Ka taea te whakamahi anō i te Dialyzer mō te maimoatanga hemodialysis?

Ko te Dialyzer, he taputapu kai nui mō te maimoatanga dialysis whatukuhu, e whakamahi ana i te kaupapa o te kiriuhi haurua-permeable hei whakauru i te toto mai i ngā tūroro ngoikore whatukuhu me te dialysate ki roto i te dialyzer i te wā kotahi, me te hanga i ngā mea e rua kia rere i ngā taha e rua o te kiriuhi dialysis, me te āwhina o ngā taha e rua o te solute gradient, te osmotic gradient, me te hydraulic pressure gradient. Ka taea e tēnei tukanga marara te tango i ngā paitini me te wai nui mai i te tinana me te whakakī anō i ngā matū e hiahiatia ana e te tinana me te pupuri i te taurite o ngā electrolytes me te acid-base.

Ko te nuinga o ngā Dialyzer he mea hanga mai i ngā hanganga tautoko me ngā kiriuhi dialysis. Ko ngā momo muka tuwhera te nuinga o te wā e whakamahia ana i roto i ngā mahi haumanu. Ko ētahi o ngā hemodialyzer he mea hanga kia taea te whakamahi anō, me te hanganga motuhake me ngā rauemi e taea ai te tu atu i ngā horoinga me ngā whakamatemate maha. I taua wā, me maka atu ngā dialyzer whakakorekore i muri i te whakamahinga, ā, kāore e taea te whakamahi anō. Heoi anō, kua puta he tautohetohe me te whakapoauau mō te tika o te whakamahi anō i ngā dialyzer. Ka tūhuratia e mātou tēnei pātai, ā, ka tukuna atu ētahi whakamārama i raro nei.

Ngā painga me ngā ngoikoretanga o ngā dialyzer whakamahi anō

(1) Whakakorea te mate whakamahi tuatahi.
Ahakoa he maha ngā āhuatanga e hua ai te mate whakamahinga tuatahi, pērā i te patu huakita o te ethylene oxide, te rauemi membrane, ngā cytokine i hangaia e te pa toto ki te membrane dialysis, me ētahi atu, ahakoa he aha ngā take, ka heke te tūponotanga o te puta mai nā te whakamahinga tonu o te dialyzer.

(2) Whakapai ake i te hototahitanga koiora o te dialyzer me te whakaiti i te whakahohenga o te pūnaha ārai mate.
I muri i te whakamahinga o te dialyzer, ka tāpirihia he paparanga kiriata pūmua ki te mata o roto o te membrane, ka taea te whakaiti i te tauhohenga kiriata toto i puta mai i te dialysis e whai ake nei, me te whakaiti i te whakahohenga o te tāpiringa, te degranulation neutrophil, te whakahohenga lymphocyte, te hanga microglobulin, me te tukunga cytokine.

(3) Te awe o te tere whakawātea.
Kāore e heke te tere whakakorenga o te creatinine me te urea. Mā ngā dialyzers whakamahi anō kua horoia ki te formalin me te konutai hypochlorite ka taea te whakarite kia noho tonu ngā tere whakakorenga o ngā matū ngota reo me te nui (Vital12 me te inulin).

(4) Whakaitihia ngā utu mō te hemodialysis.
Kāore e kore ka taea e te whakamahinga anō o ngā dialyzer te whakaiti i ngā utu hauora mō ngā tūroro he ngoikore te whatukuhu, ā, ka taea hoki te whakamahi i ngā hemodialyzer pai ake engari he utu nui ake.
I taua wā anō, e kitea ana hoki ngā ngoikoretanga o te whakamahinga anō o ngā dialyzer.

(1) Ngā pānga kino ki ngā patu huakita
Mā te patu huakita waikawa peracetic ka pakaru te kiriuhi dialysis, ka tangohia hoki ngā pūmua e mau tonu ana i roto i te kiriuhi nā te whakamahinga tonu, ka piki ake te tūponotanga o te whakahohenga o ngā tāpiringa. Ka taea e te patu huakita formalin te whakararu i te mate pāwera Anti-N-antibody me te kiri o ngā tūroro.

(2) Whakanuia te tūponotanga o te poke o te huakita me te endotoxin ki te dialyzer, me te whakanui ake i te tūponotanga o te mate whakawhiti

(3) Ka pāngia te mahi a te dialyzer.
I muri i te whakamahinga o te dialyzer i ngā wā maha, nā te mea ka āraia ngā paihere muka e te pūmua me ngā toto totoka, ka whakaitihia te horahanga whai hua, ā, ka heke haere te tere whakakore me te tere tātaritanga ultra. Ko te tikanga noa hei ine i te rahinga paihere muka o te dialyzer ko te tatau i te rahinga katoa o ngā lumens paihere muka katoa i roto i te dialyzer. Mena he iti iho i te 80% te ōwehenga o te kaha katoa ki te dialyzer hou, kāore e taea te whakamahi i te dialyzer.

(4)Whakanuia ake te tūponotanga ka pāngia ngā tūroro me ngā kaimahi hauora e ngā matū matū.
I runga i te tātaritanga o runga ake nei, ka taea e te horoi me te patu huakita te whakakī i ngā ngoikoretanga o ngā dialyzer whakamahi anō ki tētahi taumata. Ka taea anake te whakamahi anō i te dialyzer i muri i ngā tikanga horoi me te patu huakita tino pakari, me te whai i ngā whakamātautau kia kore ai e pakaru, e ārai rānei te kiriuhi i roto. He rerekē i te tukatuka ā-ringa tuku iho, mā te whakamahi i ngā mīhini tukatuka ā-ringa aunoa ka whakauruhia ngā tukanga paerewa ki roto i te tukatuka ā-ringa o te dialyzer hei whakaiti i ngā hapa i roto i ngā mahi ā-ringa. Ka taea e te mīhini te horoi aunoa, te patu huakita, te whakamātautau, me te pupuhi, kia rite ki ngā tikanga me ngā tawhā kua whakaritea, hei whakapai ake i te hua o te maimoatanga dialysis, me te whakarite i te haumaru me te akuaku o te tūroro.