Created at:1/13/2025
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Ko te Hetastarch-sodium chloride he rongoā rongoā e tukuna ana mā te IV hei āwhina i te whakahoki mai i te rōrahi toto ina kua ngaro rawa te wai o tō tinana. E whakakotahi ana tēnei rongoā i te hetastarch, he whakawhānui plasma waihanga, me te konutai pūhaumāota (wai tote) hei waihanga i tētahi otinga e noho roa ana i roto i ō uaua toto i te wai tote noa.
Ko te tikanga ka whakamahia e ngā kaiwhakarato hauora tēnei rongoā i roto i ngā hōhipera i ngā wā ohorere, ngā pokanga, i te wā rānei e nui ana te ngaronga wai o ngā tūroro mai i ngā āhuatanga pēnei i te toto, i te ohorere rānei. E mahi ana hei whakakapi mō te rōrahi toto kua ngaro i te wā e ora ana tō tinana, e whiwhi ana rānei i ētahi atu rongoā.
Ko te hetastarch-sodium chloride he otinga mārama, koretake e rua ngā wāhanga matua e mahi ngātahi ana. Ko te wāhanga hetastarch he ngota nui i hangaia mai i te māngaro e mahi ana pēnei i te hautai i roto i ō uaua toto, e āwhina ana ki te tō mai i te wai ki roto i ō uaua toto, me te pupuri i reira.
E whakarato ana te wāhanga konutai pūhaumāota i ngā tote nui e hiahiatia ana e tō tinana kia pai te mahi. Ina whakakotahitia, ka waihanga ēnei whakauru i te mea e kīia ana e ngā tākuta he "whakawhānui rōrahi plasma" nā te mea e whakanui ana i te nui o te wai e huri ana i roto i ō uaua toto.
E noho ana tēnei rongoā ki tētahi karaehe rongoā e kīia ana ko te colloids, he rerekē i ngā otinga wai tote noa. Kāore i rite ki ngā wai IV noa e tere ana te wehe i ō uaua toto, ka noho te hetastarch-sodium chloride i roto i ō uaua toto mō te maha o ngā hāora, e whai hua ana mō ētahi āhuatanga rongoā.
Ko te tuatahi ka whakamahia e ngā tākuta te hetastarch-sodium chloride ki te rongoā i te hypovolemia, ko te tikanga kāore tō tinana i te nui o te wai i roto i ō uaua toto. Ka pā tēnei i te wā o te pokanga nui, te toto nui, te pā, ētahi atu āhuatanga rānei e ngaro ana i a koe te nui o te toto, te wai rānei.
Ka āwhina te rongoā nei ki te whakahoki i tō pēhanga toto, ā, ka whakarite kia whiwhi ō rātou okana i te rere toto e tika ana. He tino whai hua i te wā e hiahia ana ngā tūroro ki te whakakī i te rōrahi tonu, engari kāore i te wātea tonu, i te tika rānei ngā hua toto.
Koinei ngā āhuatanga matua ka whakamahia pea e ngā kaiwhakarato hauora tēnei rongoā:
Ka āta aromatawai tō rōpū hauora mēnā he tika tēnei rongoā mō tō āhuatanga motuhake. Ka whakaarohia e rātou ngā āhuatanga pēnei i tō hauora whānui, te mahi tākihi, me te kaha o tō āhuatanga.
Ka mahi a Hetastarch-sodium chloride mā te whakanui i te nui o te wai i roto i ō oko toto me te āwhina i taua wai kia noho roa ake i reira. He nui rawa ngā ngota hetastarch kia ngāwari te haere mā ngā pakitara o ō oko toto, nō reira ka waihanga rātou i te mea e kīia ana e ngā tākuta ko te
E kore koe e tango i te hetastarch-sodium chloride i a koe anō, nā te mea ka tukuna anake e ngā tākuta hauora mā te IV i roto i te hōhipera, i te wāhi haumanu rānei. Ka whakauru tō rōpū hauora i tētahi ngongo angiangi ki tētahi o ō uaua, ka āta riringi i te rongoā ki roto i tō toto.
Kei te pēhea te tere o te riringi e pā ana ki tō āhuatanga hauora motuhake me te tere o tō hiahia ki te whakakī i te rōrahi. Ka aroturuki tata ō tākuta hauora i a koe i te wā katoa, me te tirotiro i tō pēhanga toto, te tere o te ngākau, me ētahi atu tohu nui.
Mai i te mea ka tukuna tēnei rongoā i roto i ngā whare hauora, kāore koe e hiahia ki te māharahara mō te tango i te rongoā me te kai, te wai rānei. Heoi anō, ka whakatika pea tō rōpū hauora i ō rongoā auau, i te hōtaka kai rānei i runga i tō mahere maimoatanga whānui.
Ka aroturuki hoki ngā kaimahi hauora i tō taurite wai kia mōhio kei te whiwhi koe i te nui tika. Ka tirotiro pea rātou i ō mahi toto i ia wā kia mōhio kei te pai te urupare a tō tinana ki te maimoatanga.
Ko te hetastarch-sodium chloride te tikanga ka whakamahia mō ngā wā poto, i te nuinga o te wā i te wā o te raru tonu, i te tikanga rānei o te rongoā. Ko te nuinga o ngā tūroro ka whiwhi i te rongoā mō ngā hāora ki te torutoru rā, e pā ana ki te tere o te whakapai ake o tō rātou āhuatanga.
Ka whakamutu tō rōpū hauora i te rongoā ina pumau ana tō rōrahi toto, ā, ka taea e tō tinana te pupuri i ngā taumata wai tika anō. Ka huri pea rātou i a koe ki ētahi atu momo wai IV, ki ngā rongoā waha rānei i a koe e ora ana.
E pā ana te roa ki ētahi mea, tae atu ki te kaha o tō āhuatanga, te pai o tō urupare ki te maimoatanga, me te whanake rānei i ētahi pānga taha. Ka arotake tonu tō rōpū hauora mēnā kei te hiahia tonu koe i tēnei rongoā.
Me hiahia pea etahi tūroro i ngā horopeta tukurua mēnā ka pā te mate wai tonu ki a rātou, engari ka ngana ngā tākuta ki te whakawhāiti i te tapeke o te nui ka whiwhi koe hei whakaiti i te tūponotanga o ngā pānga taha.
Pērā i ngā rongoā katoa, ka taea e hetastarch-sodium chloride te pānga taha, ahakoa he maha ngā tāngata e pai ana ki te whakamahi tika. Ka aroturuki tō rōpū hauora i a koe kia mōhio ki ngā pānga i te wā o te maimoatanga me muri iho.
Ko ngā pānga taha tino noa he ngawari tonu, ā, he maha ngā wā e pā ana ki te tukanga whakauru IV tonu. Ko te tikanga ka tere te whakaoti i ēnei, ā, kāore e hiahiatia te whakamutu i te rongoā.
Ngā pānga taha noa ka pā pea ki a koe ko:
Ka puta pea ngā pānga taha nui ake engari he iti noa iho, ina koa ki ngā horopeta nui ake, ki te whakamahi rānei mo te wā roa. Ka mātakitaki tō rōpū hauora i ēnei me te āta, ā, ka mahi tonu rātou mēnā ka puta.
Ngā pānga taha nui e hiahia ana kia aro mai tonu ko:
He pānga taha onge engari nui ka puta i te wā. He nui ake te tūponotanga o ēnei ki ngā horopeta teitei ake, ki te whakamahi tukurua rānei i te rongoā.
Ngā raruraru onge pea ko:
Ka āta whakatauritehia e ō tākuta hauora ēnei tūponotanga ki ngā painga o te whakamahi i tēnei rongoā mō tō āhuatanga motuhake. Ka kōrerohia e rātou ngā āwangawanga katoa ki a koe, ā, ka whakatikatikahia tō mahere rongoā ki te hiahiatia.
Kāore e tika kia whiwhi etahi tāngata i te hetastarch-sodium chloride nā te mea ka kino ake pea tō rātou āhua, ka puta rānei ngā pānga taha mōrearea. Ka āta arotakehia e tō rōpū hauora tō hītori hauora i mua i te whakamahi i tēnei rongoā.
Kāore pea e taea e ngā tāngata e tino mate ana i te pūkahukahu te tukatuka tika i tēnei rongoā, ka hua te kohikohi i roto i te tinana. Waihoki, kāore pea e taea e te hunga e tino ngoikore ana te ngākau te whakahaere i te nui o te wai.
Ngā āhuatanga e ārai ana i te whakamahi i te hetastarch-sodium chloride ko:
Ka whakamahi hoki tō rōpū hauora i te tūpato anō ki te whai koe i ētahi atu āhuatanga. Ka whakamahi tonu pea rātou i te rongoā engari me te mātakitaki tata, me te whakatikatika pea i te horopeta.
Ngā āhuatanga e hiahia ana kia āta whakaarohia ko:
Mēnā he āhuatanga ō koe, ka āta arotakehia e tō rōpū hauora mēnā ka nui ake ngā painga i ngā tūponotanga i tō āhuatanga motuhake.
Kei te wātea te hetastarch-sodium chloride i raro i ētahi ingoa waitohu, ahakoa te nuinga o te wā e whakamahia ana te momo generic i roto i ngā hōhipera maha. Ko te ingoa waitohu e mōhiotia whānuitia ana ko Hespan, kua whakamahia mō ngā tau maha.
Ko ētahi atu ingoa waitohu ka tūtaki pea koe ko Hextend, ahakoa kei roto i tēnei hanganga ētahi atu kai, pēnei i te konupūmā me te konukōrehi. Mā te rōpū hauora e whiriwhiri te momo e tika ana i runga i ō hiahia hauora motuhake.
Ka whakamahi pea ētahi hōhipera i ngā momo generic o te hetastarch-sodium chloride kāore he ingoa waitohu motuhake. Kei roto i ēnei momo generic ngā kai kaha kotahi, ā, he rite tonu te whai hua ki ngā momo waitohu.
He maha ngā rongoā kē ka taea te whakarato i ngā pānga whānui rite tonu i te wā e kore ai e tika ana, e wātea ana rānei te hetastarch-sodium chloride. Mā te rōpū hauora e whiriwhiri te kōwhiringa pai rawa atu i runga i tō āhuatanga hauora me ō hiahia.
He maha ngā wā e whakaarohia ana te albumin ko te paerewa koura mō te whānui, ahakoa he nui ake te utu, ā, i ahu mai i ngā hua toto tangata. He rite tonu te mahi ki te hetastarch engari he rerekē te pūtake o ngā pānga taha.
Ko ētahi atu kōwhiringa kē ka whakaarohia e tō rōpū hauora ko:
Ko te kōwhiringa o te kōwhiringa kē e whakawhirinaki ana ki ngā āhuatanga pēnei i tō āhuatanga hauora, te wātea o te hua, ngā whakaaro utu, me ō āhuatanga tūpono takitahi. Mā tō rōpū hauora e whakatau te whakatau pai rawa atu mō tō āhuatanga motuhake.
He pai te mahi a te hetastarch-konutai pūhaumāota me te pūmua i te whakanui i te rōrahi, engari he rerekē ō rāua painga me ō rāua ngoikoretanga. Kāore tētahi i te pai ake i tētahi; ka whakawhirinaki te whiriwhiri ki tō āhuatanga hauora motuhake.
He iti ake te utu o te hetastarch-konutai pūhaumāota, ā, he māmā ake te tiki atu i te pūmua. Ka whai hua hoki te whakanui i te rōrahi, ā, ka noho i roto i ō toto mō ētahi haora, e whai hua ana mō ngā āhuatanga ohorere maha.
Heoi anō, i ahu mai te pūmua i te toto tangata, ā, e kiia ana he
E kore koe e whiwhi nui rawa i te hetastarch-konutai pūhaumāota i te mea he tohunga hauora whakangungu anake e hoatu ana, e tino āta titiro ana ki te nui e whiwhi ana koe. Heoi, ki te pā mai ngā tohumate pērā i te mamae nui o te upoko, te uaua ki te hā, te pūhihi rānei, kōrero tonu ki tō rōpū hauora.
Mēnā ka puta te nui rawa o te wai, ka taea e tō rōpū hauora te whakaiti, te whakamutu rānei i te whakaurunga, ā, ka hoatu pea he rongoā hei āwhina i te tango i te wai nui mai i tō tinana. He tikanga ā rātou hei whakahaere i ēnei āhuatanga i runga i te haumaru.
I te mea e hoatu ana te hetastarch-konutai pūhaumāota e ngā tohunga hauora i ngā whare hauora, e kore koe e ngaro i ngā inenga i te tikanga tuku iho. Ka whakahaere tō rōpū hauora i tō hōtaka maimoatanga, ā, ka whakatika i te wā mēnā e tika ana i runga i tō āhua.
Mēnā ka mutu tō maimoatanga mō tētahi take, ka arotake tō rōpū hauora mēnā kei te hiahia tonu koe ki te rongoā, ā, ka tīmata anō mēnā e tika ana. Ka whakaaro rātou ki te pēhea te urupare o tō tinana ki te maimoatanga, me te mēnā kua pai ake tō āhua.
Ka whakatau tō rōpū hauora i te wā hei whakamutu i te hetastarch-konutai pūhaumāota i runga i te ahunga whakamua me te pumau o tō whakaora. Ka titiro rātou ki tō pēhanga toto, te taurite wai, me te āhua whānui hei whakatau i te wā e kore ai koe e hiahia ana ki te tautoko rōrahi.
Ka mutu te nuinga o ngā tūroro ki te whiwhi i tēnei rongoā i te wā e pumau ana te rōrahi toto, ā, ka taea e tō rātou tinana te pupuri i ngā taumata wai tika i runga i te motuhake. Ka puta pea tēnei i roto i ngā hāora, ka roa pea te maha o ngā rā, i runga i tō āhuatanga motuhake.
Ko te nuinga o te hunga e whiwhi ana i te hetastarch-sodium chloride mō ngā wā poto, kāore e pā ana ki ngā raruraru wā-roa. Heoi, ka pūtake pea ētahi tāngata i te mōmona tonu e taea ana te roa mō ngā wiki, mō ngā marama rānei i muri i te rongoā, ina koa ki ngā horopeta teitei ake, ki te whakamahi rānei i ngā wā maha.
Ka aroturukihia e tō rōpū hauora ngā pānga wā-roa pea, ā, ka kōrerohia e rātou ngā āwangawanga katoa ki a koe. Ka taurite rātou i ngā painga tonu o te rongoā i tō ohorere hauora ki ēnei tūponotanga pea i te wā e whakatau ana i tō mahere rongoā.