Video: Vim li cas thiaj yuav tsum tau lim dej kom tsis huv?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Raws li qhov zoo ntawm cov dej hauv lim ntshav sib txawv heev, thiab nyob rau hauv saib ntawm qhov tseeb hais tias endotoxin los yog active derivatives tuaj yeem ua rau mob hnyav rau cov neeg mob, dialysis kua yuav tsum ua tsis muaj menyuam . Nrog ultrafiltration ntawm lim ntshav peb tuaj yeem tau txais sterile dialysate , uas yog endotoxin dawb.
Ib yam li ntawd, ib tug yuav nug, vim li cas thiaj yuav tsum tau hloov cov kua dej lim dej tas mus li?
Cov neeg mob uas mob raum tsis ua hauj lwm feem ntau muaj teeb meem nrog ntau dhau kua , vim lawv muaj teeb meem hla zis. Los ntawm tsis tu ncua qhia tshiab lim ntshav , cov dej ntau dhau uas lub raum tsis tuaj yeem tshem tawm (thiab tsis tuaj yeem sau hauv lub cev) tuaj yeem raug tshem tawm ntawm cov ntshav.
Ib sab saum toj no, dab tsi yog qhov ua haujlwm ntawm acid concentrate hauv kev lim ntshav? Nyob rau hauv bicarbonate dialysis, proportioning twj nyob rau hauv lub dialysis tshuab mix purified dej nrog cais "acid" thiab bicarbonate mloog zoo. Cov "acid" mloog zoo muaj cov electrolytes, piam thaj, thiab 2-8 mEq/L ntawm acetate (uas yog metabolized rau bicarbonate hauv daim siab ) los tiv thaiv calcium nag lossis daus.
Nyob rau hauv tas li ntawd, yog vim li cas yuav tsum tau dialysis kua nyob rau hauv kub?
Cov kub ntawm dialysate feem ntau yog teeb tsa hauv qab tus neeg mob lub cev kub , raws li qhov teeb tsa no yuav tso cai rau vasoconstriction thiab yog li txo qhov kev pheej hmoo ntawm hypotension nrog ntim tshem tawm ntawm lim ntshav . Cov dialysate kub tuaj yeem hloov kho los ntawm 1 ° C mus rau 2 ° C los pab tshem tawm ntim.
Dab tsi yog qhov hloov pauv kua hauv kev lim ntshav?
Lub diffusive thauj yuav tsum muaj nyob ntawm lim ntshav ntws los ntawm dialyser counter-tam sim no mus rau ntshav. Qhov hloov kua , kuj hu ua hloov kua dej , yog tov nrog cov ntshav thiab yuav tsum yog sterile thiab non-pyrogenic nrog ib tug muaj pes tsawg leeg zoo li plasma dej.
Pom zoo:
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