Dhiig-baxayaasha la tuuri karo (Low Flux) ee daawaynta hemodialysis
Sharaxaad Gaaban:
Daawaynta dhiigbaxayaasha waxaa loogu talagalay daawaynta hemodialysis ee kelyaha ba'an iyo kuwa dabadheeraada iyo isticmaalka hal mar.Marka loo eego mabda'a xuub-sii-daba-mareenka ah, waxay soo bandhigi kartaa dhiigga bukaanka isla markaana sifeeya isla mar, labaduba waxay u socdaan jihada ka soo horjeeda labada dhinac ee xuubka sifeynta.Iyada oo la adeegsanayo gradient of solute, cadaadiska osmotic iyo cadaadiska hydraulic, Hemodialyser-ka la tuuri karo ayaa ka saari kara sunta iyo biyaha dheeraadka ah ee jirka, isla mar ahaantaana, bixinta walxaha lagama maarmaanka ah ee sifeeyaha iyo ilaalinta elektrolytka iyo saldhigga acid-saldhigga. dhiiga ku jira.
Daawooyinka dhiigbaxawaxaa loogu talagalay daawaynta hemodialysis ee kelyaha ba'an iyo kuwa daba-dheeraada iyo isticmaalka hal mar.Marka loo eego mabda'a xuub-sii-daba-mareenka ah, waxay soo bandhigi kartaa dhiigga bukaanka isla markaana sifeeya isla mar, labaduba waxay u socdaan jihada ka soo horjeeda labada dhinac ee xuubka sifeynta.Iyada oo la adeegsanayo gradient of solute, cadaadiska osmotic iyo cadaadiska hydraulic, Hemodialyser-ka la tuuri karo ayaa ka saari kara sunta iyo biyaha dheeraadka ah ee jirka, isla mar ahaantaana, bixinta walxaha lagama maarmaanka ah ee sifeeyaha iyo ilaalinta elektrolytka iyo saldhigga acid-saldhigga. dhiiga ku jira.
Jaantuska isku xirka daaweynta sifaynta:
Xogta Farsamada:
- Qaybaha ugu muhiimsan:
- Qalab:
| Qayb | Qalabka | La xidhiidh Dhiig iyo in kale |
| Koofida ilaalinta | Polypropylene | NO |
| Dabool | Polycarbonate | HAA |
| Guriyeynta | Polycarbonate | HAA |
| Xuubka sifaynta | Xuubka PES | HAA |
| Sealant | PU | HAA |
| O-ring | Rubber Silikoon | HAA |
Bayaanka:Dhammaan walxaha ugu muhiimsan waa kuwa aan sun ahayn, buuxi shuruudaha ISO10993.
- Waxqabadka alaabta:Sifeeyahani wuxuu leeyahay waxqabad la isku halayn karo, kaas oo loo isticmaali karo dhiig-baxa.Halbeegyada aasaasiga ah ee waxqabadka alaabta iyo taariikhda shaybaarka ee taxanaha ayaa loo bixin doonaa sida soo socota si loo tixraaco.Fiiro gaar ah:Taariikhda shaybaadhka sifeeyahan waxaa lagu cabiray si waafaqsan heerarka ISO8637
Shaxda 1. Halbeegyada aasaasiga ah ee Waxqabadka Alaabta
| Qaabka | A-40 | A-60 | A-80 | A-200 |
| Jidka jeermiska | Gamma ray | Gamma ray | Gamma ray | Gamma ray |
| Meesha xuubabka waxtarka leh (m2) | 1.4 | 1.6 | 1.8 | 2.0 |
| TMP ugu badnaan (mmHg) | 500 | 500 | 500 | 500 |
| Dhexroorka xuubka gudaha (μm± 15) | 200 | 200 | 200 | 200 |
| Dhexroorka guriga (mm) | 38.5 | 38.5 | 42.5 | 42.5 |
| Isku-xirnaanta Ultrafiltration (ml/h. mmHg) (QB=200ml/daqiiqo, TMP=50mmHg) | 18 | 20 | 22 | 25 |
| Dhibicda cadaadiska qaybta dhiigga (mmHg) QB=200ml/min | ≤50 | ≤45 | ≤40 | ≤40 |
| Dhibicda cadaadiska qaybta dhiigga (mmHg) QB=300ml/daqiiqo | ≤65 | ≤60 | ≤55 | ≤50 |
| Dhibicda cadaadiska qaybta dhiigga (mmHg) QB=400ml/daqiiqo | ≤90 | ≤85 | ≤80 | ≤75 |
| Hoos u dhaca cadaadiska ee qaybta sifaynta (mmHg) QD=500ml/daqiiqo | ≤35 | ≤40 | ≤45 | ≤45 |
| Mugga qaybta dhiigga (ml) | 75±5 | 85±5 | 95±5 | 105±5 |
Shaxda 2 nadiifinta
| Qaabka | A-40 | A-60 | A-80 | A-200 | |
| Xaalada Imtixaanka :QD= 500ml/daqiiqo, heerkul:37℃±1℃, QF=10ml/min | |||||
| Nadiifinta (ml/min) QB=200ml/min | Uriya | 183 | 185 | 187 | 192 |
| Creatinine | 172 | 175 | 180 | 185 | |
| Fosfate | 142 | 147 | 160 | 165 | |
| Vitamin B12 | 91 | 95 | 103 | 114 | |
| Nadiifinta (ml/min) QB=300ml/daqiiqo | Uriya | 232 | 240 | 247 | 252 |
| Creatinine | 210 | 219 | 227 | 236 | |
| Fosfate | 171 | 189 | 193 | 199 | |
| Vitamin B12 | 105 | 109 | 123 | 130 | |
| Nadiifinta (ml/min) QB=400ml/daqiiqo | Uriya | 266 | 274 | 282 | 295 |
| Creatinine | 232 | 245 | 259 | 268 | |
| Fosfate | 200 | 221 | 232 | 245 | |
| Vitamin B12 | 119 | 124 | 137 | 146 | |
Odhaah:Dulqaadka taariikhda fasaxa waa ± 10%.
Tilmaamaha:
| Qaabka | A-40 | A-60 | A-80 | A-200 |
| Meesha xuubabka waxtarka leh (m2) | 1.4 | 1.6 | 1.8 | 2.0 |
Baakadaha
Halbeegyo keli ah: boorsada warqadda Piamater.
| Tirada qaybaha | Cabirka | GW | NW | |
| Kartoonka rarida | 24 pcs | 465*330*345mm | 7.5kg | 5.5kg |
Nadiifinta
Jeermiska iyadoo la isticmaalayo shucaac
Kaydinta
Nolosha shelf ee 3 sano.
Nambarka faraha iyo taariikhda dhicitaanku waxay ku daabacan yihiin calaamadda la saaray alaabta.
Fadlan ku kaydi meel gudaha ah oo hawo wanaagsan leh oo leh heerkul ah 0℃ ~ 40℃, oo leh qoyaan aan ka badnayn 80% oo aan lahayn gaas wasakhaysan.
Fadlan ka fogow shilalka iyo soo-gaadhista roobka, barafka, iyo iftiinka qoraxda inta lagu jiro gaadiidka.
• Ha ku kaydin bakhaar ay la socdaan kiimikooyin iyo alaab qoyan.
Kahortagga isticmaalka
Ha isticmaalin haddii baakadaha nadiifka ah ay dhaawacmaan ama la furo.
Hal isticmaal oo keliya.
Si badbaado leh u tuur isticmaal keliya ka dib si aad uga fogaato khatarta caabuqa.
Tijaabooyin tayo leh:
Tijaabada qaabdhismeedka, Tijaabada Nafleyda, Tijaabada Kiimikada.
