Za a iya sake amfani da Dialyzer don Maganin Hemodialysis?

Dialyzer, wani muhimmin amfani da ake amfani da shi don maganin dialysis na koda, yana amfani da ka'idar wani membrane mai raɗaɗi don gabatar da jini daga marasa lafiya na gazawar koda da dialysate a cikin dializer a lokaci guda, da kuma sa su biyun suna gudana ta hanyoyi daban-daban a bangarorin biyu. membrane dialysis, tare da taimakon ɓangarorin ɓangarorin biyu na solute gradient, osmotic gradient, da gradient na hydraulic. Wannan tsarin tarwatsawa zai iya cire gubobi da ruwa mai yawa daga jiki yayin da ake cika abubuwan da ake buƙata na jiki da kiyaye ma'auni na electrolytes da acid-base.

Dialyzers galibi sun ƙunshi tsarin tallafi da membranes na dialysis. Ana amfani da nau'ikan fiber maras kyau a cikin aikin asibiti. An ƙera wasu na'urorin haemodialyzers don sake amfani da su, tare da gine-gine na musamman da kayan da za su iya jure wa tsaftacewa da yawa. A halin yanzu, dole ne a zubar da dialyzers da za a iya zubarwa bayan amfani kuma ba za a iya sake amfani da su ba. Duk da haka, an sami cece-kuce da rudani game da ko ya kamata a sake amfani da na'urar dialyzers. Za mu bincika wannan tambaya kuma mu ba da wani bayani a ƙasa.

Fa'idodi da rashin amfani na sake amfani da dialyzers

(1) Kawar da ciwon farko da aka yi amfani da shi.
Ko da yake dalilai da yawa suna haifar da ciwo na farko-amfani, kamar maganin kashe ethylene oxide, kayan membrane, cytokines da aka samar ta hanyar sadarwar jini na membrane dialysis, da dai sauransu, ko da menene musabbabin, yiwuwar faruwar faruwar hakan zai ragu saboda haka. zuwa maimaita amfani da dializer.

(2)Haɓaka daidaitawar kwayoyin halitta na dializer da rage kunna tsarin rigakafi.
Bayan amfani da dializer, wani Layer na furotin fim ɗin yana haɗe zuwa saman ciki na membrane, wanda zai iya rage tasirin fim ɗin jini wanda ke haifar da dialysis na gaba, da kuma rage haɓakar kunnawa, lalata neutrophil, kunna lymphocyte, samar da microglobulin, da sakin cytokine. .

(3) Tasirin ƙima.
Matsakaicin adadin creatinine da urea baya raguwa. Sake amfani da dialyzers da aka lalata tare da formalin da sodium hypochlorite da aka ƙara na iya tabbatar da cewa ƙimar matsakaici da manyan sinadarai (Vital12 da inulin) sun kasance baya canzawa.

(4) Rage farashin hemodialysis.
Babu shakka cewa sake amfani da dializer zai iya rage farashin kiwon lafiya ga marasa lafiya da ke fama da gazawar koda da kuma samar da damar samun ingantattun magunguna masu tsada amma masu tsada.
Hakanan, gazawar sake amfani da dializer shima a bayyane yake.

(1) Mummunan halayen ga masu kashe kwayoyin cuta
Kwayar cutar ta Peracetic acid zai haifar da raguwa da bazuwar membrane na dialysis, sannan kuma cire sunadaran da ke cikin membrane saboda maimaita amfani da su, yana ƙara yuwuwar kunna kayan aiki. Kwayar cutar ta Formalin na iya haifar da Anti-N-antibody da kuma rashin lafiyar fata a cikin marasa lafiya

(2) Ƙara damar kamuwa da ƙwayoyin cuta da cutar endotoxin na dializer da ƙara haɗarin kamuwa da cuta.

(3) Ayyukan dializer yana tasiri.
Bayan an yi amfani da dialyzer sau da yawa, saboda sunadaran da ƙumburi na jini suna toshe ƙullun fiber, yanki mai tasiri yana raguwa, kuma ƙimar sharewa da ultrafiltration zai ragu a hankali. Hanyar gama gari don auna ƙarar dam ɗin fiber na dializer ita ce ƙididdige jimillar ƙarar duk nau'ikan lumen fiber ɗin da ke cikin dialyzer. Idan rabon jimillar iya aiki zuwa sabon dialzer bai wuce 80% ba, ba za a iya amfani da dializer ba.

(4) Ƙara chances na marasa lafiya da ma'aikatan kiwon lafiya da ake fallasa su zuwa sinadaran reagents.
Dangane da binciken da aka yi a sama, tsaftacewa da tsabtace fata na iya daidaita kasawar sake amfani da dialize zuwa wani ɗan lokaci. Za'a iya sake amfani da dializer bayan tsaftataccen tsaftacewa da hanyoyin kashe kwayoyin cuta da kuma gwada gwaje-gwaje don tabbatar da cewa babu fashewar membrane ko toshewa a ciki. Daban-daban da gyaran gyare-gyaren hannu na gargajiya, yin amfani da injunan sarrafa dializer ta atomatik yana gabatar da daidaitattun matakai a cikin sake sarrafa dializer don rage kurakurai a cikin ayyukan hannu. Na'urar na iya kurkura ta atomatik, kashewa, gwadawa, da shayarwa, bisa ga tsarin saiti da sigogi, don haɓaka tasirin maganin dialysis, yayin da tabbatar da amincin haƙuri da tsafta.