Umchamo Osmotic - ntoni na? Uluhlu iziyobisi, indlela amanyathelo

Abaninzi bayazibuza: "? Womchamo - yintoni" Kweli nqaku uza kufunda ntoni na nokuba yintoni isetyenziselwe.

Pharmacology amachiza

umchamo Osmotic sisiyobisi leyo kwizicatshulwa amanzi avela inyama idumbile. Ngenxa yoko, kwenyusa ubungakanani umchamo ovelisa fluid kwemfuneko emzimbeni. Oku kuphucula igazi kwemali ukuya kwizintso, nto leyo kwandisa ukusebenza kwazo. Izintso oko baqalisa ukusebenza ngcono kunye filter. It kwandisa plasma osmolyaemost kwaye ihambisa ulwelo evela amalungu kunye namalaphu (ingqondo, ukhozo lweliso) apha egazini. Xa oku kusenzeka ukurhoxiswa ulwelo lwe chlorine, isodiyam, kunye potassium. Into yokugqibela uboniswa imali encinane ukuba musa ikhokelele ilahleko ebonakalayo.

pharmacokinetics

umchamo Osmotic umzimba (minor) esibindini. Oku kukhatshwa ekumisweni glycogen. Imveliso esuka umzimba kwenzeka emva ukuhluza (glomerular) ngokusebenzisa nezintso. reabsorption Tubular ayinamsebenzi.

Izinto ezibonisa ukuba ukusetyenziswa kweziyobisi

womchamo Osmotic ezibaluleke ngexesha nokudumba yobuchopho, hypertension intracranial kunye intraocular, okanye ngexesha ukuhlaselwa ukunyanga iglaucoma agalelwa kwifomu oyingozi.

amachiza asetyenziswa ngayo eli qela kwi oliguria ukusilela renal ukumila kakuhle. Kulo mzekelo umchamo osmotic kusetyenziswa xa kufuneka ukwanda diuresis. Ezi mali zingasetyenziswa kuphela lo gama kugcinwe ubuchule ukuyicoca.

Kwakhona kufuneka kuthathwa kwimeko yingozi iziyobisi lithium, bromides, salicylates kunye barbiturates.

womchamo Osmotic - amachiza ezilungele ukusetyenziswa emva kokungena igazi, akuhambisani, ngexesha kuphuhliso yeengxaki post-gazi.

Kwiimeko ezininzi, ukuba zisetyenziswa ngexesha iinkqubo ezithile zotyando ezifana utyando bypass kunye notyando namaphephandaba extracorporeal.

Xa nematha, ukutsha, nokudumba, womchamo peritonitis kukhuthaza ukupheliswa izinto eziyityhefu emzimbeni. Bona ukunciphisa uxinzelelo lwegazi.

Izimo zokusetyenziswa

umchamo Osmotic masingaze sisetyenziswe xa:

• insufficiency sezintso kwifomu ezigulo ezondeleyo.
• Ukunyhashwa ukuhluza umthamo nezintso.
• Ekhohlo ukusilela ventricular kunye nokudumba nezengekho miphungeni.
• Sophele stroke.
• yokopha Subarachnoid.
• Emzimbeni kakhulu.

Amachiza akufunekanga ithathwe ngaphandle kagqirha kagqirha. nokusebenzisa kwabo ngaphandle kwesidingo kunokukhokelela kwintlekele.

imiphumela emibi

Ngexesha ukusebenzisa iziyobisi usenokuba neziphumo ezithile ecaleni ezinako ukuhambisa ubuhlungu babantu.

Ezi ziquka:

• ubuhlungu kwaNdlunkulu.
• Isicaphucaphu kunye nokugabha.
• Ukopha kunye nokufa yethishyu wadibana ngemali phantsi kwesikhumba.
• Kusenokubakho nomphumo nkobe.
• nitrogen kunokwenzeka ukwanda (intsalela) amanqanaba.

Ngokuqhelekileyo, xa ngokubonakala iziphumo ebezingalindelekanga kufuneka ayeke ezithatha ichiza ngoko nangoko aze adibane nogqirha. Uya nyenyisa oyidlayo okanye ababambeleyo esebenzisa imveliso ezifana.

Ziziphi Imithi womchamo osmotic?

Eyona ndlela ithandwa kugqalwa "Mannitol". Imiyalelo yokusebenzisa ziya kukuvumela ukuba uqhelane kunye neempawu zayo.

Kwakhona kweli qela mithi:

• "Torasemide."
• "Bumetanide."
• "Xipamide".
• "Chlorthalidone."
• "Polythiazyl".

Olu luluhlu buso iziyobisi ezinokusinceda kunye nokudumba kunye nezinye izifo. Baya kufuneka ingasetyenziswa ngaphandle kwemvume ugqirha, kwakunye "Mannitol". Imiyalelo yokusebenzisa ukukunika isiqinisekiso ukuba ukhethe kakuhle uze ubale umlinganiselo.

iimpawu zothelekiso

"Mannitol" lisetyenziswa kaninzi ngaphezu kwezinye imixube ngenxa yokuba inamandla kwaye kuthabatha ixesha elide, kwaye ayithethi ukwandisa isiqulatho nitrogen ngohlobo igazi intsalela. Kulo mzekelo, urea kuba ngcono nzulu amalungu kunye namalaphu. Oku kunokubangela ukuxovwa ingqondo kwaye andise uxinzelelo ngaphakathi ukakayi emva kweeyure 6-7 emva zolawulo ichiza yegazi.

womchamo potassium-zingawucongi

womchamo potassium-zingawucongi Osmotic musa ukususa potassium ukusuka emzimbeni, njengoko kuchasene womchamo elula osmotic. Iziyobisi yelo qela abe nempembelelo entle izihlunu ngentliziyo, kodwa ube abaphumeleli elinye xa kuthelekiswa kunye nezenzi ukususa potassium. Ihlala yokuba isenzo sabo kade kancinci, kwaye iqalisa kuphela ngosuku lwesibini okanye lwesithathu emva kokuba isicelo. Kulo mzekelo, isiphumo kubo ihlala ixesha elide.

womchamo potassium-ungayekwa, oogqirha yaleza ukusebenzisa nodibaniso namanye womchamo. Yokuba ukusetyenziswa eyodwa ukususwa ukudumba ayinqweneleki, njengoko bazenze zambi ukusebenza elincinane.

Bona uvunyelwe ukusebenzisa, ukuba umntu kwesibindi, ukusilela kwezintso, uhlobo etsolo kunye engapheliyo, hyponatremia kunye hyperkalemia.

Ukwamkela iziyobisi ngamalungu eli qela, kuvunyelwa kuphela kagqirha.

Ukusetyenziswa womchamo ukukhulelwa

womchamo Osmotic angenza isicelo kuphela xa isibonelelo ukuya unina zinkulu kakhulu umngcipheko olungekazalwa. Isigqibo ukuba amisele ugqirha kuthatha emva kokuqhuba uphando kunye cazululo.

libanda

Ukuba ithamo elawulwa lingaphezulu norm hypervolemia ukuze aphuhlise uxinzelelo intracranial okwandileyo kwaye kuphazamise electrolyte kunye namanzi imali eseleyo. Kungenzeka kwakhona ukuba ukwandisa langoku ulwelo ngaphandle iiseli. Ukuba oyidlayo kugqithiwe kakhulu kuya kwandisa umthwalo entliziyweni. Abantu izifo umzimba ukuphuhlisa iingxaki olomeleleyo ezifuna unyango ngokukhawuleza.

umchamo Ngoko - ntoni na? Ngoku, emva kokufunda le nto, abantu abaninzi Ndiyayazi impendulo yalo mbuzo. Eli qela iziyobisi ziquka womchamo, asetyenziswa ukudumba ingqondo, ukutsha, nokudumba kunye nezinye izifo ezininzi. Ngenxa isenzo babo kuphucula ukuphuma kolwelo kwi umchamo kunye negazi flow kwi kwizintso. Lukhuthaza product ngcono. Ulawulo iziyobisi kweli qela kuvumelekile kuphela kagqirha, kuba kuphela nguye uya ukubala idosi echanekileyo ujonge Izimo. Ngokuzimeleyo kube kunokuba nzima kwaye maxa wambi nkqu engenakwenzeka.

Hlala uphilile!