Ringer's Lactate Solution: Zvazviri uye Mashandisiro Ako

Zvemukati

• Yakasiyana sei nesaline?
• Zvavari zvakafanana
• Vanosiyana sei
• Mukati memhinduro
• Kurapa kushandiswa kweakadhakwa Ringer's
• Mhinduro yacho inoshanda sei
• Zvinogona kuitika mhedzisiro
• Yakajairwa dhivhosi yeakayamwa Ringer's
• Kutora

Lactated Ringer's solution, kana LR, in intravenous (IV) fluid yaungagamuchire kana iwe uchinge wapera mvura, uchivhiyiwa, kana kugamuchira mishonga yeIV. Inonziwo dzimwe nguva inonzi Ringer's lactate kana sodium lactate solution.

Pane zvikonzero zvinoverengeka nei iwe uchigona kugamuchira ichi IV mvura kana iwe uchida kurapwa.

Yakasiyana sei nesaline?

Nepo saline uye lactated mhinduro yaRinger iine mashoma akafanana, iwo zvakare ane misiyano. Izvi zvinogona kuita kuti kushandiswa kweimwe kuve kwakakodzera kupfuura kumwe zvichienderana nemamiriro ezvinhu.

Zvavari zvakafanana

Yakajairwa saline uye yakamwiswa Ringer's maviri IV emvura zvinowanzo shandiswa muchipatara uye zvehutano marongero.

Ivo vese isotonic fluids. Kuve isotonic zvinoreva kuti mvura dziine iyo imwechete osmotic kumanikidza seropa. Osmotic kumanikidza kuyerwa kwechiyero chemasolute (sodiyamu, calcium, uye chloride) kune zvinonyungudutsa (semuenzaniso, mvura).

Kuve isotonic zvakare zvinoreva kuti kana iwe ukawana IV yakakwenenzverwa Ringer's, mhinduro yacho haizo kukonzera maseru kudzikira kana kukura. Pane kudaro, mhinduro ichawedzera huwandu hwemvura mumuviri wako.

Vanosiyana sei

Vagadziri vemvura vanoisa zvikamu zvakasiyana zvishoma muine saline zvakaenzana zvichienzaniswa neakadhakwa naRinger. Misiyano yezvidimbu inoreva kuti Ringer yakakwenenzverwa haigare kwenguva yakareba mumuviri sezvinoita saline yakajairwa. Izvi zvinogona kuita zvinobatsira kudzivirira kuwanda kwemvura.

Zvakare, lactated Ringer's ine yekuwedzera yekuwedzera sodium lactate. Muviri unogadzirisa chinhu ichi kune chimwe chinonzi bicarbonate. Ichi "chigadziko" chinogona kubatsira kuti muviri usanyanya kuva acidic.

Neichi chikonzero, vamwe vanachiremba vanoshandisa lactated Ringer's pavanorapa mamiriro ekurapa akadai sepsis, umo muviri unova une acidic yakawanda.

Kumwe kutsvagurudza kunoratidza kuti maRinger akakwenenzverwa anogona kusarudzika pane akajairwa munyu wekutsiva akarasika mvura iri mukutambudzika varwere.

Uyezve, yakasarudzika saline ine yakakwira chloride yezvinyorwa. Izvi zvinogona dzimwe nguva kukonzera renal vasoconstriction, inokanganisa kuyerera kweropa kune itsvo. Izvi hazviwanzo kunetsa kunze kwekunge munhu awana huwandu hwakawanda hweyakajairwa musawine solution.

Lactated Ringer's haina kusanganisa mushe nemamwe IV mhinduro. Pharmacies pachinzvimbo sanganisa zvakajairwa saline neinotevera IV mhinduro:

• methylprednisone
• nitroglycerin
• nitroprusside
• norepinephrine
• propanolol

Nekuti lactated Ringer's ine calcium mukati, vamwe vanachiremba havakurudziri kuishandisa kana munhu awedzerwa ropa. Iyo yakawedzera calcium inogona kusunga pamwe nezvichengetedzwa zvakawedzerwa muropa nemabhangi eropa kuitira kuchengetwa. Izvi zvinogona kuwedzera njodzi yekuvhara ropa.

Sechinyorwa cheparutivi, chakayamwisa Ringer's chakasiyanawo zvishoma pane izvo zvinonzi ingori mhinduro yaRinger. Mhinduro yaRinger inowanzo ine sodium bicarbonate panzvimbo yesodium lactate mairi. Dzimwe nguva mhinduro yaRinger zvakare ine yakawanda glucose (shuga) mairi kupfuura Ringer's yakamwisa.

Mukati memhinduro

Lactated Mhinduro yaRinger ine yakawanda yakafanana maelectrolyte anoitwa neropa zvakasikwa.

Sekureva kwaB.Braun Medical, imwe yemakambani anogadzira akayamwisa maRinger's, mamirioni zana emhinduro yavo anosanganisira anotevera:

• calcium chloride: 0,02 magiramu
• potasium chloride: 0,03 magiramu
• yavaibvisa chloride: 0,6 magiramu
• sodium lactate: 0,31 magiramu
• mvura

Izvi zvinhu zvinogona kusiyana zvishoma nemugadziri.

Kurapa kushandiswa kweakadhakwa Ringer's

Vese vakuru nevana vanogona kugashira yakakwenenzverwa Ringer mhinduro. Zvimwe zvezvikonzero nei munhu achiwana iyi IV mhinduro zvinosanganisira:

• kurapa kupera mvura mumuviri
• kufambisa kuyerera kwemushonga weVIV panguva yekuvhiyiwa
• kudzoreredza chiyero chemvura mushure mekurasikirwa neropa kana kupisa
• kuchengeta tsinga ine kateti yeIV yakavhurika

Lactated Ringer's inowanzo iri IV mhinduro yesarudzo kana iwe uine sepsis kana hutachiona hwakanyanya muviri wako acid-base chiyero chinokandwa kunze.

Vanachiremba vanogona zvakare kushandisa lactated Ringer's semhinduro yekudiridzira. Mhinduro yacho haina kuchena (haina mabhakitiriya mairi kana ichengetwa zvakanaka). Naizvozvo inogona kushandiswa kusuka ronda.

Inogona zvakare kushandiswa panguva yekuvhiya kudiridza dundira kana saiti yekuvhiya. Izvi zvinobatsira kushambidza mabhakitiriya kana kuita kuti saiti yekuvhiya ive nyore kuona.

Vagadziri havafarire kuti vanhu vanwe mhinduro yaRinger yakaomeswa. Izvo zvinongoreva kudiridza kana kushandisa IV.

Mhinduro yacho inoshanda sei

Iwe unogashira yakakwenenzverwa Ringer mhinduro mune IV. Kana mhinduro yapinda mutsinga, inopinda mukati memasero pamwe nekunze. Sezvineiwo, mhinduro yacho inobatsira kuchengetedza kana kuwana chiyero chemvura mumuviri wako.

Zvinogona kuitika mhedzisiro

Kupa zvakawandisa zveRinger's zvinogona kukonzera kuzvimba uye edema. Vamwe vanhu vane mamiriro ekurapa anoreva kuti muviri wavo haugone kubata iro rekuwedzera mvura zvakanaka. Aya mamiriro anosanganisira:

• chirwere chetsvo chisingaperi
• congestive moyo kutadza
• hypoalbuminemia
• cirrhosis

Kana vanhu vane mamiriro ekurapa aya vari kuwana lactated Ringer's (kana chero imwe IV fluid), nyanzvi yezvokurapa inofanirwa kunyatsovatarisa kuti vaone kuti havasi kuwana mvura yakawandisa.

Pamusoro pekuwandisa kwemvura, yakawandisa mhinduro yaRinger inogona kukanganisa ako mazinga e electrolyte. Izvi zvinosanganisira sodium uye potasium. Nekuti pane yakaderera sodium mune yakakangwa Ringer's pane irimo muropa, yako sodium mazinga anogona kuve akaderera zvakanyanya kana iwe ukawandisa.

Mimwe inogadziriswa ringer rinosanganisira dextrose, rudzi rweglucose. mune vanhu vane chirwere chegorosi.

Yakajairwa dhivhosi yeakayamwa Ringer's

Mubairo weakayamwa Ringer's zvinoenderana nemamiriro ezvinhu. Chiremba anozotarisa zvinhu zvakaita sezera rako, kuti unorema zvakadii, hutano hwako hwese, uye kuti une mvura yakawanda sei.

Dzimwe nguva chiremba anogona kuraira IV mvura pa "KVO" chiyero. Izvi zvinomirira "chengeta tsinga yakavhurika," uye kazhinji inosvika mamirilita makumi matatu paawa. Kana iwe wakanyanya kushaya mvura, chiremba anogona kuraira zvinwiwa zvinoputirwa nekukurumidza zvakanyanya, senge chiuru chemamililita (1 litre).

Kutora

Kana iwe uchifanirwa kuve neIV, iwe unogona kuona kuti bhegi rako IV rinoverengwa "rakayamwa Ringer's." Iyi ndiyo nguva-yakaedzwa sarudzo yekutsiva kwemvura iyo vanachiremba vanowanzo gadza. Kana iwe ukachigamuchira, iwe uchaongororwa kuti uve nechokwadi chekuti hauzowani zvakawandisa kuburikidza neIV yako.