Enwere ike iji Dialyzer ọzọ maka ọgwụgwọ hemodialysis?

Dialyzer, ihe dị mkpa maka ọgwụgwọ dialysis akụrụ, na-eji ụkpụrụ nke akpụkpọ ahụ semi-permeable eme ihe iji webata ọbara sitere n'aka ndị ọrịa dara ada na akụrụ ma dialysate banye na dialyzer n'otu oge, ma na-eme ka ha abụọ na-asọ n'akụkụ abụọ nke akpụkpọ ahụ dialysis, site n'enyemaka nke solute gradient, osmotic gradient, na hydraulic pressure gradient. Usoro mgbasa a nwere ike iwepụ nsí na mmiri gabigara ókè n'ahụ ma na-emeju ihe ndị dị mkpa n'ahụ ma na-eme ka nguzozi nke electrolytes na acid-base dịgide.

Ihe mejupụtara dialyza bụ ihe ndị na-akwado dialyza na akpụkpọ ahụ dialyza. A na-ejikarị ụdị eriri oghere eme ihe n'ụlọ ọgwụ. E mere ụfọdụ hemodialyza ka a na-eji ha eme ihe ọzọ, ha nwere ihe owuwu pụrụ iche na ihe ndị nwere ike iguzogide ọtụtụ nhicha na mgbochi. Ka ọ dị ugbu a, a ga-atụfu dialyza ndị a na-atụfu mgbe ejiri ha, a gaghịkwa eji ha eme ihe ọzọ. Agbanyeghị, e nweela arụmụka na mgbagwoju anya gbasara ma a ga-eji dialyza ndị ọzọ eme ihe ọzọ. Anyị ga-enyocha ajụjụ a ma nye nkọwa ụfọdụ n'okpuru.

Uru na ọghọm nke ihe eji eme ihe eji eme dialyza

(1) Wepụ ọrịa mbụ e ji mee ihe.
Ọ bụ ezie na ọtụtụ ihe na-akpata ọrịa mbụ e ji mee ihe, dịka ọgwụ nje nke ethylene oxide, ihe dị na akpụkpọ ahụ, cytokines nke ọbara na-eme ka akpụkpọ ahụ dialysis metụ, wdg, n'agbanyeghị ihe kpatara ya, ohere nke ime ihe ga-ebelata n'ihi ojiji nke dialyzer ugboro ugboro.

(2) Meziwanye ndakọrịta bio nke dialyzer ma belata ọrụ nke sistemu ahụ ji alụso ọrịa ọgụ.
Mgbe ejiri dialyzer mee ihe, a na-etinye ihe mkpuchi protein n'elu ime nke akpụkpọ ahụ, nke nwere ike ibelata mmeghachi omume ihe nkiri ọbara nke dialysis na-esote kpatara, ma belata mkpali mgbakwunye, mmebi neutrophil, mmụba lymphocyte, mmepụta microglobulin, na mwepụta cytokine.

(3) Mmetụta nke ọnụego mwepụ.
Ọnụego nhicha nke creatinine na urea anaghị ebelata. Ihe ndị e ji ọgwụ dialyza mee ọzọ nke e tinyere formalin na sodium hypochlorite n'ime ha nwere ike ime ka ọnụego nhicha nke ihe ndị dị n'etiti na nnukwu molekul (Vital12 na inulin) ghara ịgbanwe.

(4) Belata ọnụ ahịa hemodialysis.
Obi abụọ adịghị ya na iji dialyzer eme ihe nwere ike ibelata ọnụ ahịa nlekọta ahụike maka ndị ọrịa nwere nsogbu akụrụ ma nye ohere ịnweta hemodialyzer ka mma mana dị oke ọnụ karịa
N'otu oge ahụ, adịghị ike nke iji dialyzer eme ihe pụtakwara ìhè.

(1) Mmeghachi omume ọjọọ nye ọgwụ nje
Ọgwụ nje Peracetic acid ga-eme ka akpụkpọ ahụ dialysis ghara ịdị ọcha ma mebie, ma wepụkwa protein ndị dị na akpụkpọ ahụ n'ihi ojiji ugboro ugboro, na-eme ka ohere nke ime ka ihe dịkwuo mma dịkwuo elu. Ọgwụ nje Formalin nwere ike ibute nfụkasị ahụ na-akpata Anti-N-antibody na nfụkasị akpụkpọ ahụ n'ime ndị ọrịa.

(2) Mee ka ohere nke nje bacteria na endotoxin nke dialyzer dịkwuo elu ma mee ka ohere nke ibute ọrịa n'etiti ndị ọzọ bawanye.

(3) A na-emetụta arụmọrụ nke dialyzer.
Mgbe ejiri dialyzer mee ihe ọtụtụ ugboro, n'ihi na protein na ọbara na-egbochi eriri ahụ, ebe dị irè na-ebelata, ọnụego nhichapụ na ọnụego ultrafiltration ga-ebelata nwayọ nwayọ. Ụzọ a na-ejikarị atụ olu eriri nke dialyzer bụ ịgbakọ olu zuru oke nke lumens eriri niile dị na dialyzer. Ọ bụrụ na oke nke ikike zuru oke na dialyzer ọhụrụ erughị 80%, enweghị ike iji dialyzer.

(4) Mee ka ohere nke ndị ọrịa na ndị ọrụ ahụike dịkwuo elu site na iji ihe ndị na-emepụta kemịkalụ.
Dabere na nyocha dị n'elu, nhicha na ọgwụ nje nwere ike imezu adịghị ike nke ọgwụ nje ndị ọzọ na-eji eme ihe ruo n'ókè ụfọdụ. Enwere ike iji dialyzer mee ihe ọzọ naanị mgbe emechara nhicha na ọgwụgwọ nje siri ike ma gafere ule iji hụ na akpụkpọ ahụ agbawaghị ma ọ bụ gbochie ya n'ime. N'adịghị ka nhazi aka ochie, iji igwe nhazi dialyzer akpaka na-ewebata usoro ọkọlọtọ n'ime nhazi dialyzer iji belata mmejọ na ọrụ aka. Igwe ahụ nwere ike ịsacha, hichaa, nwalee, ma mebie ya na akpaghị aka, dịka usoro na paramita si dị, iji melite mmetụta nke ọgwụgwọ dialyzer, ebe ọ na-ahụ na nchekwa na ịdị ọcha nke ndị ọrịa.