Zempilo, Amalungiselelo
Glucose 5 ekhulwini: umyalelo, ukufundwa
Ziziphi oyidlayo yabelwe glucose 5 ekhulwini? Imiyalelo esi sixhobo kuchazwe ngezantsi. Kwakhona, iimpahla zazo thaca ngezantsi, kunye neendlela zokusebenzisa zikhombisa.
Ukuma, ukupakishwa
Iswekile-5 ekhulwini, umyalelo ichazwa ngezantsi, iqulethe dextrose monohydrate. Le ukulungiselela ukumnika ethengiswa zeglasi, imigqomo yeplastiki, kwakunye kwiingxowa Polymer, zahlanganiswa ipakethi kwephepha.
Iimpawu ichiza
Ingaba glucose njani 5 ekhulwini? Manual ukuba esi sixhobo libandakanyeka yokucolwa emzimbeni, akhuthaze iinkqubo kwimeko yesiqhelo kunye oxidative, kuphucula isibindi antitoxic kwaye yandisa umsebenzi contractile kwentliziyo.
Asinako ukuba nokuhlanganiswa le isisombululo ngokuyinxenye ugcwalisa H2O intsilelo. Inkqubo ancedisana emzimbeni, dextrose phosphorylated kwaye iguqulelwe kwi-glucose-phosphate ezintandathu, nto leyo ifakiwe iiyunithi exchange eziphambili izinto umzimba womntu.
iimpawu iziyobisi
I ephawulekayo 5 ekhulwini glucose? Guide ithi ukuba isisombululo okunjalo pathways kunye detoxication inyathelo, kwaye imele umthombo enkulu Kwezixa lula assimilable kunye zexabiso.
Xa inkqubo yokucolwa kwi nezihlunu dextrose luvelise isixa esikhulu amandla, nto leyo kubalulekile ukuba umsebenzi umzimba eqhelekileyo.
isisombululo kubhekwe isotonic. ixabiso layo amandla 200 kcal / l kunye osmolarity omalunga - 278 mOsm / l.
kinetics
Njani kukufakwa sisombululo, ezifana glucose 5 ekhulwini? YokuFundisa (iindlela kuzalwa kumiselwe kuphela ngokumiselwa) ithi ukutya dextrose nge pyruvate kwaye zincancise amanzi icarbon dioxide kulandele kuphuma amandla.
Le isisombululo ako ngokupheleleyo, izintso ayikho output (amazwi umchamo a ngezifo).
iimpawu ezongezelelweyo pharmacokinetic kweli chiza azimisele ngokusebenzisa inokongezwa kuyo.
Ubungqina obubonakalayo buxela ukuba zolawulo isisombululo
Kuba yintoni injongo linokukwenziwa kwizigulana iswekile-5 ekhulwini? Imiyalelo (abantwana kunye nabantu abadala eli chiza Kucetyiswa ukuba isicelo Yayibubungqina efanayo) uchaza ukuba esi sixhobo lisetyenziswa kwezi meko zilandelayo:
- xa emzimbeni extracellular isotonic;
- njengomthombo ekudleni;
- ngokuba kufuywe zothutho kwamachiza ezilawulwa parenterally (ngamanye amazwi, njengoko isisombululo esisiseko).
Siphelisa ukuqaliswa
Kwezinye iimeko, izigulane azalathelwa kwisikhundla yi glucose-5 ekhulwini? Imiyalelo (kuba ziikati sisixhobo kufuneka siphakamise wezilwanyana onamava kuphela) uthetha Izimo, ezifana:
- coma hyperosmolar ;
- diabetes decompensated;
- hyperglycemia;
- nokunyamezela glucose othile (kubandakanywa ngexesha uxinezeleko metabolic);
- giperlaktatsidemiya.
Amanyathelo glucose ezimiselweyo ezondeleyo decompensated uhlobo ukusilela intliziyo, hyponatremia, ukusilela esinganyangekiyo kwezintso (ngokuba oliguria kunye anuria).
Glucose-5 ekhulwini: umyalelo
Ngokuba izinja kunye nezinye izilwanyana eli chiza inikwa qho ngamnye, ngqongqo yesingqino. Kukwasebenza kwanjalo ebantwini.
isisombululo dextrose Isotonic kufuneka ilawulwe yegazi ngeqondo eliphezulu ngamathontsi 150 ngomzuzu. Esithathwa Kucetyiswa ukuba izigulane omdala ml 500-3000 ngosuku.
Ezisanda kuzalwa kunye nakubantwana abanobunzima ukuya kwi-10 kg medicament esebenzayo ezilawulwa 100 ml / kg ngosuku. Ngaphezulu umthamo ezibonisiweyo ayikhuthazwa.
Abantu abanesifo seswekile sinwenwa dextrose kufuneka zifakwe kuphela phantsi kolawulo umxholo wayo umchamo negazi.
Oyidlayo Kucetyiswa beziyobisi xa isetyenziselwa kufuywe zothutho kwamachiza parenterally ezilawulwa yi ml 50-250 1 ithamo arhente alawulwa nganye.
imiphumela emibi
wasebenzisa ingqalelo xa kakuhle akunakwenzeka kuthetha ngayo ezibi. Kwezinye iimeko, le umxube glucose na uphuhliso hyperglycemia, ifiva, hypovolemia, ukusilela etsolo ventricular yasekhohlo kunye polyuria.
Usenokuba kwakhona ukusabela zasekuhlaleni ezifana thrombophlebitis, uphuhliso losulelo, amaYiputa abephathe iingono efakwe yasekuhlaleni.
ulwazi oluthile
Xa kusenziwa lwezilwanyana, ukusetyenziswa sisombululo glucose isotonic zifunwa. Loo amalungiselelo isetyenziselwa makasizalise incindi yomzimba isilwanyana esebenzayo kunye nezondlo.
Njengoko umthetho, esi sixhobo eyabelwe iikati, izinja, iigusha nezinye izilwanyana kunye nokulahlekelwa fluid ebalulekileyo, ukutyhefa, izenzakalo umothuko, ubuthi, isifo sesibindi, hypotension, izifo gastro-isisu, Aten acetonemia, babe, umsebenzi decompensation kwentliziyo, hemoglobinuria kunye namanye amazwe .
izilwanyana osemanzini kugqalwa buthathaka kwaye isisombululo babelwa njengegunya yokulungiselela.
Idosi umzila wolawulo
Pet 5 ekhulwini glucose isisombululo nolwathi yegazi okanye kwesikhumba. Ngelo xesha ngqo le iidosi zilandelayo:
- neekati - 7-50 ml;
- amahashe - 0,7-2,45 l;
- izinja - 0,04-0,55 l;
- nantandathu - 0,08-0,65 l;
- iihagu - 0,3-0,65 l;
- Iinkomo - 0.5-3 l.
Ngenaliti ongama le idosi wohlulwe kwizitofu eziliqela zenziwa kwiindawo ezahlukeneyo.
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