Uma Uke Ungene Igumbi Likazimo Eziphuthumayo, Ungase Wamukele I-Ringer's Ract's
Uma ukalimele noma uhlinzekwa ngokuhlinzwa, kunethuba elihle ukuthi uthole i-Lactated Ringer's. Noma kunjalo, igama elithi, i-Ract's Lacted ibalulekile ekunakekeleni futhi inezimbalwa ezimbi.
I-Ringer's Lacted iyisisombululo esiyinyumba esisetshenziselwa ukufaka esikhundleni sokushisa okwenziwe ngumzimba. Kuvame ukusetshenziselwa ukuvuselelwa kwamanzi okushisa, okusho ukuthi isiguli sidinga ukushintshwa okunamandla kwamanzi kagesi ukulahleka kwegazi noma ukugula.
Kubonakala njengamanzi, kodwa liqukethe izithasiselo ezifaka i-calcium, i-potassium, i-lactate, i-sodium, ne-chloride.
I-Ringer's Lactated nayo yaziwa nangokuthi i-LR, i-Ringer's Lactate ne-Ringer's.
Okwenza kuthiwa yi-Ract's
Ekupheleni kwe-1800. udokotela ogama lakhe linguSydney Ringer wenza isisombululo esine-calcium, i-potassium, i-sodium, ne-chloride emanzini. Isixazululo sasibizwa nge "Ringer's," ngemuva kokusungula kwayo.
Eminyakeni ethile kamuva, udokotela ogama lakhe lingu-Alexis Hartmann wanquma ukuthi ukwengeza i-lactate kwisixazululo okwenza kube ngcono kakhulu iziguli zezingane. I-Lactate yikhemikhali eyenziwa yimisipha yethu ngesikhathi sokuzivocavoca futhi iyinhlangano engokwemvelo yobisi. Ngokungeziwe kwe-lactate, ikhambi laziwa ngokuthi "i-Lactated Ringer's".
Okwenza Kusetshenziswe
I-Ringer's Lacted ngokuvamile isetshenziselwa ukufaka esikhundleni se-fluid elahlekile, igazi, noma kokubili. Ngenxa yokuqukethwe kwe-sodium, ngokuvamile ayisetshenziselwa ukushintshwa oketshezi oluqhubekayo kodwa kunalokho kusetshenziselwa njalo uma kunikezwa umthamo omkhulu wetshezi, eyaziwa ngokuthi ukuvuselelwa kwamanzi kagesi.I-Ringer's Acact isetshenziswa kaningi esikhundleni sesisombululo esivamile saline ngoba iqukethe kokubili uketshezi kanye ne-electrolytes, futhi kufanelekile kokubili izingane kanye nabantu abadala.
I-Ringer's Lactated nayo inezimbangela ezimbalwa ezingase zibe khona kune-saline evamile.
Ukushisa okunzima, ukuhlukumezeka, ukulahlekelwa kwegazi okuphawulekayo, nokulahlekelwa okunamandla okwedlulele (okubangelwa ukungcola, ukuhlinzwa noma ezinye izinkinga) kungamanye amacala lapho kuhlinzekwa khona i-Lactated Ringer.
Amanani amancane ka-Lactated Ringer anganikezwa njengesondlo IV, ehlinzeka ngeziphuzo ezidingekayo lapho isiguli singakwazi ukuphuza uketshezi okwanele ukusekela imisebenzi yabo evamile yomzimba.
Izingozi nemiphumela emibi
Kunezingozi ezimbalwa ezihlobene ne-Lactated Ringer's ezingahlotshaniswa nanoma yikuphi uketshezi olunamandla. Ngokuqondile, izingozi zihlanganisa:
- ubuhlungu endaweni ye-IV
- ukusabela okweqile kuya kwesisombululo
- ukusetshenziswa ngokweqile kwamanzi
- ukunqwabelana kwe-electrolytes, i-chloride, noma i-potassium
Ngenxa yokuthi kungenzeka ukuthi usebenzise ngokweqile, kubalulekile ukuthi ochwepheshe balandele ngokucophelela iziguli ezithola i-Lactated Ringer's.
I-Ringer's Lactated ihlolwe futhi itholakala ephephile ukusetshenziswa kubantu abaningi abadala nabantwana. Akuzange kuhlolwe ngokugcwele ukuze kusetshenziswe iziguli ezikhulile, abesifazane abakhulelwe, noma izinsana. Ngaphezu kwalokho, akufanele isetshenziswe neziguli ezinesifo somzimba noma isifo senhliziyo.
Indlela Esinikwe ngayo
I-Ringer's Lactated ilawulwa ngaphakathi (ngokusebenzisa i-IV), ngokuqondile egazini legazi. Akukaze kuthathwe ngomlomo. Kuvame ukunikezwa ezimweni eziphuthumayo noma ekuhlinzekeni okulandelayo.
Imithombo:
UBraun, R. Medical. Amakhasimende ahlanganisiwe. Drugs.com. Iwebhu. 2015.
RxList. Imiphumela emibi evamile yamakhansela asele lactated. RxList. 2017.
> Schwarz, Evan. Nge-sepsis, izindaba ezikhethwa uketshezi. Odokotela abaphuthumayo ngenyanga. Iwebhu. May 8, 2015.