Ese Dialyzer ishobora kongera gukoreshwa mu kuvura hemodialysis?
Dialyzer, ikoreshwa cyane mu kuvura impyiko, ikoresha ihame ry’urukiramende rushobora kwinjiramo amaraso mu barwayi bafite ikibazo cy’impyiko no kuyashyira mu cyuma gishyushya icyarimwe, kandi bigatuma byombi binyura mu byerekezo bitandukanye ku mpande zombi z’urukiramende rushyushya, hifashishijwe uburyo impande zombi zikoresha ubushyuhe, ubushyuhe bwa osmotic, n’ubushyuhe bwa hydraulic. Ubu buryo bwo gukwirakwiza bushobora gukuraho uburozi n’amazi menshi mu mubiri mu gihe bukongera kuzuza ibintu umubiri ukeneye no kubungabunga uburinganire bwa electrolytes na aside-base.
Dialyzer zigizwe ahanini n'inyubako zishyigikira na dialyzer. Ubwoko bw'imigozi idafite ububobere ni bwo bukoreshwa cyane mu buvuzi. Hari hemodialyzer zimwe na zimwe zagenewe kongera gukoreshwa, zifite ubwubatsi bwihariye n'ibikoresho bishobora kwihanganira gusukurwa kenshi no gusukurwa burundu. Hagati aho, dialyzer zigomba gutabwa nyuma yo gukoreshwa kandi ntizishobora kongera gukoreshwa. Ariko, habayeho impaka n'urujijo ku bijyanye no kumenya niba dialyzer zikwiye kongera gukoreshwa. Tuzasuzuma iki kibazo kandi dutange ibisobanuro hano hepfo.
Ibyiza n'ibibi byo gukoresha dialyzers zo kongera gukoresha
(1) Kuraho indwara yo gukoresha bwa mbere.
Nubwo hari ibintu byinshi bitera indwara yo gukoreshwa bwa mbere, nko kwica udukoko twa ethylene oxide, ibikoresho byo mu ruhu, cytokines zikorwa n'amaraso yo mu ruhu rwa dialysis, nibindi, uko byagenda kose, amahirwe yo kubaho azagabanuka bitewe no gukoresha dialysiszer inshuro nyinshi.
(2) Kongera ubushobozi bwo guhuza imikorere y'icyuma gitera indwara no kugabanya imbaraga z'ubudahangarwa bw'umubiri.
Nyuma yo gukoresha dialyzer, urwego rwa poroteyine rushyirwa ku buso bw'imbere bw'urukiramende, bishobora kugabanya uburyo amaraso akora bitewe na dialyse ikurikira, no kugabanya uburyo amaraso akora, gukuraho kwa neutrophil mu maraso, gukora kwa lymphocyte, gukora microglobulin, no kurekura cytokine.
(3) Ingaruka z'igipimo cyo kwemererwa.
Igipimo cyo gukuraho creatinine na urea ntikigabanuka. Ibikoresho byo kongera gukoresha dialyzers byashyizwemo formalin na sodium hypochlorite bishobora gutuma igipimo cyo gukuraho ibintu biciriritse n'ibinini (Vital12 na inulin) kidahinduka.
(4) Kugabanya ikiguzi cyo gupima amaraso.
Nta gushidikanya ko kongera gukoresha dialyzer bishobora kugabanya ikiguzi cy'ubuvuzi ku barwayi bafite ikibazo cy'impyiko no gutanga uburyo bwo kubona hemodialysis nziza ariko ihenze cyane.
Muri icyo gihe, inenge zo gukoresha dialyzer na zo ziragaragara.
(1) Ingaruka mbi ku miti yica udukoko
Gukuraho aside ya peracetic bizatuma membrane ya dialyse ihinduka kandi igasenyuka, kandi binakureho poroteyine zasigaye mu membrane bitewe no kuyikoresha kenshi, byongera amahirwe yo gukora neza. Gukuraho formalin bishobora gutera allergie ya Anti-N-antibody n'uruhu ku barwayi.
(2) Kongera amahirwe yo kwanduza bagiteri na endotoxin bya dialyzer no kongera ibyago byo kwandura indwara zitandukanye.
(3) Imikorere ya dialyzer igira ingaruka.
Nyuma y’uko dialyzer ikoreshejwe inshuro nyinshi, bitewe na poroteyine n’amaraso afunga imiyoboro y’amaraso, ubuso bukora neza buragabanuka, kandi igipimo cyo gusukura no kuyungurura bigabanuka buhoro buhoro. Uburyo busanzwe bwo gupima ingano y’imiyoboro y’amaraso ya dialyzer ni ukubara ingano yose ya fibre bundle lumens muri dialyzer. Niba igipimo cy’ubushobozi bwose kuri dialyzer nshya kiri munsi ya 80%, dialyzer ntishobora gukoreshwa.
(4) Kongera amahirwe y'uko abarwayi n'abakozi bo kwa muganga bashobora guhura n'ibinyabutabire byangiza imikorere y'umubiri.
Hashingiwe ku isesengura ryavuzwe haruguru, gusukura no kwica udukoko bishobora gukosora amakosa yo gukoresha dialyzer mu buryo runaka. Dialyzer ishobora kongera gukoreshwa nyuma yo gusukura no kwica udukoko no gupima ibizamini kugira ngo hatabaho gucika cyangwa kuziba imbere. Bitandukanye no gutunganya intoki, gukoresha imashini zikora dialyzer zikoresha intoki bitanga uburyo busanzwe mu gutunganya dialyzer kugira ngo bigabanye amakosa mu mikorere y'intoki. Imashini ishobora koza, gusukura, gupima no gukaraba, hakurikijwe uburyo n'ibipimo byashyizweho, kugira ngo inoze ingaruka zo kuvura dialyzer, mu gihe igenzura umutekano n'isuku by'umurwayi.
W-F168-B
Imashini itunganya dialize ya Chengdu Wesley ni yo mashini ya mbere itunganya dialize ku isi ibitaro bikora, bigasukura, bigapima, kandi bigakoresha dialize ishobora kongera gukoreshwa ikoreshwa mu kuvura hemodialysis, ifite icyemezo cya CE, ifite umutekano kandi ihamye. W-F168-B ifite ikigo cy’akazi kibiri ishobora gukora ivugurura mu minota 12.
Amabwiriza yo kwirinda kongera gukoresha dialyzer
Dialyzer zishobora gukoreshwa ku murwayi umwe gusa, ariko ibi bikurikira birabujijwe.
1. Utwuma dukoresha dialyzer twakoreshejwe n'abarwayi bafite ibimenyetso bya virusi ya hepatite B ntidushobora kongera gukoreshwa; utwuma dukoresha dialyzer twakoreshejwe n'abarwayi bafite ibimenyetso bya virusi ya hepatite C tugomba gutandukanywa n'utw'abandi barwayi igihe twongeye gukoreshwa.
2. Utwuma two kwa muganga dukoreshwa n'abarwayi ba virusi itera SIDA ntidushobora kongera gukoreshwa
3. Utwuma two kwa muganga dukoreshwa n'abarwayi bafite indwara zandura ziterwa n'amaraso ntidushobora kongera gukoreshwa
4. Utwuma two kwangiza uruhu dukoreshwa n'abarwayi bafite ubwivumbure ku miti yica udukoko ikoreshwa mu gutunganya imiti ntishobora kongera gukoreshwa
Hariho kandi amabwiriza akomeye ku bwiza bw'amazi yo gutunganya hemodialyzer.
Igipimo cya bagiteri ntigishobora kurenza 200 CFU/ml mu gihe igipimo cyo kuvura ari 50 CFU/ml; igipimo cya Endotoxin ntigishobora kurenza 2 EU/ml. Isuzuma rya mbere rya endotoxin na bagiteri mu mazi rigomba kuba rimwe mu cyumweru. Nyuma y'uko ibisubizo bibiri bikurikiranye byujuje ibisabwa, isuzuma rya bagiteri rigomba kuba rimwe mu kwezi, naho isuzuma rya endotoxin rigomba kuba nibura rimwe mu mezi atatu.
(Imashini yo mu bwoko bwa Chengdu Weslsy yo mu ishami rishinzwe amazi yujuje ibisabwa mu bijyanye no gutunganya amazi muri dialyse ya Amerika (AAMI/ASAIO) ishobora gukoreshwa mu gutunganya dialyse)
Nubwo isoko ry’ikoreshwa rya dialyzer zishobora kongera gukoreshwa ryagiye rigabanuka uko umwaka utashye ku isi yose, riracyakenewe mu bihugu bimwe na bimwe n’uturere dufite ubukungu.
Igihe cyo kohereza: Kanama-16-2024
