1/3/2017
Activity: Study and choose what controlling process of the dialyser that suit with my project.
Objective: To know more about the dialyser which is the main part in hemodialysis treatment.
Content/procedure:
Diffusion is the exchange of things dissolved in fluid (solutes)
across the membrane due to differences in the amounts of the solutes on the two
sides (concentration gradient). If there is a higher concentration of a given
solute on one side of the membrane than on the other, then diffusion will occur
to try to make the concentrations on both sides of the membrane the same. By
controlling the chemicals in the dialysate, the dialysis machine controls this
transfer of solutes according to the doctor's prescription. Dialysis machines
control the chemicals in the dialysate by mixing dialysis fluid concentrates,
which are strong versions of the chemicals, (acetate or sodium bicarbonate plus
acetic acid based solutions) with purified water. The mixing is generally
controlled using either conductivity control (measuring how well the fluid
conducts electricity) or by volumetric control (how much water is mixed with
how much chemical) of the water and concentrates. Sodium profiling (changing
the amount of sodium in the dialysis fluid at various times during the
treatment) is used in many modern dialysis machines to vary the conductivity of
the dialysate over the course of the treatment to improve the total amount of
solute removed by diffusion.
Ultrafiltration, also referred to as convection, is fluid
flow through the membrane, forced by a difference in pressure on the two sides
of the dialyzer (pressure gradient). This controls the patient's weight loss
over the course of the treatment. While earlier dialysis machines either
controlled dialysate pressure or the pressure difference across the membrane in
order to achieve ultrafiltration, modern dialysis machines are generally
volumetric, meaning they control the volume of fluid removed from the patient
directly and allowing dialysate pressure to change as it will in order to
achieve the prescribed weight loss. Volumetric control is generally achieved
either by controlling the flow of dialysate in and out of the dialyzer at
different rates with two flow controllers, or by having equal flow rates in and
out of the dialyzer and removing fluid between these equal flows. Volumetric
control allows the doctor to take advantage of more effective "high
flux" dialyzers, which allow a great deal of fluid movement with very
little pressure differences.
Osmosis is the net movement of water
across a selectively permeable membrane driven by a difference in the amounts
of solute on the two sides of the membrane. In dialysis, this refers not to
water movement across the hemodialyzer membrane, but across cell membranes
within the body-either from within the red cells to the blood plasma, or from
within cells of the various tissues in the body (like muscles) to interstitial
fluid (the fluid in between cells). Sodium profiling, as described in the
"diffusion" section, can be used to increase the rate of osmosis early
in the treatment by increasing the sodium level of the plasma
Result/analysis
In this project, I choose to use osmosis controlling process. Osmosis is the net movement of water across a filter. The fluid that I use is syrup water with microbeads. So that, the waste (microbeads) will trapped at the water filter. the figures below show the stepper motor hybrid series that I bought from the QQ Trading at Pasar Road.
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Figure 2: Side view of the stepper motor |
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