Iziqondiso Zokucubungula Kabusha Ama-Hemodialyzer
Inqubo yokusebenzisa kabusha i-hemodialyzer yegazi esetshenzisiwe, ngemva kochungechunge lwezinqubo, njengokuhlanza, ukuhlanza, kanye nokubulala amagciwane ukuze kuhlangatshezwane nezidingo ezibekiwe, yokwelashwa kwe-dialysis kwesiguli esifanayo ibizwa ngokuthi i-hemodialyzer reuse.
Ngenxa yezingozi ezingaba khona ezihilelekile ekucutshungulweni kabusha, okungaba yingozi kwezokuphepha ezigulini, kunemithetho eqinile yokusebenza yokusebenzisa kabusha ama-hemodialyzer egazi. Abasebenzi kumele baqeqeshwe kahle futhi balandele iziqondiso zokusebenza ngesikhathi sokucubungula kabusha.
Uhlelo Lokwelapha Amanzi
Ukucubungula kabusha kumele kusetshenziswe amanzi abuyela emuva e-osmosis, okumele ahlangabezane nezindinganiso zebhayoloji zekhwalithi yamanzi futhi ahlangabezane nesidingo samanzi semishini esebenza ngesikhathi sokusebenza okuphezulu. Izinga lokungcola okubangelwa amabhaktheriya nama-endotoxin emanzini e-RO kufanele lihlolwe njalo. Ukuhlolwa kwamanzi kufanele kwenziwe endaweni noma eduze nendawo ephakathi kwe-dialyzer yegazi kanye nesistimu yokucubungula kabusha. Izinga lamabhaktheriya alikwazi ukuba ngaphezu kuka-200 CFU/ml, ngomkhawulo wokungenelela ongu-50 CFU/ml; izinga le-endotoxin alikwazi ukuba ngaphezu kuka-2 EU/ml, ngomkhawulo wokungenelela ongu-1 EU/ml. Lapho umkhawulo wokungenelela usufinyelelwe, ukusetshenziswa okuqhubekayo kwesistimu yokwelapha amanzi kuyamukeleka. Kodwa-ke, kufanele kuthathwe izinyathelo (njengokubulala amagciwane ohlelweni lokwelapha amanzi) ukuvimbela ukungcola okwengeziwe. Ukuhlolwa kwekhwalithi yamanzi ngebhaktheriya kanye ne-endotoxin kufanele kwenziwe kanye ngesonto, futhi ngemva kokuhlolwa okubili okulandelanayo kuhlangabezana nezidingo, ukuhlolwa kwamabhaktheriya kufanele kwenziwe njalo ngenyanga, futhi ukuhlolwa kwe-endotoxin kufanele kwenziwe okungenani kanye njalo ezinyangeni ezi-3.
Uhlelo Lokucubungula Kabusha
Umshini wokucubungula kabusha kumele uqinisekise imisebenzi elandelayo: ukubeka i-dialyzer esimweni sokuhluza okuphambene ukuze kuhlanjululwe ngokuphindaphindiwe igumbi 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 ezintathu kunomthamo wegumbi legazi, bese ugcwalisa i-dialyzer ngesisombululo sokubulala amagciwane esisebenzayo.
Umshini wokucubungula kabusha i-dialyzer kaWesley--imodi i-W-F168-A/B uwumshini wokuqala wokucubungula kabusha i-dialyzer ozenzakalelayo emhlabeni, onezinhlelo zokuhlanza, zokuhlanza, zokuhlola, nezokuhlanza ngokuzenzakalelayo, ezingaqeda ukuhlanza i-dialyzer, ukubulala amagciwane e-dialyzer, ukuhlola, kanye nokufaka i-infusion cishe ngemizuzu eyi-12, zihlangabezane ngokugcwele nezindinganiso zokusebenzisa kabusha i-dialyzer, futhi ziphrinte umphumela wokuhlolwa kwe-TCV(Total Cell Volume). Umshini wokucubungula kabusha i-dialyzer ozenzakalelayo wenza umsebenzi wabasebenza futhi uqinisekisa ukuphepha nokusebenza kahle kwe-dialyzer yegazi esetshenziswe kabusha.
I-W-F168-B
Ukuvikelwa Komuntu Siqu
Wonke umsebenzi ongase athinte igazi lesiguli kufanele athathe izinyathelo zokuphepha. Ekucubungulweni kabusha kwe-dialyzer, abaqhubi kufanele bagqoke amagilavu okuzivikela kanye nezingubo futhi balandele amazinga okuvimbela ukutheleleka. Lapho behlanganyela enkambisweni yobuthi noma isixazululo esaziwayo noma esingaba khona, abaqhubi kufanele bagqoke imaski kanye nemishini yokuphefumula.
Egumbini lokusebenza, kufanele kubekwe impompi yamanzi okuhlanza amehlo ngokushesha ukuqinisekisa ukuthi ukuhlanza kusebenza kahle futhi ngesikhathi esifanele uma isisebenzi silimele ngenxa yokufafazwa kwezinto zamakhemikhali.
Isidingo Sokucubungula Kabusha Ama-Dialyzer Egazi
Ngemva kokuhlanza igazi, i-dialyzer kufanele ithuthwe endaweni ehlanzekile futhi iphathwe ngokushesha. Uma kwenzeka izimo ezikhethekile, ama-hemodialyzer egazi angelashwa emahoreni ama-2 angafakwa efrijini ngemva kokuhlanza igazi, futhi izinqubo zokubulala amagciwane kanye nokubulala amagciwane ze-dialyzer yegazi kumele ziqedwe emahoreni angama-24.
●Ukuhlanza nokuhlanza: Sebenzisa amanzi ajwayelekile e-RO ukuhlanza nokuhlanza igazi kanye negumbi le-dialysate le-hemodialyzer yegazi, okuhlanganisa nokuhlanza emuva. I-hydrogen peroxide exutshwe, i-sodium hypochlorite, i-peracetic acid, kanye nezinye izinto ezisetshenziswa ngamakhemikhali zingasetshenziswa njengezinto zokuhlanza ze-dialyzer. Kodwa, ngaphambi kokufaka ikhemikhali, ikhemikhali yangaphambilini kumele isuswe. I-sodium hypochlorite kufanele isuswe esixazululweni sokuhlanza ngaphambi kokufaka i-formalin futhi ingaxutshwa ne-peracetic acid.
●Ukuhlolwa kwe-TCV kwe-dialyzer: I-TCV ye-dialyzer yegazi kufanele ibe ngaphezu noma ilingane no-80% we-TCV yokuqala ngemva kokucutshungulwa kabusha.
●Ukuhlolwa kobuqotho be-membrane ye-Dialysis: Ukuhlolwa kokuqhekeka kwe-membrane, njengokuhlolwa komfutho womoya, kufanele kwenziwe lapho kucutshungulwa kabusha i-hemodialyzer yegazi.
●Ukubulala amagciwane kanye nokubulala amagciwane nge-Dialyzer: I-hemodialyzer yegazi ehlanziwe kumele ihlanzwe amagciwane ukuze kuvinjelwe ukungcoliswa kwamagciwane. Kokubili igumbi legazi kanye negumbi le-dialysate kumele kube yizinhlayiya noma kube sesimweni sokubulala amagciwane kakhulu, futhi i-dialyzer kufanele igcwaliswe ngesisombululo sokubulala amagciwane, lapho ukuhlushwa kufinyelela okungenani ku-90% womthetho. Ukungena kwegazi kanye nokukhipha kanye nokungena kwe-dialysate kanye nokukhipha kwe-dialysate kufanele kuhlanzwe amagciwane bese kuvalwa ngezivalo ezintsha noma ezihlanzwe amagciwane.
●Ukwelashwa kwegobolondo le-dialyzer: Isixazululo sokubulala amagciwane esinokugxila okuphansi (njenge-0.05% sodium hypochlorite) esilungiselelwe izinto zegobolondo kufanele sisetshenziswe ukucwilisa noma ukuhlanza igazi nokungcola egobolondo.
●Isitoreji: Ama-dialyzer acutshunguliwe kufanele agcinwe endaweni ekhethiwe ukuze ahlukaniswe nama-dialyzer angacutshunguliwe uma kwenzeka ukungcola kanye nokusetshenziswa kabi.
Ukuhlola Ukubukeka Kwangaphandle Ngemva Kokucubungula Kabusha
(1) Akukho gazi noma elinye ibala ngaphandle
(2) Akukho ukugoba egobolondweni kanye nomgodi wegazi noma i-dialysate
(3) Akukho ukujiya kanye ne-fibre emnyama ebusweni be-fibre engenalutho
(4) Akukho ukujiya kwama-terminal amabili e-dialyzer fiber
(5) Faka izivalo endaweni yokungena neyokuphuma kwegazi bese ufaka i-dialysate futhi uqiniseke ukuthi akukho ukuvuza komoya.
(6) Ilebula lolwazi lwesiguli kanye nolwazi lokucubungula kabusha i-dialyzer lilungile futhi licacile.
Ukulungiselela Ngaphambi Koku-Dialysis Okulandelayo
●Hlanza isibulali-magciwane: i-dialyzer kumele igcwaliswe futhi ihlanzwe ngokwanele nge-saline evamile ngaphambi kokusebenzisa.
●Ukuhlolwa kwezinsalela zokubulala amagciwane: izinga lokubulala amagciwane elisele ku-dialyzer: i-formalin <5 ppm (5 μg/L), i-peracetic acid <1 ppm (1 μg/L), i-Renalin <3 ppm (3 μg/L)
Isikhathi sokuthunyelwe: Agasti-26-2024
