Imihlahlandlela Yokucutshungulwa Kabusha kwama-Hemodialyzer
Inqubo yokusebenzisa kabusha i-hemodialyzer yegazi esetshenzisiwe, ngemva kochungechunge lwezinqubo, njengokuwasha, ukuhlanza, nokubulala amagciwane ukuze kuhlangatshezwane nezidingo ezishiwo, ukuze ukwelashwa kwe-dialysis kwesiguli esifanayo kubizwe ngokuthi ukusetshenziswa kabusha kwe-hemodialyzer.
Ngenxa yezingozi ezingaba khona ezihilelekile ekucutshungulweni kabusha, okungase kube izingozi zokuphepha ezigulini, kunemithetho eqinile yokusebenza yokuphinda kusetshenziswe ama-hemodialyzers egazi. Abasebenzisi kufanele baqeqeshwe ngokugcwele futhi balandele imihlahlandlela yokusebenza ngesikhathi sokucutshungulwa kabusha.
Uhlelo Lokwelapha Amanzi
Ukucubungula kabusha kufanele kusebenzise amanzi e-osmosis ahlehlayo, okumele ahlangabezane nezindinganiso zebhayoloji zekhwalithi yamanzi futhi ahlangabezane nesidingo samanzi sezinto zokusebenza ezisebenza ngesikhathi sokusebenza okuphezulu. Izinga lokungcola okubangelwa amagciwane kanye nama-endotoxins emanzini e-RO kufanele kuhlolwe njalo. Ukuhlolwa kwamanzi kufanele kwenziwe endaweni noma eduze kwelunga eliphakathi kwe-dialyzer yegazi kanye nesistimu yokucubungula kabusha. Izinga lebhaktheriya alikwazi ukuba ngaphezu kwe-200 CFU/ml, ngomkhawulo wokungenelela we-50 CFU/ml; izinga le-endotoxin alikwazi ukuba ngaphezu kuka-2 EU/ml, ngomkhawulo wokungenela ongu-1 EU/ml. Lapho umkhawulo wokungenelela ufinyelelwa, ukusetshenziswa okuqhubekayo kohlelo lokuhlanza amanzi kuyamukeleka. Kodwa-ke, izinyathelo kufanele zithathwe (njengokubulala amagciwane ohlelweni lokuhlanza amanzi) ukuvimbela ukungcoliswa okwengeziwe. Ukuhlolwa kwekhwalithi yamanzi kanye ne-endotoxin kufanele kwenziwe kanye ngesonto, futhi ngemva kokuhlolwa okubili okulandelanayo kuhlangabezana nezidingo, ukuhlolwa kwe-bacteriological kufanele kwenziwe nyanga zonke, futhi ukuhlolwa kwe-endotoxin kufanele kwenziwe okungenani kanye ezinyangeni ezi-3.
Icubungula kabusha Isistimu
Umshini wokucubungula kabusha kufanele uqinisekise imisebenzi elandelayo: ukubeka i-dialyzer esimweni sokuhlehla sokuhlunga ukuze kuhlanjululwe ngokuphindaphindiwe kwegumbi legazi kanye negumbi le-dialysate; ukwenza ukuhlolwa kokusebenza kanye nobuqotho be-membrane ku-dialyzer; ukuhlanza igumbi legazi kanye negumbi le-dialysate ngesisombululo sokubulala amagciwane okungenani izikhathi ezi-3 kunomthamo wegumbi legazi, bese ugcwalisa i-dialyzer ngesisombululo esisebenzayo sokubulala amagciwane.
Umshini ka-Wesley wokucubungula kabusha umshini wokudayela--imodi i-W-F168-A/B umshini wokuqala osebenza ngokuzenzakalelayo wokudayela kabusha isidayalyza emhlabeni, onezinhlelo zokuwasha, ezihlanzekile, zokuhlola, nezihlukumezayo, ezingaqedela ukugungiswa kwe-dialyzer, ukukhishwa kwe-dialyzer, ukuhlolwa, kanye nokufakwa emizuzwini eyi-12, ukuhlangabezana ngokugcwele namazinga okusetshenziswa kabusha kwe-dialyzer, bese uphrinta i-TCV(Total Cell Volume) umphumela wokuhlolwa uphumile. Umshini ozenzakalelayo wokucutshungulwa kabusha kwe-dialyzer wenza umsebenzi wabasebenza ube lula futhi uqinisekisa ukuphepha nokusebenza kahle kwama-dialyzer egazi aphinde asetshenziswa.
I-W-F168-B
Ukuvikelwa Komuntu Siqu
Wonke umsebenzi ongase athinte igazi leziguli kufanele athathe izinyathelo zokuphepha. Ekucutshungulweni kabusha kwe-dialyzer, opharetha kufanele bagqoke amagilavu okuvikela nezingubo futhi bathobele izindinganiso zokuvimbela ukulawulwa kokutheleleka. Lapho benza inqubo yobuthi obaziwayo noma obungabazekayo noma isixazululo, opharetha kufanele bagqoke imaski nezinsimbi zokuphefumula.
Egunjini lokusebenza, umpompi wamanzi ogeza amehlo ophuthumayo uzosethwa ukuze kuqinisekiswe ukugeza okusebenzayo futhi okufika ngesikhathi uma isisebenzi silinyazwa ngokufafazwa kwempahla yamakhemikhali.
Imfuneko Yezidayalyza Zegazi Zokucubungula kabusha
Ngemuva kwe-dialysis, i-dialyzer kufanele ihanjiswe endaweni ehlanzekile futhi iphathwe ngokushesha. Ezimweni ezikhethekile, ama-hemodialyzer egazi angelashwa emahoreni ama-2 angafakwa esiqandisini ngemuva kokuwasha, futhi inqubo yokubulala amagciwane kanye nenqubo yokuvala inzalo ye-dialyzer yegazi kufanele iphele emahoreni angama-24.
●Ukugeza nokuhlanza: Sebenzisa amanzi ajwayelekile e-RO ukuze ugeze futhi uhlanze igazi negumbi le-dialysate le-hemodialyzer yegazi, okuhlanganisa nokugezwa ngemuva. I-hydrogen peroxide ehlanjululwe, i-sodium hypochlorite, i-peracetic acid, namanye ama-reagents amakhemikhali angasetshenziswa njengama-ejenti okuhlanza e-dialyzer. Kodwa, ngaphambi kokwengeza ikhemikhali, ikhemikhali yangaphambilini kufanele isuswe. I-sodium hypochlorite kufanele ikhishwe kwisisombululo sokuhlanza ngaphambi kokwengeza i-formalin futhi ingaxutshwa ne-peracetic acid.
● Ukuhlolwa kwe-TCV ye-dialyzer: I-TCV ye-dialyzer yegazi kufanele ibe nkulu noma ilingane no-80% we-TCV yasekuqaleni ngemva kokucubungula kabusha.
● Ukuhlolwa kobuqotho kolwelwesi lwe-dialysis: Ukuhlolwa kokugqabuka kolwelwesi, olufana nokuhlolwa komfutho womoya, kufanele kwenziwe lapho kucutshungulwa kabusha i-hemodialyzer yegazi.
● Ukukhipha amagciwane nge-Dialyzer nokuvalwa inzalo: I-hemodialyzer yegazi elihlanziwe kufanele ibulawe amagciwane ukuze kuvinjelwe ukungcoliswa kwamagciwane. Kokubili igumbi legazi kanye negumbi le-dialysate kumele kube yinyumba noma kungabi sesimweni sokubulawa amagciwane, futhi i-dialyzer kufanele igcwaliswe ngesisombululo sokubulala amagciwane, futhi ukugxila kufinyelele okungenani ku-90% womthethonqubo. Indawo yokukhipha igazi kanye ne-dialysate ne-outlet ye-dialyzer kufanele ibulawe amagciwane bese imbozwa ngamakepisi amasha noma afakwe isibulala-magciwane.
●Igobolondo lokwelashwa kwe-dialyzer: Ikhambi lesibulala-magciwane eline-concentration ephansi (njenge-0.05% sodium hypochlorite) eliguqulelwe ezintweni zegobolondo kufanele lisetshenziswe ukucwilisa noma ukuhlanza igazi nokungcola egobolondweni.
●Isitoreji: Ama-dialyzer acutshunguliwe kufanele agcinwe endaweni ekhethiwe ukuze ahlukaniswe nama-dialyzer angakacutshungulwa uma kwenzeka ukungcola nokusetshenziswa kabi.
Ukuhlola Ukubukeka Kwangaphandle ngemva Kokucubungula Kabusha
(1) Alikho igazi noma elinye ibala ngaphandle
(2) Akukho cranny kugobolondo kanye port of igazi noma dialysate
(3) Akukho ukujiyisa kanye nemicu emnyama ebusweni bomucu ongenalutho
(4) Akukho ukujiyisa ematheminali amabili e-dialyzer fiber
(5) Thatha amakepisi endaweni yokungena nokuphuma kwegazi bese udayalysate futhi uqiniseke ukuthi akukho kuvuza komoya.
(6) Ilebula yolwazi lwesiguli kanye nolwazi lokucutshungulwa kabusha kwe-dialyzer ilungile futhi icacile.
Ukulungiselela ngaphambi kwe-Next Dialysis
●Geza isibulala-magciwane: i-dialyzer kufanele igcwaliswe futhi igezwe ngokwanele ngosawoti ovamile ngaphambi kokusetshenziswa.
● Ukuhlolwa kwezinsalela zesibulala-magciwane: ileveli yesibulala-magciwane esiyinsalela ku-dialyzer: formalin <5 ppm (5 μg/L), i-peracetic acid <1 ppm (1 μg/L), i-Renalin <3 ppm (3 μg/L)
Isikhathi sokuthumela: Aug-26-2024