Xal isotonic

xal Isotonic waa isku dar multicomponent ka kooban walxo kiimiko kala diri ee biyaha debeda. Dhab ahaantii - this darey aqueous, maaddooyinka ku jira walxaha qaar ku jira dhiigga qayb dareere (plasma). Tusaale ahaan, walax sida chloride sodium sida, waxaa ka mid ahaa in xal isotonic sidoo kale jooga (la jajab mass of 0.9%) ee plasma. Duraa chloride sodium intravenously in xal loo baahan yahay si ay u ilaaliyaan nidaamka sida- ka dhinac ee u taagoo biyo ku dhexdhexaad ah ee la-fiirsashada sare ee solutes. Sababo la xiriira cadaadiska osmotic barbareeyay fiirsashada solute in dareeraha extracellular iyo plasma dhiigga. Sababo la saxo cadaadiska osmotic dhacdaa badalkooda u dhaca dareeraha ah ee u shaqeeyo inta lagu guda jiro dewatering (dehydration).

Xalka ugu fudud ee sodium isotonic chloride in biyo arimaha debeda ee dhaqanka caafimaad sidoo kale loo yaqaan biyaha cusbada, laakiin tani waa sabab lahayn, tan iyo diyaarinta kuma jirto oo dhan Cuntadan (tus, cusbada potassium) lagama maarmaan si ay u ilaaliyaan xaalad physiologically caadi ah oo ka mid ah unugyada jirka aadanaha. Waxaa la soo saaray ampoules of 10, 5 ama 2 ml oo ka kooban 0.9% chloride sodium biyo. Waxa kale oo jira ah daawooyinka multicomponent xoogaa ka badan oo adag isotonic. Tusaale ahaan, "Disol" ka kooban yahay 6 g of chloride sodium iyo 2 g of sodium trihydrate copolymer hal litir. Soo saaray in toddobada fijaan oo 0.4 litir oo 0.2 litir, waxaa loo isticmaalaa naanin iyo fuuq. Intaas waxaa sii dheer, daroogada sida waxaa loo isticmaalaa sida "Trisol", noocyo dhowr Ringer "Chlosol", "Acesol".

Solution for galiyey "Chlosol" waxaa ku jira in 1 litir oo 4.75 g of chloride sodium, 3.6 g of trihydrate sodium copolymer, 1.5 g of chloride potassium. diyaarinta marka la isku daro waxa loo isticmaalaa naanin, plazmozamescheniya, fuuqcelinta, sida lagu durayo a, ama wakiilka antiplatelet antishock. Hagaajinaysaa wareegga dhiigga, waxa ka hortagtaa ka dhagid iyo horumarinta aysiidh dheefshiidka, hoos hypovolemia, waxay kordhisaa diuresis. xal Tani isotonic la soo saaray ee fijaan 0.4 litir ama 0.2 litir. daroogada iska leh ved ah. Sababo alkalosis, diidmo, hyperkalemia, CRF ama xadeyn maamulka ee u tiro badan oo dareere galay jidhka. Waxaa laga yaabaa in waxyeelo sida hyperkalemia, barar, qandho, tachycardia.

Tilmaamay waayo, fuuqbax iyo sumoobo (cuntada lagu sumoobo, dabadhiig, daacuun, El Tor) isotonic "Acesol" kaas oo, sida "Chlosol", la heli karo in toddobada fijaan oo 0.4 L ama 0.2 daawooyinka dhirta L Nesvizh ( Belarus). Halabuurka tayo la mid ah diyaarinta "Chlosol" laakiin uruureen kala duwan ee maaddooyinka: diri ee 1 litir oo 5 g chloride sodium, 2 g of sodium trihydrate copolymer iyo 1 g of chloride potassium. Tilmaamayaasha iyo sababo la mid yihiin kuwa loogu talagalay "Chlosol" daroogada.

xal biyaha cusbada yaraynaysaa hypovolemia, aysiidh dheefshiidka , iyo dhagid dhiigga, wanaajisaa diuresis iyo hagaajinaysaa gaddoonka ah wareegga dhiigga, tallaabo naanin leeyahay magac ganacsiga "Trisol" ah. Its daayo in toddobada fijaan oo 0.4 l iyo 0.2 l. xal Tani isotonic ku jira in 1 litir oo 5 g of chloride sodium, 4 g bicarbonate sodium iyo 1 g of chloride potassium. Isticmaal in bukaanka qaba cudurada la xiriira sarkhaan iyo fuuq bax, oo ay ku jiraan dabadhiig qaba ba'an, cunto lagu sumoobo, El Tor daacuunka. Marka daroogada la maamulo 6 saacadood ratio kasta socdo bandhigay iyo saaro dareere ah. Haddii hyperkalemia yeesho, ka dibna xal la bedelay samaynta ay ku jiraan chloride sodium iyo copolymer sodium, ilaa dheelitirka elektrolytka caadi.

In diyaarinta diyaarinta, kuwaas oo ay raacaan isku xigxiga ee maamulka ee qayb kasta oo, ilaa iyo inta uu si buuxda loo kala diri mid hore, cusbo soo socda ayaa lagu daray. Kasta oo xal sodium chloride isotonic waxaa loo diyaariyaa in biyo arimaha debeda. Waxaa la helay muxaadaro in qalab gaar ah, loo yaqaan distillers. Waa in la sameeyo muraayad ah. Biyaha ka qalab bir ah, ma ku haboon diyaarinta isku isotonic helay, maxaa yeelay waxa ay ka kooban udhigo biraha kuwaas oo saamayn dhaawici on nudaha jidhka. The xeerar adag isku ayaa diyaar u ah maamulka daawo kasta, ku jira tilmaamaha iyo habka tixraaca (intravenously, subcutant, ama enemas) waxaa lagu go'aamiyaa dhakhtarka. daawooyinka Ku kaydi meel gudcur ah heerkulka a taasoo lagu taliyey soo saaraha. Ka hor inta isticmaalka, xal ka waxaa laga beddelo si heerkulka jidhka ee bukaan-socodka 36-38 ° C.