Litaelo tsa ho Ntlafatsa li-Hemodialyzers
Mokhoa oa ho sebelisa hape hemodialyzer e sebelisitsoeng ea mali, ka mor'a letoto la mekhoa e kang ho hlatsoa, ho hloekisa, le ho bolaea likokoana-hloko ho finyella litlhoko tse boletsoeng, bakeng sa phekolo ea dialysis ea mokuli e tšoanang e bitsoa hemodialyzer reuse.
Ka lebaka la likotsi tse ka ’nang tsa e-ba teng tabeng ea ho lokisa lintho, tse ka ’nang tsa baka likotsi tsa polokeho ho bakuli, ho na le melao e thata ea tšebetso ea ho sebelisa hape li-hemodialyzers tsa mali. Basebelisi ba tlameha ho fumana koetliso e phethahetseng le ho latela litataiso tsa ts'ebetso nakong ea ho sebetsa bocha.
Mokhoa oa ho hloekisa metsi
Ho nchafatsa metsi ho tlameha ho sebelisa metsi a reverse osmosis, a tlamehang ho fihlela litekanyetso tsa tlhaho bakeng sa boleng ba metsi le ho fihlela tlhoko ea metsi ea lisebelisoa tse sebetsang nakong ea ts'ebetso e phahameng. Tekanyo ea tšilafalo e bakoang ke libaktheria le endotoxins metsing a RO e lokela ho hlahlojoa khafetsa. Tlhahlobo ea metsi e lokela ho etsoa haufi kapa haufi le lenonyeletso pakeng tsa dialyzer ea mali le mokhoa oa ho tsosolosa. Boemo ba baktheria ha bo khone ho feta 200 CFU / ml, ka moeli oa ho kenella oa 50 CFU / ml; boemo ba endotoxin ha bo khone ho feta 2 EU/ml, ka moeli oa ho kenella oa 1 EU/ml. Ha moeli oa ho kenella o fihletsoe, tšebeliso e tsoelang pele ea tsamaiso ea metsi e amoheleha. Leha ho le joalo, mehato e lokela ho nkoa (e kang ho bolaea likokoana-hloko tsamaisong ea ho hloekisa metsi) ho thibela tšoaetso e eketsehileng. Teko ea baktheria le endotoxin ea boleng ba metsi e lokela ho etsoa hang ka beke, 'me ka mor'a liteko tse peli tse latellanang li finyella litlhoko, tlhahlobo ea baktheria e lokela ho etsoa khoeli le khoeli,' me tlhahlobo ea endotoxin e lokela ho etsoa bonyane hang ka likhoeli tse 3.
Reprocessing System
Mochini o ntlafatsang o tlameha ho netefatsa mesebetsi e latelang: ho beha dialyzer sebakeng sa reverse ultrafiltration bakeng sa ho hlatsuoa khafetsa ha phaposi ea mali le phaposi ea dialysate; ho etsa liteko tsa ts'ebetso le bots'epehi ba membrane ho dialyzer; ho hloekisa phaposi ea mali le phaposi ea dialysate ka tharollo e bolaeang likokoana-hloko ea bonyane makhetlo a 3 ho feta bophahamo ba phaposi ea mali, ebe o tlatsa dialyzer ka tharollo e sebetsang ea sebolaea likokoana-hloko.
Mochini oa Wesley's dialyzer reprocessing-mode W-F168-A/B ke mochini oa pele o ikatisang oa dialyzer lefatšeng ka bophara, o nang le mananeo a itlhatsoang, a hloekileng, a liteko le a affuse, a ka phethelang ho hlatsoa ha dialyzer, ho bolaea likokoana-hloko, tlhahlobo, le infusion ka metsotso e ka bang 12, ho fihlela ka botlalo litekanyetso tsa ts'ebeliso ea dialyzer hape, 'me u hatise TCV(Total Cell Volume) sephetho sa tlhahlobo se tsoa. Mochini o hlabollang oa dialyzer oa othomathike o nolofatsa mosebetsi oa basebelisi mme o netefatsa polokeho le katleho ea li-dialyzer tse sebelisitsoeng hape.
W-F168-B
Tšireletso ea Motho
Mosebeletsi e mong le e mong ea ka amang mali a bakuli o lokela ho nka mehato ea ho itšireletsa. Ha ho etsoa dialyzer hape, basebelisi ba lokela ho roala liatlana tse sireletsang le liaparo le ho latela litekanyetso tsa thibelo ea tšoaetso. Ha ba sebetsana le ts'ebetso ea chefo kapa tharollo e tsebahalang kapa e belaetsang, basebetsi ba lokela ho roala limaske le li-respirators.
Ka phaposing ea ho sebetsa, ho tla beoa pompo ea metsi e hlatsuoang mahlo ho netefatsa hore e hlatsuoa ka nako e nepahetseng hang ha mosebetsi a utloisitsoe bohloko ke ho hasoa ha lintho tsa lik'hemik'hale.
Tlhokahalo ea Li-Dialyzers tsa Mali Reprocessing
Ka mor'a dialysis, dialyzer e lokela ho tsamaisoa sebakeng se hloekileng 'me se sebetsoe hang-hang. Maemong a khethehileng, li-hemodialyzers tse sa alafshoang ka mor'a lihora tse peli li ka kenngoa ka sehatsetsing ka mor'a ho hlatsoa, 'me mekhoa ea ho thibela likokoana-hloko le ho thibela likokoana-hloko bakeng sa dialyzer ea mali e tlameha ho phethoa ka lihora tse 24.
●Ho hlatsoa le ho hloekisa: Sebelisa metsi a tloaelehileng a RO ho hlatsoa le ho hloekisa mali le kamore ea dialysate ea hemodialyzer ea mali, ho akarelletsa le ho hlatsoa mokokotlo. Diluted hydrogen peroxide, sodium hypochlorite, peracetic acid, le metsoako e meng ea lik'hemik'hale e ka sebelisoa e le lisebelisoa tsa ho hloekisa bakeng sa dialyzer. Empa, pele o eketsa k'hemik'hale, k'hemik'hale e fetileng e tlameha ho tlosoa. Sodium hypochlorite e lokela ho tlosoa ka tharollo ea ho hloekisa pele e eketsa formalin mme e se ke ea tsoakoa le peracetic acid.
● Teko ea TCV ea dialyzer: TCV ea dialyzer ea mali e lokela ho ba kholo ho feta kapa e lekanang le 80% ea TCV ea pele ka mor'a hore e sebelisoe hape.
● Teko ea botšepehi ba lera la dialysis: Teko ea ho phatloha ha lera, e kang teko ea khatello ea moea, e lokela ho etsoa ha ho sebetsoa bocha hemodialyzer ea mali.
● Ho thibela likokoana-hloko ka Dialyzer le ho thibela likokoana-hloko: Hemodialyzer ea mali e hloekisitsoeng e tlameha ho hlajoa ka likokoana-hloko ho thibela tšoaetso ea likokoana-hloko. Ka bobeli phaposi ea mali le phaposi ea dialysate e tlameha ho ba e hloekileng kapa e be boemong bo bolailoeng haholo, 'me dialyzer e lokela ho tlatsoa ka tharollo e bolaeang likokoana-hloko, 'me mahloriso a fihle bonyane 90% ea molao. Sekeno sa mali le se kenang maling le se kenang le se tsoang ho dialysate se lokela ho hlajoa ka sebolaea likokoana-hloko ebe se koaheloa ka likatiba tse ncha kapa tse se nang likokoana-hloko.
● Shell of dialyzer treatment: Motsoako oa sebolaea-mafu o tlaase-concentration (joaloka 0.05% sodium hypochlorite) o ikamahanyang le lisebelisoa tsa khetla e lokela ho sebelisoa ho inela kapa ho hloekisa mali le litšila holim'a khetla.
● Polokelo: Li-dialyzer tse sebetsoang li lokela ho bolokoa sebakeng se khethiloeng hore li arohane le li-dialyzer tse sa sebetsoang haeba ho ka ba le tšilafalo le tšebeliso e mpe.
Ho hlahloba Ponahalo ea Kantle ka mor'a ho Reprocessing
(1) Ha ho mali kapa letheba le leng ka ntle
(2) Ha ho cranny ka har'a khetla le koung ea mali kapa dialysate
(3) Ha ho na khoele le khoele e ntšo holim'a khoele e sekoti
(4) Ha ho clotting liteiminaneng tse peli tsa dialyzer fiber
(5) Nka likatiba tse kenang le ho tsoa mali, 'me u etse bonnete ba hore ha ho na moea o lutlang.
(6) Leibole ea tlhahisoleseling ea mokuli le tlhaiso-leseling ea dialyzer e nepahetse ebile e hlakile.
Boitokisetso pele ho The Next Dialysis
● Hlatsoa moriana o bolaeang likokoana-hloko: dialyzer e tlameha ho tlatsoa le ho tšeloa ka ho lekaneng ka saline e tloaelehileng pele e sebelisoa.
● Teko ea masala a sebolaea-likokoana-hloko: boemo bo setseng ba sebolaea-mafu ho dialyzer: formalin <5 ppm (5 μg/L), peracetic acid <1 ppm (1 μg/L), Renalin <3 ppm (3 μg/L)
Nako ea poso: Aug-26-2024