Njira isotonic

njira Isotonic ndi multicomponent osakaniza lopangidwa ndi zinthu mankhwala kusungunuka mu madzi otchezedwa. Ndipotu - ichi nyimbo amadzimadzi, zosakaniza zomwe ena zinthu zili mbali madzi (madzi a m'magazi) magazi. Mwachitsanzo, mankhwala monga sodium kolorayidi, m'gulu njira isotonic komanso pano (ndi nusu misa ya 0,9%) mu madzi. Jekeseni kudzera m'mitsempha sodium kolorayidi mu njira chofunika kukhala ndondomeko amaganiza mayamwidwe wa mamolekyulu madzi sing'anga ndi ndende apamwamba a solutes. Chifukwa vuto osmotic equalized solute ndende mu madzi extracellular ndi madzi a m'magazi. Chifukwa kudzudzulidwa osmotic kuthamanga amapezeka kubwezeretsa kuchepekedwa madzi mu chamoyo pa dewatering (madzi m'thupi).

Chophweka isotonic sodium kolorayidi njira mu madzi otchezedwa mu zochiritsira amatchedwanso saline, koma ichi ndi lachabechabe, kuyambira tsiku lokonzekera lilibe zosakaniza onse (mwachitsanzo, potaziyamu salt) kofunika kukhalabe boma physiologically wabwinobwino wa zimakhala thupi. Izo zinabala mu ampoules wa ml ya 10, 5 kapena 2 munali 0,9% sodium kolorayidi mu madzi. Palinso penapake zovuta kwambiri formulations multicomponent isotonic. Mwachitsanzo, "Disol" lili 6 g wa sodium kolorayidi ndi 2 ga ndi sodium nthochi trihydrate mu lita imodzi. Yopangidwa mu vayozi wa malita 0.4 ndi malita 0.2, ntchito detoxification ndi zakumwa zobwezeretsa. Komanso, mankhwala ntchito monga "Trisol", angapo mitundu Ringer "Chlosol", "Acesol".

Njira yothetsera kulowetsedwa "Chlosol" lili mu madzi okwanira 1 4,75 ga sodium kolorayidi, 3.6 ga ndi sodium nthochi trihydrate, 1.5 ga mankhwala enaake potaziyamu. Kukonza ophatikizana ntchito detoxification, plazmozamescheniya, zakumwa zobwezeretsa, monga diuretic, kapena antishock antiplatelet wothandizira. Bwino magazi, kumathandiza kuti ku thickening ndi chitukuko cha acidosis kagayidwe kachakudya, hypovolemia amachepetsa, kumaonjezera diuresis. Izi njira isotonic amapangidwa mu mbale lita 0.4 kapena lita 0.2. Mankhwala wa VED. Contraindications alkalosis, hypersensitivity, hyperkalemia, CRF kapena mavuto kwa ka wambiri madzi m'thupi. Pangakhale zotsatira zoyipa monga hyperkalemia, edema, malungo, tachycardia.

Anasonyeza kuti madzi m'thupi ndi kawopsedwe (chakudya poizoni, kamwazi, kolera, El wo- tsogolera) isotonic "Acesol" lomwe, monga "Chlosol" imapezeka vayozi wa 0.4 L kapena 0.2 L Nesvizh chomera mankhwala ( Belarus). Mkhalidwe zikuchokera ofanana kukonzekera "Chlosol" koma woipa osiyanasiyana zosakaniza: kusungunuka mu madzi okwanira 1 sodium kolorayidi 5 G 2 ga ndi sodium nthochi trihydrate ndi 1 g wa mankhwala enaake potaziyamu. Zizindikiro ndi contraindications ali mofanana "Chlosol" mankhwala.

Saline njira kumachepetsa hypovolemia, kagayidwe kachakudya acidosis , ndipo thickening wa magazi, timapitiriza diuresis ndi bwino capillary magazi, detoxification kanthu ali malonda dzina "Trisol". zotsatira mu vayozi wa 0.4 L ndi 0.2 L. Izi njira isotonic lili mu madzi okwanira 1 5 ga sodium kolorayidi, 4 ga ndi sodium bicarbonate ndi 1 g wa mankhwala enaake potaziyamu. Ntchito odwala matenda okhudzana ndi kuledzera ndi ludzu, kuphatikizapo kamwazi pachimake, poizoni chakudya, El wo- tsogolera kolera. Pamene mankhwala chikuyendetsedwera mawola 6 kuunikira chiŵerengero anayambitsa ndi madzi akatulutsidwa. Ngati hyperkalemia akufotokozera, ndiye yankho linasintha ndi chiphunzitso munali sodium kolorayidi ndi sodium wochuluka nthochi, mpaka dekhetsa electrolyte bwino.

Pokonzekera kukonzekera izi kutsatira ndondomeko ya utsogoleli wa aliyense pophika ndi, mpaka kwathunthu kusungunuka amene yapita, mchere zotsatirazi Chinawonjezeka. Aliyense isotonic sodium kolorayidi njira zakonzedwa ndi madzi otchezedwa. Iwo akamagwira distillation ku zida wapadera, wotchedwa distillers. Iwo ayenera la galasi. Madzi kuwapeza zipangizo chitsulo, osati abwino kwa yokonza zosakaniza isotonic, popeza ali ndi zitsulo ayoni amene angawononge zotsatira zimakhudzira thupi. Chimodzimodzi malamulo okhwima zilipo zokhudza zakayendesedwe ka nchito iliyonse mankhwala, ali malangizo ndi njira Buku (m'nsinga, subcutaneously, kapena enemas) anatsimikiza ndi dokotala. Store mankhwala mu mdima pa kutentha amene analimbikitsa ndi Mlengi. Pamaso ntchito, njira kusintha kwa thupi wodwalayo kutentha 36-38 ° C.