Isotonic solution

Isotonic zvinokonzera mhando dzakasiyana-siyana dzinosanganisira makemikari akaparadzwa mumvura yakasvibiswa. Zvechokwadi - inonzious formulations, izvo zvinoshandiswa izvo zviri zvimwe zvinhu, zvakare zviri mune chikamu chemvura (plasma) yeropa. Somuenzaniso, chinhu chinonzi sodium chloride inopinda mu isotonic solution inowanikwawo (ine fraction yakakura ye 0.9%) mu plasma yeropa. Intravenously administered sodium chloride mugadziriro inofanirwa kuchengetedza nzira yeimwe nzira nzira yekuparadzanisa kwemamolekemu emvura kuva midzi uye ine yakakwirira yezvinhu zvakasanganiswa. Simba reAsmotic rakaenzana nehuwandu hwezvinhu zvakanyungudutswa mu extracellular fluid uye mu plasma yeropa. Pamusana pokururamisa osmotic, kusviba kwemuviri mumuviri kunowedzerwa panguva yekudonha mvura (kupera mvura).

Iyo yakanyanyojeka isotonic sodium chloride solution mumvura yakasvibiswa inonziwo chirongwa chemagetsi mune zvekurapa , asi izvi zvinonyoresa, sezvo kugadzirira hakune zvinhu zvose (semuenzaniso, potassium salts) zvakakosha kuchengetedza hukama hwemamiriro ehupenyu hwehutano hwomuviri womunhu. Iyo inobudiswa mumaboules 10, 5 kana 2 ml ne 0.9% sodium chloride mumvura. Iko kunewo maverengeka akawanda anonyanya kuoma isotonic multicomponent michina. Somuenzaniso, "Disol" ine 6 gramu ye sodium chloride uye 2 gramu ye sodium acetate trihydrate mu 1 litre. Yakagadzirwa mumabhodhoro ane simba re 0,4 malita uye 0.2 litita, rakashandiswa nokuda kwe detoxification nekudzoka zvakare. Mukuwedzera, mishonga yakadaro seTrisol, maverengi eRinger's solutions, Chlosol, uye Acesol anoshandiswa.

Solution for infusions "Chlozol" inowanikwa mune 4.50 gramu ye sodium chloride, 3.6 gramu ye sodium acetate trihydrate, 1.5 g ye potassium chloride. Kubatanidzwa kwekugadzirisa kunoshandiswa kwe detoxification, plasma inotsiva, kudzoka zvakare, se diuretic, antiplatelet kana anti antishock. Iyo inovandudza microcirculation yeropa, inodzivirira kubwinya kwayo nekukura kwemasikiriti acidosis, inoderedza hypovolemia, inowedzera diuresis. Iyi isotonic solution inowanikwa mumvura inokwana 0.4 malita kana 0.2 litres. Iyo mishonga inoreva VED. Contraindications are alkalosis, hypersensitivity, hyperkalemia, kusagadzikana kwechirwere chechirwere, kana kuregererwa kwehuwandu hwehuwandu hwemvura mumutumbi. Panogona kuva nemigumisiro yakadai se hyperkalemia, edema, chills, tachycardia.

Iyo inoratidzwa kuti ishandiswe mukuderedza mvura uye kunwa doro (zvokudya toxicoinfection, dysentery, kororera El-Tor) isotonic solution "Acesol", iyo, yakaita "Khlosol", inobudiswa mu 0.4 l kana 0.2 l mabhodhoro nemiti yeNesvizh yemishonga Belarus). Kurongeka kwakagadzirwa kwakafanana nemishonga inonzi "Chlosol", asi yakasiyana mune zvakawanda zvezvivako: mu 1 litre yakasanganiswa 5 g ye sodium chloride, 2 gramu ye-sodium trihydrate uye 1 g ye potassium chloride. Zviratidzo zvekushandiswa uye zvinopesana zvakafanana neyechirwere "Khlosol."

Saline, iyo inoderedza hypovolemia, metabolic acidosis uye kuwedzerwa kweropa, kuwedzera diuresis nekuvandudza kupararira kwema capillary, iyo ine simba rekutema, rine zita rekutengesa "Trisol". Iyo inobudiswa mu 0.4 litre uye 0.2 litre mabhodhoro. Iyi isotonic solution iri mu 1 litre 5 gramu ye sodium chloride, 4 g ye- bicarbonate sodium uye 1 g ye potassium chloride. Chirwere ichi chinoshandiswa kune zvirwere zvinosanganiswa nekudhakwa kwemuviri, kusanganisira chirwere chakanyanya, kushaya chepfu, cholera El Tor. Apo mishonga inotarisirwa maawa matanhatu, huwandu hwehupachiviri uye yakasarudzwa mvura hunongororwa. Kana hyperkalemia inokura, mhinduro yacho inotsiviwa nemushonga une sodium chloride uye sodium acetate kusvikira kushandiswa kwe electrolyte kuchiripo.

Mukugadzirisa kwezvigadziro izvi, kuenzaniswa kwekutungamirirwa kwezvikamu chimwe nechimwe kunoonekwa, uye kusvikira yapfuura yakanyatsopedzwa zvachose munyu unotevera hauwedzerwa. Chero isotonic sodium chloride solution yakagadzirwa pamvura yakasvibiswa. Iyo inowanikwa ne distillation muzvigadzirwa zvepamusoro, izvo zvinonzi distillers. Vanofanira kugadzirwa girazi. Mvura inowanikwa mune zvishandiso zvesimbi haina kukodzera kugadziriswa kwemasanganisi eIsotonic, sezvo ine isimbi yesimbi, iyo inokuvadza pamasumbu emuviri. Mimwe mitemo yakasimba inowanika pakuiswa kwemishonga imwe neimwe, iyo iri mumirairo, uye nzira yekuitisa (intravenously, inemas kana subcutaneously) inotsanangurwa nachiremba. Chengetedza mishonga munzvimbo dzakachengetedzwa pamhepo inotonhora inokurudzirwa nemugadziri. Usati washandisa, mhinduro yacho inogadziriswa kuhutano hwemuviri we 36-38 ° C.