Impuphu ye-Acid Hemodialysis
Izakhi eziyisisekelo zempuphu ye-hemodialysis yilezi: i-sodium, i-potassium, i-calcium, i-magnesium, i-chlorine, i-acetate kanye ne-bicarbonate. Ngezinye izikhathi i-glucose ingangezwa ngokwezidingo. Ukugxila kwezakhi ezahlukene akuhlali njalo, futhi kukhona nomehluko emazingeni e-potassium kanye ne-calcium. Kungalungiswa ngokwezinga le-electrolyte ye-plasma kanye nezimpawu zemitholampilo zeziguli ngesikhathi se-dialysis.
Inzuzo
Impuphu ye-hemodialysis ishibhile futhi kulula ukuyithutha. Ingasetshenziswa kanye ne-potassium/calcium/glucose eyengeziwe kuye ngezidingo zeziguli.
Imininingwane
1172.8g/isikhwama/isiguli
2345.5g/isikhwama/iziguli ezimbili
11728g/isikhwama/iziguli eziyi-10
Isaziso: singenza futhi umkhiqizo nge-potassium ephezulu, i-calcium ephezulu kanye ne-glucose ephezulu
Igama: I-Haemodialysis Powder A
Isilinganiso sokuxuba: A:B: H2O=1:1.225:32.775
Ukusebenza: Okuqukethwe ngeLitha (into engenamanzi).
I-NaCl: 210.7g KCl: 5.22g CaCl2: 5.825g MgCl2: 1.666g citric acid: 6.72g
Lo mkhiqizo uyinto ekhethekile esetshenziselwa ukulungiselela i-hamodialysis dialysate enomsebenzi wayo ukususa imfucuza ye-metabolic kanye nokugcina ibhalansi yamanzi, i-electrolyte kanye ne-acid-base yi-dialyser.
Incazelo: i-white crystalline powder noma ama-granules
Ukusetshenziswa: I-concentrate eyenziwe nge-hemodialysis powder matching nomshini we-hemodialysis ifaneleka kwi-hemodialysis.
Imininingwane: 2345.5g/abantu ababili/isikhwama
Isilinganiso: isikhwama esi-1/ iziguli ezimbili
Ukusetshenziswa: Sebenzisa isikhwama esingu-1 sempuphu u-A, ufake emthanjeni wokugaya, engeza u-10L woketshezi lwe-dialysis, uvuselele kuze kuncibilike ngokuphelele, lokhu kuwuketshezi u-A.
Sebenzisa ngokwezinga lokuncibilikisa le-dialyser enophawuda B kanye noketshezi lwe-dialysis.
Izinyathelo zokuzivikela:
Lo mkhiqizo awusiwo owokujova, akufanele uphuzwe ngomlomo noma nge-peritoneal dialysis, sicela ufunde incwadi kadokotela ngaphambi kokusebenzisa i-dialysis.
I-Powder A kanye ne-Powder B azikwazi ukusetshenziswa zodwa, kufanele zincibilike zodwa ngaphambi kokusetshenziswa.
Lo mkhiqizo awukwazi ukusetshenziswa njengoketshezi lokufuduka.
Funda umhlahlandlela womsebenzisi we-dialyser, qinisekisa inombolo yemodeli, inani le-PH kanye nokwakheka ngaphambi kwe-dialysis.
Hlola ukuhlushwa kwe-ionic kanye nosuku lokuphelelwa yisikhathi ngaphambi kokusebenzisa.
Ungayisebenzisi uma kwenzeka umonakalo kumkhiqizo, sebenzisa ngokushesha uma uvulwa.
Uketshezi lwe-Dialysis kumele luhambisane ne-YY0572-2005 hemodialysis kanye nezindinganiso zamanzi okwelapha ezifanele.
Indawo Yokugcina: Indawo yokugcina evaliwe, egwema ukukhanya kwelanga okuqondile, umoya omuhle kanye nokugwema ukubanda, akufanele igcinwe nezinto ezinobuthi, ezingcolile nezinuka kabi.
Ama-endotoxin amagciwane: Umkhiqizo uxutshwa ukuze uhlanjululwe ngamanzi okuhlola i-endotoxin, ama-endotoxin amagciwane akufanele abe ngaphezu kuka-0.5EU/ml.
Izinhlayiya ezingancibiliki: Umkhiqizo uxutshwa ukuze u-dialysate, okuqukethwe yizinhlayiya ngemva kokususa i-solvent: ≥izinhlayiya eziyi-10um akufanele zibe ngaphezu kwama-25's/ml; ≥izinhlayiya ezingama-25um akufanele zibe ngaphezu kwama-3's/ml.
Ukulinganiselwa kwamagciwane: Ngokwesilinganiso sokuxuba, inani lamagciwane ku-concentrate akufanele libe ngaphezu kuka-100CFU/ml, inani lesikhunta akufanele libe ngaphezu kuka-10CFU/ml, i-Escherichia coli akufanele itholakale.
Ingxenye e-1 yempuphu A exutshwe yizingxenye ezingama-34 zamanzi e-dialysis, ukuhlushwa kwe-ionic kungu:
| Okuqukethwe | Na+ | K+ | I-Ca2+ | mg2+ | I-Cl- |
| Ukugxila (mmol/L) | 103.0 | 2.00 | 1.50 | 0.50 | 109.5 |
Ukuhlushwa kokugcina kwe-Ionic koketshezi lwe-dialysis uma usebenzisa:
| Okuqukethwe | Na+ | K+ | I-Ca2+ | mg2+ | I-Cl- | I-HCO3- |
| Ukugxila (mmol/L) | 138.0 | 2.00 | 1.50 | 0.50 | 109.5 | 32.0 |
Inani le-PH: 7.0-7.6
Inani le-PH kulo myalelo liwumphumela wokuhlolwa kwelebhu, ukuze kusetshenziswe emtholampilo sicela ulungise inani le-PH ngokwenqubo yokusebenza ejwayelekile yokuhlanza igazi.
Usuku Lokuphelelwa Yisikhathi: Izinyanga eziyi-12
