Izikhokelo zokuLungiswa kwakhona kweeHemodialyzers
Inkqubo yokuphinda kusetyenziswe i-hemodialyzer yegazi esetyenzisiweyo, emva koluhlu lweenkqubo, ezifana nokuhlanjululwa, ukucocwa, kunye nokubulala iintsholongwane ukuhlangabezana neemfuno ezichaziweyo, unyango lwe-dialysis lwesigulane lubizwa ngokuba yi-hemodialyzer.
Ngenxa yeengozi ezinokubakho ezibandakanyekileyo ekuhlaziyweni kwakhona, ezinokubeka iingozi zokhuseleko kwizigulana, kukho imigaqo engqongqo yokusebenza ngokuphinda kusetyenziswe iihemodialyzers zegazi. Abaqhubi kufuneka bafumane uqeqesho olucokisekileyo kwaye balandele izikhokelo zokusebenza ngexesha lokulungiswa kwakhona.
Inkqubo yokucoca amanzi
Ukuhlaziya kwakhona kufuneka kusetyenziswe amanzi abuyela umva i-osmosis, ekufuneka ahlangabezane nemigangatho yebhayoloji yomgangatho wamanzi kwaye ahlangabezane nemfuno yamanzi yezixhobo ezisebenza ngexesha lokusebenza okuphezulu. Ubungakanani bokungcola okubangelwa ibhaktheriya kunye ne-endotoxins kumanzi e-RO kufuneka kuhlolwe rhoqo. Ukuhlolwa kwamanzi kufuneka kwenziwe kwindawo okanye kufuphi nendawo ephakathi kwe-dialyzer yegazi kunye nenkqubo yokuhlaziya. Inqanaba lebhaktheriya alikwazi ukuba ngaphezu kwe-200 CFU / ml, kunye nomda wokungenelela we-50 CFU / ml; inqanaba le-endotoxin alikwazi ukuba ngaphezu kwe-2 EU / ml, kunye nomda wokungenelela we-1 EU / ml. Xa umda wokungenelela ufikeleleke, ukusetyenziswa okuqhubekayo kwenkqubo yokucoca amanzi kuyamkeleka. Nangona kunjalo, amanyathelo kufuneka athathwe (njengokubulala iintsholongwane kwisixokelelwano sokucocwa kwamanzi) ukuthintela ukosuleleka ngakumbi. Uvavanyo lwebhaktiriya kunye ne-endotoxin yomgangatho wamanzi kufuneka luqhutywe kanye ngeveki, kwaye emva kweemvavanyo ezimbini ezilandelelanayo zihlangabezana neemfuno, uvavanyo lwe-bacteriological kufuneka luqhutywe ngenyanga, kwaye uvavanyo lwe-endotoxin kufuneka luqhutywe ubuncinane kanye kwiinyanga ezi-3.
Inkqubo yokuhlaziya kwakhona
Umatshini wokuhlaziya kufuneka uqinisekise le misebenzi ilandelayo: ukubeka i-dialyzer kwi-reverse ultrafiltration state ukwenzela ukuhlanjululwa ngokuphindaphindiweyo kwegumbi legazi kunye negumbi le-dialysate; ukuqhuba iimvavanyo zokuthembeka kunye ne-membrane kwi-dialyzer; ukucoca igumbi legazi kunye negumbi le-dialysate kunye nesisombululo se-disinfectant ubuncinane amaxesha ama-3 umthamo wegumbi legazi, uze ugcwalise i-dialyzer ngesisombululo esisebenzayo sokubulala iintsholongwane.
Umatshini kaWesley wokuhlaziya i-dialyzer-imowudi ye-W-F168-A/B ngumatshini wokuqala wokucofa i-dialyzer ozenzekelayo emhlabeni, one-automatic rinse, ecocekileyo, eyokuvavanya, kunye neenkqubo eziphazamisayo, ezinokugqibezela ukugungxulwa kwe-dialyzer, i-dialyzer disinfection, uvavanyo, kunye nokufakelwa malunga nemizuzu ye-12, ukuhlangabezana ngokupheleleyo nemigangatho yokusetyenziswa kwakhona kwe-dialyzer processing, kwaye uprinte i-TCV (I-Total Cell Volume) iziphumo zovavanyo ziphumile. I-automatic dialyzer reprocessing machine yenza lula umsebenzi wabaqhubi kwaye iqinisekisa ukhuseleko kunye nokusebenza kwee-dialyzers zegazi ezisetyenzisiweyo kwakhona.
I-W-F168-B
Ukhuseleko lomntu
Wonke umsebenzi onokubamba igazi lezigulane kufuneka athathe amanyathelo okhuseleko. Kuhlaziyo lwe-dialyzer, abasebenzi kufuneka banxibe iiglavu zokhuselo kunye nempahla kwaye bathobele imigangatho yothintelo losulelo. Xa ubandakanyeka kwinkqubo yetyhefu eyaziwayo okanye enokukrokra okanye isisombululo, abaqhubi kufuneka banxibe iimaski kunye neziphefumlo.
Kwigumbi lokusebenzela, impompo yamanzi yokuvasa amehlo engxamisekileyo iya kusetwa ukuze kuqinisekwe ngokuhlamba okusebenzayo nangexesha xa umsebenzi ethe wenzakala ngokufafazwa kwemathiriyeli yeekhemikhali.
Imfuneko ye-Blood Dialyzers Reprocessing
Emva kwe-dialysis, i-dialyzer kufuneka ihanjiswe kwindawo ecocekileyo kwaye iphathwe ngokukhawuleza. Kwiimeko ezizodwa, ii-hemodialyzers zegazi ezinganyangwanga kwiiyure ezi-2 zinokufakwa efrijini emva kokuhlanjululwa, kunye neenkqubo zokubulala iintsholongwane kunye ne-sterillization ye-dialyzer yegazi kufuneka zigqitywe kwiiyure ezingama-24.
● Ukuhlanjululwa kunye nokucoca: Sebenzisa amanzi aqhelekileyo e-RO ukuhlamba kunye nokucoca igazi kunye negumbi le-dialysate ye-hemodialyzer yegazi, kubandakanywa nokugungxulwa ngasemva. I-hydrogen peroxide ehlanjululweyo, i-sodium hypochlorite, i-peracetic acid, kunye nezinye ii-reagents zeekhemikhali zingasetyenziswa njengee-agent zokucoca kwi-dialyzer. Kodwa, ngaphambi kokuba ungeze ikhemikhali, ikhemikhali yangaphambili kufuneka isuswe. I-sodium hypochlorite kufuneka ikhutshwe kwisisombululo sokucoca ngaphambi kokuba ungeze i-formalin kwaye ingaxutywa ne-peracetic acid.
● Uvavanyo lwe-TCV lwe-dialyzer: I-TCV ye-dialyzer yegazi kufuneka ibe nkulu okanye ilingane ne-80% ye-TCV yokuqala emva kokulungiswa kwakhona.
● Uvavanyo lwengqibelelo yemembrane yeDialysis: Uvavanyo lokugqabhuka kwenwebu, njengovavanyo loxinzelelo lomoya, kufuneka luqhutywe xa kuphinda kusenziwa i-hemodialyzer yegazi.
● Ukubulala iintsholongwane kwi-Dialyzer kunye nokuvala inzala: I-hemodialyzer yegazi ecociweyo kufuneka ibulawe iintsholongwane ukuze kuthintelwe ukusuleleka kwe-microbial. Zombini igumbi legazi kunye negumbi le-dialysate kufuneka lingabi ntsholongwane okanye likwimeko ephezulu yokubulala iintsholongwane, kwaye i-dialyzer kufuneka izaliswe ngesisombululo sokubulala iintsholongwane, kunye noxinzelelo olufikelela ubuncinane kwi-90% yommiselo. Indawo yokungena negazi kunye nendawo yokuphuma ye-dialysate kunye ne-dialyzer kufuneka ibulawe iintsholongwane kwaye emva koko igqunywe ngeminqwazi emitsha okanye enesibulala-ntsholongwane.
● Igobolondo lonyango lwe-dialyzer: Isisombululo esisezantsi se-disinfectant (njenge-0.05% ye-sodium hypochlorite) elungiselelwe izinto zeqokobhe kufuneka isetyenziswe ukucwina okanye ukucoca igazi kunye nokungcola kwiqokobhe.
● Ukugcinwa: I-dialyzers esetyenzisiweyo kufuneka igcinwe kwindawo ekhethiweyo ukuba ihluke kwii-dialyzers ezingalungiswanga kwimeko yokungcola kunye nokusetyenziswa kakubi.
Ukujongwa kweNkangeleko yaNgaphandle emva koKusetyenzwa kwakhona
(1) Akukho gazi okanye elinye ibala ngaphandle
(2) Akukho cranny kwiqokobhe kunye nezibuko legazi okanye dialysate
(3) Akukho qhiya kunye nefiber emnyama kumphezulu wosinga ongenanto
(4) Akukho ukujiyisa kwiitheminali ezimbini ze-dialyzer fiber
(5) Thatha iminqwazi kwindawo yokungena nokuphuma kwegazi kwaye ucofe kwaye uqinisekise ukuba akukho kuvuza komoya.
(6) Ileyibhile yolwazi lwesigulana kunye ne-dialyzer yokuhlaziya ulwazi ichanekile kwaye icacile.
Ukulungiselela phambi kwe-Dialysis elandelayo
●Guqula isibulali-ntsholongwane: isicoci sokucoca kufuneka sizaliswe kwaye sigungxulwe ngokwaneleyo ngesaline eqhelekileyo phambi kokuba uyisebenzise.
● Uvavanyo lwentsalela ye-Disinfectant: inqanaba eliseleyo le-disinfectant kwi-dialyzer: i-formalin <5 ppm (5 μg/L), i-peracetic acid <1 ppm (1 μg/L), i-Renalin <3 ppm (3 μg/L)
Ixesha lokuposa: Aug-26-2024