Icyo Dextrose (inzira yo mu mitsi) ari cyo: Ibyo ikoreshwa, urugero rwo kuyikoresha, ingaruka zayo n'ibindi

Dextrose itangwa binyuze mu muyoboro w'amaraso ni umuti w'isukari utagira mikorobe abaganga bakoresha mu kuvura isukari nke mu maraso no gufasha umubiri wawe kubona imbaraga. Uyu muti w'isukari yoroshye itembera mu maraso yawe iturutse mu rusinga rushyizwe mu urwungano rw'amaraso yawe, bigatuma iba imwe mu nzira yihuse yo kugarura urugero rw'isukari mu maraso yawe igihe rumanutse cyane.

Ushobora guhabwa dextrose yo mu muyoboro w'amaraso mu bitaro, mu byumba by'abarwayi b'igitaraganya, cyangwa mu mavuriro y'abarwayi basanzwe iyo umubiri wawe ukeneye glucose ako kanya. Abaganga kandi bayikoresha bavanga n'indi miti cyangwa kugira ngo bakomeze urwungano rw'amaraso rwawe rufunguye mu gihe cyo kuvura.

Icyo Dextrose (inzira yo mu mitsi) ari cyo?

Dextrose ni uburyo bwa glucose, ari yo sukari imubiri wawe ukoresha mu buryo busanzwe kugira imbaraga. Iyo itanzwe binyuze mu muyoboro w'amaraso, iba amazi asobanutse, atagira mikorobe arimo urugero rutandukanye rw'iyi sukari ivanze n'amazi.

Uburyo bwo mu muyoboro w'amaraso buca mu nzira y'igogora ryose, butanga glucose mu maraso yawe. Ibi bituma bikora cyane mu bihe by'igitaraganya aho isukari yo mu maraso yawe yagabanutse cyane, icyo gihe bita hypoglycemia. Tekereza nk'aho uha imisemburo y'umubiri wawe uburenganzira bwo kubona ibyo ikoresha nk'imbaraga ako kanya.

Abaganga bakoresha imbaraga zitandukanye za dextrose, akenshi ziri hagati ya 5% na 50%. Urugero rutanga amakuru y'isukari isheshwe mu mazi - umuti wa 10% urimo garama 10 za glucose muri mililitiri 100 z'amazi.

Dextrose (inzira yo mu muyoboro w'amaraso) ikoreshwa ku iki?

Dextrose yo mu muyoboro w'amaraso ifite ibintu byinshi by'ingenzi ikoreraho mu buvuzi, kuvura isukari nke mu maraso cyane ni cyo gikunze gukoreshwa cyane. Iyo glucose yo mu maraso yawe imanuka munsi y'urugero rwo kwirinda, uyu muti ushobora kugarura urugero rusanzwe vuba kandi ukirinda ingorane zikomeye.

Abaganga bakoresha kandi dextrose kugira ngo bahereze abarwayi bari mu kaga ka calorie n'imbaraga batabasha kurya cyangwa kunywa bisanzwe. Niba udashobora gufata ibiryo unyuze mu kanwa kubera kubagwa, indwara, cyangwa ibibazo byo mu gifu, dextrose ya IV ifasha kwirinda ko umubiri wawe usenya imitsi yawo n'ibinure byawo kugira ngo ubone imbaraga.

Dore indwara zikomeye aho abaganga bashobora kwandika dextrose ya IV:

• Hypoglycemia ikabije (isukari yo mu maraso iri hasi cyane)
• Ibyago bya diyabete iyo isukari yo mu maraso igabanuka cyane
• Umuvumo uherekejwe n'isukari yo mu maraso iri hasi
• Kutabasha kurya cyangwa kunywa kubera indwara
• Mugihe cyo gukora ibikorwa bimwe na bimwe by'ubuvuzi bisaba isukari yo mu maraso ihamye
• Nka solution itwara izindi miti ya IV

Bitari kenshi, abaganga bashobora gukoresha dextrose mu kuvura byihariye nko kugabanya umubyimbire wo mu bwonko cyangwa kuvura ubwoko bumwe na bumwe bw'uburozi. Itsinda ryawe ry'ubuzima rizagena ubwinshi bukwiye n'umubare bitewe n'ibyo ukeneye by'ubuvuzi.

Dextrose (inzira ya intravenous) ikora ite?

Dextrose ikora itanga umubiri wawe glucose ako kanya ingirangingo zawe zishobora gukoresha kugira ngo zibone imbaraga. Imaze kwinjira mu maraso yawe unyuze muri IV, igenda mu mubiri wawe hose kandi yihutirwa na selile zawe, cyane cyane ubwonko bwawe, bushingiye cyane kuri glucose kugira ngo bukore neza.

Uyu muti ufashwe nk'uvura vuba kuko ntugomba gushishwa cyangwa gutunganywa n'igifu n'amara yawe. Muminota mike yo kwakira dextrose ya IV, urashobora kubona impinduka mu bimenyetso nko kuvurungana, guhinda umushyitsi, cyangwa intege nke ziva ku isukari yo mu maraso iri hasi.

Imbaraga za dextrose nk'umuti ziterwa n'ubwinshi bukoreshwa. Ubwinshi buri hasi nka 5% dextrose butanga imbaraga zoroshye, zirambye n'amazi. Ubwinshi buri hejuru nka 25% cyangwa 50% dextrose bukora cyane kandi vuba kugira ngo bizamure urwego rwa isukari yo mu maraso mu bihe by'ubutabazi.

Umubiri wawe ukoresha dextrose ya IV kimwe na glucose iva mu biryo, ukoresha imisemburo ya insuline kugira ngo ifashe selile kuyimira. Itandukaniro rikomeye ni umuvuduko - dextrose ya IV yirengagiza inzira isanzwe yo gutunganya ibiryo kandi itangira gukora ako kanya.

Nkwiriye Gufata Dextrose (Inzira yo mu Mitsi) Nte?

Ntiwifatira dextrose ya IV ubwawe - ihabwa buri gihe n'abantu b'inzobere mu by'ubuvuzi mu bigo by'ubuvuzi. Umuti winjira mu maraso yawe unyuze mu tuyunguruzo duto twa plastiki twitwa IV catheter dushyirwa mu urugingo rw'umubiri, akenshi mu kuboko kwawe cyangwa ikiganza.

Mbere yo guhabwa dextrose, ntugomba kwirinda kurya cyangwa kunywa keretse muganga wawe akubwiye by'umwihariko. Mubyukuri, niba ushobora kurya kandi isukari yo mu maraso yawe ihagaze neza, umuganga wawe ashobora guhitamo ibinini bya glucose byo kunywa cyangwa ibiryo aho gukoresha ubuvuzi bwa IV.

Uburyo bwo gutera imiti muri rusange buraryoshye kandi ntibubabaza iyo IV imaze gushyirwaho. Ubusanzwe uryama cyangwa wicara ku ntebe mugihe umuti uvurugwa buhoro buhoro mu urugingo rwawe. Umuvuduko wo gutera imiti biterwa n'uburwayi bwawe - ibihe by'uburwayi bwihutirwa bishobora gusaba gutanga vuba, mugihe doze zo gukomeza zitemba buhoro.

Mugihe cy'ubuvuzi, abaganga bazagenzura urugero rw'isukari yo mu maraso yawe buri gihe kugirango barebe niba dextrose ikora neza. Bazareba kandi ahantu hawe ha IV kugirango barebe niba ikora neza kandi idateza irari ry'urugingo rwawe.

Nkwiriye Gufata Dextrose (Inzira yo mu Mitsi) Igihe Kingana Gite?

Igihe cyo kuvura na dextrose ya IV gitandukanye cyane bitewe nicyo uyihabwaho. Kubijyanye n'ibibazo by'isukari yo mu maraso iri hasi, urashobora kuyikenera amasaha make gusa kugeza igihe urugero rwawe ruhagaze neza kandi ushobora kongera kurya.

Niba uhabwa dextrose kuko udashobora kurya cyangwa kunywa, kuvurwa birashobora gukomeza iminsi myinshi cyangwa ndetse n'ibyumweru. Itsinda ryawe ry'ubuvuzi rizasuzuma buri gihe niba ugikenera glucose ya IV cyangwa niba ushobora guhindukira ukarya ibiryo cyangwa ukabona intungamubiri hakoreshejwe ubundi buryo.

Imiti yihutirwa yo kuvura hypoglycemia ikaze akenshi iba y'igihe gito, ikamara igihe gihagije kugira ngo yongere isukari mu maraso ku rwego rwo kwizerwa. Iyo urwego rwa glucose rwawe rumaze guhagarara kandi ukaba ushobora kurya, muganga wawe ashobora guhindura akoresha isukari yo kunywa.

Itsinda ryawe ry'abaganga rizakomeza gukurikirana uko umeze kandi rihindure gahunda yo kuvura uko bikwiye. Bazareba ibintu nk'uko isukari yo mu maraso yawe ihinduka, ubushobozi bwawe bwo kurya, n'iterambere ryawe ryose ryo gukira mu gihe bafata icyemezo cyo gukomeza gutera dextrose mu maraso.

Ni izihe ngaruka ziterwa na Dextrose (inzira yo mu maraso)?

Abantu benshi bakira neza dextrose yo mu maraso, ariko nk'umuti uwo ari wo wose, ishobora gutera ingaruka. Ibibazo bikunze kugaragara akenshi biba byoroheje kandi bifitanye isano n'aho urushinge rwashyizwe cyangwa kwakira isukari nyinshi cyane mu gihe gito.

Ushobora kumva utameze neza aho urushinge rwashyizwe, harimo kubabara by'igihe gito, umutuku, cyangwa kubyimba aho urushinge rwashyizwe. Ibi bimenyetso akenshi bikira vuba nyuma yo gukuraho urushinge kandi ntibisaba kuvurwa by'umwihariko.

Dore ingaruka zikunze kugaragara ushobora kubona:

• Kubabara by'igihe gito cyangwa kurakara aho urushinge rwashyizwe
• Kubyimba guto cyangwa umutuku hafi y'urushinge
• Kumva ufite inyota cyangwa ukeneye kunyara kenshi
• Guhinduka by'igihe gito kw'urwego rwa glucose mu maraso
• Isesemi ryoroheje ku bantu bamwe

Ingaruka zikomeye ntizikunze kugaragara ariko zishobora kubaho, cyane cyane niba wakira dextrose nyinshi cyane mu gihe gito cyangwa niba ufite indwara zimwe na zimwe. Izi zishobora kuba zirimo kubyimba bikomeye, guhumeka bigoranye, cyangwa guhinduka cyane kw'urwego rwa glucose mu maraso.

Dore ingaruka zidakunze kugaragara ariko zikomeye zo kwitondera:

• Urubyimba rukabije ahantu batera urushinge cyangwa mu kuboko kwawe
• Ibimenyetso byo kwandura ahantu batera urushinge (ubutukura bwiyongera, ubushyuhe, cyangwa ibishyimbo)
• Kugorwa no guhumeka cyangwa gufatwa mu gituza
• Isesemi ikabije cyangwa kuruka
• Urujijo cyangwa impinduka mu miterere y'ubwonko
• Uruhare rw'umubiri rwo kwanga ibintu (nubwo bidasanzwe cyane kuri dextrose)

Itsinda ry'abaganga bakurikirana hafi imiterere yawe mugihe uvurwa kugirango bamenye ibibazo byose hakiri kare. Ingaruka nyinshi ziba igihe gito kandi zikagenda mugihe ubuvuzi burangiye cyangwa buhindutse.

Ninde utagomba gufata Dextrose (inzira yo mu maraso)?

Nubwo dextrose muri rusange ifite umutekano kuri benshi, indwara zimwe na zimwe zisaba kwitonda cyane cyangwa zishobora gutuma dextrose yo mu maraso idakwiriye. Abantu barwaye diyabete idafashwe neza bashobora gukenera gukurikiranwa neza kuko dextrose ishobora kuzamura urugero rw'isukari mu maraso cyane.

Muganga wawe azasuzuma amateka yawe y'ubuzima neza mbere yo kwandika dextrose yo mu maraso. Bazatekereza ku buzima bwawe buriho, imiti ufata, n'ubwoko bwose bwo kwanga ibintu ushobora kuba ufite, nubwo kwanga dextrose byukuri bidasanzwe cyane.

Abantu bagomba gukoresha dextrose yo mu maraso bitonze barimo abafite:

• Diyabete bigoye gufata
• Indwara y'impyiko cyangwa kunanirwa kw'impyiko
• Kunanirwa k'umutima cyangwa ibibazo bikomeye by'umutima
• Indwara ikabije y'umwijima
• Kubika amazi cyangwa ibibazo byo kubyimba
• Imiterere itaringaniye ya electrolyte

Byongeye kandi, indwara zimwe na zimwe zidasanzwe zishobora gutuma ubuvuzi bwa dextrose bugorana:

• Kutagira glucose-6-phosphate dehydrogenase (G6PD)
• Imirire mibi ikabije isaba uburyo bwihariye bwo kugaburira
• Indwara zimwe na zimwe za metabolike zifite uruhare mu gutunganya isukari
• Udukoko dukora twashobora kwiyongera hamwe n'isukari nyinshi mu maraso

Umuvuzi wawe azagereranya inyungu n'ibishobora guteza akaga kubuzima bwawe bwihariye. Niyo waba ufite imwe muri izi ndwara, urashobora guhabwa dextrose yo mu maraso niba inyungu ziruta ibyago.

Amazina y'Ubwoko bwa Dextrose

Dextrose ya IV iboneka kuva ku nganda nyinshi kandi akenshi yitwa izina rusange aho kwitwa amazina y'ubwoko bwihariye. Ibitaro byinshi n'ibigo by'ubuvuzi bikoresha imiti ya dextrose rusange kuko ifite akamaro kimwe kandi ifite igiciro gito.

Ushobora kubona imiti ya dextrose yanditseho amazina atandukanye asobanura ubwinshi bwayo, nka D5W (5% dextrose mu mazi) cyangwa D10W (10% dextrose mu mazi). Aya si amazina y'ubwoko ahubwo ni amagambo akoreshwa mu buvuzi asanzwe abaganga bakoresha.

Zimwe mu nganda zikora imiti zikora dextrose mu mazina y'ubwoko bwihariye, ariko aya akoreshwa gake mu bigo byinshi by'ubuvuzi. Umuganga wawe azibanda ku kuguha ubwinshi bukwiye n'umubare wa dextrose aho guhitamo ubwoko bwihariye.

Izindi Miti Zisimbura Dextrose

Hariho izindi miti isimbura dextrose ya IV, bitewe n'ibyo ukeneye mu buvuzi n'uko ubuzima bwawe buhagaze. Ku bijyanye n'ibibazo byoroheje byo kugabanuka k'isukari mu maraso, ibinini bya glucose byo kunywa cyangwa gels ya glucose bishobora kugira akamaro kimwe kandi ntibitera ibibazo nk'uko bivurwa na IV.

Niba wumva kandi ushobora kumira, umuganga wawe ashobora kugusaba kurya isukari yihuta nk'umutobe w'imbuto, soda isanzwe, cyangwa ibicuruzwa bya glucose byateguwe byihariye. Ibi bikora gahoro kurusha dextrose ya IV ariko bishobora kugira akamaro kanini mu bihe bitari bikomeye.

Dore izindi miti isanzwe umuganga wawe ashobora gutekereza:

• Ibinini bya glucose byo kunywa cyangwa gels
• Inshinge za Glucagon ku bantu bafite hypoglycemia ikomeye
• Ibiryo bisanzwe cyangwa ibinyobwa birimo isukari
• Izindi miti ya IV nka saline isanzwe yo kongera amazi mu mubiri
• Imiti ya IV ifite intungamubiri ku bantu bayikeneye igihe kirekire

Ku bantu bakeneye ubufasha bw'imirire bw'igihe kirekire, ibindi bishobora gukoreshwa harimo imiyoboro y'imirire cyangwa ibisubizo byihariye bya IV by'imirire byitwa total parenteral nutrition (TPN). Itsinda ryawe ry'ubuvuzi rizagena uburyo bwiza bushingiye ku buzima bwawe n'ibyo ukeneye.

Ese Dextrose iruta izindi nshuti za glucose?

IV dextrose ntiruta izindi nshuti za glucose - ni uburyo bukwiye cyane kubera ibihe byihariye. Uburyo bwiza bwo kuvura buterwa n'ibintu nk'uko isukari yawe yagabanutse, niba ushobora kumira neza, n'uko ukeneye kuvurwa vuba.

Mu bihe by'ubutabazi aho utazi cyangwa udashobora kumira, IV dextrose akenshi ni uburyo bwihuse kandi bwizewe cyane. Bikora mu minota mike kandi ntibisaba ko uba maso cyangwa ushobora kurya cyangwa kunywa.

Ariko, niba uzi kandi ushobora kumira, imiti ya glucose yo mu kanwa ishobora kuba ingirakamaro kandi itagira ingaruka nyinshi. Ibinini bya glucose cyangwa gels birashobora gutwarwa, byoroshye gukoresha, kandi ntibisaba ibikoresho by'ubuvuzi cyangwa abaganga bafite ubumenyi.

Inyungu nyamukuru za IV dextrose zirimo umuvuduko w'ibikorwa byayo, kwizerwa, n'ubushobozi bwo gutanga imiti neza. Ingaruka nyamukuru zirimo gukenera ubugenzuzi bw'ubuvuzi, ibibazo bishobora kuvuka ku gice cya IV, no gukenera kuvurwa mu kigo cy'ubuvuzi.

Ibibazo bikunze kubazwa kuri Dextrose (inzira ya Intravenous)

Q1. Ese Dextrose irakwiriye ku bantu barwaye diyabete?

Yego, IV dextrose irashobora kuba ikwiriye ku bantu barwaye diyabete, ariko bisaba gukurikiranwa neza kandi rimwe na rimwe imiti igahindurwa. Abaganga bayikoresha by'umwihariko mu kuvura ibihe byo kugabanuka kw'isukari mu maraso bishobora guteza akaga ku bantu barwaye diyabete, bishobora guteza akaga iyo bitavuwe.

Niba urwaye diyabete ukaba wakira dextrose ya IV, itsinda ryawe ry'abaganga rizakurikirana cyane urugero rw'isukari mu maraso yawe kandi rishobora guhindura imiti yawe ya diyabete uko bikwiye. Intego ni ukugarura urugero rw'isukari mu maraso rumeze neza hatabayeho ko ruzamuka cyane.

Q2. Nkwiriye gukora iki niba mbonye dextrose nyinshi ku buryo butunguranye?

Ntushobora kwihereza dextrose nyinshi ya IV ku buryo butunguranye kuko buri gihe itangwa n'abakora mu buvuzi bazi neza uko babara kandi bagakurikirana urugero rwatanzwe. Ariko, niba ubonye ibimenyetso nk'inyota nyinshi, kunyara kenshi, isesemi, cyangwa urujijo mu gihe uvurwa, menyesha umuganga wawe ako kanya.

Abakozi bo mu buvuzi batojwe kumenya ibimenyetso by'isukari nyinshi kandi bashobora guhindura uburyo bwo kuvura uko bikwiye. Bashobora kugabanya umuvuduko wo gutera urushinge, kugenzura isukari yo mu maraso yawe kenshi, cyangwa gutanga imiti yiyongera niba bibaye ngombwa.

Q3. Nkwiriye gukora iki niba ahantu batera urushinge rwa IV hababara cyangwa hagahinduka?

Bwira umuganga wawe ako kanya niba ubonye ububabare bukomeye, guhinduka cyangwa gutukura ahantu batera urushinge rwa IV. Ibi bimenyetso bishobora kwerekana ko urushinge rwa IV rwavuye mu muyoboro wawe cyangwa ko urimo kurwara indwara yandura.

Ntugerageze kwihindurira urushinge rwa IV cyangwa kurukuraho keretse ubitegetswe n'abakozi bo mu buvuzi. Itsinda ryawe ry'ubuvuzi rishobora gusuzuma uko ibintu bimeze kandi rigashyira urushinge rwa IV ahandi cyangwa rigashyiraho urundi rushya ahantu hatandukanye niba bibaye ngombwa.

Q4. Nshobora kureka gufata dextrose ryari?

Umuganga wawe azahitamo igihe cyo guhagarika dextrose ya IV bitewe n'urugero rw'isukari mu maraso yawe, ubushobozi bwawe bwo kurya no kunywa bisanzwe, n'ubuzima bwawe muri rusange. Ku kuvurwa kwihutirwa kwa hypoglycemia, ushobora kuyikeneye mu masaha make gusa.

Muri rusange, dextrose ya IV ihagarikwa iyo urugero rw'isukari mu maraso yawe ruhagaze, ukaba wumva neza kandi ushobora kurya, kandi ubuzima bwawe bwagize iterambere. Muganga wawe azaguhindurira buhoro buhoro ku mirire yo mu kanwa igihe bikwiye.

Q5. Nshobora kurya no kunywa nkorera Dextrose ya IV?

Niba ushobora kurya no kunywa biterwa n'uburwayi bwawe n'impamvu urimo guhabwa dextrose. Niba uyihabwa kubera isukari iri hasi mu maraso kandi uri maso ushobora kumira, muganga wawe ashobora kugushishikariza kurya igihe ubuzima bwawe buzaba bumaze gushyirwa ku murongo.

Ariko, niba uhabwa dextrose kuko udashobora kurya bisanzwe kubera kubagwa cyangwa uburwayi, uzakurikiza amabwiriza yihariye y'ikipe yawe y'abaganga yerekeye ibiryo n'ibinyobwa. Bazakumenyesha igihe bizaba byemewe kongera kurya bisanzwe.