Za a iya sake amfani da Dialyzer don maganin Hemodialysis?

Dialyzer, wani muhimmin abu da ake amfani da shi wajen maganin dialysis na koda, yana amfani da ƙa'idar membrane mai rabe-rabe don shigar da jini daga marasa lafiya da ke fama da gazawar koda da kuma dialysate zuwa dialyzer a lokaci guda, sannan kuma yana sa su guda biyu su gudana a akasin haka a ɓangarorin biyu na membrane ɗin dialysis, tare da taimakon dialyte na solute, osmotic gradient, da kuma hydraulic pressure gradient. Wannan tsari na warwatsewa zai iya cire guba da ruwa mai yawa daga jiki yayin da yake cike abubuwan da jiki ke buƙata da kuma kiyaye daidaiton electrolytes da acid-base.

Galibi ana amfani da na'urorin dialyzers ne da tsarin tallafi da membranes na dialysis. Ana amfani da nau'ikan zare mara zurfi a aikin asibiti. Wasu na'urorin hemodialyzers an tsara su ne don a sake amfani da su, tare da gini na musamman da kayan da za su iya jure tsaftacewa da tsaftacewa da yawa. A halin yanzu, dole ne a zubar da na'urorin dialyzers da za a iya zubarwa bayan amfani kuma ba za a iya sake amfani da su ba. Duk da haka, an sami ce-ce-ku-ce da rudani game da ko ya kamata a sake amfani da na'urorin dialyzers. Za mu binciki wannan tambayar kuma mu ba da wasu bayanai a ƙasa.

Amfani da rashin amfani da na'urorin sake amfani da dializers

(1) Kawar da cutar da aka fara amfani da ita.
Duk da cewa abubuwa da yawa suna haifar da ciwon da aka fara amfani da shi, kamar maganin kashe ƙwayoyin cuta na ethylene oxide, kayan membrane, cytokines da jini ke samarwa ta hanyar hulɗar membrane na dialysis, da sauransu, komai musabbabinsa, yuwuwar faruwar hakan zai ragu saboda yawan amfani da dialyzer.

(2) Inganta daidaiton yanayin dialyzer da kuma rage kunna tsarin garkuwar jiki.
Bayan amfani da dialyzer, ana haɗa wani Layer na fim ɗin furotin a saman ciki na membrane, wanda zai iya rage amsawar fim ɗin jini da dialysis na gaba ke haifarwa, da kuma rage kunnawar ƙarin aiki, lalacewar neutrophil, kunna lymphocytes, samar da microglobulin, da kuma sakin cytokine.

(3) Tasirin ƙimar sharewa.
Yawan sharewar creatinine da urea ba ya raguwa. Sake amfani da dialyzers da aka fesa da formalin da sodium hypochlorite zai iya tabbatar da cewa yawan sharewar sinadarai masu matsakaici da manyan kwayoyin halitta (Vital12 da inulin) ba su canza ba.

(4) Rage farashin maganin hemodialysis.
Babu shakka cewa sake amfani da dialyzer zai iya rage farashin kula da lafiya ga marasa lafiya da ke fama da gazawar koda da kuma samar da damar yin amfani da mafi kyawun amma mafi tsada na hemodialyzers
A lokaci guda kuma, gazawar sake amfani da dialyzer suma a bayyane suke.

(1) Mummunan halayen da ake nunawa ga magungunan kashe ƙwayoyin cuta
Maganin kashe ƙwayoyin cuta na Peracetic acid zai haifar da lalacewar membrane na dialysis da kuma rugujewar sa, sannan kuma zai cire sunadaran da ke cikin membrane saboda amfani da su akai-akai, wanda hakan ke ƙara yiwuwar kunna ƙarin aiki. Maganin kashe ƙwayoyin cuta na Formalin na iya haifar da rashin lafiyar Anti-N-antibody da fata ga marasa lafiya

(2) Ƙara damar gurɓatar ƙwayoyin cuta da endotoxin na dialyzer da kuma ƙara haɗarin kamuwa da cuta ta hanyar haɗin gwiwa

(3) Aikin dialyzer yana da tasiri.
Bayan an yi amfani da dialyzer sau da yawa, saboda yawan sinadarin furotin da jini da ke toshe tarin zare, yankin da ke aiki zai ragu, kuma saurin sharewa da kuma yawan tacewa zai ragu a hankali. Hanyar da aka saba amfani da ita don auna yawan tarin zare na dialyzer ita ce a ƙididdige jimlar adadin dukkan lumens na tarin zare a cikin dialyzer. Idan rabon jimlar ƙarfin da sabon dialyzer ya yi ƙasa da kashi 80%, ba za a iya amfani da dialyzer ba.

(4) Ƙara damar da marasa lafiya da ma'aikatan lafiya ke fuskanta wajen kamuwa da sinadarai masu guba.
Bisa ga binciken da aka yi a sama, tsaftacewa da tsaftace jiki na iya rama gazawar sake amfani da dialyzers har zuwa wani lokaci. Ana iya sake amfani da dialyzer ne kawai bayan tsauraran matakan tsaftacewa da tsaftace jiki da kuma wucewa gwaje-gwaje don tabbatar da cewa babu fashewar membrane ko toshewa a ciki. Sabanin sake sarrafa shi da hannu na gargajiya, amfani da injunan sake sarrafa dialyzer ta atomatik yana gabatar da matakai masu daidaito a cikin sake sarrafa dialyzer don rage kurakurai a cikin ayyukan hannu. Injin zai iya wankewa, kashe ƙwayoyin cuta, gwadawa, da kuma lalata shi ta atomatik, bisa ga tsare-tsare da sigogi, don inganta tasirin maganin dialyzer, yayin da yake tabbatar da aminci da tsafta ga marasa lafiya.