Izikhokelo Zokulungisa IiHemodialyzers
Inkqubo yokusebenzisa kwakhona i-hemodialyzer yegazi esetyenzisiweyo, emva kweenkqubo ezahlukeneyo, ezinje ngokuhlanjwa, ukucoca, kunye nokubulala iintsholongwane ukuze kuhlangatyezwane neemfuno ezichaziweyo, kunyango lwe-dialysis lwesigulana esifanayo lubizwa ngokuba yi-hemodialyzer reuse.
Ngenxa yeengozi ezinokubakho ekusetyenzisweni kwakhona kwe-hemodialysis, ezinokubangela iingozi zokhuseleko kwizigulane, kukho imigaqo engqongqo yokusebenza yokusetyenziswa kwakhona kwe-hemodialysisers yegazi. Abasebenzi kufuneka baqeqeshwe ngokupheleleyo kwaye balandele izikhokelo zokusebenza ngexesha lokusetyenziswa kwakhona kwe-hemodialysis.
Inkqubo Yokucoca Amanzi
Ukuhlaziya kwakhona kufuneka kusetyenziswe amanzi abuyela umva e-osmosis, ekufuneka ahlangabezane nemigangatho yebhayoloji yomgangatho wamanzi kwaye ahlangabezane neemfuno zamanzi zezixhobo ezisebenza ngexesha lokusebenza okuphezulu. Ubungakanani bongcoliseko olubangelwa ziibhaktheriya kunye nee-endotoxins emanzini e-RO kufuneka luvavanywe rhoqo. Ukuhlolwa kwamanzi kufuneka kwenziwe kwindawo okanye kufutshane nendawo ephakathi kwe-dialyzer yegazi kunye nenkqubo yokuhlaziya kwakhona. Inqanaba lebhaktheriya alinakuba ngaphezulu kwe-200 CFU/ml, kunye nomda wokungenelela we-50 CFU/ml; inqanaba le-endotoxin alinakuba ngaphezulu kwe-2 EU/ml, kunye nomda wokungenelela we-1 EU/ml. Xa umda wokungenelela ufikelelwe, ukusetyenziswa okuqhubekayo kwenkqubo yokucoca amanzi kuyamkeleka. Nangona kunjalo, kufuneka kuthathwe amanyathelo (njengokubulala iintsholongwane kwinkqubo yokucoca amanzi) ukuthintela ungcoliseko olongezelelekileyo. Uvavanyo lwebhaktheriya kunye ne-endotoxin lomgangatho wamanzi kufuneka lwenziwe kube kanye ngeveki, kwaye emva kovavanyo olulandelelanayo oluhlangabezana neemfuno, uvavanyo lwebhaktheriya kufuneka lwenziwe rhoqo ngenyanga, kwaye uvavanyo lwe-endotoxin kufuneka lwenziwe ubuncinane kanye kwiinyanga ezi-3.
Inkqubo yokuphinda ucwangcise
Umatshini wokuhlaziya kufuneka uqinisekise le misebenzi ilandelayo: ukubeka i-dialyzer kwimeko yokuhluza igazi ngokuphindaphindiweyo ukuze kuhlanjululwe ngokuphindaphindiweyo igumbi legazi kunye negumbi le-dialysate; ukwenza uvavanyo lokusebenza kunye nokuthembeka kwe-membrane kwi-dialyzer; ukucoca igumbi legazi kunye negumbi le-dialysate ngesisombululo sokubulala iintsholongwane esiphindwe kathathu kunomthamo wegumbi legazi, uze uzalise i-dialyzer ngesisombululo sokubulala iintsholongwane esisebenzayo.
Umatshini wokuhlaziya i-dialyzer kaWesley--imode W-F168-A/B ngumatshini wokuqala wokuhlaziya i-dialyzer ozenzekelayo kwihlabathi liphela, oneenkqubo zokuhlamba, ukucoca, ukuvavanya, kunye nokukhupha ngokuzenzekelayo, ezinokugqiba ukucoca i-dialyzer, ukubulala iintsholongwane kwi-dialyzer, ukuvavanya, kunye nokufaka kwi-infusion malunga nemizuzu eli-12, ukuhlangabezana ngokupheleleyo nemigangatho yokusetyenziswa kwakhona kwe-dialyzer, kunye nokuprinta iziphumo zovavanyo lwe-TCV(Total Cell Volume). Umatshini wokuhlaziya i-dialyzer ozenzekelayo wenza lula umsebenzi wabaqhubi kwaye uqinisekisa ukhuseleko kunye nokusebenza kakuhle kwe-dialyzers yegazi esetyenzisiweyo.
W-F168-B
Ukhuseleko lomntu
Wonke umsebenzi onokuchukumisa igazi lesigulane kufuneka athathe amanyathelo okhuseleko. Kwi-dialyzer reprocessing, abaqhubi kufuneka banxibe iiglavu zokuzikhusela kunye nempahla kwaye balandele imigangatho yokuthintela usulelo. Xa besenza inkqubo yetyhefu eyaziwayo okanye engathandabuzekiyo okanye isisombululo, abaqhubi kufuneka banxibe iimaski kunye nee-respirators.
Kwigumbi lokusebenzela, kufuneka kubekwe itephu yamanzi okuhlamba amehlo ukuqinisekisa ukuba ihlanjwa kakuhle nangexesha elifanelekileyo xa umsebenzi onzakeleyo kukutshizwa kwezinto zamakhemikhali.
Imfuneko yokulungisa kwakhona ii-dialyzer zegazi
Emva kokucoca igazi, i-dialyzer kufuneka ithuthwe kwindawo ecocekileyo kwaye iphathwe ngoko nangoko. Kwimeko yeemeko ezikhethekileyo, ii-hemodialyzer zegazi ezinganyangwanga kwiiyure ezi-2 zinokufakwa efrijini emva kokuhlamba, kwaye iinkqubo zokubulala iintsholongwane kunye nokubulala iintsholongwane kwi-dialyzer yegazi kufuneka zigqitywe kwiiyure ezingama-24.
●Ukuhlamba nokucoca: Sebenzisa amanzi aqhelekileyo e-RO ukuhlamba nokucoca igazi kunye negumbi le-dialysate le-hemodialyzer yegazi, kubandakanya nokukhupha umva. I-hydrogen peroxide exutyiweyo, i-sodium hypochlorite, i-peracetic acid, kunye nezinye ii-reagents zeekhemikhali zingasetyenziswa njengee-arhente zokucoca kwi-dialyzer. Kodwa, ngaphambi kokongeza ikhemikhali, ikhemikhali yangaphambili kufuneka isuswe. I-sodium hypochlorite kufuneka isuswe kwisisombululo sokucoca ngaphambi kokongeza i-formalin kwaye ingaxutywa ne-peracetic acid.
●Uvavanyo lwe-TCV lwe-dialyzer: I-TCV ye-dialyzer yegazi kufuneka ibe ngaphezulu okanye ilingane ne-80% ye-TCV yokuqala emva kokuphinda isetyenzwe.
●Uvavanyo lokuthembeka kwe-dialysis membrane: Uvavanyo lokuqhekeka kwe-membrane, njengovavanyo loxinzelelo lomoya, kufuneka lwenziwe xa kusetyenzwa kwakhona i-hemodialyzer yegazi.
●Ukubulala iintsholongwane kunye nokubulala iintsholongwane kwiDialyzer: I-hemodialyzer yegazi ecocekileyo kufuneka ihlanjululwe ukuthintela ungcoliseko lweentsholongwane. Zombini igumbi legazi kunye negumbi le-dialysate kufuneka zingabi nazintsholongwane okanye zibe kwimeko yokubulala iintsholongwane kakhulu, kwaye i-dialyzer kufuneka izaliswe ngesisombululo sokubulala iintsholongwane, apho uxinaniso lufikelela ubuncinane kwi-90% yommiselo. Ukungena kwegazi kunye nendawo yokuphuma kunye nendawo yokuphuma kwe-dialysate kwi-dialyzer kufuneka zihlanjululwe ulwelo kwaye emva koko zigqunywe ngeminqwazi emitsha okanye ehlanjululwe ulwelo.
●Unyango lweqokobhe le-dialyzer: Isisombululo sokubulala iintsholongwane esinoxinzelelo oluphantsi (njenge-0.05% ye-sodium hypochlorite) esilungiselelwe izinto zeqokobhe kufuneka sisetyenziswe ukufunxa okanye ukucoca igazi kunye nokungcola kwiqokobhe.
●Ugcino: Ii-dialyzer ezicutshungulwayo mazigcinwe kwindawo ekhethiweyo ukuze zahlulwe kwii-dialyzer ezingacutshungulwayo xa kukho ungcoliseko nokusetyenziswa gwenxa.
Ukujonga Inkangeleko Yangaphandle Emva Kokulungiswa Kwakhona
(1) Akukho gazi okanye elinye ibala ngaphandle
(2) Akukho ngxinano kwiqokobhe kunye nomnyango wegazi okanye i-dialysate
(3) Akukho kugalela kunye nefayibha emnyama kumphezulu wefayibha engenanto
(4) Akukho kugalela kwegazi kwiiterminal ezimbini zefayibha ye-dialyzer
(5) Thabatha izivalo kwindawo yokungena kunye neyokuphuma kwegazi uze uqiniseke ukuba akukho moya uvuzayo.
(6) Ileyibhile yolwazi lwesigulana kunye nolwazi lokucubungula kwakhona i-dialyzer ichanekile kwaye icacile.
Ukulungiselela Ngaphambi kwe-Dialysis elandelayo
●Hlamba isibulali-ntsholongwane: i-dialyzer kufuneka izaliswe kwaye ihlanjwe ngokwaneleyo nge-saline eqhelekileyo ngaphambi kokuba isetyenziswe.
●Uvavanyo lwentsalela yesibulali-ntsholongwane: inqanaba lesibulali-ntsholongwane esisele 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 lokuthumela: Agasti-26-2024
