Isixazululo se-Ringer's Lactate Solution: Kuyini nokuthi Isetshenziswa Kanjani

-Delile

• Ihluke kanjani kasawoti?
• Yini abafana ngayo
• Behluka kanjani
• Okuqukethwe yisixazululo
• Ukusetshenziswa kwezokwelapha kwe-Ringer's enamanci
• Sisebenza kanjani isixazululo
• Imiphumela emibi engaba khona
• Umthamo ojwayelekile we-Ringer's enesibindi
• Ukuthatha

Isixazululo se-Lactated Ringer, noma i-LR, i-intravenous (IV) fluid ongayithola uma uphelelwe amanzi emzimbeni, uyahlinzwa, noma uthola imishanguzo ye-IV. Ngezinye izikhathi ibizwa nangokuthi i-Ringer’s lactate noma i-sodium lactate solution.

Kunezizathu eziningana zokuthi kungani ungathola lolu ketshezi lwe-IV uma udinga ukunakekelwa kwezokwelapha.

Ihluke kanjani kasawoti?

Ngenkathi i-saline ne-lactated solution ka-Ringer inokufana okumbalwa, nakho kunomehluko. Lokhu kungenza ukusetshenziswa kokufaneleke ngaphezulu kokunye kuye ngesimo.

Yini abafana ngayo

I-saline ejwayelekile kanye ne-Ringer’s enamanzi aneziphuzo ezimbili ze-IV ezisetshenziswa kakhulu ezindaweni zokunakekelwa kwempilo nezibhedlela.

Kokubili uketshezi lwe-isotonic. Ukuba isotonic kusho ukuthi uketshezi lunengcindezi efanayo ye-osmotic njengegazi. Ukucindezela kwe-Osmotic kuyisilinganiso sebhalansi yama-solute (njenge-sodium, calcium, ne-chloride) kuma-solvents (ngokwesibonelo, amanzi).

Ukuba isotonic kusho nokuthi uma uthola i-IV ye-Ringer's lactated, ikhambi ngeke lenze ukuthi amaseli anciphe noma akhule. Esikhundleni salokho, isisombululo sizokwandisa ivolumu yoketshezi emzimbeni wakho.

Behluka kanjani

Abakhiqizi bamanzi bafaka izinto ezihluke kancane ku-saline ojwayelekile uma kuqhathaniswa ne-Ringer's enamanci. Umehluko wezinhlayiya usho ukuthi i-Ringer's enamanci ayihlali isikhathi eside emzimbeni njengoba kwenza usawoti ojwayelekile. Lokhu kungaba nomphumela ozuzisayo ukugwema ukulayishwa okugcwele uketshezi.

Futhi, ama-Ringer’s anama-lactated aqukethe i-sodium lactate eyengeziwe. Umzimba uhlanganisa lesi sakhi nento ebizwa nge-bicarbonate. Lesi “isisekelo” esingasiza ekwenzeni umzimba ungabi ne-asidi eningi.

Ngalesi sizathu, abanye odokotela basebenzisa i-lactated Ringer’s lapho belapha izimo zezokwelapha ezifana ne-sepsis, lapho umzimba uba ne-asidi kakhulu.

Olunye ucwaningo lukhombisa ukuthi ama-Ringer's anamahloni angancanyelwa kunosawoti ojwayelekile esikhundleni soketshezi olulahlekile ezigulini ezihlukumezekile.

Futhi, usawoti ojwayelekile unokuqukethwe okuphezulu kwe-chloride. Lokhu kwesinye isikhathi kungadala i-vasoconstriction yezinso, ethinte ukugeleza kwegazi kuye ezinso. Lo mphumela ngokuvamile awukhathazi ngaphandle kokuthi umuntu athole inani elikhulu lesisombululo esijwayelekile sikasawoti.

I-Lactated Ringer's ayihlangani kahle nezinye izixazululo ze-IV. Amakhemisi esikhundleni salokho ahlanganisa usawoti ojwayelekile nalezi zixazululo ze-IV ezilandelayo:

• imethylprednisone
• i-nitroglycerin
• i-nitroprusside
• norepinephrine
• i-propanolol

Ngenxa yokuthi i-Ringer’s enama-lactated ine-calcium kuyo, abanye odokotela abakukhuthazi ukuyisebenzisa lapho umuntu efakwa igazi. I-calcium eyengeziwe ingabopha nezivimbelakuvunda ezifakwe egazini ngamabhange egazi ukuze zigcinwe. Lokhu kungandisa ingozi yamahlule egazi.

Njengenothi eliseceleni, i-Ringer's esanciphile nayo yehluke kancane kulokho okubizwa ngokuthi isixazululo nje sikaRinger. Isixazululo sikaRinger ngokuvamile sine-bicarbonate yesodium esikhundleni se-sodium lactate kuso. Kwesinye isikhathi isixazululo sikaRinger sine-glucose (ushukela) ngaphezulu kuso kune-Ringer's esanciphile.

Okuqukethwe yisixazululo

Isixazululo se-Lactated Ringer sinama-electrolyte amaningi afanayo negazi ngokwemvelo.

NgokukaB.Braun Medical, enye yezinkampani ezikhiqiza ama-Ringer’s, wonke amamililitha ayi-100 esisombululo sawo afaka okulandelayo:

• i-calcium chloride: 0.02 amagremu
• i-potassium chloride: 0.03 amagremu
• i-sodium chloride: 0.6 amagremu
• i-sodium lactate: 0.31 amagremu
• amanzi

Lezi zingxenye zingahluka kancane ngomkhiqizi.

Ukusetshenziswa kwezokwelapha kwe-Ringer's enamanci

Bobabili abadala nezingane bangathola isisombululo sikaRinger esincelisayo. Ezinye zezizathu zokuthi kungani umuntu engathola lesi sixazululo se-IV zifaka:

• ukwelapha ukoma
• ukwenza lula ukugeleza kwemithi ye-IV ngesikhathi sokuhlinzwa
• ukubuyisela ibhalansi yoketshezi ngemuva kokulahleka okukhulu kwegazi noma ukusha
• ukugcina umthambo nge-catheter ye-IV ivulekile

I-Lactated Ringer's ivame ukuba yisixazululo se-IV sokukhetha uma une-sepsis noma ukutheleleka okunzima kakhulu emzimbeni wakho we-acid-base kuyalahlwa.

Odokotela bangase futhi basebenzise i-Ringer’s enesisu njengesisombululo sokuchelela. Isixazululo siyinyumba (asinawo amagciwane lapho sigcinwe kahle). Ngakho-ke ingasetshenziselwa ukugeza isilonda.

Ingasetshenziswa futhi ngesikhathi sokuhlinzwa ukunisela isinye noma indawo yokuhlinzwa. Lokhu kusiza ukugeza amabhaktheriya noma ukwenza indawo yokuhlinzwa ibonakale kalula.

Abakhiqizi abahlosile ukuthi abantu baphuze isisombululo se-Ringer se-lactated. Kwenzelwe kuphela ukuchelela noma ukusetshenziswa kwe-IV.

Sisebenza kanjani isixazululo

Uthola isisombululo sika-Ringer se-lactated ku-IV. Lapho isixazululo singena emthanjeni, singena ngaphakathi kwamaseli nangaphandle. Ngokufanelekile, isixazululo sisiza ukugcina noma ukufeza ibhalansi yoketshezi emzimbeni wakho.

Imiphumela emibi engaba khona

Ukunikeza ama-Ringer’s amaningi anciphile kungadala ukuvuvukala ne-edema. Abanye abantu banezimo zezempilo ezisho ukuthi umzimba wabo awukwazi ukuphatha uketshezi olungeziwe kahle. Lezi zimo zifaka:

• isifo esingapheliyo sezinso
• ukuhluleka kwenhliziyo
• hypoalbuminemia
• ukuqina kwesibindi

Uma abantu abanezi zimo zezokwelapha bethola i-Ringer's lactated (noma enye i-IV fluid), uchwepheshe wezokwelapha kufanele abaqaphe ngeso lokhozi ukuqinisekisa ukuthi abatholi uketshezi oluningi.

Ngaphezu kokugcwala ngokweqile, isisombululo sikaRinger esinamanzi amaningi singathinta amazinga akho e-electrolyte. Lokhu kufaka phakathi i-sodium ne-potassium. Ngenxa yokuthi kune-sodium encane kuma-Ringer's ancancisiwe kunasegazini, amazinga akho e-sodium angaba ngaphansi kakhulu uma uthola kakhulu.

Ezinye izixazululo ze-ringer ezi-lactated zifaka i-dextrose, uhlobo lwe-glucose. kubantu abanezifo zomzimba zommbila.

Umthamo ojwayelekile we-Ringer's enesibindi

Umthamo we-Ringer's lactated uncike ezimweni. Udokotela uzocubungula izinto ezifana nobudala bakho, ukuthi ulinganisa kangakanani, impilo yakho yonke, nokuthi usunamanzi amaningi kangakanani.

Kwesinye isikhathi udokotela anga-oda uketshezi lwe-IV ngesilinganiso se- "KVO". Lokhu kusho "ukugcina umthambo uvulekile," futhi imvamisa kuba ama-millilitre angama-30 ngehora. Uma uphelelwe amanzi emzimbeni kakhulu, udokotela anga-oda uketshezi olufakwe ngesilinganiso esisheshayo, njengamamililitha ayi-1 000 (ilitha elilodwa).

Ukuthatha

Uma kufanele ube ne-IV, ungabona ukuthi isikhwama sakho se-IV sifundeka ngokuthi "i-lactated Ringer's." Le inketho evivinywa isikhathi yokushintsha uketshezi odokotela abavame ukukusho. Uma uyithola, uzobhekwa ukuze uqiniseke ukuthi awutholi okuningi nge-IV yakho.