Ni ubuhe buryo bworoshye muri mashini ya hemodialysis？
Igisobanuro cyimyitwarire mumashini ya hemodialysis:
Imikorere ya mashini ya hemodialysis ikora nk'ikimenyetso cyerekana igisubizo cya dialyse yumuriro w'amashanyarazi, kigaragaza mu buryo butaziguye ingufu za electrolyte. Iyo imiyoboro yimbere mumashini ya hemodialysis irenze urwego rusanzwe, itera kwirundanya kwa sodium mugisubizo, bishobora gutera hypernatremia hamwe no kubura umwijima mu barwayi. Ku rundi ruhande, iyo imiyoboro ya mashini ya hemodialysis iguye munsi yurwego rusanzwe, itera hyponatremia, igaragara nkububabare bwumutwe, isesemi, gukomera mu gatuza, umuvuduko ukabije wamaraso, hemolysis, kandi mubihe bikomeye, guhungabana, koma, cyangwa nibisubizo byica. Niba ibisomwa bitandukanije ibipimo byateganijwe, ibisubizo bidasanzwe birahita bisohoka binyuze mumashanyarazi ya bypass mumashini ya hemodialyse.
Imashini ya hemodialysis yishingikiriza kuri sensor ya Conductivity ikora kuri iri hame mugupima igisubizo cyumuti kugirango umenye neza amashanyarazi. Iyo imashini ya hemodialyse yibijwe mubisubizo, ion yimuka yerekeza munsi yumurima wamashanyarazi, ikabyara amashanyarazi. Mugushakisha imbaraga zubu no kuyihuza nibintu bizwi nka electrode ihagaze, imashini ya hemodialysis ibara igisubizo cyumuti.
Ubushobozi bwamazi ya dialyse mumashini ya hemodialysis bigenwa nubunini bwa ion zitandukanye zirimo sodium, potasiyumu, calcium, chloride, na magnesium mugisubizo. Imashini isanzwe ya hemodialyse ikoresha karubone ya dialyse mubisanzwe ikubiyemo uburyo bwo gukurikirana ibintu 2-3. Module ibanza gupima kwibanda kuriIgisubizo, hanyuma uhitemoB igisubizogusa iyo Igisubizo cyujuje ibyifuzo bisabwa. Indangagaciro zagaragaye mumashini ya hemodialysis yoherezwa mumuzunguruko wa CPU, aho ugereranije nibipimo byateganijwe. Iri gereranya rituma habaho kugenzura neza sisitemu yo gutegura intumbero imbere yimashini ya hemodialyse, kwemeza ko amazi ya dialyse yujuje ibisabwa byose.
Akamaro ko gutwara mumashini ya hemodialyse:
Ukuri no gutuza kwa dialyse yibanda mumashini ya hemodialyse ni garanti kubarwayi kugirango bavure dialyse ihagije. Kuburyo bukwiye bwa dialyse mumashini ya hemodialyse, uburyo bwo guhora ukurikirana imikorere yabyo bukoreshwa mugucunga.
Imyitwarire yerekana ubushobozi bwikintu cyapimwe cyo gukoresha amashanyarazi, kigereranya igiteranyo cya ion zitandukanye.
Ukurikije agaciro kateganijwe ko gukwirakwiza amashanyarazi, imashini ivura hemodialyse ivura ibisubizo A na B ibisubizo ku rugero runaka, ikongeramo umubare wamazi winyuma ya osmose muma mashini ya hemodialyse, ikabivanga mumazi ya dialyse. Noneho icyuma gikoresha amashanyarazi imbere yimashini ya hemodialysis ikoreshwa mugukurikirana no gutanga amakuru.
Niba amazi ari mumashini ya hemodialyse ajyanwa kuri dialyzer mugihe cyagenwe, niba irenze igipimo cyagenwe, ntabwo izanyura muri dialyzer, ahubwo izasohoka binyuze muri sisitemu ya bypass ya mashini ya hemodialyse, mugihe kandi hazatangwa ikimenyetso cyo gutabaza.
Ubusobanuro bwumuriro w'amashanyarazi bufitanye isano itaziguye n'ingaruka zo kuvura n'umutekano w'ubuzima bw'abarwayi.
Niba ubwikorezi buri hejuru cyane, umurwayi azatera umuvuduko ukabije wamaraso bitewe na ioni ya sodium nyinshi, bikaviramo hypernatremia, bikaviramo umwuma wo mu nda w’abarwayi, inyota, umutwe hamwe nibindi bimenyetso, na koma mugihe gikomeye;
Ibinyuranye nibyo, niba ubushobozi bwa dialysate buri hasi cyane, umurwayi azarwara hypotension iterwa na sodium nkeya, isesemi, kuruka, kubabara umutwe, hemolysis ikaze, dyspnea nibindi bimenyetso, kandi mugihe gikomeye, guhungabana, koma ndetse no gupfa bishobora kubaho.
Imiyoboro ya mashini ya hemodialyse ya Chengdu Wesley:
Ikurikiranwa ryimyanya ibiri hamwe nubushakashatsi bwumutekano wubushyuhe, ubwikorezi bugabanijwemo ubwikorezi 1 nubushuhe 2, ubushyuhe bugabanijwe mubushyuhe 1 nubushyuhe bwa 2, sisitemu yo kugenzura byombi irinda byimazeyo umutekano wa dialyse
Imyitwarire Ikimenyetso cyo gukemura ikibazo mumashini ya hemodialysis:
| Impamvu zishobora gutsindwa | Intambwe yo gutunganya |
| 1.Biterwa n'amazi A cyangwa amazi B. | 1.Ihinduka nyuma yiminota 10 mumazi A cyangwa amazi B. |
| 2. Akayunguruzo k'amazi A cyangwa amazi B yahagaritswe | 2.Kuramo cyangwa gusimbuza akayunguruzo k'amazi A cyangwa amazi B. |
| 3.Imiterere y'amazi adasanzwe y'ibikoresho | 3.Kwemeza ko nta mubiri w’amahanga ucomeka ku mwobo muto kandi ukemeza ko byinjira. |
| 4.Kwinjira | 4.Menya neza niba hari umwuka winjira mumazi A / B. |
Igihe cyo kohereza: Kanama-19-2025
