I-glucose ngendlela yamathebulethi yisidakamizwa esenzelwe ukondliwa komlomo komuntu ogulayo. Le nto ine-hydrating and detoxifying effect emzimbeni.
Izinkampani ezenza imithi zikhiqiza ushukela ngendlela yamathebulethi noma isixazululo somjovo we-intravenous, futhi imiyalo yokusetshenziswa kulezi zimo ihlukile.
Isithako esikhulu esisebenzayo kulesi sidakamizwa yi-dextrose monohydrate, okuqukethwe kungaba:
- Ithebhulethi engu-1 - 50 mg;
- I-100 ml yesisombululo - 5, 10, 20 noma 40 g.
Ngakho-ke, ngokwesibonelo, ukwakheka kwekhambi le-glucose kuhlanganisa nezinto ezisizayo. Ukuze wenze lokhu, sebenzisa i-hydrochloric acid namanzi ukumilisela, konke lokhu kubheka imiyalo yokusebenzisa umuthi.
Ngenxa yokuthi intengo yamathebulethi kashukela nekhambi incane, ingathathwa yizo zonke izingxenye zabantu.
I-Dextrose monohydrate ingathengwa kunethiwekhi yekhemisi ngesimo:
- amaphilisi
- umjovo: ezitsheni zepulasitiki (50, 100, 150, 250, 500 noma i-1000 ml ngevolumu), ibhodlela lengilazi (100, 200, 400 noma 500 ml ngevolumu);
- Isixazululo sokuphathwa kwe-intravenous ku-ampoules yengilazi (5 ml noma 10 ml ngayinye).
Lithini ushukela?
Imiyalo esetshenzisiwe ikhombisa ukuthi ukuthatha amaphilisi noma isixazululo kuyadingeka ukuze kubuyiswe kufanelekile ukuntuleka kwama-carbohydrate emzimbeni, okungenzeka kuphambene nesizinda sezimo ezahlukahlukene zokugula.
Into esemqoka ukungaphuzi amaphilisi uma kutholakala ukuthi unesifo sikashukela.
Ngaphezu kwalokho, ushukela ungasetshenziselwa:
- ukudakwa komzimba;
- ukulungiswa kokuphelelwa ngamanzi emzimbeni okwenzeka ngemuva kokuhlinzwa noma ngemuva kokukhishwa yisisu isikhathi eside;
- i-hemorrhagic diathesis;
- ukuwa;
- isimo sokushaqeka;
- i-hypoglycemia;
- i-hepatitis;
- ukwehluleka kwesibindi;
- ukuwohloka noma ukwehla kwesibindi.
I-contraindication esemqoka
Kwenqatshelwe ngokuphelele ukusebenzisa isixazululo namacwecwe kashukela kulezo zimo lapho umlando wezokwelapha wesiguli ukhombisa ukuphazamiseka okusebenzayo:
- i-hyperosmolar coma;
- i-mellitus ebunjiwe yesifo sikashukela;
- hyperlactacidemia;
- ukusetshenziswa kwe-glucose okungafanele ngemuva kokuhlinzwa.
Ngokucophelela kakhulu, umuthi kufanele uphathwe ngaphakathi uma kwenzeka:
- ukwehluleka okungapheli kwezinso;
- ukwehluleka kwenhliziyo okubolile (kwiphepha);
- hyponatremia.
Kubalulekile ukwazi ukuthi i-glucose iphikiswana ngokuphelele nesifo sikashukela, ukuhluleka kwamakhompiyutha kwesobunxele, ukuvuvukala kobuchopho noma amaphaphu. Ukuqapha okunikezwe izingane.
Okwamanje akunakwenzeka ukusebenzisa umuthi ukuthola i-hyperhydrate, kanye ne-pathology ejikelezayo enamathuba aphezulu okuthuthukisa i-cerebral kanye ne-pulmonary edema. Intengo yesidakamizwa ayithinti ukwephulwa kwayo.
Ungasifaka kanjani isicelo futhi uphuze?
Odokotela batusa ukusebenzisa i-Glucose ngomlomo ihora elilodwa nohhafu ngaphambi kokudla. Umthamo owodwa akufanele ube ngaphezu kwama-300 mg ento leyo nge-1 kg yesisindo sesiguli.
Uma isixazululo se-glucose kufanele siphathwe ngokuhlinzwa, udokotela oholayo uzonquma ngokuzimela umthamo wento yedrip noma indlela ye-inkjet.
Ngokusho kwemiyalo, umthamo omkhulu wansuku zonke (nge ukumnika) wesiguli esikhulile uzoba:
- Isixazululo se-5 dextrose samaphesenti - ama-200 ml ngesilinganiso somjovo wamaconsi ayi-150 ngomzuzu noma ama-400 ml ngehora eli-1;
- 0% isisombululo - i-1000 ml ngesilinganiso samaconsi angama-60 ngomzuzu;
- Isixazululo esingamaphesenti angama-20 - ama-300 ml ngesivinini esingama-40 amaconsi;
- Isixazululo esingamaphesenti angama-40 - ama-250 ml ngesilinganiso esiphezulu sokufaka okufika ku-30 amaconsi ngomzuzu 1.
Uma kunesidingo sokuphathela i-Glucose ezigulini ezingane, khona-ke umthamo wayo uzoqalwa ngokususelwa esindweni sengane, futhi ngeke weqe izinkomba ezinjalo:
- isisindo kufika ku-10 kg - 100 ml ngekhilogremu yesisindo ngamahora angama-24;
- isisindo esisuka ku-10 kuye ku-20 kg - kuya kumthamo we-1000 ml kuyadingeka ukufaka ama-50 ml ngekhilogremu angaphezu kuka-10 kg wesisindo emahoreni angama-24;
- isisindo esingaphezu kwama-20 kg - kuya ku-1500 ml kubalulekile ukufaka ama-20 ml ngekhilogremu yesisindo esingaphezu kwama-20 kg.
Ngokuphathwa kwe-jet intravenous kwezisombululo zamaphesenti ama-5 noma ayishumi, kuzonqunywa umthamo owodwa we-10 kuye ku-50 ml. Intengo yamathebulethi nesixazululo yehlukile, njengomthetho, inani lentengo lamathebulethi liphansi.
Lapho sekutholwe i-Glucose njengento eyisisekelo ngokuphathwa kwabazali bezinye izidakamizwa, inani lesisombululo kufanele lithathwe kusuka ku-50 liye ku-250 ml ngethamo elilodwa lomuthi olungiselelwe.
Izinga lokuphatha lizonqunywa yizici zomuthi oncibilikisiwe ku-glucose.
Imiphumela emibi
Ngokwemiyalo, iGlucose ngeke ibe nomthelela ongemuhle emzimbeni wesiguli. Lokhu kuzoba yiqiniso uma nje sabelwe ngokufanele futhi nemithetho yokusebenza esetshenzisiwe iyagcinwa.
Imiphumela emibi ihlanganisa:
- umkhuhlane
- i-polyuria;
- i-hyperglycemia;
- ukwehluleka okukhulu kwe-ventricular kwesokunxele;
- hypervolemia.
Kukhona amathuba aphezulu wezinhlungu esizeni somjovo, kanye nokuphendula kwasendaweni, njengokutheleleka, ukulimala, i-thrombophlebitis.
I-glucose ingasetshenziswa ngesikhathi sokukhulelwa nokuqunjelwa. Intengo yesidakamizwa ayishintshi ngokuya ngokusetshenziswa kwayo.
Uma inhlanganisela nezinye izidakamizwa idingeka, ukuhambelana kwazo kufanele kusungulwe ngokubona.
Kubalulekile ukuxuba izidakamizwa ngokushesha ngaphambi kokufakwa. Ukugcinwa kwekhambi eliphelile nokusetshenziswa kwalo kwenqatshelwe!
