O le fa'amama ose mea taua tele i le fa'amautinoaina o le saogalemu o tagata ma'i i taimi o togafitiga fa'afoma'i, ae maise i faiga fa'aola e pei o le hemodialysis. Talu ai o tagata mama'i fa'amama toto e masani ona faia togafitiga, e o'o lava i sina fa'aleagaina o sapalai fa'afoma'i e mafai ona o'o atu ai i fa'ama'i ogaoga ma fa'alavelave. Talafeagaimea e fa'aaoga mo le hemodialysissterilizatione taua mo le tausisia o tulaga maualuga o le tumama, faʻaitiitia o faʻamaʻi pipisi, ma faʻamautinoa le aoga o togafitiga.
Aisea e taua tele ai le fa'amama mo le hemodialysis mea'ai
O le hemodialysis e aofia ai feso'ota'iga tuusa'o i le va o masini fa'afoma'i ma le toto o le tagata ma'i, ma fa'amuamua ai le fa'ama'i. So'o se fa'ama'i ile dialyzers, fa'amama toto, po'o le fa'amama toto e mafai ona fa'aolaina siama leaga po'o siama i totonu ole toto, e o'o atu ai i fa'ama'i ogaoga. O tulafono fa'amama fa'ama'i e fesoasoani e puipuia ai nei a'afiaga, fa'amautinoaina le saogalemu ma le lelei o togafitiga.
Auala Autu ole Fa'amama'i Mea'ai Fa'amama
Ina ia ausia tulaga maoa'e o le saogalemu, e fa'aogaina e le au gaosi oloa fa'afoma'i auala eseese mo le fa'amama toto. O auala sili ona taatele e aofia ai:
1. Ethylene Oxide (EtO) Fa'amama
O le Ethylene oxide e fa'aaogaina lautele mo le fa'amama o masini fa'afoma'i e ma'ale'ale vevela, e aofia ai mea fa'amama toto. Ole kesi lea e fa'amama lelei ai siama, viruses, ma sigi a'o fa'asaoina le fa'amaoni o vaega palasitika ma'ale'ale.
Fa'amanuiaga:
• E fetaui mo mea faʻapitoa faʻafomaʻi lavelave ma maaleale
• E ati i totonu o le afifiina ma aveese lelei meaola ninii
• Tu'u ai sina toega pe a fa'a'a lelei
2. Fa'amalama Fa'amalama Gamma
Ole fa'ama'i ole gamma e fa'aogaina ai le malosi ole fa'avevela e fa'aleaga ai fa'ama'i ile fa'amama toto. E sili ona aoga mo oloa faʻaoga tasi, faʻamautinoaina le faʻamaʻi atoatoa e aunoa ma le faʻafefeina o mea lelei.
Fa'amanuiaga:
• E sili ona lelei i le tapeina o siama ma siama
• Leai ni vailaau o totoe, e saogalemu ai mo gasegase
• Fa'ateleina le ola fa'asao oloa e aunoa ma le suia o galuega
3. Fa'amama (Autoclaving)
O le fa'amamaina o le ausa ose auala lauiloa tele mo le fa'amamaina o mea fa'afoma'i. Ae ui i lea, e masani ona faʻaaogaina mo vaega o le hemodialysis toe faʻaaogaina ona o le maualuga o le vevela, atonu e le fetaui mo mea uma.
Fa'amanuiaga:
• Fa'atuatuaina ma fa'alelei le si'osi'omaga
• Leai ni toega vaila'au o totoe
• Lelei mo mea faigaluega faʻafomaʻi e maualuga le vevela
Le A'afiaga o le Fa'amama sa'o i le Saogalemu o Ma'i
Le lavahemodialysis e fa'amama ai mea'aie mafai ona o'o atu ai i ni fa'alavelave matuia fa'alesoifua maloloina, e aofia ai fa'ama'i pipisi o le toto (BSIs), sepsis, ma fa'afitauli fa'afitauli. O le fa'amautinoaina o mea uma e fa'aaogaina fa'amama toto o lo'o fa'amamaina faiga fa'amama e fesoasoani:
•Puipuia Fa'ama'i:Fa'ate'aina ni microorganisms leaga a'o le'i fa'aogaina
•Faʻaleleia le Talitonuga o Tagata maʻi:Faʻaitiitia tulaga lamatia o le soifua maloloina, faʻaleleia le faʻatuatuaina o le maʻi i le saogalemu o togafitiga
•Fa'amalie Tulaga Fa'atonu:Fa'amautinoa le usita'ia o ta'iala mo le saogalemu fa'afoma'i ua fa'atulaga e pulega fa'alesoifua maloloina
Fa'afefea ona Faamautinoaina le Tulaga Lelei o Mea'ai Fa'ato'aga Fa'amama
Falema'i, nofoaga fa'amama toto, ma fa'atauga fa'afoma'i e tatau lava ona maua mai mea fa'aaoga mai fale gaosi fa'amaonia e usita'i i tulaga fa'ava-o-malo mo fa'ama'i. E le gata i lea, e tatau i tagata tausi soifua maloloina ona:
• Su'esu'e pea ma fa'amaonia le fa'amama o sapalai fa'amama toto
• Teu mea fa'aaoga i totonu o si'osi'omaga fa'atonutonu e fa'atumauina ai le fa'amama
• Mulimuli i fa'atonuga fa'amama fa'ama'i fa'ama'i ile fa'amama toto
Fa'ai'uga
Le taua ohemodialysis e fa'amama ai mea'aie le mafai ona soona fai. O le fa'amama lelei e puipuia ai fa'ama'i pipisi e lamatia ai le ola, fa'aleleia le saogalemu o togafitiga, ma fa'amautinoa le tausisia o tulafono fa'atonutonu. A'o fa'aauau pea ona avea togafitiga fa'amama toto ose vaega taua ole tausiga fa'alesoifua maloloina, ole fa'amauina o tulaga maualuga ole fa'ama'i e tumau pea le taua.
Su'e ni mea e sili ona lelei, fa'amama fa'amama toto fa'aaoga? Fa'afeso'ota'iSinomedi aso nei mo fofo faʻatuatuaina e faʻamuamua le saogalemu o maʻi!
Taimi meli: Mati-14-2025
