Ngati Mudakhala mu Malo Odzidzidzimutsa, Mutha Kudzalandira Ringer's Lacted
Ngati mwavulazidwa kapena mwachitidwa opaleshoni, muli ndi mwayi wopeza Lactated Ringer's. Ngakhale kuti dzinali ndi losavuta, Lactated Ringer's ndilofunika kulandila kusamalira ndipo lili ndi zotsatira zochepa.
Ringer's yogwiritsidwa ntchito ndi njira yothetsera yomwe imagwiritsidwa ntchito m'malo mwa madzi omwe anataya thupi. Amagwiritsidwa ntchito mobwerezabwereza pofuna kubwezeretsa madzi, kutanthauza kuti wodwalayo amafunikira malo amtundu wambiri wamagazi chifukwa cha kutaya mwazi kapena matenda.
Zikuwoneka ngati madzi, koma zili ndi zowonjezera kuphatikizapo calcium, potaziyamu, lactate, sodium, ndi kloride.
Lactated Ringer's amadziwikanso kuti LR, Ringer's Lactate ndi Ringer's.
Chifukwa Chake Amatchedwa Ract's
Kumapeto kwa zaka za m'ma 1800. Dokotala wina wotchedwa Sydney Ringer anapanga njira yothetsera vuto la calcium, potaziyamu, sodium, ndi kloride m'madzi. Yankho lake linatchedwa "Ringer's," atangomaliza kumene.
Patatha zaka zambiri, dokotala wina dzina lake Alexis Hartmann anaganiza kuti kuwonjezera pa lactate kuti athetse vutoli. Lactate ndi mankhwala omwe amapangidwa ndi minofu yathu nthawi ya masewera olimbitsa thupi ndipo ndi gawo lachibadwa la mkaka. Ndi kuwonjezera kwa lactate, yankho linadziwika kuti "Lactated Ringer's."
Chifukwa Chimene Iwo Amagwiritsidwira Ntchito
Ringer's yogwiritsidwa ntchito nthawi zambiri amagwiritsidwa ntchito m'malo mwa kutaya madzi, magazi, kapena zonse. Chifukwa cha sodium zokhutira, sizimagwiritsidwa ntchito ngati malo opitilira madzi koma nthawi zambiri zimagwiritsidwa ntchito popereka madzi ambiri, omwe amadziwika ngati kubwezeretsa madzi. Ringer'sact is often used m'malo saline solution chifukwa muli zonse zamadzimadzi ndi electrolytes, ndipo ndi yoyenera kwa ana ndi akulu.
Ringer's coated ali ndi zotsatira zochepa zochepa kuposa saline wamba.
Kuwotcha kwambiri, kupwetekedwa, kutaya magazi kwakukulu, ndi kuwonongeka kwakukulu kwa madzi (chifukwa cha kuchepa kwa madzi, opaleshoni kapena mavuto ena) ndi ena mwa milandu imene Lactated Ringer yapatsidwa.
Mankhwala amtundu wa Lactated Ringer angaperekedwe monga kusamalira IV, powapatsa madzi oyenera pamene wodwalayo sangathe kumwa madzi okwanira kuti athe kugwira ntchito yawo yachibadwa.
Zowopsa ndi Zotsatira Zotsatira
Pali ngozi zochepa zomwe zimagwirizanitsidwa ndi Lactated Ringer's zomwe sizikugwirizana ndi madzi amtundu uliwonse. Mwachindunji, zoopsa zikuphatikizapo:
- ululu pa malo achinayi
- zotsutsana ndi yankho
- kugwiritsa ntchito madzi mopitirira muyeso
- overdose wa electrolytes, kloride, kapena potaziyamu
Chifukwa chakuti pali kuthekera kwa kugwiritsira ntchito mopitirira muyeso, nkofunika kuti ochita mosamala azitsatira odwala omwe alandira Lactated Ringer's.
Ringer's analumikizidwa yapezeka ndipo ndi yotetezeka yogwiritsidwa ntchito kwa anthu akuluakulu ndi ana. Sizinayesedwe bwino kuti zigwiritsidwe ntchito ndi odwala, amayi apakati, kapena makanda. Kuonjezera apo, sayenera kugwiritsidwa ntchito ndi odwala omwe ali ndi matenda a chiwindi kapena matenda a mtima.
Momwe Iwo Waperekedwa
Ringer's yogwiritsidwa ntchito imayendetsedwa mwa intravenously (kupyolera mu IV), mwachindunji m'magazi. Sichimatengedwa pamlomo. Kaŵirikaŵiri amaperekedwa mmavuto kapena opaleshoni yotsatira.
Zotsatira:
Braun, R. Medical. Zokongoletsera zopangidwa. Drugs.com. Webusaiti. 2015.
RxList. Zotsatira zofala zomwe zimagwiritsidwa ntchito podula. RxList. 2017.
> Schwarz, Evan. Mukumanga, nkhani zosankha zamadzi. Odwala Odzidzimutsa Mwezi. Webusaiti. May 8, 2015.