Ukuba uye wangena kwigumbi eliphuthumayo, usenokufumana iRinger's Lactated
Ukuba ukalimele okanye uqhutywe ngugqirha, unethuba elihle ofumene i-Lactated Ringer's. Nangona kunjalo, igama elithi, i-Ract's Lacted ibalulekile ekunyamekeleni kwaye ineemiphumo embalwa.
I-Ringer's Lacted isisombululo esinyumba esisetyenziselwa ukutshintsha umbane olahlekelwe ngumzimba. Ngokuqhelekileyo isetyenziselwa ukuvuselelwa kwamanzi, oku kuthetha ukuba isigulane sidinga ukutshintshwa kwamanzi okutshatyalaliswa ngokulahlekelwa igazi okanye ukugula.
Ubonakala njengamanzi, kodwa iqukethe izithako eziquka i-calcium, i-potassium, i-lactate, i-sodium, ne-chloride.
I-Ringer's Lacted yaziwa nangokuthi yiLR, iRinger's Lactate kunye neRinger.
Kutheni kubizwa ngokuba yiRinger's Lactated
Ekupheleni kwee-1800. ugqirha ogama linguSydney Ringer lenze isisombululo esine-calcium, i-potassium, i-sodium kunye ne-chloride emanzini. Isisombululo sasibizwa ngokuba yi "Ringer's," emva kokuvelisa kwayo.
Kwiminyaka kamva, ugqirha ogama linguAlexis Hartmann wachaza ukuba ukongeza i-lactate kwisisombululo okwenze ukuba kulungele izigulana zezilwanyana. I-Lactate yikhemikhali eveliswa yimisipha yethu ngexesha lokuzivocavoca kwaye inxalenye yendalo yobisi. Ngokudibanisa kwe-lactate, isisombululo saziwa ngokuba yi "Ractal Lactated".
Kutheni Kusetyenziswa
I-Ringer's Lacted isetyenziselwa ukutshintsha indawo yamanzi elahlekileyo, igazi, okanye zombini. Ngenxa yenkqutyana ye-sodium, ngokuqhelekileyo ayisetyenziselwa ukutshintshwa kombane ngokuqhubekayo kodwa kunoko isetyenziselwa xa kuninzi ukukhutshwa kwamanzi, eyaziwa ngokuba yi-fluid resuscitation.I-Ringer'sact is often used instead of a solution for saline. kunye ne-electrolytes, kwaye ifanelekile kubantwana nakubantu abadala.
I-Ringer ye-Lact ibuye ibe nemiphumo engaphantsi kwimiba engaphezulu kweso saline evamile.
Ukutshisa okukhulu, ukuphazamiseka, ukulahleka kwegazi, kunye nokulahlekelwa kwamanzi ngokugqithiseleyo (kubangelwa ukunyuka kwamanzi, ukuhlinzwa okanye ezinye iingxaki) zizinye zeemeko apho i-Lactated Ringer inikwe khona.
Inani elincinci le-Lactated Ringer linga kunikwa njengesondlo IV, ukubonelela okufunekayo xa umguli engakwazi ukusela amanzi okwaneleyo ukuxhasa imisebenzi eqhelekileyo yomzimba.
Iingozi kunye neempembelelo ezingasemva
Kukho imingcipheko embalwa ehambelana neeLactated Ringer ezingenakunxulumene naluphi na umbane ongenamanzi. Ngokukodwa, iingozi zibandakanya:
- intlungu kwindawo ye-IV
- isisombululo sokusabela kwisisombululo
- ukusetyenziswa kakubi kwamanzi
- ukudlula i-electrolytes, i-chloride, okanye i-potassium
Ngenxa yokuba kunokwenzeka ukusetyenziswa ngokweqile, kubalulekile ukuba oogqirha baqwalasele ngenyameko izigulane ezifumana i-Lactated Ringer's.
I-Ringer's Lactated ihlolwe kwaye ifunyenwe ikhuselekile ekusebenziseni abantu abadala kunye nabantwana. Akukavandlakanywa ngokupheleleyo ukusetyenziswa kunye nezigulane ezinobunzima, abafazi abakhulelweyo, okanye iintsana. Ukongezelela, akufanele isetyenziswe nezigulane ezinomdla okanye isifo senhliziyo.
Indlela enikwa ngayo
I-Ringer's Lacted ilawulwa nge-intravenously (nge-IV), ngqo kwigazi. Akuzange kuthathwe ngomlomo. Idla ngokuxhomekeke kwiimeko ezixakeka okanye emva kokuhlinzwa.
Imithombo:
Braun, R. Medical. Iimvumi ezixhaswe. Drugs.com. KwiWebhu. 2015.
RxList. Iziphumo eziqhelekileyo zamacengezi ahlambulukileyo. RxList. 2017.
> Schwarz, Evan. Kwi-sepsis, izinto ezikhethiweyo ezikhethiweyo. IiNgcali eziPhezulu zoNyaka. KwiWebhu. Meyi 8, 2015.