Ringer's solution. Kev piav qhia ntawm kev npaj thiab kev siv

Puas yuav ua tau kom haus dej haus tau lub cev rau hauv lub cev, nrog rau cov electrolytes, thiab cov tshuaj siv rau feem ntau li cas?

Ringer's solution. Daim ntawv thov thiab kev piav qhia ntawm kev npaj

Ringer tus tov - ib tug pob tshab kua, uas yog tsim los ntawm cov sodium chloride, calcium thiab poov tshuaj. Lub hom phiaj tseem ceeb ntawm txoj kev daws teeb meem no yog tsim los kom tau nyiaj rau lub cev ntawm cov kua dej hauv lub cev nrog rau cov tshuaj electrolytes (sodium, potassium, calcium) thiab chlorides.

Raws li txoj cai, Ringer's solution yog siv los kawm txog kev ua haujlwm ntawm cov nqaij los yog kev ua kom zoo ntawm cov khoom hauv lub cev. Possessing ci ntsa iab preservative, nws tso cai rau lub sij hawm ntev kom ceev cia cov kev ua haujlwm thiab lub cev nqaij ntawm cov nqaij nyob. Yog li ntawd, Ringer's solution tau pom cov ntaub ntawv loj tshaj plaws hauv kev kho mob thiab kev sib hloov. Nws kuj yog siv rau kev kho mob ntawm cov tsiaj, txhawb kev loj hlob ntawm lawv cov hauv nruab nrog cev.

Txawm li cas los xij, txoj kev siv lub tshuaj muaj nyob rau hauv kev poob siab, kev sib tsoo, kev tuag, kev kub nyhiab, kev mob plab thiab ntuav. Nws exerts detoxification nkaus, stabilizing thiab kho cov ntsha thiab dej muaj pes tsawg leeg ntawm cov ntshav. Ringer ntse siv raws li ib qho kev pab nyob rau hauv lub cev qhuav dej genesis, hypovolemic poob siab, hyponatremia, metabolic acidosis nrog tshaj kua poob.

Cov koob tshuaj txhua hnub yog 5-20 ml / kg rau cov laus. Hauv qhov no, yuav siv cov tshuaj ntau npaum li cas yog tias tsim nyog hauv 2 zaug. Tus nqi ntawm kev tswj hwm yog kwv yees li 30 qhab nia / feeb. Qhov siab tshaj plaws ntawm cov tshuaj siv tau rau ib hnub yuav tsum tsis pub tshaj 3 liters. Yog tias ntau dhau, muaj ntau ntxiv ntawm cov kua roj electrolytes hauv cov ntshav thiab ua txhaum ntawm acid-base tshuav, uas ua rau ua pa nyuab, ua rau lub cev tsis zoo los yog tsis nco qab.

Kev tiv thaiv rau kev siv Ringer's solution yog:

- Ua rau lub ntsws ntawm lub ntsws lossis lub hlwb,

- lub plawv khiav tsis zoo,

- oliguria,

- Anuria,

- hypervolemia,

- acidosis,

- cov mob hlaus tsis ntev,

- hyperchloremia,

Hypernatremia lossis hypercalcemia.

Limited thiab cov tshuaj rau cov neeg mob uas muaj zog xob tseem ceeb Cheebtsam ntawm cov tshuaj (calcium chloride, poov tshuaj thiab sodium. Lawv yuav ua tsis haum cov tsos mob, thiab qhov no yuav tsum tau ceev faj.

Ringer Locke's solution yuav sib koom tes nrog lwm cov tshuaj. Tias yog vim li cas thiaj yuav qeeb hauv lub cev thaum noj cov tshuaj anabolic, corticotropin, estrogens, mineralocorticoids, gangliablocators lossis ntau yam vasodilators. Thaum cev xeeb tub, cov tshuaj tsis pub siv lossis siv yog tias qhov txiaj ntsig tshaj qhov muaj feem rau qhov me nyuam hauv plab. Kev pub niam mis thaum lub sij hawm txais tos ntawm Ringer's solution yog txwv tsis pub, vim hais tias nws cov khoom siv los ntawm leej niam lub mis ncav cuag tus me nyuam, ua rau muaj kev tsis haum tshuaj los yog ua rau nws lub cev tsis zoo (tsis tas, tab sis qhov no, hmoov tsis tau). Lub sij hawm no, thaum nws tsim nyog los ua kom paub daws, nws yog qhov zoo dua rau kev hloov mis thiab kuaj mis mos.

Ringer's solution yog muaj nyob rau hauv ib lub vial nrog ib tug meej daws. Cov tshuaj no tau muab faib rau cov chaw muag tshuaj nkaus xwb ntawm cov tshuaj thiab muab cia rau hauv qhov chaw qhuav, qhov uas cov menyuam yaus nkag tau yog tsawg. Cov tshuaj ntawm cov tshuaj tsuas raug tso cai hauv cov tsev kho mob lossis nrog kev ncaj nraim ntawm tus neeg ua haujlwm kho mob. Nws raug tso cai rau siv cov pliaj me me uas tsis tau tas li, uas, raws li txoj cai, tsis pub ntev tshaj ob xyoos. Yog tias Ringer's tov yog pos huab, yuav tsum tsis txhob siv cov tshuaj, txawm tias cov ntaub ntawv ntawm lub pob tsis ntseeg.