He aha te Lactated Ringer's: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

Ko te Lactated Ringer's he otinga wai huakore e hoatu ana e ngā tākuta mā te IV hei whakakapi i ngā wai me ngā hiko i ngaro i tō tinana. Whakaarohia he ranunga tōtika e tino rite ana ki ngā mea e hiahiatia ana e tō tinana i te wā e maroke ana koe, e ngaro ana rānei ngā wai.

Kei roto i tēnei otinga IV te wai, te konutai, te pāhare pāporo, te konupūmā, me te lactate i roto i ngā rahinga motuhake e whakaata ana i te tauritenga wai o tō tinana. Ka whakamahia e ngā kaiwhakarato hauora i roto i ngā hōhipera, ngā ruma ohorere, me ngā wāhi pokanga i te wā e hiahia ana tō tinana ki te whakakapi wai tere.

He aha te Lactated Ringer's e whakamahia ana?

Ka āwhina te Lactated Ringer's ki te whakahoki i te tauritenga wai me te hiko o tō tinana i te wā i ngaro ai te nui o te wai mā te mate, te pokanga, te whara rānei. Koinei tētahi o ngā wai IV e whakamahia nuitia ana i ngā wāhi rongoā nā te mea e pai ana mō te maha o ngā āhuatanga rerekē.

Ka tūtohu pea tō tākuta i tēnei otinga i te wā e raru ana koe i te maha o ngā āhuatanga e pā ana ki ngā taumata wai o tō tinana. Koinei ngā āhuatanga matua e whai hua ana te Lactated Ringer's:

• Te maroketanga nui mai i te ruaki, te korere, te nui rānei o te werawera
• Te ngaronga toto i te wā o te pokanga, i muri rānei i te wharanga
• Ngā pānga o te pānga e ngaro ana te nui o te wai mā te kiri kua pakaru
• Ngā āhuatanga ohorere e heke ana te pēhanga toto
• Ngā raruraru tākihi e pā ana ki te kaha o tō tinana ki te taurite i ngā wai
• Te whakarite mō ngā tikanga pokanga nui

I ngā wā onge, ka whakamahia pea e ngā tākuta te Lactated Ringer's mō ngā āhuatanga pēnei i te waikawa metabolic nui, i ētahi momo paitini rānei. Ka āwhina te otinga ki te whakapumau i tō tinana i te wā e mahi ana ētahi atu maimoatanga ki te whakatika i te raruraru kei raro.

Me pēhea te mahi a Lactated Ringer's?

Ka mahi a Lactated Ringer's mā te whakakapi tika i ngā wai me ngā kohuke nui kua ngaro i tō tinana. Ka uru te otinga ki roto i ō toto mā te IV, ka tere te horapa puta noa i tō tinana hei whakahoki i te tauritenga wai tika.

Ka huri te lactate i roto i te otinga ki te bicarbonate i tō ate, e āwhina ana ki te whakatika i ngā tauritenga waikawa-pūtake i roto i ō toto. Ka puta tēnei tukanga i te taiao, ā, ka āwhina i tō tinana ki te pupuri i ngā taumata pH tika mō te mahi pai.

Kāore i rite ki te wai noa, kei roto i te Lactated Ringer's ngā hiko, e ārai ana i ō pūtau kia kaua e pupuhi, e whakaheke rānei i te wā e whakahokia ana ngā wai. Ko te hanganga taurite te tikanga ka taea e tō tinana te whakamahi tonu me te kore e whakararuraru i ngā tukanga pūtau noa.

Me pēhea taku whiwhi i te Lactated Ringer's?

Ka hoatu tonu te Lactated Ringer's mā te raina IV e ngā tākuta whai mātauranga i roto i ngā wāhi rongoā. Kāore e taea e koe te tango i tēnei rongoā mā te waha, ā, kāore rawa e whakahaerea i te kāinga me te kore he tirotiro hauora.

Ka whakauru tō nēhi i tētahi ngongo kirihou iti ki roto i te uaua, te nuinga i tō ringa, i tō ringa rānei. Ka rere te otinga mai i tētahi pēke koretake mā te ngongo ki roto tonu i ō toto i te tere e whakatauhia ana e tō tākuta i runga i ō hiahia motuhake.

Kei te whakawhirinaki te tere whakauru ki runga i ētahi mea pēnei i tō tau, tō taumaha, tō āhua hauora, me te nui o te wai e hiahia ana tō tinana. Ka mātakitaki tata tō rōpū hauora i a koe i te wā o te whakauru kia mōhio kei te whiwhi koe i te nui tika i te tere tika.

Kāore koe e hiahia ki te whakarite mō te whiwhi i te Lactated Ringer's mā te kai, te karo rānei i ētahi kai. Heoi, kōrero atu ki tō kaiwhakarato hauora mō ngā rongoā katoa e tango ana koe, i te mea ka taea e ētahi rongoā te pā ki ngā hiko i roto i te otinga.

Kia pēhea te roa o taku whiwhi i te Lactated Ringer's?

He rerekē te roa o te rongoā Lactated Ringer's i runga i tō āhua hauora me te tere o te urupare o tō tinana ki te rongoā. E hia rā anō ngā tāngata e hiahia ana kia mō te torutoru haora noa iho, ēngari ko ētahi atu tāngata ka hiahiatia mō ngā rā maha.

Ka tirohia e tō rōpū hauora ō taumata wai, te tauritenga o te hiko, me tō āhua whānui kia whakatau ana ka nui te rongoā i whiwhi koe. Ka aroturukihia e rātou tō pēhanga toto, te tere o te ngākau, me ngā whakamātautau taiwhanga hei ārahi i ā rātou whakatau.

Mō te maroke iti, tērā pea ka hiahia koe kia kotahi, kia rua rānei ngā pēke o te otinga i roto i ngā haora torutoru. Ko ngā āhua tino nui pēnei i te pānga nui, i te pokanga nui rānei ka hiahiatia te rongoā tonu mō ngā rā i te wā e ora ana tō tinana, e pūmau ana.

He aha ngā pānga taha o Lactated Ringer's?

He pai te manawanui o te nuinga o ngā tāngata ki te Lactated Ringer's, engari pērā i ētahi atu rongoā, ka pānga taha ki ētahi tāngata. Ko te nuinga o ngā pānga taha he ngawari, ka ngaro wawe ana kua oti te rongoā.

Ko ngā pānga taha noa ka pā ki a koe ko te kore mārie iti i te wāhi IV, pēnei i te mamae iti, te whero, te pūhi rānei i te wāhi e uru ana te ngira ki tō uaua. Ko ēnei urupare he wā poto noa iho, kāore hoki e hiahiatia he rongoā motuhake.

Anei ngā pānga taha e kitea ana i te wā e whiwhi ana, i muri rānei i te whiwhinga i te Lactated Ringer's:

• Te pūhi, te pupuhi rānei i te wā e pupuri ana tō tinana i te wai anō
• Te whakapairuaki iti, te kore mārie rānei o te puku
• Ngā huringa wā poto i ngā tauira mimi
• Ngā huringa iti i te pēhanga toto, i te tere o te ngākau rānei
• Ngā tūāhua mātao, mahana rānei i te wā e uru ana te wai ki tō toto

Ko ngā pānga taha tino nui he iti noa iho, engari me whai wāhi tonu te rongoā. Ko ēnei ka uru ki ngā tohu o te nui o te wai pēnei i te uaua ki te hā, te pikinga tere o te taumaha, te pūhi nui rānei i ō waewae, i tō mata rānei.

Ko ngā raruraru ōkawa engari he nui pea ko ngā tauhohenga mate pāwera nui, ngā manawataki ngakau koretake nā te kore taurite o te hiko, rānei ngā raruraru mai i te whiwhi wai nui rawa i te wa poto. Ka aroturukihia e tō rōpū hauora ēnei mea ka puta i te wā o tō maimoatanga.

Ko wai kāore e tika kia whiwhi Lactated Ringer's?

Kāore te Lactated Ringer's e tika ana mō te katoa, ā, ka āta aromatawai tō tākuta i tō hītori hauora i mua i te tūtohu i tēnei maimoatanga. Ko ētahi āhuatanga ka kore e tika, ka kino pea tēnei rongoā.

Ko ngā tāngata e mate ana i te mate tākihi nui pea e kore e taea te tukatuka i ngā hiko i roto i te Lactated Ringer's tika, ka puta he pūtake kino i roto i ō rātou pūnaha. Waihoki, ko te hunga e mate ana i te ngoikoretanga ngakau nui pea e kore e pai te whakahaere i te nui o te wai.

Ka karo tō kaiwhakarato hauora i te Lactated Ringer's mēnā kei a koe ētahi o ēnei āhuatanga:

• Te mate ate nui e aukati ana i te tukatuka lactate tika
• Ngā taumata pāhare pāporo tiketike i roto i ō toto (hyperkalemia)
• Te ngoikoretanga tākihi nui, te iti rānei o te mahi tākihi
• Te ngoikoretanga ngakau pūngāwerewere e tino nui ai te whakahaere wai
• Ngā mate pāwera e mōhiotia ana ki ētahi wāhanga o te rongoā
• Ētahi momo mate pūkoro

I ngā wā onge, ko ngā tāngata e whai ana i ngā āhuatanga ira motuhake e pā ana ki te tukatuka o tō rātou tinana i te lactate, ētahi hiko rānei, pea e hiahia ana ki ētahi atu rongoā IV. Ka whiriwhiria e tō tākuta te kōwhiringa haumaru rawa atu i runga i tō pikitia hauora katoa.

Ngā Ingoa Waitohu o Lactated Ringer's

Kei te wātea te Lactated Ringer's i raro i ētahi ingoa waitohu, ahakoa te hanganga e noho rite ana i waenga i ngā kaihanga. Ko ngā ingoa waitohu tino noa ko Lactated Ringer's Injection, Ringer's Lactate, me Hartmann's Solution.

He maha ngā kamupene rongoā e whakaputa ana i tēnei otinga i raro i ngā ingoa rerekē, engari he rite tonu ngā kai tōmua i roto i ngā whākōtuitanga rite. Ko te hōhipera, te whare hauora rānei e whiriwhiri ana i te waitohu hei rongoā i runga i te utu me te wātea.

Ko ētahi ingoa waitohu ka kitea pea ko te werohanga a Baxter's Lactated Ringer, Hospira's Lactated Ringer, rānei, B. Braun's Lactated Ringer's Solution. Ahakoa te waitohu, ka rite tonu ngā pānga rongoā me te haumaru.

Ngā Kōwhiringa kē mō Lactated Ringer's

He maha ngā otinga IV kē ka taea te whakakapi i te Lactated Ringer's ina kore e tika mō tō āhuatanga. Ka whiriwhiria e tō tākuta te kōwhiringa pai rawa atu i runga i ō hiahia hauora motuhake me te momo wai, te whakakapinga hiko rānei e hiahiatia ana.

Ko te wai tote noa (0.9% konutai pūhaumāota) te kōwhiringa kē tino noa, ina koa ka hiahia koe ki te whakakapi wai me te kore o ngā hiko atu i kitea i roto i te Lactated Ringer's. He māmā ake te hanganga, ā, he pai mō te maroke noa.

Ko ētahi atu kōwhiringa kē ka whakaarohia e tō kaiwhakarato hauora ko:

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• Plasma-Lyte A, he rerekē te hanganga hiko
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• Ngā otinga Dextrose ina hiahia koe i te wai me te kūkura
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• Ngā otinga Albumin mō ētahi momo ngaronga wai
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• Te wai tote haurua noa mō ngā hiahia hiko motuhake
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• Ngā otinga tote taurite me ngā huinga kohuke rerekē
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I roto i ngā āhuatanga motuhake, ka tūtohu pea tō tākuta i ngā hua toto, ngā otinga colloid, ētahi atu wai whakakapi motuhake rānei. Ka whakawhirinaki te kōwhiringa ki te mea kua ngaro i tō tinana me te mea e hiahia ana kia ora tika.

He Pai Ake te Lactated Ringer's i te Wai Tote Noa?

He pai ngā otinga IV e rua, te Lactated Ringer's me te wai tote noa, engari he painga tō ia mea i roto i ngā āhuatanga rerekē. Ko te kōwhiringa

He pai ake te hanganga wai o Lactated Ringer's ki te hanganga wai tūturu o tō tinana, he mea pai ai ina hiahia koe ki te whakakapi i ngā pūmua maha me te wai. He māmā ake te wai tote noa, ā, he pai ake te mahi ina hiahia ana koe ki te whakakapi wai noa, kāore he kohuke atu.

E ai ki ngā rangahau rongoā o nāianei, he iti ake pea ngā raruraru ka puta mai i te Lactated Ringer's i ētahi wā, ina koa i ngā pokanga nui, i te wā e hiahiatia ana te nui o te wai. Heoi anō, ko te wai tote noa tonu te kōwhiringa pai mō ētahi āhuatanga pēnei i ngā wharanga roro, i ētahi raruraru tākihi rānei.

Ka whakaarohia e tō rōpū hauora ngā mea pēnei i te mahi o ō tākihi, te āhua o tō ngākau, me te take e hiahia ana koe ki te wai IV i te wā e whiriwhiri ana i waenga i ēnei otinga. He haumaru me te whai hua ngā mea e rua ina whakamahia tika ana mō ngā āhuatanga rongoā tika.

Ngā Pātai Auau mō Lactated Ringer's

Q1. He haumaru te Lactated Ringer's mō te hunga mate huka?

Āe, he haumaru te Lactated Ringer's mō te hunga mate huka, engari ka mātakitaki tō rōpū hauora i ō taumata huka toto i te wā o te maimoatanga. Kei roto i te otinga te lactate, kaua ko te kūhuka, nō reira kāore e piki tika te huka toto pēnei i ngā otinga kei roto te dextrose.

Heoi anō, ka taea te huri te lactate i roto i te otinga ki te kūhuka i tō ate, ā, ka piki paku pea ngā taumata huka toto. Ka tirohia e tō rōpū hauora ō taumata kūhuka i ia wā, ā, ka whakatika i ō rongoā mate huka ki te hiahiatia i te wā o te maimoatanga.

Q2. Me aha au ki te kite au i te pūhihi, i te mamae rānei i te wāhi IV?

Whakamōhiotia tō nēhi tonu ki te pūhihi nui, te mamae, te whero rānei i tō wāhi IV. Ka tohu pea ēnei tohu kua neke te IV i te uaua, kei te pā mai rānei he pānga ki te otinga.

Ka tirohia e tō rōpū hauora te wāhi, ā, tērā pea ka hiahia rātou ki te neke i te IV ki tētahi wāhi kē. Kaua e ngana ki te whakatika i te IV e koe anō, nā te mea ka whara pea tēnei, ka kuhu rānei i te huakita ki roto i ō toto.

Q3. He aha te mea ka pā mai ki a au mēnā ka nui rawa te Lactated Ringer's?

Ko te whiwhi i te nui rawa o te Lactated Ringer's ka hua te nui o te wai, e pā ana ki ngā tohumate pēnei i te uaua ki te manawa, te pikinga tere o te taumaha, te pūhi rānei i ō waewae me te kanohi. Ka mātakitaki tata tō rōpū hauora i a koe kia kore ai tēnei e pā.

Mēnā ka puta te nui o te wai, ka whakaiti, ka whakamutu rānei tō rōpū hauora i te whakaurunga, ā, tērā pea ka hoatu ki a koe ngā rongoā hei āwhina i te tango i te wai nui mai i tō tinana. Ka mātakitaki tata hoki rātou i tō mahi ngākau me te pūkahukahu kia hoki ra anō tō tauritenga wai ki te tikanga.

Q4. Ka taea e au te kai me te inu i te tikanga i te wā e whiwhi ana i te Lactated Ringer's?

I te nuinga o ngā wā, ka taea e koe te kai me te inu i te tikanga i te wā e whiwhi ana i te Lactated Ringer's, ki te kore te tākuta i hoatu ki a koe ngā tohutohu motuhake kia karo i te kai, i te wai rānei. Kāore te otinga IV e pā ana ki te keri kai, ki te kai rānei i te tikanga.

Heoi, mēnā kei te whiwhi koe i te rongoā mō ētahi āhuatanga pēnei i te ruaki nui, i mua i te pokanga rānei, tērā pea ka aukati tō rōpū hauora i tō kai me tō inu. Me whai tonu i ngā tohutohu motuhake a tō kaiwhakarato hauora mō te kai me te inu i te wā o te rongoā.

Q5. Kia pehea te tere o taku pai ake i muri i te whiwhi i te Lactated Ringer's?

Ka tīmata te nuinga o te tangata ki te pai ake i roto i te 30 meneti ki te torutoru haora i te tīmatanga o te rongoā Lactated Ringer's, ina koa i te mea ko te maroke te take i ō rātou tohumate. Tērā pea ka kite koe i te pai ake o te taumata pūngao, te iti ake o te whanoke, me te pai ake o te whakamarie whānui i te wā e pai ake ana tō tauritenga wai.

Kei te whakawhirinaki te wā tika ki te nui o tō maroke i te tīmatanga, me te tere o te urupare a tō tinana ki te rongoā. Ka rongo etahi tāngata i te whakamāmā i te wā tonu, engari ko ētahi atu he nui te ngaronga wai ka roa pea te maha o ngā hāora, ngā rā rānei o te rongoā kia tino pai ake ai te rongo.