Kuyini ukuhanjiswa kwamandla emshinini we-hemodialysis?
Incazelo yokuqhuba umshini emshinini we-hemodialysis:
Ukuqhuba komoya emshinini we-hemodialysis kusebenza njengesibonakaliso sokuqhuba komoya kagesi kwesisombululo se-dialysis, okubonisa ngokungaqondile ukugcwala kwe-electrolyte. Lapho ukuqhuba komoya ngaphakathi emshinini we-hemodialysis kudlula amazinga ajwayelekile, kuholela ekuqongeleleni kwe-sodium esixazululweni, okungabangela i-hypernatremia kanye nokuphelelwa amanzi emzimbeni kwangaphakathi kweseli ezigulini. Ngakolunye uhlangothi, lapho ukuqhuba komoya emshinini we-hemodialysis kwehla ngaphansi kwamazinga ajwayelekile, kubangela i-hyponatremia, okubonakala njengekhanda elibuhlungu, isicanucanu, ukuqina kwesifuba, umfutho wegazi ophansi, i-hemolysis, futhi ezimweni ezimbi kakhulu, ukuquleka, i-coma, noma ngisho nemiphumela ebulalayo. Umshini we-hemodialysis usebenzisa izinzwa ze-Conductivity ezihlala ziqapha imingcele yesisombululo. Uma ukufundwa kuphambuka emikhawulweni esethiwe, izixazululo ezingavamile zikhishwa ngokuzenzakalelayo nge-bypass valve emshinini we-hemodialysis.
Umshini we-hemodialysis uthembele ezinzwa ze-Conductivity ezisebenza ngalesi simiso ngokulinganisa i-conductivity yesisombululo ukuze kutholakale ngokungaqondile izakhiwo zaso zikagesi. Lapho umshini we-hemodialysis ucwiliswa esixazululweni, ama-ion ahamba ngendlela eqondiswa ngaphansi kwensimu kagesi, akhiqize i-current. Ngokubona amandla alo mshini nokuwuhlanganisa namapharamitha aziwayo njenge-electrode constants, umshini we-hemodialysis ubala i-conductivity yesisombululo.
Ukuqhuba koketshezi lwe-dialysis emshinini we-hemodialysis kunqunywa ukugcwala kwama-ion ahlukahlukene kufaka phakathi i-sodium, i-potassium, i-calcium, i-chloride, kanye ne-magnesium esixazululweni. Imishini ejwayelekile ye-hemodialysis esebenzisa i-carbonate dialysis ivame ukufaka amamojula okuqapha ukuqhubela komoya angu-2-3. Lawa mamojula aqala ngokukala ukugcwala koketshezi lwe-dialysis.Isixazululo, bese wethula ngokukhethaIsixazululo se-Bkuphela uma isixazululo se-A sihlangabezana nokuhlushwa okudingekayo. Amanani okuqhuba atholakele emshinini we-hemodialysis adluliselwa kwisekethe ye-CPU, lapho aqhathaniswa khona namapharamitha asethiwe. Lokhu kuqhathanisa kwenza kube nokulawulwa okunembile kwesistimu yokulungiselela ukugxila ngaphakathi komshini we-hemodialysis, okuqinisekisa ukuthi uketshezi lwe-dialysis luhlangabezana nazo zonke izidingo ezidingekayo.
Ukubaluleka kokuqhuba umshini emshinini we-hemodialysis:
Ukunemba kanye nokuzinza kokuhlushwa kwe-dialysate emshinini we-hemodialysis kuyisiqinisekiso sokuthi iziguli zizothola ukwelashwa okwanele kwe-dialysate. Ukuze kube nokuhlushwa okufanele kwe-dialysate emshinini we-hemodialysis, indlela yokuqapha okuqhubekayo kokuqhuba kwayo ivame ukusetshenziswa ukulawula.
Ukuqhuba amandla kagesi kumelela ikhono lento elinganisiwe lokuqhuba ugesi, okumelela inani lama-ion ahlukahlukene.
Ngokwenani elihleliwe lokuqhuba ugesi, umshini we-hemodialysis wezokwelapha ukhipha izixazululo ze-A ne-B ngesilinganiso esithile, wengeze inani eliningi lamanzi e-reverse osmosis emshinini we-hemodialysis, bese uwaxuba ku-dialysis fluid. Bese inzwa yokuqhuba ugesi engaphakathi komshini we-hemodialysis isetshenziselwa ukuqapha kanye nolwazi lokuphendula.
Uma uketshezi olungaphakathi komshini we-hemodialysis luthuthwa luye ku-dialyzer ngaphakathi kobubanzi obubekiwe, uma ludlula ububanzi obubekiwe, ngeke ludlule ku-dialyzer, kodwa luzokhishwa ngohlelo lwe-bypass lomshini we-hemodialysis, ngenkathi kuzokhishwa isignali ye-alamu.
Ukunemba kokuqhuba kukagesi kuhlobene ngqo nomphumela wokwelashwa kanye nokuphepha kokuphila kweziguli.
Uma ukuhanjiswa kwegazi kuphezulu kakhulu, isiguli sizobangela umfutho wegazi ophakeme ngenxa yokugcwala okuphezulu kwama-ion e-sodium, okuholela ekukhuleni kwe-hypernatremia, okuholela ekuphelelweni kwamanzi emzimbeni kweziguli ngaphakathi kweseli, ukoma, isiyezi nezinye izimpawu, kanye nokukhoma ezimweni ezimbi kakhulu;
Ngokuphambene nalokho, uma ukuhanjiswa kwe-dialysate kuphansi kakhulu, isiguli sizohlushwa ukwehla komfutho wegazi okubangelwa yi-sodium ephansi, isicanucanu, ukuhlanza, ikhanda elibuhlungu, ukuphuma kwegazi okukhulu, ukuphelelwa umoya nezinye izimpawu, futhi ezimweni ezimbi kakhulu, ukuxhuzula, i-coma ngisho nokufa kungase kwenzeke.
Ukuqhuba komshini we-hemodialysis kaChengdu Wesley:
Ukuqapha ukuphepha kokuqhuba kanye nokushisa okuphindwe kabili, ukuqondisa kuhlukaniswe ngokuqondisa 1 kanye nokuqondisa 2, izinga lokushisa lihlukaniswe ngokulinganisa 1 kanye nokulinganisa 2, uhlelo lokuqapha oluphindwe kabili luqinisekisa ukuphepha kwe-dialysis
Ukuphathwa kwephutha le-alamu emshinini we-hemodialysis:
| Imbangela engaba khona yokwehluleka | Isinyathelo sokucubungula |
| 1. Kubangelwa ukungabi khona koketshezi A noma uketshezi B | 1. Izinzile ngemva kwemizuzu eyi-10 ku-A noma ku-B |
| 2. Isihlungi se-liquid A noma i-liquid B sivaliwe | 2. Hlanza noma shintsha isihlungi se-liquid A noma i-liquid B |
| 3. Isimo esingavamile somzila wamanzi wedivayisi | 3.Qinisekisa ukuthi akukho mzimba wangaphandle ovalekile emgodini omncane bese uqinisekisa ukungena okuqhubekayo. |
| 4. Ukungena komoya | 4. Qiniseka ukuthi kukhona umoya ongena epayipini le-A/B eliwuketshezi |
Isikhathi sokuthunyelwe: Agasti-19-2025
