Umkhiqizo

Ukulungiselela ukwelashwa kwe-dialysis
 Uma isistimu yokulethwa kwe-dialyzate yayikhishwe ngamakhemikhali noma inzalo ngaphambi kwesiguli
sebenzisa, qiniseka ukuthi uhlola umshini we-dialysis ukungabikho kwezinsalela ze-germioide nge
isivivinyo salolu hlelo lokusebenza, ngokwemiyalelo yabakhiqizi.
 Beka i-dialyzer endaweni eqondile, ekugcineni kwe-arterial (bomvu) phansi.
 Faka imithambo yegazi ye-arterial kanye ne-venous emshinini we-hemodialysis.
 Susa noma yimaphi ama-caps okuvikela igazi e-dialyzer bese uxhuma i-arterial kanye
imigqa yegazi ye-venous ku-dialyzer.
 Phakamisa ngokungalindelekile isikhwama esiyilitha esingu-0.9% saline oyinyumba ojwayelekile esine-IV eboshwe
isethi yokuphatha.Namathisela ukuphathwa kwe-IV ekupheleni kwesiguli se-arterial
bloodline.
 Vula i-clamp kusethi ye-IV .Prime the arterial bloodline,dialyzer, and venous
bloodline usebenzisa isivinini sephampu yegazi esicishe sibe ngu-150ml/min.Lahla eyokuqala
500ml yesisombululo.Ama-drip chambers kufanele agcinwe cishe u-3/4 egcwele.
 Misa iphampu yegazi.Bamba imigqa yegazi ye-arterial kanye ne-venous.Yenza i-dialyzer ibe njalo
ukuthi i-venous end ibheke phansi.Nge-aseptic xhuma iziphetho zesiguli ze-arterial kanye
imigqa yegazi ye-venous ndawonye ukulungiselela ukujikeleza kabusha.Vula ama-clamps on the
imigqa yegazi.
 Qinisekisa ukuthi i-dialyzate ingaphakathi kwemikhawulo ye-conductivity enqunyiwe nge-calibrated
imitha conductivity yangaphandle.Ukuhlonza izimo lapho i-acetate noma i-asidi kanye
I-bicarbonate concentrates ayifaniswe kahle, sebenzisa iphepha le-PH noma imitha ukuze uqinisekise
ukuthi i-pH elinganiselwe ikubanga le-physiologic.
 Namathisela ulayini we-dialyzate kumshini wokudayela.Gcwalisa i-dialyzate compartment.Ngokulandela
wandise ukusebenza kahle kwe-dialyzer.ukugeleza kwe-dialyzate kumele kuhambisane nakho
ukugeleza kwegazi.
 Phinda ujikeleze uhlangothi lwegazi ngesilinganiso sokugeleza esingu-300-400ml/min kanye nokugeleza kwe-dialyzate
500ml/min okungenani imizuzu eyi-10-15 Phinda ujikeleze kuze kube yilapho wonke umoya usuphelile.
kuhlanzwa ohlelweni ngaphambi kokuxhuma esigulini.Qhubeka nokujikeleza futhi
ukugeleza kwe-dialyzate kuze kuxhunywe isiguli.
 I-Ultrafilter noma shayela u-500ml owengeziwe ka-0.9% we-saline evamile oyinyumba ukuze
Isekethe ye-extracorporeal igezwe ngobuncane be-1 litre kasawoti ukuze kuncishiswe u-4
izinsalela zokuvala inzalo.
 Lahla ikhambi eliyinhloko lapho uqala ukugeleza kwegazi nge-dialyzer.Uma i-prime
Isixazululo kufanele sinikezwe isiguli ukuze kuthuthukiswe umthamo, buyisela uketshezi ku-
isifunda esinosawoti ohlanzekile ngaphambi nje kokunamathiselwa esigulini.
 Kungumsebenzi woMqondisi Wezempilo ukuqinisekisa ukuthi amazinga ayinsalela anjalo
eyamukelekayo.