Ringer njira. Kufotokozera za kukonzekera ndi ntchito zake

Kodi n'zotheka zoperewerazo madzimadzi thupi, kuphatikizapo electrolytes, zimene mankhwala ntchito kwa kawirikawiri kwambiri?

Ringer njira. The ntchito ndi kufotokozera lokonzekera

Ringer ndi yankho - madzi mandala, lomwe linali ndi sodium kolorayidi, kashiamu ndi potaziyamu. Ntchito njira azilipira zochokera mu extracellular thupi madzimadzi pamodzi ndi electrolytes zazikulu (sodium, potaziyamu, calcium) ndi chlorides.

Monga ulamuliro, njira Ringer a ntchito kufufuza ntchito za minofu perfusion kapena ziwalo payekha. Ndi katundu chonyezimira usawonongeke timatha inu mpaka kalekale kusunga magwiridwe ndi katundu thupi la zimakhala wamoyo. N'chifukwa chake Ringer anapeza ntchito kwambiri mu zatsopano zachipatala ndi kupatsidwa zina. Iye komanso mwachangu ntchito zochizira nyama, pokhalabe imawonongeratu ziwalo zawo mkati.

Komabe, ntchito yaikulu ya mankhwala opezeka mantha, kugwa, frostbite, zilonda zamoto, kutsegula m'mimba yaitali komanso kusanza. Iwo ali detoxication tingati ofunika ndi kusintha electrolyte ndi zikuchokera amadzimadzi magazi. Ringer bwinobwino amagwiritsa ntchito mu madzi m'thupi chiyambi, hypovolemic mantha, hyponatremia, kagayidwe kachakudya acidosis imfa zambiri madzimadzi.

Mlingo tsiku la mankhwala ndi 5-20 ml ya / kg akuluakulu. Choncho mlingo akhoza ziwonjezeke ngati n'koyenera ndi nthawi 2. jekeseni liwiro - pafupifupi 30 madontho / min. The pazipita kuchuluka kwa njira anadzetsa thupi patsiku sayenera upambana malita 3. Pankhaniyi cha mankhwala osokoneza bongo mwaona kuchuluka ndende ya electrolytes m'magazi, ndi asidi-m'munsi mgwirizano, imbaenda movutikira, kuwonongeka ambiri matenda kapena imfa ya chikumbumtima.

Contraindications ntchito njira Ringer ndi:

- edema m'mapapo mwanga kapena ubongo

- mtima kulephera,

- oliguria,

- anuria,

- hypervolemia,

- acidosis

- aakulu aimpso kulephera,

- chloruremia,

- hypernatremia ndi hypercalcemia.

Limited ndi mankhwala kwa odwala ndi kuchuluka kudziwa yantchito Magawo ofunikira a njira (kashiamu mankhwala enaake, potaziyamu ndi sodium wochuluka. Zimenezi zingachititse zizindikiro matupi awo sagwirizana ndi ayenera kukhala osamala.

Locke Ringer akhoza mwachangu kucheza ndi mankhwala ena. Iwo akhoza Choncho anaona posungira ndi sodium mu thupi tikadwala anabolic wothandizira, corticotropin, estrogens, mineralocorticoids, ganglioblokatorov kapena vasodilators osiyana. Woyembekezera, mankhwala ngati kungatheke kukusalani kapena ntchito kokha pa nthawi imene ubwino kuposa chinthu chiopsezo cha mwana wosabadwayo. Kuyamwitsa pa phwando Ringer oletsedwa chifukwa zigawo zake kugwa kudzera mu mkaka wa mayi ndi mwanayo, kuchititsa sayanjana kapena njira zilonda akuthamanga m'thupi mwake (osati kwenikweni, koma mwatsoka nkotheka). Pa nthawi iyi, pamene kufunika kwa njira yabwino kupita khalidwe ndi chilinganizo kutsimikiziridwa.

njira Ringer a amachoka mu botolo ndi yankho lomveka bwino. Kusiya mankhwala pharmacies Ananyamula ndi mankhwala, ndipo kusungidwa mu malo ouma kumene ana ndi mwayi zochepa. Jekeseni mankhwala amaloledwa yekha mabungwe zachipatala kapena ndi nkhani mwachindunji ntchito zaumoyo. ntchito Only mabotolo undamaged unexpired alumali moyo, amene sakhala kuposa zaka ziwiri. Pamene turbidity Ringer ntchito mankhwala ndikoletsedwa, ngakhale mfundo pa phukusi si chipeneko.