Dialyzer irashobora gukoreshwa mukuvura Hemodialyse?

Dialyzer, ikoreshwa cyane mu kuvura impyiko, ikoresha ihame rya kimwe cya kabiri cyinjira mu kwinjiza amaraso y’abarwayi bananirwa impyiko na dialyse muri dialyzer icyarimwe, kandi bigatuma byombi bitemba mu cyerekezo gitandukanye ku mpande zombi. dialyse membrane, hamwe nubufasha bwimpande zombi ikemura gradient, osmotic gradient, na hydraulic pressure gradient. Ubu buryo bwo gutatanya bushobora kuvana uburozi n’amazi menshi mu mubiri mugihe wuzuza ibintu umubiri ukeneye kandi bikagumana uburinganire bwa electrolytite na aside-ishingiro.

Dialyzers igizwe ahanini nuburyo bwo gushyigikira hamwe na dialyse membrane. Ubwoko bwa fibre fibre ikoreshwa cyane mubikorwa byubuvuzi. Hémodialysers zimwe zagenewe gukoreshwa, hamwe nubwubatsi bwihariye nibikoresho bishobora kwihanganira isuku nyinshi hamwe na sterisizasiyo. Hagati aho, ikoreshwa rya dialyse igomba gutabwa nyuma yo gukoreshwa kandi ntishobora gukoreshwa. Ariko, habaye impaka no kwitiranya niba dialyzers igomba kongera gukoreshwa. Tuzasesengura iki kibazo tunatanga ibisobanuro hepfo aha.

Ibyiza nibibi byo kongera gukoresha dialyzer

(1) Kuraho syndrome ya mbere yo gukoresha.
Nubwo ibintu byinshi bitera syndrome ya mbere-ikoreshwa, nka disinfantant ya okiside ya Ethylene, ibikoresho bya membrane, cytokine iterwa no guhuza amaraso na dialyse membrane, nibindi, uko byagenda kose, amahirwe yo kubaho azagabanuka bitewe Kuri Gusubiramo inshuro nyinshi ya dialyzer.

(2) Kunoza bio-ihuza ya dialyzer no kugabanya imikorere ya sisitemu yumubiri.
Nyuma yo gukoresha dialyzer, urwego rwa poroteyine rwometse hejuru yimbere yimbere, rushobora kugabanya reaction ya firime yamaraso iterwa na dialyse itaha, kandi ikagabanya ibikorwa byuzuzanya, neutrophil degranulation, lymphocyte, gukora microglobuline, no kurekura cytokine. .

(3) Ingaruka yikigereranyo.
Igipimo cyo gukuraho creinine na urea ntigabanuka. Kongera gukoresha dialyse yandujwe na formaline na sodium hypochlorite yongeweho birashobora kwemeza ko igipimo cy’ibicuruzwa by’ibintu bito n'ibiciriritse (Vital12 na inuline) bidahinduka.

(4) Kugabanya ibiciro bya hemodialyse.
Ntagushidikanya ko kongera gukoresha dialyzer bishobora kugabanya amafaranga yubuvuzi kubarwayi bananirwa nimpyiko kandi bigatanga uburyo bwiza ariko buhenze bwa hemodialyzeri
Mugihe kimwe, ibitagenda neza bya dialyzer byongeye kugaragara.

(1) Imyitwarire mibi yangiza
Kwanduza aside Peracetike bizatera gutandukana no kubora kwa dialyse ya dialyse, kandi binakureho poroteyine zagumishijwe muri membrane kubera gukoreshwa inshuro nyinshi, byongerera amahirwe yo kuzuzanya. Kwanduza formaline birashobora gutera Anti-N-antibody na allergie y'uruhu kubarwayi

(2) Ongera amahirwe ya bagiteri na endotoxine yanduza dialyzer kandi byongere ibyago byo kwandura

(3) Imikorere ya dialyzer iragerwaho.
Nyuma ya dialyzer imaze gukoreshwa inshuro nyinshi, kubera poroteyine hamwe nuduce twamaraso tubuza fibre fibre, ahantu heza haragabanuka, kandi igipimo cyo gukuraho nigipimo cya ultrafiltration kizagenda kigabanuka buhoro buhoro. Uburyo busanzwe bwo gupima fibre bundle ya dialyzer ni ukubara igiteranyo cyuzuye cya fibre bundle lumens muri dialyzer. Niba igipimo cyubushobozi bwose hamwe nikirangantego-gishya cya dialyzer kiri munsi ya 80%, dialyzer ntishobora gukoreshwa.

(4) Ongera amahirwe y'abarwayi n'abakozi bo kwa muganga bahura na reagent ya chimique.
Ukurikije isesengura ryavuzwe haruguru, gusukura no kwanduza indwara birashobora kuzuza amakosa yo kongera gukoresha dialyse ku rugero runaka. Dializer irashobora gukoreshwa gusa nyuma yuburyo bukomeye bwo gukora isuku no kuyanduza no gutsinda ibizamini kugirango hatabaho guturika cyangwa guhagarara imbere. Bitandukanye no gusubiramo intoki gakondo, gukoresha imashini zitunganya imashini ya dialyzer itangiza inzira zisanzwe mubikorwa bya dialyzer kugirango bigabanye amakosa mubikorwa byintoki. Imashini irashobora guhita yoza, kuyanduza, kwipimisha, no kuyitera, ukurikije uburyo hamwe nibipimo, kugirango inoze ingaruka zo kuvura dialyse, mugihe umutekano wabarwayi nisuku.