Isisombululo seRinger sixhobo esaziwayo kakhulu. Kuba umzimba ungumthombo we-electrolytes kunye namanzi. Ngokuncediswa isisombululo seRinger, umntu angasindisa ubomi bakhe ngokulula. Ngaloo nto isalubonisa esi sixhobo, njani kwaye xa sisetyenziswe, siza kuxela kwinqaku.
Ukubunjwa kunye neendlela zokusebenzisa isisombululo seRinger
Izixhobo eziphambili zesisombululo yi-salts ye-calcium, i-sodium ne-potassium. Ngamanye amacandelo aneemisebenzi ekhethekileyo enokuchaphazela umzimba:
- I-sodium inceda ukulungelelanisa izinga le-acid-base balance of liquids emzimbeni.
- I-calcium iyadingeka kwi-clotting yegazi. Ukongezelela, eli candelo linceda ukulawula ukukhutshwa kwe-neuromuscular.
- I-Potassium, nayo iyingxenye yesisombululo seRinger, inoxanduva lokulawula ukuziphatha kweentsholongwane zesifo se-muscle contraction. Eli candelo lithatha inxaxheba kwi-protein kunye nokususwa kwe-carbohydrates emzimbeni.
Ngokuncediswa isisombululo, kunokwenzeka ukuba uzalise ngokukhawuleza ukulahlekelwa kwamanzi emzimbeni. Amachiza asebenzisa iindlela zokubuyisela ukulinganisela kwe-electrolyte yomzimba. Phakathi kwezinye izinto, isisombululo seRinger singagcwaliswa ngegazi legazi elijikelezayo emzimbeni, apho kwezinye iimeko kunokusindisa ubomi.
Isisombululo se-Ringer's acetate kwi-Ringer:
- ukulahlekelwa kwegazi elikhulu;
- ukutshitshiswa;
- i-hypovolemia;
- ukupheliswa kwamanzi emvelaphi eyahlukileyo;
- utshisa;
- ngqabileyo ;
- isifo sohudo;
- peritonitis;
- ukulimala kombane;
- ubuthi obuhamba kunye nokuhlanza;
- isifo kunye nezifo ezithintekayo.
Oogqirha abaninzi abanalo mveliso banciphisa izixazululo ezigqithisiweyo ze-electrolytes.
Ukusetyenziswa kwesisombululo seRinger
Ngenxa yokuba awukwazi ukusela isisombululo seRinger, singasetyenziselwa ukuxhamla. Ingcali kuphela inokumisela i-remedy, kufuneka iphinde imisele umthamo ofunekayo, ubungqina kunye nobude bexesha lokunyanga. Isisombululo siyahlukahluka kuxhomekeke kwi-diagnostic, ubudala, ubunzima kunye nempilo yesigulane.
Iqondo elifanelekileyo liphuma ku-5 ukuya kwi-20 ml / kg. Okokuthi, ngokomyinge umzimba omdala unako ukufumana ngaphezu kweekitha ezimbini zesisombululo ngosuku. Nangona le lathisi ihluka ngoxhomekeke kwezinye iipameters ezichaza impilo yempilo (njengokomzekelo, isimo seentso okanye ukulinganisela kwamanzi-electrolyte). I-dose yabantwana iyancitshiswa kakhulu kwaye i-5-10 ml / kg.
Ukungena kwesisombululo kufuneka kwenziwe kwinqanaba elithile: ama-60-80 amancinci ngomzuzu kubantu abadala kunye nama-30-60 amancinci ngomzuzu iintsana. Ubude bonyango lunemihla emithathu ukuya kwemihlanu.
Ezinye iingcali zinika isisombululo seRinger sokufumba. Isixhobo esihle kakhulu sinceda xa usifaka kwi- nebulizer . Le inhalation iyafaneleka kubantwana nakubantu abadala.
Xa usebenzisa isisombululo kwiimeko ezingxamisekileyo (ukuzalisa umthamo wegazi elijikelezayo) kubalulekile ukuba ukhumbule ukuba umphumo awuhlali ixesha elingaphezu kwesigama seyure. Ngako oko, i-agent ingasetyenziselwa kuphela inkxaso yesikhashana yomzimba.
Ukulungiselela isisombululo seRinger ekhaya kunye nokuchasene
Ngokusemgangathweni, ukuba nazo zonke izinto eziyimfuneko,
Ngelishwa, kukho abo isisombululo sikaRinger esingenakufaneleka. Phakathi kweengqinamba eziphambili:
- ukuvuvukala kwengqondo okanye imiphunga;
- ukungaphumeleli kwentliziyo (kwifomu engapheliyo);
- acidosis;
- thrombophlebitis;
- ukunyanzeliswa kwamanzi kunye nabanye.