Umgubo we-Acid Hemodialysis
Izinto ezisisiseko ze-hemodialysis powder zezi: i-sodium, i-potassium, i-calcium, i-magnesium, i-chlorine, i-acetate kunye ne-bicarbonate. Ngamanye amaxesha i-glucose inokongezwa ngokweemfuno. Ubungakanani bezinto ezahlukeneyo abuhlali bufana, kwaye kukwakho nomahluko kumanqanaba e-potassium kunye ne-calcium. Ingalungiswa ngokwenqanaba le-electrolyte ye-plasma kunye neempawu zeklinikhi zezigulana ngexesha le-dialysis.
Inzuzo
Umgubo we-Hemodialysis ungabizi kakhulu kwaye kulula ukuwuthutha. Ungasetyenziswa kunye ne-potassium/calcium/glucose eyongezelelweyo ngokweemfuno zezigulane.
Inkcazo
1172.8g/ibhegi/isigulana
2345.5g/ibhegi/izigulane ezi-2
11728g/ibhegi/izigulane ezili-10
Isaziso: singenza imveliso nge-potassium ephezulu, i-calcium ephezulu kunye ne-glucose ephezulu
Igama: Umgubo we-Haemodialysis A
Umlinganiselo wokuxuba: A:B: H2O=1:1.225:32.775
Ukusebenza: Umxholo ngeLitha nganye (into engenamanzi).
I-NaCl: 210.7g KCl: 5.22g CaCl2: 5.825g MgCl2: 1.666g citric acid: 6.72g
Le mveliso zizinto ezikhethekileyo ezisetyenziselwa ukulungiselela i-hamodialysis dialysate enomsebenzi wayo kukususa inkunkuma ye-metabolic kunye nokugcina ibhalansi yamanzi, i-electrolyte kunye ne-acid-base yi-dialyser.
Inkcazo: umgubo omhlophe wekristale okanye iigranules
Ukusetyenziswa: I-concentrate eyenziwe nge-hemodialysis powder matching kunye nomatshini we-hemodialysis ifanelekile kwi-hemodialysis.
Inkcazelo: 2345.5g/abantu ababini/ibhegi
Idosi: Ingxowa e-1/ izigulana ezi-2
Indlela esetyenziswa ngayo: Sebenzisa ibhegi e-1 yomgubo u-A, uyibeke kwisitya sokushukuma, yongeza i-10L yolwelo lwe-dialysis, uxube ude unyibilike ngokupheleleyo, olu lwelo u-A.
Sebenzisa ngokwezinga lokunyibilikisa i-dialyser kunye nomgubo B kunye nolwelo lwe-dialysis.
Ukulumkela:
Le mveliso ayiyoyeyokujova, ayifanele ithathwe ngomlomo okanye nge-peritoneal dialysis, nceda ufunde ummiselo kagqirha ngaphambi kokuba u-dialysis iqhutywe.
Umgubo A kunye nomgubo B azinakusetyenziswa zodwa, kufuneka zinyibilike ngokwahlukeneyo ngaphambi kokusetyenziswa.
Le mveliso ayinakusetyenziswa njengolwelo lokufuduka.
Funda isikhokelo somsebenzisi se-dialyser, qinisekisa inombolo yemodeli, ixabiso le-PH kunye nefomyula ngaphambi kokuba u-dialysis.
Jonga ubungakanani be-ionic kunye nomhla wokuphelelwa ngaphambi kokusebenzisa.
Musa ukuyisebenzisa xa kukho umonakalo owenzekileyo kwimveliso, yisebenzise ngoko nangoko xa uyivula.
Ulwelo lwe-Dialysis kufuneka luhambelane ne-YY0572-2005 hemodialysis kunye nomgangatho wamanzi onyango ofanelekileyo.
Ukugcinwa: Ukugcinwa okuvaliweyo, ukuphepha ukukhanya kwelanga ngqo, umoya opholileyo kunye nokuphepha ukubanda, akufuneki kugcinwe nezinto ezinobungozi, ezingcolisiweyo nezinevumba elibi.
Ii-endotoxins zebhaktiriya: Imveliso ixutywa kwi-dialysis ngamanzi okuvavanya i-endotoxin, ii-endotoxins zebhaktiriya akufuneki zibe ngaphezulu kwe-0.5EU/ml.
Amasuntswana anganyibilikiyo: Imveliso ixutywa ukuze i-dialysate, umxholo wamasuntswana emva kokususa isinyibilikisi: ≥10um amasuntswana akufuneki abe ngaphezulu kwama-25's/ml; ≥25um amasuntswana akufuneki abe ngaphezulu kwama-3's/ml.
Umlinganiselo weentsholongwane: Ngokwemilinganiselo yokuxuba, inani leentsholongwane kwi-concentrate akufuneki libe ngaphezulu kwe-100CFU/ml, inani lefungus akufuneki libe ngaphezulu kwe-10CFU/ml, i-Escherichia coli ayifanele ibonwe.
Inxalenye e-1 yomgubo I-1 ixutywe ngamanzi angama-34 e-dialysis, uxinzelelo lwe-ionic lu:
| Umxholo | Na+ | K+ | I-Ca2+ | mg2+ | Cl- |
| Uxinaniso (mmol/L) | 103.0 | 2.00 | 1.50 | 0.50 | 109.5 |
Uxinzelelo lokugqibela lwe-Ionic lolwelo lwe-dialysis xa usebenzisa:
| Umxholo | Na+ | K+ | I-Ca2+ | mg2+ | Cl- | I-HCO3- |
| Uxinaniso (mmol/L) | 138.0 | 2.00 | 1.50 | 0.50 | 109.5 | 32.0 |
Ixabiso le-PH: 7.0-7.6
Ixabiso le-PH kulo myalelo lisiphumo sovavanyo lwelebhu, ukuze isetyenziswe eklinikhi nceda ulungise ixabiso le-PH ngokwenkqubo eqhelekileyo yotyando lwe-blood dialysis.
Umhla wokuphelelwa: Iinyanga ezili-12
