Njira ya Ringer

Njira ya Ringer ndi chida chodziwika bwino kwambiri. Pakuti thupi ndi gwero la electrolytes ndi madzi. Mothandizidwa ndi yankho la Ringer, munthu akhoza kupulumutsa mosavuta moyo wake. Zomwe zikuyimira chida ichi, momwe zimagwiritsidwira ntchito, komanso momwe zingagwiritsidwe ntchito, tidzakambirana m'nkhaniyi.

Kupanga ndi zizindikiro zogwiritsira ntchito njira ya Ringer

Zinthu zazikuluzikulu zothetsera vutoli ndi salt ya calcium, sodium ndi potaziyamu. Zonsezi zimakhala ndi ntchito yapadera zomwe zimakhudza thupi:

1. Sodium imathandizira kuonetsetsa kuti mlingo wa asidi wambiri umakhala wabwino m'thupi.
2. Calcium imafunika kuti magazi azikhala ochepa. Kuonjezerapo, gawoli limathandizira kuthetsa chisokonezo cha neuromuscular.
3. Potaziyamu, nayenso mbali ya njira ya Ringer, ili ndi udindo woyendetsa khalidwe la mitsempha ya mitsempha ya mitsempha yopweteka. Chigawochi chimatenga mbali ya kaphatikizidwe ka mapuloteni ndi kuchotsa chakudya m'thupi.

Mothandizidwa ndi yankho, n'zotheka kuti muthe mwamsanga kutaya kwa madzi m'thupi. Mankhwala amagwiritsira ntchito njira zowonzetsera mphamvu ya electrolyte ya thupi. Mwa zina, yankho la Ringer likhoza kudzazidwa ndi kuchuluka kwa magazi omwe amazungulira m'thupi, omwe nthawi zina angathe kupulumutsa miyoyo.

Kusankhidwa kwa Ringer's acetate solution pa:

• kutaya magazi kwakukulu;
• mantha;
• hypovolemia;
• kutaya madzi kwa chiyambi chosiyana;
• chowotcha;
• chisanu ;
• kutsekula m'mimba;
• peritonitis;
• kuvulala kwa magetsi;
• poizoni limodzi ndi kusanza;
• kamwazi ndi matenda ena opatsirana.

Madokotala ambiri omwe ali ndi mankhwalawa amachepetsa njira zowonjezera za electrolytes.

Kugwiritsa ntchito yankho la Ringer

Popeza simungathe kumwa madzi a Ringer, angagwiritsidwe ntchito pogwiritsa ntchito infusions. Katswiri yekha amatha kupereka mankhwala, ayenera kudziwa mlingo woyenera, mwamphamvu komanso nthawi ya mankhwala. Mlingo umasiyana malinga ndi matenda, zaka, kulemera ndi thanzi la wodwalayo.

Mlingo woyenera ndi mlingo wa 5 mpaka 20ml / kg. Izi zikutanthauza kuti, thupi lachikulire silingapezeko malita awiri a yankho tsiku lililonse. Ngakhale chizindikiro ichi chimasiyanasiyana malinga ndi magawo ena omwe amasonyeza thanzi la wodwala (monga mwachitsanzo, chikhalidwe cha impso kapena madzi electrolyte balance). Mlingo wa anawo umachepa pang'ono ndipo uli ndi 5-10 ml / kg.

Kukaniza yankho liyenera kuchitika pamtunda wina: madontho 60-80 pamphindi kwa akulu ndi madontho 30-60 pamphindi kwa ana. Kutalika kwa mankhwala ndi masiku atatu kapena asanu.

Akatswiri ena amapereka yankho la Ringer la inhalation. Chida chopambana chimathandiza pakuwonjezera pa nebulizer . Izi zimathandiza ana ndi akuluakulu.

Mukamagwiritsa ntchito yankho lanu pazidzidzidzi (kuti mupitirize kutulutsa magazi) ndikofunika kukumbukira kuti zotsatirazi sizingatheke kuposa theka la ora. Choncho, wothandizira angagwiritsidwe ntchito pokhapokha kuthandizira kanthawi kochepa kwa thupi.

Kukonzekera kwa njira ya Ringer kunyumba ndi kutsutsana

Pofuna kukhala ndi zigawo zonse zofunika, Ngakhale munthu wopanda maphunziro apadera angathe kukonzekera yekha njirayi. Komabe, akatswiri amalangiza kuti amangogula njira ya Ringer pa pharmacy. Choncho phindu la mankhwala lidzakhala lalikulu kwambiri.

Tsoka ilo, pali ena omwe yankho la Ringer lingakhale losayenera. Zina mwa zotsutsana ndizo:

• kupweteka kwa ubongo kapena mapapo;
• kuperewera kwa mtima (mu mawonekedwe osatha);
• chithandizo;
• thrombophlebitis;
• kuthamanga kwa madzi ndi zina.