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Kugadzirira kurapa dialysis
 Kana iyo dialyzate yekutumira sisitimu yakange yaiswa kemikari disinfected kana sterilized pamberi pemurwere
shandisa, ive shuwa yekuyedza dialysis muchina kusavapo kwemagermioide masara ane a
bvunzo yechishandiso ichi, zvinoenderana nemirairo yevagadziri.
 Isa dialyzer panzvimbo yakatwasuka, arterial end (tsvuku) pasi.
 Isa iyo arterial uye venous bloodlines pamushini wehemodialysis.
 Bvisa chero dialyzer yekudzivirira ropa caps uye aseptically batanidza arterial uye
mitsara yeropa kune dialyzer.
 Aseptically simudza 1 litre bhegi re 0.9% sterile normal saline ine clamped IV
administration set.Batanidza IV hutungamiri hwakagadzirirwa kumugumo wemurwere we arterial
bloodline.
 Vhura chibatiso paIV set .Prime the arterial bloodline,dialyzer, and venous
bloodline uchishandisa pombi yeropa kumhanya inosvika 150ml/min.Rasa yekutanga
500ml yemushonga.Dzimba dzemvura dzinofanira kuchengetedzwa dzinenge 3/4 dzakazara.
 Kumisa pombi yeropa.Chengeta matsinga eropa uye venous. Shandura dialyzer kuti idaro
kuti muromo wetsinga uri pasi.Aseptically batanidza murwere magumo arterial uye
venous blood lines pamwechete mukugadzirira recirculation.Vhura zvisungo pa
bloodlines.
 Tarisa kuti dialyzate iri mukati meiyo yakatemerwa conductivity miganho ine calibrated
external conductivity meter.Kuziva mamiriro ezvinhu apo acetate kana acid uye
bicarbonate concentrates haina kunyatsoenderana, shandisa PH bepa kana mita kuratidza
kuti inenge pH iri munharaunda ye physiologic.
 Batanidza dialyzate line kune dialyzer.Zadza dialyzate compartment.In ordor to
wedzera kushanda kwe dialyzer.iyo dialyzate inoyerera inofanira kunge inopesana ne
kubuda kweropa.
 Dzokorora rutivi rweropa pamwero wekuyerera we300-400ml/min uye dialyzate kubuda.
500ml/min kwekashoma kwemaminetsi gumi-15 Teererazve kusvikira mweya wese wapera.
kucheneswa kubva kuhurongwa usati wabatana nemurwere.Continue recirculation uye
dialyzate kuyerera kusvikira murwere kubatana.
 Ultrafilter kana kugezesa imwe 500ml ye 0.9% isina utachiona saline kuitira kuti
extracorporeal circuit yakanyungudutswa neishoma 1 litre yesaline kuderedza 4
sterilization zvisaririra.
 Rasa mushonga wepamusoro paunotanga kuyerera kweropa kuburikidza ne dialyzer.Kana prime
mhinduro inofanirwa kupihwa kumurwere kuti iwedzere vhoriyamu, tsiva iyo fluid mu
dunhu nesaline itsva nguva pfupi isati yabatanidzwa kumurwere.
 Ibasa raMedical Director kuvimbisa kuti mazinga asara ari
zvinogamuchirika.