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DİYALİZ MERKEZİMİZDE ÇEŞİTLİ MEMBRANLARLA YAPILAN REUSE UYGULAMA SONUÇLARI

REUSE OF HEMODIALYZERS

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 1994

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
In this study, the results of reuse (Ru) application on 20 chronic hemodialyzedpatients (11 male, 9female; mean age 40±ll years) were evaluated and the Ru potentials of different membranes were investigated. All patients were performed standart hemodialysis (HD) with diasol containing acetate for 4 hours, three times a week. In Ru process, membranes of Polysulfone (Psf) (1 m2-Hemoflow F5) in 8patients, Cuprophane (Cu) (1.2 m2-FoCus 120) in 7 patients, and Cuproammonium Rayon (Cr) (1.2 m2-Clirans 12) in 5 patients were used.Disinfection of membranes was made in the solutions of 2% formaldehyde and 1% soduim hypochloride. After every rinsing piriming volumes (PV) of dialyzers were measured and whenPV decreased under 80% of initial values, Ru process was ended. Ru process was made average 8 (5-15) times with Psf, 3 (2-5) times with Cu, and 3 (1-4) times with Cr membranes. PV and dialyzer urea clearance of membranes gradually decreased as Ru times increased. It was concluded that any significant complication ofRu wasn't observed, the expenses of dialysis materials decreased by 30% and 50% by means of Ru process, membrane material was important in Ru process, and Ru potential of Psf membrane, a synthetic membrane, was higher than those of cellulosic membranes.
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Abstract (Original Language): 
Bu çalışmada kronik hemodiyaliz (HD)programındaki 20 hastada (11 erkek, 9 kadın; yas ortalaması: 40±_11 yıl) yapılan reuse (Ru) uygulama sonuçları de¬ğerlendirildi ve farklı membranların Ru potansiyelleri araştırıldı. Bütün hastalara haftada 3 kez 4 saat süreyle asetatlı standart HD uygulandı. Ru işleminde 8 hastada polysulfone (PSF) (Im2'lik Hemoflow F5), 7has¬tada Cuprophan (Cu) (I,2m2'lik FoCus 120), 5 hasta¬da ise Cuproammonium rayon (Cr) (1.2 m2'lik Cli-rans 12 membran kullanildi. Dializerlerin dezenfeksi-yonu %2'lik formaldehit ve %1'lik sodyum hipoklorit ile yapıldı her yıkama sonrası dializerin priming volü-mü (PV) ölçüldü ve PV %80'in allına düşünce Ru iş¬lemi sonlandırıldı. Psf ile ortalama (5-15),Cu ile 3 (2-3) Cr ile ise 3 (l-4)kez Ru yapıldı.Ru sayısı ilepare-lel olarak PV ve dializer üre klirensleri giderek azaldı. Sonuç olarak;Ru işleminde önemli bir komplikas-yon görülmediği ve diyaliz sarf malzemesi maliyetinin kullanılan membrana göre değişmek üzere %35-50 oranında azaldığı, membran materyalinin Ru potansi¬yelinde etkili olduğu ve sentetik bir membran olan Psf membranın Ru potansiyelinin selülozik membranlar-dan daha yüksek olduğu tesbit edildi.
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  • 2
93-96
  • Turkish

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