Paura Hemodialysis Waikawa
Ko ngā wāhanga matua o te paura hemodialysis ko: te konutai, te pāhare pākawa, te konupūmā, te konupora, te haurore, te āteta me te paikāpōnate. I ētahi wā ka taea te tāpiri i te hukahuka kia rite ki ngā hiahia. Kāore ngā kukū o ngā wāhanga rerekē i te pumau, ā, he rerekētanga anō hoki ngā taumata pāhare pākawa me te konupūmā. Ka taea te whakarerekē kia rite ki te taumata electrolyte plasma me ngā tohu haumanu o ngā tūroro i te wā dialysis.
Painga
He iti ake te utu o te paura hemodialysis, ā, he māmā hoki te kawe. Ka taea te whakamahi tahi me te pāhare pāporo/konupūmā/kurukose tāpiri e ai ki ngā hiahia o ngā tūroro.
Whakatakotoranga
1172.8g/pēke/tūroro
2345.5g/pēke/2 tūroro
11728g/pēke/10 tūroro
Tuhipoka: ka taea hoki e tātou te hanga i te hua me te pāhare pāporo teitei, te konupūmā teitei me te hukahuka teitei
Ingoa: Paura Hemodialysis A
Te ōwehenga whakaranu: A:B: H2O=1:1.225:32.775
Mahi: Te nui o te wai mō ia rita (te matū kore wai).
NaCl: 210.7g KCl: 5.22g CaCl2: 5.825g MgCl2: 1.666g waikawa citric: 6.72g
Ko te hua he rauemi motuhake e whakamahia ana mō te whakarite i te hemodialysis dialysate, ko tana mahi he tango i ngā para pākia me te pupuri i te taurite o te wai, te electrolyte me te waikawa-base e te dialyser.
Whakaahuatanga: paura, kirikiri rānei mā
Te Whakamahinga: Ko te paura whakahiato i hangaia mai i te paura hemodialysis e ōrite ana ki te mīhini hemodialysis he pai mō te hemodialysis.
Whakatakotoranga: 2345.5g/2 tangata/pēke
Inenga: 1 putea / 2 tūroro
Whakamahinga: Whakamahia te putea paura A kotahi, maka ki roto i te ipu whakaoho, tāpirihia te 10L o te wai dialysis, whakaohokia kia memeha rawa, ko te wai A tēnei.
Whakamahia kia rite ki te tere o te whakaranu o te dialyser ki te paura B me te wai dialysis.
Ngā Whakatūpato:
Kāore tēnei hua e whakaaetia ana mō te werohanga, kaua hoki e tangohia mā te waha, kaua hoki mō te dialysis peritoneal, pānuihia te whakahaunga a te tākuta i mua i te tango i te dialyze.
Kāore e taea te whakamahi takitahi i te paura A me te paura B, me whakarewa motuhake i mua i te whakamahinga.
Kāore e taea te whakamahi i tēnei hua hei wai nekehanga.
Pānuihia te aratohu kaiwhakamahi o te dialyzer, whakaūhia te tau tauira, te uara PH me te hanganga i mua i te dialysis.
Tirohia te kukū ionic me te rā paunga i mua i te whakamahinga.
Kaua e whakamahia ina pā he kino ki te hua, whakamahia tonu ina whakatuwheratia.
Me tutuki te wai dialysis i ngā paerewa hemodialysis YY0572-2005 me te paerewa wai maimoatanga e tika ana.
Rokiroki: Rokiroki hiri, karohia te rā tika, kia pai te hauhautanga me te karo i te huka, kaua e rongoatia me ngā taonga paitini, poke me te haunga kino.
Ngā paitini kitakita: Ka whakaranua te hua ki te wai whakamātautau paitini kia taea ai te tātaritanga toto, kaua ngā paitini kitakita e neke ake i te 0.5EU/ml.
Ngā matūriki kore-rewa: Ka whakaranua te hua ki te waimeha dialysate, ko te nui o te matūriki i muri i te tango i te whakarewa: kaua ngā matūriki ≥10um e neke atu i te 25's/ml; kaua ngā matūriki ≥25um e neke atu i te 3's/ml.
Te herenga moroiti: E ai ki te ōwehenga ranunga, kaua te maha o ngā huakita i roto i te ranunga kukū e neke atu i te 100CFU/ml, kaua te maha o ngā harore e neke atu i te 10CFU/ml, kaua hoki e kitea a Escherichia coli.
1 wāhanga o te paura A kua whakaranua ki te 34 wāhanga o te wai dialysis, ko te kukū ionic ko:
| Ihirangi | Nā+ | K+ | Ca2+ | mg2+ | Cl- |
| Kukū (mmol/L) | 103.0 | 2.00 | 1.50 | 0.50 | 109.5 |
Te kukū katote whakamutunga o te wai dialysis ina whakamahia:
| Ihirangi | Nā+ | K+ | Ca2+ | mg2+ | Cl- | HCO3- |
| Kukū (mmol/L) | 138.0 | 2.00 | 1.50 | 0.50 | 109.5 | 32.0 |
Uara PH: 7.0-7.6
Ko te uara PH o tēnei tohutohu he hua whakamātautau taiwhanga, mō te whakamahinga haumanu, me whakarerekē te uara PH kia rite ki te tikanga whakahaere paerewa mō te tātaritanga toto.
Rā Paunga: 12 marama
