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 membrane mai ƙarancin ƙarfi don gabatar da jini daga marasa lafiya na gazawar koda da dialysate a cikin dializer a lokaci guda, da kuma sanya su guda biyu suna gudana a gaban kwatance a bangarorin biyu na membrane na dialysis, tare da taimakon bangarorin biyu na narkewar gradient, gradient osmotic, da matsa lamba 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 na amfani, irin su maganin kashe ethylene oxide, kayan membrane, cytokines da aka samar ta hanyar haɗin jini na membrane na dialysis, da dai sauransu, ko da menene musabbabin, yiwuwar faruwar faruwa zai ragu saboda maimaita amfani da dializer.
(2)Haɓaka daidaitawar kwayoyin halitta na dializer da rage kunna tsarin rigakafi.
Bayan yin amfani da dializer, wani Layer na furotin fim yana haɗe zuwa saman ciki na membrane, wanda zai iya rage tasirin fim din jini wanda ya haifar da dialysis na gaba, kuma ya rage kunnawa, haɓakar 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 shine a lissafta jimillar ƙarar duk nau'ikan lumen fiber ɗin da ke cikin dializer. Idan rabon jimillar iya aiki zuwa sabon dialzer bai wuce 80% ba, ba za a iya amfani da bugun bugun 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, 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 tabbatar da amincin haƙuri da tsafta.
W-F168-B
Chengdu Wesley's dialyzer machine reprocessing machine shine na'ura ta farko ta atomatik a cikin duniya don asibiti don bakara, tsaftacewa, gwadawa, da kuma maganin sake amfani da dialize da ake amfani da shi a maganin hemodialysis, tare da takardar shaidar CE, mai lafiya da kwanciyar hankali. W-F168-B tare da wurin aiki sau biyu na iya cim ma aiwatarwa a cikin kusan mintuna 12.
Kariya don sake amfani da dializer
Za a iya sake amfani da dialyzers don majiyyaci ɗaya kawai, amma an hana waɗannan yanayi.
1.Ba za a iya sake amfani da dialyzers da marasa lafiya da ke da alamun cutar hanta B ba za su iya sake amfani da su ba; dialyzers da marasa lafiya da ke da alamun cutar hanta mai kyau ya kamata a ware su daga na sauran marasa lafiya idan aka sake amfani da su.
2. Ba za a iya sake amfani da dialyzers da majinyata masu ɗauke da HIV ko AIDS ke amfani da su ba
3.Ba za a iya sake amfani da dialyzers da majinyata masu kamuwa da cututtuka masu ɗauke da jini ke amfani da su ba
4. Ba za a iya sake amfani da dialyzers da marasa lafiya da ke fama da rashin lafiyan abubuwan da aka yi amfani da su wajen sake sarrafa su ba.
Hakanan akwai ƙaƙƙarfan buƙatu akan ingancin ruwa na gyaran hemodialyzer.
Matsayin ƙwayoyin cuta ba zai iya wuce 200 CFU / ml ba yayin da ɗaurin shiga shine 50 CFU / ml; matakin Endotoxin ba zai iya wuce 2 EU/ml ba. Gwajin farko na endotoxin da kwayoyin cuta a cikin ruwa yakamata su kasance sau ɗaya a mako. Bayan sakamakon gwaje-gwaje guda biyu a jere sun cika buƙatun, gwajin ƙwayoyin cuta ya kamata ya zama sau ɗaya a wata, kuma gwajin endotoxin ya kamata ya kasance aƙalla sau ɗaya kowane watanni uku.
(Na'urar ruwa ta Chengdu Weslsy's RO tana saduwa da ka'idodin ruwa na AAMI/ASAIO na dialysis ana iya amfani da su don sake sarrafa dilyzer)
Kodayake kasuwar amfani da na'urorin da za a sake amfani da su na raguwa kowace shekara a duniya, har yanzu yana da mahimmanci a wasu ƙasashe da yankuna tare da ma'anar tattalin arziki.
Lokacin aikawa: Agusta-16-2024
