Ringer pāʻoihana. Description o ka la hoomalolo a me kona hoʻohana

Ua mea hiki, e compensate no ka loli i loko o ke kino, e like me electrolytes, a i lāʻau, e hana no kēia loa pinepine?

Ringer pāʻoihana. Ka hoʻohana a me ka ano o ka la hoomalolo

Ringer ka pāʻoihana - he aniani moakaka wai, i ka haku o ka paʻakai koloriside, kalipuna a me ka potasiuma. I ka hana o keia pāʻoihana mea e compensate no ka pōʻino i loko o ka extracellular kino loli a me ke kumu o electrolytes (paʻakai, potasiuma, kalipuna) a me chlorides.

E like me ka rula, Ringer ka pāʻoihana ua hoʻohana 'ia e noiʻi ana i ka hana o ka'aʻaʻa perfusion a kanaka paha nā loko. Me ka lā'ī preservative ka waiwai, ka mea e leie aku oe e paʻa malama i ka functionality a me physiological waiwai o ola nā'aʻaʻa. I mea no ke aha la Ringer loaʻa nui hoʻohana i ka 'inikua ho okolohua me ka transplantation. He ua i 'Imi hoʻohana no ka lapaau ana i na holoholona, oiai e malama ana i ka viability o ko lākou na nā loko.

Naʻe, i ka papa kuhikuhiE noi o ka lāʻau loaʻa ma ka hawewe,'opi, frostbite,'ā, hooloihiia diarrhea a me ka luaʻi. Ua loaʻa detoxication kanawai, stabilizing a me ka hōʻoiaʻana i ka electrolyte, a me ka koʻana koko haku mele 'ana o ke koko. Ringer ana hoʻohana me he kokua ma ka dehydration Kin, hypovolemic kŰia, hyponatremia, metabolic acidosis me ka nui loli lilo.

Na kela la i keia mahele lāʻau o ka lāʻau mea 5-20 ml / kg no nā mākua. Pela i e mahuahua ina e pono ai i ka laʻau heluna ma 2 manawa. ka pahu kui māmā - ma kahi o 30 kulu / min. ʻO kā mākou dala o ka pāʻoihana hoʻolauna i loko o ke kino no ka lā e ole oi 3 nā lika. I Ina o ka overdose malama mahuahua lehulehu o electrolytes i loko o ke koko, a me kaʻakika-kumu equilibrium, a hiki aku i ka pilikia hanu, mau ola mea hōʻemi a poho o ka ike paka i.

Contraindications i ka hoʻohana 'ana o Ringer ka pāʻoihana e:

- pulmonary edema paha lolo

- naau ole,

- oliguria,

- anuria,

- hypervolemia,

- acidosis

- maʻiʻaʻa puʻuwai ole,

- chloruremia,

- hypernatremia a me ka hypercalcemia.

Limited, a me ka lāʻau no nā mea maʻi me ka mahuahua pā lonoaʻili i kī eiiiiiaiou o ka pāʻoihana (kalipuna koloriside, potasiuma a me ka paʻakai. Lākou hiki i allergic symptoms, a me keia e e makaala lakou.

Ua laka 'Ringer hiki' Imi pāʻani aku me'ē aʻe ai '. Ua hiki no ia mea, e malama paʻakai ka mālama i loko o ka kino ana e lawe lāʻau anabolic konohiki, corticotropin, estrogens, mineralocorticoids, ganglioblokatorov a me kekahi mau vasodilators. Ma hāpai keiki, i ka lāʻau 'i hiki hookaawale ia a pili wale i ka hihia ma ka pomaikai ma mua o ke kamepiula ololi no ka fetus. Breastfeeding i? Eaia Ringer ole no ka haule kona eiiiiiaiou ma ka waiū a hiki i ka bebe i ka makuwahine, e kauoha ana i ka allergic naoh paha malignant keʻano o ka hanaʻana e holo i loko o kona kino (ʻaʻole pono, akā, e mea Eia naʻe hiki). I keia manawa, i ka wa o ka nele i ka maikaʻi pāʻoihana, e hele no ka pono a me ka ai haʻilula.

Ringer ka pāʻoihana ua hookuu i loko o ka hue me ka maopopo pāʻoihana. Haʻalele i ka lāʻau i loko o keʻena kūʻai lāʻau lapaʻau lawe wale ma ke kuhikuhi, a me ka mea, ua waiho ia ma ka wahi maloʻo kahi keiki i kaupalena ke kula. Ka pahu kui ai 'i aeia wale i ka' inikua kulanui a me ka pololei komo o ke ola hana. Wale hoʻohana undamaged hue unexpired holopapa ola, i IeAUPIIe, IAa IO mea ole oi aku i na makahiki elua. I ka turbidity Ringer lāʻau hoʻohana ua hookapuia, a hiki ina ka 'ike ma luna o ka AEeAaOA mea,ʻaʻole i loko o kanalua.