Gwiritsani ntchito shuga m'mapiritsi molondola

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.

Zizindikiro zogwiritsidwa ntchito

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.

Contraindication

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:

• Matenda a shuga

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

Mlingo ndi makonzedwe

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 10-50 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.

Zotsatira zoyipa

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.

Malangizo apadera

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.

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

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

Kuyanjana kwa mankhwala osokoneza bongo

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.

Zizindikiro ndi contraindication kuti mugwiritse ntchito

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.

Zomwe zimagwiritsidwa ntchito pakupanga shuga

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.

Iyenera kukumbukiridwa kuti dextrose imatha kufooketsa zochitika zamtima chifukwa cha inactivation ndi oxidation ya glycoside. Chifukwa chake, pafupifupi ola limodzi muyenera kutha pakati pa kumwa mankhwalawa. Glucose amachepetsa mphamvu ya mankhwalawa:

• nystatin
• analgesics
• streptomycin
• mankhwala a adrenomimetic.

Mochenjera, mankhwalawa amapatsidwa hyponatremia ndi kulephera kwaimpso, amayang'anira ma hemodynamics apakati. Pa mkaka wa m`mawere ndi pakati, pamene ntchito dextrose akuwonetsedwa. Ana osakwanitsa zaka zisanu samapereka shuga mwa mapiritsi, chifukwa ana sadziwa kumwa mankhwalawa mosazungulira (mwa lilime).

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).

Mankhwalawa amapezeka m'mitundu ingapo:

• Mapiritsi 0,5 mg
• 100 ml yankho la 10, 20 ndi 40 mg.

Mapiritsi a Glucose ndi oyera, osalala komanso osakhala pachiwopsezo. Piritsi limodzi lili ndi 0,5 mg pazomwe zimapangidwira, dextrose monohydrate. Komanso pali zinthu zina zingapo zowonjezera: mbatata wowuma, calcium stearate ndi talc. Piritsi la mankhwalawa limaperekedwa kuti wodwala azikhala wathanzi, kupititsa patsogolo mphamvu zake zolimbitsa thupi komanso ntchito zamaganizidwe.

Kodi shuga ndi chiyani?

Thupi laumunthu limafuna glucose monga reagent pazinthu zambiri zamthupi zomwe zimachitika. Njirayi imakhala mukutumiza mphamvu kumaselo onse amthupi ndikuphatikizanso kagayidwe kena. Glucose monga mankhwala a kristalo, imasintha magwiridwe antchito a ma cell. Ndipo chinthuchi chimalowanso m'maselo, ndikuwadzaza ndi mphamvu, kumalimbikitsa kuyanjana mkati ndikuyamba kugwira ntchito zosiyanasiyana.

Kudya kosakwanira kwa monosaccharide ndi chakudya kumayambitsa kukwiya, kutopa kwambiri ndi kugona. Ndi mtsempha wa mtsempha wa yankho ndi glucose, kukhathamiritsa kwa michere kumachitika, antitoxic zotsatira zimayenda bwino, ndipo diuresis imachulukanso. Tiyeneranso kudziwa kuti shuga ndi chinthu chofunikira chothandiza kuti minofu yamtima ichitike.

Izi zimakonda kugwiritsidwa ntchito ngati mankhwala pochiza matenda am'magazi ambiri: kusokonezeka kwa ubongo, matenda a chiwindi ndi poyizoni. Gawo lofunikanso kuti glucose ndi gawo lofunikira kuti ubongo ugwire ntchito moyenera. Ndi kuchepa kwake, zovuta zophatikizidwa ndizotheka. Carbohydrate iyi imathanso kukhala ndi zochita mwachindunji pamatenda a psychoemotional a munthu, kukonza ndikuchepetsa mphamvu yamanjenje.

Mankhwala amatithandizanso kugwiritsa ntchito milandu yotsatirayi:

1. Ndi hypoglycemia (shuga wokwanira wa m'magazi).
2. Ndikusowa kwamadzi (kusanza, kukhumudwa).
3. Pambuyo poizoni ndi hepatotropic ziphe zosiyanasiyana zovuta.
4. Monga magazi olowetsa magazi.

Mankhwala nthawi zambiri amapatsidwa prophylactic zolinga ndi kuperewera kwa Vitamini, kuchuluka kwa thupi, panthawi yolimba kwambiri kapena kubwezeretsa kwa moyo wabwinobwino atadwala kwambiri.

Malangizo ogwiritsira ntchito ndi mlingo

Malinga ndi malangizo ogwiritsira ntchito, shuga m'magome amapangidwira kuti azigwiritsa ntchito, ndiye kuti, kuyanjananso pansi pa lilime. Amayenera kumwa mankhwalawa pafupifupi ola limodzi ndi theka asanadye - izi zimachitika chifukwa chakuti dextrose, yomwe ndi gawo la mankhwalawa, amachepetsa chilimbikitso.

Kuchuluka kwake kwa mankhwalawa kumayikidwa malinga ndi zaka komanso matenda a wodwala:

• vuto la poizoni, mapiritsi atatu ndi atatu amayikidwa, amawona kupumula kwa maola awiri,
• wokhala ndi matenda oopsa a shuga, mapiritsi 1-2 amawonetsedwa ndi mphindi 5, amakhala ndi matendawa pang'ono, mpaka mapiritsi atatu amawonetsedwa ndi theka la ola,
• Kwa ana, chizolowezi cha tsiku ndi tsiku (500 mg) chimagawidwa ma Mlingo kangapo - mpaka 5 pa tsiku, mpaka zaka 3, mapiritsi sayikidwa mankhwala ochepa - amayenera kuchepetsedwa m'madzi.

Masewera a shuga akaphatikizidwa ndi ascorbic acid, kuyang'anira bwino impso, kuthamanga kwa magazi ndi kuchuluka kwa insulin ndikofunikira.

Pa mimba ndi mkaka wa m`mawere

Kudya kowonjezera kwa ascorbic acid wokhala ndi shuga kungalimbikitsidwe nthawi zina. Nthawi zambiri, mankhwalawa amapatsidwa mankhwala operewera kwa vuto la kuperewera kwa thupi. Pakati pa nthawi yayikulu, cholinga chachikulu ndikosakwanira kwa mwana wosabadwayo. Mu trimester yachiwiri ndi yachitatu, pakufunika zinthu izi - osachepera 90 mg a shuga. Komabe, ndikofunikira kulingalira kuti kumwa mopitirira muyeso kumatha kukhala koopsa kwa mwana wosabadwayo. Komanso, shuga amatha kulembedwa panthawi yoyamwitsa, koma kuchuluka kwake kwa zinthuzo ndi 120 mg.

Kugwiritsa ntchito kwambiri mapiritsi a shuga nthawi zambiri kumayambitsa zotsatirazi:

1. Kuphwanya kagayidwe kachakudya njira.
2. Kuphwanya kwa magwiridwe antchito a kapamba ndipo, chifukwa chake, mavuto ndi kapangidwe ka insulin.
3. Kuwonjezeka kwakukulu kwa cholesterol ndi shuga m'magazi.
4. Mapangidwe amaundana wamagazi ndi mafupa amitsempha.
5. Kusakwanira kwa chitetezo chathupi cha munthu, komwe kumawonetsedwa ndi zotsatira zoyipa.

Kuchuluka kwambiri kwa monosaccharide m'magazi kumakhala ndi zotsatira zoyipa kwambiri m'matumbo, zomwe zimapangitsa kuti ziwalo zonse zisagwire ntchito. Zotsatira zake, kuthekera kwa kukhala ndi atherosulinosis, matenda a impso, kulephera kwa mtima, komanso khungu.

Otsatirawa amakhala amtundu wa contraindication pakugwiritsa ntchito shuga:

• kulephera kwa aimpso,
• mtima wowonongeka (m'mabuku),
• Kusinthana kwakasakaniza kwa sodium m'magazi,
• Hyperhydrate (madzi owonjezera mthupi),
• matenda ammimba kapena mapapu,
• kuzungulira kwa matenda.

Tiyenera kukumbukira kuti kwa ana osaposa zaka 3 komanso kwa odwala omwe ali ndi matenda osokoneza bongo, mankhwalawa amalembedwa mosamala komanso mwapadera.

Njira yamachitidwe

Glucose kapena dextrose ndi shuga wosavuta (monosaccharide). Dzina lina ndi shuga wa mphesa. Ndi gawo la mashuga ovuta ndi chakudya: fructose, sucrose, starch, maltose. Mukuwonongeka, mavitamini ovuta am'madzi amasinthidwa kukhala masamba osavuta. Glucose m'mapiritsi ndi gwero losavuta lamphamvu lomwe limapezeka mwachangu komanso mokwanira ndi thupi. Dextrose amakhudzidwa ndi kagayidwe kachakudya ka thupi:

• amalimbikitsa mapangidwe ndi kuwonongeka kwa mafuta acids,
• Chifukwa cha kukonzanso kwa glucose, nucleoside triphosphate imapangidwa, yomwe imakhala mafuta a ziwalo ndi minofu ya thupi la munthu.
• dextrose amadyetsa minofu ndi ubongo wa munthu.

Glucose imapezeka m'matumba a mapiritsi 10 amodzi. Matumba amagulitsidwa paliponse mu chidutswa chimodzi, ndi m'mabokosi, m'mitundu iwiri. Piritsi limodzi - 50 mg ya shuga. Mtengo wake umatengera kuchuluka kwa mapiritsi ndi zowonjezera zina. Mtengo wocheperako wa chithuza chimodzi umachokera ku ma ruble 6 ndi pamwamba.

Bongo

Ndi mankhwala osokoneza bongo ambiri, hyperglycemia, shuga wamagazi ambiri amapezeka. Thupi silitulutsa insulin yokwanira yomwe ingayendetse glucose wolandirayo. Hyperglycemia imapangitsa kuwonongeka kwamitsempha yamagazi ndi ziwalo, komanso zimayambitsa kukomoka.

Ndi mankhwala osokoneza bongo ochulukirapo, kupweteka mutu, mavuto am'mimba, mantha, mavuto ogona amapezeka. Ngati zizindikiro zikuchitika, tikulimbikitsidwa kuti mupite kwa dokotala kuti musinthe shuga.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.

Aronova S.M. adafotokoza za chithandizo cha matenda ashuga. Werengani kwathunthu

Ndi matendawa, matenda a shuga

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. Chofunika kwambiri ndikusasokoneza chizindikiro cha hyperglycemia ndi hypoglycemia - ndi ofanana. Ngati pali glucometer, ndiye kuti muyenera kuyezetsa magazi.

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.

Ndi maseweraasewera

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. Glucose imapereka mphamvu zomwe mumafunikira kuti muphunzitse ndipo imalepheretsa kuwoneka ngati kufooka, chizungulire, komanso kutopa kwambiri mutatha kulimbitsa thupi kwambiri.

Mukamwa mowa

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.