He aha te Dextrose (Ara I roto i te Uaua): Ngā Whakamahinga, Inenga, Ngā Pānga Taha me Ētahi Atu

Ko te Dextrose e tukuna ana mā te IV he otinga huka huakore e whakamahia ana e ngā kaiwhakarato hauora hei rongoā i te huka toto iti me te whakarato pūngao ki tō tinana. Ka rere tēnei otinga huka ngawari ki roto i ō toto mā te ngira i tūkina ki tō uaua, he mea tēnei e tere ai te whakahoki i ō taumata huka toto ina heke rawa.

Ka whiwhi pea koe i te IV dextrose i roto i ngā hōhipera, i ngā rūma ohorere, i ngā whare haumanu waho rānei ina hiahia tō tinana i te kūkōhi tonu. Ka whakamahia hoki e ngā kaiwhakarato hauora hei whakaranu ki ētahi atu rongoā, hei pupuri rānei i tō rārangi IV kia tuwhera i ngā wā o ngā tikanga rongoā.

He aha te Dextrose (Ara I roto i te Uaua)?

Ko te Dextrose he momo kūkōhi, koinei te huka e whakamahia ana e tō tinana mō te pūngao. Ina tukuna mā te IV, he wai mārama, huakore e mau ana i ngā momo kukume rerekē o tēnei huka i konatunatua ki te wai.

Ka karo te puka IV i tō pūnaha kūnatu katoa, ka tukuna te kūkōhi ki tō toto tonu. Koinei te mea e whai hua nui ana mō ngā tūāhuatanga ohorere i te wā i heke rawa ai tō huka toto, he āhuatanga e kīia ana ko te hypoglycemia. Whakaarohia he mea e hoatu ana ki ngā pūtau o tō tinana te uru tonu ki tā rātou pūtake wahie pai.

Ka whakamahia e ngā kaiwhakarato hauora ngā kaha rerekē o ngā otinga dextrose, te nuinga mai i te 5% ki te 50% te kukume. Ko te ōrau e whakaatu ana ki a koe te nui o te kūkōhi i wairewaina i roto i te wai - kei roto i te otinga 10% te 10 karamu o te kūkōhi i roto i ia 100 miririta o te wai.

He aha te Dextrose (Ara I roto i te Uaua) e Whakamahia Ana Mō?

He maha ngā kaupapa rongoā nui e mahia ana e te IV dextrose, ko te rongoā i te huka toto iti rawa te mea tino noa. Ina heke iho tō kūkōhi toto i raro i ngā taumata haumaru, ka taea e tēnei rongoā te whakahoki tere i ngā taumata noa me te ārai i ngā raruraru nui.

Ka whakamahia hoki e nga kaiwhakarato hauora te dextrose hei whakarato i nga kaata me te kaha ki nga turoro e kore e taea te kai, te inu ranei i te tikanga. Mena kaore e taea e koe te kai ma te waha na te pokanga, te mate, te raruraru ranei o te nakunaku, ka awhina te IV dextrose ki te aukati i to tinana ki te wawahi i ona ake uaua me te ngako mo te kaha.

Anei nga ahuatanga matua ka tohua pea e nga taakuta te IV dextrose:

• Te hypoglycemia nui (te huka toto iti rawa)
• Nga ohorere o te mate huka ka heke rawa te huka toto
• Te matewai e honoa ana ki te huka toto iti
• Te kore e kaha ki te kai, ki te inu ranei na te ahua o te hauora
• I roto i etahi tikanga rongoa e hiahia ana kia pumau te huka toto
• Hei otinga kaikawe mo etahi atu rongoa IV

I te nuinga o te wa, ka whakamahia pea e nga taakuta te dextrose mo nga maimoatanga motuhake penei i te whakaiti i te pupuhi o te roro, te rongoa ranei i etahi momo paihana. Ka whakatauhia e to roopu hauora te kukume tika me te nui i runga i o hiahia hauora motuhake.

Me pehea te mahi a Dextrose (Ara Intravenous)?

Ka mahi a Dextrose ma te whakarato i to tinana ki te glucose tonu ka taea e ou pūtau te whakamahi mo te kaha. Kia uru ana ki roto i to toto ma te IV, ka haere puta noa i to tinana, ka tere te ngongo e ou pūtau, ina koa to roro, e tino whakawhirinaki ana ki te glucose kia pai te mahi.

Ko tenei rongoa e kiia ana he maimoatanga tere na te mea kaore e tika kia keri, kia tukatukahia ranei e to puku me ou whekau. I roto i nga meneti i muri i te whiwhinga i te IV dextrose, ka kite pea koe i nga whakapainga i roto i nga tohu penei i te rangirua, te wiri, te ngoikore ranei e puta mai ana i te huka toto iti.

Ko te kaha o te dextrose hei rongoa ka whakawhirinaki ki te kukume e whakamahia ana. Ko nga kukume iti penei i te 5% dextrose e whakarato ana i te kaha ngawari, pumau hoki me te whakamakuku. Ko nga kukume teitei ake penei i te 25%, 50% ranei dextrose ka kaha ake te mahi me te tere ki te whakanui i nga taumata huka toto i roto i nga ahuatanga ohorere.

Ka tukatukahia e tō tinana te dextrose IV pērā i te kūkō mai i te kai, mā te whakamahi i te homoni insulin hei āwhina i ngā pūtau ki te mimiti. Ko te rerekētanga nui ko te tere - ka karo te dextrose IV i te tukanga keri kai noa, ka mahi tonu.

Me pēhea taku tango i te Dextrose (Ara Intravenous)?

Kāore koe e tango i te dextrose IV i a koe anō - ka hoatu tonu e ngā tākuta whakangungu i ngā wāhi rongoā. Ka rere te rongoā ki roto i ō toto mā tētahi ngongo kirihou angiangi e kīia ana he katita IV e kuhu ana ki roto i te uaua, te nuinga i tō ringa, i tō rānei ringa.

I mua i te whiwhinga i te dextrose, kāore koe e hiahia ki te karo i te kai, i te inu rānei ki te kore te tākuta e kī atu ki a koe. Inā, ki te taea e koe te kai, ā, he pūmau tō huka toto, tērā pea ka pai ake te kaiwhakarato hauora ki te tango i ngā papa kūkō waha, i te kai rānei hei utu mō te rongoā IV.

Ko te tukanga whakauru he pai, he kore mamae i te nuinga o te wā i te wā e tū ana te IV. Ka takoto koe, ka noho rānei i roto i te tūru i te wā e maturuturu ana te otinga ki roto i tō uaua. Ko te tere o te whakauru e whakawhirinaki ana ki tō āhua - ka hiahia pea ngā āhuatanga ohorere ki te whakahaere tere ake, i te wā e rere ana ngā horopeta tiaki i te pōturi.

I te wā o te rongoā, ka aroturukihia e ngā kaiwhakarato hauora ō taumata huka toto i ngā wā katoa kia mōhio ai kei te pai te mahi a te dextrose. Ka tirohia hoki e rātou tō wāhi IV kia mōhio ai kei te pai te mahi, ā, kāore e pōuri ana i tō uaua.

Kia Pēhea te Roa o taku tango i te Dextrose (Ara Intravenous)?

He rerekē te roa o te rongoā dextrose IV i runga i te take i whiwhi ai koe. Mō ngā wāhanga iti o te huka toto iti, tērā pea ka hiahia koe mō te torutoru haora kia pūmau ai ō taumata, ā, ka taea e koe te kai noa anō.

Mēnā kei te whiwhi koe i te dextrose nā te mea kāore e taea e koe te kai, te inu rānei, tērā pea ka haere tonu te rongoā mō te maha o ngā rā, i ngā wiki rānei. Ka arotakehia e tō rōpū hauora i ngā wā katoa mēnā kei te hiahia tonu koe i te kūkō IV, mēnā rānei ka taea e koe te huri ki te kai, ki te whiwhi kai rānei mā ētahi atu tikanga.

Ko ngā rongoā ohorere mō te hypoglycemia kaha he wā poto noa iho, e roa ana kia whakahokia mai ngā taumata huka toto haumaru. Kia tū tō pānui glucose, ā, kia mātau ana koe ki te kai, ka huri pea tō tākuta ki ngā pūtake glucose waha.

Ka aroturuki tonu tō rōpū hauora i tō āhuatanga, ā, ka whakatika i te mahere rongoā i te mea e tika ana. Ka whakaarohia e rātou ngā āhuatanga pēnei i ō ia rā huka toto, tō kaha ki te kai, me tō anga whakamua ki te whakaora i te wā e whakatau ana kia pehea te roa o te whakawhiti i te dextrose IV.

He aha ngā pānga taha o te Dextrose (Ara Intravenous)?

He pai te whakawhiti a te nuinga o te tāngata i te dextrose IV, engari pērā i ngā rongoā katoa, ka pānga taha pea. Ko ngā take tino noa he ngawari noa iho, ā, e pā ana ki te wāhi whakauru IV, ki te whiwhi rānei i te nui rawa o te glucose i te wā tere.

Ka pāngia pea e koe te kore whakamarie i te wāhi IV, tae atu ki te mamae rangitahi, te whero, te pūhi rānei i te wāhi i whakaurua ai te ngira. Ka ngaro noa ēnei tohumate i muri i te tangohanga o te IV, ā, kāore e hiahiatia he rongoā motuhake.

Anei ngā pānga taha tino noa ka kitea pea e koe:

• Te mamae rangitahi, te riri rānei i te wāhi whakauru IV
• Te pūhi ngawari, te whero rānei huri noa i te IV
• Te matewai, te hiahia rānei ki te mimi pinepine
• Ngā huringa rangitahi i ngā taumata huka toto
• Te ngāwari o te whakapairuaki i ētahi tāngata

Ko ngā pānga taha tino kino he mea iti noa iho, engari ka puta pea, ina koa ki te whiwhi koe i te nui rawa o te dextrose i te wā tere, ki te whai rānei koe i ētahi āhuatanga hauora. Ka uru pea ēnei ki te pūhi nui, te uaua ki te manawa, te huringa nui rānei i ngā taumata huka toto.

Anei ngā pānga taha onge engari tino kino hei mātakitaki:

• Te pupuhi nui i te wāhi IV, i tō ringa rānei
• Ngā tohu o te mate i te wāhi IV (te whero nui ake, te mahana, te pūhi rānei)
• Te uaua ki te hā, te pōka rānei o te uma
• Te whakapairuaki nui, te ruaki rānei
• Te rangirua, ngā huringa rānei i te āhua hinengaro
• Ngā tauhohenga pāwera (ahakoa he tino onge ki te dextrose)

E mātakitaki tata ana tō rōpū hauora i a koe i te wā o te rongoā ki te kite wawe i ngā raruraru. Ko te nuinga o ngā pānga taha he wā poto noa, ka ngaro i te mutunga o te rongoā, i te whakatikatika rānei.

Ko wai kāore e tika kia tango i te Dextrose (Ara i roto i te uaua)?

Ahakoa te nuinga o te wā he haumaru te dextrose mō te nuinga o te tāngata, me mātua tūpato i ētahi āhuatanga hauora, ā, ka kore pea e tika te dextrose IV. Me mātakitaki tōtika te tāngata e kore e taea te whakahaere i te mate huka, nā te mea ka nui ake te taumata huka toto i te dextrose.

Ka arotake tō tākuta i tō hītori hauora i mua i te whakahau i te dextrose IV. Ka whakaarohia e rātou ō āhuatanga hauora o nāianei, ō rongoā, me ō pāwera pea, ahakoa he tino onge ngā pāwera tūturu ki te dextrose.

Ko ngā tāngata e tika ana kia whakamahi i te dextrose IV me te tūpato ko te hunga e whai ana i:

• Te mate huka e uaua ana ki te whakahaere
• Te mate tākihi, te rahunga tākihi rānei
• Te rahunga ngākau, ngā raruraru ngākau nui rānei
• Te mate ate nui
• Te pupuri wai, ngā raruraru pupuhi rānei
• Ngā taurite kore o te hiko

I tua atu, ka uaua pea ētahi āhuatanga onge i te rongoā dextrose:

• Te ngoikoretanga o te glucose-6-phosphate dehydrogenase (G6PD)
• Te kore kai nui e hiahia ana ki ngā huarahi whāngai motuhake
• Ētahi mate pākia e pā ana ki te tukatuka huka
• Ngā mate kaha pea ka kino ake i te nui o te huka toto

Ka whakataurite tō kaiwhakarato hauora i ngā painga ki ngā tūponotanga mō tō āhuatanga motuhake. Ahakoa kei a koe tētahi o ēnei āhuatanga, ka whiwhi pea koe i te dextrose IV mēnā he nui ake ngā painga i ngā tūponotanga.

Ngā Ingoa Waitohu Dextrose

Kei te wātea te dextrose IV mai i te maha o ngā kaihanga, ā, ko te tikanga ka kīia e te ingoa whānui, kaua ki ngā ingoa waitohu motuhake. Ko te nuinga o ngā hōhipera me ngā whare rongoā e whakamahi ana i ngā otinga dextrose whānui nā te mea he rite tonu te whai hua, ā, he pai ake te utu.

Ka kite pea koe i ngā otinga dextrose e tapaina ana ki ngā ingoa rerekē e whakaatu ana i tō rātou kukume, pēnei i te D5W (5% dextrose i roto i te wai) rānei i te D10W (10% dextrose i roto i te wai). Ehara ēnei i ngā ingoa waitohu engari he poto rongoā paerewa e whakamahia ana e ngā kaiwhakarato hauora.

E whakaputa ana ētahi kamupene rongoā i te dextrose i raro i ngā ingoa waitohu motuhake, engari he iti noa iho te whakamahinga i roto i te nuinga o ngā wāhi rongoā. Ka arotahi tō kaiwhakarato hauora ki te tiki i te kukume tika me te nui o te dextrose māu, kaua ki tētahi waitohu motuhake.

Ngā Kōwhiringa kē mō Dextrose

He maha ngā kōwhiringa kē mō te dextrose IV, i runga i ō hiahia rongoā me tō āhuatanga. Mō ngā wāhanga huka toto iti ngawari, ka taea e ngā papa kūhuka waha, ngā kōeke kūhuka rānei te whai hua, ā, he iti ake te pākaha i te rongoā IV.

Mēnā kei te mōhiotia koe, ā, ka taea e koe te horo, ka tūtohu pea tō kaiwhakarato hauora kia kai i ngā huka e tere ana te ngongo pēnei i te wai hua, te houra noa, ngā hua kūhuka rānei i hangaia motuhake. E mahi ana ēnei i te pōturi ake i te dextrose IV engari ka whai hua rawa mō ngā āhuatanga iti ake te kino.

Anei ngā kōwhiringa kē noa ka whakaarohia e tō tākuta:

• Ngā papa kūhuka waha, ngā kōeke rānei
• Ngā werohanga Glucagon mō te hypoglycemia kino
• Ngā kai, ngā inu rānei kei roto te huka
• Ētahi atu otinga IV pēnei i te saline noa mō te whakamakuku
• Ngā otinga IV kai mō ngā hiahia wā roa

Mō te hunga e hiahia ana ki te tautoko kai mo te wā roa, ko ētahi atu kōwhiringa pea ko ngā ngongo whāngai, ngā otinga kai IV motuhake rānei e kīia ana ko te kai parenteral katoa (TPN). Mā te rōpū hauora e whiriwhiri te kōwhiringa pai rawa atu i runga i tō āhuatanga hauora me ō hiahia takitahi.

He Pai Ake Te Dextrose I Ētahi Atu Rongoā Glucose?

Kāore i te tika te IV dextrose i te mea he

Mēnā he mate huka tō, ā, ka whiwhi koe i te dextrose IV, ka mātakitaki mārika tō rōpū hauora i ō taumata huka toto, ā, ka whakatika pea i ō rongoā mate huka. Ko te whāinga he whakahoki i ngā taumata huka toto haumaru me te kore e pā te pikinga nui.

Q2. Me pēhea te mahi mēnā ka whiwhi au i te nui rawa o te Dextrose?

E kore e taea e koe te hoatu i te nui rawa o te dextrose IV ki a koe anō, nā te mea e whakahaerehia ana e ngā tāngata ngaio hauora e tatau ana, e mātakitaki ana i te horopeta. Heoi, mēnā ka pā ki a koe ngā tohumate pēnei i te matewai nui, te mimi auau, te whakapairuaki, te rangirua rānei i te wā o te maimoatanga, whakamōhio tonu ki tō kaiwhakarato hauora.

Kua whakangungua ngā kaimahi hauora ki te mōhio ki ngā tohu o te nui rawa o te glucose, ā, ka taea e rātou te whakatika i tō maimoatanga. Ka taea e rātou te whakaiti i te tere o te whakauru, te tirotiro i tō huka toto i te auau ake, te whakarato rongoā atu rānei mēnā e tika ana.

Q3. Me pēhea te mahi mēnā ka mamae, ka pūhi rānei taku pae IV?

Kōrero tonu ki tō kaiwhakarato hauora mēnā ka pā ki a koe te mamae nui, te pūhi, te whero rānei i tō pae IV. Ko ēnei tohumate pea e tohu ana kua neke te IV i tō uaua, kei te whakawhanake rānei koe i te mate.

Kaua e ngana ki te whakatika i te IV i a koe anō, ki te tango rānei i te IV mēnā kāore i tohutohutia e ngā kaimahi hauora. Ka taea e tō rōpū hauora te arotake i te āhuatanga, me te whakatika i te IV, te whakauru rānei i tētahi mea hou ki tētahi wāhi rerekē mēnā e tika ana.

Q4. Āhea ka taea e au te whakamutu i te tango i te Dextrose?

Ka whakatau tō kaiwhakarato hauora i te wā hei whakamutu i te dextrose IV i runga i ō taumata huka toto, tō kaha ki te kai me te inu noa, me tō āhua hauora whānui. Mō te maimoatanga ohorere o te hypoglycemia, tērā pea ka hiahia koe ki te whakamahi mō ētahi haora noa iho.

I te nuinga o te wā, ka whakamutua te dextrose IV i te wā e pūmau ana ō taumata huka toto, e mataara ana koe, e kaha ana ki te kai, ā, kua pai ake tō āhua hauora. Ka whakawhiti haere tō tākuta i a koe ki te kai waha i te wā e tika ana.

Q5. Ka taea e au te kai me te inu i te wa e whiwhi ana i te IV Dextrose?

E pa ana te kai me te inu ki tō āhuatanga hauora me te aha koe e whiwhi ana i te dextrose. Mēnā kei te whiwhi koe i te mea mō te huka toto iti, ā, kei te mōhio koe, ā, ka taea e koe te horo, ka whakahihiko pea tō kaiwhakarato hauora i a koe ki te kai i te wā e tū ana tō āhuatanga.

Heoi, mēnā kei te whiwhi koe i te dextrose nā te mea kāore e taea e koe te kai noa nā te pokanga, te mate rānei, me whai koe i ngā tohutohu motuhake a tō rōpū hauora mō te kai me te inu. Mā rātou koe e whakamōhio i te wā e haumaru ana ki te hoki ki te kai noa.