Enwere ike ijikwa dialyzer maka ọgwụgwọ hemodialysis?

Dialyzer, ihe dị mkpa maka ọgwụgwọ dialysis nke akụrụ, na-eji ụkpụrụ nke akpụkpọ ahụ nke nwere ike ime ka ọ webata ọbara site na ndị ọrịa na-arịa ọrịa akụrụ na dialysate n'ime dialyzer n'otu oge, na-eme ka ha abụọ na-asọba n'akụkụ abụọ n'akụkụ abụọ. akpụkpọ ahụ dialysis, site n'enyemaka nke akụkụ abụọ solute gradient, osmotic gradient, na hydraulic gradient. Usoro mgbasa ozi a nwere ike wepu nsị na oke mmiri n'ime ahụ ka ọ na-ejuputa ihe dị mkpa nke anụ ahụ ma na-ejigide nguzozi nke electrolytes na acid-base.

Ihe mejupụtara dialyzers bụ nke sitere n'ụdị nkwado yana akpụkpọ dialysis. A na-eji ụdị eriri oghere oghere eme ihe na mmemme ụlọ ọgwụ. A na-emepụta ụfọdụ hemodialyzers ka a na-emegharị ya, na-eji ihe owuwu pụrụ iche na ihe ndị nwere ike iguzogide ọtụtụ nhicha na nsị. Ka ọ dị ugbu a, a ga-atụfu dialyzers enwere ike ịtụfu mgbe ejiri ya, enweghị ike ijikwa ya ọzọ. Agbanyeghị, enweela arụmụka na mgbagwoju anya gbasara ma ekwesịrị ijikwa dialyzers ọzọ. Anyị ga-enyocha ajụjụ a ma nye nkọwa n'okpuru.

Uru na ọghọm dị n'iji dialyzers emegharị ya

(1) Wepụ ọrịa mbụ eji eme ihe.
Ọ bụ ezie na ọtụtụ ihe na-ebute ọrịa nke mbụ, dị ka ihe na-egbu egbu nke ethylene oxide, ihe akpụkpọ ahụ, cytokines nke a na-emepụta site na kọntaktị ọbara nke akpụkpọ ahụ dialysis, wdg, n'agbanyeghị ihe kpatara ya, ihe gbasara nke puru omume ga-ebelata n'ihi iji dialyzer eme ihe ugboro ugboro.

(2)Melite bio-ndakọrịta nke dialyzer ma belata ịgbalite usoro ahụ ji alụso ọrịa ọgụ.
Mgbe o jiri dialyzer mee ihe, a na-ejikọta oyi akwa nke ihe nkiri protein n'ime ime akpụkpọ ahụ, nke nwere ike ibelata mmeghachi omume ihe nkiri ọbara nke dialysis na-esote na-akpata, ma belata mmekwata mmeju, neutrophil degenranulation, ọrụ lymphocyte, mmepụta microglobulin, na ntọhapụ cytokine. .

(3) Mmetụta nke ọnụego mkpochapụ.
Ọnụego mkpochapụ nke creatinine na urea anaghị ebelata. Ndị na-eji ọgwụ dialyzers emegharịrị na formalin na sodium hypochlorite agbakwunyere nwere ike hụ na ọnụego mkpochapụ nke ọkara na nnukwu ihe molekụla (Vital12 na inulin) agaghị agbanwe agbanwe.

(4) Belata ụgwọ hemodialysis.
Obi abụọ adịghị ya na ijikwa dialyzer nwere ike ibelata ụgwọ nlekọta ahụike maka ndị ọrịa na-arịa ọrịa gbasara akụrụ ma nye ohere ịnweta hemodialyzers dị mma ma dị oke ọnụ.
N'otu oge ahụ, emezighị emezi nke iji dialyzer eme ihe bụkwa ihe doro anya.

(1) Mmeghachi omume ọjọọ nke ọgwụ nje
Ngwọta Peracetic acid ga-eme ka denaturation na mwepu nke akpụkpọ ahụ dialysis, ma wepụkwa protein ndị echekwabara na akpụkpọ ahụ n'ihi iji ya eme ihe ugboro ugboro, na-abawanye ohere nke ịgbalite mmeju. Mwepu nke formalin nwere ike ime ka Anti-N-antibody na allergies anụ ahụ na ndị ọrịa

(2) Na-abawanye ohere nke nje na nje na endotoxin nke dialyzer ma na-abawanye ohere nke ibute ọrịa.

(3) A na-emetụta arụmọrụ nke dialyzer.
Mgbe ejiri dialyzer mee ihe ọtụtụ ugboro, n'ihi protein na ọbara na-egbochi eriri eriri, ebe dị irè na-ebelata, ọnụego nkwụsị na ultrafiltration ga-eji nwayọọ nwayọọ na-ebelata. Ụzọ a na-ahụkarị iji tụọ olu ngwugwu fiber nke dialyzer bụ ịgbakọ mkpokọta mkpokọta fiber budle lumens na dialyzer. Ọ bụrụ na ngụkọta ikike dị na dialyzer ọhụrụ erughị 80%, enweghị ike iji dialyzer.

(4) Mụbaa ohere nke ndị ọrịa na ndị ọrụ ahụike na-ekpughere reagents kemịkalụ.
Dabere na nyocha a dị n'elu, ihicha na disinfection nwere ike ime ka adịghị ike nke ndị na-eji dialyzers eme ihe ruo n'ókè ụfọdụ. Enwere ike ijikwa dialyzer naanị mgbe usoro nhicha na mkpochapụ siri ike wee gafee ule iji hụ na enweghị mgbawa akpụkpọ ahụ ma ọ bụ mgbochi n'ime. Dị iche na nhazigharị akwụkwọ ntuziaka ọdịnala, iji igwe na-emegharị dialyzer na-akpaghị aka na-ewebata usoro ahaziri ahazi n'ime nhazi dialyzer iji belata njehie na arụ ọrụ ntuziaka. Igwe ahụ nwere ike sachapụ ya ozugbo, kpochapụ, nwalee ma wụsa ya, dị ka usoro ntọala na paramita siri dị, iji kwalite mmetụta ọgwụgwọ dialysis na-ahụ maka nchekwa na ịdị ọcha nke onye ọrịa.