Sharuɗɗa don Sake sarrafawa na Hemodialyzers
Tsarin sake yin amfani da maganin hemodialyzer na jini da aka yi amfani da shi, bayan jerin matakai, kamar kurkura, tsaftacewa, da kashe ƙwayoyin cuta don biyan ƙayyadaddun buƙatun, don maganin dialysis na majiyyaci iri ɗaya shine ake kira hemodialyzer reuse.
Saboda yuwuwar haɗarin da ke tattare da sake sarrafawa, wanda zai iya haifar da haɗarin aminci ga marasa lafiya, akwai ƙaƙƙarfan ƙa'idodin aiki don sake amfani da hemodialyzers na jini. Dole ne ma'aikatan su yi cikakken horo kuma su bi ƙa'idodin aiki yayin sake sarrafawa.
Tsarin Maganin Ruwa
Dole ne a sake sarrafa shi ya yi amfani da ruwan osmosis na baya, wanda dole ne ya dace da ka'idodin ilimin halitta don ingancin ruwa kuma ya dace da buƙatar ruwa na kayan aiki da ke aiki yayin aiki kololuwa. Ya kamata a gwada yawan gurɓatar da ƙwayoyin cuta da endotoxins ke haifarwa a cikin ruwan RO akai-akai. Binciken ruwa ya kamata a yi a ko kusa da haɗin gwiwa tsakanin na'urar bugun jini da tsarin sake sarrafawa. Matsayin ƙwayar cuta ba zai iya zama sama da 200 CFU / ml ba, tare da iyakar sa baki na 50 CFU / ml; matakin endotoxin ba zai iya zama sama da 2 EU/ml ba, tare da iyakacin shiga tsakani na 1 EU/ml. Lokacin da aka kai iyakar shiga tsakani, ci gaba da amfani da tsarin kula da ruwa yana da karɓa. Duk da haka, ya kamata a dauki matakan (kamar lalata tsarin kula da ruwa) don hana kamuwa da cutar. Ya kamata a gudanar da gwajin ingancin ruwa na kwayoyin cuta da endotoxin sau ɗaya a mako, kuma bayan gwaje-gwaje guda biyu a jere sun cika buƙatun, yakamata a gudanar da gwajin ƙwayoyin cuta kowane wata, sannan a gudanar da gwajin endotoxin aƙalla sau ɗaya a kowane watanni 3.
Tsarin Sake sarrafawa
Dole ne injin sake sarrafawa dole ne ya tabbatar da ayyuka masu zuwa: sanya dializer a cikin yanayin juzu'in ultrafiltration don maimaita kurkura na ɗakin jini da ɗakin dialysate; gudanar da gwaje-gwajen ingancin aiki da membrane akan dializer; tsaftace ɗakin jini da ɗakin dialysate tare da maganin kashe ƙwayoyin cuta na akalla sau 3 ƙarar ɗakin jini, sa'an nan kuma cika dializer tare da ingantaccen maganin maganin kashe kwayoyin cuta.
Wesley's dialyzer machine reprocessing machine - yanayin W-F168-A/B shine na'ura mai sarrafa dializer na farko a duniya, tare da kurkura ta atomatik, tsaftacewa, gwaji, da shirye-shirye, wanda zai iya kammala dializer flushing, dializer disinfection, gwaji, da jiko a cikin kusan mintuna 12, cike da cika ka'idojin sake amfani da dializer, da buga TCV (Total Cell) Volume) gwajin sakamakon. Na'urar sake sarrafa dializer ta atomatik tana sauƙaƙe aikin masu aiki kuma yana tabbatar da aminci da tasiri na sake amfani da dialyzers na jini.
W-F168-B
Keɓaɓɓen Kariya
Duk ma'aikacin da zai iya taba jinin marasa lafiya ya kamata ya yi taka tsantsan. A cikin sake sarrafa dialize, masu aiki yakamata su sa safar hannu da sutura masu kariya kuma su bi ka'idojin rigakafin kamuwa da cuta. Lokacin shiga cikin hanyar sananne ko abin da ba a iya gani ba ko kuma bayani, masu aiki yakamata su sanya abin rufe fuska da na'urorin numfashi.
A cikin dakin aiki, za a saita famfo ruwan wanke ido na gaggawa don tabbatar da inganci da wankewar lokaci da zarar ma'aikaci ya ji rauni ta hanyar fantsama na sinadarai.
Bukatu don Maimaita Dindin Jini
Bayan dialysis, yakamata a kwashe na'urar a cikin wuri mai tsabta kuma a sarrafa shi nan da nan. A cikin yanayi na musamman, hemodialyzers na jini wanda ba a kula da shi a cikin sa'o'i 2 ba, ana iya sanya shi a cikin firiji bayan an wanke shi, kuma dole ne a gama aikin disinfection na dializer na jini a cikin sa'o'i 24.
●Kurkure da tsaftacewa: Yi amfani da daidaitaccen ruwan RO don wankewa da tsaftace jini da ɗakin dialysate na hemodialyzer na jini, gami da wankewar baya. Ana iya amfani da diluted hydrogen peroxide, sodium hypochlorite, peracetic acid, da sauran sinadaran reagents azaman kayan tsaftacewa don dilyzer. Amma, kafin ƙara wani sinadari, dole ne a cire sinadarin da ya gabata. Ya kamata a kawar da sodium hypochlorite daga maganin tsaftacewa kafin ƙara formalin kuma kada a haɗe shi da peracetic acid.
● Gwajin TCV na dializer: TCV na dializer na jini ya kamata ya fi ko daidai da 80% na ainihin TCV bayan an sake sarrafawa.
● Gwajin mutuncin dialysis membrane: Gwajin rupture na membrane, kamar gwajin karfin iska, yakamata a gudanar da shi yayin sake sarrafa hemodialyzer na jini.
●Dialyzer Disinfection and sterilization: Dole ne a shafe tsabtace hemodialyzer na jini don hana gurɓataccen ƙwayoyin cuta. Duk ɗakin jini da ɗakin dialysate dole ne su kasance bakararre ko kuma a cikin yanayin da ba su da lafiya sosai, kuma ya kamata a cika dializer da maganin kashe ƙwayoyin cuta, tare da maida hankali ya kai aƙalla 90% na ƙa'idar. Dole ne a shafe mashigan jini da magudanar jini da mashigan dialysate da mashin dializer sannan a rufe su da sabbin kofuna.
●Shell of dializer: Magani mai ƙarancin hankali (kamar 0.05% sodium hypochlorite) wanda aka daidaita don kayan harsashi ya kamata a yi amfani da shi don jiƙa ko tsaftace jini da datti a kan harsashi.
●Ajiye: Ya kamata a adana na'urorin da aka sarrafa a wuri da aka keɓe don ware daga na'urorin da ba a sarrafa su ba idan an yi amfani da su da kyau.
Duban Bayyanar Waje Bayan Sake sarrafawa
(1) Babu jini ko wani tabo a waje
(2) Babu cranny a cikin harsashi da tashar jini ko dialysate
(3)Babu gudan jini da bakar zare a saman zaren ramin
(4) Babu jini a tashoshi biyu na fiber dializer
(5) Ɗauki huluna a mashigai da maɓuɓɓugar jini da dialysate kuma tabbatar da cewa babu hayakin iska.
(6) Alamar bayanin majiyyaci da bayanan sake sarrafa dializer daidai ne kuma a sarari.
Shiri Kafin Ciwon Lafiya Na Gaba
●Shar da maganin kashe kwayoyin cuta: Dole ne a cika dializer kuma a zubar da shi sosai tare da saline na al'ada kafin amfani.
● Gwajin ragowar ƙwayar cuta: matakin ƙwayar cuta mai saura a cikin dializer: formalin <5 ppm (5 μg / L), peracetic acid <1 ppm (1 μg / L), Renalin <3 ppm (3 μg / L)
Lokacin aikawa: Agusta-26-2024