08 May, 2024
    Chithandizo ndi kupewa

    Glucose pamapiritsi - malangizo amomwe mungagwiritsire ntchito ndi kuwonetsa, analogi ndi mtengo

    Piritsi limodzi lili ndi gramu imodzi ya glucose monohydrate ndi magawo ena owonjezera:

    1. Wowuma wa mbatata.
    2. Talc.
    3. Stearic acid.
    4. Kashiamu yonyowa.

    Mapiritsiwo ali ndi mawonekedwe osalala komanso mawonekedwe ozungulira. Amatha kusiyanitsidwa ndi zingwe zogawanitsa komanso zopendekera. Popanga mankhwalawa limodzi ndi ascorbic acid, pakhungu ndi chamfer (kukhumudwa pakati pa ndege ndi mbali yakumaso) zimayikidwa.

    Mapiritsi khumi amaikidwa m'matumba a chithuza. Bokosi limaphatikizanso kunyamula makatoni okhala ndi matuza amodzi kapena awiri, komanso malangizo ogwiritsira ntchito. Chiti chimatha kusiyanasiyana kutengera wopanga.

    • Njira yothetsera kulowetsedwa 5%: madzi osawoneka bwino a 100, 250, 500 kapena 1000 ml mu zotengera za pulasitiki, 50 kapena 60 ma PC. (100 ml), ma 30 kapena 36 ma PC. (250 ml), 20 kapena 24 ma PC. (500 ml), ma 10 kapena 12 ma PC. (1000 ml) m'matumba otetezedwa osiyana, omwe amadzaza m'mabokosi amakhadi okhala ndi nambala ya malangizo yogwiritsidwa ntchito,
    • kulowetsedwa 10%: madzi osapaka utoto (500 ml aliyense m'mapulasitiki, 20 kapena ma PC 24. M'matumba otetezedwa olekanitsidwa, omwe amakhala ndi makatoni okhala ndi nambala yoyenera ya malangizo ogwiritsira ntchito).

    Zogwira ntchito: dextrose monohydrate - 5.5 g (yomwe imafanana ndi 5 g wa dextrose wamadzimadzi) kapena 11 g (yomwe imagwirizana ndi 10 g ya dextrose anhydrous).

    Wothandiza: madzi a jakisoni - mpaka 100 ml.

    Glucose amapangidwa mwanjira ya ufa, mu mawonekedwe am'mapiritsi mumatumba a 20 zidutswa, komanso mawonekedwe a yankho la 5% ya jakisoni m'mabotolo a 400 ml, 40% yankho mu ampoules a 10 kapena 20 ml.

    Yogwira pophika mankhwala ndi dextrose monohydrate.

    Dextrose sikuti amangokhala mapiritsi. Pali shuga mu mawonekedwe a ufa ndi mayankho a jakisoni. Mapiritsiwo ndi oyera pamtundu ndipo amakoma. Kuphatikizikako kumaphatikizapo dextrose monohydrate, aka glucose.

    Mankhwala ogwiritsira ntchito pakamwa amapezeka m'matumba a 10 ma PC. Zothetsera za jakisoni zimapezeka m'magalasi opakidwa magalasi kapena mumapulasitiki.

    Glucose amatanthauza gulu la mankhwala omwe amakhudza kagayidwe kazakudya (kagayidwe kazakudya) kawirikawiri.

    Piritsi limodzi limakhala ndi gramu imodzi ya glucose monohydrate, komanso zinthu zina zothandiza: talc, wowuma mbatata, calcium stearate ndi stearic acid. Mapiritsiwo amakhala ndi mawonekedwe ozungulira okhala ndi lathyathyathya, opindika m'mphepete mwake komanso mzere wogawa.

    Mapiritsi a Glucose okhala ndi ascorbic acid nawonso ndi oyera, ali ndi bevel komanso dash. Amayikidwanso mu zidutswa khumi. Mu bokosi la makatoni pamatha kukhala matuza amodzi kapena awiri, malangizo ogwiritsira ntchito mankhwalawo amaikidwanso pamenepo.

    Mankhwala amapezeka mu mawonekedwe a mapiritsi ndi yankho la mtsempha wamkati. Chofunikira chachikulu cha Glucose ndi dextrose monohydrate, zomwe zili mu:

    • 500 mg piritsi limodzi
    • 100 ml yankho - 40, 20, 10 ndi 5 g.

    Zomwe zimapangidwira pazinthu zothandiza za yankho zimaphatikizapo madzi a jakisoni ndi hydrochloric acid.

    Mankhwala amalowa mu mankhwala a maukonde:

    • Mapiritsi - m'matumba okhala ndi zidutswa 10,
    • Njira yothetsera kulowetsedwa - mumapulasitiki okhala ndi 50, 100, 150, 250, 500, 1000 ml kapena mabotolo agalasi a 100, 200, 400, 500 ml,
    • Njira yothetsera mtsempha wa mtsempha wa magazi imakhala ya 5 ml ndi 10 ml galasi ampoules.

    Mapiritsi oyera, flat-cylindrical, okhala ndi notch, ndi bevel.

    15 mapiritsi pa polymer paketi.

    Mosasamala mtundu wa mankhwalawa, mankhwalawa amagwiritsidwa ntchito kwambiri ndi dextrose monohydrate. Mwanjira ina, shuga wowuma ndi gawo lothandiza.

    Mlingo ndi momwe mungagwiritsire ntchito

    Glucose ndi mankhwala omwe amafunikira kuphwanya njira zambiri za metabolic m'thupi la munthu. Ndi ufa woyera, wopangidwa ndi makhiristo ang'onoang'ono komanso wopanda fungo lililonse, pomwe chida ichi chimakhala ndi kukoma.

    Izi zimagwiritsidwa ntchito pochiza matenda ena, komanso kuphwanya ntchito ya ziwalo zambiri ndi machitidwe. Mu kagayidwe ka glucose, adenosine triphosphoric acid amapangidwa, yemwe ndi wofunikira kwambiri wamagetsi.

    Odwala omwe ali ndi matenda amtundu wa 1 alibe glucose, ndiye kuti insulin imayikidwa pamapiritsi kapena mawonekedwe a jakisoni. Popanda izi, njira za oxidation-exchange sizingachitike moyenera, kuphatikiza, kugwiritsa ntchito shuga m'mapiritsi kapena mu yankho kungapangitse ntchito ya chiwindi.

    Ndikofunikira kuwongolera kugwirizanitsa kwa glucose ndi zinthu zina, chifukwa chake kuphatikiza kwa mankhwalawa kuyenera kuchitidwa ndi dokotala okha. Glucose mu mawonekedwe am'mapiritsi imatha kuperekedwa monga matenda ndi zofunikira za thupi monga:

    • kuperewera kwa chakudya m'thupi
    • achina,
    • kuledzera kwamthupi chifukwa chophwanya chiwindi.
    • kachikachiyama
    • kusowa kwamadzi - kutsekula m'mimba, kusanza, nthawi yothandizira.

    Osamachita popanda kugwiritsa ntchito insulin kwa anthu omwe akudwala matenda a shuga. Ambiri aiwo amagwiritsa ntchito jakisoni wa mankhwalawa, koma ma mapiritsi okhala ndi insulin atapezeka, zinali zosavuta kumwa mankhwalawo piritsi.

    Kugwiritsa ntchito shuga m'mapiritsi a shuga, omwe ndi gawo la mankhwala ena, amalola odwala kukana kapena jakisoni wa mankhwalawa. Mwayiwu umalola anthu kusintha miyoyo yawo, ngakhale kukhalapo kwa vuto lalikulu la endocrine monga matenda a shuga.

    Musanagwiritse shuga m'magome, muyenera kuwerenga malangizo kuti mugwiritse ntchito. Malangizo ndi chinthu chomwe sichiyenera kunyalanyaza. Zambiri zothandiza zimabisidwa mmenemo, zomwe zingathandize kupewa zinthu zosasangalatsa ndikupita kuchipatala. Koma ndi malingaliro onse akhoza kupezeka pa intaneti.

    Madokotala ambiri amalangiza kumwa shuga m'mapiritsi malinga ndi malangizo.

    Nthawi zambiri, iyi ndi ola limodzi ndi theka musanadye. Mlingo umodzi sayenera kupitirira 300 mg pa kilogalamu imodzi ya munthu. Kangati patsiku komanso kuchuluka kwa mankhwalawa angamuuze dokotala yemwe wakupangirani.

    Madokotala amalimbikitsa kugwiritsa ntchito Glucose pakamwa ola limodzi ndi theka asanadye. Mlingo umodzi sayenera kupitirira 300 mg ya mankhwala pa 1 kg ya wodwala.

    Ngati yankho la glucose liyenera kuperekedwa mwachangu, dokotala yemwe adzipereka payekhapayokha amadzindikira payokha kuchuluka kwa thunthu kapena njira ya jet.

    Malinga ndi malangizo, mlingo woyenera wa tsiku ndi tsiku kwa wodwala wamkulu ndi:

    • 5% dextrose yankho - 200 ml ya jakisoni wa 150 akutsikira pamphindi kapena 400 ml mu ola limodzi,
    • 0% yankho - 1000 ml pamlingo wakutsikira 60 pamphindi,
    • 20% yankho - 300 ml mwachangu mpaka 40 madontho,
    • 40% yankho - 250 ml yokhala ndi kuchuluka kwa ma dontho 30 mpaka mphindi imodzi.

    Ngati pakufunika kupereka Glucose kwa odwala, ndiye kuti mlingo wake udzakhazikitsidwa potengera kulemera kwa mwana, ndipo sungathe kupitilira izi:

    1. kulemera mpaka 10 makilogalamu - 100 ml pa kilogalamu ya kulemera kwa maola 24,
    2. kulemera kuchokera 10 mpaka 20 kg - mpaka voliyumu ya 1000 ml ndikofunikira kuwonjezera 50 ml pa kilogalamu kuposa 10 kg yolemera mumaola 24,
    3. kulemera kopitilira 20 kg - mpaka 1500 ml ndikofunikira kuwonjezera 20 ml kwa kilogalamu iliyonse yolemera kuposa 20 kg.

    Ndi jet intravenous oyang'anira 5 kapena 10 peresenti yothetsera, mlingo umodzi wa 10 mpaka 50 ml udzakhazikitsidwa. Mtengo wa mapiritsi ndi yankho ndizosiyana, monga lamulo, mtengo wamapiritsi ndi wotsika.

    Mukalandira Glucose ngati maziko ndi kholo la mankhwala ena, kuchuluka kwa yankho kuyenera kutengedwa kuchokera pa 50 mpaka 250 ml pa 1 piritsi yomwe mankhwala amathandizira.

    Mulingo wa makonzedwe udzakhazikitsidwa ndi zomwe mankhwala amasungunuka mu shuga.

    • 5% dextrose yankho - 200 ml ya jakisoni wa 150 akutsikira pamphindi kapena 400 ml mu ola limodzi,
    • 0% yankho - 1000 ml pamlingo wakutsikira 60 pamphindi,
    • 20% yankho - 300 ml mwachangu mpaka 40 madontho,
    • 40% yankho - 250 ml yokhala ndi kuchuluka kwa ma dontho 30 mpaka mphindi imodzi.
    1. kulemera mpaka 10 makilogalamu - 100 ml pa kilogalamu ya kulemera kwa maola 24,
    2. kulemera kuchokera 10 mpaka 20 kg - mpaka voliyumu ya 1000 ml ndikofunikira kuwonjezera 50 ml pa kilogalamu kuposa 10 kg yolemera mu maola 24,
    3. kulemera kopitilira 20 kg - mpaka 1500 ml ndikofunikira kuwonjezera 20 ml kwa kilogalamu iliyonse yolemera kuposa 20 kg.

    Mapiritsi a glucose

    Carbohydrate ndi mtundu wopanda pake, wopanda fungo, wosungunuka kwamchere wamchere wokhala ndi kukoma. Glucose amagulitsidwa mu mankhwala osokoneza bongo monga mapiritsi, ufa wowongolera pakamwa. Kugwiritsa ntchito kwa makolo, mayankho omwe ali ndi yogwira pophika 5, 10, 20, 40% mu kapu kapena pulasitiki ya 200, 250, 400, 500, 1000 ml, yomwe imagwiritsidwa ntchito kulowetsedwa (pogwiritsa ntchito ma dontho), kapena ma ampoules a 5, cholinga chake. 10, 20 ml - makonzedwe amtsempha.

    Zotsatira za pharmacological

    Glucose (dextrose) amatanthauza monosaccharides. Imapezeka mu msuzi wa mphesa ndi zipatso zina, chifukwa chake idalandira dzina lina - shuga ya mphesa. Magawo a shuga ndi ma disaccharides (maltose, lactose, sucrose) ndi oligosaccharides (cellulose, starch, glycogen). M'matumbo am'mimba, ma-saccharides ovuta amaphulika shuga ndi fructose. Monga monosaccharide, chinthu chimapezeka m'magazi, zamitsempha, ubongo, mafupa am'mimba, ndi myocardium.

    Glycogen woyikiratu m'thupi amakhalanso gwero lamphamvu - ngati kuli kotheka, imagawika mu dextrose. Kuwongolera kwa mulingo wa monosaccharide ndi oligosaccharide kumachitika pogwiritsa ntchito michere. Insulin imatsitsa kuchuluka kwa shuga m'magazi, ndipo otsutsana nawo amawonjezera kuchuluka kwa shuga: glucagon, adrenaline, thyroxine, triiodothyronine. Ngati ntchito ya endocrine kapena chapakati yamitsempha yamitsempha yasokonezeka, kuchuluka kwambiri kwa shuga kungachitike ndipo hyperglycemia ikhoza kuchitika kapena kugwa kwakukulu mu ndende yake - hypoglycemia.

    Dextrose amakhudzidwa kagayidwe kazakudya ndipo zimakhudza njira za metabolic:

    1. Glucose m'thupi ndikofunikira kuti mafuta athe, ndikusowa kwa chinthu, mafuta achilengedwe amadziunjikira (acidosis, ketosis imawonedwa).
    2. Pogwira shuga kagayidwe kazakudya, adenosine triphosphoric acid imapangidwa, yomwe imakhala mphamvu ya thupi.
    3. Hypertonic dextrose solution imatha "kuthira" magazi kulowa m'magazi ndi minyewa, ndipo ndimalovu, ndikuwachotsa m'thupi, kuwonjezera mkodzo, kulimbitsa ntchito ya minofu yamtima, komanso kukulitsa mitsempha yamagazi.
    4. Isotonic solution imatha kupanga kuchepa kwamadzi.
    5. Thupi limagwiritsidwa ntchito pophatikiza chakudya cha ubongo ndi minyewa - kukhathamiritsa kwa glucose kumathamanga, malingaliro ndi thupi zimawonjezeka.

    Kodi shuga wothandiza ndi chiyani

    Zomwe zimagwiritsidwa ntchito popanga matendawa zimakhudza njira za metabolic pochizira matenda. Amayi oyembekezera amapatsidwa dextrose ngati akukayikira kakang'ono ka fetal, komanso kuchepetsa mwayi wokhala wolakwika komanso kubadwa msanga. Amathandizira panthawiyi kuti athe kuthana ndi kutopa ndikukhazikika bwino pamene misempha ya shuga ikuchepa ndipo manja ake akunjenjemera. Pa nthawi yoyembekezera komanso mkaka wa m'mawere kugwiritsa ntchito mankhwalawa, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga. Malinga ndi malangizo, mankhwalawa adapangidwa:

    • ndi kuchepa kwa chakudya chamafuta, okhala ndi hypoglycemia,
    • kuledzera chifukwa cha matenda a chiwindi (hepatitis),
    • zochizira poyizoni,
    • ndi kuwonongeka kwa ntchito zamtima,
    • kubwezeretsanso madzi mutatha opareshoni, ndi m'mimba kapena kusanza,
    • ndi kugwedezeka, kugwa (dontho lakuthwa pakukakamiza).

    Glucose pamapiritsi - malangizo amomwe mungagwiritsire ntchito ndi kuwonetsa, analogi ndi mtengo

    Pofuna kubwezeretsanso mphamvu ya thupi, thanzi la minofu ndi ziwalo, ndikofunikira kupereka mafuta, chakudya, mapuloteni, zinthu, mavitamini ndi chakudya. Chofunikira kwambiri ndi mafuta, kuphatikiza shuga wachilengedwe, galactose, raffinose, wowuma. Nthawi zambiri, ndikachulukitsa katundu, shuga amapezeka m'mapiritsi, amatha kugwiritsidwa ntchito ngati detoxification, koma pali zotsutsana ndi mankhwalawa - matenda a edema, matenda a shuga.

    Carbohydrate ndi mtundu wopanda pake, wopanda fungo, wosungunuka kwamchere wamchere wokhala ndi kukoma. Glucose amagulitsidwa mu mankhwala osokoneza bongo monga mapiritsi, ufa wowongolera pakamwa. Kugwiritsa ntchito kwa makolo, mayankho omwe ali ndi yogwira pophika 5, 10, 20, 40% mu kapu kapena pulasitiki ya 200, 250, 400, 500, 1000 ml, yomwe imagwiritsidwa ntchito kulowetsedwa (pogwiritsa ntchito ma dontho), kapena ma ampoules a 5, cholinga chake. 10, 20 ml - makonzedwe amtsempha.

    Mapiritsiwo ali ndi kukoma kokoma, mtundu woyera, mawonekedwe wozungulira, malo osalala okhala ndi m'mphepete mwake komanso mzere wogawanitsa. Chomwe chimagwira ndi dextrose monohydrate. Kupanga kwa glucose ndi zigawo zina papiritsi limodzi zimaperekedwa pagome:

    Glucose (dextrose) amatanthauza monosaccharides. Imapezeka mu msuzi wa mphesa ndi zipatso zina, chifukwa chake idalandira dzina lina - shuga ya mphesa. Magawo a shuga ndi ma disaccharides (maltose, lactose, sucrose) ndi oligosaccharides (cellulose, starch, glycogen). M'matumbo am'mimba, ma-saccharides ovuta amaphulika shuga ndi fructose. Monga monosaccharide, chinthu chimapezeka m'magazi, zamitsempha, ubongo, mafupa am'mimba, ndi myocardium.

    Glycogen woyikiratu m'thupi amakhalanso gwero lamphamvu - ngati kuli kotheka, imagawika mu dextrose. Kuwongolera kwa mulingo wa monosaccharide ndi oligosaccharide kumachitika pogwiritsa ntchito michere. Insulin imatsitsa kuchuluka kwa shuga m'magazi, ndipo otsutsana nawo amawonjezera kuchuluka kwa shuga: glucagon, adrenaline, thyroxine, triiodothyronine. Ngati ntchito ya endocrine kapena chapakati yamitsempha yamitsempha yasokonezeka, kuchuluka kwambiri kwa shuga kungachitike ndipo hyperglycemia ikhoza kuchitika kapena kugwa kwakukulu mu ndende yake - hypoglycemia.

    Dextrose amakhudzidwa kagayidwe kazakudya ndipo zimakhudza njira za metabolic:

    1. Glucose m'thupi ndikofunikira kuti mafuta athe, ndikusowa kwa chinthu, mafuta achilengedwe amadziunjikira (acidosis, ketosis imawonedwa).
    2. Pogwira shuga kagayidwe kazakudya, adenosine triphosphoric acid imapangidwa, yomwe imakhala mphamvu ya thupi.
    3. Hypertonic dextrose solution imatha "kuthira" magazi kulowa m'magazi ndi minyewa, ndipo ndimalovu, ndikuwachotsa m'thupi, kuwonjezera mkodzo, kulimbitsa ntchito ya minofu yamtima, komanso kukulitsa mitsempha yamagazi.
    4. Isotonic solution imatha kupanga kuchepa kwamadzi.
    5. Thupi limagwiritsidwa ntchito pophatikiza chakudya cha ubongo ndi minyewa - kukhathamiritsa kwa glucose kumathamanga, malingaliro ndi thupi zimawonjezeka.

    Zomwe zimagwiritsidwa ntchito popanga matendawa zimakhudza njira za metabolic pochizira matenda. Amayi oyembekezera amapatsidwa dextrose ngati akukayikira kakang'ono ka fetal, komanso kuchepetsa mwayi wokhala wolakwika komanso kubadwa msanga. Amathandizira panthawiyi kuti athe kuthana ndi kutopa ndikukhazikika bwino pamene misempha ya shuga ikuchepa ndipo manja ake akunjenjemera. Pa nthawi yoyembekezera komanso mkaka wa m'mawere kugwiritsa ntchito mankhwalawa, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga. Malinga ndi malangizo, mankhwalawa adapangidwa:

    • ndi kuchepa kwa chakudya chamafuta, okhala ndi hypoglycemia,
    • kuledzera chifukwa cha matenda a chiwindi (hepatitis),
    • zochizira poyizoni,
    • ndi kuwonongeka kwa ntchito zamtima,
    • kubwezeretsanso madzi mutatha opareshoni, ndi m'mimba kapena kusanza,
    • ndi kugwedezeka, kugwa (dontho lakuthwa pakukakamiza).

    Kukhazikika kwa shuga m'magazi kumakhala koopsa monga kuchuluka kwakukulu. Chakudya chimakhala gwero la shuga, koma ngati shuga wachepera, ndiye kuti shuga imagwiritsidwa ntchito pamapiritsi. Zimawonjezera mphamvu zomwe zimachitika komanso zimathandizira kuti thupi liziwonekanso mofulumira pambuyo poyesetsa zolimbitsa thupi. Glucose imakhudzidwa ndimayendedwe a metabolic ndipo imapereka chithunzithunzi. Kutopa kwambiri, kulephera kupirira kupsinjika kwa thupi ndi thupi kumawonetsa kuchepa kwa chinthu ichi m'thupi.

    Dextrose sikuti amangokhala mapiritsi. Pali shuga mu mawonekedwe a ufa ndi mayankho a jakisoni. Mapiritsiwo ndi oyera pamtundu ndipo amakoma. Kuphatikizikako kumaphatikizapo dextrose monohydrate, aka glucose. Pali 50 mg ya shuga pa piritsi limodzi. Othandizira mapiritsi amapezeka nthawi zambiri samapezeka.

    Mankhwala ogwiritsira ntchito pakamwa amapezeka m'matumba a 10 ma PC. Zothetsera za jakisoni zimapezeka m'magalasi opakidwa magalasi kapena mumapulasitiki.

    Munthu amalandira zinthu zofunika kuchokera ku chakudya. Ngati zakudya zili zosiyanasiyana komanso zoyenera, ndiye kuti kugwiritsa ntchito njira zothandizira sikofunikira. Ndi ziti zomwe sizingachitike popanda shuga wowonjezera? Malangizo ake amati:

    • zadzidzidzi, kugwa, kuchepa kwambiri kwa magazi,
    • kusowa kwamadzi
    • kuledzera kwa nthawi yayitali
    • matenda a chiwindi - chiwindi, dystrophy, atrophy, kulephera kwa chiwindi,
    • hemorrhagic diathesis,
    • achina,
    • kulemera kwakakwanira kwa fetal nthawi yapakati,
    • nthawi yantchito
    • kutopa kwa thupi.

    Glucose imathandizika pakuwonjezeka kwa nkhawa komanso thupi. Amayesedwa maphunziro aposachedwa kwa amayi apakati, ophunzira, othamanga. Chizindikiro cha kusowa kwa glucose mukadwala ndi kununkhira kwa acetone kuchokera mkamwa. Ndi acetone mwa ana, mankhwalawa amatchulidwa muyezo, koma pang'ono. Mafuta okhala ndi shuga amapindulitsa osuta. Imafotokozedwa nthawi imodzi ndi ascorbic acid, yomwe imatsukidwa mthupi motsogozedwa ndi chikonga.

    Dextrose ayenera kumwedwa ndi kuphwanya kwa mtima ndi zovuta za mtima dongosolo. Chidacho chimawongolera zochitika za mtima, kuchepetsa nkhawa zam'mphepete, ndikuwongolera kagayidwe kachakudya. Kukonzekera kwa glucose kumatha kukhala kosiyanasiyana. Ma Vitamini ovomerezeka amathandizira kulimbitsa thupi, kuwonjezera mphamvu zamagetsi, kupanga bwino. Mavitamini amagulitsidwa popanda mankhwala a dokotala, koma ndikosayenera kugwiritsa ntchito popanda chilolezo cha akatswiri. Mlingo umasiyana, kutengera kuperewera kwa shuga. Musanayambe chithandizo, muyenera kukayezetsa magazi.

    Mapiritsi a Dextrose amatengedwa pang'onopang'ono, ndiye kuti, amamwa.

    1. Pa zovuta za kuledzera ndi chiwindi, imwani mapiritsi awiri ndi atatu patsiku ndikutalika kwa maola awiri.
    2. Anthu odwala matenda ashuga safuna michere yowonjezera, koma vuto la hypoglycemia motsutsana ndi matenda a shuga, imwani mapiritsi awiri nthawi imodzi. Zokonda sizimaperekedwa kwa zinthu zogulitsa, koma mapiritsi otsekemera. Pakakhala vuto lalikulu, mapiritsi ena awiri a 2-3 amatengedwa pambuyo pa mphindi 20-30 kapena shuga amathandizidwa kudzera m'mitsempha. Lingaliro pa kuthekera kwa chithandizo choterocho limapangidwa ndi adokotala.
    3. Ochita masewera amathira glucose asanaphunzitsidwe, akumamwa mapiritsi m'madzi pamtunda wa 7 g wa mankhwalawa pa 1 lita imodzi yamadzi. Kumwa kugwedeza kwamankhwala kumalimbikitsidwa mphindi 20 pasanayambe kalasi. Osawopa pazakumwa za calorie za zakumwa. Glucose pamapiritsi sangavulaze chiwerengerochi, koma ichulukitsa mphamvu yake.

    Shuga wowonjezera amasemphana ndi shuga ya magazi, yomwe imachitika m'matenda a shuga.Ndi osafunika kumwa mapiritsi ndi kuwonjezeka kwa lactic acid m'thupi. Mwa zina zoyipa:

    • tsankho
    • pulmonary edema,
    • zovuta zakusokonekera kwa shuga,
    • pachimake kumanzere kwamitsempha yamtima,
    • kunenepa.

    Ndi mankhwala osokoneza bongo, zizindikiro monga kutsegula m'mimba, kutulutsa magazi, nseru, ndi kuyamwa pafupipafupi kumachitika. Kugwiritsa ntchito bwino mankhwalawa, palibe mavuto. Ndi chisamaliro chapadera chimakhudzana ndi glucose ngati muli ndi matenda ashuga, ubwana, mimba. Kukonda kwa mankhwala a glucose kumayambitsa kusokonezeka kwa metabolic.

    Glucose ndi njira yotsika mtengo yochizira thupi. Mankhwalawa sangakhale ovulaza ngati simugwiritsa ntchito molakwika mapiritsi ndikuwongolera kuchuluka kwa shuga m'magazi.

    Zizindikiro zogwiritsidwa ntchito

    Ndi zoletsedwa kugwiritsira ntchito njira yothetsera vutoli ndi shuga m'magawo omwe wodwalayo ali ndi mbiri ya zovuta zoterezi:

    1. hyperosmolar chikomokere,
    2. shuga wowonjezera,
    3. hyperlactacidemia,
    4. Kugwiritsa ntchito shuga molakwika pambuyo pakuchita opaleshoni.

    Mosamala kwambiri, mankhwalawa amayenera kuperekedwa kudzera mwamitsempha:

    • kulephera kwa aimpso,
    • kusokonekera kwa mtima (m'mbuyomu),
    • hyponatremia.

    Ndikosatheka kugwiritsa ntchito mankhwalawa pochita kuchepa thupi, komanso matenda a m'magazi omwe ali ndi kuthekera kwakukulu kotukuka kwa pulmonary edema. Mtengo wa mankhwalawa suwakhudza ma contraindication ake.

    • monga gwero lama chakudya,
    • monga gawo la antishock ndi magazi othandizira magazi (ndi mantha, kugwa),
    • ngati njira yothetsera kufafaniza komanso kuchepetsa zinthu zamafuta,
    • ndi hypoglycemia wolimbitsa thupi (ndi cholinga chodzitetezera ndi chithandizo),
    • ndi madzi am'mimba (chifukwa cha kutsegula m'mimba / kusanza, komanso nthawi ya postoperative).
    • hyperlactatemia,
    • hyperglycemia
    • Hypersensitivity ku chinthu yogwira,
    • Kulekerera kwa Dextrose
    • hyperosmolar chikomokere,
    • thupi lawo siligwirizana ndi zakudya zomwe zili ndi chimanga.

    Kuphatikiza kwa 5% shuga yankho: shuga yopanda shuga.

    Kuphatikiza pa 10% shuga:

    • kuchuluka kwa matenda a shuga ndi matenda a shuga
    • extracellular hyperhydration kapena hypervolemia ndi hemodilution,
    • kulephera kwambiri kwaimpso (ndi anuria kapena oliguria),
    • mtima wosakhazikika,
    • matenda enaake a chiwindi ndi ascites, edema yodziwika bwino (kuphatikizapo pulmonary ndi ubongo edema).

    Kulowetsedwa kwa 5% ndi 10% dextrose yothetsera kumatsutsana masana pambuyo povulala kumutu. Komanso, contraindication kwa mankhwala omwe amawonjezera panjira ya dextrose ayenera kuganiziridwanso.

    Kugwiritsa ntchito komwe kungachitike pakubala komanso mkaka wa m'mawere molingana ndi mawonekedwe.

    Monga tanena kale, si aliyense amene amaloledwa kugwiritsa ntchito shuga. Poyamba, zikuwoneka kuti ndi mankhwala osavulaza, koma ngakhale nthawi zina zimapereka zosayembekezereka kwathunthu. Chifukwa chake, mndandanda wazotsutsana pakugwiritsa ntchito mankhwalawa wapangidwa. Amakhala wamba.

    Chifukwa chake, ngati muli ndi matenda amodzi mndandanda womwe uli pansipa, ndiye kuti mankhwalawo ndi oletsedwa kwa inu:

    • matenda ashuga
    • hyperglycemia
    • hyperlactacidemia,
    • pachimake michere polephera.

    Makamaka chidwi ayenera kuperekedwa kwa mankhwala kwa ana. Thupi la mwana ndi losiyana kwambiri ndi thupi la munthu wamkulu, chifukwa chake, ndi dokotala wokha amene angakuwuzeni kuchuluka kwa glucose komwe amafunikira komanso ngati angathe kuthandizira konse.

    Glucose wopangidwa mumiyala amapatsidwa:

    • kuperewera kwa zakudya m'thupi
    • hypoglycemia (shuga wotsika wamagazi),
    • poyizoni wazakudya za hepatotropic (paracetamol, aniline, kaboni tetrachloride) zolimbitsa mwamphamvu,
    • kusowa kwamadzi (kutsegula m'mimba, kusanza).

    Chotsutsana pa kugwiritsa ntchito mankhwalawa ndi kupezeka kwa hyperglycemia (shuga wamagazi) mwa wodwala, matenda a shuga, hyperlactacidemia, kuchepa kwa magazi ndi kuperewera kwamphamvu kwamanzere. Musagwiritse ntchito dextrose ndi hypersmolar coma, ndi kutupa kwa ubongo ndi / kapena mapapu.

    Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kumathandizira kukulitsa kwa hypokalemia (m'magazi, kuchuluka kwa ayoni amachepetsa), hypervolemia (kuchuluka kwa kuzungulira kwa plasma ndi kuchuluka kwa magazi) ndi hyperglycemia.

    Pofuna kubwezeretsanso mphamvu ya thupi, thanzi la minofu ndi ziwalo, ndikofunikira kupereka mafuta, chakudya, mapuloteni, zinthu, mavitamini ndi chakudya. Chofunikira kwambiri ndi mafuta, kuphatikiza shuga wachilengedwe, galactose, raffinose, wowuma.

    • tsankho limodzi pazomwe zili,
    • hyperglycemia,
    • matenda ashuga
    • kuchuluka kwa lactic acid,
    • kutupa kwa ubongo kapena mapapu,
    • Kugwiritsa ntchito shuga mkati mwa opaleshoni,
    • pachimake yamitsempha yama mtima yamitsempha.

    Munthu amalandira zinthu zofunika kuchokera ku chakudya. Ngati zakudya zili zosiyanasiyana komanso zoyenera, ndiye kuti kugwiritsa ntchito njira zothandizira sikofunikira. Ndi ziti zomwe sizingachitike popanda shuga wowonjezera?

    • zadzidzidzi, kugwa, kuchepa kwambiri kwa magazi,
    • kusowa kwamadzi
    • kuledzera kwa nthawi yayitali
    • matenda a chiwindi - chiwindi, dystrophy, atrophy, kulephera kwa chiwindi,
    • hemorrhagic diathesis,
    • achina,
    • kulemera kwakakwanira kwa fetal nthawi yapakati,
    • nthawi yantchito
    • kutopa kwa thupi.

    Glucose imathandizika pakuwonjezeka kwa nkhawa komanso thupi. Amayesedwa maphunziro aposachedwa kwa amayi apakati, ophunzira, othamanga. Chizindikiro cha kusowa kwa glucose mukadwala ndi kununkhira kwa acetone kuchokera mkamwa.

    Ndi acetone mwa ana, mankhwalawa amatchulidwa muyezo, koma pang'ono. Mafuta okhala ndi shuga amapindulitsa osuta. Imafotokozedwa nthawi imodzi ndi ascorbic acid, yomwe imatsukidwa mthupi motsogozedwa ndi chikonga.

    Dextrose ayenera kumwedwa ndi kuphwanya kwa mtima ndi zovuta za mtima dongosolo. Chidacho chimawongolera zochitika za mtima, kuchepetsa nkhawa zam'mphepete, ndikuwongolera kagayidwe kachakudya.

    Kukonzekera kwa glucose kumatha kukhala kosiyanasiyana. Ma Vitamini ovomerezeka amathandizira kulimbitsa thupi, kuwonjezera mphamvu zamagetsi, kupanga bwino. Mavitamini amagulitsidwa popanda mankhwala a dokotala, koma ndikosayenera kugwiritsa ntchito popanda chilolezo cha akatswiri.

    Shuga wowonjezera amasemphana ndi shuga ya magazi, yomwe imachitika m'matenda a shuga. Ndi osafunika kumwa mapiritsi ndi kuwonjezeka kwa lactic acid m'thupi. Mwa zina zoyipa:

    • tsankho
    • pulmonary edema,
    • zovuta zakusokonekera kwa shuga,
    • pachimake kumanzere kwamitsempha yamtima,
    • kunenepa.

    kusowa kwa vitamini ndi hypovitaminosis,

    kupezeka kwa kufunikira kwa shuga ndi ascorbic acid,

    Panthawi ya kukula kwakukulu,

    pa kuvulala,

    kuchuluka kwa thupi.

    Kukula kwakukulu, ascorbine imangopindulitsa thupi, kotero mndandanda wazotsutsana nawo umakhala wochepa kwambiri. Zitha kuvulaza anthu pawokha:

    • ndi thrombosis
    • ndi thrombophlebitis,
    • osakwana zaka 6.

    Popeza mavitamini awa amakhala ndi mishuga yambiri, iyenera kugwiritsidwa ntchito mosamala kwa anthu omwe ali ndi:

    • matenda ashuga
    • oxalate impso miyala,
    • nephrourolithiasis.
    Maonekedwe a phukusi amatengera wopanga, komanso kugwiritsa ntchito zina.

    Shuga wowerengeka m'mapiritsi, komanso osakanikirana ndi ascorbic acid, amatchulidwa kangapo:

    1. Ndi hypovitaminosis ndi kuchepa kwa vitamini.
    2. Munthawi ya mkaka wa m`mawere ndi nthawi ya bere.
    3. Komanso, mankhwalawa adzafunika kwa odwala omwe amafunikira ascorbic acid ndi glucose.
    4. Mankhwala ayenera kumwedwa ndi ana pa kukula kwambiri.
    5. Mankhwalawa amathandizira kubwezeretsa mphamvu panthawi yochita masewera olimbitsa thupi, komanso munthawi ya convalescence (kuchira thupi pambuyo pa matenda oopsa).

    Piritsi la mankhwalawa sayenera kumwedwa ndi odwala omwe ali ndi matenda osokoneza bongo, komanso odwala omwe ali ndi mbiri ya glucosuria komanso kuchepa kwa hyperglycemia. Mtheradi contraindication zimaphatikizapo hypersensitivity amodzi mwa zinthu, chizolowezi cha thrombosis ndi thrombophlebitis. Komanso, "Glucose" wophatikiza ndi ascorbic acid sakhazikitsidwa kwa ana ochepera zaka zisanu ndi chimodzi.

    Malinga ndi malangizo, Glucose mu mawonekedwe a njira imagwiritsidwa ntchito pazotsatirazi:

    • Isotonic extracellular fluid,
    • Monga gwero lama chakudya,
    • Chifukwa cha kuchepetsedwa ndi kunyamula mankhwala ogwiritsidwa ntchito kholo.

    Glucose pamapiritsi amalembedwa kuti:

    • Hypoglycemia,
    • Kuperewera kwa chakudya chamafuta,
    • Intoxication, kuphatikizapo omwe amayamba chifukwa cha matenda a chiwindi (hepatitis, dystrophy, atrophy),
    • Matenda owopsa
    • Manjenjemera ndi kugwa,
    • Kuthetsa madzi m'thupi (nthawi yothandizira, kusanza, kutsekula m'mimba).

    Malinga ndi malangizo, Glucose ndi oletsedwa kugwiritsidwa ntchito ndi:

    • Hyperglycemia,
    • Hyperosmolar chikomokere,
    • Matenda a shuga
    • Hyperlactacidemia,
    • Kusatetemera kwa thupi kwa glucose (kupsinjika kwa metabolic).

    Glucose amalembedwa mosamala mu:

    • Hyponatremia,
    • Kulephera kwa impso (anuria, oliguria),
    • Mtima wowonongeka wa matenda osachiritsika.

    Malinga ndi malangizo a Glucose, mankhwalawa amagwiritsidwa ntchito kulipirira kuchepa kwa mafuta m'thupi omwe amapezeka motsutsana ndi maziko a ma pathologies osiyanasiyana.

    Glucose imakhudzidwanso pantchito yovuta ya:

    • Kuwongolera kwamadzi komwe kumachitika pambuyo pa ntchito kapena chifukwa cha kusanza ndi kutsegula m'mimba.
    • Kuledzera kwamthupi,
    • Kulephera kwa chiwindi, hepatitis, dystrophy ndi kusintha kwa chiwindi,
    • Hemorrhagic diathesis,
    • Hypoglycemia,
    • Manjenjemera ndi kugwa.

    Kugwiritsa ntchito Glucose monga njira yothetsera vutoli kumapangidwa mwa odwala omwe ali ndi mbiri yotsatirayi ya zovuta ndi matenda:

    • Shuga wowonjezera,
    • Hyperglycemia,
    • Hyperlactacidemia,
    • Matenda obwera chifukwa chogwiritsa ntchito shuga,
    • Hyperosmolar chikomokere.

    Mochenjera, kukonzekera kwamkati mankhwala amaperekedwa kwa odwala omwe ali ndi:

    • Kuwonongeka kwa mtima kwakakomoka,
    • Hyponatremia,
    • Kulephera kwa impso.

    Kuphatikiza apo, mapiritsi a shuga sayenera kumwedwa ndi:

    • Circulatory pathologies, momwe mumakhala chiopsezo chachikulu cha pulmonary kapena ubongo wa edema.
    • Pachimake kumanzere kwamitsempha,
    • Kutupa kwaubongo kapena mapapu
    • Kutulutsa magazi.

    Glucose wa hypoglycemia

    Hypoglycemia imadziwika ngati kuchuluka kwa shuga m'magazi kumatsika pansi pazowonetsa ngati 2, 8 - 3, 3 mmol / L. Kuchita kotereku nthawi zambiri kumayendera limodzi ndi mawonekedwe omwe odwala amatha kuzindikira mosavuta, koma nthawi zina njira ya hypoglycemia singamveke.

    Hypoglycemia imakula msanga ndipo imatha kuchitika nthawi iliyonse, chifukwa chake ndikofunikira kupereka chithandizo choyamba kwa wodwala matenda a shuga panthawi yake. Cholinga cha njirayi ndikuti kuchuluka kwa glucose omwe amapangidwa m'magazi sikugwirizana ndi kuchuluka kwa mphamvu ya chakudya chatsiku ndi tsiku zomwe zimagwiritsidwa ntchito polimbitsa thupi.

    Kugwiritsa ntchito mankhwala omwe ali ndi glucose, muthanso kusintha matenda achilengedwe amthupi la munthu.

    Contraindication

    Zotsatira zoyipa zomwe zingakhale ndi izi:

    • kutopa kwambiri
    • kuchepa kwamtima
    • phlebitis ndi thrombosis,
    • kutupa kwa khungu pamalo jekeseni,
    • kusokonezeka kwa chiwindi.

    Ngati chimodzi kapena zingapo mwazomwe zili pamndandandawu zikuchitika, pitani kuchipatala. Nthawi zambiri, odwala amafunika kusiya mankhwala omwe ali ndi glucose.

    Chithandizo cha matenda ashuga

    Nthawi zambiri, ndi hypoglycemic coma yomwe imayenda ndi matenda ashuga, kuchuluka kwa shuga kumatha kukhala koyenera mwa kutenga insulin pamapiritsi. Mutha kuthana ndi boma la hypoglycemic potenga dextrose.

    Izi zimagwira ntchito ndi dextrorotatory Optical glucose isomer, yomwe imapangidwa ngati mapiritsi osafunidwa okhala ndi zokonda zosiyanasiyana. Mitundu yamtunduwu ya shuga ndiyofunikira pakudya kwa ubongo ndi minofu ya munthu.

    Kutengera kuti dextrose imakhala ndi molekyu imodzi yokha, siyikumbidwa m'matumbo, koma imayamba kuyamwa nthawi yomweyo ndi thupi, pakatikati pamlomo. Kusankha kwa mankhwalawo pawokha komanso kuchuluka kwa matenda a shuga kumayikidwa ndi endocrinologist wodwala aliyense payekhapayekha.

    palibe chifukwa chowonera boma mwapadera, monga kusunga jakisoni wa insulin. Mapiritsi a insulin omwe akhala akuchita kwa nthawi yayitali ali ndi mwayi wopatsa thupi mphamvu kwa maola 12 kuyambira nthawi yomwe amagwiritsidwa ntchito.

    Nthawi zambiri, shuga amagwiritsidwanso ntchito poizoni ndi mankhwala osokoneza bongo, mowa, aniline, carbon monoxide ndi zinthu zina zomwe zimapangitsa kuledzera kwa thupi. Ngakhale zabwino za shuga komanso kufunikira kwake, komabe, simungathe kuzimwera nthawi zonse, chifukwa pali zotsutsana:

    • hyperglycemia
    • Hypersensitivity
    • kutopa kwambiri
    • mavuto ndi kugwiritsa ntchito shuga,
    • kuchuluka kwa magazi m'mapapo ndi ubongo.
    • hyperosmolar chikomokere,
    • kutupa kwa ziwalo zamkati.

    Insulin ikalowa m'thupi pambuyo kugwiritsa ntchito mapiritsi, kumanzere kwamitsempha yamagazi kapena hypervolemia imayamba.

    Nthawi zambiri kugwiritsa ntchito glucose molakwika m'mapiritsi, zotsatira zoyipa zimatha, monga hyperglycemia komanso kuchepa kwa chilakolako cha chakudya. Monga lamulo, zotsatira zoyipa zimachitika pambuyo poyang'anira yankho la insulin, mapiritsi oterewa ndi osowa kwambiri.

    Popewa zotsatira zosasangalatsa za chithandizo chotere cha matenda a shuga kapena mtundu wa hypoglycemic, ndondomeko ya mankhwala yomwe adokotala akuwonetsa iyenera kutsatiridwa bwino. Mapiritsiwo sangathe kumeza, ayenera kumamwa kapena kutafuna, pogwiritsa ntchito ola limodzi musanadye chakudya, chifukwa glucose amachepetsa kudya. Izi zimachotsedwa m'thupi ndi impso, pasanathe tsiku limodzi.

    Momwe mungagwiritsire ntchito ndi kumwa?

    Glucose amathandizira kudzera m'mitsempha. The ndende ndi kuchuluka kwa mankhwalawa kutsimikiza kutengera zaka, mkhalidwe ndi kulemera kwa wodwalayo. Kuzunza kwa dextrose m'magazi kuyenera kuyang'aniridwa mosamala.

    Mwachizolowezi, mankhwalawa amapakidwa pakatikati kapena kotumphukira, chifukwa cha osmolarity wa yankho. Kukhazikitsidwa kwa njira zama Hyperosmolar kumatha kuyambitsa mkwiyo m'mitsempha ndi phlebitis. Ngati ndi kotheka, mukamagwiritsa ntchito mayankho onse a makolo, ndikulimbikitsidwa kuti mugwiritse ntchito zosefera pamzere wapa njira yothetsera kulowetsedwa.

    Ntchito zoyenera kwa akulu:

    • monga gwero lama chakudya komanso kupezeka kwa madzi m'thupi kwa isotopic: ndi kulemera kwa thupi pafupifupi 70 kg - kuchokera 500 mpaka 3000 ml patsiku,
    • wowonjezera kukonzekera kwa makolo (monga njira yothetsera): 50 mpaka 250 ml pa mlingo wa mankhwala omwe mankhwalawa amaperekedwa.

    Kugwiritsa ntchito kwa ana (kuphatikizapo ana akhanda):

    • monga gwero lama carbohydrate ndi madzi am'mimba otuluka m'mimba: ndi kulemera kwa thupi 0 mpaka 10 - 100 ml / kg patsiku, thupi limalemera makilogalamu 10 mpaka 20 - 1000 ml ya 50 ml pa kilogalamu oposa 10 kg patsiku, kulemera thupi 20 kg - 1500 ml 20 ml pa kilogalamu woposa 20 kg patsiku,
    • wowonjezera kukonzekera kwa makolo (monga yankho): kuchokera 50 mpaka 100 ml pa mlingo wa mankhwalawo.

    Kuphatikiza apo, 10% yankho la glucose limagwiritsidwa ntchito pochiza komanso kupewa hypoglycemia komanso polimbitsa madzi m'thupi ngati madzi atha.

    Mlingo wambiri tsiku lililonse umatsimikiziridwa payokhapokha malinga ndi zaka komanso kuchuluka kwa kulemera kwa thupi komanso kuyambira 5 mg / kg / mphindi (kwa odwala akuluakulu) mpaka 10-18 mg / kg / mphindi (kwa ana, kuphatikizapo ana akhanda).

    Mlingo wa makonzedwe amtunduwu amasankhidwa malinga ndi mkhalidwe wodwala. Popewa hyperglycemia, poyambira kugwiritsa ntchito dextrose m'thupi sayenera kupitirira, chifukwa chake, pazomwe zimagwiritsidwa ntchito pakukonzekera kwa odwala akuluakulu sayenera kupitirira 5 mg / kg / mphindi.

    Mlingo woyambirira wa ana, kutengera zaka:

    • Makanda obadwa masiku asanakwane - 10-18 mg / kg / min,
    • kuyambira 1 mpaka 23 miyezi - 9-18 mg / kg / min,
    • kuyambira zaka ziwiri mpaka 11 - 7-14 mg / kg / min,
    • kuyambira wazaka 12 mpaka 18 - 7-8.5 mg / kg / min.

    Glucose solution 5% (isotonic) imayendetsedwa mwa mitsempha. Mulingo wambiri woyendetsa ndi 7.5 ml / min (madontho 150) kapena 400 ml / ola. Mlingo wa akuluakulu ndi 500-3000 ml patsiku.

    Kwa ana akhanda omwe thupi lawo limaposa 10 kg, mulingo woyenera wa Glucose ndi 100 ml pa kilogalamu yolemera patsiku. Ana, omwe thupi lawo ndi 10-20 makilogalamu, amatenga 150 ml pa kilogalamu ya thupi patsiku, oposa 20 kg - 170 ml pa kilogalamu iliyonse ya kulemera kwa thupi patsiku.

    Mlingo waukulu kwambiri ndi 5-18 mg wa pa kilogalamu ya thupi pa mphindi imodzi, kutengera zaka komanso kulemera kwa thupi.

    Glucose hypertonic solution (40%) imayendetsedwa motsika mpaka madontho 60 pamphindi (3 ml pa mphindi). Mlingo waukulu wa akuluakulu ndi 1000 ml patsiku.

    Ndi jet intravenous jet, glucose solution ya 5 ndi 10% mu mlingo wa 10-50 ml amagwiritsidwa ntchito. Popewa hyperglycemia, mulingo woyenera sayenera kupitirira.

    Mu shuga mellitus, kugwiritsa ntchito shuga kuyenera kuchitika pang'onopang'ono kuwunika kwake kwamikodzo mkodzo ndi magazi. Pofuna kuchepetsa ndi kunyamula mankhwala ogwiritsidwa ntchito kholo, muyezo wa Glucose ndi 50-250 ml pa mlingo wa mankhwalawo. Mlingo ndi kuchuluka kwa makonzedwe a njira yothetsera vutoli zimatengera mawonekedwe a mankhwala osungunuka mu shuga.

    Mapiritsi a glucose amatengedwa pakamwa, mapiritsi 1-2 patsiku.

    Odwala achikulire, komanso ana a zaka zopitilira zitatu, ayenera kumwa mapiritsi atatu kapena theka la mapiritsi katatu patsiku. Ngati dokotala atayambitsa fomu yosakanikirana (ndi ascorbic acid), muyezo umawerengeredwa potengera zomwe zili chomaliza.

    Monga kupewa, akuluakulu amatha kumwa 50 mpaka 100 mg wa mankhwalawa tsiku lonse. Chikhalidwe cha tsiku ndi tsiku kwa ana kuyambira zaka 6 mpaka 14 sichikuposa ma milligram makumi asanu. Ngati Glucose wokhala ndi ascorbic acid amadziwika kuti apatsidwe chithandizo, odwala achikulire amamuikira mlingo wa 50 mpaka 100 milligram katatu kapena kasanu patsiku.

    Kwa ana opitirira zaka 6, madokotala amapereka 50 kapena 100 mg ndi ascorbic acid. Kuti mukwaniritse izi, muyenera kumwa mankhwalawa kawiri kapena katatu patsiku. Dokotala amatha kudziwa kuchuluka kwake, komanso kutalika kwa chithandizo, payekhapayekha, kutengera zovuta za matendawa kapena kufunika kopewa.

    Musanamwe mankhwala omwe amaphatikiza ndi ascorbic acid, muyenera kuwerengera molondola.

    Kuti mupeze njira yothetsera vutoli, makonzedwe amkati amachitika, mapiritsi, kutsanulira kwamlomo (kutsutsana kwapang'onopang'ono) Mlingo umakhazikitsidwa ndi zaka za wodwalayo, kuchuluka kwa glucose komanso chifukwa chomwa mankhwalawa.

    Kulandila kwa mawonekedwe awa - mkati, kupewa kapena kuthandizira, nthawi ya maphunzirayi imatsimikiziridwa ndi dokotala, mlingo wake umatha kusintha. Nthawi yokwanira imakhala yopanda chakudya. Malinga ndi malangizo aboma, ntchito ndi:

    • Popewa, ana amapatsidwa 50 mg kamodzi patsiku, kuti athandizidwe (komanso kusintha mayamwidwe azitsulo) - 100 mg mpaka katatu pa tsiku.
    • Akuluakulu amapatsidwa 100 mg patsiku la prophylaxis ndi kuchuluka komweko, koma mpaka kasanu patsiku, ngati kuli kofunikira kuwonjezera kuyamwa kwachitsulo kapena chithandizo.

    Njira yamtunduwu ya mankhwalawa imagwiritsidwa ntchito kudzera mwa otsikiratu kuchipatala. Ufa umaphatikizidwa ndi madzi (wokwanira mpaka 2 ml), umathandizira pang'onopang'ono kudzera m'mitsempha kapena m'mitsempha. Mlingo uli motere:

    • Ana mpaka 2 ml ya classic (5%) yankho kamodzi patsiku, kapena 4 ml ya 2,5%.
    • Akuluakulu amaikidwa shuga ndi ascorbic acid mu 3 ml ya yankho limodzi kamodzi kapena 6 ml ya ofooka (2,5%).

    Zambiri zoyipa zomwe zimachitika mthupi ndimayankho ochulukirapo a ascorbic acid, makamaka ngati kufooka sikunachitike koyambirira. Mankhwala osokoneza bongo amatha kuchitika pakumwa limodzi mapiritsi 10, omwe amadziwika ndi mutu, kusokonezeka kwa tulo, kunyansidwa kwambiri (kumatha kusanza), komanso matumbo kukhumudwa.

    Yankho la kuchuluka kwa shuga ndi:

    • kuletsa kwa ntchito ya zida zapakhungu (kapamba),
    • kusokonekera kwa zida zama glomerular (impso).

    Ngati miyambo yomwe yalimbikitsidwa ipitilira, zotsatira zoyipa zimawonedwa nthawi zambiri. Mukumwa mankhwala osokoneza bongo a dextrose okhala ndi ascorbic acid, kupweteka mutu, kuwonjezereka kwa msana, kuwonongeka kwa m'mimba, kumatulutsa, komanso kusowa tulo.

    Ndi mankhwala osokoneza bongo osokoneza bongo, n`zotheka: kuchepa kwa insulin kapangidwe kake, kuyambika kwa hyperglycemia, kuchepa kwa chilakolako cha kudya. Muzochitika zotere, ndikofunikira kusiya kumwa dextrose ndikuyang'ana kwa dokotala kuti akupatseni mankhwala opereka chithandizo.

    Mapiritsi a Dextrose amatengedwa pang'onopang'ono, ndiye kuti, amamwa.

    1. Pa zovuta za kuledzera ndi chiwindi, imwani mapiritsi awiri ndi atatu patsiku ndikutalika kwa maola awiri.
    2. Anthu odwala matenda ashuga safuna michere yowonjezera, koma vuto la hypoglycemia motsutsana ndi matenda a shuga, imwani mapiritsi awiri nthawi imodzi. Zokonda sizimaperekedwa kwa zinthu zogulitsa, koma mapiritsi otsekemera. Ngati muli ndi vuto lalikulu, imwani mapiritsi ena atatu pamphindi kapena jekeseni m'magazi. Lingaliro pa kuthekera kwa chithandizo choterocho limapangidwa ndi adokotala.
    3. Ochita masewera amathira glucose asanaphunzitsidwe, akumamwa mapiritsi m'madzi pamtunda wa 7 g wa mankhwalawa pa 1 lita imodzi yamadzi. Kumwa kugwedeza kwamankhwala kumalimbikitsidwa mphindi 20 pasanayambe kalasi. Osawopa pazakumwa za calorie za zakumwa. Glucose pamapiritsi sangavulaze chiwerengerochi, koma ichulukitsa mphamvu yake.

    Ana atatha zaka zitatu ndi akulu ayenera kumwa theka kapena piritsi lonse katatu patsiku. Mukamamwa shuga ndi ascorbic acid, mankhwalawo amasinthidwa kukhala ascorbic acid. Akuluakulu, kuyambira mamilimita makumi asanu mpaka zana amodzi a mankhwalawa amalamulidwa kuti ateteze matenda ake patsiku, ndipo kwa ana azaka za 6 mpaka khumi ndi zinayi, osapitirira milligram makumi asanu.

    Mankhwala ochepetsa mphamvu ya glucose okhala ndi ascorbic acid kwa achikulire amachokera mamiligamu makumi asanu mpaka zana limodzi. Ndikofunikira kumwa mapiritsi katatu mpaka kasanu patsiku. Ana azaka zopitilira zisanu ndi chimodzi amapatsidwa mankhwala opatsa shuga makumi asanu kapena zana limodzi ndi mapiritsi a ascorbic mapiritsi.

    • Moscow, Moscow, Smolenskaya pl., 3, TDK Smolensky Passage (khomo kuchokera pa 1 smolensky pa.) Mbali yakunja kwa Mphete ya Garden
    • Mon-Fri - kuyambira 09:00 mpaka 20:00, Sat-Sun - kuyambira 10:00 mpaka 19:00
    • ,, Moscow.vision.rf

    Ophthalmologist, Woyankha wa Sayansi ya Zamankhwala.

    Mapiritsi a glucose amatengedwa pakamwa 1.5 maola asanadye. Mlingo umodzi sayenera kupitirira 300 mg ya mankhwala pa 1 kg ya kulemera kwa wodwala, amatenga ola limodzi.

    Glucose solution imayendetsedwa ndi mtsempha wa magazi kudzera mu mawonekedwe a drip kapena jet, kuikidwa kwake kumakhazikitsidwa payekha ndi adokotala.

    Malinga ndi malangizo, mlingo woyenera wa tsiku ndi tsiku wa akulu wokhala ndi kulowetsedwa ndi:

    • 5% isotonic dextrose solution - 2000 ml, makonzedwe a 150 akutsikira mphindi kapena 400 ml pa ola limodzi,
    • 0% hypertonic solution - 1000 ml, ndi liwiro la madontho 60 pamphindi,
    • 20% yankho - 300 ml, liwiro - mpaka 40 madontho pamphindi,
    • 40% yankho - 250 ml, kuchuluka kwa jakisoni mpaka madontho 30 pamphindi.

    Popereka shuga kwa ana, mulingo wake umakhazikitsidwa pamlingo wa mwana, ndipo sayenera kupitirira izi:

    • Ndi kulemera kwa mwana kuyambira 0 mpaka 10 makilogalamu - 100 ml pa 1 kg ya kulemera kwake patsiku,
    • Ana kuyambira 10 mpaka 20 kg - 50 ml pa kilogalamu iliyonse yoposa 10 kg pa tsiku amawonjezeredwa ku 1000 ml,
    • Kwa odwala omwe ali ndi makilogalamu oposa 20 - mpaka 1500 ml amawonjezeredwa 20 ml pa kilogalamu yoposa 20 kg patsiku.

    Intravenous jet makonzedwe a 5% ndi 10% njira amayikiridwa ndi gawo limodzi la ml.

    Mlanduwo pamene Glucose imagwira ntchito ngati mankhwala oyambira kuphatikiza kwa mankhwala ena, kuchuluka kwa yankho kumatengedwa mwa kuchuluka kwa 50 mpaka 250 ml pa mlingo wa mankhwalawo. Mlingo wa kayendetsedwe ka nkhani iyi umatsimikiziridwa ndi mawonekedwe a mankhwalawa ataphatikizidwamo.

    Mitu yotentha

    • Chithandizo cha Minyewa Yofunika!
    • Kuthana ndi Kusakhumudwitsika Kwa Vaginal, Kuuma, ndi Kuyabwa Ndizofunikira!
    • Kuchiza mokwanira kwa chimfine Ndikofunikira!
    • Chithandizo cha msana, minofu, mafupa Ndikofunikira!
    • Chithandizo chokwanira cha matenda a impso Ndizofunikira!

    Malinga ndi malangizowo, Glucose samawononga thupi ndikulondola komanso kutsatira malamulo ogwiritsira ntchito.

    Zotsatira zoyipa za mankhwalawa zingaphatikizeponso:

    • Pachimake kumanzere kwamitsempha,
    • Hyperglycemia,
    • Hypervolemia
    • Polyuria
    • Thupi.

    Mwina kuwoneka kupweteka m'dera loyang'anira, zochita zakomweko mwanjira yovulaza, thrombophlebitis, kukula kwa matenda.

    Woyang'anira Institute of matenda a shuga: “Tayetsani mita ndikuyesa. Palibenso Metformin, Diabetes, Siofor, Glucophage ndi Januvius! Mgwireni ndi izi. "

    Glucose (dzina lapadziko lonse - dextrose) limatanthauzira ma detoxization ndi metabolic agents. Imatha kulipirira kufooka kwa chakudya chamafuta m'magazi ndi magazi, kuwonjezera kuchuluka kwa poizoni mkodzo ndikuwongolera kusefa kwa chiwindi.

    Kukonzekera chakudya. Zakudya zomanga thupi.

    Mukamagwiritsa ntchito Mlingo wovomerezeka, palibe zoyipa zomwe zimachitika.

    Panalibe milandu yosagwirizana ndi mankhwalawa.

    Glucose ndi njira yothandiza yopezera chakudya. Main pharmacological zochita ndikupanga kukonza kagayidwe kachakudya mthupi, kutseguka kwa njira za redox.

    Glucose pamapiritsi ali ndi kusintha kwamphamvu kwa vasodilating komanso kusinthasintha. Mulingo wam'manja, umawonjezera mphamvu zamphamvu zomwe munthu amakhala nazo, zimamuwonjezera luso komanso luntha.

    Glucose 5% mwanjira yothetsera vutoli imagwiritsidwa ntchito nthawi zambiri. Kulowetsedwa kwa mankhwalawa kumathandizira kuchepetsa kuchepa kwa madzi m'thupi, kukonza magazi ambiri.

    Zothetsera za 10-40% zimatchedwa hypertonic. Amawonjezera kuthamanga kwa osmotic ndi kukodza, kuyambitsa njira zama metabolic mu chiwindi ndipo zimathandizira pakugwira ntchito kwa minofu yayikulu ya thupi.

    • intravenly (osachepera 300 ml amadzimadzi, pazenera 2 l),
    • subcutaneally (panthawi mpaka 500 ml),
    • mu mawonekedwe a enemas (ml).

    Malangizo apadera

    Pakhala pali zochitika za kulowetsedwa, kuphatikizapo anaphylactoid / anaphylactic reaction, hypersensitivity reaction mukamagwiritsa ntchito dextrose solution. Ngati zizindikiro kapena chizindikiro cha hypersensitivity reaction chayamba, kulowetsaku kuyenera kuyimitsidwa nthawi yomweyo.

    Glucose sangathe kugwiritsidwa ntchito ngati wodwala sakhudzidwa ndi chimanga ndi zinthu zophatikizidwa ndi chimanga.

    hypomagnesemia, hypokalemia, hypophosphatemia, hyponatremia, Hyperhydration / Hypervolemia, mwachitsanzo, zochitika zina zam'mimba, kuphatikizapo pulmonary edema ndi hyperemia), hypoosmolarity, hyperosmolarity, kuchepa kwamadzi ndi osmotic diuresis.

    Hypoosmotic hyponatremia imatha kupweteka mutu, nseru, kukokana, ulesi, chikomokere, edema yam'mimba, ndi kufa.

    Ndi zizindikiro zazikulu za hyponatremic encephalopathy, chisamaliro chamankhwala chofunikira chimafunika.

    Chiwopsezo chowonjezeka cha hypoosmotic hyponatremia chimawonedwa mwa ana, azimayi, okalamba, odwala atachitidwa opaleshoni komanso anthu omwe ali ndi psychogenic polydipsia.

    Chiwopsezo chotenga matenda a encephalopathy, monga zovuta za hypoosmotic hyponatremia, ndizochulukirapo mwa ana ndi achinyamata osakwana zaka 16, azimayi omwe ali ndi vuto la premenopusing, odwala omwe ali ndi matenda am'mimba am'mimba komanso odwala a hypoxemia.

    Kuyesedwa kwa labotale kwapafupipafupi kuyenera kuwunikira kusintha kwa kuchuluka kwa madzimadzi, kugwiritsira ntchito acid-base, komanso kutsata kwa electrolyte panthawi yayitali ya mankhwala othandizira ndipo, ngati kuli koyenera, muyeso wa wodwalayo kapena momwe wodwalayo alili.

    Glucose imayikidwa mosamala kwambiri kwa odwala omwe ali ndi vuto lalikulu la madzi ndi kusakhazikika kwa electrolyte, kukulitsidwa ndi kuchuluka kwa madzi aulere, hyperglycemia, kufunika kogwiritsa ntchito insulin.

    Zizindikiro zamankhwala za momwe wodwalayo alili ndiye maziko a njira zothetsera komanso kukonza.

    Poyang'aniridwa kwambiri, kulowetsedwa kwakukulu kumachitika mwa odwala omwe amapezeka m'mapapo mwanga, mtima kapena kuchepa kwaimpso.

    Pogwiritsa ntchito mlingo waukulu wa dextrose kapena ntchito kwa nthawi yayitali, ndikofunikira kuwongolera kuchuluka kwa potaziyamu m'magazi am'magazi ndipo ngati kuli koyenera, lembani kukonzekera kwa potaziyamu kuti mupewe hypokalemia.

    Pofuna kupewa hyperglycemia ndi hyperosmolar syndrome yoyambitsidwa ndi mayankho a dextrose, ndikofunikira kuwongolera kuchuluka kwa kulowetsedwa (kuyenera kukhala pansi pang'onopang'ono pakugwiritsa ntchito dextrose m'thupi la wodwalayo).

    Mochenjera, kulowetsedwa kwa njira ya Glucose kumachitika mwa odwala omwe atopa kwambiri, kuvulala kwamitsempha yamagazi mwachitsanzo, mikhalidwe monga matenda a shuga, sepsis, mantha ndi kuvulala, kuperewera kwaimpso, madzi ndi kuperewera kwa electrolyte, kupweteka kwambiri kwa ischemic, ndi ana akhanda.

    Odwala omwe ali ndi vuto lalikulu la kuperewera kwa zakudya m'thupi, kuyambiranso kwa zakudya kungayambitse kukula kwa matenda opatsanso mphamvu, omwe amadziwika ndi kuwonjezeka kwa ndende ya magnesium, potaziyamu ndi phosphorous chifukwa cha kuchuluka kwa anabolism.

    Kusungidwa kwanyimbo ndi kuchepa kwa thiamine ndizothekanso. Kuti mupewe kukula kwa zovuta izi, ndikofunikira kuyang'anira mosamala komanso pafupipafupi ndikuwonjezera kuchuluka kwa michere pang'onopang'ono, kupewa kudya kwambiri.

    Mu ana, kuthamanga ndi kuchuluka kwa kulowetsedwa kumatsimikiziridwa ndi adokotala, odziwa ntchito zamkati mwa kulowetsedwa kwa ana, ndipo zimatengera kulemera kwa thupi, zaka, kagayidwe kachakudya ndi matenda a mwana, komanso chithandizo chamankhwala.

    Makanda obadwa kumene, makamaka osabadwa kapena ana olemera osabereka, ali pachiwopsezo chachikulu cha kukhala ndi hypoglycemia ndi hyperglycemia, chifukwa chake amafunika kuwunikira mosamala kuchuluka kwa dextrose m'magazi.

    Hypoglycemia ikhoza kubweretsa kukokana kwa nthawi yayitali muakhanda, chikomokere ndi ubongo kuwonongeka. Hyperglycemia imalumikizidwa ndi kuchepa kwa fungal ndi bacteria bacteria, necrotic enterocolitis, intraventricular hemorrhage, mapema retinopathy, bronchopulmonary dysplasia, kuchuluka kwa kutalika kwa chipatala, ndi zotsatira zakupha.

    Ana, onse akhanda ndi akulu, ali pachiwopsezo chokulitsa hyponatremic encephalopathy ndi hypoosmotic hyponatremia. Pankhani ya mayankho a shuga, amafunika kuwunika mosamala kuchuluka kwa ma electrolyte m'madzi a m'magazi.

    Pogwiritsa ntchito njira ya dextrose mwa odwala okalamba, munthu ayenera kuganizira za kupezeka kwa mtima, matenda a chiwindi, impso, komanso chithandizo chamankhwala.

    Glucose solution imayamikiridwa kale, nthawi yomweyo, kapena atayika magazi kudzera mu zida zofanizira zina, popeza pseudoagglutination ndi hemolysis zimatha kuchitika.

    Palibe chidziwitso chazomwe zimapangitsa kuti mankhwalawo athe kuyendetsa magalimoto komanso magwiridwe antchito.

    Ndi chiwongolero chothamanga kwambiri komanso kugwiritsa ntchito Glucose nthawi yayitali, izi ndizotheka:

    • Hyperosmolarity,
    • Hyperglycemia,
    • Osmotic diuresis (chifukwa cha hyperglycemia),
    • Hyperglucosuria,
    • Hypervolemia.

    Ngati zizindikiro za mankhwala osokoneza bongo zimachitika, tikulimbikitsidwa kuti tichitepo kanthu kuti tichotse mankhwalawo ndikuthandizira chithandizo, kuphatikizapo kugwiritsa ntchito okodzetsa.

    Zizindikiro za mankhwala osokoneza bongo owonjezereka omwe amaphatikizidwa ndi shuga ya 5% amatsimikiziridwa makamaka ndi mphamvu ya mankhwalawa. Pankhani ya bongo, tikulimbikitsidwa kusiya njira yoyambira ndikuyambitsa chithandizo chamankhwala komanso chothandizira.

    Milandu yokhudzana ndi mankhwalawa Glucose ndi mankhwala ena sikufotokozedwa.

    Pa nthawi yoyembekezera komanso mkaka wa m'mawere, glucose amavomerezeka kuti agwiritsidwe ntchito.

    Pofuna kutsata shuga, odwala amapatsidwa mankhwala omwe amapezeka nthawi imodzi pa 4-5 g ya glucose.

    Sitikulimbikitsidwa kuphatikiza Glucose mutangoika magazi munjira imodzimodzi, popeza kuti pali kuthekera kwa thrombosis ndi hemolysis.

    Glucose solution ndioyenera kugwiritsidwa ntchito pokhapokha pakuwonekera, kuphatikiza umphumphu komanso kusapezeka kwa zosayera. Gwiritsani ntchito yankho pokhapokha mutapeza vial ku kulowetsedwa.

    Sizoletsedwa kugwiritsa ntchito zitsulo zamagetsi zolumikizidwa motsatizana, chifukwa izi zimatha kuyambitsa embolism ya mpweya chifukwa cha mpweya womwe umatsala papaketi yoyamba.

    Mankhwala ena ayenera kuwonjezeredwa ku yankho isanayambike kapena nthawi ya kulowetsedwa ndi jekeseni kumalo opangidwa ndi chidebe. Mukamawonjezera mankhwala ayenera kuyang'ana isotonicity ya yankho. Njira yothetsera kusakanikirana iyenera kugwiritsidwa ntchito mukangokonzekera.

    Chotetezacho chimayenera kutayidwa nthawi yomweyo mutagwiritsa ntchito yankho, mosasamala kanthu kuti mankhwalawo adatsalira kapena ayi.

    Kugwiritsa ntchito shuga kumawonetsedwa panthawi yapakati komanso yoyamwitsa.

    Kwa odwala matenda a shuga, mankhwalawa amaperekedwa motsogozedwa ndi shuga m'magazi ndi mkodzo.

    Ma infusions amachitika mu chipatala, kutsatira malamulo onse a asepsis.

    Akaphatikizidwa ndi mankhwala ena, mawonekedwe a mankhwalawo amalamulidwa mowoneka, osakaniza omwe amayambitsidwa ayenera kukhala owoneka bwino popanda kukayikira. M'pofunika kusakaniza kukonzekera ndi Glucose musanayambe kayendetsedwe kake, sikuletsedwa kugwiritsa ntchito osakaniza ngakhale mutangosunga kwakanthawi.

    Kaya ascorbic acid wokhala ndi glucose ndi wothandiza panthawi yomwe ali ndi pakati ndi vuto kwa azimayi ambiri omwe akuyembekeza, popeza mkazi akakhala kuti akuyembekezera mwana, thupi la mayiyo likukumana ndi kuchepa kwamphamvu kwa mavitamini.

    Komabe, mosiyana ndi glucose, ascorbic acid imatha kuvulaza mwana wosabadwayo ngati atengedwa kwa nthawi yayitali muyezo, zomwe zimapangitsa kuti atengere pambuyo. Pachifukwachi, madokotala amalangiza kuti ayambe kumwa mankhwalawa amayi apakati pokhapokha ali ndi vuto la vitamini C komanso mochedwa (makamaka 3 trimester). Norm - 100 mg. Ndi mkaka wa m`mawere, 120 mg.

    Maumboni ena ochulukirapo kuchokera kumayendedwe a boma:

    • Ascorbic acid imakhala ndi mphamvu pa chiwonetsero cha mahomoni a corticosteroid, kotero pogwiritsa ntchito nthawi yayitali, muyenera kuthana ndi kuthamanga kwa magazi ndi ntchito ya impso.
    • Ngati mayeso a wodwala amadziwika ndi kuchuluka kwazitsulo, mlingo wa ascorbic acid uyenera kuchepetsedwa.
    • Ngati chithandizo cha ascorbic acid ndi glucose chikuchitika pakumwa njira zakulera zamkamwa, bioavailability wa estrogen adzakulirakulira.
    • The mayamwidwe ascorbic acid yafupika ngati munthawi yomweyo chithandizo ndi salicylates (kuphatikiza chiopsezo chosiyana ndi iwo ukuwonjezeka) ndipo akamamwa ndi zamchere.
    • Vitamini C umathandiza kuyamwa kwa penicillin.

    Malangizo apadera akuti Vitamini C ndi glucose amachulukitsa kuchuluka kwa mexiletine, zimapangitsa kugwiritsa ntchito mankhwala osagwiritsidwa ntchito mwanjira zina, ndipo zimakhudza kuwonongedwa kwa acetylsalicylic acid ndi mankhwala okhala ndi zamchere.

    Momwe mungatengere shuga m'mapiritsi?

    Tsoka ilo, mutha kumwa shuga, kapena mwamwayi, osati aliyense. Pali zisonyezo zingapo zachipatala, malinga ndi momwe kuyambitsidwa kwake m'thupi ndikofunikira. Dokotala yekha ndi amene amafotokoza kuchuluka kwa mapiritsi a shuga omwe munthu wamkulu kapena mwana akhoza kumwa patsiku.

    Mtengo wokwanira wodwala umadalira izi, chifukwa mtengo wonyamula mankhwalawo siwukulu, koma kumwa kochita ndi glucose (kuposa paketi imodzi) kungawononge ndalama imodzi. Ndiye, pali zotsatirazi zomwe zikugwiritsidwa ntchito:

    • kuledzera thupi
    • achina,
    • hemorrhagic diathesis,
    • kusanza
    • kugwedeza
    • kuwonongeka kwa chiwindi
    • nthawi yantchito
    • kutsegula m'mimba
    • kulephera kwa chiwindi
    • dystrophy
    • Hepatitis.

    Tiyenera kukumbukira kuti ndi dokotala yekha yemwe amapereka mankhwala. Kutengera ndi deta yanu, kusanthula deta, amatha kudziwa momwe angapangire kukonzekera kwa glucose m'mapiritsi, kuchuluka kwa mapiritsi patsiku omwe angamwe ndi zomwe Mlingo. Kudzipatsa nokha mankhwala olimbitsa thupi ndi owopsa, chifukwa chake simuyenera kuyika thanzi lanu pangozi.

    Kukhazikika kwa shuga m'magazi kumakhala koopsa monga kuchuluka kwakukulu. Chakudya chimakhala gwero la shuga, koma ngati shuga wachepera, ndiye kuti shuga imagwiritsidwa ntchito pamapiritsi. Zimawonjezera mphamvu zomwe zimachitika komanso zimathandizira kuti thupi liziwonekanso mofulumira pambuyo poyesetsa zolimbitsa thupi.

    Glucose imakhudzidwa ndimayendedwe a metabolic ndipo imapereka chithunzithunzi. Kutopa kwambiri, kulephera kupirira kupsinjika kwa thupi ndi thupi kumawonetsa kuchepa kwa chinthu ichi m'thupi.

    Kuyanjana kwa mankhwala osokoneza bongo

    Mankhwalawa amathandizira kuti mayankho a ayoni ayende mwachangu ndi matumbo. Kuchotsa kwakukulu kwachitsulo m'thupi kumachitika ngati shuga yokhala ndi Deferoxamine imayikidwa nthawi yomweyo.

    Chenjezo liyenera kumwedwa ndi glucose ”ndi ascorbic acid osakanikirana ndi sulufanilamide ndi salicylic acid mwa odwala omwe amapezeka kuti ali ndi mchere wambiri ndi mkodzo.

    Mankhwala otsatirawa ndi mawonekedwe a Glucose:

    • Glucosteril
    • Glucose-E
    • Glucose Brown,
    • Glucose Bufus,
    • Dextrose
    • Eskom Glucose,
    • Dextrose Vial
    • Peritoneal glucose otsika calcium calcium.

    Malinga ndi lingaliro la adotolo, shuga mu mapiritsi akhoza kusinthidwa ndi imodzi mwamankhwala:

    Ma analogi a Glucose ndi awa: njira - Glucosteryl, Glucose Bufus, Glucose-Eskom.

    Mumafakitale, mutha kugula ma analogs a glucose a piritsi. Gawo lawo lothandizira ndi dextrose monohydrate, kotero mankhwalawo ali ndi katundu wofanana. Ndalamazi ndi monga:

    • Glucose Biefe,
    • Glucose Brown,
    • Vlucose Vial,
    • Glucose-E
    • Glucosteril
    • Dextrose
    • Dextrose Monohydrate,
    • Dextrose Vial
    • Likadex PF Dextrose Monohydrate.

    Kukonzekera ndi ntchito yomweyi: Glucosteril, Glucose-Eskom, Dextrose-Vial ndi ena.

    Glucose analogs, mankhwala ofanana mu limagwirira: Aminoven, Hepasol, Hydramine, Fibrinosol ndi ena.

    Migwirizano ndi magwiritsidwe akusungidwa

    Malinga ndi malangizo, Glucose mu mtundu uliwonse wa Mlingo uyenera kusungidwa pamtunda wozizira, kuchokera kwa ana. Alumali moyo wa mankhwalawa zimatengera wopanga ndipo amachokera ku 1.5 mpaka 3 zaka.

    Kodi mwapeza cholakwika m'mawuwo? Sankhani ndikusindikiza Ctrl Enter.

    Sungani pa kutentha kosaposa 25 ° C, kuchokera kwa ana.

    • Njira yothetsera kulowetsedwa 5%: 100, 250, 500 ml - zaka 2, 1000 ml - zaka 3,
    • Njira yothetsera kulowetsedwa 10% - 2 zaka.

    Mapiritsi amayikidwa mu contour kapena cell-blister yamtundu wa 10. Timadziti totsikira titha kuyikamo makatoni a 1, 2, 5 phukusi lililonse. Kwa ogula m'mafakitare, mapiritsi amaperekedwa popanda kulandira mankhwala.

    Pewani kufikira ana.

    Sitolo pa ° C.

    Tsiku lotha ntchito likuwonetsedwa pamaphukusi.

    Osagwiritsa ntchito tsiku litatchulidwa.

    Glucose 500mg No. 20 mapiritsi

    Glucose njira 5% 250 ml

    Glucose yothetsera kulowetsedwa 10% 200 ml botolo

    Glucose yothetsera kulowetsedwa 5% 200 ml botolo

    Glucose njira 5% 100 ml

    Glucose Brown yankho 5% 500 ml

    Complivit Antistress ndichakudya chowonjezera (chakudya chowonjezera chogwira), gwero lowonjezera la zipatso.

    Complivit Selenium ndichakudya chowonjezera (BAA), chowonjezera cha mavitamini, mgodi.

    Complivit Ophthalmo - mankhwala ophatikiza okhala ndi mavitamini, amafufuza zinthu ndikukula.

    Complivit-Active ndi mankhwala a multivitamin okhala ndi macro- ndi ma microelements. Kutulutsa Fomu ndi comp.

    "Amayi" okhathamira chifukwa chokhala ndi pakati komanso kuyamwa.

    "Amayi" okhathamira - mankhwala, omwe akuphatikizapo zovuta za Vit.

    Kalata Yapulogalamu D3 ya ana.

    Complivit Calcium D3 ya ana ndi calcium komanso vitamini D3 mankhwala opangidwa.

    Pewani kufikira ana.

    Pamalo otetezedwa ku chinyezi pamtenthedwe wosapitirira 25 ° C. Pewani kufikira ana.

    Zaka zitatu Osagwiritsa ntchito mochedwa kuposa nthawi yomwe yatchulidwa pa phukusi.

    Kodi shuga ndi zochuluka motani? Mtengo wa mankhwalawa umatengera mtundu wa kumasulidwa. Mafuta ophatikizidwa amafuta amalipira ma ruble 20. Kuti mupeze yankho la 5% ya kulowetsedwa (400 ml) muyenera kulipira ma ruble 50, komanso phukusi la ma ampoules khumi - 90 ma ruble.

    Moyo wa alumali umasinthanso ndi mawonekedwe omasulidwa. Pa ufa, ndi zaka 5, yankho mu ma ampoules - zaka 6, ndipo shuga m'magome amasungidwa zaka 4 zokha.

    Mankhwala ndi oyenera kugwiritsidwa ntchito pokhapokha ngati umphumphu wa phukusi, kuwonekera kwa zamadzimadzi ndi kusakhalapo kwa zodetsa zowoneka. Malinga ndi malangizo, tikulimbikitsidwa kuti tisunge glucose mu mtundu uliwonse wa kutentha pa kutentha kwa madigiri 15 mpaka 25, pamalo otetezedwa kwa ana.

    Ndi zovuta zonse zomwe zingachitike chifukwa cha mankhwala osokoneza bongo, mutha kugula mapiritsi a ascorbic acid ndi glucose - simukufuna kuti apatsidwe mankhwala ndi dokotala. Alumali moyo wa mapiritsi ndi chaka chimodzi, zothetsera (mavitamini C oyenera) zimasungidwanso kwa chaka chimodzi ngati kuchuluka kwa zinthu zomwe zimagwira ndi 50 mg, ndi zaka 1.5 pazambiri za 100 mg.

    Zomwe zimagwiritsidwa ntchito ndi shuga m'mapiritsi

    Glucose pamapiritsi amatchulidwa kwa wodwala mosamala. Mwachitsanzo, ngati mukulephera kwa impso, dokotala amayenera kuwunika nthawi zonse atatha kumwa. Kuwongolera kwapadera ndikofunikira pazizindikiro za hemodynamics yapakati.

    Amayi oyembekezera komanso oyembekezera amathandizidwanso mapiritsi a shuga. Zimakhudza kukula kwa khanda ndi mkaka wa mayi. Kwa amayi oyembekezera, palibe njira ina yapadera yokonzekera shuga, chifukwa chake mtengo ndi wofanana.

    Anthu ena amakhulupirira kuti mankhwalawa angakhudze luso lanu loyendetsa magalimoto. Koma, mwamwayi, malingaliro awa ndi olakwika. Madokotala atsimikizira kuti glucose sasintha momwe munthu amayendetsa. Mwa njira, mtengo wa shuga m'mapiritsi sasintha malinga ndi komwe mukupita.

    Glucose pamapiritsi nthawi zambiri amaperekedwa kwa othamanga. Izi ndizofunikira kuti athe kupatsa minofu ndi chiwindi mafuta okwanira. Zimapatsa mphamvu thupi.Amathandizanso kuoneka ngati wofooka komanso chizungulire pambuyo polimbitsa thupi mwamphamvu.

    Mapiritsi a Dextrose amalimbikitsidwa kuti azisungunuka pang'onopang'ono pansi pa lilime. Mlingo weniweni wa mankhwalawa komanso nthawi yayitali ya chithandizo zimatengera wodwalayo. Chifukwa chake, chidziwitsochi chimaperekedwa ndi adotolo atayang'ana wodwalayo.

    Ngati shuga wambiri alowa mthupi la munthu, hyperglycemia imatha kukhazikika, mawonetsedwe ake omwe ndi ludzu losatha (polydipsia) komanso kukodza msanga (polyuria). Woopsa milandu, pachimake yamitsempha yamagazi kulephera kumachitika (asphyxiation, chifuwa, kupuma movutikira, m'mapapo mwanga edema).

    Glucose pamapiritsi ndi chida chofunikira kwambiri kwa anthu ambiri. Choyamba, imagwira ntchito ngati gwero lamphamvu lomwe limadyetsa maselo ndi minyewa. Kuchita kwa maselo kudzatengera kuchuluka kwa momwe thupi lingatengere pawiri.

    Mluza umalowetsedwa ndi chakudya. Imasweka m'mimba yopangira chakudya kupita ku mamolekyulu osavuta, omwe amalowa m'magazi ndikufalikira thupi lonse. Njira yowonetsera ikuthandizira kuchotsa zonse zosafunikira m'thupi, chifukwa chake musadandaule. Momwe mungatengere shuga m'mapiritsi? Kodi wodwala ayenera kudziwa chiyani?

    • Makhalidwe a chinthucho
    • Ndingatenge liti

    Zotsatira zoyipa

    1. Zotsatira zam'deralo kapena mwatsatanetsatane zidzachitika.
    2. Mankhwala amatha kuwononga mucous nembanemba wa m'mimba.
    3. Kupanga kwa insulin kumalepheretsa.
    4. Nephrocalcinosis (oxalate), komanso hyperoxaluria.

    Dzina la mankhwala, kuchuluka kwa yogwira, kuyika

    Chiwerengero cha paketi iliyonse

    Glucose, mapiritsi 0,5 g, matuza a contour

    Glucose, mapiritsi, 0,5 g, opanda cell

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    Kupititsa patsogolo kaphatikizidwe ka mahomoni a corticosteroid, kukonza kuyamwa kwa chitsulo (komwe kumathandiza kuthana ndi kuchepa kwa magazi m'thupi), kulimbitsa chitetezo chokwanira m'thupi - chifukwa chake ascorbicum, yemwe samadziwika kawirikawiri ndi mankhwala omwe amapezeka kale, amatengedwa kwambiri.

    Komabe, vitamini C, makamaka kuphatikizapo glucose, imatha kukhala ndi vuto lalikulu mthupi chifukwa cholowera mwachangu mu maselo am'magazi ndi minyewa yamtundu wa dehydroascorbic acid. Mapindu a mankhwalawa amatha kuwunikira ngakhale ndi mutu wambiri womwe umayamba chifukwa cha magazi.

    Pankhani ya pharmacodynamics ya ascorbic acid:

    • Matenda a metabolism amapezeka mu impso, ndipo ambiri amawachotsa ngati oxalate.
    • Mlingo wa kuchotseredwa ndi impso zimatengera mlingo - okwera amatuluka mwachangu.
    • Kupezeka kwa matenda am'mimba, matumbo kukokana.
    • Hypokalemia ndi thrombocytosis pazotsatira zoyesa.
    • Kusokoneza zizindikiritso pa ntchito ya transaminases, bilirubin.
    • Pamaso pa zotupa zopanga metastases, kayendetsedwe ka ascorbic acid wokhala ndi shuga ndikosayenera, chifukwa kuthamanga kwa njirayi sikumaphatikizidwa.

    Glucose pamapiritsi: kumwa mankhwala a ana ndi akulu (malangizo)

    Nthawi zambiri, mapiritsi amaperekedwa kwa ana limodzi ndi ascorbic acid. Ndi kuphatikiza kwa mankhwalawa, kaphatikizidwe ka corticosteroids amathandizidwa, chifukwa chake muyenera kuyang'anira ntchito ya impso, kuthamanga kwa magazi, komanso kuchuluka kwa insulin.

    Nthawi zonse kwa mwana wamkulu kuposa zaka 6 siziposa 500 mg wa dextrose. Mlingo uwu ungagawidwe mu Mlingo wa 3-5. Mu ana, pogwiritsa ntchito mphamvu yayikulu ya thupi, kuchepa kwakukulu kwa shuga kumawonedwa, motero, kuti apeze mphamvu, mafuta amayamba kuwonongeka, ndi mitundu ya acetone.

    Zinthu zoterezi zimatha kutsagana ndi kusanza. Acetone ikawoneka, mwana amapatsidwa mapiritsi angapo nthawi imodzi ndi kumwa kwambiri.Ana osaposa zaka 3 osagwiritsidwa ntchito piritsi la glucose - ayenera kupatsidwa mayankho okonzeka 5% kapena kuyimitsa mankhwala mwaumwini.

    Kwa ana, malangizo apadera ogwiritsira ntchito shuga m'magome ndi ofunika, chifukwa thupi la mwana limazindikira mankhwala ena mwanjira ina. Amayikidwa mosamala kwambiri. Ana ochepera zaka 5 ndi osayenera kumwa mapiritsi, chifukwa sangathe kumwa mankhwalawo pang'ono. Mwachidule, mwana sangathe kuyika mankhwala pansi pa lilime ndikusungunuka.

    Zomwe zili patsamba lino zimangoperekedwa pazophunzitsira zodziwika bwino, sizitanthauza chidziwitso komanso kulondola kwa zamankhwala, sikuwongolera kuchitapo kanthu. Osadzisilira.

    Kuwala kwa khungu

    Matenda a shuga, mogwirizana ndi malangizo, ndi imodzi mwazomwe zimayambitsa kumwa kwa dextrose pamapiritsi. Koma nthawi zina adotolo amauza mankhwalawa kwa odwala ngati ali ndi matenda ashuga 1. Izi ndichifukwa choti odwalawa amawonetsedwa ma insulin m'mapiritsi kapena mankhwala ena okhala ndi insulin.

    Ndipo kuchepa kwambiri kwamlingo wama glucose (gawo lalitali pakudya, kuchuluka kwa insulini, kupsinjika kwa mumtima kapena kupsinjika, ndi zina), mahomoni a chithokomiro sangathe kulowa m'maselo. Hypoglycemia imayamba, kuwonetsedwa ndi thukuta lochuluka, kufooka, tachycardia, kupweteka. Nthawi zina kuukira kumachitika mwadzidzidzi.

    Ndikofunika kukumbukira kuti ngati palibe chithandizo choyenera, munthu wodwala matendawa amatha kugwa. Kulandila glucose kumasintha msanga shuga m'magazi, popeza piritsi imayamba kuyamwa kale panthawi ya kuyambiranso.

    Kutsika kwakukulu kwa shuga komanso kudwala kwambiri, shuga amalimbikitsidwa kuti azitenga mphindi zisanu zilizonse malinga ndi katswiri. Kuukira kosachedwa kumbuyo kwa matenda ashuga kumafunika kugwiritsa ntchito mankhwalawa mphindi 20 zilizonse kufikira wodwalayo atakula. Malangizo enieni ogwiritsira ntchito mankhwalawa amaperekedwa ndi dokotala.

    Fotokozerani shuga ndi osewera. Mapiritsi a Dextrose amafunikira pamasewera kuti shuga azikhala mwamphamvu m'magazi, kuphatikiza chakudya ndi minofu ndi chiwindi.

    Asanaphunzitsidwe kwakutali, othamanga amatenga kuchuluka kwa mankhwalawo omwe akutsimikizidwa ndi katswiri. Izi ndizothandiza makamaka mukamatha kudya osakwana ola limodzi kapena awiri musanayambe kalasi.

    Mukamamwa poizoni ndi mowa komanso mankhwala osokoneza bongo, maselo aubongo amavutika. Kulandila shuga kumakupatsani mwayi wodzivulaza zomwe zimabweretsa, kubwezeretsanso kupezeka kwa michere m'maselo. Chifukwa chake, dextrose pamapiritsi amathandizira pakumwa zakumwa zoledzeretsa, mankhwala osokoneza bongo, kuchotsedwa kwa kulumwa.

    Kuphatikiza apo, mankhwalawa amasintha ntchito ya chiwindi, amathandizira kuthana ndi poizoni wambiri. Mlingo wovomerezeka ndi katswiri pazochitika zotere umatengedwa maola onse awiri ndi atatu.

    Mwana wanga nthawi zambiri amakhala ndi acetone mu mkodzo wake. Pambuyo pake pakuwonekera, pofuna kupewa kuyambika, ndimagwiritsa ntchito shuga. Ndimapatsa mwana wanga mapiritsi awiri ndikumupatsa madzi ambiri - mpaka lita imodzi.

    Nthawi zina ndimakhala ndimikhalidwe yotere ndikatopa kwambiri, manja anga amayamba kunjenjemera. Paphwando, dokotala adanena kuti anali hypoglycemia - kuchuluka kwa shuga kumatsika kwambiri, ndikulimbikitsa kumwa shuga.

    Ndidaganiza zowongolera mawonekedwe anga ndikuyamba kupita ku malo ochitira masewera olimbitsa thupi, koma ndidawona kuti nditha kuchita bwino kwa ola limodzi. Mnzake adalangiza kutenga yankho la madzi ndi shuga 2 maola asanaphunzitsidwe. Tsopano ndimagwiritsa ntchito njira yake.

    Zomwe zafotokozedwa m'nkhaniyi ndizongowatsogolera zokha. Zipangizo za m'nkhaniyi sizitanthauza kudzithandiza tokha. Ndi dokotala woyenera yekha yemwe angadziwe za matenda ake ndikuwapatsa chithandizo chamankhwala malinga ndi zomwe wodwala wina ali nazo.

    Kodi odwala amati chiyani gwiritsani ntchito shuga? Ndemanga zambiri ndizabwino. Mankhwalawa amalimbana ndi "ntchito" yomwe adayipereka: imasintha njira ya kagayidwe kachakudya mthupi, imapatsanso mphamvu, komanso imathandizira pakugwira ntchito kwa mtima ndi ziwalo zina zamkati.

    Glucose oikidwa, mtengo wake womwe si oposa ruble 30, umakonda kugwiritsidwa ntchito ngati mankhwala kunyumba. Itha kugulidwa pafupifupi mu mankhwala aliwonse, mtengo wake umakhala wotsika, ndipo zotsatira zake zochizira zimathandizira kuchira msanga.

    Chidziwitso! Chidziwitso chomwe chaperekedwa munkhaniyi ndi chongoongoyembekezera chokha. Zipangizo za m'nkhaniyi sizitanthauza kudzithandiza tokha. Ndi dokotala woyenera yekha yemwe angadziwe za matenda ake ndikuwapatsa chithandizo chamankhwala malinga ndi zomwe wodwala wina ali nazo.

    Glucose pamapiritsi: zikuwonetsa, mankhwala, ofanana, mtengo

    Glucose imapereka kuchepa kwa thupi ndi mphamvu yamagetsi m'thupi. Makampani opanga mankhwala amapanga mitundu iwiri ya mankhwala - pamapiritsi, komanso mawonekedwe a yankho la jakisoni. Zizindikiro zogwiritsidwa ntchito ndi mtengo wake zimasiyana. Pogwiritsa ntchito mankhwalawa, mutha kuchotsa zovuta za metabolic mthupi. Chosakaniza chachikulu chogwira ntchito chili ngati mawonekedwe a ufa oyera azinthu zing'onozing'ono zopanda phokoso. Ganizirani zisonyezo zazikulu zakugwiritsira ntchito piritsi la piritsi, komanso zovuta zina.

    Shuga wowerengeka m'mapiritsi, komanso osakanikirana ndi ascorbic acid, amatchulidwa kangapo:

    1. Ndi hypovitaminosis ndi kuchepa kwa vitamini.
    2. Munthawi ya mkaka wa m`mawere ndi nthawi ya bere.
    3. Komanso, mankhwalawa adzafunika kwa odwala omwe amafunikira ascorbic acid ndi glucose.
    4. Mankhwala ayenera kumwedwa ndi ana pa kukula kwambiri.
    5. Mankhwalawa amathandizira kubwezeretsa mphamvu panthawi yochita masewera olimbitsa thupi, komanso munthawi ya convalescence (kuchira thupi pambuyo pa matenda oopsa).

    Piritsi limodzi lili ndi gramu imodzi ya glucose monohydrate ndi magawo ena owonjezera:

    1. Wowuma wa mbatata.
    2. Talc.
    3. Stearic acid.
    4. Kashiamu yonyowa.

    Mapiritsiwo ali ndi mawonekedwe osalala komanso mawonekedwe ozungulira. Amatha kusiyanitsidwa ndi zingwe zogawanitsa komanso zopendekera. Popanga mankhwalawa limodzi ndi ascorbic acid, pakhungu ndi chamfer (kukhumudwa pakati pa ndege ndi mbali yakumaso) zimayikidwa. Mapiritsi khumi amaikidwa m'matumba a chithuza. Bokosi limaphatikizanso kunyamula makatoni okhala ndi matuza amodzi kapena awiri, komanso malangizo ogwiritsira ntchito. Chiti chimatha kusiyanasiyana kutengera wopanga.

    Glucose imakhudzidwa ndi chakudya komanso mphamvu ya metabolism. Pambuyo pake, mphamvu zowonongeka zimaperekedwa, mgwirizano wa minofu yapakati pa mtima (myocardium) umayamba bwino.

    Kuphatikizika kophatikizana ndi ascorbic acid kumayendetsa kagayidwe kachakudya, kumalimbikitsa kusinthika kwa minofu, komanso kumakhudzanso magazi. Gawo limaphatikizidwa ndi kapangidwe ka mahomoni a adrenal cortex.

    Kuchulukitsa kukaniza kwa thupi kumatenda opatsirana. Kusokonekera kwa ma capillaries kumachepetsedwa, ndipo kufunikira kwa thupi kwamavitamini a magulu A, E ndi B, folic, pantothenic acid kumadzazidwanso.

    Piritsi la mankhwalawa sayenera kumwedwa ndi odwala omwe ali ndi matenda osokoneza bongo, komanso odwala omwe ali ndi mbiri ya glucosuria komanso kuchepa kwa hyperglycemia. Mtheradi contraindication zimaphatikizapo hypersensitivity amodzi mwa zinthu, chizolowezi cha thrombosis ndi thrombophlebitis. Komanso, "Glucose" wophatikiza ndi ascorbic acid sakhazikitsidwa kwa ana ochepera zaka zisanu ndi chimodzi.

    Odwala achikulire, komanso ana a zaka zopitilira zitatu, ayenera kumwa mapiritsi atatu kapena theka la mapiritsi katatu patsiku.Ngati dokotala atayambitsa fomu yosakanikirana (ndi ascorbic acid), muyezo umawerengeredwa potengera zomwe zili chomaliza.

    Monga kupewa, akuluakulu amatha kumwa 50 mpaka 100 mg wa mankhwalawa tsiku lonse. Chikhalidwe cha tsiku ndi tsiku kwa ana kuyambira zaka 6 mpaka 14 sichikuposa ma milligram makumi asanu. Ngati Glucose wokhala ndi ascorbic acid amadziwika kuti apatsidwe chithandizo, odwala achikulire amamuikira mlingo wa 50 mpaka 100 milligram katatu kapena kasanu patsiku.

    Kwa ana opitirira zaka 6, madokotala amapereka 50 kapena 100 mg ndi ascorbic acid. Kuti mukwaniritse izi, muyenera kumwa mankhwalawa kawiri kapena katatu patsiku. Dokotala amatha kudziwa kuchuluka kwake, komanso kutalika kwa chithandizo, payekhapayekha, kutengera zovuta za matendawa kapena kufunika kopewa.

    Musanamwe mankhwala omwe amaphatikiza ndi ascorbic acid, muyenera kuwerengera molondola.

    Zotsatira za phwandoli, zotsatirapo zosiyanasiyana zimatha kuchitika:

    1. Zotsatira zam'deralo kapena mwatsatanetsatane zidzachitika.
    2. Mankhwala amatha kuwononga mucous nembanemba wa m'mimba.
    3. Kupanga kwa insulin kumalepheretsa.
    4. Nephrocalcinosis (oxalate), komanso hyperoxaluria.

    Ikagwiritsidwa ntchito nthawi yomweyo ndi maantibayotiki, ziyenera kukumbukiridwa kuti ascorbic acid imatha kuwonjezera kuchuluka kwa benzylpenicillin, komanso tetracycline m'magazi. Glucose wokhala ndi ascorbic acid wokwanira mu gramu yoposa imodzi patsiku amatha kupititsa patsogolo kukhudzana kwa mahomoni a mankhwala a Ethinyl Estradiol.

    Mankhwalawa amathandizira kuti mayankho a ayoni ayende mwachangu ndi matumbo. Kuchotsa kwakukulu kwachitsulo m'thupi kumachitika ngati shuga yokhala ndi Deferoxamine imayikidwa nthawi yomweyo.

    Chenjezo liyenera kumwedwa ndi glucose ”ndi ascorbic acid osakanikirana ndi sulufanilamide ndi salicylic acid mwa odwala omwe amapezeka kuti ali ndi mchere wambiri ndi mkodzo. Kupanda kutero, mwayi wa makristasi ukuwonjezeka. Mankhwala amachepetsa mphamvu ya antipsychotic chithandizo.

    Mankhwala a Russian Federation glucose okhala ndi ascorbic acid atha kugulidwa popanda mankhwala a dokotala. Mtengo wapakati wa blister wokhala ndi mapiritsi 10 ndi ma ruble makumi awiri ndi asanu.

    Malinga ndi lingaliro la adotolo, shuga mu mapiritsi akhoza kusinthidwa ndi imodzi mwamankhwala:

    Glucose mu mawonekedwe a mapiritsi ndi mankhwala omwe amapangidwira chakudya cham'kamwa cha munthu wodwala. Thupi limakhala ndi kuthirira ndi kusintha kwa thupi.

    Makampani opanga mankhwala amapanga glucose mwanjira ya mapiritsi kapena yankho la jekeseni wamkati, ndipo malangizo ogwiritsira ntchito pazinthu izi ndi osiyana mosiyanasiyana.

    Chofunikira chachikulu pa mankhwalawa ndi dextrose monohydrate, zomwe zili:

    Piritsi limodzi - 50 mg, 100 ml yankho - 5, 10, 20 kapena 40 g.

    Chifukwa, mwachitsanzo, kapangidwe ka njira ya glucose imaphatikizanso zinthu zothandizira. Kuti muchite izi, gwiritsani ntchito hydrochloric acid ndi madzi kulowetsedwa, zonsezi zimaganizira malangizo ogwiritsira ntchito mankhwalawa.

    Chifukwa chakuti mtengo wa mapiritsi a shuga ndi njira yocheperako, amatha kutengedwa ndi magawo onse a anthu.

    Dextrose monohydrate imatha kugulidwa pamankhwala opanga mankhwala monga:

    mapiritsi (m'matumba a zidutswa 10), jakisoni: mumapulasitiki (m'mapepala a 50, 100, 150, 250, 500 kapena 1000 ml), botolo lagalasi (voliyumu mu 100, 200, 400 kapena 500 ml), yankho kwa mtsempha wa mtsempha wamagalasi (5 ml kapena 10 ml).

    Malangizo ogwiritsira ntchito akuwonetsa kuti kumwa mapiritsi kapena njira yofunikira ndikofunikira kuti athe kubwezeretsanso kuchepa kwa chakudya m'thupi, komwe kumatha kuchitika motsutsana ndi maziko azikhalidwe zosiyanasiyana zamatumbo.

    Chachikulu ndikumwa kumwa mapiritsi ngati matenda a shuga apezeka.

    Kuphatikiza apo, shuga angagwiritsidwe ntchito monga:

    kuledzera kwa thupi, kukonza kwa madzi am'mimba komwe kumachitika pambuyo pakuchita opaleshoni kapena kutsekula kwa nthawi yayitali, hemorrhagic diathesis, kugwa, kugwedezeka, hypoglycemia, hepatitis, kusowa kwa chiwindi, dystrophy kapena kuwonjezeka kwa chiwindi.

    Ndi zoletsedwa kugwiritsira ntchito njira yothetsera vutoli ndi shuga m'magawo omwe wodwalayo ali ndi mbiri ya zovuta zoterezi:

    Hyperosmolar coma, matenda a shuga ochititsa chidwi, hyperlactacidemia, kugwiritsidwa ntchito molakwika kwa shuga pambuyo pakuchita opaleshoni.

    Mosamala kwambiri, mankhwalawa amayenera kuperekedwa kudzera mwamitsempha:

    aakulu aimpso kulephera, decompensated mtima kulephera (mu mbiri), hyponatremia.

    Ndikofunikira kudziwa kuti shuga imapangidwa m'magulu a shuga, kuperewera kwamanzere kwamitsempha, kulephera kwa ubongo kapena mapapu. Chenjezo limaperekedwa kwa ana.

    Ndikosatheka kugwiritsa ntchito mankhwalawa pochita kuchepa thupi, komanso matenda a m'magazi omwe ali ndi kuthekera kwakukulu kotukuka kwa pulmonary edema. Mtengo wa mankhwalawa suwakhudza ma contraindication ake.

    Madokotala amalimbikitsa kugwiritsa ntchito Glucose pakamwa ola limodzi ndi theka asanadye. Mlingo umodzi sayenera kupitirira 300 mg ya mankhwala pa 1 kg ya wodwala.

    Ngati yankho la glucose liyenera kuperekedwa mwachangu, dokotala yemwe adzipereka payekhapayokha amadzindikira payokha kuchuluka kwa thunthu kapena njira ya jet.

    Malinga ndi malangizo, mlingo woyenera wa tsiku ndi tsiku kwa wodwala wamkulu ndi:

    5% dextrose solution - 200 ml pa jekeseni wa 150 akutsikira pamphindi kapena 400 ml pa ola limodzi, 0% yankho - 1000 ml pa jekeseni wa madontho 60 pamphindi, 20% yankho - 300 ml mwachangu mpaka madontho 40, 40% yankho - 250 ml ndi mulingo woyenera kwambiri wa madontho 30 mphindi imodzi.

    Ngati pakufunika kupereka Glucose kwa odwala, ndiye kuti mlingo wake udzakhazikitsidwa potengera kulemera kwa mwana, ndipo sungathe kupitilira izi:

    kulemera mpaka 10 makilogalamu - 100 ml pa kilogalamu ya kulemera mu maola 24, kulemera kuchokera pa 10 mpaka 20 makilogalamu - mpaka kuchuluka kwa 1000 ml kuyenera kuwonjezedwa 50 ml pa kilogalamu kupitilira 10 kg yolemera mumaola 24, kulemera koposa 20 kg - mpaka 1500 ml 20 ml ayenera kuwonjezedwa pa kilogalamu yolemera kuposa 20 kg.

    Ndi jet intravenous oyang'anira 5 kapena 10 peresenti yothetsera, mlingo umodzi wa 10 mpaka 50 ml udzakhazikitsidwa. Mtengo wa mapiritsi ndi yankho ndizosiyana, monga lamulo, mtengo wamapiritsi ndi wotsika.

    Mukalandira Glucose ngati maziko ndi kholo la mankhwala ena, kuchuluka kwa yankho kuyenera kutengedwa kuchokera pa 50 mpaka 250 ml pa 1 piritsi yomwe mankhwala amathandizira.

    Mulingo wa makonzedwe udzakhazikitsidwa ndi zomwe mankhwala amasungunuka mu shuga.

    Malinga ndi malangizo, Glucose sikhala ndi vuto lililonse m'thupi la wodwalayo. Izi zidzakhala zoona pokhapokha ngati zidaperekedwa molondola komanso malamulo okhazikitsidwa ndikugwiritsira ntchito.

    Zotsatira zoyipa ndi izi:

    malungo, polyuria, hyperglycemia, pachimake michere kulephera, hypervolemia.

    Pali kupweteka kambiri pamalo a jakisoni, komanso zimachitika mderalo, monga matenda, kuvulala, thrombophlebitis.

    Glucose amatha kugwiritsidwa ntchito munthawi ya kukomoka ndi mkaka wa mkaka. Mtengo wa mankhwalawa sasintha malinga ndi momwe amagwiritsidwira ntchito.

    Ngati kuphatikiza ndi mankhwala ena kukufunika, ndiye kuti kuphatikiza kwawo kuyenera kukhazikitsidwa kowoneka.

    Ndikofunikira kusakaniza mankhwala musanadye kulowetsedwa. Kusunga yankho lomalizidwa ndikugwiritsa ntchito koletsedwa!

    Glucose pamapiritsi ndi mankhwala apadera omwe cholinga chake ndi pakamwa. Thupi limatha kuthirira.Makampani osiyanasiyana opanga mankhwala amapanga glucose mwanjira ya mapiritsi komanso monga yankho. Malangizo ogwiritsira ntchito azikhala osiyanasiyana, monga mtengo womwewo. Lero tikambirana za glucose momwe mapiritsi alili.

    Glucose ndi mankhwala omwe amalowa mosavuta mu ziwalo zonse za thupi. Izi zimachitika kudzera mu chotchinga cha histoeticological. Maulendo amayendetsedwa ndi insulin, gwero la michere. Amatengeka mosavuta ndi thupi. Metabolism imayendera limodzi ndi kutulutsidwa kwa mphamvu, komwe ndikofunikira pamoyo wa munthu wamba.

    Ngati mumamwa mapiritsi a glucose mosalekeza, ndiye kuti zosintha zina m'thupi zimachitika:

    kupanikizika kwa osmotic ndikusintha kukhala kwabwinoko, kagayidwe kakusintha, vasodilation imawonedwa, ntchito ya chiwindi, kuphatikiza antitoxic, ikupita patsogolo, pali kuwonjezeka kwamadzi ochokera ku timinyewa timagazi kupita ku magazi, ndipo diuresis ikukula.

    Tsoka ilo, mutha kumwa shuga, kapena mwamwayi, osati aliyense. Pali zisonyezo zingapo zachipatala, malinga ndi momwe kuyambitsidwa kwake m'thupi ndikofunikira. Dokotala yekha ndi amene amafotokoza kuchuluka kwa mapiritsi a shuga omwe munthu wamkulu kapena mwana akhoza kumwa patsiku. Mtengo wokwanira wodwala umadalira izi, chifukwa mtengo wonyamula mankhwalawo siwukulu, koma kumwa kochita ndi glucose (kuposa paketi imodzi) kungawononge ndalama imodzi. Ndiye, pali zotsatirazi zomwe zikugwiritsidwa ntchito:

    kuledzera organic, hypoglycemia, hemorrhagic diathesis, kusanza, mantha, chiwindi atrophy, postoperative nthawi, kutsegula m'mimba, chiwindi kulephera, dystrophy, hepatitis.

    Tiyenera kukumbukira kuti ndi dokotala yekha yemwe amapereka mankhwala. Kutengera ndi deta yanu, kusanthula deta, amatha kudziwa momwe angapangire kukonzekera kwa glucose m'mapiritsi, kuchuluka kwa mapiritsi patsiku omwe angamwe ndi zomwe Mlingo. Kudzipatsa nokha mankhwala olimbitsa thupi ndi owopsa, chifukwa chake simuyenera kuyika thanzi lanu pangozi.

    Monga tanena kale, si aliyense amene amaloledwa kugwiritsa ntchito shuga. Poyamba, zikuwoneka kuti ndi mankhwala osavulaza, koma ngakhale nthawi zina zimapereka zosayembekezereka kwathunthu. Chifukwa chake, mndandanda wazotsutsana pakugwiritsa ntchito mankhwalawa wapangidwa. Amakhala wamba. Nthawi zambiri, madokotala amayang'ana momwe wodwalayo amadzisankhira yekha ndikusankha payekhapayekha ngati shuga alipo kapena ayi.

    Chifukwa chake, ngati muli ndi matenda amodzi mndandanda womwe uli pansipa, ndiye kuti mankhwalawo ndi oletsedwa kwa inu:

    shuga mellitus, hyperglycemia, hyperlactacidemia, pachimake michere polephera.

    Makamaka chidwi ayenera kuperekedwa kwa mankhwala kwa ana. Thupi la mwana ndi losiyana kwambiri ndi thupi la munthu wamkulu, chifukwa chake, ndi dokotala wokha amene angakuwuzeni kuchuluka kwa glucose komwe amafunikira komanso ngati angathe kuthandizira konse.

    Amakhulupirira kuti shuga sayambitsa mavuto aliwonse. Koma, izi ndizowona pokhapokha ngati mankhwalawo adapangidwa molondola, komanso kugwiritsa ntchito malinga ndi malangizo ndi malingaliro a dokotala. Kupanda kutero, mankhwalawa amayambitsa:

    polyuria, kutentha thupi, hypervolemia, ludzu, kuperewera kwamphamvu kwamanzere kumatha.

    Malangizo ndi kuikidwa kwa adotolo zidapangidwa pazifukwa. Munthu amatha kupewa mavuto ambiri azaumoyo, komanso kusunga ndalama ngati atakwaniritsa zonse zomwe dokotala amuuza.

    Musanagwiritse shuga m'magome, muyenera kuwerenga malangizo kuti mugwiritse ntchito. Malangizo ndi chinthu chomwe sichiyenera kunyalanyaza. Zambiri zothandiza zimabisidwa mmenemo, zomwe zingathandize kupewa zinthu zosasangalatsa ndikupita kuchipatala. Koma ndi malingaliro onse akhoza kupezeka pa intaneti.

    Madokotala ambiri amalangiza kumwa shuga m'mapiritsi malinga ndi malangizo.

    Nthawi zambiri, iyi ndi ola limodzi ndi theka musanadye. Mlingo umodzi sayenera kupitirira 300 mg pa kilogalamu imodzi ya munthu.Kangati patsiku komanso kuchuluka kwa mankhwalawa angamuuze dokotala yemwe wakupangirani. Palibe chifukwa chomwe mungasinthire mwakokha njira yochiritsira, chifukwa pali mwayi waukulu wa mankhwala osokoneza bongo. Ndipo izi, monga mukudziwa, sizingachititse chilichonse chabwino.

    Glucose pamapiritsi amatchulidwa kwa wodwala mosamala. Mwachitsanzo, ngati mukulephera kwa impso, dokotala amayenera kuwunika nthawi zonse atatha kumwa. Kuwongolera kwapadera ndikofunikira pazizindikiro za hemodynamics yapakati.

    Amayi oyembekezera komanso oyembekezera amathandizidwanso mapiritsi a shuga. Zimakhudza kukula kwa khanda ndi mkaka wa mayi. Kwa amayi oyembekezera, palibe njira ina yapadera yokonzekera shuga, chifukwa chake mtengo ndi wofanana.

    Anthu ena amakhulupirira kuti mankhwalawa angakhudze luso lanu loyendetsa magalimoto. Koma, mwamwayi, malingaliro awa ndi olakwika. Madokotala atsimikizira kuti glucose sasintha momwe munthu amayendetsa. Mwa njira, mtengo wa shuga m'mapiritsi sasintha malinga ndi komwe mukupita.

    Glucose pamapiritsi nthawi zambiri amaperekedwa kwa othamanga. Izi ndizofunikira kuti athe kupatsa minofu ndi chiwindi mafuta okwanira. Zimapatsa mphamvu thupi. Amathandizanso kuoneka ngati wofooka komanso chizungulire pambuyo polimbitsa thupi mwamphamvu. Koma, adotolo amayenera kuwongolera mankhwalawo kwa othamanga, chifukwa ndikofunikira kuti apereke mlingo woyenera.

    Kwa ana, malangizo apadera ogwiritsira ntchito shuga m'magome ndi ofunika, chifukwa thupi la mwana limazindikira mankhwala ena mwanjira ina. Amayikidwa mosamala kwambiri. Ana ochepera zaka 5 ndi osayenera kumwa mapiritsi, chifukwa sangathe kumwa mankhwalawo pang'ono. Mwachidule, mwana sangathe kuyika mankhwala pansi pa lilime ndikusungunuka.

    Malangizo ogwiritsira ntchito:

    Mitengo muma pharmacie opezeka pa intaneti:

    Glucose - chida cha chakudya chopatsa mphamvu, chimatha kusintha komanso kutulutsa madzi.

    • Njira yothetsera kulowetsedwa 5%: madzi osawoneka bwino a 100, 250, 500 kapena 1000 ml mu zotengera za pulasitiki, 50 kapena 60 ma PC. (100 ml), ma 30 kapena 36 ma PC. (250 ml), 20 kapena 24 ma PC. (500 ml), ma 10 kapena 12 ma PC. (1000 ml) m'matumba otetezedwa osiyana, omwe amadzaza m'mabokosi amakhadi okhala ndi nambala ya malangizo yogwiritsidwa ntchito,
    • kulowetsedwa 10%: madzi osapaka utoto (500 ml aliyense m'mapulasitiki, 20 kapena ma PC 24. M'matumba otetezedwa olekanitsidwa, omwe amakhala ndi makatoni okhala ndi nambala yoyenera ya malangizo ogwiritsira ntchito).

    Zogwira ntchito: dextrose monohydrate - 5.5 g (yomwe imafanana ndi 5 g wa dextrose wamadzimadzi) kapena 11 g (yomwe imagwirizana ndi 10 g ya dextrose anhydrous).

    Wothandiza: madzi a jakisoni - mpaka 100 ml.

    • monga gwero lama chakudya,
    • monga gawo la antishock ndi magazi othandizira magazi (ndi mantha, kugwa),
    • ngati njira yothetsera kufafaniza komanso kuchepetsa zinthu zamafuta,
    • ndi hypoglycemia wolimbitsa thupi (ndi cholinga chodzitetezera ndi chithandizo),
    • ndi madzi am'mimba (chifukwa cha kutsegula m'mimba / kusanza, komanso nthawi ya postoperative).
    • hyperlactatemia,
    • hyperglycemia
    • Hypersensitivity ku chinthu yogwira,
    • Kulekerera kwa Dextrose
    • hyperosmolar chikomokere,
    • thupi lawo siligwirizana ndi zakudya zomwe zili ndi chimanga.

    Kuphatikiza kwa 5% shuga yankho: shuga yopanda shuga.

    Kuphatikiza pa 10% shuga:

    • kuchuluka kwa matenda a shuga ndi matenda a shuga
    • extracellular hyperhydration kapena hypervolemia ndi hemodilution,
    • kulephera kwambiri kwaimpso (ndi anuria kapena oliguria),
    • mtima wosakhazikika,
    • matenda enaake a chiwindi ndi ascites, edema yodziwika bwino (kuphatikizapo pulmonary ndi ubongo edema).

    Kulowetsedwa kwa 5% ndi 10% dextrose yothetsera kumatsutsana masana pambuyo povulala kumutu.Komanso, contraindication kwa mankhwala omwe amawonjezera panjira ya dextrose ayenera kuganiziridwanso.

    Kugwiritsa ntchito komwe kungachitike pakubala komanso mkaka wa m'mawere molingana ndi mawonekedwe.

    Glucose amathandizira kudzera m'mitsempha. The ndende ndi kuchuluka kwa mankhwalawa kutsimikiza kutengera zaka, mkhalidwe ndi kulemera kwa wodwalayo. Kuzunza kwa dextrose m'magazi kuyenera kuyang'aniridwa mosamala.

    Mwachizolowezi, mankhwalawa amapakidwa pakatikati kapena kotumphukira, chifukwa cha osmolarity wa yankho. Kukhazikitsidwa kwa njira zama Hyperosmolar kumatha kuyambitsa mkwiyo m'mitsempha ndi phlebitis. Ngati ndi kotheka, mukamagwiritsa ntchito mayankho onse a makolo, ndikulimbikitsidwa kuti mugwiritse ntchito zosefera pamzere wapa njira yothetsera kulowetsedwa.

    Ntchito zoyenera kwa akulu:

    • monga gwero lama chakudya komanso kupezeka kwa madzi m'thupi kwa isotopic: ndi kulemera kwa thupi pafupifupi 70 kg - kuchokera 500 mpaka 3000 ml patsiku,
    • wowonjezera kukonzekera kwa makolo (monga njira yothetsera): 50 mpaka 250 ml pa mlingo wa mankhwala omwe mankhwalawa amaperekedwa.

    Kugwiritsa ntchito kwa ana (kuphatikizapo ana akhanda):

    • monga gwero lama carbohydrate komanso madzi am'mimba otuluka m'mimba: kutalika kwa 0 mpaka 10 - 100 ml / kg pa tsiku, ndi thupi lolemera 10 mpaka 20 kg - 1000 ml + 50 ml pa kg pa 10 kg pa tsiku, Kulemera kwa 20 makilogalamu - 1500 ml + 20 ml pa kilogalamu woposa 20 kg patsiku,
    • wowonjezera kukonzekera kwa makolo (monga yankho): kuchokera 50 mpaka 100 ml pa mlingo wa mankhwalawo.

    Kuphatikiza apo, 10% yankho la glucose limagwiritsidwa ntchito pochiza komanso kupewa hypoglycemia komanso polimbitsa madzi m'thupi ngati madzi atha.

    Mlingo wambiri tsiku lililonse umatsimikiziridwa payokhapokha malinga ndi zaka komanso kuchuluka kwa kulemera kwa thupi komanso kuyambira 5 mg / kg / mphindi (kwa odwala akuluakulu) mpaka 10-18 mg / kg / mphindi (kwa ana, kuphatikizapo ana akhanda).

    Mlingo wa makonzedwe amtunduwu amasankhidwa malinga ndi mkhalidwe wodwala. Popewa hyperglycemia, poyambira kugwiritsa ntchito dextrose m'thupi sayenera kupitirira, chifukwa chake, pazomwe zimagwiritsidwa ntchito pakukonzekera kwa odwala akuluakulu sayenera kupitirira 5 mg / kg / mphindi.

    Mlingo woyambirira wa ana, kutengera zaka:

    • Makanda obadwa masiku asanakwane - 10-18 mg / kg / min,
    • kuyambira 1 mpaka 23 miyezi - 9-18 mg / kg / min,
    • kuyambira zaka ziwiri mpaka 11 - 7-14 mg / kg / min,
    • kuyambira wazaka 12 mpaka 18 - 7-8.5 mg / kg / min.

    Kutengera ndi zomwe zilipo, zomwe zimachitika sizingachitike.

    • chitetezo chamthupi: hypersensitivity *, anaphylactic reaction *,
    • kagayidwe ndi zakudya: hypervolemia, hypokalemia, hypomagnesemia, kuchepa magazi, hyperglycemia, hypophosphatemia, electrolyte kusalinganika, hemodilution,
    • zotupa ndi zotupa:
    • zotupa: phlebitis, venous thrombosis,
    • impso ndi kwamkodzo thirakiti: polyuria,
    • Matenda a malo a jakisoni ndi mavuto ena onse: matenda omwe amapezeka jakisoni, kuzizira *, phlebitis, malungo *, kupweteka kwam'deralo, kuyambitsa malo a jekeseni, kuwonjezereka pamalo a jekeseni, kutentha thupi, kunjenjemera, kutuluka kwa mavuto, thrombophlebitis,
    • zowerengera ndi zothandizira: glucosuria.

    * Zotsatira zoyipa izi zimatheka mwa odwala omwe samvana ndi chimanga. Amathanso kudziwonetsa mwa mawonekedwe a mtundu wina, monga cyanosis, hypotension, bronchospasm, angioedema, kuyabwa.

    Pakhala pali zochitika za kulowetsedwa, kuphatikizapo anaphylactoid / anaphylactic reaction, hypersensitivity reaction mukamagwiritsa ntchito dextrose solution. Ngati zizindikiro kapena chizindikiro cha hypersensitivity reaction chayamba, kulowetsaku kuyenera kuyimitsidwa nthawi yomweyo. Kutengera ndi magawo azachipatala, njira zoyenera zochiritsira ziyenera kumwedwa.

    Glucose sangathe kugwiritsidwa ntchito ngati wodwala sakhudzidwa ndi chimanga ndi zinthu zophatikizidwa ndi chimanga.

    Kutengera momwe wodwalayo alili, kagayidwe kazakudya (dextrosegwiritsa ntchito), kuchuluka kwake komanso kuchuluka kwa kulowetsedwa, kulowererapo kwa dextrose kungayambitse kusokonezeka kwa electrolyte (mwachitsanzo, hypomagnesemia, hypokalemia, hypophosphatemia, hyponatremia, Hyperhydration / Hypervolemia. kuphatikizapo pulmonary edema ndi hyperemia), hypoosmolarity, hyperosmolarity, kufooka kwa madzi ndi osmotic diuresis.

    Hypoosmotic hyponatremia imatha kupweteka mutu, nseru, kukokana, ulesi, chikomokere, edema yam'mimba, ndi kufa.

    Ndi zizindikiro zazikulu za hyponatremic encephalopathy, chisamaliro chamankhwala chofunikira chimafunika.

    Chiwopsezo chowonjezeka cha hypoosmotic hyponatremia chimawonedwa mwa ana, azimayi, okalamba, odwala atachitidwa opaleshoni komanso anthu omwe ali ndi psychogenic polydipsia.

    Chiwopsezo chotenga matenda a encephalopathy, monga zovuta za hypoosmotic hyponatremia, ndizochulukirapo mwa ana ndi achinyamata osakwana zaka 16, azimayi omwe ali ndi vuto la premenopusing, odwala omwe ali ndi matenda am'mimba am'mimba komanso odwala a hypoxemia.

    Kuyesedwa kwa labotale kwapafupipafupi kuyenera kuwunikira kusintha kwa kuchuluka kwa madzimadzi, kugwiritsira ntchito acid-base, komanso kutsata kwa electrolyte panthawi yayitali ya mankhwala othandizira ndipo, ngati kuli koyenera, muyeso wa wodwalayo kapena momwe wodwalayo alili.

    Glucose imayikidwa mosamala kwambiri kwa odwala omwe ali ndi vuto lalikulu la madzi ndi kusakhazikika kwa electrolyte, kukulitsidwa ndi kuchuluka kwa madzi aulere, hyperglycemia, kufunika kogwiritsa ntchito insulin.

    Zizindikiro zamankhwala za momwe wodwalayo alili ndiye maziko a njira zothetsera komanso kukonza.

    Poyang'aniridwa kwambiri, kulowetsedwa kwakukulu kumachitika mwa odwala omwe amapezeka m'mapapo mwanga, mtima kapena kuchepa kwaimpso.

    Pogwiritsa ntchito mlingo waukulu wa dextrose kapena ntchito kwa nthawi yayitali, ndikofunikira kuwongolera kuchuluka kwa potaziyamu m'magazi am'magazi ndipo ngati kuli koyenera, lembani kukonzekera kwa potaziyamu kuti mupewe hypokalemia.

    Pofuna kupewa hyperglycemia ndi hyperosmolar syndrome yoyambitsidwa ndi mayankho a dextrose, ndikofunikira kuwongolera kuchuluka kwa kulowetsedwa (kuyenera kukhala pansi pang'onopang'ono pakugwiritsa ntchito dextrose m'thupi la wodwalayo). Ndi kuchuluka kwa dextrose m'magazi, kulowetsedwa kuyenera kutsitsidwa kapena insulini iyenera kukhazikitsidwa.

    Mochenjera, kulowetsedwa kwa njira ya Glucose kumachitika mwa odwala omwe atopa kwambiri, kuvulala kwamitsempha yamagazi mwachitsanzo, mikhalidwe monga matenda a shuga, sepsis, mantha ndi kuvulala, kuperewera kwaimpso, madzi ndi kuperewera kwa electrolyte, kupweteka kwambiri kwa ischemic, ndi ana akhanda.

    Odwala omwe ali ndi vuto lalikulu la kuperewera kwa zakudya m'thupi, kuyambiranso kwa zakudya kungayambitse kukula kwa matenda opatsanso mphamvu, omwe amadziwika ndi kuwonjezeka kwa ndende ya magnesium, potaziyamu ndi phosphorous chifukwa cha kuchuluka kwa anabolism. Kusungidwa kwanyimbo ndi kuchepa kwa thiamine ndizothekanso. Kuti mupewe kukula kwa zovuta izi, ndikofunikira kuyang'anira mosamala komanso pafupipafupi ndikuwonjezera kuchuluka kwa michere pang'onopang'ono, kupewa kudya kwambiri.

    Mu ana, kuthamanga ndi kuchuluka kwa kulowetsedwa kumatsimikiziridwa ndi adokotala, odziwa ntchito zamkati mwa kulowetsedwa kwa ana, ndipo zimatengera kulemera kwa thupi, zaka, kagayidwe kachakudya ndi matenda a mwana, komanso chithandizo chamankhwala.

    Makanda obadwa kumene, makamaka osabadwa kapena ana olemera osabereka, ali pachiwopsezo chachikulu cha kukhala ndi hypoglycemia ndi hyperglycemia, chifukwa chake amafunika kuwunikira mosamala kuchuluka kwa dextrose m'magazi. Hypoglycemia ikhoza kubweretsa kukokana kwa nthawi yayitali muakhanda, chikomokere ndi ubongo kuwonongeka. Hyperglycemia imalumikizidwa ndi kuchepa kwa fungal ndi bacteria bacteria, necrotic enterocolitis, intraventricular hemorrhage, mapema retinopathy, bronchopulmonary dysplasia, kuchuluka kwa kutalika kwa chipatala, ndi zotsatira zakupha. Makamaka chidwi chake chikuyenera kulipira pakuwongolera zida zamagetsi zamkati ndi zida zina zamankhwala othandizira kuti mankhwalawa asaphedwe.

    Ana, onse akhanda ndi akulu, ali pachiwopsezo chokulitsa hyponatremic encephalopathy ndi hypoosmotic hyponatremia. Pankhani ya mayankho a shuga, amafunika kuwunika mosamala kuchuluka kwa ma electrolyte m'madzi a m'magazi. Kuwongolera mwachangu kwa hypoosmotic hyponatremia kukhoza kukhala koopsa chifukwa cha chiwopsezo cha zovuta zazikulu zamitsempha.

    Pogwiritsa ntchito njira ya dextrose mwa odwala okalamba, munthu ayenera kuganizira za kupezeka kwa mtima, matenda a chiwindi, impso, komanso chithandizo chamankhwala.

    Glucose solution imayamikiridwa kale, nthawi yomweyo, kapena atayika magazi kudzera mu zida zofanizira zina, popeza pseudoagglutination ndi hemolysis zimatha kuchitika.

    Palibe chidziwitso chazomwe zimapangitsa kuti mankhwalawo athe kuyendetsa magalimoto komanso magwiridwe antchito.

    Kugwiritsa ntchito pamodzi kwa ma catecholamines ndi ma steroid kumachepetsa kuyamwa kwa shuga.

    Sizinatengedwe kuti kuthana ndi njira zamagetsi zamagetsi zamagetsi komanso kuwoneka kwa glycemic zotsatira zikagwiritsidwa ntchito limodzi ndi mankhwala omwe amakhudza madzi osokoneza bongo a electrolyte komanso amakhala ndi vuto la hypoglycemic.

    Ma analogi a Glucose ndi awa: njira - Glucosteryl, Glucose Bufus, Glucose-Eskom.

    Sungani pa kutentha kosaposa 25 ° C, kuchokera kwa ana.

    • Njira yothetsera kulowetsedwa 5%: 100, 250, 500 ml - zaka 2, 1000 ml - zaka 3,
    • Njira yothetsera kulowetsedwa 10% - 2 zaka.


    1. Kogan-Yasny V.M. Matenda a shuga, State akufalitsa nyumba ya mabuku azachipatala - M., 2011. - 302 p.

    2. Kogan-Yasny, V.M. Shuga wodwala / V.M. Kogan Yasny. - M: Nyumba yosindikiza boma ya mabuku azachipatala, 2006. - 302 c.

    3. Kartelishev A. V., Rumyantsev A. G., Smirnova N. S. Zovuta zenizeni za kunenepa kwambiri mwa ana ndi achinyamata, Medpraktika-M - M., 2014. - 280 p.

    Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka patsamba lino kuti athetse zovuta koma osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

    Momwe mungamwere shuga

    Glucose pamapiritsi amayenera kugwiritsidwa ntchito pakamwa - njira yolumikizira pansi pa lilime. Muyenera kumwa mankhwalawa kwa ola limodzi ndi theka musanadye, chifukwa kugwiritsa ntchito dextrose kumachepetsa kudya. Mlingo umatengera zaka, kulemera ndi momwe wodwalayo alili. Ndikosatheka kupereka mankhwalawo pazokha, chifukwa pali zovuta zingapo zotsutsana ndikumwa.

    Pankhani ya poizoni

    Mankhwalawa amagwiritsidwa ntchito ngati wothandizidwa nawo. Mankhwalawa poizoni ndi hydrocyanic acid, arsenic, carbon monoxide, aniline, paracetamol, glucose omwe amapezeka pamodzi ndi mankhwala ena kuti athandize odwala.Mankhwalawa amathandiza kuledzera kwamthupi chifukwa chazovuta za chiwindi. Odwala amalangizidwa kuti atenge mapiritsi atatu ndi theka la maola awiri mpaka isanayambike kusintha.

    Ndi matenda ashuga

    Chifukwa cha kupsinjika kwambiri m'maganizo kapena kumwa mankhwala ambiri a insulin, ngati nthawi yayikulu pakati pa chakudya siziwoneka ndi shuga, kuchepa kwambiri kwa shuga kungachitike. Kuti izi zitheke, muyenera kutenga mapiritsi otsekemera. Mu kwambiri hypoglycemia iyenera kutengedwa mzidutswa 1-2 pambuyo mphindi 5 kuti muchepetse kufooka, thukuta, kunjenjemera.

    M'malo ochepera, mapiritsi a 3-4 amagwiritsidwa ntchito pakatha mphindi 30. Kulandila kwa dextrose kumayimitsidwa pambuyo pakutha kwa zizindikilo zamakhalidwe. Ndikofunikira kuti musasokoneze zizindikiro za hypoglycemia ndi zizindikiro za hyperglycemia ndikuwongolera kuchuluka kwa shuga mothandizidwa ndi zida. Kupanda kutero, padzakhala kuwonjezeka kowopsa pamlingo wake, mkhalidwe wa wodwalayo umakulirakulira ndipo kugwedezeka kumatha kuchitika.

    Glucose kwa othamanga

    Kumwa mapiritsi ochita masewera olimbitsa thupi kumathandizidwa pakulimbitsa thupi kwambiri - mwakuchita masewera olimbitsa thupi. Dextrose ndiyofunikira kuti minofu ya othamanga ichitenso mphamvu mofulumira mthupi. Sikoyenera kumwa mankhwalawa musanaphunzitsidwe, chifukwa padzakhala kuchuluka kwamankhwala a insulin, ndiye kuti dontho lakuthwa la ndende. Ndi bwino kugwiritsa ntchito mankhwalawa kwa maola 1, 2 musanayambe kuchita masewera olimbitsa thupi. Povomereza, muyenera kupasuka mapiritsi 7 a 1 gramu mu lita imodzi yamadzi ndikumwa makapu 4 amadzimadzi ndi mphindi imodzi.

    Glucose wa ana

    Nthawi zambiri, mapiritsi amaperekedwa kwa ana limodzi ndi ascorbic acid. Ndi kuphatikiza kwa mankhwalawa, kaphatikizidwe ka corticosteroids amathandizidwa, chifukwa chake muyenera kuyang'anira ntchito ya impso, kuthamanga kwa magazi, komanso kuchuluka kwa insulin. Nthawi zonse kwa mwana wamkulu kuposa zaka 6 siziposa 500 mg wa dextrose. Mlingo uwu ungagawidwe mu Mlingo wa 3-5. Mu ana, pogwiritsa ntchito mphamvu yayikulu ya thupi, kuchepa kwakukulu kwa shuga kumawonedwa, motero, kuti apeze mphamvu, mafuta amayamba kuwonongeka, ndi mitundu ya acetone.

    Zinthu zoterezi zimatha kutsagana ndi kusanza. Acetone ikawoneka, mwana amapatsidwa mapiritsi angapo nthawi imodzi ndi kumwa kwambiri. Ana osaposa zaka 3 osagwiritsidwa ntchito piritsi la glucose - ayenera kupatsidwa mayankho okonzeka 5% kapena kuyimitsa mankhwala mwaumwini. Simuyenera kupatsa mwana wanu madzi otsekemera musanadyetse, chifukwa angakane mkaka.

    Zotsatira zoyipa

    Malangizowa ali ndi machenjezo okhudzana ndi mavuto omwe amabwera pambuyo pa dextrose. Kugwiritsa ntchito mankhwalawa kumapangitsa kuchuluka kwa cholesterol, komwe kumatha kuyambitsa magazi ndi kutupa m'mitsempha - thrombophlebitis. Kawirikawiri mutamwa mapiritsi amawonedwa:

    • kuchepa kwamtima
    • Hypervolemia
    • kulephera kwamitsempha kwamanzere,
    • nseru, ludzu, dyspepsia, ulemu.

    Bongo

    Ngati miyambo yomwe yalimbikitsidwa ipitilira, zotsatira zoyipa zimawonedwa nthawi zambiri. Mukumwa mankhwala osokoneza bongo a dextrose okhala ndi ascorbic acid, kupweteka mutu, kuwonjezereka kwa msana, kuwonongeka kwa m'mimba, kumatulutsa, komanso kusowa tulo. Ndi mankhwala osokoneza bongo osokoneza bongo, n`zotheka: kuchepa kwa insulin kapangidwe kake, kuyambika kwa hyperglycemia, kuchepa kwa chilakolako cha kudya. Muzochitika zotere, ndikofunikira kusiya kumwa dextrose ndikuyang'ana kwa dokotala kuti akupatseni mankhwala opereka chithandizo.

    Migwirizano yogulitsa ndikusunga

    Mapiritsi amayikidwa mu contour kapena cell-blister yamtundu wa 10. Timadziti totsikira titha kuyikamo makatoni a 1, 2, 5 phukusi lililonse. Kwa ogula m'mafakitare, mapiritsi amaperekedwa popanda kulandira mankhwala. Mutha kusunga mankhwalawo popanda kupezeka ndi kuwala kwa dzuwa pamunsi pa 25 digiri yopitilira zaka 4 kuchokera tsiku lotuluka.

    Mumafakitale, mutha kugula ma analogs a glucose a piritsi. Gawo lawo lothandizira ndi dextrose monohydrate, kotero mankhwalawo ali ndi katundu wofanana. Ndalamazi ndi monga:

    • Glucose Biefe,
    • Glucose Brown,
    • Vlucose Vial,
    • Glucose-E
    • Glucosteril
    • Dextrose
    • Dextrose Monohydrate,
    • Dextrose Vial
    • Likadex PF Dextrose Monohydrate.

    Mtengo wa mapiritsi a shuga

    Mutha kugula mapiritsi kuchipatala. Ndikosavuta kwa wogula kuyitanitsa kutumiza kwa intaneti. Mtengo wa mankhwalawa umatengera ndondomeko yamitengo yamagetsi ndi ma CD. Mtengo wa miyala mapiritsi ku Moscow afotokozedwera patebulo:

    Dzina la mankhwala, kuchuluka kwa yogwira, kuyika

    Chiwerengero cha paketi iliyonse

    Glucose, mapiritsi 0,5 g, matuza a contour

    Glucose, mapiritsi 0,5 g, matuza a contour

    Glucose, mapiritsi 0,5 g, matuza a contour

    Glucose, mapiritsi, 0,5 g, opanda cell

    Olga, wazaka 35. Mwana wanga nthawi zambiri amakhala ndi acetone mu mkodzo wake. Pambuyo pake pakuwonekera, pofuna kupewa kuyambika, ndimagwiritsa ntchito shuga. Ndimapatsa mwana wanga mapiritsi awiri ndikumupatsa madzi ambiri - mpaka lita imodzi. Nthawi zina njirayi imayenera kubwerezedwa. Zimathandiza nthawi zonse, koma zisanachitike kutenga antiemetic.

    Galina wazaka 38. Nthawi zina ndimakumana ndi zotere ndikatopa kwambiri, manja anga amayamba kugwedezeka. Paphwando, dokotala adanena kuti anali hypoglycemia - kuchuluka kwa shuga kumatsika kwambiri, ndikulimbikitsa kumwa shuga. Tsopano nthawi zonse ndimakhala ndimapiritsi kapena maswiti ndipo ndimawagwiritsa ntchito ndi kuwonongeka mwadzidzidzi muumoyo.

    Andrei, wazaka 33 ndidaganiza zowongolera mawonekedwe anga ndikuyamba kupita ku masewera olimbitsa thupi, koma ndidawona kuti nditha kuchita ola limodzi kuti ndichite. Mnzake adalangiza kutenga yankho la madzi ndi shuga 2 maola asanaphunzitsidwe. Tsopano ndimagwiritsa ntchito njira yake. Ndimasungunula mapiritsi 14 mu lita imodzi yamadzi ndipo pang'onopang'ono ndimamwa kapu ndisanachoke mnyumba kuti ndikaphunzitse.

    Zambiri

    Mankhwala a Glucose - mankhwala apadera okhala ndi shuga wambiri. Nthawi zambiri amauzidwa kupsinjika kwambiri m'maganizo ndi m'thupi kuti abwezeretse chakudya. Ndi gwero la michere, koma sizothandiza monga zopezeka ndi shuga.

    Kodi glucose ndi wothandiza chifukwa chiyani? Zimapirira ndi kusowa kwa mphamvu, dziko la hypoglycemic, ndipo zimapangitsa kusowa kwa chakudya chamafuta m'mimba. Nthawi zambiri zotchulidwa limodzi ndi mavitamini. Ndi ascorbic acid imagwiritsidwa ntchito kuchepa kwa vitamini / hypovitaminosis, panthawi yokhala ndi pakati / mkaka wa m`mawere, kuwonjezera mphamvu.

    Amapezeka m'mapiritsi, mu mawonekedwe a njira yothetsera kulowetsedwa, ma ampoules. Njira zothetsera zimagwiritsidwa ntchito pokhapokha ngati simunagwire ntchito.

    Chosakaniza chophatikizika ndi glucose monohydrate. Gulu limodzi lili ndi gramu imodzi ya mankhwala othandizira. Monga zida zothandizira, wowuma, calcium stearate, talc, stearic acid amagwiritsidwa ntchito.

    Zizindikiro ndi contraindication

    Chizindikiro chovomerezeka ndi:

    • achina,
    • mankhwala owonjezera a kupsinjika kwamisala,
    • mankhwala owonjezera olimbitsa thupi,
    • kuperewera kwa zakudya m'thupi.

    Mankhwala atha kupatsidwa mankhwala osiyanasiyana oledzera, poyizoni, kusanza komanso kutsegula m'mimba kwa nthawi yayitali.

    Contraindations akuphatikiza:

    • Hypersensitivity pamagawo a mankhwala,
    • shuga mellitus (kupatula ngati malo a hypoglycemic),
    • osakhala matenda a shuga?
    • kulolerana kwa shuga (prediabetes),
    • zaka mpaka zaka zitatu.

    Malangizo ogwiritsira ntchito

    Mlingo wamba patsiku ndi mapiritsi 1-2. Ngati ndizofunikira, zitha kuchuluka.

    Mlingo ndi nthawi yayitali ya chithandizo zimatsimikiziridwa kutengera mtundu ndi njira ya matendawa, zotsatira za achire.

    Phalelo liyenera kutafunidwa kapena kusungunuka. Mankhwalawa amatha kuchepetsa kudya, motero amamuika ola limodzi asanadye.

    Mankhwalawa amalekeredwa bwino.Pa kudya, nthawi zina, matupi awo amawoneka, makamaka urticaria, kuyabwa, kupendama. Kuchita pafupipafupi kumachepa ndi kusowa kudya.

    Ndi muyezo umodzi wa mankhwalawa ambiri, mavuto am'mimba amayamba. Ndi mawonetseredwe oterowo, amafunika kuletsa mankhwalawo.

    Pa nthawi yomwe muli ndi pakati, mungathe kutenga shuga m'mapiritsi. Mu mkaka wa msambo, mutha kugwiritsanso ntchito mankhwalawa. Mkazi ayenera kutsatira mosamalitsa dongosololi ndi nthawi yayitali yomwe dokotala adamuuza.

    Mpaka zaka zitatu sizimasankhidwa piritsi.

    Pogwiritsa ntchito nthawi yayitali, tikulimbikitsidwa kuwunika mayendedwe a shuga. Mankhwalawa amatha kugwiritsidwa ntchito pa matenda a shuga panthawi yopuma hypoglycemia. Mwanthawi yofatsa, mapiritsi amagwiritsidwa ntchito, ovulala kwambiri, amathandizidwa ndi othandizira azaumoyo kudzera m'mitsempha kapena intramuscularly.

    Kanema wokhudza ntchito za shuga mthupi:

    Glucose wa ana pamapiritsi

    Ana nthawi zambiri amapatsidwa mankhwala pamodzi ndi vitamini C. Pophatikizira izi, kubwezeretsanso ndalama zamagetsi ndi kusangalatsa kwa njira za immunobiological mu thupi zimaperekedwa. Kwa ana kuyambira zaka 6, mlingo wa tsiku lililonse sayenera kupitirira 500 mg. Nthawi zina, mlingo umayendetsedwa ndi ana.

    Amapereka kukonzekera kwa piritsi ndi ma acetones okwera, limodzi ndi kumwa kwambiri. Kwa ana ochepera zaka zitatu, zothetsera zakonzedwa zimapangidwa. Mutha kusinthanso magulu am'madzi modalira.

    Nthawi zina makolo amafunsa - kodi mwana amatha kumwa glucose mu ampoules? Palibe zoletsa pankhaniyi, koma ndikofunikira kuchepetsa kukhathamiritsa ndi madzi - 1: 1. The pakati pakati kudya ndi kumwa mankhwala 1.5 maola.

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