Yintoni i-conductivity kumatshini we-hemodialysis?
Inkcazo yokuqhuba kombane kumatshini we-hemodialysis:
Ukuqhuba kombane kumatshini we-hemodialysis kusebenza njengophawu lokuqhuba kombane kwesisombululo se-dialysis, okubonakalisa ngokungangqalanga uxinzelelo lwaso lwe-electrolyte. Xa ukuqhuba kombane ngaphakathi kumatshini we-hemodialysis kudlula amanqanaba aqhelekileyo, kukhokelela ekuqokeleleni kwe-sodium kwisisombululo, okunokubangela i-hypernatremia kunye nokuphelelwa ngamanzi emzimbeni ngaphakathi kweseli kwizigulane. Ngokwahlukileyo koko, xa ukuqhuba kombane kumatshini we-hemodialysis kwehla ngaphantsi komgangatho oqhelekileyo, kubangela i-hyponatremia, ebonakala njengeentloko ezibuhlungu, isicaphucaphu, ukuqina kwesifuba, uxinzelelo lwegazi oluphantsi, i-hemolysis, kwaye kwiimeko ezinzima, ukuxhuzula, i-coma, okanye neziphumo ezibulalayo. Umatshini we-hemodialysis usebenzisa ii-sensors ze-Conductivity ezihlala zijonga iiparameter zesisombululo. Ukuba ukufundwa kuphambuka kwimida ebekiweyo, izisombululo ezingaqhelekanga zikhutshwa ngokuzenzekelayo nge-bypass valve kumatshini we-hemodialysis.
Umatshini we-hemodialysis uxhomekeke kwiisensa ze-Conductivity ezisebenza ngolu mgaqo ngokulinganisa i-conductivity yesisombululo ukuze zichonge ngokungathanga ngqo iimpawu zaso zombane. Xa umatshini we-hemodialysis untywiliselwa kwisisombululo, ii-ions zihamba kwicala phantsi kwentsimi yombane, zivelisa i-current. Ngokubona amandla alo mbane kwaye uwadibanise neeparameters ezaziwayo ezifana nee-electrode constants, umatshini we-hemodialysis ubala i-conductivity yesisombululo.
Ukuqhuba kolwelo lwe-dialysis kumatshini we-hemodialysis kugqitywa kukuxinana kwee-ion ezahlukeneyo kuquka i-sodium, i-potassium, i-calcium, i-chloride, kunye ne-magnesium kwisisombululo. Oomatshini be-hemodialysis abaqhelekileyo abasebenzisa i-carbonate dialysis bahlala bequka iimodyuli zokujonga ukuqhubela phambili ezi-2-3. Ezi modyuli ziqala ngokulinganisa ukuxinana kolwelo lwe-dialysis.Isisombululo, uze ukhethe ngokwazisaIsisombululo se-Bkuphela xa isisombululo se-A sihlangabezana noxinzelelo olufunekayo. Amaxabiso okuqhuba afunyenweyo kumatshini we-hemodialysis adluliselwa kwisekethe ye-CPU, apho athelekiswa neeparameters ezimiselweyo. Olu thelekiso lwenza ulawulo oluchanekileyo lwenkqubo yokulungiselela i-concentrate ngaphakathi komatshini we-hemodialysis, ukuqinisekisa ukuba ulwelo lwe-dialysis luhlangabezana nazo zonke iinkcukacha ezifunekayo.
Ukubaluleka kokuqhuba kombane kumatshini we-hemodialysis:
Ukuchaneka nokuzinza koxinzelelo lwe-dialysate kumatshini we-hemodialysis sisiqinisekiso sokuba izigulane zifumane unyango olufanelekileyo lwe-dialysis. Ukuze kubekho uxinzelelo olufanelekileyo lwe-dialysate kumatshini we-hemodialysis, indlela yokujonga rhoqo ukuhanjiswa kwayo idla ngokusetyenziswa ukulawula.
Ukuqhuba kombane kubonisa amandla ento elinganisiweyo okuqhuba umbane, nto leyo ebonisa isimbuku see-ion ezahlukeneyo.
Ngokwexabiso elimiselweyo lokuqhuba umbane, umatshini we-hemodialysis weklinikhi ukhupha izisombululo ze-A kunye ne-B ngomlinganiselo othile, wongeze inani elithile lamanzi e-reverse osmosis kumatshini we-hemodialysis, aze azixube kwi-dialysis fluid. Emva koko i-sensor yokuqhuba umbane ngaphakathi kumatshini we-hemodialysis isetyenziselwa ukujonga kunye nokunika ingxelo.
Ukuba ulwelo olungaphakathi kumatshini we-hemodialysis luthuthwa luye kwi-dialyzer ngaphakathi koluhlu olumiselweyo, ukuba ludlula uluhlu olumiselweyo, aluyi kudlula kwi-dialyzer, kodwa luza kukhutshwa ngenkqubo ye-bypass yomatshini we-hemodialysis, ngelixa i-alamu iza kukhutshwa.
Ukuchaneka kokuqhuba kombane kunxulumene ngokuthe ngqo nempembelelo yonyango kunye nokhuseleko lobomi bezigulane.
Ukuba i-conductivity iphezulu kakhulu, isigulana siya kubangela uxinzelelo lwegazi oluphezulu ngenxa yoxinzelelo olukhulu lwee-ion ze-sodium, nto leyo ebangela i-hypernatremia, nto leyo ebangela ukuphelelwa ngamanzi emzimbeni kwezigulane ngaphakathi kwiseli, ukoma, isiyezi kunye nezinye iimpawu, kunye ne-coma kwiimeko ezinzima;
Ngokwahlukileyo koko, ukuba i-conductivity ye-dialysate iphantsi kakhulu, isigulana siya kuba ne-hypotension ebangelwa yi-sodium ephantsi, isicaphucaphu, ukuhlanza, intloko ebuhlungu, i-hemolysis ebukhali, ukuphelelwa ngamandla kunye nezinye iimpawu, kwaye kwiimeko ezinzima, ukuxhuzula, i-coma kunye nokufa kunokwenzeka.
Ukuqhuba kombane kumatshini we-hemodialysis kaChengdu Wesley:
Ukubeka iliso kukhuseleko lokuqhuba umbane kabini kunye nobushushu, ukuqhubela umbane kwahlulwe kwaba yi-conductivity 1 kunye ne-conductivity 2, ubushushu bahlulwe baba yi-temperature 1 kunye nobushushu 2, inkqubo yokubeka iliso kabini iqinisekisa ukhuseleko lwe-dialysis
Ukuqhuba kwe-alamu Ukuphathwa kwempazamo kwi-hemodialysis machine:
| Unobangela onokwenzeka wokungaphumeleli | Inyathelo lokucubungula |
| 1. Ayibangelwa kukungabikho kolwelo A okanye ulwelo B | 1. Zizinzile emva kwemizuzu eli-10 kulwelo A okanye ulwelo B |
| 2. Isihluzo solwelo A okanye ulwelo B oluvaliweyo | 2.Coca okanye utshintshe isihluzi solwelo A okanye ulwelo B |
| 3. Imeko engaqhelekanga yomzila wamanzi wesixhobo | 3.Qinisekisa ukuba akukho mzimba wangaphandle ovalekayo emngxunyeni omncinci kwaye uqinisekise ukungena okuzinzileyo. |
| 4. Ukungena komoya | 4. Qinisekisa ukuba kukho umoya ongena kumbhobho we-A/B olwelo |
Ixesha lokuthumela: Agasti-19-2025




