Icyo Lactated Ringer's ari cyo: Ibyo ikoreshwa, urugero rwo kuyikoresha, ingaruka zayo n'ibindi

Lactated Ringer's ni umuti w'amazi utagira mikorobe abaganga batanga banyujije mu muyoboro w'amaraso (IV) kugira ngo basubize amazi n'imyunyu ngugu yataye mu mubiri wawe. Bitekereze nk'uruvange ruziranenge ruhuye neza n'ibyo umubiri wawe ukeneye iyo wumye cyangwa utakaza amazi.

Uyu muti utangwa mu muyoboro w'amaraso urimo amazi, sodium, potasiyumu, kalisiyumu, na lactate mu bipimo byihariye bihuza imiterere y'amazi asanzwe mu mubiri wawe. Abaganga bakoresha uyu muti mu bitaro, mu byumba by'abarwayi b'igitaraganya, no mu byumba by'abaganga babaga iyo umubiri wawe ukeneye gusubizwa amazi vuba.

Lactated Ringer's ikoreshwa mu iki?

Lactated Ringer's ifasha gusubiza amazi n'imyunyu ngugu mu mubiri wawe iyo watakaje amazi menshi kubera indwara, kubagwa, cyangwa imvune. Ni umwe mu miti ikoreshwa cyane mu miti itangwa mu muyoboro w'amaraso mu buvuzi kuko ikora neza mu bihe byinshi bitandukanye.

Muganga wawe ashobora kugusaba uyu muti iyo urwaye indwara zitandukanye zigira ingaruka ku rwego rw'amazi mu mubiri wawe. Aha hari ibihe nyamukuru Lactated Ringer's ifasha:

• Ukwuma gukabije guterwa no kuruka, guhitwa, cyangwa kubira ibyuya birenze urugero
• Gutakaza amaraso mu gihe cyo kubagwa cyangwa nyuma yo gukomereka
• Ibyaha bitera gutakaza amazi menshi binyuze mu ruhu rwangiritse
• Ibihe bya shoke aho umuvuduko w'amaraso yawe umanuka cyane
• Ibibazo by'impyiko bigira ingaruka ku bushobozi bw'umubiri wawe bwo kuringaniza amazi
• Kutegura imikorere ikomeye yo kubaga

Mu bihe bidasanzwe, abaganga bashobora gukoresha Lactated Ringer's mu ndwara nka aside ya metabolike ikabije cyangwa ubwoko bumwe na bumwe bw'uburozi. Uyu muti ufasha guhagarika umubiri wawe mu gihe izindi nshuti zikora kugira ngo zikemure ikibazo cy'ibanze.

Lactated Ringer's ikora ite?

Lactated Ringer ikora isubiza mu buryo butaziguye amazi n'imyunyu ngugu y'ingenzi umubiri wawe watakaje. Iyo umuti winjiye mu maraso yawe binyuze muri IV, yihutira gukwira mu mubiri wawe wose kugira ngo isubize imiterere y'amazi neza.

Lactate iri muri uyu muti ihinduka bicarbonate mu mwijima wawe, ibyo bikaba bifasha gukosora imiterere y'aside-base mu maraso yawe. Iyi nzira ibaho mu buryo busanzwe kandi ifasha umubiri wawe gukomeza urwego rwa pH rukwiye kugira ngo ukore neza.

Bitandukanye n'amazi asanzwe, Lactated Ringer irimo imyunyu ngugu ituma uturemangingo twawe tudabyimba cyangwa ngo tugabanuke iyo amazi asubijwe. Imiterere yuzuye isobanura ko umubiri wawe ushobora kuyikoresha ako kanya hatabangamiwe imikorere isanzwe y'uturemangingo.

Nkwiriye Kwakirwa Nte Lactated Ringer?

Lactated Ringer ihabwa buri gihe binyuze mu murongo wa IV n'abakozi b'ubuvuzi babihuguriwe mu bigo by'ubuvuzi. Ntushobora gufata uyu muti unywa, kandi ntushobora gutangwa mu rugo hatabayeho kugenzurwa na muganga.

Umuforomo wawe azashyira agati gato ka plastiki mu urugingo rw'imitsi, akenshi mu kuboko kwawe cyangwa mu kiganza. Umuti utemba uva mu gakapu gasukuye binyuze mu tuyunguruzo tugana mu maraso yawe ku gipimo muganga wawe yagennye hashingiwe ku byo ukeneye byihariye.

Igipimo cyo gutera giterwa n'ibintu bitandukanye birimo imyaka yawe, uburemere, uburwayi bwawe, n'amazi umubiri wawe ukeneye. Itsinda ryawe ry'ubuvuzi rizagukurikiranira hafi mugihe cyo gutera kugira ngo wemeze ko wakira umubare ukwiye ku muvuduko ukwiye.

Ntabwo ukeneye kwitegura kwakira Lactated Ringer urya cyangwa wirinda ibiryo runaka. Ariko, bwire umuganga wawe ibijyanye n'imiti yose ufata, kuko imiti imwe n'imwe ishobora guhura n'imyunyu ngugu iri muri uyu muti.

Nkwiriye Kwakirwa Lactated Ringer Igihe Kingana Gite?

Igihe cyo kuvura na Lactated Ringer's gitandukana cyane bitewe n'uburwayi bwawe n'uko umubiri wawe witwara vuba ku buvuzi. Abantu bamwe barabikeneye mu masaha make gusa, mu gihe abandi bashobora kubikenera iminsi myinshi.

Itsinda ryawe ry'ubuzima rizasuzuma buri gihe urugero rw'amazi mu mubiri wawe, imiterere ya electrolyte, n'imibereho yawe muri rusange kugira ngo bamenye igihe umaze guhabwa bihagije. Bazagenzura umuvuduko w'amaraso yawe, umuvuduko w'umutima, n'ibizamini byo mu laboratori kugira ngo bagufashe gufata ibyemezo.

Kubera kubura amazi make, ushobora gukenera gusa imifuka imwe cyangwa ibiri y'umuti mu masaha make. Ibyago bikomeye nk'inkomere zikomeye cyangwa kubagwa gukomeye bishobora gusaba gukomeza gutera umuti iminsi myinshi mu gihe umubiri wawe ukira kandi ukaba mu rugero rwo hejuru.

Ni izihe ngaruka ziterwa na Lactated Ringer's?

Abantu benshi bafata neza Lactated Ringer's, ariko nk'ubundi buvuzi, bushobora gutera ingaruka ku bantu bamwe. Ingaruka nyinshi ziterwa n'ubuvuzi ni nto kandi zikemuka vuba iyo guterwa byarangiye.

Ingaruka zisanzwe ushobora guhura nazo zirimo kutumva neza gake ahantu batera urushinge, nk'ububabare buke, umutuku, cyangwa kubyimba aho urushinge rwinjira mu muyoboro wawe w'amaraso. Izi ngaruka mubisanzwe ni iz'agateganyo kandi ntizisaba ubuvuzi bwihariye.

Dore ingaruka zigaragara cyane zishobora kubaho mugihe cyangwa nyuma yo guhabwa Lactated Ringer's:

• Kumva wuzuye cyangwa kubyimba uko umubiri wawe ufata amazi yongerewe
• Isesemi nto cyangwa kutumva neza mu gifu
• Impinduka z'agateganyo mu buryo bwo kwihagarika
• Impinduka nto mu muvuduko w'amaraso cyangwa umuvuduko w'umutima
• Kumva ukonje cyangwa ushyushye uko amazi yinjira mu muyoboro wawe w'amaraso

Ingaruka zikomeye ntizisanzwe ariko zisaba ubuvuzi bwihutirwa. Izi zirimo ibimenyetso byo kuremererwa n'amazi nk'ingorane zo guhumeka, kongera ibiro vuba, cyangwa kubyimba cyane amaguru yawe cyangwa mu maso.

Ibikomere bikeye ariko bikomeye bishobora kurimo ibimenyetso bikomeye byo kwivumbura, umuvuduko w'umutima utagenda neza bitewe n'imikorere mibi y'amazi n'imyunyu ngugu, cyangwa ibibazo bitewe no kwakira amazi menshi cyane vuba. Itsinda ryawe rishinzwe ubuzima rirakurikirana ibi bishoboka mugihe cyose uvurwa.

Ninde utagomba guhabwa Lactated Ringer's?

Lactated Ringer's ntibikwiriye kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kugusaba ubu buvuzi. Ibyiciro bimwe na bimwe bituma iki gisubizo kidakwiriye cyangwa gishobora guteza akaga.

Abantu barwaye indwara zikomeye z'impyiko ntibashobora gutunganya neza imyunyu ngugu muri Lactated Ringer's, bigatuma habaho kwiyongera gukomeye mu mubiri wabo. Kimwe n'abafite umutima udakora neza cyane ntibashobora kwihanganira amazi menshi.

Ushinzwe ubuzima bwawe azirinda Lactated Ringer's niba ufite kimwe muri ibi bikurikira:

• Indwara ikomeye y'umwijima ituma lactate itunganywa neza
• Urugero rwo hejuru rwa potasiyumu mu maraso yawe (hyperkalemia)
• Kunanirwa gukora kw'impyiko cyangwa kugabanuka kw'imikorere y'impyiko
• Kunanirwa kw'umutima gutuma imicungire y'amazi iba ngombwa
• Allergies zizwi ku bice byose by'igisubizo
• Ubwoko bumwe na bumwe bwo guhungabana kwa metabolike

Mu bihe bikeya, abantu bafite ibibazo byihariye bya genetike bigira ingaruka ku buryo umubiri wabo utunganya lactate cyangwa imyunyu ngugu imwe na imwe bashobora gukenera ibisubizo bindi bya IV. Muganga wawe azahitamo uburyo bwizewe cyane bushingiye ku ishusho yawe yuzuye y'ubuzima.

Amazina ya Lactated Ringer's

Lactated Ringer's iboneka munsi y'amazina menshi y'ubwoko, nubwo ibigize bikomeza kuba kimwe mubakora. Amazina asanzwe y'ubwoko arimo Lactated Ringer's Injection, Ringer's Lactate, na Hartmann's Solution.

Ibigo bitandukanye bikora uyu muti mu mazina atandukanye, ariko byose bikubiyemo ibintu by'ibanze bimwe mu gipimo gisa. Ibitaro byawe cyangwa ikigo cy'ubuzima mubisanzwe gihitamo uruganda rwo kubika hashingiwe ku giciro n'uko biboneka.

Amazina amwe y'ubwoko ushobora kubona harimo Lactated Ringer's Injection ya Baxter, Lactated Ringer's ya Hospira, cyangwa Lactated Ringer's Solution ya B. Braun. Hatitawe ku bwoko, ingaruka z'ubuvuzi n'umutekano bikomeza kuba kimwe.

Uburyo bwo gusimbuza Lactated Ringer's

Uburyo bwinshi bwo gusimbuza IV bushobora gusimbuza Lactated Ringer's igihe bitakwiriye kubera uburwayi bwawe. Muganga wawe ahitamo uburyo bwiza bushingiye ku byo ukeneye mu buvuzi n'ubwoko bw'amazi cyangwa gusimbuza electrolyte bisabwa.

Umucanga usanzwe (0.9% sodium chloride) ni wo usanzwe ukoreshwa cyane, cyane cyane iyo ukeneye gusimbuza amazi hatarimo electrolyte zinyongera zisangwa muri Lactated Ringer's. Biroroshye mu gushyirwaho kandi bikora neza mu gukura amazi mu mubiri.

Uburyo bundi abaganga bashobora gutekereza harimo:

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• Plasma-Lyte A, ifite ibigize electrolyte bitandukanye
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• Igisubizo cya Dextrose iyo ukeneye amazi na glucose
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• Igisubizo cya Albumin kubwoko runaka bwo gutakaza amazi
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• Half-normal saline kubyo ukeneye byihariye bya electrolyte
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• Igisubizo cy'umunyu wuzuye hamwe n'imvange zitandukanye za minerale
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Mu bihe byihariye, muganga wawe ashobora kugusaba ibicuruzwa by'amaraso, ibisubizo bya colloid, cyangwa andi mazi yo gusimbuza. Guhitamo biterwa nicyo umubiri wawe watakaje nicyo ukeneye kugirango ukire neza.

Ese Lactated Ringer's iruta umucanga usanzwe?

Zose Lactated Ringer's na umucanga usanzwe ni ibisubizo byiza bya IV, ariko buri kimwe gifite inyungu mu bihe bitandukanye. Guhitamo

Lactated Ringer's ijyana hafi cyane n'imiterere y'amazi asanzwe mu mubiri wawe, bigatuma iba nziza cyane iyo ukeneye gusimbuza electrolytes nyinshi hamwe n'amazi. Saline isanzwe yoroshye kandi ikora neza iyo ukeneye gusa gusimbuza amazi ya mbere hatarimo imyunyu ngugu yinyongera.

Ubushakashatsi bwa vuba aha bwakozwe mu by'ubuvuzi butanga icyerekezo cy'uko Lactated Ringer's ishobora gutera ibibazo bike cyane mu bihe bimwe na bimwe, cyane cyane mu gihe cyo kubagwa gukomeye cyangwa iyo hakenewe amazi menshi. Ariko, saline isanzwe ikomeza kuba uburyo bukunda gukoreshwa mu bihe byihariye nk'imvune zo mu bwonko cyangwa ibibazo bimwe na bimwe by'impyiko.

Itsinda ryawe ry'ubuzima rizatekereza ku bintu nk'imikorere y'impyiko zawe, uko umutima wawe umeze, n'impamvu ukeneye amazi ya IV mugihe uhitamo hagati y'ibi bisubizo. Byombi birinzwe kandi bikora neza iyo bikoreshejwe neza mu bihe by'ubuvuzi bikwiye.

Ibikunze Kubazwa Kuri Lactated Ringer's

Q1. Ese Lactated Ringer's irinzwe ku bantu barwaye diyabete?

Yego, Lactated Ringer's muri rusange irinzwe ku bantu barwaye diyabete, ariko itsinda ryawe ry'ubuzima rizakurikirana urugero rw'isukari yo mu maraso yawe mu gihe cyo kuvurwa. Icyo gisubizo kirimo lactate aho kuba glucose, bityo ntigihindura isukari yo mu maraso nk'uko ibisubizo birimo dextrose byabikora.

Ariko, lactate iri muri icyo gisubizo irashobora guhindurwa ikaba glucose mu mwijima wawe, bishobora gutera izamuka rito ry'isukari yo mu maraso. Itsinda ryawe ry'ubuvuzi rizakurikirana urugero rwa glucose yawe buri gihe kandi rikosore imiti yawe ya diyabete niba bibaye ngombwa mu gihe cyo kuvurwa.

Q2. Nkwiriye gukora iki niba mbonye kubyimba cyangwa kubabara ahantu IV iri?

Menyesha umuforomo wawe ako kanya niba ubonye kubyimba bikomeye, kubabara, cyangwa gutukura ahantu IV iri. Ibi bimenyetso bishobora kugaragaza ko IV yakuwe mu urugingo rw'imitsi cyangwa ko urimo kugira icyo ukora ku gisubizo.

Itsinda ryawe rishinzwe ubuzima rizasuzuma ahantu hose kandi rishobora gukenera kwimura IV ahandi hantu. Ntugerageze kwihindurira IV, kuko ibi bishobora gutera imvune cyangwa kwinjiza mikorobe mu maraso yawe.

Q3. Ni iki gihinduka niba nahawe Lactated Ringer's nyinshi cyane?

Kwakira Lactated Ringer's nyinshi cyane bishobora gutera umubyimbirwe w'amazi, ukaba utera ibimenyetso nk'ingorane zo guhumeka, kongera ibiro vuba, cyangwa kubyimba amaguru n'amaso. Itsinda ryawe rishinzwe ubuzima rigukurikiranira hafi kugirango wirinde ko ibi bibaho.

Niba umubyimbirwe w'amazi ubaye, itsinda ryawe ry'abaganga rizagabanya cyangwa rihagarike gutera imiti kandi rishobora kuguha imiti yo gufasha gukuramo amazi yarenze urugero mu mubiri wawe. Bazanakurikirana umutima wawe n'imikorere y'ibihaha hafi kugeza igihe uburinganire bwawe bw'amazi busubiye mu buryo busanzwe.

Q4. Nshobora kurya no kunywa bisanzwe naho nahawe Lactated Ringer's?

Mu bihe byinshi, urashobora kurya no kunywa bisanzwe naho wakira Lactated Ringer's, keretse muganga wawe yaguhaye amabwiriza yihariye yo kwirinda ibiryo cyangwa amazi. Umuti wa IV ntugira icyo utwara mu igogora risanzwe cyangwa imirire.

Ariko, niba uri kuvurwa indwara zimwe na zimwe nko kuruka cyane cyangwa mbere yo kubagwa, itsinda ryawe ry'abaganga rishobora kugabanya ibiryo byawe n'amazi. Buri gihe ukurikize amabwiriza yihariye y'umuganga wawe yerekeye kurya no kunywa mugihe cyo kuvurwa.

Q5. Nzakumva neza vuba gute nyuma yo kwakira Lactated Ringer's?

Abantu benshi batangira kumva neza mu minota 30 kugeza ku masaha make yo gutangira kuvurwa na Lactated Ringer's, cyane cyane niba kumisha amazi byari bitera ibimenyetso byabo. Urashobora kubona imbaraga zateye imbere, kugabanya isereri, no kumva neza muri rusange uko uburinganire bwawe bw'amazi burushaho gukomera.

Igihe nyacyo giterwa n'uko wari warabuze amazi mbere na mbere n'uko umubiri wawe witwara vuba ku buvuzi. Abantu bamwe bumva baruhutse hafi ako kanya, mu gihe abandi bafite amazi menshi yatakaye bashobora gukenera amasaha menshi cyangwa iminsi y'ubuvuzi kugira ngo bumve barushijeho.