Isisombululo isotonic

izisombululo Isotonic na umxube multicomponent owakhiwa ngayo imichiza unyityilikiswa emanzini enkolo. Enyanisweni - oku zililo zolwelo, izithako leyo ezinye izinto eziqulathwe egazini isabelo engamanzi (plasma). Umzekelo, izinto ezifana sodium chloride, ebandakanywe isisombululo isotonic kwakhona langoku (kunye iqhezu ngobuninzi ka 0.9%) ngo-plasma. Zifakwa chloride yegazi sodium kwi isisombululo siyafuneka ukugcina inkqubo ukudibana emalungana iimolekyuli zamanzi kwixesha eliphakathi kunye izinga izinyibiliki. Ngenxa uxinzelelo osmotic equalized enyibilikayo yoxinaniso engamanzi extracellular kwaye plasma yegazi. Ngenxa ukulungisa xi osmotic kwenzeka wemvula ulwelo kusilela kwi eziphilayo ngexesha wokutsala amanzi (emzimbeni).

I-sodium isotonic isisombululo chloride elula emanzini Yek kwi yezonyango ezikwabizwa ngokuba saline, kodwa oku ngendlela engaqondakaliyo, ekubeni ukulungiswa ayiqulathanga zonke izithako (umz, potassium ityuwa) eziyimfuneko ukugcina imo physiologically eqhelekileyo ancedisana omzimba womntu. Oku kwaveza ampoules of ml-10, 5 okanye 2 equlathe 0.9% sodium chloride emanzini. Kukho naye nemixube elifuna lunzima kakhulu multicomponent isotonic. Umzekelo, "Disol" iqulethe 6 g sodium chloride 2 g sodium acetate trihydrate nelitha enye. Iveliswe e nengqayi Iilitha ezingama-0.4 kunye neelitha 0.2, kusetyenziswa ubuthi kunye emzimbeni. Ngaphezu koko, loo machiza asetyenziswa njenge "Trisol", iintlobo eziliqela Iringa "Chlosol", "Acesol".

Solution for ukumnika "Chlosol" iqulethe nelitha 1 ka-4,75 g sodium chloride, 3.6 g sodium acetate trihydrate, 1.5 g potassium chloride. Amalungiselelo oludityanisiweyo kusetyenziswa ubuthi, plazmozamescheniya, amanzi, njengokuba umchamo, okanye i-arhente antishock antiplatelet. Kuphucula kwegazi, kuthintela ukusuka ukuqina kunye nophuhliso lactic metabolic, liyancipha hypovolemia, kwandisa diuresis. Le isisombululo isotonic evela ezineengqayi ilitha 0.4 okanye ilitha 0.2. Ichiza fanele ku ved. Izimo alkalosis, hypersensitivity, hyperkalemia, yeCRF okanye iintsilelo ukuze zolawulo izixa ezikhulu elulwelo emzimbeni. Kusenokubakho iziphumo ebezingalindelekanga ezifana hyperkalemia, nokudumba, ifiva, tachycardia.

Eboniswe emzimbeni kunye yetyhefu (ityhefu ukutya, segazi, kholera, El Tor) isotonic "Acesol" leyo, efana "Chlosol", efumaneka nengqayi ka 0.4 L okanye 0.2 amayeza izityalo L Nesvizh ( Belarus). ukulungiselela efanayo qualitative "Chlosol" ukwakheka kodwa zoqhaphelo ezahlukeneyo zezithako: iqhawulwa kwilitha 1 ka-5 g sodium chloride, 2 g sodium acetate trihydrate kunye 1 g potassium chloride. Iimpawu kunye Izimo ziyafana ukuba i "Chlosol" iziyobisi.

saline kunciphisa hypovolemia, lactic metabolic , kunye ukuqina igazi, iphucula diuresis yaye kuphucula capillary kwegazi, inyathelo ezigulela unalo igama lorhwebo "Trisol". kokukhululwa kwayo nengqayi ka 0.4 l kunye 0.2 l. Le isisombululo isotonic iqulethe nelitha 1 ka-5 g sodium chloride, 4 g sodium yesoda kunye 1 g potassium chloride. Sebenzisa kwizigulane kunye nezifo ezinxulumene ukunxila emzimbeni, kuquka segazi etsolo, ityhefu ukutya, El Tor ikholera. Xa ichiza ilawulwa qho kwiiyure 6 ratio esweni zaziswa lilahle ulwelo. Ukuba hyperkalemia esivelayo, kwangoko i- sisombululo ke indawo ethile equlethe sodium chloride kesodiyam acetate, kude intsalela electrolyte nganye ezinga malungu abantu.

Xa ulungiselela le amalungiselelo Landela imifanekiso ngokulandelelana kwayo lolawulo zithako ngamnye yaye, ide ichithwe ngokupheleleyo ezidlulileyo, ityuwa ilandelayo kongezelelwa. Nayiphi na isisombululo sodium chloride isotonic ukulungele ngamanzi enkolo. Le afunyenwe ulwelo kwindawo izixhobo ezikhethekileyo, ebizwa ezenza. Kufuneka yenziwe ngeglasi. Amanzi avela izixhobo yesinyithi, kwaye asihambelani ukulungiselela imixube isotonic, kuba iqulathe ion iintsimbi ezo kungaba yingozi umcu womzimba. Imithetho efanayo engqongqo ziyafumaneka ukulungiselela ulawulo ichiza ngalinye, eziqulethwe imiyalelo kunye indlela reference (butofelwe, kwesikhumba, okanye enemas) umiselwa ngugqirha. Gcina amayeza kwindawo emnyama kubushushu nekucetyiswa ngumvelisi. Phambi ukusetyenziswa, isisombululo hlengiswe ukuya lobushushu emzimbeni wakhe 36-38 ° C.