Ubushobozi bwo kuyobora amaraso mu mashini ikoresha hemodialysis ni iki?
Ibisobanuro by'uburyo amashanyarazi akoreshwa mu mashini ikoresha hemodialysis:
Ubushobozi bwo kuyobora amaraso mu mashini ikoresha hemodialysis bugaragaza uburyo amashanyarazi akoreshwa mu gusukura amaraso, ibyo bikaba bigaragaza mu buryo butaziguye ingano ya electrolyte yayo. Iyo ubushobozi bwo kuyobora amaraso mu mashini ikoresha hemodialysis burenze urugero rusanzwe, butuma habaho ubwinshi bwa sodium mu isukura, bigatera hypernatremia no kubura amazi mu ngirabuzima fatizo mu barwayi. Ku rundi ruhande, iyo ubushobozi bwo kuyobora amaraso mu mashini ikoresha hemodialysis burenze urugero rusanzwe, butera hyponatremia, bikagaragara nko kuribwa umutwe, isesemi, gufunga igituza, umuvuduko w'amaraso muke, hemolysis, no mu bihe bikomeye, kuribwa mu nda, koma, cyangwa ndetse n'ingaruka mbi. Imashini ikoresha hemodialysis igenzura buri gihe ibipimo by'umuti. Iyo ingano y'umuti itandukaniye n'ibipimo byagenwe, ibisubizo bidasanzwe bihita bisohoka binyuze muri valve ya bypass muri mashini ikoresha hemodialysis.
Imashini ikoresha hemodialysis yishingikiriza kuri sensors zikoresha amashanyarazi zikora kuri iri hame zipima amashanyarazi y’umuti kugira ngo zimenye neza imiterere yawo. Iyo imashini ikoresha hemodialysis yinjijwe mu gisubizo, iyoni zigenda mu cyerekezo munsi y’umurima w’amashanyarazi, zigatanga umuriro. Mu kumenya imbaraga z’umuti no kuwuhuza n’ibipimo bizwi nka electrode constants, imashini ikoresha hemodialysis ibarura amashanyarazi y’umuti.
Uburyo amazi ya dialyse atwara umwuka mu mashini ikoresha hemodialysis buterwa n'ubwinshi bwa iyoni zitandukanye harimo sodiyumu, potasiyumu, kalisiyumu, kloride, na manyeziyumu mu gisubizo. Imashini zisanzwe zikoresha hemodialysis zikoresha carbonate dialysis zikunze kuba zifite module 2-3 zo kugenzura ubwinshi bwa module. Izi module zibanza gupima ubwinshi bwa moduleIgisubizo, hanyuma uhitemo gushyira ahagaragaraIgisubizo cya Bgusa iyo igisubizo cya A cyujuje ubuziranenge bukenewe. Agaciro k'ubushobozi bw'ingufu kabonetse muri mashini ikoresha hemodialysis koherezwa kuri circuit ya CPU, aho kagereranywa n'ibipimo byagenwe. Iri gereranya rituma habaho kugenzura neza sisitemu yo gutegura concentrate muri mashini ikoresha hemodialysis, rikerekana ko amazi ya dialysis yujuje ibisabwa byose.
Akamaro ko kuyobora imikorere y'amaraso mu mashini ikoresha hemodialysis:
Ubuziranenge n'ubudahinduka bw'ubwinshi bwa dialysate mu mashini ikoresha hemodialysis ni garanti ku barwayi kugira ngo bahabwe ubuvuzi bukwiye bwa dialysate. Kugira ngo dialysate ikore neza mu mashini ikoresha hemodialysis, uburyo bwo kugenzura buri gihe uburyo ikoramo ni bwo bukoreshwa mu kugenzura.
Ubushobozi bw'amashanyarazi mu kirere bugaragaza ubushobozi bw'ikintu gipimwe bwo gutwara amashanyarazi, bugaragaza igiteranyo cya iyoni zitandukanye.
Dukurikije agaciro k’amashanyarazi yagenwe mbere, imashini ikoresha hemodialysis ikuramo ibisubizo bya A na B mu rugero runaka, yongeramo amazi menshi ya reverse osmosis muri mashini ikoresha hemodialysis, hanyuma ikayavanga mu mazi ya dialysis. Hanyuma icyuma gipima amashanyarazi kiri muri mashini ikoresha hemodialysis gikoreshwa mu gukurikirana no gutanga ibitekerezo ku makuru.
Iyo amazi ari mu mashini ikoresha hemodialysis ajyanywe muri dialyzer iri mu rugero rwashyizweho, iyo arenze urugero rwashyizweho, ntabwo azanyura muri dialyzer, ahubwo azasohorwa binyuze muri sisitemu yo kunyuramo ya hemodialysis, mu gihe hazatangwa ikimenyetso cy'intabaza.
Ubuziranenge bw'imikorere y'amashanyarazi bufitanye isano itaziguye n'ingaruka z'ubuvuzi n'umutekano w'ubuzima bw'abarwayi.
Iyo umuvuduko w’amaraso uri hejuru cyane, umurwayi atera umuvuduko ukabije w’amaraso bitewe n’ubwinshi bw’iyoni za sodium, bigatera hypernatremia, bigatera umwuma mu mubiri w’abarwayi, inyota, isereri n’ibindi bimenyetso, ndetse no kuri koma mu bihe bikomeye;
Ahubwo, iyo umuvuduko wa dialysate uri hasi cyane, umurwayi azarwara indwara yo kugabanuka k’umuvuduko w’amaraso bitewe na sodiyumu nkeya, isesemi, kuruka, kuribwa umutwe, kuva amaraso mu maraso bikabije, kubura umwuka n’ibindi bimenyetso, kandi mu bihe bikomeye, gucika intege, koma ndetse no gupfa bishobora kubaho.
Uburyo bwo gutwara amaraso mu mashini ya Chengdu Wesley yo gupima amaraso:
Gukurikirana uburyo bwo gutwara ibinyabiziga n'ubushyuhe mu buryo bubiri, uburyo bwo gutwara ibinyabiziga bugabanyijemo uburyo bwo gutwara ibinyabiziga bwa 1 n'uburyo bwo gutwara ibinyabiziga bwa 2, ubushyuhe bugabanyijemo ubushyuhe bwa 1 n'ubushyuhe bwa 2, uburyo bwo gukurikirana ibinyabiziga bubiri butuma habaho umutekano wa dialyse.
Uburyo bwo gutwara impuruza mu mashini ikoresha hemodialysis:
| Impamvu ishoboka yo kunanirwa | Intambwe yo gutunganya |
| 1. Biterwa n'uko nta mazi A cyangwa amazi B | 1. Bihamye nyuma y'iminota 10 mu mazi A cyangwa amazi B |
| 2. Akayunguruzo k'amazi A cyangwa amazi B karafunzwe | 2. Sukura cyangwa usimbuze akayunguruzo k'amazi A cyangwa amazi B |
| 3. Imiterere idasanzwe y'umuyoboro w'amazi w'igikoresho | 3. Emeza ko nta kintu cy’amahanga gifunga umwobo muto kandi wemeze ko winjira uhoraho. |
| 4. Kwinjira mu mwuka | 4.Menya neza niba hari umwuka winjira mu muyoboro w'amazi wa A/B |
Igihe cyo kohereza: Kanama-19-2025
