo yeTCV(Total Cell Volume). Muchina wekugadzirisa dialyzer unoshanda otomatiki unoita kuti basa revanoshanda rive nyore uye rinoona kuchengetedzeka uye kushanda zvakanaka kwedialyzer dzeropa dzinoshandiswazve.
W-F168-B
Kudzivirirwa Kwemunhu
Mushandi wese anogona kubata ropa remurwere anofanira kutora matanho ekudzivirira. Pakugadzirisazve dialyzer, vashandi vanofanira kupfeka magirovhosi ekudzivirira nembatya uye kutevedzera mitemo yekudzivirira hutachiona. Pavanenge vachiita maitiro ekushandisa chepfu kana mushonga unozivikanwa kana kuti ungangofungidzirwa, vashandi vanofanira kupfeka mamasiki nemidziyo yekufema.
Muimba yekushandira, pombi yemvura inogeza maziso inofanira kuiswa kuitira kuti ionekwe kuti inogeza zvakanaka uye panguva yakakodzera kana mushandi akuvadzwa nekupfapfaidzwa kwemakemikari.
Zvinodiwa pakugadzirisazve maDialyzer eropa
Mushure mekuchenesa ropa, chivharo chedialysis chinofanira kutakurwa munzvimbo yakachena uye kugadziriswa nekukasika. Kana paine mamiriro ezvinhu akasiyana, ma hemodialysis eropa asina kurapwa mumaawa maviri anogona kuiswa mufiriji mushure mekusukurudzwa, uye nzira dzekuuraya utachiona nekuuraya utachiona pa chivharo chedialysis dzinofanira kupedzwa mumaawa makumi maviri nemana.
●Kusuka nekuchenesa: Shandisa mvura yeRO yakajairwa kusukurudza nekuchenesa ropa nekamuri redialysate rehemodialyzer yeropa, kusanganisira kusukurudza musana. Hydrogen peroxide yakasanganiswa, sodium hypochlorite, peracetic acid, nezvimwe zvinhu zvemakemikari zvinogona kushandiswa sezvinhu zvekuchenesa dialyzer. Asi, usati waisa kemikari, kemikari yekare inofanira kubviswa. Sodium hypochlorite inofanira kubviswa mumushonga wekuchenesa usati waisa formalin uye haisanganiswe neperacetic acid.
●Kuongororwa kweTCV kwedialyzer: TCV yedialyzer yeropa inofanira kunge yakakura kupfuura kana kuti yakaenzana ne80% yeTCV yekutanga mushure mekugadziriswazve.
●Kuongororwa kwekuchengetedzwa kwemembrane yeDialysis: Kuongororwa kwekuputika kwemembrane, senge bvunzo yekumanikidzwa kwemhepo, kunofanirwa kuitwa pakugadzirisa zvakare hemodialyzer yeropa.
●Kuchenesa uye kubvisa utachiona kubva muDialyzer: Hemodialyzer yeropa yakacheneswa inofanira kucheneswa kuti isapararire utachiona. Kamuri reropa nekamuri redialysate zvinofanira kunge zvisina utachiona kana kuti zvisina utachiona hwakawanda, uye dialyzer inofanira kuzadzwa nemushonga wekuuraya utachiona, huwandu hwayo huchisvika 90% yemutemo. Mugero weropa nepaburi redhialysate uye mugero wedialysate wedialyzar zvinofanirwa kucheneswa uye zvobva zvafukidzwa nezvivharo zvitsva kana zvakacheneswa.
●Kurapa ganda redialyzer: Mushonga wekuuraya utachiona usinganyanyi kuzara (wakaita se0.05% sodium hypochlorite) wakagadzirirwa zvinhu zviri muganda unofanira kushandiswa kunyudza kana kuchenesa ropa netsvina zviri paganda.
●Kuchengetera: Madialyzer akagadziriswa anofanira kuchengetwa munzvimbo yakatarwa kuti aparadzane nemadialyzer asina kugadziriswa kana paine kusvibiswa uye kushandiswa zvisizvo.
Kuongorora Chitarisiko Chekunze Mushure mekugadzirisazve
(1) Hapana ropa kana rimwe ganda kunze
(2) Hapana ganda riri mugoko uye nzvimbo yeropa kana dialysate
(3) Hapana kugomara uye tambo nhema pamusoro petambo isina chinhu
(4) Hapana kugayiwa kwemvura pamativi maviri efiber yedialyzer
(5) Isa zvivharo panzvimbo inobuda ropa uye pombi yeropa wobva waisa dialysate uye iva nechokwadi chekuti mweya haubudi.
(6) Chinyorwa cheruzivo rwemurwere uye ruzivo rwekugadzirisazve dialyzer chakarurama uye chakajeka.
Kugadzirira Dialysis Inotevera isati yatanga
●Sukurudza mushonga wekuuraya utachiona: mudziyo wekuchenesa unofanirwa kuzadzwa uye kusukwa zvakakwana nemunyu usati washandisa.
●Kuongororwa kwemishonga inouraya utachiona: huwandu hwemishonga inouraya utachiona mu dialyzer: formalin <5 ppm (5 μg/L), peracetic acid <1 ppm (1 μg/L), Renalin <3 ppm (3 μg/L)
Nguva yekutumira: Nyamavhuvhu-26-2024
