Yini i-Lactated Ringer's: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Lactated Ringer's iyisixazululo samanzi esingenazo izinto ezingcolile esinikezwa odokotela nge-IV ukushintsha uketshezi olulahlekile nama-electrolyte emzimbeni wakho. Cabanga ngayo njengengxube elinganiselwe ngokucophelela elihambisana eduze nalokho umzimba wakho okudinga ngokwemvelo uma uphelelwe amanzi noma ulahlekelwa uketshezi.

Lesi sixazululo se-IV siqukethe amanzi, i-sodium, i-potassium, i-calcium, ne-lactate ngezilinganiso ezithile ezibonisa ukulingana koketshezi komzimba wakho. Abahlinzeki bezempilo bayayisebenzisa ezibhedlela, emagumbini eziphuthumayo, nasezindaweni zokuhlinzwa lapho umzimba wakho udinga ukushintshwa koketshezi okusheshayo.

Yini i-Lactated Ringer's Esetshenziselwa Yona?

I-Lactated Ringer's isiza ukubuyisela ukulingana koketshezi nama-electrolyte emzimbeni wakho uma ulahlekelwe amanzi amaningi ngenxa yokugula, ukuhlinzwa, noma ukulimala. Ingenye yezinto eziwuketshezi ze-IV ezisetshenziswa kakhulu ezindaweni zezokwelapha ngoba isebenza kahle ezimweni eziningi ezihlukene.

Udokotela wakho angase ancome lesi sixazululo uma ubhekene nezimo eziningana ezithinta amazinga oketshezi emzimbeni wakho. Nazi izimo eziyinhloko lapho i-Lactated Ringer's iba usizo khona:

• Ukuphuma amanzi emzimbeni okukhulu okuvela ekuphalazeni, isifo sohudo, noma ukujuluka ngokweqile
• Ukulahlekelwa igazi ngesikhathi sokuhlinzwa noma ngemva kokulimala
• Ukusha okubangela ukulahlekelwa okukhulu koketshezi ngesikhumba esilimele
• Izimo zokushaqeka lapho umfutho wegazi lakho wehla ngendlela eyingozi
• Izinkinga zezinso ezithinta ikhono lomzimba wakho lokulinganisa uketshezi
• Ukulungiselela izinqubo ezinkulu zokuhlinzwa

Ezimweni ezingavamile, odokotela bangase basebenzise i-Lactated Ringer's ezimweni ezinjenge-severe metabolic acidosis noma izinhlobo ezithile zobuthi. Isixazululo sisiza ukuzinzisa umzimba wakho ngenkathi ezinye izindlela zokwelapha zisebenza ukubhekana nenkinga eyisisekelo.

Isebenza Kanjani i-Lactated Ringer's?

I-Lactated Ringer's isebenza ngokushintsha ngokuqondile uketshezi kanye namaminerali abalulekile umzimba wakho owalahlekelwa yiwo. Lapho isixazululo singena emithanjeni yakho nge-IV, sisabalala ngokushesha emzimbeni wakho wonke ukuze sibuyisele ukulinganisela okufanele koketshezi.

I-lactate esixazululweni iguqulela ku-bicarbonate esibindini sakho, okusiza ukulungisa ukungalingani kwe-acid-base egazini lakho. Le nqubo yenzeka ngokwemvelo futhi isiza umzimba wakho ukuthi ugcine amazinga e-pH afanele ukuze usebenze kahle.

Ngokungafani namanzi nje, i-Lactated Ringer's iqukethe ama-electrolyte avimbela amaseli akho ukuthi angavuvuki noma anciphe lapho uketshezi lubuyiselwa. Ukwakheka okulinganiselayo kusho ukuthi umzimba wakho ungawusebenzisa ngokushesha ngaphandle kokuphazamisa izinqubo zamaseli ezijwayelekile.

Ngingaluthola Kanjani I-Lactated Ringer's?

I-Lactated Ringer's inikezwa njalo ngomugqa we-IV ngabasebenzi bezempilo abaqeqeshiwe ezindaweni zezokwelapha. Awukwazi ukuthatha lo muthi ngomlomo, futhi awulawulwa ekhaya ngaphandle kokuqashwa kwezokwelapha.

Umnakekeli wakho uzofaka ipayipi elincane lepulasitiki emthanjeni, ngokuvamile engalweni yakho noma esandleni sakho. Isixazululo sigeleza esikhwameni esingenazo inzalo ngamashubhu ngokuqondile emithanjeni yakho ngesilinganiso esinqunywa udokotela wakho ngokusekelwe ezidingweni zakho ezithile.

Izinga lokufakwa kuncike ezintweni eziningana okuhlanganisa iminyaka yakho, isisindo, isimo sezokwelapha, nokuthi umzimba wakho udinga uketshezi olungakanani. Ithimba lakho lezempilo lizokuqapha eduze ngesikhathi sokufakwa ukuze liqinisekise ukuthi uthola inani elifanele ngesivinini esifanele.

Akudingeki ukuthi ulungiselele ukuthola i-Lactated Ringer's ngokudla noma ukugwema ukudla okuthile. Nokho, tshela umhlinzeki wakho wezempilo ngayo yonke imithi oyithathayo, njengoba eminye imithi ingasebenzisana nama-electrolyte esixazululweni.

Ngingaluthola Isikhathi Esingakanani I-Lactated Ringer's?

Isikhathi sokwelashwa nge-Lactated Ringer's siyahlukahluka kakhulu kuye ngesimo sakho sezempilo nokuthi umzimba wakho usabela ngokushesha kangakanani ekwelashweni. Abanye abantu bayayidinga amahora ambalwa nje, kanti abanye bangase bayidinge izinsuku eziningana.

Ithimba lakho lezempilo lizohlola njalo amazinga akho oketshezi, ukulinganisela kwama-electrolyte, kanye nesimo sakho esiphelele ukuze linqume ukuthi uthole nini okwanele. Bazogada umfutho wegazi lakho, izinga lokushaya kwenhliziyo, kanye nokuhlolwa kwelabhorethri ukuze baqondise izinqumo zabo.

Ukuze unganamanzi amancane, ungase udinge kuphela izikhwama ezilodwa noma ezimbili zesixazululo emahoreni ambalwa. Izimo ezingathi sína njengokusha okukhulu noma ukuhlinzwa okukhulu kungase kudingeke ukumnika okuqhubekayo izinsuku eziningi ngenkathi umzimba wakho uphola futhi uzinza.

Yiziphi Imiphumela Eceleni ye-Lactated Ringer's?

Abantu abaningi bayakubekezelela kahle kakhulu i-Lactated Ringer's, kodwa njenganoma yikuphi ukwelashwa kwezokwelapha, kungabangela imiphumela emibi kwabanye abantu. Iningi lemiphumela emibi imnene futhi iyaxazululeka ngokushesha lapho ukumnika kuqediwe.

Imiphumela emibi ejwayelekile ongase uyithole ihlanganisa ukungakhululeki okuncane endaweni ye-IV, njengobuhlungu obuncane, ububomvu, noma ukuvuvukala lapho inaliti ingena emthanjeni wakho. Lezi zimpendulo zivame ukuba zesikhashana futhi azidingi ukwelashwa okukhethekile.

Nansi imiphumela emibi ebonakalayo engenzeka ngesikhathi noma ngemva kokuthola i-Lactated Ringer's:

• Umuzwa wokugcwala noma ukuqunjelwa njengoba umzimba wakho ugcina uketshezi olwengeziwe
• Isicanucanu esincane noma ukungakhululeki kwesisu
• Ushintsho lwesikhashana emaphethini okuchama
• Ushintsho oluncane kumfutho wegazi noma izinga lokushaya kwenhliziyo
• Izinzwa ezipholile noma ezifudumele njengoba uketshezi lungena emgombeni wakho wegazi

Imiphumela emibi engathi sína ayivamile kodwa idinga ukunakekelwa kwezempilo ngokushesha. Lokhu kungabandakanya izimpawu zokugcwala uketshezi njengobunzima bokuphefumula, ukuzuza isisindo ngokushesha, noma ukuvuvukala okukhulu emilenzeni yakho noma ebusweni.

Izinkinga ezingavamile kodwa ezinzima zingabandakanya ukusabela okukhulu komzimba, ukushaya kwenhliziyo okungajwayelekile ngenxa yokungalingani kwama-electrolyte, noma izinkinga ezivela ekutholeni uketshezi oluningi ngokushesha kakhulu. Ithimba lakho lezempilo liqapha lezi zinto ezingenzeka kuyo yonke imithi yakho.

Ubani Ongafanele Athole i-Lactated Ringer's?

I-Lactated Ringer's ayifanele wonke umuntu, futhi udokotela wakho uzohlola ngokucophelela umlando wakho wezokwelapha ngaphambi kokuncoma le mithi. Izimo ezithile zenza lesi sixazululo singafaneleki noma singaba yingozi.

Abantu abanezifo ezinzima zezinso kungenzeka bangakwazi ukucubungula ama-electrolyte ku-Lactated Ringer's ngendlela efanele, okuholela ekwakhekeni okuyingozi ohlelweni lwabo. Ngokufanayo, labo abanenhliziyo ehlulekayo engathuthuki kungenzeka bangakwazi ukusingatha kahle ivolumu eyengeziwe yoketshezi.

Umhlinzeki wakho wezempilo uzogwema i-Lactated Ringer's uma unezimo ezilandelayo:

• Isifo esinzima sesibindi esivimbela ukucutshungulwa okufanele kwe-lactate
• Amazinga aphezulu e-potassium egazini lakho (i-hyperkalemia)
• Ukwehluleka okukhulu kwezinso noma ukuncipha komsebenzi wezinso
• Ukwehluleka kwenhliziyo okugcwele okwenza ukuphathwa koketshezi kubaluleke kakhulu
• Ukungezwani komzimba okwaziwayo kunoma iyiphi ingxenye yesixazululo
• Izinhlobo ezithile zezifo ze-metabolic

Ezimweni ezingavamile, abantu abanezimo ezithile zofuzo ezithinta indlela umzimba wabo ocubungula ngayo i-lactate noma ama-electrolyte athile kungenzeka badinge ezinye izixazululo ze-IV. Udokotela wakho uzokhetha inketho ephephe kakhulu ngokusekelwe esithombeni sakho esiphelele sezokwelapha.

Amagama Omkhiqizo we-Lactated Ringer's

I-Lactated Ringer's iyatholakala ngaphansi kwamagama amaningi omkhiqizo, nakuba ukwakheka kuhlala kufana phakathi kwabakhiqizi. Amagama omkhiqizo ajwayelekile kakhulu afaka i-Lactated Ringer's Injection, i-Ringer's Lactate, kanye ne-Hartmann's Solution.

Izinkampani ezahlukene zemithi zikhiqiza leli khambi ngaphansi kwamagama ahlukahlukene, kodwa zonke ziqukethe izithako eziyisisekelo ezifanayo emazingeni afanayo. Isibhedlela sakho noma indawo yokunakekelwa kwezempilo ngokuvamile ikhetha ukuthi yiluphi uhlobo okufanele lulugcine ngokuya ngezindleko nokutholakala.

Amanye amagama emikhiqizo ongase uwabone afaka i-Lactated Ringer's Injection ka-Baxter, i-Lactated Ringer's ka-Hospira, noma i-Lactated Ringer's Solution ka-B. Braun. Kungakhathaliseki ukuthi yiluphi uhlobo, imiphumela yokwelapha kanye nephrofayili yokuphepha ihlala ifana.

Ezinye Izindlela Zokusebenzisa I-Lactated Ringer's

Izixazululo eziningana ze-IV ezingenye zingathatha indawo ye-Lactated Ringer's lapho ingafaneleki esimweni sakho. Udokotela wakho ukhetha inketho engcono kakhulu ngokusekelwe ezidingweni zakho ezithile zezokwelapha kanye nohlobo lwamanzi noma ukufakwa kwama-electrolyte okudingekayo.

I-saline ejwayelekile (0.9% sodium chloride) iyindlela ejwayelekile, ikakhulukazi uma udinga ukufakwa kwamanzi ngaphandle kwama-electrolyte angeziwe atholakala ku-Lactated Ringer's. Ilula ngokuqamba futhi isebenza kahle ekuphelelwe amanzi emzimbeni okuyisisekelo.

Ezinye izindlela umhlinzeki wakho wokunakekelwa kwezempilo angase azicabangele zihlanganisa:

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• I-Plasma-Lyte A, enokwakheka okuhlukile kwama-electrolyte
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• Izixazululo ze-Dextrose uma udinga kokubili uketshezi ne-glucose
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• Izixazululo ze-Albumin zezinhlobo ezithile zokulahlekelwa uketshezi
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• I-saline engxenye ejwayelekile yezidingo ezithile zama-electrolyte
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• Izixazululo zosawoti ezilinganiselwe ezinamakhono ahlukene amaminerali
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Ezimweni ezikhethekile, udokotela wakho angase ancome imikhiqizo yegazi, izixazululo ze-colloid, noma ezinye izixazululo ezithile zokufaka esikhundleni. Ukukhetha kuncike kulokho umzimba wakho okulahlekelwe yikho nalokho okudingayo ukuze ululame kahle.

Ingabe i-Lactated Ringer's Ingcono Kune-Normal Saline?

Kokubili i-Lactated Ringer's ne-normal saline ziyizixazululo ezinhle kakhulu ze-IV, kodwa ngasinye sinenzuzo ezimweni ezihlukene. Inketho

I-Lactated Ringer's ihambisana kakhulu nokwakheka kwamanzi emvelo omzimba wakho, okwenza ilungele uma udinga ukufaka ama-electrolyte amaningi kanye noketshezi. I-saline ejwayelekile ilula futhi isebenza kangcono uma udinga kuphela ukufakwa koketshezi oluyisisekelo ngaphandle kwamaminerali angeziwe.

Ucwaningo lwezokwelapha lwakamuva luphakamisa ukuthi i-Lactated Ringer's ingase ibangele izinkinga ezimbalwa ezimweni ezithile, ikakhulukazi ngesikhathi sokuhlinzwa okukhulu noma lapho kudingeka amanzi amaningi. Kodwa-ke, i-saline ejwayelekile isahlala iyindlela ekhethwayo yezimo ezithile ezinjengokulimala kobuchopho noma izinkinga ezithile zezinso.

Ithimba lakho lezempilo licabangela izinto ezinjengomsebenzi wezinso zakho, isimo senhliziyo yakho, nesizathu sokuthi udinga uketshezi lwe-IV lapho ukhetha phakathi kwalezi zixazululo. Zombili ziphephile futhi ziyasebenza uma zisetshenziswa ngendlela efanele ezimweni ezifanele zezokwelapha.

Imibuzo Evame Ukubuzwa Mayelana ne-Lactated Ringer's

Q1. Ingabe i-Lactated Ringer's iphephile kubantu abanesifo sikashukela?

Yebo, i-Lactated Ringer's ngokuvamile iphephile kubantu abanesifo sikashukela, kodwa ithimba lakho lezempilo lizobheka amazinga kashukela egazini lakho ngesikhathi sokwelashwa. Isixazululo siqukethe i-lactate kunokuba i-glucose, ngakho-ke ayikhuphuli ngokuqondile ushukela wegazi njengoba izixazululo eziqulathe i-dextrose zizokwenza.

Kodwa-ke, i-lactate esixazululweni ingaguqulwa ibe yi-glucose esibindini sakho, okungase kubangele ukwanda okuncane kwamazinga kashukela egazini. Ithimba lakho lezokwelapha lizohlola amazinga akho e-glucose njalo futhi lilungise imithi yakho yesifo sikashukela uma kudingeka ngesikhathi sokwelashwa.

Q2. Kufanele ngenzeni uma ngibona ukuvuvukala noma ubuhlungu endaweni ye-IV?

Yazisa umhlengikazi wakho ngokushesha uma uhlangabezana nokuvuvukala okukhulu, ubuhlungu, noma ububomvu endaweni yakho ye-IV. Lezi zimpawu zingase zibonise ukuthi i-IV isuswe emthanjeni noma ukuthi unokuphendula esixazululweni.

Iqembu lakho lezempilo lizohlola indawo futhi lingase lidingeke ukuthi lithuthe i-IV kwenye indawo. Ungazami ukuzilungisa i-IV ngokwakho, ngoba lokhu kungadala ukulimala noma kungenisa amagciwane egazini lakho.

Q3. Kwenzekani uma ngithola i-Lactated Ringer's eningi kakhulu?

Ukuthola i-Lactated Ringer's eningi kakhulu kungaholela ekugcwalaneni koketshezi, okubangela izimpawu ezinjengobunzima bokuphefumula, ukukhuluphala ngokushesha, noma ukuvuvukala emilenzeni yakho nasebusweni. Ithimba lakho lezempilo likuqapha eduze ukuze livimbele lokhu ukuthi kungenzeki.

Uma ukugcwala koketshezi kwenzeka, ithimba lakho lezokwelapha lizokwehlisa noma limise ukufakwa futhi lingakunika imithi yokusiza ukususa uketshezi oluningi emzimbeni wakho. Bazophinda baqaphe umsebenzi wenhliziyo namaphaphu akho eduze kuze kube yilapho ibhalansi yakho yoketshezi ibuyela kokujwayelekile.

Q4. Ngingadla futhi ngiphuze ngokujwayelekile ngenkathi ngithola i-Lactated Ringer's?

Ezimweni eziningi, ungadla futhi uphuze ngokujwayelekile ngenkathi uthola i-Lactated Ringer's, ngaphandle uma udokotela wakho ekunikeze imiyalelo ethile yokugwema ukudla noma uketshezi. Isixazululo se-IV ngokuvamile asiphazamisi ukugaya noma ukudla okunomsoco okujwayelekile.

Kodwa-ke, uma uthola ukwelashwa kwezimo ezithile ezinjengokuhlanza okukhulu noma ngaphambi kokuhlinzwa, ithimba lakho lezokwelapha lingase likhawulele ukudla kwakho noketshezi. Njalo landela imiyalelo ethile yomhlinzeki wakho wezempilo mayelana nokudla nokuphuza ngesikhathi sokwelashwa.

Q5. Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokuthola i-Lactated Ringer's?

Abantu abaningi baqala ukuzizwa ngcono phakathi nemizuzu engama-30 kuya emahoreni ambalwa ngemva kokuqala ukwelashwa kwe-Lactated Ringer's, ikakhulukazi uma ukoma kwamanzi kwakubangela izimpawu zabo. Ungase uqaphele amazinga amandla athuthukisiwe, isiyezi esincane, nokunethezeka okungcono jikelele njengoba ibhalansi yakho yoketshezi ithuthuka.

Isikhathi esiqondile sincike ekutheni wawomile kangakanani ekuqaleni nokuthi umzimba wakho usabela ngokushesha kangakanani emithini. Abanye abantu bazizwa bekhululekile cishe ngokushesha, kanti abanye abalahlekelwe uketshezi oluningi bangase badinge amahora amaningi noma izinsuku zokwelashwa ukuze bazizwe ngcono kakhulu.