UQinisekiso loMgangatho waseTshayina kunye noMnyino wokuThatha uXanduva oluLahlwayo lwe-Haemodialyser uMenzi kunye noMboneleli |IiAlps

UQinisekiso loMgangatho kunye noXanduva loMda wokuLahla iHaemodialyser Umfanekiso obonakalayo

UQinisekiso loMgangatho kunye noXanduva loMnyino wokuLahla iHaemodialyser

Inkcazelo emfutshane:

I-Dialyzer yenzelwe unyango lwe-hemodialysis yokusilela kwe-renal ebukhali kwaye engapheliyo kunye nokusetyenziswa okukodwa.Ngokutsho kwe-semi-permeable inwebu umgaqo, inokwazisa igazi lesigulane kunye ne-dialysate ngaxeshanye, zombini zigeleza kwicala elichaseneyo kumacala omabini. Ngoncedo lwe-gradient ye-solute, uxinzelelo lwe-osmotic kunye noxinzelelo lwe-hydraulic, i-Disposable Haemodialyser inokususa i-toxin kunye namanzi ongezelelweyo emzimbeni, kwaye kwangaxeshanye, ibonelele ngezinto eziyimfuneko kwi-dialyzate kwaye igcine i-electrolyte kunye ne-asidi. -isiseko esilungeleleneyo egazini.

Thumela i-imeyile kuthi

Iinkcukacha zeMveliso

Ukulungiselela unyango lwe-dialysis
 Ukuba inkqubo yokuhanjiswa kwe-dialyzate yayihlanjululwe ngekhemikhali okanye yabulawa iintsholongwane phambi kwesigulane
sebenzisa, qiniseka ukuba uvavanya umatshini we-dialysis ukungabikho kweentsalela zegermioide nge
uvavanyo lwesi sicelo, ngokwemiyalelo yabavelisi.
 Beka i-dialyzer kwindawo ethe nkqo, isiphelo se-arterial (bomvu) ezantsi.
 Faka i-arterial kunye ne-venous bloodlines kumatshini we-hemodialysis.
 Susa naziphi na iicaps zokukhusela igazi le-dialyzer kwaye uqhagamshele nge-aseptically i-arterial kunye
imigca yegazi ye-venous kwi-dialyzer.
 Ngequbuliso ugalele ibhegi eyi-1 ilitha enetyuwa eqhelekileyo eyi-0.9% enetyuwa eqhelekileyo ene-IV ecinezelweyo.
isethi yolawulo.Namathisela ulawulo lwe-IV olubekwe ekupheleni kwesigulane kwi-arterial
igazi.
 Vula ibamba kwiseti ye-IV .Prime i-arterial bloodline,dialyzer, kunye ne-venous
igazi usebenzisa isantya sempompo yegazi malunga ne-150ml / min.Lahla eyokuqala
I-500ml yesisombululo.Amagumbi okuthontsiza kufuneka agcinwe malunga ne-3/4 egcwele.
 Misa impompo yegazi.Bamba i-arterial kunye ne-venous bloodlines.Yenza i-dialyzer ibe njalo
ukuba isiphelo se-venous sibheke ezantsi.Ukudibanisa ngokunyanisekileyo iziphelo zesigulane se-arterial kunye
imigca yegazi ye-venous kunye ekulungiseleleni ukujikeleza kwakhona.Vula izibophelelo kwi
igazi.
 Qinisekisa ukuba i-dialyzate iphakathi kwemida emiselweyo yokuqhuba ngolungelelwaniso
imitha conductivity yangaphandle.Ukuchonga iimeko apho i-acetate okanye i-asidi kunye
Ibicarbonate concentrates ayidityaniswanga ngokufanelekileyo, sebenzisa iphepha le-PH okanye imitha ukuqinisekisa
ukuba i-pH eqikelelweyo ikuluhlu lwe-physiologic.
 Qhoboshela umgca we-dialyzate kwi-dialyzer.Gcwalisa indawo ye-dialyzate.
ukwandisa ukusebenza kakuhle kwe-dialyzer.i-dialyzate flow kufuneka ihambelane nayo
ukuhamba kwegazi.
 Lijikeleze kwakhona icala legazi ngesantya sokuhamba kwe-300-400ml / min kunye nokuhamba kwe-dialyzate
500ml/min ubuncinci bemizuzu eyi-10-15 Buyela kwakhona de ube wonke umoya
ihlanjululwe kwisistim ngaphambi kokuxhuma kwisigulane.Qhubeka nokuphindaphinda kunye
dialyzate flow de uqhagamshelo lwesigulane.
 Isihluzo sokucoca okanye ugungxule i-500ml eyongezelelweyo ye-0.9% yetyuwa yesiqhelo ecocekileyo ukuze
I-extracorporeal circuit iye yagungxulwa ngobuncinci be-1 litre ye-saline ukunciphisa isi-4
iintsalela zokuvala inzala.
 Lahla isisombululo sokuqala xa uqalisa ukuhamba kwegazi nge-dialyzer
isisombululo kufuneka sinikwe isigulana sokwandisa umthamo, endaweni yolwelo
isekethe ene-saline entsha nje phambi kokuba uncamathele kwisigulana.
 Luxanduva loMlawuli wezoNyango ukuqinisekisa ukuba amanqanaba ashiyekileyo anjalo
eyamkelekileyo.