Koresha Amazi Asukuye Cyane mu Bikoresho bya Dialysis kugira ngo wongere Umutekano n'Ingufu mu Kuvura Impyiko
Igihe kirekire,sisitemu zo gusukura amazikuriuburyo bwo kuvura hemodialysisbyafashwe nk'ibicuruzwa by'inyongera kuriibikoresho byo kwandura dialyseAriko, mu gihe cyaubuvuzi bwa dialyseUburyo bwo gukora, 99.3% bya dialysate igizwe n'amazi, akoreshwa mu gukaraba icyuma gisukura dialyzer, no gutwara imiti. Buri murwayi uri gukora dialysate azahura na litiro 15.000 kugeza ku 30.000 z'amazi yayunguruwe buri mwaka. Udukoko, imiti, n'indi myanda iri mu mazi bishobora gutera indwara, uburozi, n'izindi ngorane zikomeye ku barwayi barwaye impyiko barimo kuvurwa dialysate, bigatera ibimenyetso nka hard water syndrome, umuriro wa dialysate, uburozi bwa chloramine, no gucika amaraso. Ubushakashatsi bwasohotse mu kinyamakuruIkinyamakuru cy'Umuryango w'Abanyamerika w'Ubuvuzi bw'indwara z'imitsibyagaragaje ko gukoresha ultra-puresisitemu zo gusukura amazi zikoresha reverse osmosisbishobora kugabanya cyane igipimo cy'ubwandu mu barwayi bavurwa na HD ku kigero kirenga 30%. Kubera iyo mpamvu, ubuziranenge bwaamazi ya hemodialysisbigira ingaruka zitaziguye ku mutekano n'imikorere myiza yakuvura impyiko.
Kugira ngo ubone amazi meza yo mu bwoko bwa dialyse, koresha amazi ya reverse osmosis (RO)sisitemu zo kuyungururazikoreshwa cyane. Reverse osmosis ni inzira itandukanya amazi n'umuti binyuze mu gice cy'amazi gishobora kwinjiramo. Akazi ni ugukoresha umuvuduko mwinshi mu kwimura amazi ava ku ruhande rufite imbaraga nyinshi anyuze mu gice cy'amazi gishobora kwinjiramo agana ku ruhande rufite imbaraga nke, bigasukura amazi kandi bigakuraho imyanda. Muri ubu buryo, igice cy'amazi gishobora kwinjiramo cyemerera gusa molekile z'amazi kunyuramo, mu gihe hirindwa ko ibintu bishonga n'imyanda minini. Ubu buryo bushobora gukuraho mikorobe, ibintu bikomeye byashongeshejwe, n'ibintu by'umwimerere mu mazi.
（Ishusho y'Uruganda rwa Wesley RO mbere yo kuvurwa）
Inganda z’amazi za RO ubusanzwe zirimo kuvura mbere y’uko zivurwa, gusukura uturemangingo tw’amazi, no gusukura nyuma y’uko zivurwa. Mu ntambwe ya mbere, amazi ayungururwa kugira ngo akureho imyanda minini, yoroshywa kugira ngo akureho ibintu bikomeye, kandi agashyirwamo imiti yica bagiteri. Hanyuma amazi yinjira mu isukura uturemangingo tw’amazi kugira ngo atandurwemo amazi meza kandi ahuzwe, akureho iyoni, mikorobe, ubushyuhe, nibindi. Mu ntambwe ya nyuma, gusukura uturemangingo tw’imirasire ya ultraviolet cyangwa kuvurwa na ozone bikoreshwa kugira ngo amazi ya dialysis akoreshwe neza.
Amabwiriza mpuzamahanga ya RO y’amazi, yashyizweho n’Ishyirahamwe ry’Abanyamerika rishinzwe iterambere ry’ibikoresho by’ubuvuzi (AAMI), afatwa nk’amahame yo hejuru cyane. AAMI yashyizeho amahame akomeye ku bwiza bw’amazi yo mu bwoko bwa dialyse, asaba ko umubare wose w’udukoko mu mazi ugomba kuba munsi ya 100 CFU/ml, ubushobozi bwo gutwara amazi bugomba kuba munsi ya 0.1μS/cm, ibintu byose byashongeshejwe bigomba kuba munsi ya 200 mg/L, n’amazi akomeye agomba kuba munsi ya 100 mg/L, ingano y’icyuma igomba kuba munsi ya 0.1 μg/L, n’ibindi.
(Imashini y'amazi ya RO isukuye cyane ifite sisitemu yo kuyungurura amazi mu byiciro bitatu)
Kugira ngo hakorwe amazi meza cyane kandi asukuye, yujuje ibisabwa ku rwego mpuzamahanga, ibigo bikomeye bikoresha ikoranabuhanga rigezweho rya reverse osmosis membrane hamwe n'ikoranabuhanga rya multiple pass RO system kugira ngo byongere ireme ry'amazi ya hemodialysis.Sisitemu zo gusukura amazi za ROhamwe n’uburyo bwo kugenzura bwikora n’ibitangaza bishobora kubona ubuziranenge bw’amazi vuba, bikanatuma amazi atangwa na RO aba afite umutekano kandi nta guhungabana guhoraho.
Nk’uruganda rukora ibikoresho byo gutunganya amazi muri RO rufite ikoranabuhanga rigezweho ry’ipatanti, Wesley akoresha membranes za Dow z’umwimerere, zituma amazi aba meza kandi agakorwa neza, kandi agakoresha sisitemu y’amazi ya Triple Pass kugira ngo asukure amazi ya RO ahora akoreshwa mu gutunganya amazi kugira ngo asohoke neza cyane. Mu gihe cyo gukora amazi meza cyane, icyuma gipima ubukana bwa chlorine/ubukana n’amazi asohoka kuri interineti n’icyuma gipima amazi asohoka muri mashini yacu birakora. Izi porogaramu zitumasisitemu y'amazi ya dialyseyizewe kandi akora neza, ndetse ikoreshwa no mu turere dufite amazi meza nka Afurika, ikanahabwa ishimwe rikomeye. Ikindi kintu kiranga ibikorwa remezo bikwiye kuvugwa ni uko ubwoko bwaimashini itwara amazi ya ROirahari.
(Imashini yo mu mazi ya Wesley Portable RO, OEM irahari)
Nk’umucuruzi w’imashini zitunganya hemodialysis nziza cyane akaba n’umucuruzi muri rusange w’ibisubizo bya dialysis, Wesley yiyemeje gutanga ibikoresho byiza by’ubuvuzi ku barwayi b’impyiko n’ibigo by’ubuvuzi ku isi yose.
Igihe cyo kohereza: Kamena-04-2024
