Piam thaj tov

Dextrose yog kev koom tes nyob rau hauv ib tug ntau yam ntawm metabolic dab nyob rau hauv lub cev. Yog li muaj yog ib tug ntau-tog los ntawm cov ntaub so ntswg thiab kabmob: tshuab txais thiab ua ntau khaus oxidation-txo tshua thiab dab yog zoo siab muaj nuj nqi. Siv ib tug aqueous dextrose tshuaj rau dej tshaj, sau cov kua tsis tau.

Thaum tau txais daim ntawv ntawm cov kev npaj "Lub zib tov" nyob rau hauv cov ntaub so ntswg yog nws gradual fosforilizatsiya. Cov compound yog hloov dua siab tshiab rau hauv qab zib 6-phosphate. Xeem yog ncaj qha mus muab kev koom tes nyob rau hauv ntau theem ntawm lub metabolic dab nyob rau hauv tib neeg lub cev. Isotonic Dextrose txhawb sai metabolism, detoxication nyhuv muab, nrog piam thaj nyob rau hauv lub cev hnyav nws muab as-ham replenishing zog losses.

indications

Kev npaj "piam thaj tov" uas yog outputted tig genitourinary system, muaj cov nram qab indications:

- cia li nco nyob rau hauv cov ntshav qab zib (hypoglycemia);

- ib tug ntau yam ntawm kis kab mob, immunosuppressive thiab frustrating metabolism;

- dekompensatsionnye dab;

- siab pathology;

- pulmonary edema;

- nce los ntshav (ntau hemorrhagic diathesis) thiab tom qab hnyav ntshav poob;

- ib lub xeev ntawm poob siab;

- lub cev qhuav dej ntawm lub xeev (ib tug kev hloov (nco) nyob rau hauv cov ntshav siab).

Tsis tas li ntawd, lub "qabzib tshuaj" yog muab rau equalize qhov nqi koj tshuav ntawm daim ntawv thov ntawm mob glycosides, raws li zoo raws li pab kom txawm peem rau cov kua tsis tau.

Contraindications rau kev siv yog:

- mob ntshav qab zib mellitus;

- hyperglycemia;

- hyperhydration;

- hyperosmolar coma;

- post-operative kev hloov ntawm zib siv;

- giperlaktatsidemiya.

Nyob rau hauv ze kho mob saib xyuas thiab nrog zoo saib xyuas kev npaj yog kws kho rau xws kab mob raws li koj muaj teebmeem kev edema, mob loj heev lub plawv tsis ua hauj lwm, anuria, oliguria, hyponatremia.

Tshuaj "piam thaj tov": Instruction rau kev siv thiab ntau npaum

Cov tshuaj yog nyob rau hauv cov kua daim ntawv. Txhais tau hais tias "piam thaj tov" 5% yuav tsum tau muab intravenously los ntawm lub tso dej daim ntawv thov, lub siab tshaj plaws ceev yog mus txog rau 150 ncos / min. Qhov loj tshaj plaws koob ntawm cov tshuaj yeeb dej caw ib hnub twg rau cov neeg laus yog 2000 ml. Yuav kom ib tug tov ntawm 10% yog thov kom muaj ib txia tus nqi ntawm 60 ncos / min nrog ib tug tshaj plaws txhua txhua hnub koob tshuaj ntawm ib tug tib npaj. 40 glucose tshuaj twb muab mus rau hauv lub cev ntawm ib tus nqi txog li 30 ncos / min (los yog 1.5 ml / kg / h).

Qhov loj tshaj txhais tau hais tias neeg laus koob tshuaj ib hnub twg rau 250 ml. Cov tshuaj yog xaiv los ntawm cov kws kho mob nyob rau hauv lub qhia cim ntawm metabolism. Piv txwv li, ib koob tshuaj 250-450 g / hnub rau ib qho hom metabolism yuav lowered mus rau 200-300 g rau cov neeg uas txo metabolism.

Thaum siv nyob rau hauv kev kho mob xyaum piam thaj thiab xam nws cov tshuaj yuav tsum muab xav permissible nqi ntawm cov kua nkag tau rau hauv tus kab mob - 100-165 ml / kg / hnub rau cov me nyuam, qhov hnyav tsis tshaj 10 g thiab 45-100 ml / kg / hnub rau cov me nyuam uas rau 40 kg.

Kev siv cov glucose thiab mob ntshav qab zib mellitus yog undesirable. Kev kho mob yog nqa tawm nyob rau hauv mus tas li kev tswj ntawm lub ntsiab lus ntawm no substance nyob rau hauv cov ntshav thiab zis.

Kev npaj "piam thaj tov": Sab los

Nyob rau hauv lub qhov chaw ntawm koom haum saib xyuas ntawm zib tej zaum yuav tsim thrombophlebitis. Sab los yuav tsum tau suav hais tias yog kub taub hau, hyperglycemia, hypervolaemia, mob laug ventricular tsis ua hauj lwm. Feem ntau yog ib tug general deterioration nyob rau hauv tib neeg lub cev.

tej tswv yim pom zoo

Introduction n / 4-5 units ntawm cov kua dej los muab ib tug xav paub ntau tshaj thiab npaum xaav cev qabzib. Insulin yog siv ib 1 IU ib 5 g ntawm dextrose. Txhais tau tias yuav tsum tau ua tib zoo siv nyob rau hauv ua ke nrog nrog lwm yam tshuaj. tsis muaj lo lus uas peb cov kws zoo tshaj plaws npaj tsis tau siv nyob rau hauv cov kev kho mob ntawm tus neeg mob.