Isixazululo seRinger

Isixazululo seRinger isithuluzi esaziwa kakhulu. Ngokuba umzimba ungumthombo wamandla kagesi namanzi. Ngosizo lwesixazululo sikaRinger, umuntu angasindisa kalula impilo yakhe. Mayelana nalokho okwamanje okumelela leli thuluzi, ukuthi kanjani nokuthi lisetshenziswe kanjani, sizokwazisa kulesi sihloko.

Ukwakhiwa kanye nezinkomba zokusebenzisa isisombululo sikaRinger

Izinto ezisemqoka eziyisixazululo zesikhambi yizinsawoti ze-calcium, i-sodium ne-potassium. Ingxenye ngayinye yalezi zinto zinemisebenzi ehlukile eyithinta umzimba:

1. I-sodium isiza ukusimamisa izinga le-acid-base balance of liquids emzimbeni.
2. I-calcium iyadingeka ukuze kuvaliwe igazi elivamile. Ngaphezu kwalokho, le nxenye isisiza ukulawula ukukhishwa kwe-neuromuscular.
3. I-Potassium, nengxenye yesisombululo sikaRinger, inesibopho sokulawula ukuziphatha kwemizwa ye-nerve ye-muscle contraction. Le nxenye ibamba iqhaza ekuqaliseni amaprotheni nokususwa kwama-carbohydrate emzimbeni.

Ngosizo lwesisombululo, kungenzeka ukugcwalisa ngokuphuthumayo ukulahlekelwa kwamanzi emzimbeni. Imithi isebenzisa izindlela zokubuyisela ukulinganisela komzimba we-electrolyte. Phakathi kwezinye izinto, isisombululo sikaRinger singagcwaliswa ngegazi legazi elijikelezayo emzimbeni, okuyinto kwezinye izimo ezingasindisa ngempela izimpilo.

Isixazululo se-Reth's acetate esakhiwe ngo:

• ukulahlekelwa kwegazi elikhulu;
• ukuthuthumela kusho;
• i-hypovolemia;
• ukuphelelwa amandla kwamanzi emvelaphi ehlukile;
• ukushisa;
• i-frostbite ;
• isifo sohudo;
• i-peritonitis;
• ukulimala kagesi;
• ubuthi obuhambisana nokuhlanza;
• isisu kanye nezinye izifo ezithathelwanayo.

Odokotela abaningi abanalo mkhiqizo banciphisa izixazululo ezigxilile ze-electrolytes.

Isicelo sesisombululo sikaRinger

Njengoba ungeke ukwazi ukuphuza isisombululo sikaRinger, singasetshenziselwa ukuxhaphaza. Uchwepheshe kuphela ongabeka ikhambi, kumele futhi anqume umthamo owudingekayo, amandla kanye nobude benkambo yokwelashwa. Isilinganiso sizohlukahluka ngokuxilongwa, iminyaka, isisindo kanye nempilo yesiguli.

Umthamo ongcono uvela ku-5 kuya ku-20 ml / kg. Okungukuthi, ngokwesilinganiso umzimba omdala awukwazi ukuthola okungaphezu kwamalitha amabili esisombululo ngosuku. Nakuba le nkhomba ihlukahluka kuye ngokuthi imingcele ethile ichaza impilo yesiguli (njenge, isibonelo, isimo sezinso noma ibhalansi yamanzi-electrolyte). Umthamo wezingane wanciphisa kancane kanti u-5-10 ml / kg.

Ukwelashwa kwesisombululo kufanele kwenziwe ngezinga elithile: amaconsi angu-60-80 ngomzuzu kubantu abadala namaconsi angu-30-60 ngomzuzu kubantwana. Isikhathi sokwelashwa izinsuku ezintathu ukuya kwezinhlanu.

Ezinye izazi zibeka isisombululo sikaRinger sokungena. Ithuluzi elihle kakhulu lisiza uma ulifaka ku- nebulizer . Lokhu kuvunyelwa kufanelekile kubantwana nakubantu abadala.

Uma usebenzisa isixazululo ezimweni eziphuthumayo (ukugcwalisa umthamo wokujikeleza kwegazi) kubalulekile ukukhumbula ukuthi umphumela ungahlali isikhathi esingaphezu kwesigamu sehora. Ngakho-ke, i-agent ingasetshenziswa kuphela ukwesekwa okwesikhashana komzimba.

Ukulungiswa kwesisombululo se-Ringer ekhaya nokuphambene

Ngokuyinhloko, ukuba nazo zonke izingxenye ezidingekayo, Ngisho nomuntu ongenayo imfundo ekhethekile angalungiselela isisombululo ngokwakhe. Noma kunjalo, ochwepheshe batusa ukuthenga nje ikhambi likaRinger ekhemisi. Ngakho izinzuzo zomuthi zizobe zikhulu kakhulu.

Ngeshwa, kukhona labo abaxazulula isixazululo sikaRinger sika. Phakathi kokuphikisana okuyinhloko kukhona:

• ukuvuvukala kobuchopho noma amaphaphu;
• ukuhluleka kwenhliziyo (ifomu elingavamile);
• i-acidosis;
• i-thrombophlebitis;
• ukuphefumula nokunye kanye nabanye.