Ringer lactate yog dab tsi? Cov tshuaj no yog tsim los kho cov electrolyte imbalance. Cov tshuaj muaj qhov sib npaug ntawm cov electrolytes. Lub peculiarity ntawm cov tshuaj no yog hais tias nws muaj ib tug detoxifying nyhuv, raws li nws txo cov concentration ntawm teeb meem tshuaj nyob rau hauv cov ntshav.
Kev piav qhia
Ringer's lactate tov zoo li cov kua ntshiab, tsis muaj xim lossis daj. Cov cuab yeej them nyiaj rau qhov tsis muaj cov ntshav ncig. Tom qab kev tswj hwm rau tus neeg mob, qhov kev txiav txim pib li ntawm ib nrab teev, tom qab ntawd nws raug tso tawm ntawm lub cev nrog cov zis. "Ringer lactate" kho qhov tsis txaus ntawm electrolyte. Cov tshuaj no zoo ib yam hauv nws cov khoom rau isotonic. Muaj nyob rau hauv cov thawv polymer rau infusion daws ntawm 250, 500, 1000, 2000 ml.
Txhua lub thawv ntim nrog cov lus qhia hauv lub hnab yas pob tshab. Cov tshuaj muaj ib tug loj daim ntawv teev cov kev phiv, contraindications, raws li zoo raws li kev ntsuasYuav tsum ceev faj thaum noj nrog lwm yam tshuaj.
Kev qhia
Yuav ua li cas yog "Ringer lactate" tshuaj? Thawj qhov taw qhia yog kho cov dej thiab electrolyte imbalance. Tus mob no tshwm sim yog tias ib tug neeg tau poob dej ntau thaum raws plab, nrog rau qhov tshwm sim ntawm lub cev qhuav dej vim kev noj cov dej tsis txaus hauv lub cev. Cov tshuaj kuj tau sau rau hauv plab hnyuv fistulas, hauv kev npaj rau kev phais thiab rov qab los tom qab nws. Lwm qhov kev qhia yog metabolic acidosis.
Contraindications thiab phiv
"Ringer lactate" tsuas yog siv rau ntawm daim ntawv tshuaj. Contraindications suav nrog:
- mob ntshav siab;
- lub plawv tsis ua hauj lwm;
- siab tsis ua hauj lwm;
- pulmonary edema;
- hyperkalemia, hypernatremia, hyperchloremia, hypervolemia;
- rhiab rau cov tshuaj tiv thaiv.
Cov kev mob tshwm sim muaj xws li:
- hloov pauv cov ntshav electrolyte;
- metabolic alkalosis;
- ua xua (o, hnoos, khaus tawv nqaij, ua pa nyuaj).
Yog tias muaj teeb meem tshwm sim, cov tshuaj yuav tsum raug txiav tawm, thiab tus neeg mob yuav tsum tau txais kev pab tsim nyog. Kev noj tshuaj ntau dhau tuaj yeem cuam tshuam cov dej-electrolyte tshuav nyiaj li cas, provoke cardiopulmonary decompensation. Cov tshuaj yog siv nrog ceev faj thaum cev xeeb tub thiab lactation. Tsis siv rau hauv kev kho menyuam yaus.
Composition
"Ringer lactate" suav nrog ntau yam khoom. Cov khoom muaj poov tshuaj chloride, sodium chloride, calcium chloride thiab sodium lactate. Tus excipient yog dej npaj rau kev txhaj tshuaj.
Kev qhia
Cov lus qhia rau kev siv "Ringer lactate" qhia yuav ua li cas siv cov cuab yeej no. Cov tshuaj yog muab drip, intravenously. Cov koob tshuaj yog tsim los ntawm tus kws kho mob coj mus rau hauv tus account tus neeg mob tus mob. Lub sijhawm ntawm kev kho mob yog tus kheej. Qhov koob tshuaj ntau tshaj yog nyob ntawm tus neeg mob cov khoom siv electrolyte thiab kua dej. Cov koob tshuaj feem ntau tsis tshaj 30-40 ml / kg ntawm lub cev hnyav.
Thaum kho nrog cov lus nug, tus neeg mob tus mob, lactate cov ntsiab lus hauv lub cev, acid-base thiab dej-electrolyte tshuav yuav tsum tau saib xyuas. Nrog kev ceev faj, cov tshuaj tau muab rau cov neeg laus, cov neeg mob uas tau kuaj pom tias muaj ntshav siab, kab mob plawv, hypoxia, thiab edema kuj tau pom. Cov tshuaj yog muab rau cov neeg mob kom zoo zoo li sai tau yog tias lawv tau txais corticotropin thiab corticosteroids. Cov tshuaj no tsis yog siv los ua ntshav nyias.
Cov analogues ntawm cov tshuaj muaj xws li "Lactasol", "Ringer", "Addamel N", "Quintasol", "Ringer-hydrocarbonate". Yog tias koj noj cov tshuaj uas tsis yog-steroidal anti-inflammatory, estrogens, androgens, anabolic hormones, corticosteroids tib lub sij hawm raws li cov tshuaj no, koj yuav muaj kev nce hauv sodium retention hauv lub cev.
Kev sib xyaw nrog lub plawv glycosides ua rau muaj kev nce ntxiv ntawm kev qaug cawv thiab kev phiv.
Yog tias peb piv cov tshuaj hauv nqe lus nug nrog cov analogue "Lactasol", ces nws tuaj yeem raug sau tseg tias nws raug sau tseg rau kev ua haujlwm tsis zoo, peritonitis, poob siab, plab hnyuv, plab hnyuv loj, kub hnyiab. Muaj raws li kev daws rau infusion lossis txhaj tshuaj. Cov tshuaj no ua ke, nws tshem tawm ntau yam teeb meem ntawm dej thiab electrolyte tshuav, txhim kho cov ntshav, ntshav ncig, muaj diuretic, plasma-substituting, detoxifying nyhuv.
"Quintasol" kuj yog ib qho analogue. Nws raug pom zoo rau cov kab mob hauv plab, toxic shock syndrome, mob peritonitis, kev puas tsuaj rau cov hlab ntsha, duodenal obstruction, acidosis, thiab txo cov kua ntim. Muaj raws li kev daws rau infusion. Nws yog cov kua uas tsis muaj xim pob tshab. Nws yog ib tug plasma-hloov tus neeg sawv cev, restores dej thiab electrolyte tshuav nyiaj li cas, normalizes ntshav ncig. Qhov zoo ntawm cov tshuaj muaj xws li cov npe me me ntawm contraindications thiab tsis muaj kev phiv.
Reviews
"Ringer's lactate", raws li tau sau tseg los ntawm ntau, yog ib qho tshuaj zoo uas tsuas yog kws kho mob tau sau tseg. Raws li cov neeg mob, cov kev daws teeb meem yog siv rau cov dej tsis txaus, uas tuaj yeem tshwm sim tom qab muaj tshuaj lom hnyav heev vim yog ntuav thiab raws plab. Tsis tas li ntawd, nws yog nquag siv nyob rau hauv kev kho mob xyaum tom qab phais rauntshav poob loj, poob siab, raug mob hnyav.
Txawm li cas los xij, qhov kev daws teeb meem no muaj nws qhov tsis zoo. Ntxiv nrog rau cov npe ntev ntawm contraindications, nws muaj ntau yam kev phiv. Ntxiv rau, Ringer's Lactate tsis tuaj yeem yuav yam tsis muaj daim ntawv tshuaj.
