He aha te Urea (Ara I roto i te Uaua): Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

Ko te Urea e tukuna ana mā te IV he rongoā motuhake e āwhina ana ki te whakaiti i te pēhanga mōrearea i roto i tō roro ka pōhū ana. Ko tēnei otinga mārama, pure, e mahi ana mā te tango i te wai nui atu i te kiko roro, pērā i te tote e tango ana i te wai i ngā huawhenua ka pākari ana.

Ahakoa e mōhio ana koe ki te urea hei mea e kitea ana i roto i te mimi, ko te putanga rongoā he mea pure ātaahua, ā, he mea whakanui mō te whakamahi i te hōhipera. Ko te tikanga ka rahuitia e ngā tākuta tēnei rongoā mō ngā tūāhuatanga nui e whakatuma ana te pōhū roro i tō haumaru, e waihanga ana i tētahi taputapu kaha i roto i te rongoā ohorere.

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

Ko te urea i roto i te uaua he otinga whakanui o te urea i rewa i roto i te wai e tukuna tika ana ki roto i tō toto mā tētahi uaua. E tohua ana he diuretic osmotic, ko te tikanga e mahi ana mā te huri i te tauritenga o ngā wai i roto i tō tinana hei whakaiti i te pōhū.

Kei roto i tēnei rongoā te pūhui matū kotahi e whakaputaina ana e tō tinana, ā, e whakakorehia ana mā te mimi, engari i roto i te whakanui nui atu. Ka tukuna e ngā tohunga rongoā whakangungu, ka noho hei rongoā whāinga mō te whakaiti i te kohinga wai i ngā wāhi nui pērā i tō roro.

Ko te tikanga ka puta te otinga hei whakanui 30%, ko te tikanga tata ki te kotahi-hau-toru o te wai he urea parakore. Ko tēnei whakanui nui te mea e whai hua ana ki te tango wai i ngā kiko pōhū, engari ko te tikanga me whakamahi tino ātaahua i raro i te tirotiro rongoā.

He aha te Urea (Ara I roto i te Uaua) e whakamahia ana mō?

Ko te tuatahi ka whakamahia e ngā tākuta te IV urea hei rongoā i te pēhanga nui ake i roto i tō angaanga, tētahi āhuatanga mōrearea e kīia ana ko te intracranial hypertension. Ka pā tēnei ka pōhū te kiko roro i te whara, te mate, ētahi atu raruraru rongoā nui, e waihanga ana i te pēhanga ka taea te whakangaro i ngā mahi roro nui.

Ka whiwhi pea koe i tēnei rongoā mēnā i pā koe i tētahi wharanga nui ki te upoko, i ngā raruraru i muri i te pokanga roro, i ngā āhuatanga pēnei i te meningitis e pā ana ki te pūhihi o te roro. I ētahi wā ka whakamahia hoki i ngā pokanga kanohi hei whakaiti i te pēhanga i roto i te pōro kanohi i te wā kāore anō ētahi atu rongoā i whai hua.

I te nuinga o te wā, ka whakamahi pea ngā rōpū hauora i te urea IV hei rongoā i ngā take nui o te pupuri wai i te wā kāore e pai ana ō tākihi. Heoi, kua kore noa iho tēnei whakamahinga mai i te wā i wātea ai ngā rongoā diuretic hou, haumaru ake mō te nuinga o ngā raruraru wai e pā ana ki te tākihi.

Me pēhea te mahi a te Urea (Ara i roto i te uaua)?

Ka mahi te urea IV mā te waihanga i tētahi mea e kīia ana e ngā tākuta he "osmotic gradient" - ko te tikanga, ka waihanga i tō toto kia kaha ake te kukume i te wai i te wai huri noa i ō pūtau roro. Ko tēnei rerekētanga kukume ka neke te wai i te kiko roro ki roto i tō toto, ka whakaiti i te pūhihi kino.

Whakaarohia me te whakatakoto i tētahi hautai ki roto i te wai tote - ka kukume te tote i te makuku i te hautai. Waihoki, ka kukume te urea kukume i roto i tō toto i te wai nui mai i te kiko roro pūhihi, e āwhina ana ki te whakaiti i te pēhanga i roto i tō angaanga.

E whakaarohia ana he rongoā kaha tēnei, ā, ka tere te mahi, te tikanga ka tīmata ki te whakaiti i te pēhanga roro i roto i te 30 meneti ki te hāora i muri i te whakahaerenga. Heoi, he wā poto noa iho ōna pānga, te tikanga ka roa anake mō ētahi hāora, koinei te take e hiahia ana ngā tākuta ki te aroturuki i a koe, ā, i ētahi wā ka whakahoki anō i te rongoā.

Me pēhea taku tango i te Urea (Ara i roto i te uaua)?

Kāore e taea e koe te tango i te urea IV i a koe anō - me whakahaere tonu e ngā tāngata hauora whakangungu i roto i te hōhipera. Ka tae mai te rongoā hei otinga kore-parakore e werohia ana e ngā nēhi, e ngā tākuta rānei ki roto i te uaua mā te raina IV.

I mua i te whiwhinga i te rongoā, ka whakanoho pea ngā kaimahi hauora i tētahi ngongo iti e kīia ana he katita ki tētahi o ō uaua, te nuinga i tō ringa. Ka riringi rātou i te otinga urea mā te āta haere i roto i te 30 meneti ki te maha haora, e ai ki tō āhuatanga motuhake me te pēhea te urupare a tō tinana.

I te wā o te riringi, ka mātakitaki ngā kaiwhakarato hauora i ō tohu nui, tae atu ki tō pēhanga toto, te tere o te ngākau, me ngā taumata wai. Ka tirohia pea tō toto i ngā wā katoa kia mōhio ai kei te mahi haumaru me te whai hua te rongoā, me te kore e pā ana ki ngā huringa kino ki te matū o tō tinana.

Kāore koe e hiahia ki te māharahara mō te wā tō te rongoā nei me ngā kai i te mea ka haere tika ki roto i ō toto. Heoi, ka whakatika pea ngā kaimahi hauora i tō kai me te wai i mua me muri i te rongoā hei tautoko i te whai huatanga o te rongoā.

Kia Pēhea Te Roa E Tango Ai Au i te Urea (Ara I roto i te Uaua)?

Ko te urea IV te tikanga e whakamahia ana mō ngā wā poto rawa, he kotahi noa te horopeta, he torutoru rānei ngā horopeta i roto i ngā rā maha. E ai ki tō āhuatanga hauora me te pai o te urupare o tō roro ki te rongoā te roa tonu.

Ko te nuinga o ngā tūroro ka whiwhi i tēnei rongoā i ngā wā ohorere hauora anake i te wā e tūpono ana te pūhihi roro i te riri tonu. Kia heke te pēhanga kino, me te pūmau o tō āhuatanga i raro, ka huri ngā tākuta ki ētahi atu rongoā, ka tuku rānei i tō tinana kia ora noa.

Ka arotake tonu tō rōpū hauora mēnā kei te hiahia tonu koe i te rongoā mā te mātakitaki i tō pēhanga roro, ngā tohu neurological, me te ahunga whakamua o te whakaora. Ka mutu te rongoā i te wā e haumaru ana ki te mahi pera, i te mea ka taea e te whakamahi roa te arahi ki ngā raruraru.

He Aha Ngā Pānga Taha o te Urea (Ara I roto i te Uaua)?

Pērā i ngā rongoā kaha katoa, ka pānga ngā pānga taha ki te urea IV, ahakoa e mātakitaki ana ngā tīma hauora i a koe kia kitea, kia whakahaerehia hoki ēnei i te wa poto. Mā te māramatanga ki ngā mea ka pā, ka āwhina koe ki te pūmau ake, kia kore ai e māharahara ki te rongoā.

Ko ngā pānga taha e pā ana ki a koe ko te ānini, te whakapairuaki, me te whanoke i te wā e whakatika ana tō tinana ki ngā huringa wai. Ka kite hoki ētahi tāngata i te piki haere o te mimi i te wā e mahi ana te rongoā ki te tango i te wai nui mai i tō rātou pūnaha.

Ko ngā pānga taha nui ake, engari he iti noa iho, ko:

• Te maroke nui mēnā he nui rawa te wai e tangohia ana
• Ngā taurite hiko e pā ana ki te manawa
• Ngā raruraru tākihi mai i te otinga kaha
• Ngā raruraru toto
• Te ānini nui mai i ngā huringa pēhanga tere

Ko ngā raruraru tino onge, engari he nui pea, ko ngā tauhohenga pāwera, te heke nui o te pēhanga toto, te kino rānei ki ngā kiko roro mēnā ka tere rawa te heke o te pēhanga. Kua whakangungua ngā kaimahi hauora ki te mōhio tonu ki ēnei tohu, me te mahi whakatika.

Ko te rongo pai, nā te mea kei roto koe i te hōhipera, ka taea e tō tīma hauora te whakatika wawe i ngā pānga taha ka puta. Ka whakatika rātou i tō mahere rongoā i te mea e tika ana kia noho pai koe, kia noho haumaru hoki.

Ko wai e kore e tango Urea (Ara Intravenous)?

He maha ngā āhuatanga hauora e kore ai e haumaru, e kore e tika rānei te urea IV, nō reira ka āta arotakehia e ngā tākuta ia tāngata i mua i te tūtohu i tēnei rongoā. Ka arotakehia e tō tīma hauora tō hītori hauora katoa kia mōhio ai he whiringa tika tēnei mōu.

Kaua koe e whiwhi urea IV mēnā he mate tākihi nui tō, nā te mea kāore pea ō tākihi e āhei ki te tukatuka i te otinga kaha i runga i te haumaru. Ko ngā tāngata e mate ana i te ngoikore o te ngākau ka nui ake hoki ngā tūponotanga nā te mea ka taea e te rongoā te whakapōrearea i tētahi pūnaha ngākau kua ngoikore kē.

Ko ētahi atu āhuatanga e whakakore ana i te urea IV ko:

• Te nui o te wai kore, te kore taurite rānei o te hiko
• Te toto kaha i roto i te roro
• Te mate ate nui
• Ngā mate pānga ki te urea, ki ngā pūhui e hāngai ana rānei
• Ētahi momo puku roro

Ko te nuinga o ngā wā, kāore ngā wahine hapū e whiwhi urea IV, ki te kore te painga e nui ake i ngā tūponotanga, nā te mea kāore anō kia tino māramahia ōna pānga ki ngā pēpi e whanake ana. Waihoki, me whakarerekē pea ngā inenga mō ngā tūroro kaumātua, nā te huringa o te mahi tākihi e pā ana ki te pakeketanga.

Ka whakatauritehia e ō tākuta ēnei āhuatanga ki te kaha o tō āhua kia whakatau ai i te rongoā haumaru mō tō āhuatanga motuhake.

Urea (Ara i roto i te uaua) Ngā Ingoa Waitohu

Ko te urea IV te nuinga o te wā e wātea ana hei rongoā whānui, kāore he ingoa waitohu motuhake i roto i te nuinga o ngā hōhipera. Ko te otinga te tikanga ka mahia e ngā kamupene rongoā hei "Urea mō te Werohanga" rānei "Urea Werohanga USP."

Ka whakamahi pea ētahi whare rongoā i ngā whakaritenga mai i ngā kaihanga rerekē, engari ko te whakauru kaha me te kukume ka noho rite tonu. Ka whakamahia e tō rōpū hauora te whakaritenga e wātea ana, e tika ana hoki mō ō hiahia rongoā motuhake.

Nā te mea ka whakamahia anake tēnei rongoā i ngā tūāhuatanga hōhipera, kāore koe e hiahia ki te māharahara mō te kōwhiri i waenga i ngā waitohu rerekē, i ngā hanganga rānei. Mā te kaimahi rongoā e whakahaere ngā āhuatanga katoa o te kōwhiri me te whakarite rongoā.

Urea (Ara i roto i te uaua) Ngā Kōwhiringa kē

He maha atu anō ngā rongoā ka taea te whakaiti i te pēhanga me te pūhihi o te roro, ahakoa ka kōwhiri ngā tākuta i waenga i a rātou i runga i tō āhuatanga motuhake me te hītori rongoā. E mahi ana ēnei kōwhiringa kē mā ngā tikanga rerekē, engari ka tutuki i a rātou ngā whāinga rite tonu.

Ko te Mannitol te kōwhiringa kē mō te urea IV, ā, e mahi ana i te ara rite tonu mā te tango wai mai i te kiko roro. He maha ngā tākuta e pai ana ki te mannitol nā te mea he iti ake ngā pānga taha, ā, e kiia ana he haumaru ake mō te nuinga o ngā tūroro.

Ko ētahi atu kōwhiringa rongoā ko:

• Ngā otinga wai tote hypertonic e whakaiti ana i te puku o te roro
• Furosemide me ētahi atu rongoā whakaheke wai e āwhina ana ki te tango i te wai nui
• Ngā corticosteroids e whakaiti ana i te mumura me te puku
• Ngā tikanga pokanga hei whakaiti tika i te pēhanga

Ka whiriwhiria e tō rōpū hauora te rongoā e tika ana i runga i te take o tō pēhanga roro, tō hauora whānui, me te tere o tō hiahia ki te whakawātea. I ētahi wā ka whakamahi rātou i te huinga rongoā mō ngā hua pai rawa atu.

He Pai Ake Te Urea (Ara I roto i te Uaua) I Te Mannitol?

He whai hua te urea IV me te mannitol ki te whakaiti i te pēhanga roro, engari ko te nuinga o ngā tākuta i tēnei rā e pai ana ki te mannitol nā te mea he pai ake te haumaru me te whai hua e mōhiotia ana. Ko te whiriwhiri i waenga i a rāua e pā ana ki ngā āhuatanga hauora motuhake me ngā hiahia o te hōhipera.

Ko te mannitol te nuinga e pā ana ki te iti o ngā pānga taha, ā, he iti ake te tūponotanga ki te pā ki te maroke nui, ki ngā raruraru electrolyte rānei. Kāore hoki e uru ki roto i te kiko roro i te māmā o te urea, e whakaarohia ana e ētahi tākuta he haumaru ake mō ētahi momo wharanga roro.

Heoi, ka pai pea te urea IV i ētahi wā i te wā kāore i whai hua te mannitol, i te wā rānei e whai āhuatanga hauora motuhake ana ngā tūroro e kore ai e tika te mannitol. E ai ki ētahi rangahau, he whai hua ake pea te urea mō ētahi momo puku roro, ahakoa kei te haere tonu tēnei kaupapa rangahau hauora.

Ka whiriwhiria e ō tākuta te rongoā e whakapono ana rātou ka pai rawa atu mō tō āhuatanga motuhake, me te whakaaro ki ngā mea pēnei i tō hauora whānui, te take o tō pēhanga roro, me ō rātou wheako haumanu ki ngā rongoā e rua.

Ngā Pātai Auau Mō Te Urea (Ara I roto i te Uaua)

He Haumaru Te Urea (Ara I roto i te Uaua) mō Ngā Tāngata e Mate Huka Ana?

Ka taea te whakamahi i te urea IV ki te hunga mate huka, engari me tino tupato te aroturuki i nga taumata huka toto me te taurite wai. Ko te rongoa ake nei karekau e pa tika ki te huka toto, engari ko te ahotea o te mate kino e hiahia ana ki te urea IV ka uaua ake te whakahaere i te mate huka.

Ka mahi tahi to roopu hauora me nga tohunga mate huka ki te tika kia mau tonu to huka toto i te wa e rongoa ana. Tera pea me whakatika e ratou o rongoa mate huka mo te wa poto i a koe e whiwhi ana i te urea IV, ina koa karekau koe e kai noa i te wa e noho ana koe i te hōhipera.

Me aha ahau ki te pa mai nga paanga kino mai i te Urea (Ara i roto i te uaua)?

I te mea ka tukuna anake te urea IV i roto i nga waahi hōhipera, ka aroturukihia koe e nga kaimahi hauora i nga wa katoa mo nga paanga kino e pa ana. Mena ka pa ki a koe nga tohu kino penei i te uaua ki te manawa, te mamae o te uma, te huringa ohorere ranei i te mohiotanga, whakamohio tonu ki to roopu hauora.

Kua whakangungua nga kaimahi o te hōhipera ki te mohio tere me te rongoa i nga raruraru nui mai i te urea IV. Ka taea e ratou te whakaiti, te whakamutu ranei i te whakaurunga, te hoatu ki a koe etahi atu rongoa hei whakakore i nga paanga kino, te whakarato ranei i etahi atu manaaki tautoko e tika ana kia noho haumaru koe.

Me aha ahau ki te ngaro ahau i te horopeta Urea (Ara i roto i te uaua)?

Karekau tenei patai e pa ana ki te urea IV i te mea karekau e taea e koe te whakahaere i a koe ano, a ka whakahaere nga tohunga hauora i nga whakatau horopeta katoa. Mena mo etahi take ka whakaroa te horopeta kua whakaritea, ka whakatau to roopu hauora i te huarahi pai rawa atu i runga i to ahuatanga o naianei.

Ka aroturukihia tonu e o taakuta to pehanga roro me to mana katoa ki te whakatau i te wa me te hiahia mo etahi atu horopeta. Ka taea e ratou te whakatika i te wa, te horopeta, te huri ranei ki etahi atu maimoatanga i runga i te ahua o to urupare ki te rongoa.

Ahea ka taea e au te whakamutu i te tango Urea (Ara i roto i te uaua)?

Ka whakatau tō rōpū hauora i te wā hei whakamutu i te urea IV i runga i ngā inenga pēhanga roro, ngā tohumate neurological, me te ahunga whakamua o te whakaora. Ko te nuinga o ngā tūroro e whiwhi ana i tēnei rongoā mō ētahi rā noa iho, i te mea i hangaia mō te whakamahi ohorere wā-poto.

Ko te whakatau ki te whakamutu i te rongoā e whakawhirinaki ana ki te pūmautanga o tō āhuatanga i raro iho, me te hoki o tō pēhanga roro ki ngā taumata haumaru. Ka whakaiti, ka whakamutu rānei ō tākuta i te rongoā i te wā e haere tonu ana te aroturuki i a koe mō ngā tohu e hiahia ana te rongoā kia hoki mai.

Ka taea e au te taraiwa i muri i te whiwhinga Urea (Ara i roto i te uaua)?

Kaua koe e taraiwa mō tētahi wā nui i muri i te whiwhinga urea IV, i te mea e whakamahia ana tēnei rongoā mō ngā āhuatanga hauora nui e hiahia ana kia hōhipera. Ko te āhuatanga i raro iho i hiahia ai te rongoā, i honoa ki ngā pānga o te rongoā ki tō roro me te taurite wai, ka kore e haumaru te taraiwa.

Ka hoatu e tō rōpū hauora ngā tohutohu motuhake mō te wā e haumaru ana ki te hoki ki ngā mahi noa pēnei i te taraiwa i runga i te ahunga whakamua o tō whakaora me te tūnga neurological whānui. Ko te tikanga, kei roto i tēnei whakatau ngā āhuatanga maha atu i te rongoā anake, tae atu ki tō āhuatanga i raro iho me ngā rongoā e haere tonu ana.