Sodium chloride bufus - esifundeni nezindlela yokusetshenziswa

"Sodium chloride bufus" - a egameni lendawo yokuhweba noma imithi kusukela iqembu kumakhemikhali awuketshezi bese diluents, ehlanganisa isithako esebenzayo le chloride sodium.

imiphumela kwemithi

Njengoba, eqinisweni, noketshezi olungenambala olusegazini-izimfanelo ezibalulekile, "sodium chloride bufus" has miphumela elandelayo:

• Nokwehlisa.
• Rehydration umphumela.
• Ukuba umthombo sodium ion, igcwalisa kusilela zabo, ezikhulayo izimo ezithile sokugembula.
• Isixazululo hypertonic ka-sodium chloride, lisetshenziswe ngendlela izicelo zangaphandle, ugqugquzela excretion kobovu kusukela focus ukuvuvukala, kodwa futhi unalo umsebenzi elwa namagciwane.
• Ukuphatha i-intravenous isixazululo hypertonic kuphumela ukwanda diuresis futhi ikhuthaza replenishment ukushoda sodium ne-chlorine ion.

Lapho isicelo isixazululo isotonic

Ukusetshenziswa "sodium chloride bufus" 0.9% kuhle kulezi zimo ezilandelayo:

• Imibandela libhekene luningi ukulahlekelwa uketshezi noma edonsa ukungadli uhudo, ukuhlanza eziyingozi, ikholera, ukusha, kokuba endaweni enkulu, ephelezelwa exudation mningi.
• iziyaluyalu Dysmetabolic ephelezelwa yokuntuleka kwegazi sodium ne-chlorine ion.
• ileus.
• Ukudakwa.
• Ukugeza amanxeba, kuhlanganise abangenwe ubomvu.

• Ukugeza samehlo e izilonda ezithathelwanayo noma ukuthola nomzimba angaphandle futhi ingaphakathi acinene ngoba impatho rhinitis.
• Ukusebenzisa lo dilution kwemikhiqizo yasekhemisi bagxila.
• Sebenzisa izinjongo ngenkasa kusaladi.

Izinkomba ngokusetshenziswa isixazululo hypertonic

Kusho okunqunywe lezi zimo:

• Ukopha kwasendaweni yamaphaphu.
• Ukopha ne kwasendaweni esiswini noma emathunjini.
• Ingasetshenziselwa for nokuphoqa umchamo okukhipha njengenhlangano ezengeziwe isisu osmotic.
• Ukuphelelwa amanzi emzimbeni.
• Ukudakwa esiliva nitrate.
• Suppurating amanxeba (kulesi simo "sodium chloride bufus" isetshenziswa ihlelwe ngokulandelana kwezihloko).
• Ukuqunjelwa (isicelo rectal ebonisiwe).

Izimo

Iziyalezo "sodium chloride bufusu" inikeza isiqondiso ezintweni eziningi izimo okuyiwona ukusetshenziswa kwalesi izidakamizwa Akwamukelekile:

• Hypernatremia.
• Lactic.
• Chloruremia.
• Hypokalemia.
• Ukubuthelela ngokweqile uketshezi esikhaleni intercellular.
• iziyaluyalu Hemodynamic engaholela ubuchopho edema kanye wamaphaphu.
• Ukuvuvukala ingqondo.
• edema yamaphaphu.
• ukwehluleka okukhulu kwesokunxele ventricular umsebenzi.
• Ukusetshenziswa glucocorticoids, ikakhulukazi ebulilini.

side effects

ukusetshenziswa okungafanele noma ukweqisa izidakamizwa kungathinta lezi zimpawu:

• Lactic ( "acidification" imvelo yangaphakathi).
• Hyperhydration.
• Ukuncishiswa igazi potassium ion.

Izindlela Yokusebenzisa

"Sodium chloride bufus" ingasetshenziswa ngezindlela ezilandelayo:

• ukuvuza intravenous ukusebenza.
• Phansi kwesikhumba.
• Rectally.
• Ngokwezihloko, endaweni.

Ngaphambi kokusebenzisa i-isixazululo isotonic sishiswa lokushisa 36-38 degrees Celsius.

Umthamo esimweni ngasinye kunqunywa ngamunye kuya ngevolumu amanzi emzimbeni, degree of ukushoda sodium ne-chlorine ion. Isilinganiso ngelanga iqondiswa mayelana ilitha isixazululo. Nokho, uma kwenzeka ivolumu uketshezi injected ukudakwa kubi zingandiswa kuze kufinyelele amalitha amathathu ngosuku. isingeniso izinga ngokuvamile 540 namamililitha ngehora, kodwa uma kunesidingo izinga zingandiswa.

Endabeni liphinyiselwe ukwehlisa wegazi ophakeme esikhathini ingane kubangelwa amanzi emzimbeni, libonisa ukwethulwa isixazululo isotonic ka 20-30 namamililitha angu amakhilogramu isisindo ingane. Le modi ekuphathweni isetshenziswa ngaphambi Ukuvalwa izindlela zokuxilonga, kanye nemingcele laboratory. amavolumu obengeziwe isixazululo injected etholwe eqondiswa ngoba ngesikhathi luhlolo nemingcele laboratory. ukusetshenziswa eside zomuthi kuyinkomba ukuqapha esihleliwe electrolyte plasma egazi noma omchamo.

isixazululo Hypertonic kwezokuphatha emthanjeni has a lokuhlushwa angu-10.

Ngokuba ikhambi lavage esiswini isetshenziswa 2-5%.

I enema esetshenziswa ukugqugquzela sokuzikhulula ukuqunjelwa, wasebenzisa isixazululo amaphesenti 5 ku-elingu-100 ml, noma 0.9% of amalitha bebathathu ngosuku.

Thanda iso amaconsi Kunconywa 1-2 amathonsi esweni ngalinye.

Ukuze inhalations "sodium chloride bufus" kufanele sisetshenziselwe eziyisikhombisa - izinsuku eziyishumi. Njengomthetho, izimpawu acute ngalesi sikhathi isikhathi abaphindela. Ukuyiqonda injongo yangempela yokunikezwa ephefumula, kufanele ukuba ubambelele iziqondiso ezilandelayo:

• Temperature ingxube inhalable kumele singeqi 40 degrees.
• Inqubo okufanele kwenziwe phakathi ukudla.
• Ukuphefumula kufanele kube nomoya ezolile - ezijulile, phakathi lapho ephefumula futhi umoya - misa isikhashana kancane.
• Endabeni inqubo ephefumula usebenzisa nebulizer ukwelapha ukukhwehlela inhlanganisela ezifanele nosawoti amalungiselelo ambroxol based ( "Mucosolvan" "Ambrobene") noma acetylcysteine ( "Fluimucil"); ukuthambekela abe yinzuzo umphumela bronchoobstruction kusho nge bronchodilator umsebenzi ( "Berotek" "Berodual"); kwezinye izimo, ekubonisa ukusetshenziswa eqeda ukuvuvukala ( "budesonide") noma isinqandakuvunda ( "Miramistin", "Gentamycin") kusho.

Ikhala "sodium chloride bufus" lisetshenziswa njalo, kusukela ezikhathini eziningi kuba lavages ezanele ngalo ingaphakathi acinene nge nosawoti bokuphila.

Uma kudingeka, saline ngoba ephefumula labantu abakulelo khaya lingase esikhundleni nosawoti noma lamanzi esiphethu ngaphandle igesi.

Ukuze ugweme side effects kanye nezinkinga ekulungiseleleni ingxube for inhalation kufanele kuqashelwe izinkomba, njengoba kubonakala kula imiyalelo izidakamizwa abafanele.