Chii chinonzi Lactated Ringer's: Zvinoshandiswa, Mishonga, Migumisiro uye Zvimwe

Lactated Ringer's is a sterile fluid solution iyo vanachiremba vanopa kuburikidza neIV kutsiva mvura yakarasika uye ma electrolytes mumuviri wako. Funga nezvazvo semusanganiswa wakanyatsoenzaniswa uyo unonyatsoenderana nezvinodiwa nemuviri wako kana wakaoma kana kurasikirwa nemvura.

Iyi IV solution ine mvura, sodium, potassium, calcium, uye lactate mumari yakatarwa iyo inoratidza chiyero chemvura yemuviri wako. Vapi vehutano vanoishandisa muzvipatara, makamuri ekukurumidzira, uye nzvimbo dzekuvhiya kana muviri wako uchida kutsiva mvura nekukurumidza.

Chii chinoshandiswa Lactated Ringer's?

Lactated Ringer's inobatsira kudzorera chiyero chemvura nemaelectrolyte emuviri wako kana warasikirwa nemari yakawanda kuburikidza nekurwara, kuvhiyiwa, kana kukuvara. Imwe yemvura yeIV inoshandiswa zvakanyanya munzvimbo dzekurapa nekuti inoshanda zvakanaka kune mamiriro akawanda akasiyana.

Chiremba wako angakurudzira iyi mhinduro kana uri kubata nemamiriro akati wandei anokanganisa mazinga emvura emuviri wako. Heano mamiriro makuru apo Lactated Ringer's inobatsira:

• Kunyanya kuoma kubva pakutsvuka, manyoka, kana kutukwa kwakanyanya
• Kurasikirwa neropa panguva yekuvhiyiwa kana mushure mekuvhiyiwa
• Burns zvinokonzera kurasikirwa kwemvura yakawanda kuburikidza neganda rakaparadzwa
• Shock mamiriro apo ropa rako rinodonha zvakanyanya
• Matambudziko eitsvo anokanganisa kugona kwemuviri wako kuenzanisa mvura
• Kugadzirira nzira huru dzekuvhiya

Muzviitiko zvisingawanzoitiki, vanachiremba vanogona kushandisa Lactated Ringer's kune mamiriro akadai se severe metabolic acidosis kana mamwe marudzi ekuuraya. Mhinduro inobatsira kugadzirisa muviri wako nepo mamwe marapirwo achishanda kugadzirisa dambudziko riri pasi.

Lactated Ringer's inoshanda sei?

Lactated Ringer's inoshanda nekutsiva zvakananga mvura nemamineral akakosha akarasika nemuviri wako. Mhinduro iyi painopinda muropa rako kuburikidza neIV, inokurumidza kupararira mumuviri wako kuti idzorezve chiyero chemvura chakakodzera.

Lactate iri mumhinduro inoshanduka kuita bicarbonate muchiropa chako, iyo inobatsira kugadzirisa kusagadzikana kweacid-base muropa rako. Iyi nzira inoitika zvakasikwa uye inobatsira muviri wako kuchengetedza mazinga akakodzera epH kuti ashande zvakanaka.

Kusiyana nemvura yakajeka, Lactated Ringer's ine ma electrolytes anodzivirira masero ako kubva pakuzvimba kana kudzikira kana mvura yadzorwa. Kuumbwa kwakaringana zvinoreva kuti muviri wako unogona kui shandisa nekukasira pasina kukanganisa maitiro akajairika emasero.

Ndingagamuchira sei Lactated Ringer's?

Lactated Ringer's inogara ichipiwa kuburikidza neIV line nevashandi vehutano vakadzidziswa munzvimbo dzekurapa. Hauzive kutora mushonga uyu nemuromo, uye haumboshandiswa kumba pasina kutariswa kwekurapa.

Mukoti wako achaisa chubhu diki yepurasitiki mutsinga, kazhinji muruoko rwako kana ruoko. Mhinduro inoyerera kubva mubhegi rakachena kuburikidza netubing zvakananga muropa rako pamwero unotemwa nachiremba wako zvichienderana nezvido zvako.

Muviri wekutsika unotsamira pazvinhu zvakati wandei zvinosanganisira zera rako, uremu, mamiriro ako ezvinhu, uye kuti muviri wako unoda mvura yakawanda sei. Chikwata chako chehutano chichakutarisa zvakanyanya panguva yekutsika kuti uve nechokwadi chekuti uri kugamuchira huwandu hwakakodzera pamwero wakakodzera.

Haufaniri kugadzirira kugamuchira Lactated Ringer's nekudya kana kudzivisa zvimwe zvekudya. Zvisinei, udza mupi wako wehutano nezve mishonga yese yaunotora, sezvo mamwe madhiragi anogona kuita pamwe chete nema electrolytes ari mumhinduro.

Ndingagamuchira Lactated Ringer's kwenguva yakareba sei?

Kureba kwenguva yekurapa kweLactated Ringer's kunosiyana zvakanyanya zvichienderana nemamiriro ako ezvinhu uye nekukurumidza kwemuviri wako kunopindura kurapwa. Vamwe vanhu vanoihwanda kwemaawa mashoma chete, asi vamwe vangada kuishandisa kwemazuva akati wandei.

Chikwata chako chehutano chichatarisa nguva dzose mazinga emvura yako, chiyero che electrolyte, uye mamiriro ako ese kuti uone kana wagamuchira zvakakwana. Vachatarisa ropa rako, kumhanya kwemoyo, uye bvunzo dzemurabhoritari kuti vatungamire zvisarudzo zvavo.

Kune kusagadzikana kwemvura kudiki, unogona kungoda mabhegi maviri kana matatu emhinduro kwemaawa mashoma. Mamiriro akakomba semapisa akakomba kana kuvhiyiwa kukuru zvinogona kuda kuenderera mberi kwezuva rakati wandei apo muviri wako unopora uye unogadzikana.

Ndezvipi Zvipingamupinyi zveLactated Ringer's?

Vanhu vazhinji vanotsungirira Lactated Ringer's zvakanaka, asi semamwe marapirwo, inogona kukonzera matambudziko kune vamwe vanhu. Mazhinji ematambudziko ari nyoro uye anopera nekukurumidza kana kupinza kwapera.

Zvimwe zvinowanzoitika zvaungasangana nazvo zvinosanganisira kusagadzikana kudiki panzvimbo yeIV, senge kurwadziwa kudiki, kutsvuka, kana kuzvimba panopinda tsono mutsinga yako. Izvi zvinowanzoitika kwenguva pfupi uye hazvidi kurapwa kwakakosha.

Heano matambudziko anonyanya kuoneka anogona kuitika panguva kana mushure mekuwana Lactated Ringer's:

• Kunzwa kuzara kana kuzvimba sezvo muviri wako uchichengeta mvura yakawanda
• Nyoro kusvotwa kana kusagadzikana mudumbu
• Kuchinja kwenguva pfupi mumaitiro ekukosora
• Kuchinja kudiki muropa kana kumhanya kwemoyo
• Kunzwa kutonhora kana kudziya sezvo mvura ichipinda muropa rako

Zvimwe zvinokuvadza zvakanyanya hazviwanzoitiki asi zvinoda kutariswa kwekurapa nekukurumidza. Izvi zvinogona kusanganisira zviratidzo zvekuwandisa kwemvura senge kuoma kufema, kuwedzera uremu nekukurumidza, kana kuzvimba kwakanyanya mumakumbo ako kana kumeso.

Zvinogona kuitika asi zvakakomba

Zvinogona kuitika asi zvakakomba zvinogona kusanganisira kusangana nemishonga yakanyanya, kusagadzikana kwemoyo nekuda kwekushaikwa kwemagetsi, kana matambudziko ekugamuchira mvura yakawanda nekukurumidza. Chikwata chako chekuchengetedza hutano chinotarisa zvingaitika izvi panguva yekurapa kwako.

Ndiani Asingafaniri Kugamuchira Lactated Ringer's?

Lactated Ringer's haina kukodzera munhu wese, uye chiremba wako achanyatsoongorora nhoroondo yako yekurapa asati akurudzira kurapwa uku. Mamwe mamiriro anoita kuti mhinduro iyi isakodzere kana kuti inogona kukuvadza.

Vanhu vane chirwere chakakomba cheitsvo vangangodaro vasingakwanise kugadzirisa ma electrolytes muLactated Ringer's zvakanaka, zvichikonzera kuunganidzwa kunotyisa mumuviri wavo. Saizvozvowo, avo vane kukundikana kwemoyo kwakanyanya vangangodaro vasingabate zvakanaka huwandu hwemvura yakawedzerwa.

Mupi wako wehutano achadzivisa Lactated Ringer's kana uine chero mamiriro aya:

• Chirwere chakakomba chechiropa chinodzivirira kugadzirisa lactate zvakanaka
• Mazinga epotassium akakwira muropa rako (hyperkalemia)
• Kukundikana kwakanyanya kweitsvo kana kushanda kweitsvo kwakaderera
• Kukundikana kwemoyo kunoita kuti manejimendi emvura ave akakosha
• Kuziva kusangana nemishonga kune chero zvikamu zvemuitiro
• Mamwe marudzi ekusagadzikana kwemetabolic

Muzviitiko zvisingawanzoitiki, vanhu vane mamiriro akasiyana-siyana emagene anokanganisa maitiro emuviri wavo lactate kana mamwe ma electrolytes vangangoda mamwe mhinduro eIV. Chiremba wako achasarudza sarudzo yakachengeteka zvichienderana nemufananidzo wako wakakwana wekurapa.

Mazita eBrand eLactated Ringer's

Lactated Ringer's inowanikwa pasi pemazita akati wandei emhando, kunyangwe kuumbwa kwacho kuchiramba kwakafanana pakati pevagadziri. Mazita akajairika emhando anosanganisira Lactated Ringer's Injection, Ringer's Lactate, uye Hartmann's Solution.

Makambani akasiyana-siyana emishonga anogadzira mhinduro iyi pasi pemazita akasiyana, asi ese ane zvinhu zvakafanana zvakakosha mumakonzentiresheni akafanana. Chipatara chako kana nzvimbo yekuchengetedza hutano inowanzo sarudza kuti ndeipi mhando yekuchengeta zvichienderana nemutengo uye kuwanikwa.

Mamwe mazita emhando yaungave ukaona anosanganisira Baxter's Lactated Ringer's Injection, Hospira's Lactated Ringer's, kana B. Braun's Lactated Ringer's Solution. Zvisinei nemhando, mhedzisiro yekurapa uye kuchengeteka kunoramba kuri kuenderana.

Zvimwe Zvinhu Zvokutsiva Lactated Ringer's

Mhinduro dzakawanda dzeIV dzinogona kutsiva Lactated Ringer's kana isina kukodzera mamiriro ako. Chiremba wako anosarudza sarudzo yakanakisisa zvichienderana nezvido zvako zvekurapa uye rudzi rwemvura kana electrolyte kutsiva kunodiwa.

Normal saline (0.9% sodium chloride) ndiyo imwe nzira yakajairika, kunyanya kana uchida kutsiva mvura pasina mamwe ma electrolytes anowanikwa muLactated Ringer's. Iyo iri nyore mukuumbwa uye inoshanda zvakanaka pakupera mvura yemuviri.

Zvimwe zvimwe zvinhu zvinogona kufungwa nachiremba wako zvinosanganisira:

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• Plasma-Lyte A, ine electrolyte composition yakasiyana
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• Dextrose solutions kana uchida zvese mvura uye glucose
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• Albumin solutions kune mamwe marudzi ekurasikirwa kwemvura
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• Half-normal saline yezvido zvakakosha zve electrolyte
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• Balanced salt solutions ine misanganiswa yakasiyana yezvicherwa
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Mumamiriro ezvinhu akakosha, chiremba wako anogona kukurudzira zvigadzirwa zveropa, colloid solutions, kana dzimwe mvura yekutsiva. Sarudzo inoenderana nezvakarasika nemuviri wako uye zvaunoda kuti upore zvakanaka.

Ko Lactated Ringer's iri nani pane Normal Saline?

Zvese Lactated Ringer's uye normal saline zvinoshamisa IV solutions, asi imwe neimwe ine zvainobatsira mumamiriro akasiyana. Sarudzo

Lactated Ringer's inowanzofanana nemvura yemuviri wako, zvichiita kuti ive yakanaka kana uchida kutsiva ma electrolytes akawanda pamwe chete nemvura. Normal saline yakapfava uye inoshanda zviri nani kana uchida kutsiva mvura isina mamwe mamineral.

Tsvakurudzo yemazuva ano yezvokurapa inoratidza kuti Lactated Ringer's inogona kukonzera matambudziko mashoma mune dzimwe nguva, kunyanya panguva yekuvhiyiwa kukuru kana mvura yakawanda ichidiwa. Zvisinei, normal saline inoramba iri sarudzo inosarudzwa kune mamiriro chaiwo akadai sekukuvara kwehuropi kana matambudziko eitsvo.

Chikwata chako chehutano chinofunga nezvezvinhu zvakaita sebasa reitsvo dzako, mamiriro emoyo wako, uye chikonzero nei uchida mvura yeIV pakusarudza pakati pemhinduro idzi. Zvose zvakachengeteka uye zvinoshanda kana zvichishandiswa zvakakodzera mumamiriro ezvinhu akakodzera ekurapa.

Mibvunzo Inowanzo Bvunzwa Pamusoro peLactated Ringer's

Q1. Lactated Ringer's yakachengeteka here kune vanhu vane chirwere cheshuga?

Hongu, Lactated Ringer's inowanzochengeteka kune vanhu vane chirwere cheshuga, asi chikwata chako chehutano chichatarisa mazinga eshuga yeropa rako zvakanyanya panguva yekurapa. Mhinduro iyi ine lactate panzvimbo yeglucose, saka haina kukwidza shuga yeropa zvakananga sezvinogona kuitwa nemhinduro dzine dextrose.

Zvisinei, lactate iri mumhinduro inogona kushandurwa kuita glucose muchiropa chako, izvo zvingakonzera kuwedzera kushoma mumazinga eshuga yeropa. Chikwata chako chekurapa chichatarisa mazinga ako eglucose nguva dzose uye chichagadzirisa mishonga yako yechirwere cheshuga kana zvichidiwa panguva yekurapa.

Q2. Ndingaita sei kana ndikaona kuzvimba kana kurwadziwa panzvimbo yeIV?

Zivisa mukoti wako nekukasira kana ukaona kuzvimba kukuru, kurwadziwa, kana kutsvuka panzvimbo yako yeIV. Zviratidzo izvi zvinogona kuratidza kuti IV yabuda mutsinga kana kuti uri kuita reaction kumhinduro.

Vashandi venyu vezvehutano vachaongorora nzvimbo iyi uye vangada kutamisa IV kune imwe nzvimbo. Usaedza kugadzirisa IV iwe pachako, sezvo izvi zvingakonzera kukuvara kana kuunza mabhakitiriya muropa rako.

Mubvunzo 3. Chii chinoitika kana ndikagamuchira Lactated Ringer's yakawandisa?

Kugamuchira Lactated Ringer's yakawandisa kunogona kutungamirira kune fluid overload, iyo inokonzera zviratidzo zvakaita sekufema kwakaoma, kuwedzera uremu nekukurumidza, kana kuzvimba mumakumbo ako nechiso. Vashandi venyu vezvehutano vanokutarisa zvakanyanya kudzivirira izvi kuti zvisaitike.

Kana fluid overload ikaitika, timu yako yezvokurapa ichanonoka kana kumisa infusion uye inogona kukupa mishonga yekubatsira kubvisa mvura yakawandisa mumuviri wako. Vachatarisawo basa remoyo nemapapu ako zvakanyanya kusvikira chiyero chako chemvura chadzoka kune zvakajairika.

Mubvunzo 4. Ndingadya uye kunwa zvakajairika ndichigamuchira Lactated Ringer's?

Muzviitiko zvakawanda, unogona kudya uye kunwa zvakajairika uchigamuchira Lactated Ringer's, kunze kwekunge chiremba wako akupa mirairo chaiyo yekudzivisa chikafu kana zvinwiwa. Mhinduro yeIV haiwanzo kukanganisa kugaya kana chikafu chakajairika.

Zvisinei, kana uri kurapwa nezvimwe zvirwere zvakaita sekurutsisa kwakanyanya kana pamberi pekuvhiyiwa, timu yako yezvokurapa ingangodzivisa chikafu chako uye kunwa mvura. Nguva dzose tevera mirairo chaiyo yemupi wako wehutano nezvekudya nekunwa panguva yekurapa.

Mubvunzo 5. Ndichanzwa sei zviri nani nekukurumidza mushure mekuwana Lactated Ringer's?

Vanhu vazhinji vanotanga kunzwa zviri nani mukati memaminitsi makumi matatu kusvika kumaawa mashoma ekutanga kurapwa kweLactated Ringer's, kunyanya kana kupera mvura mumuviri kwakanga kuchikonzera zviratidzo zvavo. Unogona kuona mazinga esimba akavandudzwa, kushaya dzungu kushoma, uye kunyaradzwa kwakanaka sezvo chiyero chako chemvura chichivandudza.

Nguva chaiyo inoenderana nekuti wakanga wakaoma mvura sei pakutanga uye nekukurumidza sei muviri wako unopindura kurapwa. Vamwe vanhu vanonzwa zororo rinenge richibva ipapo, nepo vamwe vane kurasikirwa kwemvura kwakanyanya vangangoda maawa akati wandei kana mazuva ekurapwa kuti vanzwe zviri nani zvakanyanya.