Umxube we-polar noma polarizing ukwakheka okwelapha okuvame ukusetshenziswa ekwelapheni izifo zenhliziyo. Isigxobo esisebenza kahle siyasiza ekulweni ne-myocardial infarction ne-arrhythmia, ngoba inomthelela wokuqina emisipha yenhliziyo futhi ingathuthukisa nomsebenzi wayo.
Kodwa i-cardiology akuyona ukuphela kwendawo yokusetshenziswa kwengxube. Umuthi wokuqothula usetshenziswa kabanzi ekwelapheni isifo sikashukela. Kuyasiza ukubhekana nezinkinga eziningi zalokhu kugula, ithuthukisa kakhulu inhlala-kahle, futhi kwesinye isikhathi isindisa impilo yesiguli.
Kepha ukuze ingxubevange yokulembula ilethe isiguli inzuzo eyodwa kuphela, kufanele wazi ukuthi kufanele usisebenzise kanjani futhi nini isifo sikashukela, nokuthi imiphi imithi okufanele ifakwe ekwakhiweni kwayo. Uchwepheshe oqeqeshiwe kuphela onganquma lokhu, ngakho-ke kwenqatshelwe ukusebenzisa isigxobo sikashukela ekhaya.
Izakhiwo
I-Polyarka ingxube yezokwelapha equkethe i-glucose, i-insulin, i-potassium, futhi kwezinye izimo, i-magnesium. Zonke izingxenye zomxube we-polarizing zithathwa ngokulingana okuhlukile, futhi isisombululo se-glucose sisetshenziswa njengesisekelo saso. Kwesinye isikhathi esikhundleni se-potassium ne-magnesium, umuthi iPanangin ukhona.
Enye yezinto ezibaluleke kakhulu zesigxobo yi-insulin, enikeza ushukela ne-potassium kumaseli omzimba. Lokhu kusiza ukuguqulela amandla nokulinganisa kwe-electrolyte yesiguli sikashukela. Lesi senzo sesisombululo senza kubaluleke kakhulu ekwelapheni isifo sikashukela.
Kuze kube manje, kunezindlela eziningi zokukhetha umxube we-polarizing ezisetshenziselwa izifo ezithile. Kodwa-ke, ekwelapheni i-mellitus yesifo sikashukela, izinhlobo ezintathu zezigxobo zivame ukusetshenziswa, ezinomphumela omuhle emzimbeni wesiguli.
Izinketho zomxube we-polarizing:
- Owokuqala yi-potassium chloride 2 gr., Amayunithi we-Insulin 6, isisombululo se-glucose (5%) 350 ml;
- Owesibili - potassium chloride 4 gr., Amayunithi we-Insulin 8, isisombululo se-glucose (10%) 250 ml;
- Owesithathu - Panangin 50-80 ml, amayunithi we-insulin ama-6-8, isixazululo se-glucose (10%) 150 ml.
Pole ekwelapheni isifo sikashukela
Ingxubevange ye-polarizing isetshenziswa kabanzi ukwelapha amazinga kashukela egxekile ngokunamandla - i-hypoglycemia. Lesi simo sivame ukwenzeka ezigulini ezinesifo sikashukela sohlobo 1 ezisebenzisa imijovo ye-insulin ukwelapha lesi sifo.
Ukwehla okukhulu koshukela kushukela kungaba ngumphumela wethamo elikhulu le-insulin, ulifaka ngengozi emthanjeni noma emisipheni yemisipha (futhi ungangeni kwezicubu ezingaphansi), kanye nokuphazamiseka okubalulekile kokudla noma umsebenzi omkhulu womzimba.
Kusebenza ngempumelelo ukusebenzisa le ngxenye ye-hypoglycemia, lapho isiguli singazi lutho. Kulokhu, ingxube ye-glucose-insulin-potassium ingeniswa egazini lesiguli isebenzisa i-dropper. Isigxobo sikuvumela ukwandisa ushukela wegazi ngokushesha ube ngamazinga ajwayelekile futhi uvikele nokufa kwengqondo.
Ngaphandle kokuqukethwe kweglucose, umuthi uphakathi kwezidakamizwa ezisetshenziswa ekwelapheni i-hyperglycemic diabetesic coma ne-ketoacidosis. Ingxube ye-glucose-insulin isiza ukuvikela ukuthuthukiswa kwezinkinga eziningi ezithinta abantu abanoshukela wegazi ophezulu.
Lokhu kungenxa yokuthi ukwanda kokuxineka kwe-glucose egazini kuhlotshaniswa kakhulu nenani elinganele le-insulin, elidlala indima ebalulekile ekufakweni kweglucose. Kulesi simo, ama-carbohydrate ayayeka ukudonswa ngumzimba futhi amangqamuzana omzimba aqala ukuzwa ukushoda kwamandla okuqinile.
Ukuze usinxephezele, inqubo ye-glyconeogenesis, ingxube ye-glucose evela kumaprotheni namafutha, yethulwa emzimbeni wesiguli onesifo sikashukela. Kepha ngo-protein ne-lipid metabolism, inani elikhulu lemizimba ye-ketone ingena egazini lesiguli, elinomphumela onobuthi emzimbeni.
Umkhiqizo oyingozi kakhulu we-glyconeogenesis yi-acetone, okuqukethwe okunyukayo okuthi egazini nomchamo kufake isandla ekuthuthukiseni i-ketoacidosis. Ukumisa ukwakhiwa kwale nkinga enkulu yesifo sikashukela, kuyadingeka ukuqinisekisa ukulethwa ushukela emangqamuzaneni, okuyisisombululo sawo sisetshenziswa emithini equkethe i-glucose ne-insulin ngokuphelele.
I-mellitus yesifo sikashukela nayo ilusizo olukhulu kakhulu ngenxa yezinye izingxenye zengxube, okungukuthi i-potassium ne-magnesium. I-Potassium ibalulekile ekusebenzeni okujwayelekile kohlelo lwezinhliziyo nokuvinjwa kokushaywa unhlangothi. Iyasiza ekwandeni kwemithambo yegazi, ngakho-ke ukuntuleka kwe-potassium kubangela umfutho wegazi ophakeme.
Enye yezimpawu eziphambili zesifo sikashukela ukukhiqizwa umchamo ngokweqile, ngenxa yokuthi umzimba onesifo sikashukela ulahlekelwa yingxenye ebalulekile ye-potassium. Ngakho-ke, ukwelashwa ngxube lwe-glucose-insulin-potassium kusiza ukunxephezela ukuntuleka kwale nto ebalulekile bese kunciphisa umfutho wegazi.
I-Magnesium nayo idlala indima enkulu ekugcineni umfutho wegazi ojwayelekile. Futhi ngokuhlanganiswa ne-potassium, inomphumela onenzuzo kakhulu enhliziyweni nemithambo yegazi, evame ukuhlushwa yi-hyperglycemia.
Ngaphezu kwalokho, i-magnesium ithuthukisa ukusebenza kohlelo lwezinzwa futhi isize ukuvimba ukuthuthukiswa kwe-neuropathy.
Ungayithatha kanjani polar
Ngokwesiko, isigxobo sinikezwa isiguli nge-drip ye-intravenous, kepha kwesinye isikhathi isixazululo sihanjiswa emzimbeni wesiguli ngokujova okufakwa ngaphakathi. Kukholelwa ukuthi ukungena ngqo egazini lesiguli, isigxobo sinomphumela wokwelapha oshiwo kakhulu kuso.
Ezimweni ezingavamile, isiguli sivunyelwe ukuthatha ushukela nosawoti we-potassium ngomlomo (ngomlomo), bese i-insulin ifakwa egazini nge-dropper. Le ndlela ibhekwa njengengathembekile kangako, ngoba izinga lokutholwa kwe-glucose ne-potassium esiswini somuntu kuncike ezintweni eziningi futhi lingahluka kakhulu kubantu abahlukile.
Umthamo wezidakamizwa unqunywa udokotela osuselwa kuye ngokuqina kwesimo sesiguli kanye nezimpawu zenkambo yokugula kwakhe. Ngakho-ke, le nqubo inconyelwe ukwenziwa esibhedlela kuphela nangaphansi kokuqondisa ochwepheshe. Ukubalwa komthamo ongalungile kungalimaza isiguli futhi kudale nemiphumela emibi kakhulu.
Yini enye ongayisebenzisa ukwelapha isifo sikashukela? Ochwepheshe bazokutshela kuvidiyo ekulesi sihloko.
