Glucose yog ib qho ntawm cov khoom noj muaj txiaj ntsig, uas tau yooj yim nqus los ntawm cov ntaub so ntswg, ua kom lub zog reserves ntawm lub cev thiab normalizing nws cov hauj lwm. Los ntawm cov ntaub ntawv ntawm tsab xov xwm no, koj tuaj yeem paub qhov twg cov kws kho mob tau sau cov piam thaj, yuav siv li cas kom raug.
Ib daim foos
Glucose, kev siv uas tau piav qhia tom qab hauv kab lus, yog muag hauv cov ntawv hauv qab no:
- Powder.
- Tablets ntawm 0.5 mg. Cov tshuaj tau ntim rau hauv pob ntawm 10 hauv cov pob cell.
- 1mg ntsiav tshuaj. Ib pob muaj 10 lossis 50 ntsiav tshuaj.
- 5, 10, 25, 40% kev daws rau kev siv cov hlab ntsha hauv ampoules. Ib lub thawv muaj 5 lossis 10 ampoules.
- 5, 10, 20, 40% kev daws teeb meem hauv iav fwj. Txhua lub raj mis muaj 200, 250, 400, 500 lossis 1000 ml ntawm cov kua.
Txawm hais tias qhov ntau npaum li cas ntawm cov tshuaj, cov khoom xyaw tseem ceeb yog dextrose monohydrate. Hauv lwm lo lus, cov piam thaj qhuav + cov khoom pab cuam.
Pharmacological action
Glucose yog ib qho txiaj ntsig ntawm kev noj zaub mov carbohydrate. Lub ntsiab pharmacological kev txiav txim yog tsom rau kev txhim khometabolism hauv lub cev, ua kom cov txheej txheem redox.
Glucose ntsiav tshuaj muaj cov vasodilating nruab nrab thiab sedative cuam tshuam. Nyob rau theem cellular, nws muab kev nce hauv lub zog ntawm tus neeg, ua rau nws txoj kev txawj ntse thiab lub cev tsim tau.
Glucose 5% nyob rau hauv daim ntawv ntawm kev daws yog siv feem ntau. Cov nyhuv infusion ntawm cov tshuaj pab txo qhov tsis muaj dej hauv lub cev, rov ua dua tshiab ntawm cov ntshav.
Kev daws 10-40% yog hu ua hypertonic. Lawv nce osmotic siab thiab tso zis, qhib cov txheej txheem metabolic hauv daim siab thiab muaj txiaj ntsig zoo rau kev ua haujlwm ntawm cov leeg nqaij hauv lub cev.
Cov lus qhia rau kev siv
Cov kab mob dab tsi yog glycemia tau sau tseg? Kev siv cov ntsiav tshuaj thiab cov kev daws teeb meem uas muaj cov tshuaj no tsis txwv rau cov npe tshwj xeeb ntawm cov kab mob. Glucose yog siv nyob rau hauv hypoglycemia. Tsis tas li ntawd, nws raug sau ua zaub mov ntxiv tiv thaiv keeb kwm ntawm kev kis kab mob.
Nyob rau hauv kev pab kho mob plawv decompensation, plab hnyuv pathologies thiab hemorrhagic diathesis, qabzib raug sau tseg. Kev siv 5% tshuaj intravenously txhim kho tus mob ntawm tus neeg mob pulmonary edema. Yog tias tsis siv nws, nws tsis tuaj yeem xav txog kev kho tshuaj lom nrog tshuaj lom neeg, tshuaj.
Contraindications thiab phiv
Thaum twg yuav tsum tsis txhob noj tshuajuas muaj cov piam thaj? Cov lus qhia hais tias lub ntsiab contraindication yog ntshav qab zib mellitus, nrog rau lwm yam kab mob nrog rau kev nce hauv cov ntshav qab zib. Nrog kev ceev faj heev, cov tshuaj txhaj tshuaj tau muab tshuaj rau cov neeg mob uas lub raum tsis ua haujlwm ntev.
Cov kev mob tshwm sim muaj xws li:
- hyperhydration;
- poob qab los;
- phlebitis thiab thrombosis;
- mob ntawm daim tawv nqaij ntawm qhov chaw txhaj tshuaj;
- daim siab ua haujlwm tsis zoo.
Yog tias koj ntsib ib lossis ntau tus tsos mob los ntawm daim ntawv teev npe no, koj yuav tsum nrhiav kev pab tswv yim. Cov neeg mob feem ntau yuav tsum tsis txhob noj cov tshuaj uas muaj piam thaj.
Cov lus qhia rau kev siv thiab ntau npaum li cas
Glucose 5% belongs rau qeb ntawm isotonic daws, nws tau txhaj rau hauv tib neeg lub cev:
- IV (yam tsawg kawg 300ml kua, siab tshaj 2L);
- subcutaneous (ib zaug txog li 500 ml);
- nyob rau hauv daim ntawv ntawm enemas (300-2000 ml).
Tsis tas li, cov lus qhia rau kev siv piav qhia txog lwm yam kev siv tshuaj uas muaj piam thaj. Cov hmoov ua ke nrog cov tshuaj insulin, tshuaj methylene xiav kom ua tiav cov txiaj ntsig zoo tshaj plaws.
Rau cov kev daws teeb meem hypertonic ntawm 10, 25 lossis 40%, tsuas yog siv cov tshuaj txhaj tshuaj. Rau ib qho kev txhaj tshuaj, 20-50 ml ntawm kua yog siv. Nyob rau hauv ib qho mob hnyav ntawm tus neeg mob, thaum muaj kev puas tsuaj loj heevqabzib, cov tshuaj hypertonic yog tswj hwm los ntawm drip infusion.
Hauv daim ntawv ntsiav tshuaj, cov piam thaj tau noj hauv qhov ncauj. 1-2 ntsiav tshuaj ib zaug, thiab yog tias tsim nyog, cov koob tshuaj tau nce mus rau 10 ntsiav tshuaj. Qhov ntau npaum li cas nyob ntawm tus neeg mob. Cov ntsiav tshuaj yuav tsum tau noj kwv yees li ib teev ua ntej noj mov. Lawv tuaj yeem zom los yog nqus tau.
Glucose thaum cev xeeb tub
Tawm tsam keeb kwm ntawm kev hloov pauv ntawm lub cev uas tau pom hauv lub cev ntawm tus poj niam cev xeeb tub, kev hloov pauv me ntsis hauv cov ntshav qabzib yog suav tias yog ib txwm muaj. Feem ntau, hauv cov poj niam hauv txoj haujlwm, cov kws kho mob kuaj pom tias hyperglycemia. Kev tawm hws ntau ntxiv, tshee tshee, kev xav tsis tu ncua ntawm kev tshaib kev nqhis thiab qaug zog - tag nrho cov tsos mob no qhia txog kev txo qis hauv cov ntshav qabzib. Nyob rau hauv rooj plaub no, tus poj niam yuav tsum tau qhia txog qhov tsis zoo ntawm tus mob rau tus kws kho mob.
Glucose, kev siv uas thaum cev xeeb tub tsuas yog ua tau los ntawm kws kho mob tshwj xeeb, muaj cov khoom noj khoom haus. Droppers nrog nws cov tshuaj kuj tau sau tseg rau yav tom ntej cov poj niam hauv kev yug menyuam uas xav tias fetal poob. Raws li kev xyaum qhia, cov tshuaj no muaj txiaj ntsig zoo rau kev loj hlob thiab kev loj hlob ntawm tus menyuam hauv plab. Tsis tas li ntawd, ntau tus kws kho mob ntseeg tias cov piam thaj txo qis qhov tshwm sim ntawm kev nchuav menyuam thiab yug ntxov ntxov.
Nqes, khaws cia
glucose nqi npaum li cas? Tus nqi ntawm cov tshuaj nyob ntawm daim ntawv tso tawm. Glucose hmoov raug nqi txog 20 rubles. Rau 5% kev daws rau infusion (400 ml) koj yuav tsum them 50 rubles, thiab rau ib pob ntawm kaum ampoules - 90rubles.
Lub neej txee kuj txawv nyob ntawm daim ntawv tso tawm. Rau cov hmoov, nws yog 5 xyoos, rau kev daws hauv ampoules - 6 xyoo, thiab cov piam thaj hauv cov ntsiav tshuaj tsuas yog khaws cia rau 4 xyoos xwb.
Tshuaj yog tsim nyog siv yog tias lub ntim tsis zoo, cov kua yog pob tshab thiab tsis muaj qhov pom tsis zoo. Raws li cov lus qhia, nws raug nquahu kom khaws cov piam thaj hauv txhua daim ntawv ntawm qhov kub ntawm 15 txog 25 degrees, nyob rau hauv ib qho chaw tiv thaiv menyuam yaus.
Cov lus pov thawj tus neeg mob
Cov neeg mob hais li cas tom qab siv cov piam thaj? Feem ntau ntawm cov kev tshuaj xyuas yog qhov zoo. Cov tshuaj ua haujlwm zoo nrog "cov dej num" uas tau muab rau nws: nws txhim kho cov txheej txheem metabolic hauv lub cev, muab lub zog ntxiv, thiab muaj txiaj ntsig zoo rau kev ua haujlwm ntawm lub plawv thiab lwm yam kabmob hauv nruab nrog cev. Cov kev mob tshwm sim xws li txo qis qab los yog lub raum ua haujlwm tsis zoo yog qhov tsawg heev.
ntsiav tshuaj qabzib, tus nqi uas tsis ntau tshaj 30 rubles, feem ntau yog siv hauv tsev kho mob. Nws tuaj yeem yuav tau ntawm yuav luag txhua lub tsev muag tshuaj, tus nqi qis, thiab cov txiaj ntsig kho tau pab txhawb kom rov zoo sai.
Summarize
Tam sim no koj paub thaum twg cov piam thaj siv rau hauv kev kho mob. Cov lus qhia rau kev siv, muaj peev xwm contraindications thiab kwv yees tus nqi ntawm cov tshuaj, nyob ntawm seb daim ntawv tso tawm - tag nrho cov no kuj qhia nyob rau hauv cov ntaub ntawv ntawm tsab xov xwm no.
Nws yog ib qho tseem ceeb kom nco ntsoov tias rau kev kho mob, qabzibNws raug nquahu kom siv tsuas yog nyob rau hauv daim ntawv tshuaj thiab tom qab kuaj xyuas tag nrho ntawm lub cev. Kev noj tshuaj rau tus kheej yog txwv nruj heev. Yog tias cov tsos mob ntawm malaise lossis teeb meem kev noj qab haus huv loj tshwm sim, kev kho yuav tsum raug ncua ib ntus. Noj qab nyob zoo!
