Ringer's solution

Ringer's solution ndiro chinhu chinonyatsozivikanwa. Nokuti mutumbi ndiyo inotora electrolytes nemvura. Nekubatsira kweRinger solution, munhu anogona nyore kuchengetedza hupenyu hwake. Nezvimwe zvichiri kumira ichi chigadzirwa, sei uye kana chinoshandiswa sei, tichataurira munyaya yacho.

Maitiro uye zviratidzo zvekushandisa kweRinger solution

Icho chikuru chezvinhu zvinogadzirisa zvemugadziro ndeye salt ye calcium, sodium uye potasium. Chimwe nechimwe chezvinhu izvi zvine mabasa akasiyana-siyana anobatsira muviri.

1. Sodium inobatsira kuisa chimiro chezinga re acid-based basesi yemvura mumutumbi.
2. Calcium inotarisirwa kuti ive neropa rekuvhara ropa. Mukuwedzera, izvi zvinobatsira kutonga neuromuscular excitability.
3. Potassium, uyewo chikamu cheRinger solution, inosungirirwa kuronga mufambiro wehutano hwemutsipa hwekushushikana kwemaviri. Ichi chikamu chinotora chikamu muhuwandu hwepuroteni uye kubviswa kwemakhahydrates kubva mumuviri.

Nekubatsira kwemugadziro, zvinogoneka kukurumidza kuzadza kurasikirwa kwemvura mumutumbi. Mishonga inoshandisa nzira yekudzorera kuyerwa kwe electrolyte yemuviri. Pakati pezvimwe zvinhu, Ringer's solution inogona kuzadzwa nehuwandu hweropa rinopararira mumuviri, iro mune dzimwe nguva rinogona kuponesa upenyu.

Akagadzwa Ringer's acetate solution pa:

• kurasikirwa kukuru kweropa;
• shock states;
• hypovolemia;
• kupera simba kwezvakabva;
• zvinopisa;
• frostbite ;
• diarrhea;
• peritonitis;
• kukuvara kwemagetsi;
• chepfu rinoperekedzwa nekurutsira;
• hosha uye dzimwe zvirwere zvinotapukira.

Vanachiremba vakawanda vane chigadzirwa ichi vanoderedza zvakanyanya zvinogadziriswa zve electrolytes.

Kushandiswa kweRinger solution

Sezvo iwe usingakwanisi kunwa mhinduro yeRinger, inogona kushandiswa kugadzirisa. Chengano nyanzvi inogona kupa mishonga, inofanirawo kugadzirisa chirongwa chakakosha, kukwirira uye nguva yenguva yekurapa. Chiyero chichasiyana zvichienderana nehutachiona, zera, uremu uye utano hwomurwere.

Iyo yakakosha yeuzha inobva kune 5 kusvika 20 ml / kg. Izvi zvinoreva kuti pamusana pekuti muviri mukuru haugoni kuwana zvinopfuura mairi maviri emhinduro pazuva. Kunyange zvazvo chiratidzo ichi chinopesana zvichienderana nezvimwe zvikamu zvinoratidzira hutano hwemurwere (sekudai, semuenzaniso, nyika yeitsvo kana mvura-electrolyte balance). Chirwere chevana chinoderedzwa zvishoma uye chiri 5-10 ml / kg.

Kupindira kwemugadziro kunofanira kuitwa pane imwe tsero: marita 60-80 paminiti kuvanhu vakuru uye marita 30-60 paminiti kuvana. Nguva yekurapa mazuva matatu kusvika mashanu.

Dzimwe nyanzvi dzinopa Ringer sarudzo yekuputira. Chinhu chakanakisisa chekushandisa chinobatsira kana uchichiwedzera kune nebulizer . Izvi zvinokodzera vana nevakuru.

Paunenge uchishandisa mhinduro mune mamiriro ezvinhu akaoma (kuti udzore simba rekupararira ropa) zvakakosha zvikuru kuti uyeuke kuti migumisiro inogona kupedza hafu kwehafu yeawa. Nokudaro, iyo mumiriri inogona kushandiswa chete nekuda kwenguva pfupi kutsigirwa kwemuviri.

Kugadzirira kweRinger solution kumusha nekupikisa

Mukutaura, kuva nezvinhu zvose zvinodiwa, Kunyange munhu asina dzidzo yakakosha anogona kugadzirira mhinduro yacho pachake. Kunyange zvakadaro, nyanzvi dzinokurudzira kungotenga Ringer sarudzo pesafarisi. Saka zvibereko zvemishonga zvichave zvakakura.

Zvinosuruvarisa, pane avo vane Ringer solution inogona kunge isina kukodzera. Pakati pezvinyorwa zvinopesana ndezvi:

• kuzvimba kweuropi kana mapapu;
• kukanganisa kwemoyo (mune maitiro asingagumi);
• acidosis;
• thrombophlebitis;
• hyperhydration nevamwewo.