Amabwiriza yo kongera gutunganya imiti igabanya ubushyuhe mu mubiri (Hemodialyzers)
Uburyo bwo kongera gukoresha hemodialyzer y'amaraso yakoreshejwe, nyuma y'ibikorwa bitandukanye, nko koza, gusukura, no kwica udukoko kugira ngo huzuzwe ibisabwa byagenwe, ku buvuzi bwa dialyse bw'umurwayi umwe bwitwa hemodialyzer reuse.
Bitewe n'ingaruka zishobora guterwa no kongera gutunganya amaraso, zishobora guteza akaga ku barwayi, hari amabwiriza akaze agenga imikorere yo kongera gukoresha imiti igabanya amaraso. Abakora bagomba guhabwa amahugurwa arambuye no gukurikiza amabwiriza agenga imikorere mu gihe cyo kuyatunganya.
Sisitemu yo Gusukura Amazi
Gutunganya amazi bigomba gukoresha amazi akoreshwa mu buryo bwa reverse osmosis, agomba kuba yujuje ibisabwa mu binyabuzima ku birebana n’ubwiza bw’amazi no kuba yujuje ibisabwa by’ibikoresho bikora mu gihe cyo gukora cyane. Ingano y’umwanda uterwa na bagiteri na endotoxin mu mazi ya RO igomba gupimwa buri gihe. Igenzura ry’amazi rigomba gukorwa ku gice cyangwa hafi y’aho amaraso ahurira n’uburyo bwo kuyatunganya. Igipimo cya bagiteri ntigishobora kuba hejuru ya 200 CFU/ml, aho ubushobozi bwo kuyatunganya bungana na 50 CFU/ml; igipimo cya endotoxin ntigishobora kuba hejuru ya 2 EU/ml, aho ubushobozi bwo kuyatunganya bungana na 1 EU/ml. Iyo igihe ntarengwa cyo kuyatunganya kigeze, gukomeza gukoresha uburyo bwo kuyatunganya birakwiye. Ariko, ingamba zigomba gufatwa (nko gusukura amazi mu buryo bwo kuyasukura) kugira ngo hirindwe ko habaho kwandura gukomeye. Isuzuma ry’ubuziranenge bw’amazi rigomba gukorwa rimwe mu cyumweru, kandi nyuma y’ibizamini bibiri bikurikiranye byujuje ibisabwa, isuzuma ry’ubuziranenge bw’amazi rigomba gukorwa buri kwezi, kandi isuzuma ry’ubuziranenge bw’amazi rigomba gukorwa nibura rimwe mu mezi 3.
Sisitemu yo kongera gutunganya
Imashini itunganya amaraso igomba gukora ibi bikurikira: gushyira dialyzer mu buryo bworoshye bwo koza icyumba cy'amaraso n'icyumba cya dialysate kenshi; gukora ibizamini by'imikorere n'ubuziranenge bw'ingirabuzimafatizo kuri dialysate; gusukura icyumba cy'amaraso n'icyumba cya dialysate ukoresheje umuti wica udukoko wikubye nibura inshuro eshatu ingano y'icyumba cy'amaraso, hanyuma kuzuza dialysater umuti wica udukoko uhagije.
Imashini ya Wesley yo gutunganya dialyzer -- mode W-F168-A/B ni yo mashini ya mbere yo gutunganya dialyzer yikora ku isi, ifite gahunda zo koza, gusukura, gupima no gufunga, ishobora kurangiza gusukura dialyzer, gusukura dialyzer, gupima no kuyitera mu minota 12, yujuje neza amabwiriza yo gukoresha dialyzer, no gucapa ibisubizo by'ikizamini cya TCV (Total Cell Volume). Imashini yo gutunganya dialyzer yikora yoroshya akazi k'abayikoresha kandi ikubahiriza umutekano n'imikorere y'amasashe akoreshwa mu maraso akoreshwa.
W-F168-B
Kwirinda Umuntu ku Giti Cye
Buri mukozi wese ushobora gukora ku maraso y'abarwayi agomba gufata ingamba zo kwirinda. Mu gutunganya dialyzer, abakora bagomba kwambara uturindantoki n'imyenda yo kwirinda no kubahiriza amabwiriza yo kwirinda kwandura. Mu gihe bakora igikorwa cyo gukoresha uburozi cyangwa umuti uzwi cyangwa ushobora kwitwa uburozi, abakora bagomba kwambara udupfukamunwa n'udupfukamunwa two guhumeka.
Mu cyumba cyo gukoreramo, hagomba gushyirwaho robine y'amazi yo koza amaso kugira ngo ikoreshwe neza kandi ku gihe mu gihe umukozi yakomerekejwe n'imiti iterwa n'amazi.
Ibisabwa kugira ngo wongere gutunganya Dialyzer y'amaraso
Nyuma yo gusukura amaraso, dialyzer igomba kujyanwa ahantu hasukuye kandi igahita ifatwa. Mu gihe cy’ibibazo byihariye, imashini zisukura amaraso zitavuwe mu masaha 2 zishobora gushyirwa muri firigo nyuma yo kozwa, kandi uburyo bwo gusukura no gukaraba amaraso bugomba kurangira mu masaha 24.
●Gusukura no gusukura: Koresha amazi asanzwe ya RO kugira ngo woze kandi usukure icyumba cy'amaraso n'icyumba cya dialysate cy'amaraso, harimo no gusukura inyuma. Hydrogen peroxide yavunitse, sodium hypochlorite, aside peracetic, n'ibindi bikoresho bya shimi bishobora gukoreshwa nk'ibikoresho byo gusukura dialyzer. Ariko, mbere yo kongeramo imiti, imiti yabanje igomba gukurwaho. Sodium hypochlorite igomba gukurwa mu gikoresho cyo gusukura mbere yo kongeramo formalin kandi ntivangwe na aside peracetic.
●Isuzuma rya TCV rya dialyzer: TCV ya dialyzer y'amaraso igomba kuba irenga cyangwa ingana na 80% by'isuzuma rya TCV ry'umwimerere nyuma yo kongera gukoreshwa.
●Ikizamini cyo gupima ubuziranenge bw'urukiramende: Ikizamini cyo gucika kw'urukiramende, nk'ikizamini cy'umuvuduko w'umwuka, kigomba gukorwa mu gihe cyo kongera gutunganya imashini igabanya amaraso.
●Gukuraho no gukaraba amaraso hakoreshejwe dialyzer: Hemodialyzer yo mu maraso isukuye igomba gusukurwa kugira ngo hirindwe kwanduzwa na mikorobe. Icyumba cy'amaraso n'icyumba cya dialysate bigomba kuba bitanduye cyangwa biri mu mimerere yo gusukurwa cyane, kandi dialysater igomba kuzuzwa umuti wica udukoko, aho ingano yabyo igera nibura kuri 90% by'amabwiriza. Aho amaraso yinjira n'aho asohokera hamwe n'aho dialysate yinjira n'aho asohokera bya dialysate bigomba gusukurwa hanyuma bigapfukwaho imipfundikizo mishya cyangwa yasutsweho imiti.
●Ubuvuzi bw'agacupa ka dialyzer: Umuti wica udukoko tudakoresha imbaraga nyinshi (nk'umuti wa sodium hypochlorite 0.05%) ukoreshwa mu gukaraba cyangwa gusukura amaraso n'umwanda biri ku gacupa.
●Ububiko: Utwuma twa dialyzer twatunganyijwe tugomba kubikwa ahantu habigenewe kugira ngo dutandukanye n'utwuma twa dialyzer tutatunganyijwe mu gihe habaye umwanda no gukoreshwa nabi.
Kugenzura Isura y'Inyuma Nyuma yo Gutunganya Inzu
(1) Nta maraso cyangwa ikindi kirahure kiri inyuma
(2) Nta gice cy'amaraso cyangwa dialysate kiri mu gituza no mu gice cy'amaraso
(3) Nta migozi ifungana kandi nta migozi y'umukara ku buso bw'umugozi urimo ubusa
(4) Nta gufungana kw'imitsi ku bice bibiri bya fibre ya dialyzer
(5) Fata imipfundikizo ku nzira y'amaraso yinjira n'aho asohokera hanyuma ushyiremo dialysate kandi urebe neza ko nta mwuka usohoka.
(6) Ikimenyetso cy'amakuru y'umurwayi n'amakuru yo gutunganya dialyzer ni ukuri kandi birasobanutse.
Kwitegura mbere ya Dialysis Ikurikira
●Sukura umuti wica udukoko: dialyzer igomba kuzuzwa kandi igasukurwa bihagije n'umunyu usanzwe mbere yo kuyikoresha.
●Ikizamini cy'imiti yica udukoko: urwego rw'imiti yica udukoko muri dialyzer: formalin <5 ppm (5 μg/L), aside perasetike <1 ppm (1 μg/L), Renalin <3 ppm (3 μg/L)
Igihe cyo kohereza: Kanama-26-2024
