Yini i-Calcium-Chloride-Dextrose-Hetastarch-Magnesium-Chloride-Potassium-Chloride-Sodium-Chloride-Sodium-Lactate IV Solution? Ukusetshenziswa, Imiphumela, & Okulindelekile

Le solution ye-intravenous iyindlela yokwelapha ekhethekile yokufaka uketshezi oluhlanganisa izakhamzimba eziningi ezibalulekile nama-electrolyte umzimba wakho owadingayo ukuze usebenze kahle. Cabanga ngayo njengesithasiselo esiwuketshezi esilinganiselwe ngokucophelela esinikezwa odokotela ngqo emsingeni wakho wegazi uma umzimba wakho ungenakukwazi ukugcina amazinga afanele oketshezi nezakhamzimba ngokwawo. Le ngxube eyinkimbinkimbi isiza ukubuyisela lokho okulahlekelwe umzimba wakho ngenxa yokugula, ukuhlinzwa, noma ezinye izimo zezokwelapha.

Yini le solution ye-IV ngempela?

Le solution ye-IV iyindlela yokwelapha uketshezi olunamalunga amaningi equkethe izinto eziyisikhombisa ezihlukene ezisebenza ndawonye ukusekela izidingo zomzimba wakho. Isithako ngasinye sinomsebenzi othile ekugcineni impilo yakho nokusiza umzimba wakho ukuthi ululame ezimweni ezihlukahlukene zezokwelapha.

Le solution ihlanganisa ama-electrolyte (amaminerali asiza umzimba wakho ukuthi usebenze), i-dextrose (uhlobo lukashukela oluthola amandla), ne-hetastarch (into esiza ukugcina ivolumu yegazi). Uma kuxutshwe ndawonye, lezi zithako zenza ukwelashwa okubanzi okuqondisa amasistimu amaningi omzimba ngesikhathi esisodwa.

Kuzwakala kanjani ukuthola le solution ye-IV?

Abantu abaningi abazizwa lutho uma le solution ye-IV inikezwa. Ungase uqaphele umuzwa opholile engalweni yakho eduze nendawo ye-IV njengoba uketshezi lungena emsingeni wakho wegazi, okujwayelekile ngokuphelele futhi okuvame ukuba mnene.

Abanye abantu bazwa ukunambitheka okuncane kwensimbi emlonyeni wabo, ikakhulukazi kusuka engxenyeni ye-calcium, kodwa lokhu kuvame ukushabalala ngokushesha. Ungase futhi uzizwe unamandla kancane kancane njengoba umzimba wakho uthola izakhamzimba noketshezi oludingayo.

Ukufakwa kwe-IV ngokwako kuzizwa njengokucindezela okusheshayo, okufana nokudonswa kwegazi. Uma i-IV isikhona, kufanele uzizwe ukhululekile futhi ngokuvamile ungahamba ngokujwayelekile ngenkathi uhlala uxhumeke emgqeni we-IV.

Ziyini izinto ngazinye kanye nezinjongo zazo?

Isithako ngasinye kulesi sixazululo esiyinkimbinkimbi sinendima ebalulekile ekusekeleni ukululama komzimba wakho nokugcina ukusebenza okufanele. Ukuqonda ukuthi yini eyenziwa yisithako ngasinye kungakusiza ukuthi uzizwe uqiniseka ngokwengeziwe ngemithi yakho.

Nakhu okufakwa yisithako ngasinye ekunakekelweni kwakho:

• I-calcium chloride - Isekela ukusebenza kwemisipha nemizwa efanele, okuhlanganisa nesigqi senhliziyo yakho
• I-Dextrose - Inikeza amandla ngokushesha amaseli akho futhi isiza ekuvikeleni ushukela ophansi wegazi
• I-Hetastarch - Isiza ukugcina ivolumu yegazi futhi isekela ukujikeleza kwegazi emzimbeni wakho wonke
• I-magnesium chloride - Kubalulekile ekusebenzeni kwemisipha, ukudluliswa kwemizwa, kanye nomsebenzi we-enzyme
• I-potassium chloride - Kubalulekile ekusebenzeni kwenhliziyo, ukuncipha kwemisipha, kanye nezimpawu zemizwa
• I-sodium chloride - Igcina ibhalansi yoketshezi futhi isekela umfutho wegazi ofanele
• I-sodium lactate - Isiza ukulungisa ibhalansi ye-acid-base egazini lakho

Le nhlanganisela isebenza ngokubambisana, okusho ukuthi isithako ngasinye sithuthukisa ukusebenza kwabanye. Ithimba lakho lezokwelapha libala ngokucophelela amanani afanele ngokusekelwe ezidingweni zakho ezithile kanye nesimo sezokwelapha.

Yiziphi izimo ezingadinga lesi sixazululo se-IV?

Lesi sixazululo se-IV esibanzi sivame ukusetshenziswa lapho umzimba wakho udinga ukusekelwa okukhulu ukuze ugcine uketshezi olufanele, i-electrolyte, kanye nebhalansi yamandla. Udokotela wakho angase akutuse ngesikhathi sezimo ezihlukahlukene zezokwelapha lapho ukudla ngomlomo kunganele noma kungenzeki.

Izimo ezivamile ezingadinga lokhu kwelashwa zihlanganisa:

• Ukuphelelwa amanzi emzimbeni okukhulu ngenxa yokugula, ukuhlinzwa, noma ukulahlekelwa uketshezi oluningi
• Izinqubo ezinkulu zokuhlinzwa lapho ungeke ukwazi ukudla noma ukuphuza ngokujwayelekile
• Ukugula okubucayi okudinga ukwesekwa okukhulu kokudla noketshezi
• Ukungalingani okukhulu kwama-electrolyte okudinga ukulungiswa okusheshayo
• Izimo ezithinta ikhono lakho lokumunca izakhamzimba ngohlelo lwakho lokugaya ukudla
• Ukwelulama ekuhlukumezekeni lapho izidingo zomzimba wakho zidlula ukudla okuvamile

Izimo ezingavamile kodwa ezinzima zingabandakanya ukusha okukhulu, izifo ezithile zezinso, noma izinkinga ezivela kwezinye izindlela zokwelapha. Ithimba lakho lezempilo lizinquma ukuthi lesi sixazululo silungile yini esimweni sakho esithile.

Ungakwazi yini ukululama ngaphandle kwalesi sixazululo se-IV?

Ezimweni eziningi, umzimba wakho ungalulama ekungalinganini okuncane ngokuphumula, ukudla okufanele, kanye noketshezi oluphuzwayo. Kodwa-ke, lapho odokotela bencoma lesi sixazululo esibanzi se-IV, kuvamile ukuthi isimo sakho sidinga ukwesekwa okusheshayo nokukhulu kunalokho ongakuzuza ngokudla nokuphuza kuphela.

Ezimweni ezingezona ezinzima kangako, ukwelashwa okulula njengezixazululo eziyisisekelo ze-saline noma ukufakwa kwamanzi ngomlomo kungase kwanele. Ithimba lakho lezokwelapha licabangela izinto ezinjengobunzima besimo sakho, ikhono lakho lokugcina ukudla noketshezi, nokuthi umzimba wakho uzidinga ngokushesha kangakanani lezi zakhamzimba.

Isinqumo sokusebenzisa lesi sixazululo esiyinkimbinkimbi ngokuvamile sisho ukuthi abahlinzeki bakho bezempilo bafuna ukunikeza umzimba wakho ukwesekwa okungcono kakhulu ngesikhathi esinzima. Benza ngokuqikelela ukusiza ekuvikeleni izinkinga nokusheshisa ukululama kwakho.

Lesi sixazululo se-IV sinikezwa kanjani?

Lesi sixazululo se-IV sinikezwa ngomugqa we-intravenous ongenazo inzalo, ngokuvamile obekwe emthanjeni engalweni yakho noma esandleni. Inqubo ifana nokuthola igazi, kodwa i-catheter ye-IV ihlala endaweni ukuze inikeze isixazululo ngokuhamba kwesikhathi.

Iqembu lakho lezempilo lizolawula ngokucophelela izinga olithola ngalo ikhambi, liqaphe impendulo yakho kuyo yonke le nqubo yokwelapha. Izinga lokufakwa kule mithi lincike ezidingweni zakho ezithile, impilo yakho yonke, nokuthi umzimba wakho uzisingatha kanjani iziphuzo.

Ngesikhathi sokunikezwa, abahlengikazi bazohlola njalo izimpawu zakho ezibalulekile futhi baqaphele noma yiziphi izimpawu zokuthi uthola okuningi kakhulu noma okuncane kakhulu kwekhambi. Bazophinda futhi baqaphe indawo ye-IV ukuze baqinisekise ukuthi isebenza kahle futhi ayibangeli noma yikuphi ukucasuka.

Kufanele ukhathazeke nini ngemiphumela emibi?

Ngenkathi leli khambi le-IV livame ukuphepha uma linikezwa ngendlela efanele, kubalulekile ukwazi ukuthi yiziphi izimpawu ezidinga ukunakwa ngokushesha. Abantu abaningi bayakubekezelela kahle lokhu kwelashwa, kodwa impendulo yomzimba wakho ingahluka ngokuya ngempilo yakho yonke nezidingo zakho ezithile zezokwelapha.

Xhumana nethimba lakho lezempilo ngokushesha uma uhlangabezana nalokhu okulandelayo:

• Ukuphefumula ngokushesha noma ubunzima bokuphefumula
• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungavamile
• Ukuvuvukala okukhulu ebusweni bakho, ezandleni, noma ezinyaweni
• Ubuhlungu obukhulu, ububomvu, noma ukuvuvukala endaweni ye-IV
• Ukudideka okungazelelwe noma izinguquko ekuqwashiseni kwengqondo
• Isicanucanu esikhulu noma ukuhlanza okungami

Lezi zimpawu zingase zibonise ukuthi umzimba wakho unobunzima bokucubungula ikhambi noma ukuthi kudingeka ukulungiswa ekwelashweni kwakho. Ukuxhumana okusheshayo nethimba lakho lezempilo kuqinisekisa ukuthi noma yiziphi izinkinga zixazululwa ngokushesha.

Yiziphi izici eziyingozi zokuhlushwa?

Izimo ezithile zezokwelapha nezimo zingakhuphula amathuba okuba nemiphumela emibi evela kuleli khambi le-IV. Ithimba lakho lezempilo licabangela ngokucophelela lezi zici ngaphambi kokuncoma lokhu kwelashwa, kodwa kuyasiza ukuthi uziqonde nazo.

Izici ezingase zikhuphule ingozi yakho zihlanganisa:

• Izimo zenhliziyo ezithinta indlela umzimba wakho obhekana ngayo noketshezi olwengeziwe
• Isifo sezinso esithinta ikhono lakho lokucubungula ama-electrolyte
• Umlando wokungezwani okukhulu nemithi noma izixazululo ze-IV
• Isifo sesibindi esithinta indlela umzimba wakho ocubungula ngayo izakhamzimba
• Ubudala obuthuthukile, obungathinta ukuthi umzimba wakho ulungisa ngokushesha kangakanani ekwelashweni
• Ukukhulelwa, okudinga ukucatshangelwa okukhethekile kokubili umama nomntwana

Ukuba nalezi zici eziyingozi akusho ukuthi awukwazi ukuthola lokhu kwelashwa ngokuphepha. Kumane nje kusho ukuthi ithimba lakho lezempilo lizokuqapha eduze futhi lingase lilungise uhlelo lokwelashwa ukuze luhambisane nezidingo zakho ezithile.

Ziyini izinkinga ezingaba khona?

Ngenkathi izinkinga ezivela kulesi sixazululo se-IV zingavamile, ukuqonda okungenzeka kwenzeke kukusiza ukuthi uzizwe ulungile futhi uzethembile ekunakekelweni kwakho. Ithimba lakho lezempilo lithatha izinyathelo eziningi zokuvimbela lezi zinkinga ukuthi zenzeke.

Izinkinga ezingaba khona zingabandakanya:

• Ukugcwala ngokweqile koketshezi, okungabangela ukuvuvukala noma ubunzima bokuphefumula
• Ukungalingani kwama-electrolyte uma isixazululo sinikezwa ngokushesha kakhulu noma ngezilinganiso ezingalungile
• Ukutheleleka endaweni ye-IV uma amaqhinga afanele okungcolisa engagcinwa
• Amaqhubu egazi ezimweni ezingavamile, ikakhulukazi nezingxenye ezithile njenge-hetastarch
• Ukungezwani komzimba, nakuba lokhu kungavamile ngalolu hlobo lwesixazululo
• Ushintsho lwesigqi senhliziyo uma amazinga e-electrolyte eshintsha ngokushesha kakhulu

Ithimba lakho lezokwelapha liqapha ngokuqhubekayo lezi zinkinga futhi linesimiso sokuzixazulula ngokushesha uma zenzeka. Izinzuzo zalokhu kwelashwa ngokuvamile zidlula izingozi uma kudingeka ngokwezokwelapha.

Lolu hlobo lwesixazululo luqhathaniswa kanjani nokwelashwa kwe-IV okulula?

Le ndlela yokwelapha enezinto eziningi iyinkimbinkimbi kakhulu kunezixazululo ze-IV eziyisisekelo njengamanzi anosawoti ajwayelekile noma izixazululo ze-dextrose ezilula. Ngenkathi izixazululo ezilula zibhekana nesidingo esisodwa noma ezimbili, le ngxube ebanzi iqondise amasistimu amaningi omzimba ngasikhathi sinye.

Uketshezi oluyisisekelo lwe-IV lungase lithathe indawo yamanzi nosawoti olahlekile kuphela, kodwa le ndlela yokwelapha futhi inikeza amandla, isekela ukusebenza kwenhliziyo, igcina ivolumu yegazi, futhi ilungisa ukungalingani kwama-electrolyte amaningi ngasikhathi sinye. Cabanga ngomehluko phakathi kokuthatha ivithamini elilodwa uma kuqhathaniswa ne-multivitamin ephelele enamaminerali.

Udokotela wakho ukhetha le ndlela yokwelapha eyinkimbinkimbi uma umzimba wakho udinga ukusekelwa okubanzi okungahlinzekwa yizindlela zokwelapha ezilula. Ngokuvamile igcinelwe izimo zezokwelapha ezingathi sína lapho amasistimu amaningi edinga ukunakwa.

Yini okufanele uyilindele ngesikhathi sokululama?

Ukwelulama ngenkathi uthola le ndlela yokwelapha ye-IV ngokuvamile kuhilela ukuthuthuka kancane kancane endleleni ozizwa ngayo iyonke. Abantu abaningi baqaphela amazinga amandla anda, ukucaca okungcono kwengqondo, kanye namandla omzimba athuthukisiwe njengoba umzimba wabo uthola izakhamzimba noketshezi oludingayo.

Ungase uthole ukuthi izimpawu ezinjengobuthakathaka, ukudideka, noma ukushaya kwenhliziyo okusheshayo kuqala ukuthuthuka njengoba amazinga akho e-electrolyte ezinzile. Kodwa-ke, imigqa yesikhathi sokululama iyahlukahluka kakhulu ngokuya ngesimo sakho esiyisisekelo kanye nesimo sempilo yakho esiphelele.

Ithimba lakho lezempilo lizohlola njalo inqubekela phambili yakho ngokusebenzisa ukuhlolwa kwegazi, ukuqapha izimpawu ezibalulekile, nokubuza ukuthi uzizwa kanjani. Bazolungisa ukwelashwa njengoba kudingeka futhi banqume ukuthi usukulungele nini ukushintshela ekudleni okunomsoco ngomlomo noketshezi.

Imibuzo evame ukubuzwa mayelana nale ndlela yokwelapha ye-IV

Q.1 Ngizodinga isikhathi esingakanani ukuthola le ndlela yokwelapha ye-IV?

Isikhathi sincike ngokuphelele esimweni sakho sezempilo nokuthi umzimba wakho usabela kahle kangakanani emithini. Abanye abantu bayayidinga amahora ambalwa nje, kanti abanye bangase badinge izinsuku eziningana zokwelashwa. Ithimba lakho lezempilo lizobheka intuthuko yakho futhi lilungise uhlaka lwesikhathi ngokusekelwe ekululameni kwakho kanye nemiphumela yelabhorethri.

Umbuzo 2. Ngingadla futhi ngiphuze ngenkathi ngithola leli khambi le-IV?

Lokhu kuncike esimweni sakho esithile sezempilo kanye nemiyalelo kadokotela. Kwezinye izimo, ungase ukwazi ukuba namanzi amancane acacile noma ukudla okulula, kuyilapho ezinye izimo zidinga ukuphumula okuphelele kohlelo lwakho lokugaya ukudla. Ithimba lakho lezempilo lizohlinzeka ngesiqondiso esicacile mayelana nokuthi yini ephephile esimweni sakho esithile.

Umbuzo 3. Ingabe leli khambi le-IV lizosebenzelana neminye imithi yami?

Ithimba lakho lezempilo lihlolisisisa yonke imithi yakho ngaphambi kokuqala lokhu kwelashwa. Ezinye izinto, ikakhulukazi ama-electrolyte, zingasebenzelana nemithi ethile efana nemithi yenhliziyo noma imithi yokwehlisa umfutho wegazi. Bazokuqapha eduze futhi balungise ezinye izindlela zokwelapha njengoba kudingeka ukuze baqinisekise ukuthi konke kusebenza ndawonye ngokuphepha.

Umbuzo 4. Ingabe leli khambi le-IV liphephile ngesikhathi sokukhulelwa?

Ukukhulelwa kudinga ukucatshangelwa okukhethekile kunoma yikuphi ukwelashwa kwezokwelapha, okuhlanganisa nezixazululo ze-IV. Ithimba lakho lezempilo lizohlola izinzuzo ngokumelene nanoma yiziphi izingozi ezingase zibe khona kuwe nomntwana wakho. Bangase balungise izingxenye noma umthamo ukuze baqinisekise ukwelashwa okuphephe kakhulu esimweni sakho esithile.

Umbuzo 5. Kwenzekani uma i-IV iyeka ukusebenza noma iphuma?

Uma umugqa wakho we-IV uyeka ukusebenza kahle noma uphuma ngengozi, yazisa ithimba lakho lezempilo ngokushesha. Bazohlola ukuthi ngabe udinga umugqa oshintshwe ngokushesha noma ngabe ungaphumula ekwelashweni. Ungalokothi uzame ukulungisa noma ukuqalisa kabusha i-IV ngokwakho, ngoba lokhu kudinga izindlela eziyinyumba kanye nobungcweti bezokwelapha.