Umbhali: John Stephens
Umhla Wokudalwa: 24 Eyomqungu 2021
Hlaziya Umhla: 30 Eyedwarha 2024
Anonim
7. Tonicity of 0.9% NaCl, 5% dextrose in water
Ividiyo: 7. Tonicity of 0.9% NaCl, 5% dextrose in water

Umxholo

Yintoni i-dextrose?

I-Dextrose ligama leswekile elula eyenziwe ngombona kwaye iyafana ngokwemichiza ne-glucose, okanye iswekile yegazi. I-Dextrose ihlala isetyenziswa kwiimveliso zokubhaka njenge-sweetener, kwaye inokufumaneka ngokuxhaphakileyo kwizinto ezinje ngokutya okusetyenzisiweyo kunye nesiraphu yengqolowa.

UDextrose uneenjongo zonyango. Iyanyibilika kwizisombululo ezinikwa ngaphakathi, ezinokudityaniswa nezinye iziyobisi, okanye zisetyenziselwe ukwandisa iswekile yegazi lomntu.

Ngenxa yokuba i-dextrose iswekile "elula", umzimba unokukhawuleza uyisebenzisele amandla.

Iswekile elula inokuphakamisa amanqanaba eswekile yegazi ngokukhawuleza, kwaye zihlala zingenalo ixabiso lesondlo. Imizekelo yezinye iishukela ezilula zibandakanya i-glucose, i-fructose kunye ne-galactose. Iimveliso ezenziwe ngeswekile elula zibandakanya iswekile ecoliweyo, ipasta emhlophe, kunye nobusi.

Zithini amalungiselelo aqhelekileyo edextrose?

I-Dextrose isetyenziselwa ukwenza amalungiselelo okanye imixube ye-intravenous (IV), efumaneka kuphela esibhedlele okanye kwiziko lonyango.


I-Dextrose ikwafumaneka njengejeli yomlomo okanye kwifom yeethebhulethi yomlomo ngaphezulu kwekhawuntara evela ezikhemesti.

Uxinzelelo ngalunye lwe-dextrose lusebenzisa izinto ezizodwa. Uxinzelelo oluphezulu luhlala lusetyenziswa njengeedosi "zokuhlangula" xa umntu eneswekile esezantsi yegazi yokufunda.

I-dextrose isetyenziswa njani?

I-Dextrose isetyenziselwa kwiindawo ezahlukeneyo ngeenjongo ezahlukeneyo. Umzekelo, ugqirha unokuyalela i-dextrose kwisisombululo se-IV xa umntu ephelelwe ngamanzi emzimbeni kwaye eneswekile esezantsi yegazi. Izisombululo zeDextrose IV zinokudityaniswa namachiza amaninzi, kulawulo lwe-IV.

I-Dextrose yi-carbohydrate, eyinxalenye enye yesondlo kukutya okuqhelekileyo. Izisombululo eziqukethe i-dextrose zibonelela ngeekhalori kwaye zinokunikwa ngaphakathi ngokudibeneyo kunye neeamino acid kunye namafutha. Oku kubizwa ngokuba sisondlo esipheleleyo somzali (TPN) kwaye sisetyenziselwa ukubonelela ngesondlo kwabo bangakwaziyo ukufunxa okanye ukufumana iicarbohydrate, iiamino acid, kunye namafutha emathunjini abo.

Inaliti ye-dextrose yenaliti ephezulu inikwa kuphela ziingcali. Ezi zitofu zenziwa kubantu abaneswekile esegazini yabo isezantsi kakhulu kwaye abangakwaziyo ukuginya iipilisi ze-dextrose, ukutya, okanye iziselo.


Ukuba amanqanaba e-potassium omntu aphezulu kakhulu (hyperkalemia), ngamanye amaxesha oogqirha bakwanika inaliti ye-dextrose yeepesenti ezingama-50, ilandelwe yi-insulin efakwa ngaphakathi. Oku kunokwenziwa kwimeko yesibhedlele. Xa iiseli zithatha i-glucose eyongezelelweyo, nazo zithatha i-potassium. Oku kunceda ukwehlisa amanqanaba egazi potassium. I-dextrose inikwe ukuthintela umntu ekubeni abe ne-hypoglycemic. I-insulin inyanga i-potassium ephezulu.

Abantu abanesifo seswekile okanye i-hypoglycemia (iswekile esegazini ephantsi) banokuphatha i-dextrose gel okanye iipilisi xa iswekile yegazi yabo isiba phantsi kakhulu. Ijeli okanye iipilisi ziyanyibilika emlonyeni womntu kwaye ngokukhawuleza zonyusa amanqanaba eswekile yegazi. Ukuba iswekile yegazi lomntu ingaphantsi kwama-70 mg / dL kwaye baneempawu zeswekile esezantsi yegazi, banokufuna ukuthatha iipilisi ze-dextrose. Imizekelo yeempawu zeswekile esezantsi yegazi ibandakanya ubuthathaka, ukudideka, ukubila, kunye nokukhawuleza kwentliziyo.

Ngawaphi amanyathelo endimele ndiwathathe xa ndisebenzisa i-dextrose?

Umboneleli wezonyango akufuneki anike i-dextrose kubantu abaneentlobo ezithile zeemeko zonyango. Kungenxa yokuba i-dextrose inokubangela ukuba iswekile yegazi ephezulu kakhulu okanye utshintsho olwenziweyo emzimbeni olukhokelela ekudumbeni okanye kulwakhiwo lwamanzi emiphungeni.


Gwema i-dextrose

  • ukuba une-hyperglycemia, okanye iswekile ephezulu yegazi
  • ukuba une-hypokalemia, okanye amanqanaba asezantsi e-potassium egazini
  • ukuba une-edema yomda, okanye ukudumba kwiingalo, iinyawo, okanye imilenze
  • ukuba une-edema yemiphunga, xa ulwelo lusakha emiphungeni

Ukuba unesifo seswekile kwaye ugqirha wakho ukumisela i-dextrose yomlomo yejeli okanye iipilisi kuwe, ezi kufuneka zisetyenziswe kuphela xa uneswekile esezantsi yegazi. Ugqirha wakho okanye utitshala wesifo seswekile kufuneka akufundise ukuba ungazibona njani iimpawu zeswekile esezantsi yegazi kunye nokuba uzisebenzisa nini iipilisi. Ukuba ufuna ukuba nejeli okanye iipilisi ezandleni, kufuneka uzigcine ngawo onke amaxesha kwaye kufuneka uzigcine ekhaya. Ugqirha wakho kufuneka acacisele amanye amalungu osapho ukuba ayisebenzise nini i-gel okanye iipilisi, xa abanye kufuneka bakunike.

Ukuba uxabana nombona, unokuba negalelo kwi-dextrose. Thetha nogqirha wakho ngaphambi kokuyisebenzisa.

Ukubeka esweni iswekile yegazi lakho ngelixa ukwi-dextrose

Nokuba awunayo imiqathango ethile, kubalulekile ukuba uhlale ujonga iswekile yegazi lakho ukuba bayayifumana i-dextrose. Oku kunokuqinisekisa ukuba i-dextrose ayiyonyusi ngendlela eyingozi iswekile yegazi. Ungajonga iswekile yegazi lakho kuvavanyo lwasekhaya. Babandakanya ukuvavanywa kwegazi kumnwe kumnwe wegazi. Kulabo abangakwaziyo ngokomzimba ukuvavanya igazi labo ekhaya, iimvavanyo ze-urine yeglucose ziyafumaneka, nangona zingathembekanga.

Ukuba ufumanisa ukuba wena okanye omnye umntu uneempendulo ezimbi ngenxa yeswekile esezantsi yegazi, iipilisi ze-dextrose kufuneka zithathwe kwangoko. Ngokutsho kweZiko leSwekile leJoslin, iipilisi ezine zeswekile zilingana ne-15 gram yee-carbs kwaye zinokuthathwa kwimeko yeswekile esezantsi yegazi (ngaphandle kokuba ucetyiswe ngugqirha wakho). Zahlafuna iipilisi kakuhle phambi kokuginya. Akukho manzi ayimfuneko. Iimpawu zakho kufuneka ziphuculwe kwisithuba semizuzu engama-20. Ukuba abakwenzi oko, qhagamshelana nogqirha wakho.

Ijeli ye-dextrose ihlala iza ngeetyhubhu ezisebenza zodwa, ezigalelwa ngokuthe ngqo emlonyeni kwaye ziginye. Ukuba awukaziva naluphi na utshintsho oluqinisekileyo emva kwemizuzu eli-10, phinda nenye ityhubhu. Ukuba iswekile yegazi lakho isezantsi kakhulu emva kwemizuzu eyongezelelweyo eyi-10, nxibelelana nogqirha wakho.

UDextrose ebantwaneni

I-Dextrose inokusetyenziswa ebantwaneni ngokufanayo nendlela esetyenziswa ngayo kubantu abadala, njengongenelelo ngoncedo lwe-hypoglycemia.

Kwiimeko zehypoglycemia yabantwana, abantwana baya kuhlala benikwa i-dextrose ngaphakathi. Ukukhawulezisa kunye nokunyanga kwangoko ebantwaneni nakwiintsana ezine-hypoglycemia kubalulekile, njengoko i-hypoglycemia enganyangekiyo inokubangela ukonakala kwemithambo-luvo. Ukuba bayakwazi ukuyithatha, i-dextrose inokunikwa abantwana ngomlomo.

Kwimeko ye-neonatal hypoglycemia, enokubangelwa kukuphazamiseka okuninzi njengokuphazamiseka kwemetabolism okanye i-hyperinsulinism, iintsana zinokuba nexabiso elincinci le-dextrose gel eyongezwe kukutya kwabo ukubanceda bagcine amanqanaba eswekile esempilweni. Nxibelelana nogqirha wakho malunga nokuba yimalini i-dextrose yokongeza kwisidlo sabo. Iintsana ezizalwe ngaphambi kwexesha zisengozini ye-hypoglycemia, kwaye zinokunikwa i-dextrose nge-IV.

I-Dextrose powder kunye nokwakha umzimba

I-Dextrose ngokwemvelo ikhalori-eshinyeneyo kwaye kulula ukuba umzimba uyeke amandla. Ngenxa yoku, i-dextrose powder iyafumaneka kwaye ngamanye amaxesha isetyenziswa njengesongezelelo sesondlo ngabakhi bomzimba abafuna ukonyusa ubunzima kunye nezihlunu.

Ngelixa ukonyusa iikhalori kwaye kulula ukwaphula indalo ye-dextrose kunokunceda abantu abakha umzimba okanye abo bafuna ukwandisa ubunzima bemisipha, kubalulekile ukuba uqaphele ukuba i-dextrose ayinazo ezinye izakhamzimba eziyimfuneko ukuze kufezekiswe le njongo. Ezo zondlo zibandakanya iprotein kunye namafutha. Iiswekile ezilula zeDextrose powder nazo zenza kube lula ukwaphuka, ngelixa iiswekile ezintsonkothileyo kunye nee-carbohydrate zinokunceda abantu abakha umzimba ngakumbi, njengoko bephumelela ngakumbi ekuncedeni amanqatha ukuba atshise.

Ziziphi iziphumo ebezingalindelekanga zedextrose?

I-Dextrose kufuneka inikezwe ngononophelo kubantu abanesifo seswekile, kuba abanakho ukwenza i-dextrose ngokukhawuleza njengoko beya kwenza umntu ongenayo le meko. UDextrose unokunyusa iswekile yegazi kakhulu, eyaziwa ngokuba yi-hyperglycemia.

Iimpawu zibandakanya:

  • Ivumba elineziqhamo emphefumlweni
  • ukwanda kokoma ngaphandle kwezizathu ezaziwayo
  • isikhumba esomileyo
  • ukuphelelwa ngamanzi emzimbeni
  • isicaphucaphu
  • ukuqhawukelwa ngumphefumlo
  • isisu esibuhlungu
  • Ukudinwa okungachazwanga
  • ukuchama rhoqo
  • ukugabha
  • ukudideka

Iziphumo zeswekile yegazi

Ukuba ufuna ukusebenzisa i-dextrose, iswekile yegazi lakho inokunyuka kakhulu emva koko. Kuya kufuneka uvavanye iswekile yegazi lakho emva kokusebenzisa iipilisi ze-dextrose, njengoko kuyalelwa ngugqirha okanye ngutitshala weswekile. Kuya kufuneka uhlengahlengise i-insulin yakho ukuze wehlise iswekile yegazi lakho.

Ukuba unikwa ulwelo lwe-IV nge-dextrose esibhedlele, umongikazi wakho uya kujonga iswekile yegazi lakho. Ukuba iimvavanyo zeswekile esegazini ziphezulu kakhulu, idosi ye-IV fluid yakho inokuhlengahlengiswa okanye ime, de iswekile yegazi lakho ifike kwinqanaba elikhuselekileyo. Unokunikwa i-insulin, ukunceda ukunciphisa iswekile egazini.

Imbonakalo

Ukwakheka kweswekile okulula kukaDextrose kwenza ukuba kube luncedo njengonyango lwe-hypoglycemia kunye neswekile esezantsi yegazi kwizigulana zeminyaka yonke, ezinye iindlela zonyango zilungile kwaye ziyaphatheka. Kukhuselekile ukusebenzisa ixesha elide kwisiseko esifunekayo. I-Dextrose ayizi ngaphandle komngcipheko, nangona kunjalo, kwaye nabo bangenaso isifo seswekile kufuneka babeke esweni iswekile yegazi labo xa bethatha.

Soloko udibana nogqirha ngaphambi kokuyeka unyango lweswekile, okanye ukuba uvavanya iswekile esegazini kwaye iphezulu. Ukuba unayo ijeli yeglucose okanye iipilisi ekhayeni lakho, zigcine kude nabantwana. Izixa ezikhulu ezithathwa ngabantwana abancinci zinokuba yingozi ngakumbi.

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