UDextrose

-Delile

• Yimaphi amalungiselelo ajwayelekile we-dextrose?
• I-dextrose isetshenziswa kanjani?
• Yiziphi izinyathelo okufanele ngiziqaphele uma ngisebenzisa i-dextrose?
• Gwema i-dextrose
  
• Ukuqapha ushukela wegazi lakho ngenkathi uku-dextrose
• I-Dextrose ezinganeni
• I-Dextrose powder nokwakha umzimba
• Yini imiphumela emibi ye-dextrose?
• Umphumela kushukela wegazi
• Umbono

Yini i-dextrose?

I-Dextrose igama likashukela olulula elenziwa ngommbila futhi lifana ncamashi noshukela, noma ushukela wegazi. I-Dextrose ivame ukusetshenziswa emikhiqizweni yokubhaka njenge-sweetener, futhi itholakala kakhulu ezintweni ezinjengokudla okucutshungulwayo nesiraphu yommbila.

UDextrose naye unezinjongo zokwelashwa. Iyachithwa ezixazululweni ezinikezwa ngemithambo, engahlanganiswa nezinye izidakamizwa, noma isetshenziselwe ukukhulisa ushukela wegazi lomuntu.

Ngenxa yokuthi i-dextrose ushukela “olula”, umzimba ungawusebenzisa ngokushesha ukuthola amandla.

Ushukela olula ungakhuphula amazinga kashukela egazini ngokushesha okukhulu, futhi imvamisa untula inani lomsoco. Izibonelo zabanye ushukela olula zibandakanya i-glucose, i-fructose, ne-galactose. Imikhiqizo evamise ukwenziwa ngoshukela olula ifaka ushukela ocwengisisiwe, ipasta emhlophe, noju.

Yimaphi amalungiselelo ajwayelekile we-dextrose?

IDextrose isetshenziselwa ukwenza amalungiselelo noma imixube emithanjeni (IV) etholakala kuphela esibhedlela noma esikhungweni sezokwelapha.

I-Dextrose iyatholakala njenge-gel yomlomo noma kwifomu yethebhulethi yomlomo ngaphezu kwekhawunta evela emakhemisi.

Ukuhlushwa ngakunye kwe-dextrose kunokusetshenziswa kwayo okuhlukile. Ukugxila okuphezulu kuvame ukusetshenziselwa imithamo "yokutakula" lapho umuntu efunda ushukela wegazi ophansi kakhulu.

I-dextrose isetshenziswa kanjani?

I-Dextrose isetshenziselwa ukugxila okuhlukahlukene ngezinhloso ezahlukahlukene. Isibonelo, udokotela angahle anikeze i-dextrose kwisisombululo se-IV lapho umuntu ephelelwe amanzi emzimbeni futhi enoshukela ophansi wegazi. Izixazululo ze-Dextrose IV nazo zingahlanganiswa nezidakamizwa eziningi, zokuphathwa kwe-IV.

I-Dextrose iyi-carbohydrate, eyingxenye eyodwa yomsoco ekudleni okujwayelekile. Izixazululo eziqukethe i-dextrose zinikela ngamakhalori futhi zinganikezwa ngemithambo ehlangene nama-amino acid namafutha. Lokhu kubizwa ngokuthi yi-total parenteral nutrition (TPN) futhi kusetshenziselwa ukuhlinzeka ngokudla okunomsoco kulabo abangakwazi ukumunca noma ukuthola ama-carbohydrate, ama-amino acid, namafutha emathunjini abo.

Imijovo ephezulu ye-dextrose inikezwa ngochwepheshe kuphela. Le mijovo inikezwa abantu abanoshukela wegazi ongaba phansi kakhulu futhi abangakwazi ukugwinya amaphilisi e-dextrose, ukudla, noma iziphuzo.

Uma amazinga e-potassium womuntu ephakeme kakhulu (hyperkalemia), kwesinye isikhathi odokotela baphinde banikeze imijovo ye-dextrose yamaphesenti angama-50, ilandelwe yi-insulin ngemithambo. Lokhu kungenziwa esimweni sesibhedlela. Lapho amaseli ethatha i-glucose eyengeziwe, athatha ne-potassium. Lokhu kusiza ukwehlisa amazinga we-potassium egazi lomuntu. I-dextrose inikezwa ukuvimbela umuntu ekubeni ne-hypoglycemic. I-insulin yelapha i-potassium ephakeme.

Abantu abanesifo sikashukela noma i-hypoglycemia (ushukela wegazi ongapheli) bangaphatha i-dextrose gel noma amaphilisi uma kwenzeka ushukela wegazi labo wehla kakhulu. Ijeli noma amaphilisi ancibilika emlonyeni womuntu futhi akhuphule ngokushesha amazinga kashukela egazini. Uma ushukela wegazi lomuntu lungaphansi kuka-70 mg / dL futhi banezimpawu zeshukela ezisezingeni eliphansi, kungadingeka ukuthi bathathe amaphilisi e-dextrose. Izibonelo zezimpawu zikashukela eziphansi zifaka ubuthakathaka, ukudideka, ukujuluka, nokushaya kwenhliziyo okushesha kakhulu.

Yiziphi izinyathelo okufanele ngiziqaphele uma ngisebenzisa i-dextrose?

Umhlinzeki wezokwelapha akufanele anikeze i-dextrose kubantu abanezinhlobo ezithile zezimo zezokwelapha. Lokhu kungenxa yokuthi i-dextrose ingahle idale ushukela wegazi ophakeme kakhulu noma ukushintsha koketshezi emzimbeni okuholela ekuqhumeni noma ekwakhekeni koketshezi emaphashini.

Gwema i-dextrose

• uma une-hyperglycemia, noma ushukela ophakeme wegazi
• uma une-hypokalemia, noma amazinga aphansi e-potassium egazini
• uma une-edema eseceleni, noma ukuvuvukala ezingalweni, ezinyaweni, noma emilenzeni
• uma une-edema yamaphaphu, lapho uketshezi lwakha emaphashini

Uma unesifo sikashukela futhi udokotela wakho ekunika i-dextrose gel yomlomo noma amaphilisi kuwe, lokhu kufanele kusetshenziswe kuphela uma une-reaction ephansi kashukela egazini. Udokotela wakho noma uthisha wesifo sikashukela kufanele akufundise ukuthi ungazibona kanjani izimpawu zeshukela eliphansi nokuthi uzisebenzisa nini amaphilisi. Uma udinga ukuphatha i-gel noma amaphilisi, kufanele uwagcine njalo futhi kufanele uwagcine ekhaya. Udokotela wakho kufanele futhi achazele amanye amalungu omndeni ukuthi angalisebenzisa nini i-gel noma amaphilisi, uma kwenzeka abanye bedinga ukukunika wona.

Uma unenkinga yokungezwani komzimba nommbila, ungaba ne-allergen reaction ku-dextrose. Khuluma nodokotela wakho ngaphambi kokuyisebenzisa.

Ukuqapha ushukela wegazi lakho ngenkathi uku-dextrose

Noma ungenayo imibandela ethile, kubalulekile ukuthi uhlole njalo ushukela wegazi lakho uma bethola i-dextrose. Lokhu kungaqinisekisa ukuthi i-dextrose ayinyusi ushukela wegazi ngokuyingozi. Ungahlola ushukela wegazi lakho ngokuhlolwa kwasekhaya. Kubandakanya ukuhlolwa kwegazi emunweni ohlotshweni lwegazi. Kulabo abangakwazi ngokomzimba ukuhlola igazi labo emakhaya, izivivinyo ze-glucose yomchamo ziyatholakala, yize kungenakwethenjelwa kangako.

Uma uthola ukuthi wena noma omunye umuntu unempendulo engafanele ngenxa kashukela ophansi wegazi, amaphilisi e-dextrose kufanele athathwe ngokushesha. Ngokusho kwe-Joslin Diabetes Center, amaphilisi amane kashukela alingana no-15 gram we-carbs futhi angathathwa uma kunamazinga kashukela aphansi egazini (ngaphandle kwalapho udokotela wakho ekucebisa ngenye indlela). Uhlafune kahle amaphilisi ngaphambi kokugwinya. Awekho amanzi adingekayo. Izimpawu zakho kufanele zithuthuke kungakapheli imizuzu engama-20. Uma kungenjalo, thintana nodokotela wakho.

Ijeli ye-dextrose imvamisa iza ngamashubhu asebenza kanye, athelwa ngqo emlonyeni agwinywe. Uma ungakaze uzwe noma yiziphi izinguquko ezinhle ngemuva kwemizuzu eyi-10, phinda nenye ithubhu. Uma ushukela wegazi lakho usephansi kakhulu ngemuva kweminye imizuzu eyishumi eyengeziwe, xhumana nodokotela wakho.

I-Dextrose ezinganeni

I-Dextrose ingasetshenziswa ezinganeni ngokufanayo nendlela esetshenziswa ngayo kubantu abadala, njengokungenelela kwezokwelapha kwe-hypoglycemia.

Ezimweni ze-hypoglycemia enzima yezingane, izingane zivame ukunikezwa i-dextrose ngemithambo. Ukwelashwa okusheshayo nokushesha ezinganeni nasezinsaneni ezine-hypoglycemia kubalulekile, njengoba i-hypoglycemia engalashwa ingaholela ekulimaleni kwemizwa. Uma bekwazi ukuyithatha, i-dextrose inganikezwa izingane ngomlomo.

Endabeni ye-neonatal hypoglycemia, engadalwa yizinkinga eziningana njengokukhubazeka kwemetabolism noma i-hyperinsulinism, izinsana zingaba nenani elincane lejele le-dextrose elifakwe ekudleni kwazo ukuzisiza zigcine amazinga kashukela egazini anempilo. Xhumana nodokotela wakho ukuthi kungakanani i-dextrose ongayengeza ekudleni kwabo. Izinsana ezizalwe ngaphambi kwesikhathi zisengozini ye-hypoglycemia, futhi zinganikezwa i-dextrose nge-IV.

I-Dextrose powder nokwakha umzimba

I-Dextrose i-dense ngokweqile ngokwemvelo futhi kulula ukuthi umzimba wehlele amandla. Ngenxa yalokhu, i-dextrose powder iyatholakala futhi kwesinye isikhathi isetshenziswa njengesengezo sokudla okunempilo ngabakhi bomzimba abafuna ukwandisa isisindo nemisipha.

Ngenkathi ukukhuphuka kwama-calories nokulula ukudiliza imvelo ye-dextrose kungazuzisa abakhi bomzimba noma labo abafuna ukukhulisa ubukhulu bemisipha, kubalulekile ukuqaphela ukuthi i-dextrose ayinazo ezinye izakhamzimba ezibalulekile ezidingekayo ukufeza le njongo. Lezo zakhamzimba zifaka phakathi amaprotheni namafutha. Ushukela olulula we-Dextrose powder nawo enza kube lula ukwehla, kuyilapho ushukela onzima nama-carbohydrate angazuzisa abakhi bomzimba kakhulu, njengoba bephumelela kakhulu ekusizeni amanoni ukuba ashise.

Yini imiphumela emibi ye-dextrose?

I-Dextrose kufanele inikezwe ngokucophelela abantu abanesifo sikashukela, ngoba kungenzeka bangakwazi ukucubungula i-dextrose ngokushesha njengoba bengenza umuntu onalesi sifo. UDextrose angakhuphula kakhulu ushukela wegazi, owaziwa ngokuthi yi-hyperglycemia.

Izimpawu zifaka:

• iphunga lezithelo ekuphefumuleni
• ukwanda kokoma ngaphandle kwezimbangela ezaziwayo
• isikhumba esomile
• ukoma komzimba
• isicanucanu
• ukuphelelwa umoya
• ukucasuka kwesisu
• ukukhathala okungachazeki
• ukuchama njalo
• ukuhlanza
• ukudideka

Umphumela kushukela wegazi

Uma udinga ukusebenzisa i-dextrose, ushukela wegazi lakho ungakhuphuka kakhulu ngemuva kwalokho. Kufanele uhlole ushukela wegazi lakho ngemuva kokusebenzisa amaphilisi e-dextrose, njengoba uqondiswe ngudokotela wakho noma uthisha wesifo sikashukela. Ungadinga ukulungisa i-insulin yakho ukuze wehlise ushukela wegazi lakho.

Uma unikezwa uketshezi lwe-IV nge-dextrose esibhedlela, umhlengikazi wakho uzohlola ushukela wegazi lakho. Uma ukuhlolwa kukashukela egazini kuphakeme kakhulu, umthamo woketshezi lwakho lwe-IV ungalungiswa noma umiswe, kuze kube yilapho ushukela wegazi lakho ufinyelela ezingeni eliphephile. Unganikezwa ne-insulin, ukusiza ukunciphisa ushukela wegazi lakho.

Umbono

Ukwakheka kukashukela okulula kukaDextrose kwenza kube wusizo njengokwelashwa kwe-hypoglycemia noshukela ophansi wegazi ezigulini zeminyaka yonke, ezinye izindlela zokwelashwa zilula futhi ziphatheka. Kuphephile ukusebenzisa isikhathi eside ngendlela edingeka ngayo. I-Dextrose ayizi ngaphandle kwezingozi, noma kunjalo, futhi nalabo abangenaso isifo sikashukela kufanele baqaphe ngokucophelela ushukela wegazi labo lapho belithatha.

Njalo bonana nodokotela ngaphambi kokuyeka ukwelashwa kwesifo sikashukela, noma uma uhlola ushukela wegazi futhi uphakeme. Uma unejeli yeglucose noma amaphilisi ekhaya lakho, kubeke kude nezingane. Inani elikhulu elithathwa yizingane ezincane lingaba yingozi kakhulu.