Yini i-Dextrose (Indlela ye-Intravenous): Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Dextrose enikezwa nge-IV iyisixazululo sikashukela esingenazo izinto ezingcolile esisetshenziswa ochwepheshe bezempilo ukwelapha ushukela ophansi wegazi futhi banike amandla emzimbeni wakho. Lesi sixazululo sikashukela esilula sigeleza ngqo emgudwini wakho wegazi ngentambo efakwe emthanjeni wakho, okwenza kube enye yezindlela ezisheshayo zokubuyisela amazinga kashukela wakho wegazi lapho ehlisa ngendlela eyingozi.

Ungase uthole i-IV dextrose ezibhedlela, emagumbini eziphuthumayo, noma emitholampilo yabantu abangaguli lapho umzimba wakho udinga i-glucose ngokushesha. Ochwepheshe bezempilo bayayisebenzisa futhi ukuxuba neminye imithi noma ukuvula umugqa wakho we-IV ngesikhathi senqubo yezokwelapha.

Yini i-Dextrose (Indlela ye-Intravenous)?

I-Dextrose iyindlela ye-glucose, okuyishukela ofanayo umzimba wakho owusebenzisela amandla ngokwemvelo. Uma inikezwa nge-IV, iwuketshezi olucacile, olungenazo izinto ezingcolile oluqukethe ukugxila okuhlukahlukene kwaleli shukela oluxutshwe namanzi.

Ifomu le-IV lidlula ngokuphelele uhlelo lwakho lokugaya ukudla, linikeza i-glucose ngqo emgudwini wakho wegazi. Lokhu kwenza kube ngempumelelo emangalisayo ezimweni eziphuthumayo lapho ushukela wakho wegazi wehle kakhulu, isimo esibizwa nge-hypoglycemia. Cabanga ngakho njengokunika amaseli omzimba wakho ukufinyelela ngokushesha emthonjeni wawo wamafutha owuthandayo.

Ochwepheshe bezempilo basebenzisa amandla ahlukene ezixazululo ze-dextrose, ngokuvamile asukela ku-5% kuya ku-50% ukugxila. Ipersenti ikutshela ukuthi ingakanani i-glucose encibilikisiwe emanzini - isixazululo esingu-10% siqukethe amagremu angu-10 e-glucose kuwo wonke ama-milliliters angu-100 oketshezi.

Yini i-Dextrose (Indlela ye-Intravenous) Esetshenziselwa Yona?

I-IV dextrose isebenza ngezinhloso eziningana ezibalulekile zezokwelapha, ukwelapha ushukela ophansi wegazi ngendlela eyingozi kuyinto ejwayelekile. Uma i-glucose yakho yegazi yehla ngaphansi kwamazinga aphephile, lo muthi ungalibuyisela ngokushesha amazinga ajwayelekile futhi uvimbele izinkinga ezingathi sína.

Abahlinzeki bezempilo nabo basebenzisa i-dextrose ukuhlinzeka ngama-calories namandla ezigulini ezingakwazi ukudla noma ukuphuza ngendlela ejwayelekile. Uma ungakwazi ukuthatha ukudla ngomlomo ngenxa yokuhlinzwa, ukugula, noma izinkinga zokugaya ukudla, i-IV dextrose isiza ukuvimbela umzimba wakho ukuthi ungawaphuli imisipha yawo namafutha ukuze athole amandla.

Nawa amanye amazwi lapho odokotela bangase banikeze khona i-IV dextrose:

• I-hypoglycemia eqinile (ushukela wegazi ophansi oyingozi)
• Izimo eziphuthumayo zikashukela lapho ushukela wegazi wehla kakhulu
• Ukuphelelwa amanzi emzimbeni okuhlanganiswe noshukela wegazi ophansi
• Ukungakwazi ukudla noma ukuphuza ngenxa yezimo zezokwelapha
• Ngesikhathi sezinqubo ezithile zezokwelapha ezidinga ushukela wegazi ozinzile
• Njengesixazululo sokuthwala eminye imithi ye-IV

Ngokuvamile, odokotela bangase basebenzise i-dextrose ekwelashweni okukhethekile njengokunciphisa ukuvuvukala kobuchopho noma ukwelapha izinhlobo ezithile zobuthi. Ithimba lakho lezempilo lizobona ukuthi yini okufanele ukugxilisa nokuthi yini okufanele isetshenziswe ngokusekelwe ezidingweni zakho zezokwelapha.

Isebenza Kanjani I-Dextrose (Indlela Ye-Intravenous)?

I-Dextrose isebenza ngokuhlinzeka umzimba wakho nge-glucose esheshayo engasetshenziswa amaseli akho ukuze athole amandla. Uma ingena egazini lakho nge-IV, ihamba emzimbeni wakho wonke futhi imuncwa ngokushesha amaseli akho, ikakhulukazi ubuchopho bakho, obuncike kakhulu ku-glucose ukuze busebenze kahle.

Lo muthi ubhekwa njengokwelashwa okusheshayo ngoba akudingeki ukuthi ugaywe noma ucutshungulwe yisisu namathumbu akho. Ngemizuzu yokuthola i-IV dextrose, ungase uqaphele ukuthuthuka kwezimpawu ezinjengokudideka, ukuthuthumela, noma ubuthakathaka obuqhamuka kushukela wegazi ophansi.

Amandla e-dextrose njengomuthi ancike ekugxilisweni okusetshenziswayo. Ukugxilisa okuphansi njenge-5% dextrose kunikeza amandla athambile, aqhubekayo kanye nokuhlinzekwa kwamanzi emzimbeni. Ukugxilisa okuphezulu njenge-25% noma i-50% dextrose kusebenza ngamandla nangokushesha ukuze kunyuse amazinga kashukela wegazi ezimweni eziphuthumayo.

Umzimba wakho usebenzisa i-IV dextrose njengoba nje usebenzisa i-glucose evela ekudleni, usebenzisa i-hormone insulin ukusiza amaseli ukuyimunca. Umehluko omkhulu ukushesha - i-IV dextrose idlula inqubo yokugaya ejwayelekile futhi iqala ukusebenza ngokushesha.

Ngingayithatha Kanjani I-Dextrose (Indlela Yemithambo)?

Awuzithatheli wena i-IV dextrose - ngaso sonke isikhathi inikezwa ochwepheshe bezempilo abaqeqeshiwe ezindaweni zezokwelapha. Umuthi ungena egazini lakho ngeshubhu elincane lepulastiki elibizwa nge-IV catheter elifakwa emthanjeni, ngokuvamile engalweni yakho noma esandleni sakho.

Ngaphambi kokuthola i-dextrose, akudingeki ukuthi ugweme ukudla noma iziphuzo ngaphandle uma udokotela wakho ekutshela ngqo ukuthi wenze kanjalo. Eqinisweni, uma ukwazi ukudla futhi ushukela wakho wegazi uzinzile, umhlinzeki wakho wezempilo angase akhethe amaphilisi e-glucose yomlomo noma ukudla esikhundleni sokwelashwa nge-IV.

Inqubo yokufaka amanzi ngokuvamile ikhululekile futhi ayinabuhlungu uma i-IV isikhona. Ngokuvamile uzolala phansi noma uhlale esihlalweni ngenkathi isixazululo sithontsa kancane emthanjeni wakho. Izinga lokufakwa kwamanzi lincike esimweni sakho - izimo eziphuthumayo zingase zidinge ukuphathwa ngokushesha, ngenkathi imithamo yokulungisa igeleza kancane.

Ngesikhathi sokwelashwa, abahlinzeki bezempilo bazoqapha amazinga akho kashukela egazini njalo ukuze baqinisekise ukuthi i-dextrose isebenza kahle. Bazophinda bahlole indawo yakho ye-IV ukuze baqinisekise ukuthi isebenza kahle futhi ayibangeli ukucasuka emthanjeni wakho.

Ngingayithatha Isikhathi Esingakanani I-Dextrose (Indlela Yemithambo) ?

Ubude bokwelashwa nge-IV dextrose buhlukahluka kakhulu kuye ngokuthi kungani uyithola. Ezimweni eziphuthumayo zikashukela ophansi wegazi, ungase uyidinge amahora ambalwa kuphela kuze kube yilapho amazinga akho ezinzile futhi ungadla ngendlela ejwayelekile futhi.

Uma uthola i-dextrose ngoba awukwazi ukudla noma ukuphuza, ukwelashwa kungase kuqhubeke izinsuku eziningana noma ngisho namasonto. Ithimba lakho lezempilo lizohlola njalo ukuthi usayidinga yini i-glucose ye-IV noma ngabe ungangena ekudleni ukudla noma ukuthola ukudla okunomsoco ngezinye izindlela.

Ukwelashwa okuphuthumayo kwe-hypoglycemia eqinile ngokuvamile kuhlelo lwesikhashana, okuthatha isikhathi esanele sokubuyisela amazinga kashukela egazi aphephile. Uma ukufundwa kwakho kwe-glucose kuzinzile futhi uqaphele ngokwanele ukudla, udokotela wakho cishe uzokushintshela emithonjeni ye-glucose yomlomo.

Ithimba lakho lezokwelapha lizoqhubeka nokubheka isimo sakho futhi lilungise uhlelo lokwelapha njengoba kudingeka. Bazocabangela izinto ezinjengokuthambekela koshukela egazini lakho, ikhono lakho lokudla, kanye nentuthuko yakho yokululama iyonke lapho benquma ukuthi bazokwazi isikhathi esingakanani ukuqhubeka ne-IV dextrose.

Yiziphi Imiphumela Eceleni ye-Dextrose (Indlela ye-Intravenous)?

Abantu abaningi bayakwazi ukubekezelela i-IV dextrose kahle, kodwa njenganoma imuphi umuthi, ingabangela imiphumela emibi. Izinkinga ezivamile ngokuvamile zithambile futhi zihlobene nendawo yokufaka i-IV noma ukuthola i-glucose eningi ngokushesha kakhulu.

Ungase uzwe ukungakhululeki endaweni ye-IV, okuhlanganisa ubuhlungu besikhashana, ukubomvu, noma ukuvuvukala lapho kufakwe inaliti. Lezi zimpawu ngokuvamile zixazululeka ngokushesha ngemva kokususwa kwe-IV futhi azidingi ukwelashwa okukhethekile.

Nawa amanye imiphumela emibi ongase uyibone:

• Ubuhlungu besikhashana noma ukucasuka endaweni yokufaka i-IV
• Ukuvuvukala okuncane noma ukubomvu ngase-IV
• Ukuzwa ukoma noma ukudinga ukuchama kaningi
• Ushintsho lwesikhashana emazingeni kashukela egazini
• Isicanucanu esincane kwabanye abantu

Imiphumela emibi engathi sína ayivamile kodwa ingenzeka, ikakhulukazi uma uthola i-dextrose eningi ngokushesha kakhulu noma uma unezimo ezithile zezokwelapha. Lokhu kungase kuhlanganise ukuvuvukala okukhulu, ubunzima bokuphefumula, noma izinguquko ezinzima emazingeni kashukela egazini.

Nawa amanye imiphumela emibi engavamile kodwa engathi sína okufanele uqaphele:

• Ukuvuvukala okukhulu endaweni ye-IV noma engalweni yakho
• Izimpawu zokutheleleka endaweni ye-IV (ukubomvu okukhulu, ukufudumala, noma amanyala)
• Ukuphefumula kanzima noma ukuqina kwesifuba
• Isicanucanu esikhulu noma ukuhlanza
• Ukudideka noma izinguquko esimweni sengqondo
• Ukungezwani komzimba (nakuba kungavamile kakhulu nge-dextrose)

Iqembu lakho lezempilo likuqapha eduze ngesikhathi sokwelashwa ukuze libambe noma yiziphi izinkinga zisasekuqaleni. Imiphumela eminingi emibi ingeyesikhashana futhi iyaphela uma ukwelashwa kuphela noma kulungiswa.

Ubani Ongafanele Athole I-Dextrose (Indlela Ye-Intravenous)?

Ngenkathi i-dextrose ivikelekile ngokuvamile kubantu abaningi, izimo ezithile zezokwelapha zidinga ukuqapha okwengeziwe noma zingenza i-IV dextrose ingafaneleki. Abantu abanesifo sikashukela esingalawuleki bangase badinge ukuqapha ngokucophelela ngoba i-dextrose ingakhuphula amazinga kashukela egazini kakhulu.

Udokotela wakho uzobukeza umlando wakho wezokwelapha ngokucophelela ngaphambi kokubhala i-IV dextrose. Bazocabangela izimo zakho zamanje zempilo, imithi, nanoma yikuphi ukungezwani komzimba ongase ube nakho, nakuba ukungezwani komzimba kweqiniso ku-dextrose kungavamile kakhulu.

Abantu okufanele basebenzise i-IV dextrose ngokucophelela bahlanganisa labo abane:

• Isifo sikashukela okunzima ukusilawula
• Isifo sezinso noma ukuhluleka kwezinso
• Ukuhluleka kwenhliziyo noma izinkinga zenhliziyo ezinkulu
• Isifo sesibindi esibi kakhulu
• Ukugcinwa kwamanzi noma izinkinga zokuvuvukala
• Ukungalingani kwe-electrolyte

Ngaphezu kwalokho, izimo ezithile ezingavamile zingenza ukwelashwa nge-dextrose kube nzima kakhulu:

• Ukuntuleka kwe-Glucose-6-phosphate dehydrogenase (G6PD)
• Ukungondleki okukhulu okudinga izindlela zokudla ezikhethekile
• Izifo ezithile ze-metabolic ezithinta ukucutshungulwa kukashukela
• Ukutheleleka okusebenzayo okungase kube kubi ngoshukela wegazi ophezulu

Umhlinzeki wakho wezempilo uzokala izinzuzo ngokumelene nezingozi ezingaba khona esimweni sakho esithile. Noma ngabe unesinye salezi zimo, ungase usathola i-IV dextrose uma izinzuzo zidlula izingozi.

Amagama Omkhiqizo we-Dextrose

I-IV dextrose itholakala kubakhiqizi abaningi futhi ivame ukubizwa ngegama layo elivamile kunamagama athile omkhiqizo. Izibhedlela eziningi nezikhungo zezokwelapha zisebenzisa izixazululo ze-dextrose ezivamile ngoba zisebenza ngendlela efanayo futhi zonga izindleko.

Ungase ubone izixazululo ze-dextrose zibhalwe ngamagama ahlukene achaza ukugxila kwazo, njenge-D5W (5% dextrose emanzini) noma i-D10W (10% dextrose emanzini). Lawa awawona amagama omkhiqizo kodwa izifinyezo ezijwayelekile zezokwelapha ezisetshenziswa abahlinzeki bezempilo.

Ezinye izinkampani zemithi zikhiqiza i-dextrose ngaphansi kwamagama athile omkhiqizo, kodwa lawa awasetshenziswa kakhulu ezindaweni eziningi zezokwelapha. Umhlinzeki wakho wezempilo uzogxila ekukutholeni ukugxila okulungile kanye nenani le-dextrose kunomkhiqizo othile.

Ezinye izindlela ze-Dextrose

Kukhona ezinye izindlela ze-IV dextrose, kuye ngezidingo zakho zezokwelapha kanye nesimo sakho. Ezindabeni eziphansi zikashukela wegazi, amaphilisi e-glucose yomlomo noma ama-gel e-glucose angasebenza ngendlela efanayo futhi angahlaseli kangako kunokwelashwa kwe-IV.

Uma uqaphela futhi ukwazi ukugwinya, umhlinzeki wakho wezempilo angase ancome ukusebenzisa ushukela ogayeka ngokushesha njengoju lwezithelo, isoda ejwayelekile, noma imikhiqizo ye-glucose ekhethekile. Lokhu kusebenza kancane kune-IV dextrose kodwa kungasebenza kahle kakhulu ezimweni ezingathí sina.

Nazi ezinye izindlela ezivamile udokotela wakho angazicabangela:

• Amaphilisi e-glucose yomlomo noma ama-gel
• Ukujova kwe-Glucagon ngokuphansi kwe-hypoglycemia
• Ukudla okuvamile noma iziphuzo eziqulathe ushukela
• Ezinye izixazululo ze-IV njenge-normal saline ukuze zithole amanzi
• Izixazululo ze-IV zokudla okunomsoco ngezidingo zesikhathi eside

Kubantu abadinga ukwesekwa kokudla isikhathi eside, ezinye izindlela zingabandakanya amashubhu okudla noma izixazululo ezikhethekile zokudla okunomsoco ze-IV ezibizwa ngokuthi i-total parenteral nutrition (TPN). Ithimba lakho lezempilo lizokhetha inketho engcono kakhulu ngokusekelwe esimweni sakho sezokwelapha nezidingo zomuntu ngamunye.

Ingabe i-Dextrose Ingcono Kunezinye Izindlela Zokwelapha I-Glucose?

I-IV dextrose akudingeki ukuthi

Uma unesifo sikashukela futhi uthola i-IV dextrose, ithimba lakho lezokwelapha lizobheka amazinga kashukela egazini lakho ngokucophelela futhi lingase lilungise imithi yakho yesifo sikashukela ngokufanele. Umgomo uwukubuyisela amazinga kashukela egazini aphephile ngaphandle kokubangela ukuthi ashintshe kakhulu.

Q2. Kufanele Ngenzeni Uma Ngithola Ngengozi I-Dextrose Eningi Kakhulu?

Awukwazi ukuzinika ngokwakho i-IV dextrose eningi kakhulu ngoba ihlale inikezwa ochwepheshe bezempilo ababala ngokucophelela futhi baqaphe umthamo. Kodwa-ke, uma uhlangabezana nezimpawu ezinjengokoma ngokweqile, ukuvama ukuchama, isicanucanu, noma ukudideka ngesikhathi sokwelashwa, yazisa umhlinzeki wakho wezempilo ngokushesha.

Abasebenzi bezokwelapha baqeqeshwe ukubona izimpawu ze-glucose eningi kakhulu futhi bangalungisa ukwelashwa kwakho ngokufanele. Bangase banciphise izinga lokufakwa, bahlole ushukela wakho wegazi kaningi, noma banikeze imithi eyengeziwe uma kudingeka.

Q3. Kufanele Ngenzeni Uma Indawo Yami Ye-IV Iba Ngezinhlungu Noma Ivuvukala?

Tshela umhlinzeki wakho wezempilo ngokushesha uma uhlangabezana nobuhlungu obukhulu, ukuvuvukala, noma ububomvu endaweni yakho ye-IV. Lezi zimpawu zingase zibonise ukuthi i-IV isuke emthanjeni wakho noma ukuthi uqala ukuthola ukutheleleka.

Ungazami ukuzilungisa i-IV ngokwakho noma uyisuse ngaphandle uma uqondiswe abasebenzi bezokwelapha. Ithimba lakho lezempilo lingahlola isimo futhi lilungise kabusha i-IV noma lifake entsha endaweni ehlukile uma kudingeka.

Q4. Ngingayeka Nini Ukuthatha I-Dextrose?

Umhlinzeki wakho wezempilo uzonquma ukuthi uyeka nini i-IV dextrose ngokusekelwe emazingeni akho kashukela egazini, ikhono lakho lokudla nokuphuza ngokujwayelekile, kanye nesimo sakho sezempilo esiphelele. Ukuze uthole ukwelashwa okuphuthumayo kwe-hypoglycemia, ungase ukudinga kuphela amahora ambalwa.

Ngokuvamile, i-IV dextrose iyekiswa lapho amazinga akho kashukela egazini ezinzile, uqaphile futhi ukwazi ukudla, futhi isimo sakho sezempilo esingaphansi sithuthukile. Udokotela wakho uzokushintsha kancane kancane uye ekudleni ngomlomo uma kufanelekile.

Q5. Ngingadla futhi ngiphuze ngenkathi ngithola i-IV Dextrose?

Ukuthi ungadla futhi uphuze kuncike esimweni sakho sezempilo nokuthi kungani uthola i-dextrose. Uma uyithola ngenxa kashukela ophansi wegazi futhi uqaphile futhi ukwazi ukugwinya, umhlinzeki wakho wezempilo angase akukhuthaze ukuthi udle uma isimo sakho sesizinzile.

Kodwa-ke, uma uthola i-dextrose ngoba awukwazi ukudla ngokujwayelekile ngenxa yokuhlinzwa noma ukugula, kuzodingeka ukuthi ulandele imiyalelo ethile yeqembu lakho lezokwelapha mayelana nokudla nokuphuza. Bazokwazisa ukuthi kuphephile nini ukuqhubeka nokudla okuvamile.