Amabwiriza yo Gusubiramo Hemodialyzers
Inzira yo gukoresha maraso hemodialyseri yakoreshejwe, nyuma yuburyo butandukanye, nko kwoza, gukora isuku, no kuyanduza kugira ngo byuzuze ibisabwa, kugirango ubuvuzi bumwe bwa dialyse bwumurwayi bwitwa hemodialyzer reuse.
Bitewe n'ingaruka zishobora guterwa no gusubiramo, zishobora guhungabanya umutekano ku barwayi, hariho amategeko akomeye agenga ikoreshwa rya maraso hemodialyzers. Abakoresha bagomba guhugurwa neza kandi bakubahiriza umurongo ngenderwaho mugihe cyo gusubiramo.
Sisitemu yo Gutunganya Amazi
Gusubiramo bigomba gukoresha amazi ya osmose ihindagurika, igomba kuba yujuje ubuziranenge bw’amazi kandi ikuzuza amazi y’ibikoresho bikora mu gihe cyo gukora. Ingano y’umwanda iterwa na bagiteri na endotoxine mumazi ya RO igomba gupimwa buri gihe. Igenzura ryamazi rigomba gukorwa cyangwa hafi yingingo hagati ya dialyzer yamaraso na sisitemu yo kubyara. Urwego rwa bagiteri ntirushobora kurenga 200 CFU / ml, ntarengwa 50 CFU / ml; urwego rwa endotoxine ntirushobora kurenga 2 EU / ml, hamwe na interineti ntarengwa ya 1 EU / ml. Iyo imipaka yo gutabara igeze, gukomeza gukoresha sisitemu yo gutunganya amazi biremewe. Icyakora, hagomba gufatwa ingamba (nko kwanduza sisitemu yo gutunganya amazi) kugirango hirindwe kwanduzwa. Kwipimisha bacteriologiya na endotoxine yubuziranenge bwamazi bigomba gukorwa rimwe mu cyumweru, kandi nyuma y’ibizamini bibiri bikurikiranye byujuje ibisabwa, ibizamini bya bagiteri bigomba gukorwa buri kwezi, kandi ikizamini cya endotoxine kigomba gukorwa nibura rimwe mu mezi 3.
Sisitemu yo Gusubiramo
Imashini isubiramo igomba kwemeza imirimo ikurikira: gushyira dialyzer muburyo bwa ultrafiltration kugirango isukure inshuro nyinshi icyumba cyamaraso nicyumba cya dialysate; kuyobora imikorere na membrane ubunyangamugayo kuri dialyzer; gusukura icyumba cyamaraso hamwe nicyumba cya dialyse hamwe nigisubizo cyangiza byibuze inshuro 3 ingano yicyumba cyamaraso, hanyuma ukuzuza dialyzer hamwe nigisubizo cyiza cya disinfectant.
Imashini itunganya Wesley ya dialyzer - uburyo W-F168-A / B niyo mashini ya mbere yuzuye-yikora ya dialyzer itunganya isi, hamwe na progaramu yo kwoza mu buryo bwikora, isukuye, igerageza, hamwe na porogaramu, ishobora kurangiza dialyzer yoza, kwanduza dialyzer, kugerageza, no gushiramo muminota igera kuri 12, byujuje byuzuye ibipimo byo kongera gukoresha dialyzer, hanyuma wandike TCV (Igiteranyo Cyakagari Cyuzuye) ibisubizo byikizamini. Imashini isubiramo imashini ya dialyzer yoroshya imirimo yabakora kandi ikanemeza umutekano ningirakamaro bya dialyse yamaraso yongeye gukoreshwa.
W-F168-B
Kurinda Umuntu
Umukozi wese ushobora gukora ku maraso y’abarwayi agomba gufata ingamba. Mu gusubiramo dialyzer, abashoramari bagomba kwambara uturindantoki two kurinda no kwambara kandi bakubahiriza ibipimo byo kwirinda indwara. Mugihe bishora muburyo bwuburozi buzwi cyangwa budashidikanywaho cyangwa igisubizo, ababikora bagomba kwambara masike nubuhumekero.
Mu cyumba cyo gukoreramo, hagomba gushyirwaho umuyoboro w’amazi wogeje amaso kugira ngo ukarabe neza kandi ku gihe umukozi amaze gukomeretswa no kumena ibikoresho bya shimi.
Ibisabwa kuri Dialyzers Yamaraso Gusubiramo
Nyuma ya dialyse, dialyzer igomba gutwarwa ahantu hasukuye kandi igahita ikorwa. Mugihe habaye ibihe bidasanzwe, hemodialysers yamaraso itavuwe mumasaha 2 irashobora gukonjeshwa nyuma yo kwoza, kandi uburyo bwo kwanduza no kuboneza urubyaro bwa dialyzer bwamaraso bugomba kurangira mumasaha 24.
Gukaraba no gukora isuku: Koresha amazi asanzwe ya RO kugirango woze kandi usukure amaraso hamwe na chambre ya dialyse ya maraso hemodialyser, harimo no gusubiza inyuma. Amazi ya hydrogène peroxide, sodium hypochlorite, aside peracetike, nindi miti yimiti irashobora gukoreshwa nkibikoresho byoza dialyzer. Ariko, mbere yo kongeramo imiti, imiti yabanjirije igomba kuvaho. Sodium hypochlorite igomba gukurwa mubisubizo byogusukura mbere yo kongeramo formaline kandi ntibivange na acide peracetike.
Test Ikizamini cya TCV cya dialyzer: TCV ya dialyzer yamaraso igomba kuba irenze cyangwa ingana na 80% ya TCV yumwimerere nyuma yo kubyara.
Test Ikizamini cya Dialysis membrane ubuziranenge: Ikizamini cyo guturika kwa membrane, nkikizamini cyumuvuduko wikirere, kigomba gukorwa mugihe cyo gusubiramo amaraso hemodialyser.
In Dialyzer deinfection na sterilisation: Amaraso asukuye hemodialyser agomba kwanduzwa kugirango yirinde kwanduza mikorobe. Byumba byombi byamaraso hamwe nicyumba cya dialysate bigomba kuba sterile cyangwa muburyo bwanduye cyane, kandi dialyzer igomba kuzuzwa igisubizo cyangiza, hamwe nibitekerezo byibuze 90% byamabwiriza. Amaraso yinjira nogusohoka hamwe na dialysate yinjira nisohoka rya dialyzer bigomba kwanduzwa hanyuma bigapfundikirwa imipira mishya cyangwa yanduye.
● Igikonoshwa cyo kuvura dialyzer: Umuti wica udukoko twangiza (nka 0.05% sodium hypochlorite) wahujwe nibikoresho byigikonoshwa ugomba gukoreshwa kugirango ushire cyangwa usukure amaraso numwanda kuri shell.
Ububiko: Dializeri yatunganijwe igomba kubikwa ahantu hagenwe kugirango itandukane na dialyse idatunganijwe mugihe habaye umwanda no gukoresha nabi.
Kugaragara Kugaragara hanze Kugenzura nyuma yo Gusubiramo
(1) Nta maraso cyangwa andi mabara hanze
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(3) Nta kwambara na fibre yumukara hejuru ya fibre yuzuye
(4) Nta kwambara kuri terefone ebyiri za fibre ya dialyzer
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(6) Ikirango cyamakuru yumurwayi hamwe na dialyzer yo gusubiramo amakuru ni byiza kandi birasobanutse.
Imyiteguro mbere ya Dialysis ikurikira
● Koza imiti yica udukoko: dialyzer igomba kuzuzwa no kozwa bihagije hamwe na saline isanzwe mbere yo kuyikoresha.
Test Ikizamini gisigara cyangiza: urwego rusigara rwangiza muri dialyzer: formalin <5 ppm (5 μg / L), aside peracetike <1 ppm (1 μg / L), Renalin <3 ppm (3 μg / L)
Igihe cyo kohereza: Kanama-26-2024