Xal Ringer. Description of diyaarinta iyo isticmaalka

waxaa suurtagal ah in ay mag-dareeraha ah ee jirka ku, oo ay ku jiraan electrolytes, kaas oo daroogada in la isticmaalo for this aad u badan?

xal Ringer. The isticmaalka iyo sharaxaad of diyaarinta

Ringer ee xalka - dareere ah oo hufan, kaas oo ka kooban sodium chloride, calcium iyo potassium. function ee waa xal ay ku buuxin karaan khasaaraha in dheecaanka jidhka extracellular ay la socdaan electrolytes aasaasiga ah (sodium, potassium, calcium) iyo chlorides.

Sida caadiga ah, xal Ringer ayaa waxaa loo isticmaalaa si ay u baaraan hawlaha perfusion jirka ama xubnaha shakhsi. Iyada oo guryaha preservative dhaldhalaalaan, waxaa kuu ogolaanaya in aad si joogto ah loo ilaalin ah ka shaqeynayaan iyo guryaha nafsaaniga ah ee unugyada nool. Taasi waa sababta Ringer helay isticmaalka weyn tijaabo caafimaad iyo xubin badalida. Waxa uu sidoo kale si firfircoon loo isticmaalo daweynta xoolaha, iyadoo la sii meelmar ah ee xubnaha gudaha.

Si kastaba ha ahaatee, codsi ugu muhiimsan ee daroogada helay lama filaan ah, dumay, qadhqadhyo, gubasho, shuban iyo matag sii dheeraaday. Waxay saamayn detoxication, xasilinta iyo la qabsado ee elektrolytka oo ka kooban aqueous dhiigga. Ringer si guul leh loo isticmaalaa sida gargaar ah lagu Bilowgii fuuq ah, si lama filaan ah hypovolemic, hyponatremia, aysiidh dheefshiidka khasaara ah dheecaan badan.

dose maalin walba ah ee daroogada waa 5-20 ml / kg ee dadka waaweyn. Sayidka qiyaasta lagu kordhin karaa haddii loo baahdo by 2 jeer. duro xawaaraha - 30 dhibcood / min. Lacagta ugu badan ee xalka dawadu jidhka maalin kasta waa in aan ka badnayn 3 litir. Xaaladdan oo ah qiyaasta xad dhaafka loo kuurgalay ayaa kor u fiirsashada of electrolytes ee dhiigga, iyo hoganaya acid-saldhig, taas oo horseedaysa neefsashada oo dhib ah, sii daraysa caafimaadka guud ama miyirka oo luma.

Sababo isticmaalka xal Ringer ayaa waxay kala yihiin:

- barar sambabada ama maskaxda

- wadnaha oo shaqadiisa gaba,

- oliguria,

- anuria,

- hypervolemia,

- aysiidh

- renal failure raaga,

- chloruremia,

- hypernatremia iyo hypercalcemia.

Limited iyo daroogada ee bukaanka qaba dareenka korodhay in qaybaha muhiimka ah ee xalka (calcium chloride, potassium iyo sodium. Waxay keeni kartaa astaamaha xasaasiyadda, iyo this waa in si taxadar leh.

Locke Ringer si firfircoon ula falgalaan karaa daawooyin kale. Sidaa darteed waxaa laga dheehan karo haynta sodium ee jirka inta aad qaadanaysid wakiilada dhiska, corticotropin, estrogens, mineralocorticoids, ganglioblokatorov ama vasodilators kala duwan. Inta aad uurka leedahay, daroogada sida ugu macquulsan saaro ama codsan kaliya in kiisaska faa'iidooyinka bi'isaa arrin halis u ah ilmaha caloosha ku. Naas-nuujinta inta lagu guda jiro soo dhaweynta Ringer mamnuuc, sababtoo ah qaybaha ay caanaha hooyada in ay ilmaha ku dhici, taasoo keenta dareen xaasaasi ah ama hababka malignant ordaya in ay jirka (qasab maaha, laakiin waa nasiib darro suurto gal). Wakhtigan, marka baahida loo qabo in xal fiican si ay u tagaan, waayo, tayada iyo caanaha la xaqiijiyay.

xal Ringer ayaa laga saaro dhalo xal cad. Leave daroogada ee farmashiyaha oo keliya by qoro qaadeen, oo waxaa lagu kaydiyaa meel qalalan meesha ay carruurtu ay helaan kooban. daroogada la isku duro waa loo ogol yahay oo keliya in hay'adaha caafimaadka ama ku lug toos ah shaqaalaha caafimaadka. Kaliya isticmaasho dhalooyinka la yeelin nolosha shelf dhicin, oo sida caadiga ah ma aha in ka badan laba sano. Marka ciida isticmaalka daroogada Ringer waa ka mamnuuc, xataa haddii macluumaadka ku qoran baakada ma aha in shaki.