Isisombululo seLactate seRinger: Into eyiyo kunye nendlela esetyenziswa ngayo

Umxholo

• Yahluke ngantoni kwi-saline?
• Yintoni abafana ngayo
• Bahluke njani
• Iziqulatho sesisombululo
• Ukusetyenziswa kwezonyango kweRinger's
• Sisebenza njani isisombululo
• Iziphumo ebezingalindelekanga ezinokwenzeka
• Umthamo oqhelekileyo weRinger's lactated
• Ukuthatha

Isisombululo sikaRinger esenziwe ngeLactated, okanye i-LR, sisifakwa ngaphakathi (IV) esinokufumana ukuba uphelelwe ngamanzi emzimbeni, utyando, okanye ufumana amayeza e-IV. Ngamanye amaxesha ibizwa ngokuba yiRinger's lactate okanye isodium lactate solution.

Zininzi izizathu zokuba ungalufumana ulwelo IV ukuba ufuna unyango.

Yahluke ngantoni kwi-saline?

Ngelixa isaline kunye nesisombululo sikaRinger esincancisayo sinokufana okumbalwa, zikwanomahluko. Oku kunokwenza ukusetyenziswa kwesinye kufaneleke ngakumbi kunenye ngokuxhomekeke kwimeko.

Yintoni abafana ngayo

Isaline eqhelekileyo kunye neeRinger's ezincancisiweyo zimbini iincindi ze-IV ezisetyenziswa rhoqo esibhedlele nakwezempilo.

Bobabini i-isotonic fluids. Ukuba yi-isotonic kuthetha ukuba ulwelo lunoxinzelelo olufanayo lwe-osmotic njengegazi. Uxinzelelo lwe-Osmotic ngumlinganiso wolungelelwaniso lwezinyibilikisi (ezifana nesodiyam, ikhalsiyam, kunye nekloride) kwizinyibilikisi (umzekelo, amanzi).

Ukuba isotonic kukwathetha ukuba xa ufumana i-IV ye-Ringer ye-lactated, isisombululo asiyi kubangela ukuba iiseli zinciphise okanye zikhule. Endaweni yoko, isisombululo siya kunyusa umthamo wamanzi emzimbeni wakho.

Bahluke njani

Abavelisi bamanzi bafaka izinto ezahlukileyo kancinci kwiityuwa eziqhelekileyo xa kuthelekiswa neRinger's. Umahluko kumasuntswana uthetha ukuba i-Ringer's lactated ayihlali xesha lide emzimbeni njengetyuwa eqhelekileyo. Oku kunokuba sisiphumo esihle sokuthintela ukugcwala kwamanzi.

Kwakhona, iiRinger’s ezincancisayo ziqulathe isodium lactate eyongezelelweyo. Umzimba uhambisa eli candelo kwinto ebizwa ngokuba yi-bicarbonate. Esi "sisiseko" esinokunceda ukwenza umzimba ungabi neasidi eninzi.

Ngesi sizathu, abanye oogqirha basebenzisa iiRingers ezincancisayo xa kunyangwa iimeko zonyango ezinje nge-sepsis, apho umzimba uba neasidi kakhulu.

Olunye uphando lubonisa ukuba i-Ringer's lactated's inokukhethwa ngaphezu kwetyuwa yesiqhelo yokutshintsha ulwelo olulahlekileyo kwizigulana zengozi.

Kwakhona, ityuwa eqhelekileyo inesiqulatho se-chloride esiphezulu. Ngamanye amaxesha kunokubangela i-vasoconstriction yezintso, echaphazela ukuhamba kwegazi kwizintso. Esi siphumo ngokuqhelekileyo asiyiyo inkxalabo ngaphandle kokuba umntu afumane inani elikhulu lesisombululo esiqhelekileyo se-saline.

I-Ringer eLactated ayixubeki kakuhle nezisombululo ezithile ze-IV. Iikhemesti endaweni yoko zixuba i-saline eqhelekileyo kunye nezi zisombululo zilandelayo ze-IV:

• imethylprednisone
• initroglycerin
• initroprusside
• norepinephrin
• ipropanolol

Ngenxa yokuba iRinger’s esanyisisiweyo ine <em> calcium kuyo, abanye oogqirha abakukhuthazi ukuyisebenzisa xa umntu etofelwa igazi. Ikhalsiyam eyongezelelekileyo inokubopha kunye nezinto ezisigcinayo egazini ziibhanki zegazi ukuze zigcinwe. Oku kunokunyusa umngcipheko wamahlwili egazi.

Njengenqaku elisecaleni, iiRinger ezincancisiweyo zikwahlukile kancinane koko kubizwa ngokuba sisisombululo sikaRinger. Isisombululo seRinger sihlala sinesodium bicarbonate endaweni yesodium lactate kuyo. Ngamanye amaxesha isisombululo sikaRinger sineglucose (iswekile) engaphezulu kunaleyo incancisiweyo yeRinger.

Iziqulatho sesisombululo

Isisombululo sikaRinger esineLactated sinee-electrolyte ezifanayo ezenziwa ligazi ngokwemvelo.

Ngokuka-B.Braun Medical, enye yeenkampani ezenza i-Ringer's, zonke i-100 milliliters zesisombululo sayo zibandakanya oku kulandelayo:

• calcium chloride: 0,02 iigrem
• potassium chloride: 0.03 iigrem
• Isodiyam chloride: 0.6 iigrem
• I-sodium lactate: 0.31 iigram
• amanzi

Ezi zinto zinokwahluka kancinci kumenzi.

Ukusetyenziswa kwezonyango kweRinger's

Bobabini abadala kunye nabantwana banokufumana isisombululo sikaRinger esincancisiweyo. Ezinye zezizathu zokuba umntu asifumane isisombululo se-IV zibandakanya:

• ukunyanga ukuphelelwa ngamanzi emzimbeni
• ukuququzelela ukuhamba kwamayeza e-IV ngexesha lotyando
• ukubuyisela ulungelelwaniso lwamanzi emva kokuphulukana negazi okanye ukutsha
• ukugcina umthambo uvuleke ngekheyetha ye-IV

I-Ringer eyenziwe nge-Lactated isisombululo se-IV sokhetho ukuba une-sepsis okanye usulelo olubi kakhulu lomzimba we-asidi-isiseko sakho ulahlwa kude.

Oogqirha banokusebenzisa i-Ringer's lactated njengesisombululo sokunkcenkceshela. Isisombululo siyinyumba (asinayo ibhaktheriya kuyo xa igcinwe ngokufanelekileyo). Ingasetyenziselwa ukuhlamba inxeba.

Ingasetyenziselwa ngexesha lotyando ukunkcenkceshela isinyi okanye indawo yotyando. Oku kunceda ukuhlamba iibhaktheriya okanye ukwenza indawo yokuhlinzwa ibonakale lula.

Abavelisi abazimiselanga ukuba abantu basele isisombululo sikaRinger esincancisiweyo. Yenzelwe kuphela ukunkcenkceshela okanye ukusetyenziswa kwe-IV.

Sisebenza njani isisombululo

Ufumana isisombululo sikaRinger esincancisiweyo kwi-IV. Xa isisombululo singena emthanjeni, singena ngaphakathi kwiiseli nangaphandle. Ngokufanelekileyo, isisombululo sinceda ukugcina okanye ukufezekisa ulungelelwaniso lwamanzi emzimbeni wakho.

Iziphumo ebezingalindelekanga ezinokwenzeka

Ukunika iiRingers ezininzi ezincancisayo kunokubangela ukudumba kunye nokudumba. Abanye abantu baneemeko zonyango ezithetha ukuba umzimba wabo awunakho ukuphatha ulwelo olongezelelekileyo kakuhle. Ezi meko zibandakanya:

• isifo esinganyangekiyo sezintso
• ukusilela kwentliziyo
• hypoalbuminemia
• ukuqina kwesibindi

Ukuba abantu abanezi meko zonyango bafumana i-Ringer's lactated (okanye nayiphi na enye i-IV fluid), ugqirha wezonyango kufuneka abeke iliso elibukhali ukuqinisekisa ukuba abafumani manzi kakhulu.

Ukongeza kulwelo olungaphezulu, isisombululo sikaRinger esincancisiweyo sinokuchaphazela amanqanaba akho e-electrolyte. Oku kubandakanya isodiyam ne potassium. Ngenxa yokuba kukho isodiyam encinci kwiRinger ye-lactated kunegazi, amanqanaba akho esodiyam anokuba sezantsi kakhulu ukuba ufumana kakhulu.

Ezinye zezisombululo ze-ringer ezibandakanya i-dextrose, uhlobo lweswekile. kubantu abane-allergies yengqolowa.

Umthamo oqhelekileyo weRinger's lactated

Umthamo wee-Ringer ezincancisiweyo uxhomekeke kwiimeko. Ugqirha uyakuthathela ingqalelo izinto ezinje ngeminyaka yakho, ukuba unobunzima obungakanani, impilo yakho iyonke, kunye nendlela osele usebenze ngayo.

Ngamanye amaxesha ugqirha unoku-odola ulwelo lwe-IV kwinqanaba le- "KVO". Oku kumi "gcina umthambo uvulekile," kwaye ihlala imalunga neemililitha ezingama 30 ngeyure. Ukuba uphelelwe ngamanzi emzimbeni, ugqirha unoku-odola ulwelo olufakwe ngesantya esikhawulezayo, njenge-milliliters ezili-1 (ilitha enye).

Ukuthatha

Ukuba kufuneka ube ne-IV, usenokubona ukuba ibhegi yakho ye-IV ifundeka ngolu hlobo "Ringer's Ringer's." Olu khetho luvavanywe ixesha elininzi endaweni yokubuyisela ulwelo ekuqhele ukumiselwa ngoogqirha. Ukuba uyayifumana, uya kujongwa ukuze uqiniseke ukuba awufumani kakhulu nge-IV yakho.