Nigute wahitamo imashini yo mu rwego rwo hejuru Hemodialysis

Ku barwayi bafite indwara zimpyiko zanyuma (ESRD), hemodialyse ni uburyo bwiza bwo kuvura kandi bwiza. Mugihe cyo kuvura, amaraso na dialysate bihura na dialyzer (impyiko yubukorikori) binyuze mumyanya iciriritse, bigatuma habaho guhanahana ibintu biterwa na gradients. Imashini ya hemodialysis igira uruhare runini mugusukura amaraso ikuraho imyanda ya metabolike hamwe na electrolytite irenze mugihe winjiza calcium ion na bicarbonate muri dialyse mu maraso. Muri iki kiganiro, tuzasesengura ishingiro ryimashini ya hemodialyse tunayobora uburyo bwo guhitamo igikoresho cyiza cyane kugirango ubuvuzi bworohewe.

 

Gusobanukirwa Imashini ya Hemodialyse

 

Imashini ya Hemodialysis isanzwe igizwe na sisitemu ebyiri zingenzi: sisitemu yo kugenzura amaraso nasisitemu yo gutanga. Sisitemu yamaraso ishinzwe kugenzura umuvuduko ukabije wamaraso kandi sisitemu ya dialysate itegura igisubizo cyujuje ibisabwa cya dialyse ivanze na concentrateds n'amazi ya RO no gutwara igisubizo kuri dialyzer. Muri hemodialyser, dialysate ikora ikwirakwizwa rya solute, kwinjira, naultrafiltration hamwe n'umurwayi's maraso binyuze muri membrane-permeable membrane, kandi hagati aho, amaraso yoza azagaruka kumurwayi's umubiri na sisitemu yo kugenzura amaraso hamwe na sisitemu ya dialysate itwara imyanda. Ubu buryo bwo gusiganwa ku magare bukomeza kweza amaraso neza.

 

Mubisanzwe, sisitemu yo kugenzura amaraso ikubiyemo pompe yamaraso, pompe ya heparin, gukurikirana imiyoboro yumuvuduko wamaraso, hamwe na sisitemu yo kumenya ikirere. Ibyingenzi byingenzi bigize sisitemu yo gutanga dialyse ni sisitemu yo kugenzura ubushyuhe, sisitemu yo kuvanga, sisitemu ya degas, sisitemu yo kugenzura imiyoboro, kugenzura ultrafiltration, kumenya amaraso yamenetse, nibindi.

 

Ubwoko bubiri bwibanze bwimashini zikoreshwa muri hemodialyse ni imashini isanzwe ya hemodialyse (HD) hamwe na hemodiafiltration (HDF).Imashini za HDF Gukoresha cyane-flux dialyzers itanga uburyo bunoze bwo kuyungurura - gukwirakwiza no guhuza imbaraga kugirango ikureho molekile nini nibintu byuburozi no kuzuza ion zingenzi mugikorwa cyo gutanga insimburangingo.

 

Birakwiye ko tumenya ko ubuso bwa membrane ubuso bwa dialyzer bugomba gutekerezwa kumurwayi's ibintu byihariye, harimo uburemere, imyaka, umutima wumutima, hamwe no kubona imitsi mugihe uhisemo dialyse. Buri gihe ujye kwa muganga's igitekerezo cyumwuga kugirango umenye dialyzer ikwiye.

 

Guhitamo Imashini ikwiye ya Hemodialyse

 

Umutekano nukuri nibyo byihutirwa. Hano hari ibintu by'ingenzi ugomba gusuzuma:

 

1. Ibiranga umutekano

Imashini yujuje ibyangombwa igomba kuba ifite uburyo bukomeye bwo gukurikirana umutekano hamwe na sisitemu yo gutabaza. Sisitemu igomba kuba yunvikana bihagije kugirango imenye ibihe bidasanzwe kandi itange amakuru yukuri kubakoresha.

 

Igenzura-nyaryo ni ugukurikirana guhoraho k'umuvuduko w'amaraso n'amaraso, umuvuduko w'amazi, nibindi bipimo byingenzi mugihe cya dialyse. Sisitemu yo kumenyesha iburira ibibazo nkumwuka uri mumaraso yarenze umuvuduko wamaraso, cyangwa igipimo cya ultrafiltration kitari cyo.

 

1. Ukuri kwimikorere

Ubusobanuro bwimashini bugira ingaruka kumikorere yubuvuzi kandi mubisanzwe bisuzumwa nibi bikurikira:

 

Igipimo cya Ultrafiltration: imashini igomba kugenzura neza amazi yakuwe kumurwayi.

Gukurikirana imigenzereze: kwemeza dialyse iri muburyo bwiza bwa electrolyte.

Kugenzura ubushyuhe: imashini igomba gukomeza dialysate ku bushyuhe bwiza kandi bwiza.

 

3. Umukoresha-Nshuti Imigaragarire

Umukoresha-ukoresha interineti irashobora kuzamura cyane uburambe kubarwayi ndetse nababikora. Shakisha imashini zifite igenzura ryimbitse kandi risobanutse neza byoroshye gukurikirana ibipimo byo kuvura.

 

4. Kubungabunga no Gushyigikira

Reba ubushobozi bwa serivise yo gutera inkunga no gufata neza imashini yahisemo uruganda. Inkunga yizewe irashobora kwemeza ko ibibazo byose byakemuwe vuba, bikagabanya guhungabana kwivuza.

 

5. Kubahiriza ibipimo

Imashini ya hemodialysis igomba kubahiriza umutekano nubuziranenge bijyanye ninzego zibishinzwe. Uku kubahiriza ni ngombwa mu kurinda umutekano w’abarwayi no kuvurwa neza.

 

KurushanwaHemodialysisMububabare hamwe nuwabikoze

 

Imashini ya hemodialysis imashini W-T2008-B yakozwe na Chengdu Wesley ihuza itsinda's hafi imyaka mirongo itatu yuburambe bwinganda no guhanga udushya. Imashini yagenewe gukoreshwa mubice byubuvuzi kandi yakiriye icyemezo cya CE, hamwe nikoranabuhanga rigezweho, ituze, umurwayi's umutekano no guhumurizwa, no koroshya imikorere kubakozi bo kwa muganga. Ifite pompe ebyiri hamwe nogutanga neza-no-gusubira-amazi-kuringaniza icyumba, igishushanyo cyihariye cyo kwemeza ultrafiltration neza. Ibice byingenzi bigize imashini bitumizwa mu Burayi no muri Amerika, nka solenoid valve igenzura neza imiyoboro ifungura no gufunga, hamwe na chip garantiing gukurikirana neza no gukusanya amakuru.

 

Sisitemu yo kurinda umutekano igezweho

 

Imashini ifata ibintu bibiriuburyo bwo gukurikirana ikirere no kurinda, amazi urwego na bubble detector, zishobora kubuza neza umwuka wamaraso gutembera mumubiri wumurwayi kugirango uhagarike impanuka za embolism. Byongeye kandi, imashini ifite ibikoresho bibiri byo gukurikirana ubushyuhe n amanota abiri yo gutwara, byemeza ubwiza bwa dialysate is kubungabunga mu buvuzi bwose. Sisitemu yo gutabaza ifite ubwenge itanga ibitekerezo-nyabyo kubintu byose bidasanzwe mugihe cya dialyse. Uwitekaimpuruza ya acousto aburira abakoresha gusubiza vuba ibibazo byose, byongera umutekano wumurwayi no kuvura neza.

 

Ukurikije ishingiro rya W-T2008-B, imashini ya W-T6008S hemodiafiltration yongeramo monitor yumuvuduko wamaraso, filteri ya endotoxine, na Bi-Cart nkibikoresho bisanzwe. Irashobora guhinduka byoroshye hagati ya HDF na HD mugihe cyo kuvura. Shyiramo na dialys-flux-flux, yorohereza kuvana molekile nini mumaraso, imashini yongerera imbaraga muri rusange no guhumurizwa nubuvuzi.