Ubwishingizi bufite ireme hamwe ninshingano ntarengwa Kugabanuka Haemodialyser
Kwitegura kuvura dialyse
Niba sisitemu yo gutanga dialyzate yaranduye imiti cyangwa yanduye mbere yumurwayi
koresha, menya neza kugerageza imashini ya dialyse kuberako habuze ibisigisigi bya germioide hamwe na
ikizamini kuriyi porogaramu, ukurikije amabwiriza yabakozwe.
Shyira dialyzer mumwanya uhagaze, impera ya arterial (umutuku) hepfo.
Shira imiyoboro y'amaraso ya arterial na venine kumashini ya hemodialyse.
Kuraho ikintu icyo ari cyo cyose cyo gukingira amaraso ya dialyzer hanyuma uhuze neza na arterial na
imiyoboro y'amaraso y'amaraso kuri dialyzer.
Aseptically spike umufuka wa litiro 1 ya 0.9% sterile isanzwe yumunyu usanzwe hamwe na IV ifunze
ubuyobozi bushiraho. Ongeraho ubuyobozi bwa IV bushyire kumpera yumurwayi wa arterial
maraso.
Fungura clamp kumurongo wa IV .Banza ushireho amaraso ya arterial, dialyzer, na venine
maraso ukoresheje umuvuduko wa pompe yamaraso hafi 150ml / min.Hagarika icya mbere
500ml yumuti. Ibyumba bitonyanga bigomba kubungabungwa hafi 3/4 byuzuye.
Hagarika pompe yamaraso.Shyira kumaraso ya arterial na venine. Hindura dialyzer rero
ko imitsi y'amaraso imanuka.Aseptically guhuza umurwayi amaherezo ya arterial na
imirongo y'amaraso y'amaraso hamwe mugutegura kuzenguruka. Fungura clamp kuri
maraso.
Kugenzura niba dialyzate iri mumipaka yagenwe hamwe na kalibibasi
metero yimyitwarire yo hanze.Kumenya ibihe aho acetate cyangwa aside na
bicarbonate yibanze ntabwo ihuye neza, koresha impapuro za PH cyangwa metero kugirango ugenzure
ko pH igereranijwe iri murwego rwa physiologique.
Ongeraho umurongo wa dialyzate kuri dialyzer. Uzuza igice cya dialyzate. Muri ordor to
kwagura imikorere ya dialyzer.umugezi wa dialyzate ugomba kuba uhuye na
amaraso atemba.
Kuzenguruka uruhande rw'amaraso ku kigero cya 300-400ml / min hamwe na dialyse ya
500ml / min byibuze byibuze iminota 10-15 Kuzenguruka kugeza umwuka wose ubaye
byahanaguwe muri sisitemu mbere yo guhuza umurwayi. Komeza kwisubiramo kandi
dialyzate itemba kugeza ihuza abarwayi.
Ultrafilter cyangwa usukemo 500ml ya 0.9% sterile saline isanzwe kugirango
umuzenguruko wa extraacorporeal washyizwemo byibuze litiro 1 ya saline kugirango ugabanye 4
ibisigisigi.
Hagarika igisubizo cyibanze mugihe utangiye gutembera mumaraso ukoresheje dialyzer.Niba icyambere
igisubizo kigomba guhabwa umurwayi kugirango yongere amajwi, asimbuze amazi muri
umuzunguruko hamwe na saline nshya mbere yo kwizirika kumurwayi.
Ni inshingano z'umuyobozi wubuvuzi kwemeza ko urwego rusigaye ari
biremewe.
