Ni iki Calcium-Chloride-Dextrose-Hetastarch-Magnesium-Chloride-Potassium-Chloride-Sodium-Chloride-Sodium-Lactate IV Solution? Ibikoresho, Ingorane, & Ibyo Witegura

Uyu muti uterwa mu maraso ni uburyo bwihariye bwo gusimbuza amazi buhuza intungamubiri nyinshi zingenzi na electrolytes umubiri wawe ukeneye kugira ngo ukore neza. Bitekereze nk'inyongera y'amazi yagenewe neza abaganga batanga mu maraso yawe igihe umubiri wawe utashoboye gukomeza urwego rwa amazi n'intungamubiri ku giti cyawo. Uyu muvange ugoye ufasha gusubiza ibyo umubiri wawe watakaje kubera indwara, kubagwa, cyangwa izindi ngorane z'ubuvuzi.

Uyu muti uterwa mu maraso ni iki neza?

Uyu muti uterwa mu maraso ni uburyo bwo kuvura amazi bufite ibice byinshi burimo ibintu birindwi bitandukanye bikorera hamwe kugira ngo bishyigikire ibyo umubiri wawe ukeneye. Ikintu cyose gifite akamaro kihariye mu kugumana ubuzima bwawe no gufasha umubiri wawe gukira ibibazo bitandukanye by'ubuvuzi.

Uyu muti uhuza electrolytes (imyunyu ngugu ifasha umubiri wawe gukora), dextrose (ubwoko bw'isukari yo gutanga imbaraga), na hetastarch (ikintu gifasha kugumana umubare w'amaraso). Iyo bivanzemo, ibi bintu bikora uburyo bwo kuvura bukubiyemo ibice byinshi by'umubiri icyarimwe.

Kumva kwakira uyu muti uterwa mu maraso bimeze bite?

Abantu benshi ntibumva byinshi iyo uyu muti uterwa mu maraso utangwa. Ushobora kubona icyiyumvo gikonjesha mu kuboko kwawe hafi y'ahantu batera urushinge, igihe amazi yinjira mu maraso yawe, ibyo bisanzwe kandi bikunda kuba byoroheje.

Abantu bamwe barumva uburyohe bwa metallic mu kanwa kabo, cyane cyane kuva kuri calcium, ariko ibi bikunda gushira vuba. Ushobora kandi kumva ugenda urushaho kugira imbaraga uko umubiri wawe wakira intungamubiri n'amazi ukeneye.

Gushyirwamo IV ubwabyo bimeze nk'urushinge ruto, nk'uko bimeze iyo bafata amaraso. Iyo IV imaze gushyirwamo, ugomba kumva umeze neza kandi ushobora kugenda usanzwe ukiri kuri iyo IV.

Ibice bigize iyo IV n'akamaro kayo?

Icyo kintu cyose kigize uwo muti ugira uruhare rukomeye mu gufasha umubiri wawe gukira no gukora neza. Kumva icyo buri kintu gikora bishobora kugufasha kumva ufite icyizere ku buvuzi bwawe.

Dore icyo buri kintu kigira mu kwita ku buzima bwawe:

• Calcium chloride - Ifasha imikaya n'imitsi gukora neza, harimo n'umutima wawe
• Dextrose - Itanga imbaraga ako kanya ku ngingo zawe kandi ifasha kwirinda isukari nke mu maraso
• Hetastarch - Ifasha kugumisha umubare w'amaraso kandi igafasha amaraso kuzenguruka mu mubiri wawe wose
• Magnesium chloride - Ikenerwa mu mikorere y'imikaya, itumanaho ry'imitsi, n'ibikorwa bya enzyme
• Potassium chloride - Ikenerwa cyane mu mikorere y'umutima, imikoranire y'imikaya, n'ibimenyetso by'imitsi
• Sodium chloride - Ifasha kugumisha urugero rw'amazi kandi igafasha umuvuduko w'amaraso gukora neza
• Sodium lactate - Ifasha gukosora urugero rwa aside-base mu maraso yawe

Ubu buryo bukorana neza, bivuze ko buri kintu cyongera imikorere y'ibindi. Itsinda ryawe ry'abaganga ribara neza ingano ikwiye hashingiwe ku byo ukeneye n'uburwayi bwawe.

Ni izihe ndwara zishobora gusaba uyu muti wa IV?

Uyu muti wa IV ukoreshwa cyane iyo umubiri wawe ukeneye ubufasha bukomeye kugira ngo ugumane urugero rw'amazi, electrolytes, n'imbaraga. Muganga wawe ashobora kubikugiraho inama mu bihe bitandukanye by'ubuvuzi aho gufata ibinyobwa n'ibiribwa binyuze mu kanwa bidahagije cyangwa bidashoboka.

Indwara zisanzwe zishobora gusaba ubu buvuzi zirimo:

• Uburwayi bukomeye butera umubiri gushirwa amazi menshi, kubagwa, cyangwa gutakaza amazi menshi cyane
• Ubuganga bukomeye aho utabasha kurya cyangwa kunywa neza
• Uburwayi bukomeye busaba inkunga ikomeye y'imirire n'amazi
• Imikorere mibi ikomeye y'amashanyarazi asanzwe mu mubiri asaba gukosorwa vuba
• Ibyago bigira ingaruka ku bushobozi bwawe bwo gukoresha intungamubiri binyuze mu nzira yo mu gifu
• Kuvura ibikomere aho ibyo umubiri wawe ukeneye birenga ibyo usanzwe ufata

Ibyago bitajegajega ariko bikomeye bishobora kuba birimo gushya gukomeye, indwara zimwe na zimwe z'impyiko, cyangwa ibibazo biturutse ku zindi mvura. Itsinda ryawe ry'ubuvuzi rizagena niba uyu muti ukwiriye icyo ukeneye.

Ese urashobora gukira utafashijwe n'uyu muti wa IV?

Mu bihe byinshi, umubiri wawe urashobora gukira ibibazo byoroheje binyuze mu kuruhuka, imirire ikwiriye, n'amazi anyobwa. Ariko, iyo abaganga basabye uyu muti wa IV ugizwe n'ibintu byinshi, akenshi biba ari uko uburwayi bwawe busaba ubufasha bwihuse kandi bukomeye kuruta ibyo ushobora kugeraho binyuze mu kurya no kunywa gusa.

Mu bihe bitari bikomeye, imiti yoroheje nk'imiti isanzwe y'amazi cyangwa kongera amazi binyuze mu kanwa bishobora kuba bihagije. Itsinda ryawe ry'ubuvuzi rizatekereza ku bintu nk'uburemere bw'uburwayi bwawe, ubushobozi bwawe bwo kugumana ibiryo n'amazi, n'uburyo umubiri wawe ukeneye izi ntungamubiri vuba.

Icyemezo cyo gukoresha uyu muti ugoye akenshi bivuze ko abaganga bawe bifuza guha umubiri wawe ubufasha bwiza bushoboka mu gihe kigoye. Barimo gukora ibintu byose kugira ngo bafashe kwirinda ibibazo no kwihutisha gukira kwawe.

Uyu muti wa IV utangwa gute?

Uyu muti wa IV utangwa binyuze mu muyoboro w'amazi utagira mikorobe, akenshi ushyirwa mu urugingo rw'umubiri rwawe cyangwa ukuboko. Ubu buryo busa no kuvoma amaraso, ariko catheter ya IV iguma ahantu kugira ngo itange umuti uko igihe kigenda.

Itsinda ry'ubuvuzi bwawe rizagenzura neza umuvuduko urimo guhabwaho umuti, rikurikiranira hafi uko ubuzima bwawe buhumeka mu gihe cyose uvurwa. Umuvuduko wo gutera umuti biterwa n'ibyo ukeneye, uko ubuzima bwawe bumeze muri rusange, n'uko umubiri wawe uri gukoresha amazi.

Mu gihe cyo gutera umuti, abaforomo bazajya bagenzura ibimenyetso by'ubuzima bwawe kandi barebe niba hari ibimenyetso byerekana ko uri guhabwa umuti mwinshi cyangwa muke. Bazajya kandi bagenzura aho umuti utererwa kugira ngo barebe ko bikora neza kandi ko bitateza ikibazo icyo aricyo cyose.

Ni ryari wagombye guhangayika ku bijyanye n'ingaruka ziterwa n'umuti?

Nubwo uyu muti uterwa mu urugero rusanzwe ari mwiza iyo utewe neza, ni ngombwa kumenya ibimenyetso byagombye guhita bitangwaho raporo. Abantu benshi bakira neza ubu buvuzi, ariko uko umubiri wawe witwara bishobora gutandukana bitewe n'ubuzima bwawe muri rusange n'ibyo ukeneye mu bijyanye n'ubuvuzi.

Vugana n'itsinda ry'ubuvuzi bwawe ako kanya niba ubonye:

• Guhema nabi cyangwa kugorwa no guhumeka
• Urubavu rubabaza cyangwa umutima utera mu buryo budasanzwe
• Ukubura gukabije mu maso, mu ntoki, cyangwa mu birenge
• Urubavu rwinshi, umutuku, cyangwa ukubura hafi y'aho umuti utererwa
• Urujijo rutunguranye cyangwa impinduka mu mikoranire y'ubwonko
• Isesemi ikabije cyangwa kuruka bitagaragara

Ibi bimenyetso bishobora kwerekana ko umubiri wawe ugorwa no gukoresha umuti cyangwa ko hagomba gukorwa impinduka ku buvuzi bwawe. Kuvugana vuba n'itsinda ry'ubuvuzi bwawe bituma ibibazo byose bikemurwa vuba.

Ni ibihe bintu byongera ibyago byo kugira ibibazo?

Uburwayi runaka n'ibihe bishobora kongera amahirwe yo kugira ingaruka ziterwa n'uyu muti uterwa. Itsinda ry'ubuvuzi bwawe rizareba neza ibi bintu mbere yo kugusaba ubu buvuzi, ariko ni byiza ko nawe ubyumva.

Ibintu bishobora kongera ibyago byawe birimo:

• Indwara z'umutima zigira ingaruka ku buryo umubiri wawe ukoresha amazi yiyongereye
• Indwara y'impyiko igira ingaruka ku bushobozi bwawe bwo gutunganya imyunyu ngugu
• Amateka y'uburwayi bukomeye bwo kwibasirwa n'imiti cyangwa ibisubizo bya IV
• Indwara y'umwijima igira ingaruka ku buryo umubiri wawe utunganya intungamubiri
• Ubukure buhanitse, bushobora kugira ingaruka ku buryo umubiri wawe uhinduka vuba ukurikije ubuvuzi
• Gusama, bisaba ibitekerezo byihariye ku mubyeyi no ku mwana

Kugira ibi bintu bigushyira mu kaga ntibisobanura ko udashobora kwakira ubuvuzi mu buryo bwizewe. Bisobanura gusa ko ikipe yawe y'ubuzima izagukurikiranira hafi kandi ishobora guhindura gahunda y'ubuvuzi kugira ngo ijyane n'ibyo ukeneye byihariye.

Ni izihe ngorane zishoboka?

Nubwo ingorane zituruka kuri iki gisubizo cya IV zitamenyerewe, gusobanukirwa icyabaho bifasha kumva witeguye kandi ufite icyizere mu kwitabwaho kwawe. Ikipe yawe y'ubuzima ifata ingamba nyinshi zo gukumira ibi bibazo.

Ingorane zishobora kuba zirimo:

• Kuremererwa n'amazi, bishobora gutera kubyimba cyangwa guhumeka bigoranye
• Kutaringanira kw'imyunyu ngugu niba igisubizo gitanzwe vuba cyangwa mu bwinshi butari bwo
• Udukoko ahantu ha IV niba uburyo bwo gukora isuku neza butubahirijwe
• Amaraso yiziba mu bihe bidasanzwe, cyane cyane hamwe n'ibice bimwe na bimwe nka hetastarch
• Uburwayi bwo kwibasirwa n'imiti, nubwo ibi bitamenyerewe kuri ubu bwoko bw'igisubizo
• Guhinduka kw'umuvuduko w'umutima niba urwego rw'imyunyu ngugu ruhindutse vuba cyane

Ikipe yawe y'ubuvuzi ikurikirana buri gihe izi ngorane kandi ifite amabwiriza yo kuzikemura vuba niba zibayeho. Inyungu z'ubu buvuzi mubisanzwe ziruta cyane ibyago iyo bibaye ngombwa mu by'ubuvuzi.

Iki gisubizo kigereranywa gite n'ubuvuzi bwa IV bworoshye?

Ubu buryo bufite ibice byinshi burushaho kuba bugoye cyane kurusha amazi asanzwe ya IV nk'umunyu usanzwe cyangwa ibisubizo byoroshye bya dextrose. Mu gihe ibisubizo byoroshye byita ku byifuzo bibiri cyangwa bitatu, uru ruvange rwuzuye rugamije sisitemu nyinshi z'umubiri icyarimwe.

Amazi asanzwe ya IV ashobora gusimbuza amazi yatakaye na sodium gusa, ariko iki gisubizo gitanga kandi imbaraga, gishyigikira imikorere y'umutima, gikomeza umubare w'amaraso, kandi gikosora ibitagenda neza bya electrolyte icyarimwe. Tekereza nk'itandukaniro riri hagati yo gufata vitamine imwe gusa ugereranije na multivitamine yuzuye hamwe na minerale.

Muganga wawe ahitamo iki gisubizo kigoye kurushaho iyo umubiri wawe ukeneye ubufasha bwuzuye butashobora gutangwa n'imiti yoroshye. Muri rusange bigenewe ibibazo by'ubuvuzi bukomeye aho sisitemu nyinshi zikeneye kwitabwaho.

Ni iki ugomba kwitega mugihe cyo gukira?

Gukira mugihe wakira iki gisubizo cya IV akenshi bikubiyemo iterambere ritinda ry'uko wumva muri rusange. Abantu benshi babona imbaraga ziyongera, imyumvire myiza, n'imbaraga z'umubiri zikomeye uko umubiri wabo wakira intungamubiri n'amazi ukeneye.

Ushobora gusanga ibimenyetso nk'intege nke, urujijo, cyangwa umutima utera vuba bitangira gukira uko urwego rwawe rwa electrolyte rugenda ruzamuka. Ariko, igihe cyo gukira gitandukanye cyane bitewe n'uburwayi bwawe bw'ibanze n'ubuzima bwawe muri rusange.

Itsinda ryawe ry'ubuzima rizasuzuma buri gihe iterambere ryawe binyuze mu bipimo by'amaraso, gukurikirana ibimenyetso by'ingenzi, no kubaza uko wumva. Bazahindura imiti uko bikwiye kandi bamenye igihe witeguye guhindukira ku mirire yo mu kanwa n'amazi.

Ibikunze kubazwa kubyerekeye iki gisubizo cya IV

Q.1 Nzakeneye kumara igihe kingana iki nakira iki gisubizo cya IV?

Igihe bizamara biterwa n'uburwayi bwawe n'uko umubiri wawe wakira imiti. Hari abantu babikenera mu masaha make, abandi bakabikenera iminsi myinshi. Itsinda ry'abaganga bazakurikiranira hafi uko urimo urwira, bagahindura igihe cyo kuvurwa bitewe n'uko urimo ukira n'ibisubizo by'ibizamini.

Ibibazo 2. Nshobora kurya no kunywa niba ndimo nterwa urwo ruvange rw'imiti mu urugingo rw'umubiri?

Ibi biterwa n'uburwayi bwawe n'uko umuganga abitegeka. Mu bihe bimwe na bimwe, ushobora guhabwa amazi meza make cyangwa ibiryo byoroheje, mu gihe ibindi bisaba ko igifu cyawe kiruhuka rwose. Itsinda ry'abaganga bazagusobanurira neza icyo wemerewe kurya cyangwa kunywa bitewe n'uburwayi bwawe.

Ibibazo 3. Uru ruvange rw'imiti ruzagira ingaruka ku zindi miti mfata?

Itsinda ry'abaganga rizareba neza imiti yose ufata mbere yo gutangira ubu buvuzi. Ibice bimwe na bimwe, cyane cyane imyunyu ngugu, bishobora kugirana imikoranire n'imiti imwe n'imwe nk'imiti y'umutima cyangwa imiti igabanya umuvuduko w'amaraso. Bazagukurikiranira hafi, bagahindura izindi miti uko bikwiye kugira ngo barebe ko byose bikora neza kandi mu buryo butabangamye.

Ibibazo 4. Uru ruvange rw'imiti ruzewe ku bagore batwite?

Kutwita bisaba ko hazirikanwa byinshi ku buvuzi ubwo aribwo bwose, harimo n'uruvange rw'imiti iterwa mu urugingo rw'umubiri. Itsinda ry'abaganga rizagereranya akamaro n'ibishobora guteza akaga kuri wowe no ku mwana wawe. Bashobora guhindura ibice bigize urwo ruvange cyangwa uko rutangwa kugira ngo barebe ko ubuvuzi buzaba buzewe uko bishoboka kose bitewe n'uburwayi bwawe.

Ibibazo 5. Ni iki gikorwa iyo urwo ruvange rw'imiti rutagikora neza cyangwa rukavamo?

Niba urugingo rw'umubiri rwakoreshwaga rutagikora neza cyangwa rukavamo, menyesha itsinda ry'abaganga ako kanya. Bazareba niba ukeneye ko urwo rugingo rusimburwa ako kanya cyangwa niba ushobora guhagarika ubuvuzi. Ntukagerageze kwikuraho urwo ruvange rw'imiti cyangwa ngo urusubizeho wenyine, kuko ibi bisaba uburyo bwo gukora butabangamiye mikorobe n'ubumenyi bw'ubuvuzi.