Pauka Hemodialysis ʻakika
ʻO nā ʻāpana kumu o ka pauka hemodialysis: sodium, potassium, calcium, magnesium, chlorine, acetate a me bicarbonate. I kekahi manawa hiki ke hoʻohui ʻia ka glucose e like me nā pono. ʻAʻole mau ka nui o nā ʻāpana like ʻole, a aia kekahi mau ʻokoʻa i nā pae potassium a me calcium. Hiki ke hoʻoponopono ʻia e like me ka pae electrolyte plasma a me nā hōʻike lapaʻau o nā maʻi i ka wā dialysis.
Pōmaikaʻi
ʻOi aku ka maʻalahi o ka lawe ʻana i ka pauka hemodialysis a ʻoi aku ka liʻiliʻi o ke kumukūʻai. Hiki ke hoʻohana pū ʻia me ka potassium/calcium/glucose hou aʻe e like me nā pono o nā mea maʻi.
Nā kikoʻī
1172.8g/ʻeke/mea maʻi
2345.5g/ʻeke/2 mau maʻi
11728g/ʻeke/10 mau maʻi
Manaʻo: hiki iā mākou ke hana i ka huahana me ka potassium kiʻekiʻe, ka calcium kiʻekiʻe a me ka glucose kiʻekiʻe
Inoa: Hemodialysis Powder A
Laki hoʻohuihui: A:B: H2O=1:1.225:32.775
Hana: ʻIkepili no ka Lita (mea wai ʻole).
NaCl: 210.7g KCl: 5.22g CaCl2: 5.825g MgCl2: 1.666g waikawa citric: 6.72g
ʻO ka huahana nā mea kūikawā i hoʻohana ʻia no ka hoʻomākaukau ʻana o ka haemodialysis dialysate nona ka hana e wehe i nā ʻōpala metabolic a mālama i ke kaulike o ka wai, electrolyte a me ka acid-base e ka dialyser.
Wehewehe: pauka kristal keʻokeʻo a i ʻole nā granules
Noi: ʻO ka mea i hana ʻia mai ka pauka hemodialysis e pili ana me ka mīkini hemodialysis he kūpono ia no ka hemodialysis.
Kikoʻī: 2345.5g/2 kanaka/ʻeke
Ka nui o ka lāʻau: 1 ʻeke / 2 mau maʻi
Hoʻohana: E hoʻohana i 1 ʻeke pauka A, e hoʻokomo i loko o ka ipu hoʻoulu, e hoʻohui i 10L o ka wai dialysis, e hoʻoulu a hiki i ka wā e hoʻoheheʻe loa ʻia ai, ʻo ia ka wai A.
E hoʻohana e like me ka nui o ka hoʻoheheʻe ʻana o ka dialyser me ka pauka B a me ka wai dialysis.
Nā Mālama:
ʻAʻole kēia huahana no ka inikini, ʻaʻole e lawe waha ʻia a ʻaʻole hoʻi i ka dialysis peritoneal, e ʻoluʻolu e heluhelu i ke kauoha a ke kauka ma mua o ka dialyzing.
ʻAʻole hiki ke hoʻohana ʻia ka Pauka A a me ka Pauka B wale nō, pono e hoʻoheheʻe ʻokoʻa ma mua o ka hoʻohana ʻana.
ʻAʻole hiki ke hoʻohana ʻia kēia huahana ma ke ʻano he wai hoʻoneʻe.
E heluhelu i ke alakaʻi mea hoʻohana o ka dialyser, e hōʻoia i ka helu kumu hoʻohālike, ka waiwai PH a me ke ʻano hana ma mua o ka dialysis.
E nānā i ka nui o ka ionic a me ka lā palena pau ma mua o ka hoʻohana ʻana.
Mai hoʻohana inā loaʻa kekahi hōʻino i ka huahana, e hoʻohana koke i ka wā e wehe ʻia ai.
Pono ka wai dialysis e kūlike me ke kūlana hemodialysis YY0572-2005 a me ke kūlana wai lapaʻau e pili ana.
Mālama: Mālama paʻa ʻia, e pale ana i ka lā pololei, ea maikaʻi a pale aku i ka hau ʻana, ʻaʻole pono e mālama pū ʻia me nā mea ʻawahia, haumia a me nā mea ʻala ʻino.
ʻO nā endotoxins bacteria: Hoʻoheheʻe ʻia ka huahana i ka dialysis e ka wai hoʻāʻo endotoxin, ʻaʻole pono e ʻoi aku ka nui o nā endotoxins bacteria ma mua o 0.5EU/ml.
Nā ʻāpana hiki ʻole ke hoʻoheheʻe ʻia: Hoʻoheheʻe ʻia ka huahana i ka dialysate, ʻo ka nui o nā ʻāpana ma hope o ka unuhi ʻana i ka mea hoʻoheheʻe: ʻaʻole pono nā ʻāpana ≥10um e ʻoi aku ma mua o 25's/ml; ʻAʻole pono nā ʻāpana ≥25um e ʻoi aku ma mua o 3's/ml.
Ka palena o nā microbial: Wahi a ka ʻāpana hui ʻana, ʻaʻole pono e ʻoi aku ka nui o nā bacteria i loko o ka concentrate ma mua o 100CFU/ml, ʻaʻole pono e ʻoi aku ka nui o nā fungi ma mua o 10CFU/ml, ʻaʻole pono e ʻike ʻia ʻo Escherichia coli.
1 ʻāpana o ka pauka A i hoʻokahe ʻia e 34 ʻāpana o ka wai dialysis, ʻo ka nui o ka ionic:
| ʻIkepili | Na+ | K+ | Ca2+ | mg2+ | ʻO Cl- |
| Ka nui o ka hoʻohuihui (mmol/L) | 103.0 | 2.00 | 1.50 | 0.50 | 109.5 |
Ka nui hope loa o ka wai dialysis i ka wā e hoʻohana ai:
| ʻIkepili | Na+ | K+ | Ca2+ | mg2+ | ʻO Cl- | HCO3- |
| Ka nui o ka hoʻohuihui (mmol/L) | 138.0 | 2.00 | 1.50 | 0.50 | 109.5 | 32.0 |
Ka Waiwai PH: 7.0-7.6
ʻO ka waiwai PH ma kēia kuhikuhi he hopena hoʻāʻo hoʻokolohua ia, no ka hoʻohana ʻana i ke kauka e ʻoluʻolu e hoʻoponopono i ka waiwai PH e like me ke kaʻina hana maʻamau o ka dialysis koko.
Lā Pau: 12 mahina
