Ringer mhinduro. Description rekugadzirira uye kushandiswa kwayo

Zvinoita here nekure mvura mumuviri, kusanganisira electrolytes, uye izvo zvinodhaka kushandisa iyi kakawanda?

Ringer mhinduro. Kushandiswa uye rondedzero gadziriro

Ringer anogadzirisa - a läpinäkyvä mvura, iyo yaiumbwa yavaibvisa chloride, calcium potassium. Mashandiro ichi mhinduro kuripa nazvo ari extracellular muviri mvura pamwe dzinokosha electrolytes (sodium, potassium, calcium yakawanda) uye chlorides.

Kazhinji, Ringer anogadzirisa inoshandiswa kuongorora mabasa zvinyama perfusion kana munhu nenyere. With kupenyerera zvisaora ehupfumi zvinoita kuti tichengetedze functionality uye vasiri zvivako yokurarama nyama zvachose. Ndokusaka Ringer akawana kushandiswa mukuru wezvokurapa kuedza uye transplantation. Anonziwo vachishingairira kushandiswa pakurapa mhuka, apo tiine chinhanho dzavo nhengo dzomukati.

Zvisinei, chikuru pokushandisa zvinodhaka inowanikwa nehana, pakaparara, frostbite, kutsva, mazhinji manyoka uye kurutsa. Chine detoxication zvazviri, pakudzikamisa uye nokugadzirisa electrolyte uye aqueous Zvinoumba Ropa. Ringer zvinobudirira richishandiswa sechinhu chinoyamura ari kupera muviri Genesisi, hypovolemic kuvhunduka, hyponatremia, metabolic acidosis zhinji mvura mvura kurasikirwa.

The daily dose zvinodhaka riri 5-20 Rine mamiririta / makirogiramu nevakura. Saka chipimo chemushonga anogona ngazviwedzerwe kana zvakakodzera nokuda 2 nguva. jekiseni havukavu - Madonhwe anenge 30 / min. The kunonyanyisa chitsama mhinduro chakaunzwa muviri pazuva haafaniri kupfuudza 3 litres. Kana ovhadhozi vanochengeta yakawedzera Kuwanda electrolytes muropa, uye asidhi-chawo zvakanyatsoenzana, iyo inotungamirira arikutadza kufema, pautano kudzikira kana kurasikirwa chavanoziva.

Contraindications pakushandisa Ringer anogadzirisa vari:

- pulmonary edema kana pfungwa

- mwoyo kutadza,

- oliguria,

- anuria,

- hypervolemia,

- acidosis

- chisingaperi renal kukundikana,

- chloruremia,

- hypernatremia uye hypercalcemia.

Limited uye mushonga varwere vane zvakawedzera aikanganiswa kuurongwa chemhinduro (karusiyamu chloride, potassium uye yavaibvisa. Zvinogona sema zviratidzo, uye izvi zvinofanira kungwarira.

Locke Ringer anogona kushingaira kushamwaridzana nevamwe zvinodhaka. Saka unogona kuonekwa yavaibvisa chengetedzo mumuviri vachitsigira anabolic vamiririri, corticotropin, estrogens, mineralocorticoids, ganglioblokatorov kana vasodilators siyana. Panguva pamuviri, mushonga sezvinobvira siya kana kushandisa chete zviitiko apo zvakanakira kupfuura ngozi nokuda azvarwa. Achiyamwa panguva kugamuchirwa Ringer hakubvumidzwi nokuti yenhengo dzayo kuwira kuburikidza mukaka waamai kuti mwana, kuparadza sema maitiro kana nyanyisa pezvakaitwa vachimhanya mumuviri wayo (kwete, asi zviri zvinosuruvarisa zvichibvira). Panguva ino, kana kudiwa nani mhinduro kuenda nokuti unhu nekusimba fomura.

Ringer kuti inotoda asunungurwa mune guchu yakajeka mhinduro. Siya mushonga mu Pharmacies kutakurirwa bedzi mushonga, uye zvakachengetwa panzvimbo yakaoma apo vana vane shoma kuwana. Jekiseni zvinodhaka vanobvumirwa chete mune zvokurapa masangano kana zvakananga kubatanidzwa utano mushandi. Chete kushandisa undamaged mabhodhoro unexpired pasherefu upenyu, izvo kazhinji haasi makore anopfuura maviri. Kana turbidity Ringer kushandiswa kwezvinodhaka hakubvumidzwi, kunyange kana mashoko pamusoro pasuru hakuzi mubvunzo.