Mokhoa oa ho Khetha Mochini oa boleng bo holimo oa Hemodialysis

Bakeng sa bakuli ba nang le lefu la renal la ho qetela (ESRD), hemodialysis ke khetho e sireletsehileng le e sebetsang ea phekolo. Nakong ea phekolo, mali le dialysate li kopana le dialyzer (liphio tsa maiketsetso) ka lesela le nang le semi-permeable, e leng se lumellang phapanyetsano ea lintho tse tsamaisoang ke likhahla tsa mahloriso. Mochini oa hemodialysis o bapala karolo ea bohlokoa ho hloekiseng mali ka ho tlosa litšila tsa metabolism le li-electrolyte tse feteletseng ha o ntse o hlahisa li-ion tsa calcium le bicarbonate ho tloha dialysate ho kena maling. Sehloohong sena, re tla hlahloba lintlha tsa motheo tsa mochini oa hemodialysis le ho tataisa mokhoa oa ho khetha sesebelisoa sa boleng bo holimo ho etsa hore kalafo e be bonolo haholoanyane.

 

Ho utloisisa Mechini ea Hemodialysis

 

Mechini ea hemodialysis hangata e na le litsamaiso tse peli tse kholo: sistimi ea ho lekola taolo ea mali le easistimi ea phepelo ea dialysate. Sistimi ea mali e na le boikarabello ba ho laola phallo ea mali kantle ho mmele mme sistimi ea dialysate e lokisa tharollo ea dialysis e tšoanelehang ka ho kopanya concentrate.s le RO metsi le ho tsamaisa tharollo ho dialyzer. Ho hemodialyzer, dialysate e etsa phallo ea solute, ho kenella, leultrafiltration le mokuli's mali ka lera la semi-permeable, 'me khabareng, mali a hloekisang a tla khutlela ho mokuli''Mele ka mokhoa oa ho laola mali le dialysate e ntša metsi a litšila. Ts'ebetso ena e tsoelang pele ea libaesekele e hloekisa mali ka katleho.

 

Ka tloaelo, mokhoa oa ho lekola taolo ea mali o kenyelletsa pompo ea mali, pompo ea heparin, tlhahlobo ea khatello ea methapo le methapo, le sistimi ea ho lemoha moea. Likarolo tse ka sehloohong tsa mokhoa oa phepelo ea dialysis ke mokhoa oa ho laola mocheso, tsamaiso ea ho kopanya, tsamaiso ea degas, tsamaiso ea ho hlahloba conductivity, ho hlahloba ultrafiltration, ho lemoha ho lutla ha mali, joalo-joalo.

 

Mefuta e 'meli ea mantlha ea mechini e sebelisoang ho hemodialysis ke mochini o tloaelehileng oa hemodialysis (HD) le mochini oa hemodiafiltration (HDF).Mechini ea HDF ho sebelisa li-dialyzer tse nang le flux e phahameng ho fana ka ts'ebetso e tsoetseng pele ea ho sefa - ho hasanya le convection ho ntlafatsa ho tlosoa ha limolek'hule tse kholoanyane le lintho tse chefo le ho tlatsa li-ion tsa bohlokoa ka ho kenya tšebetsong phepelo.

 

Ke habohlokoa ho hlokomela hore sebaka se ka holimo sa membrane sa dialyzer se lokela ho nkoa ho mokuli'boemo bo itseng, ho kenyelletsa boima ba 'mele, lilemo, boemo ba pelo, le phihlello ea methapo ha u khetha li-dialyzer. Kamehla buisana le ngaka's tlhahiso ea litsebi ho fumana dialyzer e nepahetseng.

 

Ho Khetha Mochini o Nepahetseng oa Hemodialysis

 

Tšireletseho le ho nepahala ke lintho tsa bohlokoa ka ho fetisisa. Lintlha tse ling tsa bohlokoa tseo u ka li nahanang ke tsena:

 

1. Likarolo tsa Tšireletso

Mochini o hloahloa oa hemodialysis o lokela ho ba le tlhahlobo e matla ea ts'ireletso le lisebelisoa tsa alamo. Litsamaiso tsena li lokela ho ba hlokolosi ka ho lekaneng ho lemoha maemo leha e le afe a sa tloaelehang le ho fana ka litlhokomeliso tse nepahetseng ho basebetsi.

 

Tlhokomelo ea nako ea 'nete ke tlhahlobo e tsoelang pele ea khatello ea methapo le methapo, sekhahla sa phallo, le likarolo tse ling tsa bohlokoa nakong ea dialysis. Litemoso tsa litsamaiso tsa lialamo bakeng sa litaba tse joalo ka moea o tsoang maling o feta khatello ea mali, kapa litekanyetso tse fosahetseng tsa ultrafiltration.

 

1. Ho nepahala ha tshebetso

Ho nepahala ha mochini ho ama katleho ea kalafo 'me hangata ho hlahlojoa ke lintlha tse latelang:

 

Sekhahla sa Ultrafiltration: mochini o lokela ho laola ka nepo mokelikeli o tlositsoeng ho mokuli.

Tlhokomelo ea conductivity: ho netefatsa hore dialysate e maemong a nepahetseng a electrolyte.

Taolo ea mocheso: mochini o lokela ho boloka dialysate ka mocheso o bolokehileng le o phutholohileng.

 

3. Sehokelo sa Mosebelisi

Sehokelo se bonolo sa basebelisi se ka ntlafatsa haholo boiphihlelo ho bakuli le basebelisi. Batla mechini e nang le li-control tse hlakileng le lipontšo tse hlakileng tse etsang hore ho be bonolo ho beha leihlo litekanyetso tsa kalafo.

 

4. Tlhokomelo le Tšehetso

Nahana ka bokhoni ba ts'ehetso ea tekheniki le lits'ebeletso tsa tlhokomelo bakeng sa mochini o khethiloeng moetsi. Tšehetso e ka tšeptjoang e ka etsa bonnete ba hore litaba leha e le life li rarolloa hang-hang, ho fokotsa tšitiso ea phekolo.

 

5. Ho Ikamahanya le Maemo

Mochini oa hemodialysis o tlameha ho latela litekanyetso tse nepahetseng tsa polokeho le boleng tse behiloeng ke mekhatlo ea taolo. Ho latela melao ena ho bohlokoa bakeng sa ho netefatsa polokeho ea mokuli le kalafo e sebetsang.

 

TlholisanoHemodialysisMachines le Moetsi

 

Moetso oa mochini oa hemodialysis W-T2008-B o entsoeng ke Chengdu Wesley o kopanya sehlopha.'s hoo e ka bang lilemo tse mashome a mararo tsa boiphihlelo ba indasteri le boqapi ba theknoloji. Mochini o etselitsoe ho sebelisoa litsing tsa bongaka mme o amohetse setifikeiti sa CE, ka theknoloji e tsoetseng pele, botsitso, mokuli's polokeho le boiketlo, le boiketlo ba ts'ebetso bakeng sa basebetsi ba tsa bongaka. E na le lipompo tse peli le kamore e nepahetseng ea phepelo-le-return-liquid-balance, e leng moralo o ikhethang oa ho netefatsa ho nepahala ha ultrafiltration. Likarolo tsa bohlokoa tsa mochini li romelloa ho tsoa Europe le US, joalo ka li-valve tsa solenoid tse netefatsang taolo e nepahetseng ea ho bula le ho koala ha liteishene, le tiiso ea chips.ng tlhokomelo e nepahetseng le pokello ea lintlha.

 

Sistimi ea ts'ireletso e tsoetseng pele

 

Mochine o sebelisa tse pelitsamaiso ea ho shebella le ho sireletsa moea, metsi level and bubble detectors, tse ka atlehang ho thibela moea oa potoloho ea mali ho kena 'meleng oa mokuli ho thibela likotsi tsa air embolism. Ntle le moo, mochini o na le lintlha tse peli tsa ho lekola mocheso le lintlha tse peli bakeng sa conductivity, ho netefatsa boleng ba dialysate. is e bolokiloe ho pholletsa le phekolo. Sistimi ea alamo e bohlale e fana ka maikutlo a nako ea nnete mabapi le lintho tse sa tloaelehang nakong ea dialysis. Thealamo ea acousto-optic e hlokomelisa basebetsi ho arabela ka potlako litabeng life kapa life, ho matlafatsa polokeho ea mokuli le katleho ea kalafo.

 

Ho ipapisitsoe le motheo oa W-T2008-B, mochini oa W-T6008S oa hemodiafiltration o eketsa leihlo la khatello ea mali, li-filters tsa endotoxin, le Bi-Cart joalo ka litlhophiso tse tloaelehileng. E ka fetoha habonolo lipakeng tsa mefuta ea HDF le HD nakong ea kalafo. Kenya ka li-dialyzer tse phahameng, tse thusang ho tlosoa ha limolek'hule tse khōloanyane maling, mochine o ntlafatsa katleho le boiketlo ba phekolo.