Ifu ya aside hemodialysis
Ibice by'ibanze bya ifu ya hemodialysis ni: sodium, potasiyumu, kalisiyumu, manyeziyumu, chlorine, acetate na bicarbonate. Hari igihe isukari ishobora kongerwamo bitewe n'ibikenewe. Ingano y'ibice bitandukanye ntabwo ihinduka, kandi hari itandukaniro mu rugero rwa potasiyumu na kalisiyumu. Ishobora guhindurwa hakurikijwe urugero rwa electrolyte mu maraso n'ibimenyetso by'uburwayi by'abarwayi mu gihe cyo gusukura.
Akamaro
Ifu ya hemodialysis irahendutse kandi yoroshye kuyitwara. Ishobora gukoreshwa hamwe na potasiyumu/calcium/glucose yiyongereyeho bitewe n'ibyo abarwayi bakeneye.
Ibisobanuro
1172.8g/umufuka/umurwayi
2345.5g/umufuka/abarwayi 2
11728g/umufuka/abarwayi 10
Icyitonderwa: dushobora kandi gukora umusaruro urimo potasiyumu nyinshi, kalisiyumu nyinshi na glucose nyinshi
Izina: Ifu ya hemodialysis A
Igipimo cyo kuvanga: A:B: H2O=1:1.225:32.775
Imikorere: Ibikubiye muri Litiro imwe (ikintu kidafite amazi).
NaCl: 210.7g KCl: 5.22g CaCl2: 5.825g MgCl2: 1.666g aside citric: 6.72g
Iki gicuruzwa ni ibikoresho byihariye bikoreshwa mu gutegura dialysate ya haemodialysis, akazi kayo ari ugukuraho imyanda ya metabolike no kubungabunga uburinganire bw'amazi, electrolyte na aside hakoreshejwe dialyser.
Ibisobanuro: ifu y'umweru cyangwa utubumbe
Imikoreshereze: Ifu ya hemodialysis ikoreshwa mu gupima ifu ...
Ibisobanuro: 2345.5g/umuntu 2/igikapu
Igipimo: Igikapu 1/ abarwayi 2
Ikoreshwa: Ukoresheje agafuka 1 k'ifu A, shyira mu muyoboro w'amazi utera umwuka, ongeramo 10L y'amazi ya dialysis, uvange kugeza ashonge neza, aya ni amazi A.
Koresha ukurikije igipimo cyo gushonga kwa dialyser hamwe n'ifu ya B n'amazi ya dialyse.
Amabwiriza yo kwirinda:
Uyu muti ntabwo ari uwo guterwa inshinge, ntugomba gufatwa mu kanwa cyangwa mu gusukura peritoneal, nyamuneka soma amabwiriza ya muganga mbere yo gusukura peritoneal.
Ifu A na Ifu B ntibishobora gukoreshwa byonyine, bigomba gushonga ukwabyo mbere yo kubikoresha.
Iki gicuruzwa ntigishobora gukoreshwa nk'amazi yo kwimura.
Soma ubuyobozi bw'umukoresha wa dialyseur, wemeze inomero y'icyitegererezo, agaciro ka PH n'uburyo bwo kuyikoresha mbere yo kuyikoresha.
Reba ingano ya iyoni n'itariki izarangiriraho mbere yo kuyikoresha.
Ntukayikoreshe igihe hari icyangiritse ku gicuruzwa, koresha ako kanya ugifungura.
Amazi yo mu bwoko bwa dialysis agomba kubahiriza amabwiriza agenga hemodialysis ya YY0572-2005 n'amazi yo kuvura ajyanye nayo.
Kubika: Kubika bifunze neza, birinda izuba ryinshi, guhumeka neza no kwirinda gukonjesha, ntibigomba kubikwa hamwe n'ibintu bifite uburozi, byanduye kandi bifite impumuro mbi.
Uburozi bw’uturemangingo bwa bagiteri: Umuti uvangwa mu mazi apima uburozi bw’uturemangingo, uburozi bw’uturemangingo bwa bagiteri ntibugomba kurenza 0.5EU/ml.
Uduce tudashonga: Umuti uvangwa mu buryo bwa dialysate, ingano y'uduce nyuma yo gukuramo umuti: ≥10um utuntu ntitugomba kurenza 25's/ml; ≥25um utuntu ntitugomba kurenza 3's/ml.
Imiterere y'udukoko: Dukurikije uburyo bagiteri zivanze, umubare wa bagiteri mu gice cy'amazi ntugomba kurenza 100CFU/ml, umubare w'udukoko ntugomba kurenza 10CFU/ml, Escherichia coli ntugomba kumenyekana.
Igice 1 cy'ifu. Igice 34 cy'amazi ya dialyse cyavanzwe, ingano ya ionic ni:
| Ibikubiyemo | Na+ | K+ | Ca2+ | mg2+ | Cl- |
| Igipimo cy'umuvuduko (mmol/L) | 103.0 | 2.00 | 1.50 | 0.50 | 109.5 |
Igipimo cya nyuma cya Ionic cy'amazi ya dialyse mu gihe ukoresha:
| Ibikubiyemo | Na+ | K+ | Ca2+ | mg2+ | Cl- | HCO3- |
| Igipimo cy'umuvuduko (mmol/L) | 138.0 | 2.00 | 1.50 | 0.50 | 109.5 | 32.0 |
Agaciro ka PH: 7.0-7.6
Agaciro ka PH muri aya mabwiriza ni ibisubizo by'ibizamini bya laboratwari, kugira ngo bikoreshwe mu buvuzi nyamuneka hindura agaciro ka PH hakurikijwe uburyo busanzwe bwo gukora dialyse y'amaraso.
Itariki izarangiriraho: amezi 12
