Mushonga "Ringer's solution" - murayiridzo

Mushonga we "Ringer's solution" inoreva boka re electrolytes uye iri rehydrating agent. Chinangwa chikuru chemishonga chemishonga iyi ndechekuita basa rekusimudzira mvura uye kushandiswa ropa kwe electrolyte.

Mushonga we "Ringer's Solution," uyo wakarongedzerwa unotsanangurwa zvakadzama mumirayiridzo yake, une munota imwe ye8,6 g ye-sodium chloride, 0.33 g ye calcium chloride uye 0.3 g ye-potassium chloride. Sezvo chiri chinhu chinobatsira, mvura yakagadzirirwa kujowa inoshandiswa mairi. Paunenge uchishandisa mishonga yekusimudzira kuwanda kweropa kunotenderera mumuviri, inoramba ichiita kwemaminitsi makumi matatu kusvika makumi mana. Pakupera kwenguva ino, mishonga inosiya nzvimbo dzisina kudzivirira uye inobviswa pamuviri wemurwere nemukoro.

Mushonga we "Ringer's Solution", murayiridzo unoratidza nzvimbo huru yekushandiswa kwayo, inorondedzerwa sechigadzirwa chine plasma-inoshandiswa. Inokurudzirwa kuwa uye kushamiswa, kurutsira kwenguva refu uye kurara, uyewo nokuda kwechando-asi chete apo pasina chikonzero chekudzorera huwandu hwemasero matsvuku eropa.

Chirwere ichi chinowana sarudzo yacho mumatambudziko anotevera:

- nekushaya mvura yakaoma, kuva neropa rakasiyana;

- ne hyponatremia;

- nekutengesa kunyengera (sechirwere chekubatsira);

- ne acidosis yerudzi rwemagetsi , inofambidzana nekurasikirwa kwemvura (kurutsa nguva dzose, kurasikirwa kweropa guru);

- nehuwandu hunopisa;

- kana zviitiko zvakakomba zvekudzorera mushure mekuvhiya;

- nehupfu hwemhando dzakasiyana-siyana.

Mushonga we "Ringer's Solution", murayiridzo unoratidza kushandiswa kwawo, unopiwa mukati-kati (kunyura). Mishonga inorapwa inosarudzwa nenyanzvi pachayo uye inotarisana nemamiriro ekurwara. Iyo yakawanda yakawanda yemhinduro yakapinda mukati mezuva haifaniri kudarika maawa matatu. Mishonga inogonawo kushandiswa kunze. Munyaya iyi, inoshandiswa kushamba maronda.

Mushonga we "Ringer's Solution", murayiridzo unoratidza unhu hwemamwe matambudziko asina kunaka kana uchishandiswa, unogona kutungamirira pakuvandudzwa kweAidosis panguva yekuiswa kwehuwandu hwayo. Nhamba yakakwirira yemudhiyo inowedzera mukana wekuvhiringidzika kwemvura-electrolyte muyero mumuviri wevarwere. Kuratidzwa kweizvi kunogona kuva zviratidzo zve hypovolemia kana hypernatremia, hyperkalemia kana hypercalcemia, uye hyperchloremia. Kushandiswa kwenguva refu kwechirwere kunofanirwa kuendeswa nekuongorora zuva rega rega remurini uye kuiswa kwe electrolytes mu plasma yeropa.

Mishonga yemiti "Ringer's solution", murayiridzo Izvo zvinoratidzwa nehutachiona huripo pane izvo mishonga haigoni kurongedzerwa, zvinopesana nevarwere vane chirwere chekushaya simba kwekudzivirirwa kwemhando, edema yemapapu kana uropi, oliguria uye anuria, acidosis uye hypervolemia, hyperchloremia uye hypercalcemia, uye hypernatremia. Mishonga haisati yakurudzirwa, uye nekunzwisisika kune zvikamu zvayo. Pasi pekutarirwa kweyanyanzvi uye nekutarisira kwakanyanya, kushandiswa kwemishonga inogona kuitika pamberi pehutachiona hwehutachiona, pamwe nekushungurudzika kwepso kana chiropa basa.

Mushonga we "Ringer's solution" panguva yekuzvitakura inorayirwa panguva yekurapa kwechirwere, chinangwa chekupa plasma-kushandiswa uye kushandiswa kwekuchenesa. Chiratidzo chikuru chekushandiswa kwayo mumadzimai ane pamuviri chiratidzo chekutanga gestosis.