Hmoov ntxuav ntshav uas muaj kua qaub
Cov khoom xyaw tseem ceeb ntawm cov hmoov hemodialysis yog: sodium, potassium, calcium, magnesium, chlorine, acetate thiab bicarbonate. Qee zaum glucose tuaj yeem ntxiv raws li qhov xav tau. Qhov concentration ntawm ntau yam khoom sib txawv tsis ruaj khov, thiab kuj muaj qhov sib txawv ntawm potassium thiab calcium. Nws tuaj yeem hloov kho raws li cov electrolyte hauv cov ntshav thiab cov tsos mob ntawm cov neeg mob thaum lub sijhawm dialysis.
Qhov zoo
Cov hmoov ntxuav ntshav pheej yig dua thiab yooj yim thauj mus los. Nws tuaj yeem siv ua ke nrog cov potassium/calcium/glucose ntxiv raws li cov neeg mob xav tau.
Cov Lus Qhia Tshwj Xeeb
1172.8g/hnab/tus neeg mob
2345.5g/hnab/2 tus neeg mob
11728g/hnab/10 tus neeg mob
Lus Cim: peb kuj tuaj yeem ua cov khoom nrog cov potassium siab, calcium siab thiab qabzib siab
Lub Npe: Hmoov Hemodialysis A
Kev sib xyaw ua ke: A:B: H2O = 1:1.225:32.775
Kev Ua Tau: Cov Ntsiab Lus Ib Litre (cov khoom tsis muaj dej).
NaCl: 210.7g KCl: 5.22g CaCl2: 5.825g MgCl2: 1.666g citric acid: 6.72g
Cov khoom yog cov ntaub ntawv tshwj xeeb siv rau kev npaj ntawm haomodialysis dialysate uas nws lub luag haujlwm yog tshem tawm cov khib nyiab metabolic thiab tswj qhov sib npaug ntawm dej, electrolyte thiab acid-base los ntawm dialyser.
Kev piav qhia: dawb crystalline hmoov los yog granules
Daim Ntawv Thov: Cov concentrate ua los ntawm haemodialysis hmoov phim nrog haemodialysis tshuab yog tsim rau haemodialysis.
Kev Qhia Tshwj Xeeb: 2345.5g / 2 tus neeg / hnab
Kev Siv Tshuaj: 1 lub hnab / 2 tus neeg mob
Kev Siv: Siv 1 lub hnab hmoov A, muab tso rau hauv lub thawv sib xyaw, ntxiv 10L ntawm cov kua ntxuav dialysis, do kom txog thaum yaj tag, qhov no yog kua A.
Siv raws li qhov nrawm ntawm lub tshuab lim dej nrog hmoov B thiab cov kua lim dej.
Cov kev ceev faj:
Cov khoom no tsis yog rau kev txhaj tshuaj, tsis yog rau kev noj lossis kev ntxuav lub plab, thov nyeem cov ntawv qhia ntawm tus kws kho mob ua ntej ntxuav lub plab.
Hmoov A thiab Hmoov B siv tsis tau ib leeg, yuav tsum yaj sib cais ua ntej siv.
Cov khoom no tsis tuaj yeem siv ua kua dej hloov chaw.
Nyeem phau ntawv qhia siv ntawm lub tshuab dialyser, paub meej tus lej qauv, tus nqi PH thiab cov mis ua ntej ntxuav dialyse.
Xyuas seb cov ionic concentration thiab hnub tas sij hawm ua ntej siv.
Tsis txhob siv nws thaum muaj kev puas tsuaj rau cov khoom, siv tam sim ntawd thaum qhib.
Cov kua ntxuav ntshav yuav tsum ua raws li YY0572-2005 haemodialysis thiab cov qauv dej kho mob.
Kev Khaws Cia: Khaws cia kom kaw, tsis txhob muab tshav ntuj ncaj qha, cua nkag tau zoo thiab tsis txhob khov, yuav tsum tsis txhob khaws cia nrog cov khoom lom, cov khoom qias neeg thiab cov khoom tsw phem.
Cov kab mob endotoxins: Cov khoom raug diluted rau dialysis los ntawm endotoxin kuaj dej, cov kab mob endotoxins yuav tsum tsis pub ntau tshaj 0.5EU / ml.
Cov khoom me me uas tsis yaj: Cov khoom no raug diluted rau dialysate, cov ntsiab lus ntawm cov khoom me me tom qab rho tawm cov kuab tshuaj: ≥10um cov khoom me me yuav tsum tsis pub ntau tshaj 25's/ml; ≥25um cov khoom me me yuav tsum tsis pub ntau tshaj 3's/ml.
Kev txwv ntawm cov kab mob me me: Raws li qhov sib xyaw ua ke, tus naj npawb ntawm cov kab mob hauv cov tshuaj yuav tsum tsis pub ntau tshaj 100CFU / ml, tus naj npawb ntawm cov pwm yuav tsum tsis pub ntau tshaj 10CFU / ml, Escherichia coli yuav tsum tsis txhob pom.
1 feem ntawm hmoov A diluted los ntawm 34 feem ntawm dej dialysis, ionic concentration yog:
| Cov Ntsiab Lus | Na+ | K+ | Ca2+ | mg2+ | Cl- |
| Kev Ntsuas (mmol / L) | 103.0 | 2.00 | 1.50 | 0.50 | 109.5 |
Qhov kawg Ionic concentration ntawm dialysis kua thaum siv:
| Cov Ntsiab Lus | Na+ | K+ | Ca2+ | mg2+ | Cl- | HCO3- |
| Kev Ntsuas (mmol / L) | 138.0 | 2.00 | 1.50 | 0.50 | 109.5 | 32.0 |
Tus nqi PH: 7.0-7.6
Tus nqi PH hauv cov lus qhia no yog qhov tshwm sim ntawm kev sim hauv chaw kuaj mob, rau kev siv hauv tsev kho mob thov kho tus nqi PH raws li cov txheej txheem ua haujlwm ntawm kev ntxuav ntshav.
Hnub tas sij hawm: 12 lub hlis
