Dhiig-dhaliyaasha la tuuri karo (Dareemo Hoose) ee loogu talagalay daaweynta dhiig-dhaliyaasha
Sharaxaad Gaaban:
Hemodialysis-ka waxaa loogu talagalay daaweynta hemodialysis-ka ee kelyaha oo ku dhaca cilladaha degdegga ah iyo kuwa daba-dheeraada iyo isticmaalka hal mar. Sida waafaqsan mabda'a xuubka nus-permeable, waxay soo bandhigi kartaa dhiigga bukaanka iyo dialyzate isku mar, labaduba waxay ku socdaan jihada ka soo horjeeda labada dhinac ee xuubka dialysis-ka. Iyada oo la kaashanayo isku-dhafka dareeraha, cadaadiska osmotic iyo cadaadiska haydarooliga, Haemodialysis-ka la tuuro wuxuu ka saari karaa sunta iyo biyo dheeraad ah oo ku jira jirka, isla markaana, wuxuu siin karaa walxaha lagama maarmaanka ah ee dialyzate-ka wuxuuna ilaalin karaa dheelitirka elektrolytka iyo aashitada ee dhiigga.
Dhiig-sidahaWaxaa loogu talagalay daaweynta hemodialysis ee kelyaha oo ku dhaca cilladaha degdegga ah iyo kuwa daba-dheeraada iyo isticmaalka hal mar. Sida waafaqsan mabda'a xuubka nus-permeable, waxay soo bandhigi kartaa dhiigga bukaanka iyo dialyzate isku mar, labaduba waxay ku socdaan jihada ka soo horjeeda labada dhinac ee xuubka dialysis. Iyada oo la kaashanayo isku-dhafka milanka, cadaadiska osmotic iyo cadaadiska haydarooliga, Haemodialyser-ka la tuuro wuxuu ka saari karaa sunta iyo biyo dheeraad ah oo ku jira jirka, isla markaana, wuxuu siin karaa walxaha lagama maarmaanka ah ee dialyzate wuxuuna ilaalin karaa electrolyte iyo aashitada oo dheellitiran dhiigga.
Jaantuska isku xirka daaweynta dialysis-ka:
Xogta Farsamada:
- Qaybaha ugu Muhiimsan:
- Qalabka:
| Qayb | Agabka | Dhiig taabasho iyo haddii kale |
| Daboolka ilaalinta | Polypropylene | NO |
| Daboolka | Polycarbonate | HAA |
| Guryaha | Polycarbonate | HAA |
| Xuubka Dialysis-ka | Xuubka PES | HAA |
| Dahaadh | PU | HAA |
| Giraan O-ring ah | Ruber-ka Silikoonka | HAA |
Bayaan:Dhammaan agabka ugu muhiimsan waa kuwo aan sun ahayn, waxayna buuxiyaan shuruudaha ISO10993.
- Waxqabadka badeecada:Dialyzer-kani wuxuu leeyahay waxqabad la isku halleyn karo, kaas oo loo isticmaali karo dhiig-baxa. Xuduudaha aasaasiga ah ee waxqabadka badeecada iyo taariikhda shaybaarka ee taxanaha waxaa lagu bixin doonaa sida soo socota si loogu tixraaco.Fiiro gaar ah:Taariikhda shaybaarka ee dialyzer-kan waxaa lagu cabiray heerarka ISO8637Shaxda 1 Xuduudaha aasaasiga ah ee Waxqabadka Badeecada
| Moodel | A-40 | A-60 | A-80 | A-200 |
| Habka Jeermis-ka-saaridda | Raajada Gamma | Raajada Gamma | Raajada Gamma | Raajada Gamma |
| Aagga xuubka wax ku oolka ah (m2) | 1.4 | 1.6 | 1.8 | 2.0 |
| TMP-ga ugu badan (mmHg) | 500 | 500 | 500 | 500 |
| Dhexroorka gudaha ee xuubka (μm±15) | 200 | 200 | 200 | 200 |
| Dhexroorka gudaha ee guryaha (mm) | 38.5 | 38.5 | 42.5 | 42.5 |
| Isugeynta Sifeynta Ultrafiltration (ml/saacaddii) mmHg) (QB=200ml/daqiiqo, TMP=50mmHg) | 18 | 20 | 22 | 25 |
| Dhibicda cadaadiska ee qaybta dhiigga (mmHg) QB= 200ml/daqiiqo | ≤50 | ≤45 | ≤40 | ≤40 |
| Dhibicda cadaadiska ee qaybta dhiigga (mmHg) QB= 300ml/daqiiqo | ≤65 | ≤60 | ≤55 | ≤50 |
| Dhibicda cadaadiska ee qaybta dhiigga (mmHg) QB= 400ml/daqiiqo | ≤90 | ≤85 | ≤80 | ≤75 |
| Hoos u dhaca cadaadiska ee qaybta dialyzate (mmHg) QD= 500ml/daqiiqo | ≤35 | ≤40 | ≤45 | ≤45 |
| Mugga qaybta dhiigga (ml) | 75±5 | 85±5 | 95±5 | 105±5 |
Shaxda 2aad ee Ogolaansho
| Moodel | A-40 | A-60 | A-80 | A-200 | |
| Xaaladda Imtixaanka : SD=500ml/daqiiqo, heerkul:37℃±1℃, QF= 10ml/daqiiqo | |||||
| Ogolaansho (ml/daqiiqad) QB= 200ml/daqiiqo | Urea | 183 | 185 | 187 | 192 |
| Creatinine | 172 | 175 | 180 | 185 | |
| Fosfate | 142 | 147 | 160 | 165 | |
| Fiitamiin B12 | 91 | 95 | 103 | 114 | |
| Ogolaansho (ml/daqiiqad) QB= 300ml/daqiiqo | Urea | 232 | 240 | 247 | 252 |
| Creatinine | 210 | 219 | 227 | 236 | |
| Fosfate | 171 | 189 | 193 | 199 | |
| Fiitamiin B12 | 105 | 109 | 123 | 130 | |
| Ogolaansho (ml/daqiiqad) QB= 400ml/daqiiqo | Urea | 266 | 274 | 282 | 295 |
| Creatinine | 232 | 245 | 259 | 268 | |
| Fosfate | 200 | 221 | 232 | 245 | |
| Fiitamiin B12 | 119 | 124 | 137 | 146 | |
Faallo:Dulqaadka taariikhda nadiifinta waa ±10%.
Tilmaamaha:
| Moodel | A-40 | A-60 | A-80 | A-200 |
| Aagga xuubka wax ku oolka ah (m2) | 1.4 | 1.6 | 1.8 | 2.0 |
Baakad
Hal cutub: Bacda warqadda Piamater.
| Tirada qaybaha | Cabbirrada | GW | Waqooyi Galbeed | |
| Kaartoonka Rarista | 24 Kumbiyuutar | 465 * 330 * 345mm | 7.5Kg | 5.5Kg |
Jeermis-ka-dhigis
Nadiifin iyadoo la isticmaalayo shucaac
Kaydinta
Muddada kaydinta waa 3 sano.
• Lambarka goobta iyo taariikhda uu dhacayo waxaa lagu daabacay calaamadda lagu dhejiyay badeecada.
• Fadlan ku kaydi meel gudaha ah oo hawo fiican leh oo heerkulkeedu yahay 0℃~40℃, qoyaan qaraabo ah oo aan ka badnayn 80% iyo gaas aan lahayn.
• Fadlan iska ilaali shilka iyo soo-gaadhista roobka, barafka, iyo iftiinka qorraxda tooska ah inta lagu jiro gaadiidka.
• Ha ku kaydin bakhaar ay weheliyaan kiimikooyin iyo walxo qoyan.
Taxaddarrada isticmaalka
Ha isticmaalin haddii baakad nadiif ah ay dhaawacan tahay ama la furay.
Hal mar oo keliya ayaa loo isticmaali karaa.
Si ammaan ah uga tuur ka dib hal mar isticmaal si aad uga fogaato khatarta caabuqa.
Imtixaanada tayada:
Tijaabooyinka qaab-dhismeedka, Tijaabooyinka bayoolojiga, Tijaabooyinka kiimikada.
