Ngā Aratohu mō te Tukatuka Anō i ngā Hemodialyzers
Ko te tukanga whakamahi anō i tētahi taputapu whakaheke toto kua whakamahia, i muri i te maha o ngā tikanga, pērā i te horoi, te horoi, me te patu huakita hei whakatutuki i ngā whakaritenga kua tohua, mō te maimoatanga dialysis o taua tūroro anō, ka kiia ko te whakamahi anō i te taputapu whakaheke toto.
Nā te nui o ngā tūponotanga ka pā mai i te tukatuka anō, ka tūpono pea he tūponotanga haumaru mō ngā tūroro, he tino pakari ngā ture whakahaere mō te whakamahi anō i ngā taputapu whakaheke toto. Me whai whakangungu hōhonu ngā kaiwhakahaere, ā, me piri ki ngā aratohu whakahaere i te wā e tukatuka anō ana.
Pūnaha Maimoatanga Wai
Me whakamahi te wai osmosis whakamuri mō te tukatuka anō, me tutuki i ngā paerewa koiora mō te kounga wai, me te whakatutuki i te hiahia wai o ngā taputapu e mahi ana i te wā tino mahi. Me whakamātauria te nui o te parahanga i puta mai i ngā huakita me ngā endotoxins i roto i te wai RO i ngā wā katoa. Me tirotiro te wai i te hononga i waenga i te toto dialyzer me te pūnaha tukatuka anō, i te taha rānei. Kaua e neke atu i te 200 CFU/ml te taumata huakita, me te rohe wawaotanga o te 50 CFU/ml; kaua e neke atu i te 2 EU/ml te taumata endotoxin, me te rohe wawaotanga o te 1 EU/ml. Ina tae ki te rohe wawaotanga, ka whakaaetia te whakamahi tonu i te pūnaha maimoatanga wai. Heoi, me mahi ngā mahi (pēnei i te patu huakita i te pūnaha maimoatanga wai) hei ārai i te parahanga anō. Me whakahaere te whakamātautau huakita me te endotoxin o te kounga wai kotahi i te wiki, ā, i muri i te rua o ngā whakamātautau karapīpiti ka tutuki i ngā whakaritenga, me whakahaere te whakamātautau huakita ia marama, ā, me whakahaere te whakamātautau endotoxin i te iti rawa kotahi i ia 3 marama.
Pūnaha Tukatuka Anō
Me whakarite e te mīhini tukatuka anō ngā mahi e whai ake nei: te whakanoho i te dialyzer ki te āhua tātaritanga whakamuri mō te horoinga auau o te rūma toto me te rūma dialysate; te whakahaere i ngā whakamātautau mahi me te pono o te kiriuhi i runga i te dialyzer; te horoi i te rūma toto me te rūma dialysate ki te otinga patu huakita o te iti rawa 3 ngā wā o te rōrahi o te rūma toto, kātahi ka whakakī i te dialyzer ki te otinga patu huakita kukū whai hua.
Ko te mīhini tukatuka anō i ngā dialyzer a Wesley--aratau W-F168-A/B te mīhini tukatuka anō i ngā dialyzer aunoa-katoa tuatahi o te ao, me ngā kaupapa horoi, horoi, whakamātautau, me te whakakī aunoa, ka taea te whakaoti i te horoinga o ngā dialyzer, te patu huakita i ngā dialyzer, te whakamātautau, me te werohanga i roto i te 12 meneti pea, me te tutuki katoa i ngā paerewa o te tukatuka whakamahi anō i ngā dialyzer, me te tā i te hua whakamātautau TCV (Total Cell Volume). Ka whakangawari te mīhini tukatuka anō i ngā dialyzer aunoa i te mahi a ngā kaiwhakahaere, ā, ka whakarite i te haumaru me te whai huatanga o ngā dialyzer toto kua whakamahia anō.
W-F168-B
Te Tiakitanga Whaiaro
Me tūpato ngā kaimahi katoa e pā ana ki te toto o ngā tūroro. I roto i te tukatuka anō i ngā dialyzer, me mau ngā kaiwhakahaere i ngā karapu tiaki me ngā kākahu, me te whai i ngā paerewa ārai mate. I te wā e whai wāhi ana ki te tukanga o te paitini, o te otinga rānei e mōhiotia ana, e whakapaetia ana rānei, me mau ngā kaiwhakahaere i ngā kopare kanohi me ngā manawa.
I roto i te rūma mahi, me whakatū he taputapu horoi kanohi e puta mai ana hei whakarite kia tere te horoinga ina whara te kaimahi i te tauhiuhi matū.
Te Whakaritenga mō te Tukatuka Anō i ngā Dialyzer Toto
I muri i te dialysis, me kawe te dialyzer ki tētahi wāhi ma, ā, me whakahaere tonu. Mēnā he āhuatanga motuhake, ka taea te rongoa i ngā dialyzer toto kāore i rongoatia i roto i ngā haora e rua i muri i te horoinga, ā, me whakaoti ngā tikanga patu huakita me te whakahoromata mō te dialyzer toto i roto i ngā haora e 24.
●Te horoi me te horoi: Whakamahia te wai RO paerewa hei horoi me te horoi i te toto me te ruma dialysate o te toto hemodialyzer, tae atu ki te horoinga whakamuri. Ka taea te whakamahi i te hauwai peroxide kua whakaranua, te konutai hypochlorite, te waikawa peracetic, me ētahi atu matū hei horoi mō te dialyzer. Engari, i mua i te tāpiri i tētahi matū, me tango te matū o mua. Me tango te konutai hypochlorite i te wai horoi i mua i te tāpiri formalin, kaua hoki e whakaranua ki te waikawa peracetic.
●Whakamātautau TCV o te dialyzer: Me nui ake, me ōrite rānei te TCV o te dialyzer toto ki te 80% o te TCV taketake i muri i te tukatuka anō.
●Whakamātautau pumau o te kiriuhi toto: Me whakahaere he whakamātautau pakaru o te kiriuhi toto, pērā i te whakamātautau pēhanga hau, i te wā e tukatukahia ana te mīhini toto toto.
●Te patu huakita me te whakahoromata i te dialyzer: Me patu huakita te toto kua horoia hei ārai i te poke o ngā huakita. Me tino parakore te rūma toto me te rūma dialysate, me tino whakamatea rānei, ā, me whakakī te dialyzer ki te wai patu huakita, kia eke te kukū ki te 90% o te taumata e tika ana. Me patu huakita te tomokanga me te putanga toto me te tomokanga me te putanga dialysate o te dialyzer, kātahi ka hipokina ki ngā taupoki hou, ki ngā taupoki kua whakamatea rānei.
●Te anga o te maimoatanga dialyzer: Me whakamahi he otinga patu huakita iti te kukū (pērā i te 0.05% konutai hypochlorite) kua whakaritea mō ngā rauemi o te anga hei whakamakuku, hei horoi rānei i te toto me te paru i runga i te anga.
●Te Rokiroki: Me rongoa ngā dialyzer kua tukatukahia ki tētahi wāhi kua tohua hei wehe i ngā dialyzer kāore anō kia tukatukahia, mēnā ka poke, ka whakamahia hē rānei.
Te Tirotiro i te Āhua o Waho i muri i te Tukatuka Anō
(1) Kāore he toto, he paru rānei i waho
(2) Kāore he kapiti i roto i te anga me te putanga o te toto, te dialysate rānei
(3) Kāore he totoka, kāore hoki he muka pango i runga i te mata o te muka tuwhera
(4) Kāore he toto totoka i ngā pito e rua o te muka dialyzer
(5) Puritia ngā taupoki o te putanga me te putanga o te toto me te wai toto, kia kore ai he turuturu o te hau.
(6) He tika, he mārama hoki te tapanga o ngā mōhiohio a te tūroro me ngā mōhiohio tukatuka-anō a te dialyzer.
Te Whakarite i mua i te Dialysis e whai ake nei
●Horoia te patu huakita: me whakakī te dialyzer, ā, me horoi rawa ki te tote noa i mua i te whakamahinga.
●Whakamātautau toenga patu huakita: taumata patu huakita toenga i roto i te dialyzer: formalin <5 ppm (5 μg/L), waikawa peracetic <1 ppm (1 μg/L), Renalin <3 ppm (3 μg/L)
Wā tuku: 26 o Ākuhata-2024
