Cov kua nplaum hauv cov ntsiav tshuaj - cov lus qhia rau kev siv thiab cim, analogues thiab nqi

Ib ntsiav tshuaj muaj ib hom kab qabzib monohydrate thiab ntau yam ntxiv:

1. Qos yaj ywm starch.
2. Talc.
3. Stearic acid.
4. Tshuaj calcium stearate.

Cov ntsiav tshuaj muaj qhov tiaj tiaj thiab ib puag ncig zoo. Lawv tuaj yeem paub qhov txawv ntawm txoj kab sib cais thiab ob txoj kab sib dhos. Hauv kev tsim cov tshuaj hauv kev sib xyaw nrog cov tshuaj ascorbic acid, ib qho chaw khiav dej num thiab ib chamfer (ib qho kev nyuaj siab ntawm lub dav hlau thiab sab npoo) tau siv.

Kaum lub ntsiav tshuaj muab tso rau hauv cov hlwv tshuab. Cov khoom siv suav nrog lub thawv ntawv nrog ib lossis ob lub hlwv, nrog rau cov lus qhia rau kev siv. Cov khoom siv yuav sib txawv raws li cov khoom lag luam.

• daws rau Txoj kev lis ntshav 5%: xim tsis muaj pob tshab kua dej ntawm 100, 250, 500 lossis 1000 ml hauv cov thawv ntim yas, 50 lossis 60 pcs. (100 ml), 30 lossis 36 pcs. (250 ml), 20 lossis 24 pcs. (500 ml), 10 lossis 12 pcs. (1000 ml) hauv cais cov hnab tiv thaiv, uas tau ntim rau hauv cov thawv ntawv thawv nrog cov xov tooj ntawm cov lus qhia kom siv,
• Txoj kev lis ntshav 10%: cov xim tsis muaj pob tshab (500 ml txhua qhov hauv cov thawv yas, 20 lossis 24 pcs. hauv cov hnab tiv thaiv cais, uas tau ntim rau hauv cov thawv ntawv thawv nrog cov naj npawb tsim nyog ntawm cov lus qhia rau kev siv).

Cov khoom siv nquag: dextrose monohydrate - 5.5 g (uas sib raug rau 5 g ntawm anhydrous dextrose) lossis 11 g (uas sib raug rau 10 g ntawm anhydrous dextrose).

Muaj kev zam: dej rau txhaj - txog li 100 ml.

Cov kua nplaum tsim nyob rau hauv cov hmoov sau, hauv daim ntawv ntawm cov ntsiav tshuaj hauv pob ntawm 20 daim, ib yam li hauv kev sib tov ntawm 5% rau kev txhaj tshuaj hauv 400 ml fwj, 40% daws hauv ampoules ntawm 10 lossis 20 ml.

Cov tshuaj tiv thaiv tsis haum ntawm cov tshuaj yog dextrose monohydrate.

Dextrose tsis tsuas yog hauv cov qauv hauv cov ntsiav tshuaj. Muaj cov piam thaj nyob rau hauv daim ntawv ntawm hmoov thiab txhaj tshuaj daws. Cov ntsiav tshuaj muaj xim dawb thiab muaj qab qab zib. Cov nkauj muaj xws li dextrose monohydrate, aka piam thaj.

Cov tshuaj rau siv ntawm qhov ncauj yog muaj nyob hauv cov hlwv ntawm 10 pcs. Kev daws teeb meem muaj nyob rau hauv cov khob ampoules lossis cov thawv ntim khoom yas.

Cov kua nplaum yog hais txog ib pawg ntawm cov tshuaj uas cuam tshuam rau cov txheej txheem hauv cov metabolism (metabolism) hauv feem ntau.

Ib ntsiav tshuaj muaj ib gram cov piam thaj monohydrate, nrog rau cov khoom xyaw pabcuam: talc, qos hmoov txhuv nplej siab, calcium stearate thiab stearic acid. Cov ntsiav tshuaj muaj cov duab sib npaug nrog cov tiaj tiaj, beveled npoo thiab ib txoj kab sib cais.

Glucose ntsiav tshuaj nrog ascorbic acid kuj tseem dawb, nrog ib tug bevel thiab khiav ceev. Lawv tau ntim rau kaum daim hauv hlwv. Hauv daim npov cardboard tej zaum yuav muaj ib lossis ob lub hlwv, cov lus qhia rau kev siv cov tshuaj kuj tseem tso rau hauv.

Cov tshuaj muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj thiab ib qho kev daws teeb meem rau kev tswj kav. Lub hauv paus ua hauj lwm tseem ceeb ntawm Glucose yog dextrose monohydrate, nws cov ntsiab lus yog hauv:

• 500 mg rau ib ntsiav tshuaj
• 100 ml ntawm kev daws - 40, 20, 10 thiab 5 g.

Qhov muaj pes tsawg leeg ntawm cov xaim xyaw ua ke ntawm kev daws suav nrog dej rau txhaj tshuaj thiab hydrochloric acid.

Cov tshuaj nkag rau hauv lub khw muag tshuaj network:

• Ntsiav tshuaj - hauv cov hlwv pob ntawm 10 daim,
• Kev daws rau Txoj kev lis ntshav - hauv cov thawv yas ntawm 50, 100, 150, 250, 500, 1000 ml lossis hauv cov iav fwj ntawm 100, 200, 400, 500 ml,
• Kev daws rau kev tswj hwm kev ncaj ncees yog hauv 5 ml thiab 10 ml iav ampoules.

Cov ntsiav tshuaj dawb, pav ca-cylindrical, nrog ib qho kev tshaj tawm, nrog tus bevel.

15 ntsiav tshuaj rau ib lub hnab polymer.

Tsis hais txog ntawm daim ntawv ntau npaum li cas ntawm cov tshuaj, lub ntsiab nquag ua hauj lwm yog dextrose monohydrate. Hauv lwm lo lus, cov kua nplaum qhuav yog ib qho pabcuam qub.

Dosages thiab yuav siv nws li cas

Glucose yog ib yam tshuaj noj uas tsis tas yuav ua txhaum hauv ntau cov txheej txheem hauv lub cev hauv tib neeg lub cev. Nws yog cov hmoov dawb, muaj ntau ntawm cov muaju thiab muaj qhov tsis muaj ntxhiab tsw kiag li, thaum lub cuab yeej no muaj cov khoom qab zib.

Cov yeeb tshuaj no yog siv rau hauv kev kho mob ntawm qee yam kab mob, nrog rau kev ua txhaum ntawm kev ua haujlwm ntawm ntau yam kabmob thiab cov kab ke. Ntawm cov metabolism hauv cov piam thaj, adenosine triphosphoric acid yog tsim, uas yog lub zog tseem ceeb tshaj plaws.

Cov neeg mob uas muaj ntshav qab zib hom 1 tsis tuaj yeem tsis muaj piam thaj, tom qab ntawd cov tshuaj insulin yog sau rau hauv cov ntsiav tshuaj lossis hauv kev txhaj tshuaj. Yog tias tsis muaj nws, oxidation-pauv cov txheej txheem tsis tuaj yeem tshwm sim raug, ntxiv rau, kev siv cov kua nplaum hauv cov ntsiav tshuaj lossis hauv kev daws teeb meem tuaj yeem txhim kho lub siab ua haujlwm ntawm antitoxic.

Nws yog ib qho tseem ceeb uas tswj cov kev sib raug zoo ntawm cov piam thaj nrog lwm yam tshuaj, vim li no cov tshuaj sib xyaw ua ke yuav tsum tau nqa tawm tshwj xeeb los ntawm kws kho mob. Glucose nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj tuaj yeem ua raws li kev mob nkeeg thiab kev mob ntawm lub cev li:

• carbohydrate tsis zoo,
• ntshav qab zib,
• intoxication ntawm lub cev tshwm sim los ntawm kev ua txhaum ntawm daim siab,
• toxicoinfection
• lub cev qhuav dej - zawv plab, ntuav, ncua sijhawm.

Tsis txhob ua yam tsis siv tshuaj insulin rau cov neeg muaj kev mob ntshav qab zib los ntawm insulin. Lawv feem ntau siv kev txhaj tshuaj ntawm cov tshuaj no, tab sis tom qab cov tsos ntawm cov tshuaj insulin, nws tau yooj yim dua rau kev noj tshuaj hauv cov qauv hauv cov ntsiav tshuaj.

Kev siv cov kua nplaum hauv cov ntsiav tshuaj rau cov ntshav qab zib, uas yog qee yam ntawm cov tshuaj, tso cai rau cov neeg mob ua tiav lossis ib nrab tsis kam txhaj ntawm cov tshuaj no. Txoj hau kev no tso cai rau tib neeg txhawm rau txhim kho lawv lub neej, txawm tias muaj cov kev cuam tshuam txog cov kabmob endocrine zoo li mob ntshav qab zib.

Ua ntej noj cov piam thaj hauv cov ntsiav tshuaj, koj yuav tsum ua tib zoo nyeem cov lus qhia rau kev siv. Ib qho kev qhia yog ib yam uas hauv qhov no tsis tuaj yeem tsis quav ntsej. Cov ntaub ntawv muaj txiaj ntsig ntau tau muab zais rau hauv nws, uas yuav pab kom zam dhau qhov xwm txheej tsis zoo thiab mus tom tsev kho mob. Tab sis nrog cov lus pom zoo dav dav tuaj yeem nrhiav hauv Is Taws Nem.

Feem ntau cov kws kho mob qhia kom noj cov kua nplaum hauv cov ntsiav tshuaj raws li cov lus qhia.

Feem ntau, qhov no yog ib teev thiab ib nrab ua ntej noj mov. Ib koob tshuaj yuav tsum tsis pub ntau tshaj 300 mg rau 1 kg ntawm tus neeg. Pes tsawg zaus ib hnub twg thiab noj tshuaj dab tsi noj yuav qhia rau tus kws kho mob uas tuaj koom.

Cov kws kho mob pom zoo kom siv cov kua nplaum hauv lub cev ib nrab thiab ib teev ua ntej noj mov. Ib koob tshuaj ib zaug yuav tsum tsis pub ntau dua 300 mg ntawm 1 tshuaj rau 1 kg ntawm tus neeg mob qhov hnyav.

Yog tias cov kua nplaum ua kua yuav tsum muab tshuaj rau hauv siab, tus kws kho mob tuaj koom yuav txiav txim siab seb qhov ntim cov tshuaj rau cov kua dej los yog cov dav hlau txheej txheem.

Raws li cov lus qhia, qhov siab tshaj txhua hnub koob tshuaj (nrog rau Txoj kev lis ntshav) rau tus neeg mob laus yuav yog:

• 5 feem pua ​​dextrose tov - 200 ml ntawm ib qho kev txhaj tshuaj ntawm 150 tee hauv ib feeb lossis 400 ml hauv 1 teev,
• 0 feem pua ​​kev daws - 1000 ml ntawm tus nqi ntawm 60 tee ib feeb,
• 20 feem pua ​​kev daws - 300 ml ntawm qhov nrawm txog 40 poob,
• 40 feem pua ​​kev daws teeb meem - 250 ml nrog lub siab tso nrog ntau txog li ntawm 30 tee hauv 1 feeb.

Yog tias muaj kev xav los tswj cov Glucose rau menyuam mob, ces nws cov koob tshuaj yuav raug teeb tsa raws qhov hnyav ntawm tus menyuam, thiab tsis pub dhau qhov ntsuas:

1. hnyav txog 10 kg - 100 ml ib kilogram ntawm qhov hnyav hauv 24 teev,
2. qhov hnyav los ntawm 10 txog 20 kg - txog qhov ntim ntawm 1000 ml nws yog qhov tsim nyog yuav tsum ntxiv 50 ml ib kilogram tshaj 10 kg ntawm qhov hnyav hauv 24 teev,
3. qhov hnyav tshaj 20 kg - txog 1500 ml nws yog qhov tsim nyog yuav ntxiv 20 ml rau txhua qhov hnyav tshaj 20 kg.

Nrog kev tso dej dav hlau tswj hwm ntawm 5 lossis 10 feem pua ​​daws teeb meem, ib koob ntawm 10 txog 50 ml yuav raug kho. Tus nqi ntawm cov ntsiav tshuaj thiab kev daws teeb meem yog txawv, raws li txoj cai, tus nqi ntawm cov ntsiav tshuaj tau qis dua.

Thaum tau txais cov kua nplaum raws li lub hauv paus tshuaj nrog kev tswj hwm kev tswj hwm ntawm lwm cov tshuaj, qhov ntim ntawm qhov kev daws yuav tsum tau txiav los ntawm 50 txog 250 ml rau ib 1 koob ntawm cov tshuaj.

Qhov ntsuas ntawm kev tswj hwm yuav txiav txim siab los ntawm cov yam ntxwv ntawm cov tshuaj yaj hauv qabzib.

• 5 feem pua ​​dextrose tov - 200 ml ntawm ib qho kev txhaj tshuaj ntawm 150 tee hauv ib feeb lossis 400 ml hauv 1 teev,
• 0 feem pua ​​kev daws - 1000 ml ntawm tus nqi ntawm 60 tee ib feeb,
• 20 feem pua ​​kev daws - 300 ml ntawm qhov nrawm txog 40 poob,
• 40 feem pua ​​kev daws teeb meem - 250 ml nrog lub siab tso nrog ntau txog li ntawm 30 tee hauv 1 feeb.

1. hnyav txog 10 kg - 100 ml ib kilogram ntawm qhov hnyav hauv 24 teev,
2. qhov hnyav los ntawm 10 txog 20 kg - txog qhov ntim ntawm 1000 ml nws yog qhov tsim nyog yuav tsum ntxiv 50 ml ib kilogram tshaj 10 kg ntawm qhov hnyav hauv 24 teev,
3. qhov hnyav tshaj 20 kg - txog 1500 ml nws yog qhov tsim nyog yuav ntxiv 20 ml rau txhua qhov hnyav tshaj 20 kg.

Glucose ntsiav tshuaj

Caffeine yog cov tsis muaj kob, tsis muaj ntxhiab, dej-soluble crystalline hmoov nrog qab qab. Glucose muag rau hauv lub tsev muag tshuaj hauv daim ntawv ntawm cov ntsiav tshuaj, hmoov rau kev tswj hwm qhov ncauj. Rau kev siv niam txiv, cov kev daws teeb meem nrog kev siv tshuaj lom ntawm 5, 10, 20, 40% hauv lub khob lossis yas ntim ntawm 200, 250, 400, 500, 1000 ml, uas yog siv rau kev lis ntshav (siv cov kua roj), lossis hauv ampoules ntawm 5, yog npaj siab. 10, 20 ml - rau kev tswj hwm dej num.

Pharmacological kev txiav txim

Cov kua nplaum (dextrose) yog hais txog monosaccharides. Nws muaj nyob hauv kua txiv ntawm txiv hmab thiab lwm yam txiv ntoo, yog li nws tau txais ib lub npe ntxiv - txiv kab ntxwv qab zib. Cov piam thaj muaj kev ua haujlwm tsis haum (maltose, lactose, sucrose) thiab oligosaccharides (cellulose, hmoov txhuv nplej siab, glycogen). Nyob rau hauv kev zom zaub mov, cov tshuaj saccharides tawg rau cov piam thaj thiab fructose. Raws li monosaccharide, cov tshuaj muaj nyob hauv cov ntshav, cov qog ntshav, lub hlwb, cov leeg pob txha, thiab myocardium.

Glycogen tso rau hauv lub cev tseem ua haujlwm ua lub zog ntawm lub zog - yog tias tsim nyog, nws muab faib ua dextrose. Kev cai ntawm kev sib npaug ntawm monosaccharide thiab oligosaccharide yog nqa tawm siv cov enzymes. Cov tshuaj insulin ua rau cov ntshav qabzib tsawg dua, thiab nws cov antagonists nce qhov siab ntawm cov piam thaj: glucagon, adrenaline, thyroxine, triiodothyronine. Yog tias qhov kev ua haujlwm ntawm endocrine lossis lub hauv nruab nrab cov hlab ntsha tsis sib haum, ntau dhau ntawm cov piam thaj ntau yuav tshwm sim thiab hyperglycemia yuav tshwm sim lossis poob qis hauv nws cov kev kub siab - hypoglycemia.

Dextrose koom tes nrog cov metabolism hauv carbohydrate thiab cuam tshuam rau cov txheej txheem hauv metabolic:

1. Cov kua nplaum nyob rau hauv lub cev yog qhov tsim nyog rau kev ua tiav ntawm cov rog, nrog lub cev tsis haum, cov roj ntsha muaj ntau ntxiv (acidosis, ketosis raug pom).
2. Hauv kev ua tiav ntawm cov metabolism hauv qabzib, adenosine triphosphoric acid yog tsim, uas yog lub zog lub cev.
3. Ib qho kev daws teeb meem hypertonic dextrose muaj peev xwm: "nyem" cov kua dej rau hauv cov hlab ntsha los ntawm cov plab hnyuv siab raum thiab cov ntaub so ntswg, thiab nrog nws cov co toxins, thiab tshem nws tawm ntawm lub cev, nce cov ntshav, ntxiv dag zog rau kev ua haujlwm ntawm cov leeg plawv, thiab nthuav cov hlab ntshav.
4. Kev daws cov isotonic tuaj yeem ua rau cov kua hauv lub cev poob.
5. Cov tshuaj yog siv rau cov khoom noj khoom haus carbohydrate ntawm lub hlwb thiab cov leeg nqaij - ntshav qabzib kev tuaj yeem sai, kev xav ntawm lub hlwb thiab lub cev nce ntxiv.

Dab tsi yog cov piam thaj

Cov khoom ntawm lub zog tau muaj txiaj ntsig zoo ntawm cov txheej txheem metabolic hauv kev kho mob ntawm kev mob. Cov poj niam cev xeeb tub tau sau tseg rau dextrose yog tias muaj kev ua xyem xyav ntawm qhov me me hauv plab me me, nrog rau kev txo qis ntawm kev nchuav menyuam thiab yug ntxov. Nws pab lub sijhawm no kom kov yeej kev qaug zog thiab ua kom muaj kev muaj dag zog zoo thaum muaj suab thaj poob thiab nws txhais tes tshee. Thaum cev xeeb tub thiab lactation thaum siv cov tshuaj, nws yog ib qho tsim nyog los soj ntsuam cov qib ntawm cov piam thaj kom zoo. Raws li cov lus qhia, cov tshuaj tau hais tseg:

• nrog ib tug tsis muaj peev xwm ntawm carbohydrates, nrog hypoglycemia,
• nrog intoxication vim muaj kab mob siab (muaj mob rau daim siab),
• rau kev kho mob ntawm kev lom,
• nrog decompensation ntawm kev ua si,
• kom rov ntxiv cov kua dej tom qab kev phais mob, nrog mob raws plab lossis ntuav,
• nrog poob siab, tsaus muag (poob zoo hauv lub siab).

Cov kua nplaum hauv cov ntsiav tshuaj - cov lus qhia rau kev siv thiab cim, analogues thiab nqi

Rau kev rov siv zog ntawm lub cev los ntawm lub cev, khoom noj khoom haus ntawm cov nqaij thiab cov plab hnyuv siab raum, nws yog qhov tsim nyog los muab cov rog, carbohydrates, protein, cov kab kawm, vitamins nrog zaub mov. Lub zog hluav taws xob tseem ceeb yog carbohydrates, suav nrog cov piam thaj ntuj, galactose, raffinose, hmoov txhuv nplej siab. Feem ntau, nrog nce kev ua haujlwm ntxiv, cov piam thaj nyob hauv cov ntsiav tshuaj, nws tuaj yeem siv los ua tus neeg sawv cev detoxification, tab sis muaj cov lus sib txuam rau cov tshuaj - cerebral edema, ntshav qab zib mellitus.

Caffeine yog cov tsis muaj kob, tsis muaj ntxhiab, dej-soluble crystalline hmoov nrog qab qab. Glucose muag rau hauv lub tsev muag tshuaj hauv daim ntawv ntawm cov ntsiav tshuaj, hmoov rau kev tswj hwm qhov ncauj. Rau kev siv niam txiv, cov kev daws teeb meem nrog kev siv tshuaj lom ntawm 5, 10, 20, 40% hauv lub khob lossis yas ntim ntawm 200, 250, 400, 500, 1000 ml, uas yog siv rau kev lis ntshav (siv cov kua roj), lossis hauv ampoules ntawm 5, yog npaj siab. 10, 20 ml - rau kev tswj hwm dej num.

Cov ntsiav tshuaj muaj lub qab zib saj, xim dawb, puag ncig lub cev, tiaj tiaj nrog beveled npoo thiab ib txoj kab sib cais. Cov tshuaj yeeb tshuaj yog dextrose monohydrate. Cov tshuaj sib xyaw ua ke ntawm cov piam thaj thiab lwm yam hauv ib ntsiav tshuaj tau muab nthuav tawm hauv lub rooj:

Cov kua nplaum (dextrose) yog hais txog monosaccharides. Nws muaj nyob hauv kua txiv ntawm txiv hmab thiab lwm yam txiv ntoo, yog li nws tau txais ib lub npe ntxiv - txiv kab ntxwv qab zib. Cov piam thaj muaj kev ua haujlwm tsis haum (maltose, lactose, sucrose) thiab oligosaccharides (cellulose, hmoov txhuv nplej siab, glycogen). Nyob rau hauv kev zom zaub mov, cov tshuaj saccharides tawg rau cov piam thaj thiab fructose. Raws li monosaccharide, cov tshuaj muaj nyob hauv cov ntshav, cov qog ntshav, lub hlwb, cov leeg pob txha, thiab myocardium.

Glycogen tso rau hauv lub cev tseem ua haujlwm ua lub zog ntawm lub zog - yog tias tsim nyog, nws muab faib ua dextrose. Kev cai ntawm kev sib npaug ntawm monosaccharide thiab oligosaccharide yog nqa tawm siv cov enzymes. Cov tshuaj insulin ua rau cov ntshav qabzib tsawg dua, thiab nws cov antagonists nce qhov siab ntawm cov piam thaj: glucagon, adrenaline, thyroxine, triiodothyronine. Yog tias qhov kev ua haujlwm ntawm endocrine lossis lub hauv nruab nrab cov hlab ntsha tsis sib haum, ntau dhau ntawm cov piam thaj ntau yuav tshwm sim thiab hyperglycemia yuav tshwm sim lossis poob qis hauv nws cov kev kub siab - hypoglycemia.

Dextrose koom tes nrog cov metabolism hauv carbohydrate thiab cuam tshuam rau cov txheej txheem hauv metabolic:

1. Cov kua nplaum nyob rau hauv lub cev yog qhov tsim nyog rau kev ua tiav ntawm cov rog, nrog lub cev tsis haum, cov roj ntsha muaj ntau ntxiv (acidosis, ketosis raug pom).
2. Hauv kev ua tiav ntawm cov metabolism hauv qabzib, adenosine triphosphoric acid yog tsim, uas yog lub zog lub cev.
3. Ib qho kev daws teeb meem hypertonic dextrose muaj peev xwm: "nyem" cov kua dej rau hauv cov hlab ntsha los ntawm cov plab hnyuv siab raum thiab cov ntaub so ntswg, thiab nrog nws cov co toxins, thiab tshem nws tawm ntawm lub cev, nce cov ntshav, ntxiv dag zog rau kev ua haujlwm ntawm cov leeg plawv, thiab nthuav cov hlab ntshav.
4. Kev daws cov isotonic tuaj yeem ua rau cov kua hauv lub cev poob.
5. Cov tshuaj yog siv rau cov khoom noj khoom haus carbohydrate ntawm lub hlwb thiab cov leeg nqaij - ntshav qabzib kev tuaj yeem sai, kev xav ntawm lub hlwb thiab lub cev nce ntxiv.

Cov khoom ntawm lub zog tau muaj txiaj ntsig zoo ntawm cov txheej txheem metabolic hauv kev kho mob ntawm kev mob. Cov poj niam cev xeeb tub tau sau tseg rau dextrose yog tias muaj kev ua xyem xyav ntawm qhov me me hauv plab me me, nrog rau kev txo qis ntawm kev nchuav menyuam thiab yug ntxov. Nws pab lub sijhawm no kom kov yeej kev qaug zog thiab ua kom muaj kev muaj dag zog zoo thaum muaj suab thaj poob thiab nws txhais tes tshee. Thaum cev xeeb tub thiab lactation thaum siv cov tshuaj, nws yog ib qho tsim nyog los soj ntsuam cov qib ntawm cov piam thaj kom zoo. Raws li cov lus qhia, cov tshuaj tau hais tseg:

• nrog ib tug tsis muaj peev xwm ntawm carbohydrates, nrog hypoglycemia,
• nrog intoxication vim muaj kab mob siab (muaj mob rau daim siab),
• rau kev kho mob ntawm kev lom,
• nrog decompensation ntawm kev ua si,
• kom rov ntxiv cov kua dej tom qab kev phais mob, nrog mob raws plab lossis ntuav,
• nrog poob siab, tsaus muag (poob zoo hauv lub siab).

Tsis muaj cov ntshav qab zib txaus ntshai li txaus ntshai dhau li ib qho txiaj ntsig dhau lawm. Cov zaub mov ua qhov ua kom muaj qabzib, tab sis yog tias cov piam thaj tseem nyob qis, ces cov piam thaj hauv cov ntsiav tshuaj yuav siv. Nws nce lub peev xwm ntawm lub zog thiab ua rau muaj kev rov qab sai ntawm lub cev tom qab kev siv lub cev. Cov piam thaj tau koom nrog hauv cov txheej txheem hauv kev zom zaub mov thiab muab cov tshuaj tua hluav taws xob photochemical. Mob qaug zog ntev, tsis muaj peev xwm tiv taus kev puas siab puas ntsws thiab lub cev qhia tau tias nws tsis muaj cov khoom no hauv lub cev.

Dextrose tsis tsuas yog hauv cov qauv hauv cov ntsiav tshuaj. Muaj cov piam thaj nyob rau hauv daim ntawv ntawm hmoov thiab txhaj tshuaj daws. Cov ntsiav tshuaj muaj xim dawb thiab muaj qab qab zib. Cov nkauj muaj xws li dextrose monohydrate, aka piam thaj. Muaj 50 mg ntawm cov piam thaj ib 1 ntsiav tshuaj. Cov neeg tsis txaus ntseeg nyob rau hauv cov tshuaj ntawm cov ntsiav tshuaj feem ntau tsis tuaj.

Cov tshuaj rau siv ntawm qhov ncauj yog muaj nyob hauv cov hlwv ntawm 10 pcs. Kev daws teeb meem muaj nyob rau hauv cov khob ampoules lossis cov thawv ntim khoom yas.

Tus neeg tau txais cov khoom tsim nyog los ntawm cov khoom noj. Yog tias kev noj zaub mov muaj ntau yam sib txawv thiab muaj qhov sib luag, ces kev siv cov ntu pab tsis yog qhov tsim nyog. Nyob rau hauv qhov xwm txheej twg tsis tuaj yeem ua yam tsis muaj qabzib ntxiv? Cov lus qhia tau hais hauv qab no:

• poob siab mob, cev qhuav dej, ib tug ntse txo nyob rau hauv cov ntshav siab,
• lub cev qhuav dej
• intoxication ntev,
• mob siab - kab mob siab, mob ua paug, mob hlab ntsha hauv ntshav, ua rau daim siab,
• hemorrhagic diathesis,
• ntshav qab zib,
• lub cev tsis txaus lub cev hnyav thaum cev xeeb tub,
• postoperative lub sijhawm
• Kev tshem tawm ntawm lub cev.

Cov kua nplaum yog cov txiaj ntsig thaum muaj kev ntxhov siab ntau ntxiv thiab lub cev. Nws tau qhia tseg chav kawm luv luv rau cov poj niam cev xeeb tub, cov tub ntxhais kawm, cov kis las. Ib qho cim ntawm cov piam thaj tom qab muaj mob yog qhov tsis hnov ​​tsw ntawm acetone los ntawm lub qhov ncauj. Nrog rau cov tshuaj acetone hauv cov menyuam yaus, cov tshuaj tau raug sau tseg hauv tus qauv muab tshuaj, tab sis nrog cov chav kawm luv luv. Cov piam thaj hauv ntshav yuav pab tau cov neeg haus luam yeeb. Nws yog tshuaj rau tib lub sijhawm nrog ascorbic acid, uas nquag ntxuav tawm ntawm lub cev hauv qab ntawm nicotine.

Dextrose yuav tsum tau ua nrog kev ua txhaum lub zog kev ua haujlwm thiab teeb meem los ntawm cov hlab ntsha nruab nrab. Cov cuab yeej ua rau lub plawv dhia tsis zoo, rov tshee ntawm qhov kawg, thiab tswj cov txheej txheem hauv metabolic. Cov kua nplaum npaj yuav multicomponent. Vitaminized ntau ua rau lub zog ntawm lub cev, nce qib kev siv zog, txais txiaj ntsig nrog ua kom zoo. Cov vitamins no muag tsis tau kws kho mob sau, tab sis nws yog qhov tsis xav siv lawv yam tsis muaj kev pom zoo los ntawm tus kws kho mob. Kev noj tshuaj yuav sib txawv, nyob ntawm seb muaj pes tsawg lub piam thaj tsis muaj piam thaj. Ua ntej pib kev kho mob, koj yuav tsum tau kuaj ntshav.

Dextrose ntsiav tshuaj noj sublingually, uas yog, nqus tau.

1. Rau kev qaug cawv thiab teeb meem mob siab, noj 2-3 ntsiav tshuaj ib hnub nrog kev cuam tshuam ntawm 2 teev.
2. Tus mob ntshav qab zib tsis tas yuav tsum tau cov khoom noj ntxiv rau lub cev, tabsis tsam muaj ntshav qabzib ho tiv thaiv ntshav qab zib, noj 2 ntsiav tshuaj ib zaug. Kev nyiam tsis muab rau cov khoom lag luam resorption, tab sis rau cov ntsiav tshuaj uas ntxo tau. Yog tias muaj mob hnyav, yuav tsum tau siv 2-3 ntsiav tshuaj tom qab 20-30 feeb lossis cov kua nplaum nyob hauv lub cev. Kev txiav txim siab ntawm kev pom zoo ntawm kev kho mob yog ua los ntawm tus kws kho mob.
3. Cov neeg ncaws pob haus ntshav qabzib ua ntej kev cob qhia, diluting ntsiav tshuaj hauv dej ntawm tus nqi ntawm 7 g ntawm tshuaj rau 1 liv dej. Haus dej haus kom sov yuav tsum pom 20 feeb ua ntej chav kawm. Tsis txhob ntshai rau cov calories ntau ntawm cov dej haus. Cov piam thaj hauv cov ntsiav tshuaj yuav tsis ua mob rau daim duab, tab sis nws yuav ua kom lub zog ntawm lub zog.

Cov piam thaj ntxiv yog contraindicated nyob rau hauv cov ntaub ntawv ntawm cov ntshav qab zib, uas tshwm sim hauv ntshav qab zib.Nws yog qhov tsis tsim nyog rau haus cov ntsiav tshuaj nrog kev nce hauv lactic acid hauv lub cev. Ntawm lwm cov contraindications:

• ib tug neeg intolerance,
• Lub ntsws lim ntshav,
• teeb meem nrog piam thaj puas,
• mob ntsws laug sai ua rau lub plawv dhia,
• rog dhau.

Nrog rau kev noj ntau dhau, cov tsos mob xws li zawv plab, tsam plab, xeev siab thiab nquag tso zis. Nrog kev siv tshuaj zoo, tsis muaj kev phiv tshuaj. Nrog rau kev saib xyuas tshwj xeeb cuam tshuam rau cov piam thaj hauv kev mob ntshav qab zib, menyuam yaus thaum ntxov, cev xeeb tub. Mob siab rau cov ntshav qab zib cov tshuaj ua rau cov metabolism hauv kev kub ntxhov.

Glucose yog ib txoj hauv kev hais daws sai sai rau lub cev. Cov tshuaj yuav tsis muaj kev phom sij yog tias koj tsis ua phem rau cov tshuaj thiab tswj qib hauv qab zib hauv cov ntshav.

Kev ntsuas rau siv

Nws yog nruj me ntsis txwv tsis pub siv ib qho kev daws teeb meem thiab qab zib ntsiav tshuaj hauv cov xwm txheej ntawd thaum tus neeg mob muaj keeb kwm ntawm cov kev ua tsis taus zoo li no:

1. hyperosmolar coma,
2. decompensated mob ntshav qab zib mellitus,
3. hyperlactacidemia,
4. siv cov kua nplaum tsis huv tom qab phais tas.

Tshwj xeeb tshaj plaws, cov tshuaj yuav tsum muab tshuaj nyob rau hauv cov ntaub ntawv ntawm:

• mob raum tsis ua hauj lwm,
• decompensated lub plawv tsis ua haujlwm (hauv qhov keeb kwm),
• tshuaj mob siab ntsws.

Nws tseem siv tsis tau cov tshuaj rau hyperhydration, nrog rau kev ua kom muaj txoj hlab ntshav nrog txoj kev muaj peev xwm ntawm kev tsim muaj cov hlab ntsws. Tus nqi ntawm cov tshuaj tsis cuam tshuam nws cov contraindications.

• raws li qhov ntawm carbohydrates,
• raws li tivthaiv cov tshuaj tiv thaiv kabmob thiab ntshav ntxiv ua kua (nrog kev poob siab, vau),
• raws li lub hauv paus daws rau dissolving thiab diluting tshuaj muaj zog,
• nrog cov ntshav qog ntshav qab zib tsawg (nrog rau lub hom phiaj tiv thaiv thiab kho mob),
• nrog lub cev qhuav dej (vim yog zawv plab / ntuav, raws li nyob rau hauv lub sijhawm postoperative).

• hyperlactatemia,
• hyperglycemia
• hypersensitivity rau ib yam tshuaj,
• Dextrose Kev Cia Siab
• hyperosmolar coma,
• ua xua rau cov khoom noj uas muaj pob kws.

Txuas ntxiv rau 5% cov kua nplaum hauv qab: cov ntshav qab zib uas tsis ua kom tiav.

Ntxiv rau 10% cov kua nplaum:

• decompensated ntshav qab zib mellitus thiab ntshav qab zib insipidus,
• kev tso tawm cov ntshav ua kom ntau dhau los yog hypervolemia thiab hemodilution,
• mob raum tsis ua haujlwm (nrog anuria lossis oliguria),
• decompensated lub plawv tsis ua haujlwm,
• cirrhosis ntawm daim siab nrog ascites, dav dav edema (suav nrog rau kev mob ntsws thiab txoj hlab ntsws).

Txoj kev lis ntshav ntawm 5% thiab 10% kev daws teeb meem yog pom tseeb thaum nruab hnub tom qab raug mob taub hau. Tsis tas li, contraindications rau cov tshuaj ntxiv rau dextrose daws yuav tsum tau txiav txim siab.

Siv tau thaum cev xeeb tub thiab lactation raws li kev qhia.

Raws li tau hais txog, tsis yog txhua tus neeg muaj cai siv cov piam thaj. Thaum xub thawj siab ib muag, nws zoo nkaus li qhov no yog ib qho tshuaj tsis raug mob, tab sis txawm tias nws qee zaum muab cov kev xav tsis tiav kiag li. Yog li, ib daim ntawv teev ntawm contraindications rau kev siv ntawm cov tshuaj no tau raug suav ua ke. Nws muaj ntau.

Yog li, yog tias koj muaj ib qho ntawm cov kab mob los ntawm cov npe hauv qab no, tom qab ntawd cov tshuaj yog nruj me ntsis txwv rau koj:

• mob ntshav qab zib mellitus
• hyperglycemia
• hyperlactacidemia,
• mob sab laug ventricular tsis ua haujlwm.

Kev saib xyuas tshwj xeeb yuav tsum tau muab rau kev sau cia rau menyuam yaus. Tus menyuam lub cev nws txawv ntawm lub cev ntawm tus neeg laus lub cev, yog li ntawd, tsuas yog tus kws kho mob hauv tsev kho mob yuav qhia koj tias yuav tsum muaj cov piam thaj ntau npaum li cas thiab nws tuaj yeem siv tau li cas.

Cov kua nplaum tsim nyob rau hauv cov ntsiav tshuaj yog tawm rau:

• carbohydrate tsis zoo
• hypoglycemia (cov piam thaj hauv ntshav tsawg),
• kev lom nrog tshuaj lom neeg mob hepatotropic (paracetamol, aniline, carbon tetrachloride) ntawm kev ua kom me me mus rau mob ib nrab,
• lub cev qhuav dej (raws plab, ntuav).

Qhov kev tiv thaiv tsis zoo rau kev siv cov tshuaj no yog qhov muaj hyperglycemia (ntshav qab zib ntshav siab) hauv tus neeg mob, ntshav qab zib mellitus, hyperlactacidemia, hyperhydration thiab mob laug ventricular tsis ua haujlwm. Tsis txhob siv dextrose nrog hypersmolar coma, nrog o ntawm lub hlwb thiab / lossis mob ntsws.

Kev siv tshuaj ntev ntev tuaj yeem pab txhawb kev txhim kho hypokalemia (nyob rau hauv cov ntshav, cov concentration ntawm cov potassium ions poob qis), hypervolemia (nce ntim ntawm circulating plasma thiab ntshav) thiab hyperglycemia.

Rau kev rov siv zog ntawm lub cev los ntawm lub cev, khoom noj khoom haus ntawm cov nqaij thiab cov plab hnyuv siab raum, nws yog qhov tsim nyog los muab cov rog, carbohydrates, protein, cov kab kawm, vitamins nrog zaub mov. Lub zog hluav taws xob tseem ceeb yog carbohydrates, suav nrog cov piam thaj ntuj, galactose, raffinose, hmoov txhuv nplej siab.

• tus kheej tsis kam ntawm lub Cheebtsam muaj,
• hyperglycemia,
• mob ntshav qab zib
• theem siab ntawm cov kab mob lactic acid,
• o rau lub hlwb los sis lub ntsws,
• kev tsis pom cov suab thaj tom qab kev phais mob,
• mob laug es raug mob plawv.

Tus neeg tau txais cov khoom tsim nyog los ntawm cov khoom noj. Yog tias kev noj zaub mov muaj ntau yam sib txawv thiab muaj qhov sib luag, ces kev siv cov ntu pab tsis yog qhov tsim nyog. Nyob rau hauv qhov xwm txheej twg tsis tuaj yeem ua yam tsis muaj qabzib ntxiv?

• poob siab mob, cev qhuav dej, ib tug ntse txo nyob rau hauv cov ntshav siab,
• lub cev qhuav dej
• intoxication ntev,
• mob siab - kab mob siab, mob ua paug, mob hlab ntsha hauv ntshav, ua rau daim siab,
• hemorrhagic diathesis,
• ntshav qab zib,
• lub cev tsis txaus lub cev hnyav thaum cev xeeb tub,
• postoperative lub sijhawm
• Kev tshem tawm ntawm lub cev.

Cov kua nplaum yog cov txiaj ntsig thaum muaj kev ntxhov siab ntau ntxiv thiab lub cev. Nws tau qhia tseg chav kawm luv luv rau cov poj niam cev xeeb tub, cov tub ntxhais kawm, cov kis las. Ib qho cim ntawm cov piam thaj tom qab muaj mob yog qhov tsis hnov ​​tsw ntawm acetone los ntawm lub qhov ncauj.

Nrog rau cov tshuaj acetone hauv cov menyuam yaus, cov tshuaj tau raug sau tseg hauv tus qauv muab tshuaj, tab sis nrog cov chav kawm luv luv. Cov piam thaj hauv ntshav yuav pab tau cov neeg haus luam yeeb. Nws yog tshuaj rau tib lub sijhawm nrog ascorbic acid, uas nquag ntxuav tawm ntawm lub cev hauv qab ntawm nicotine.

Dextrose yuav tsum tau ua nrog kev ua txhaum lub zog kev ua haujlwm thiab teeb meem los ntawm cov hlab ntsha nruab nrab. Cov cuab yeej ua rau lub plawv dhia tsis zoo, rov tshee ntawm qhov kawg, thiab tswj cov txheej txheem hauv metabolic.

Cov kua nplaum npaj yuav multicomponent. Vitaminized ntau ua rau lub zog ntawm lub cev, nce qib kev siv zog, txais txiaj ntsig nrog ua kom zoo. Cov vitamins no muag tsis tau kws kho mob sau, tab sis nws yog qhov tsis xav siv lawv yam tsis muaj kev pom zoo los ntawm tus kws kho mob.

Cov piam thaj ntxiv yog contraindicated nyob rau hauv cov ntaub ntawv ntawm cov ntshav qab zib, uas tshwm sim hauv ntshav qab zib. Nws yog qhov tsis tsim nyog rau haus cov ntsiav tshuaj nrog kev nce hauv lactic acid hauv lub cev. Ntawm lwm cov contraindications:

• ib tug neeg intolerance,
• Lub ntsws lim ntshav,
• teeb meem nrog piam thaj puas,
• mob ntsws laug sai ua rau lub plawv dhia,
• rog dhau.

vitamin tsis txaus thiab hypovitaminosis,

muaj qhov xav tau ntau ntxiv rau cov piam thaj thiab ascorbic acid,

thaum lub sijhawm loj hlob heev,

thaum lub sij hawm convalescence,

kev tawm dag zog lub cev ntau dua.

Txhawm rau kom muaj ntau dua, ascorbine tsuas yog txiaj ntsig rau lub cev, yog li daim ntawv teev npe ntawm contraindications rau nws yog luv heev. Nws tuaj yeem cuam tshuam rau cov tib neeg nkaus xwb:

• nrog thrombosis
• nrog thrombophlebitis,
• nyob rau hauv 6 xyoo.

Txij li thaum qhov cov vitamins compound no tus cwj pwm muaj cov piam thaj hauv siab, nws yuav tsum siv nrog ceev faj hauv cov tib neeg uas muaj:

• mob ntshav qab zib mellitus
• oxalate raum pob zeb,
• nephrourolithiasis.

Qib nplaum nyob hauv cov ntsiav tshuaj, nrog rau kev sib xyaw nrog ascorbic acid, yog muaj nyob rau hauv ntau kis:

1. Nrog hypovitaminosis thiab vitamin tsis txaus.
2. Nyob rau lub sijhawm lactation thiab thaum xeebtub.
3. Tsis tas li, yuav siv tshuaj yaj yeeb rau cov neeg mob uas xav tau cov tshuaj ascorbic acid thiab piam thaj ntau ntxiv.
4. Cov tshuaj yuav tsum tau coj los ntawm cov menyuam thaum lub caij loj hlob khov.
5. Cov tshuaj yuav pab kom rov muaj zog thaum tawm dag zog lub cev, zoo li thaum lub sijhawm ua kom rov zoo cev (rov qab los ntawm lub cev tom qab mob hnyav).

Daim ntawv foos ntawm cov tshuaj tsis tuaj yeem noj los ntawm cov neeg mob uas mob ntshav qab zib mellitus, nrog rau cov neeg mob uas muaj keeb kwm tsis tshua mob ntev. Kev tsis ncaj ncees contraindications suav nrog hypersensitivity rau ib qho ntawm cov yeeb tshuaj, ib tug nyiam mus rau thrombosis thiab thrombophlebitis. Tsis tas li, "Glucose" nrog cov tshuaj ascorbic acid tsis tau raug samfwm rau cov menyuam yaus hnub nyoog qis dua rau xyoo.

Raws li cov lus qhia, Glucose hauv daim ntawv ntawm tov yog siv rau hauv cov nram qab no:

• Lub cev qhuav dej tsis muaj isotonic ntxiv,
• Raws li qhov ntawm carbohydrates,
• Rau lub hom phiaj ntawm kev nrawm thiab thauj cov tshuaj siv parenterally.

Cov piam thaj hauv cov ntsiav tshuaj tau muab rau:

• Kev Ntshav Qab Zib,
• Tsis muaj carbohydrate khoom noj khoom haus,
• Intoxications, suav nrog cov uas tshwm sim los ntawm daim siab mob siab (mob siab, mob hlab ntsha hlwb, tawv nqaij),
• Cov kab mob lom
• Poob siab thiab cev qhuav dej,
• Lub cev qhuav dej (ncua sij hawm tom qab, ntuav, raws plab).

Raws li cov lus qhia, Glucose yog txwv tsis pub siv nrog:

• Qog Ntshav,
• Qog hyperosmolar,
• Decompensated mob ntshav qab zib,
• Hyperlactacidemia,
• Lub cev tiv thaiv kab mob rau cov kua nplaum (nrog kev ntxhov siab metabolic).

Glucose yog cov ntawv ceeb toom hauv:

• Kev Hyponatremia,
• Mob raum tsis ua hauj lwm (anuria, oliguria),
• Decompensated lub plawv tsis ua hauj lwm ntawm qhov muaj mob.

Raws li cov lus qhia rau Glucose, cov tshuaj siv yog siv los them rau cov tsis muaj peev xwm txog cov carbohydrates hauv lub cev uas tshwm sim tawm tsam keeb kwm ntawm ntau pathologies.

Cov kua nplaum no tseem koom nrog rau kev kho mob nyuaj rau:

• Kev kho lub cev qhuav dej uas tshwm sim tom qab lub sijhawm dhau los lossis los ntawm ntuav thiab zawv plab,
• Lub cev intoxication,
• Daim siab ua rau lub siab, mob siab, mob ntshav siab thiab mob ntshav hauv lub siab,
• Hemorrhagic diathesis,
• Kev Ntshav Qab Zib,
• Poob siab thiab vau.

Kev siv cov kua nplaum nyob hauv daim ntawv ntawm txoj kev daws teeb meem yog contraindicated rau hauv cov neeg mob uas muaj keeb kwm muaj cov kev ua haujlwm thiab cov kab mob:

• Decompensated mob ntshav qab zib mellitus,
• Qog Ntshav,
• Hyperlactacidemia,
• Kev mob tsis zoo ntawm qabzib siv,
• Hyperosmolar coma.

Nrog kev ceev faj, kev tswj hwm cov tshuaj ntawm cov tshuaj yog raug rau cov neeg mob nrog:

• Decompensated mob plawv tsis ua haujlwm,
• Kev Hyponatremia,
• Mob raum tsis ua hauj lwm.

Ib qho ntxiv, cov ntsiav tshuaj ntshav qab zib yuav tsum tsis txhob noj nrog:

• Circulatory pathologies, nyob rau hauv uas muaj qib siab ntawm kev pheej hmoo ntawm lub ntsws lossis hlab hlwb o,
• Mob laug ventricular tsis ua hauj lwm,
• O o rau lub hlwb los yog lub ntsws
• Tshaj dhau.

Cov piam thaj nrog cov ntshav qab zib tsawg

Yuav ntsuas pom tus mob ntshav qab zib thaum ntshav tsawg dua cov ntshav qabzib qis dua cov ntsuas xws li 2, 8 - 3, 3 mmol / L. Xws li tus txheej txheem feem ntau yog nrog cov yam ntxwv ntawm tus neeg mob uas cov neeg mob tuaj yeem yooj yim pom tau, tab sis qee zaum txoj hauv kev ntawm hypoglycemia tsis hnov ​​zoo li.

Kev mob ntshav qab zib nce sai sai thiab tuaj yeem tshwm sim tau txhua lub sijhawm, yog li nws yog qhov tseem ceeb los muab kev pabcuam ua ntej rau cov neeg mob ntshav qab zib kom ncav sijhawm. Cov laj thawj rau cov txheej txheem no yog tias qib cov piam thaj hauv cov ntshav tsis haum rau lub zog ntawm cov khoom noj txhua hnub uas siv thiab kev tawm dag zog ntawm lub cev.

Siv cov tshuaj uas muaj cov piam thaj, koj tuaj yeem ua kom glycemic lub xeev ntawm tib neeg lub cev muaj ntshav qab zib.

Cov Yuav Tsum Tau Ua

Muaj kev phiv ntau muaj cov hauv qab no:

• ua haujlwm dhau
• tsis qab los
• phlebitis thiab thrombosis,
• o ntawm daim tawv nqaij ntawm qhov chaw txhaj tshuaj,
• kev cuam tshuam ntawm daim siab.

Yog tias ib lossis ntau cov tsos mob hauv cov npe tshwm sim, sab laj nrog tus kws kho mob. Feem ntau, cov neeg mob yuav tsum tso cov tshuaj uas muaj qabzib.

Kho ntshav qab zib

Feem ntau, nrog lub qog ua kom lub ntsej muag ua kom mob ntshav qab zib, cov ntshav qabzib yuav tau li qub yog noj tshuaj insulin hauv ntsiav tshuaj. Koj tuaj yeem kov yeej lub xeev hypoglycemic los ntawm kev noj dextrose.

Qhov cov tshuaj nquag no yog dextrorotatory optical glucose isomer, uas yog tsim nyob rau hauv daim ntawv ntawm chewable ntsiav tshuaj nrog txawv tastes. Hom ntshav qabzib no yog qhov tsim nyog rau cov khoom noj ntawm tib neeg lub hlwb thiab cov leeg.

Raws li qhov tseeb tias dextrose muaj tsuas yog ib qho qauv, nws tsis yog zom rau hauv txoj hnyuv, tab sis pib pib kev nqus sai sai los ntawm lub cev, muaj cai hauv lub qhov ncauj kab noj hniav. Qhov kev xaiv ntawm cov tshuaj nws tus kheej thiab nws cov ntau npaum li cas rau cov ntshav qab zib yog tshuaj tshwj xeeb los ntawm endocrinologist rau txhua tus neeg mob ib leeg zuj zus.

tsis muaj qhov yuav tsum tau soj ntsuam tshwj xeeb kub tswj hwm, zoo li thaum khaws cia cov tshuaj insulin. Cov ntsiav tshuaj insulin ntev ntev muaj cov cuab yeej ntawm kev tshaj tawm hauv cov nyhuv hypoglycemic rau hauv lub cev rau 12 teev txij li lub sijhawm lawv siv.

Ntau zaus, cov piam thaj kuj tseem siv rau kev lom nrog tshuaj yeeb dej caw, dej cawv, aniline, carbon monoxide thiab lwm yam tshuaj uas ua rau qaug cawv ntawm lub cev. Txawm hais tias muaj txiaj ntsig zoo ntawm qabzib thiab nws qhov tsis tuaj yeem, txawm li cas los xij, koj tsis tuaj yeem coj nws txhua lub sijhawm, vim tias muaj cov kabmob sib kis:

• hyperglycemia
• kev tiv thaiv tsis haum
• ua haujlwm dhau
• muaj teeb meem nrog kev siv piam thaj,
• ua rau cov ntshav khiav mus tsis tau hauv lub ntsws thiab lub hlwb,
• hyperosmolar coma,
• o ntawm sab hauv plab hnyuv siab raum.

Thaum cov tshuaj insulin nkag mus rau hauv lub cev tom qab siv cov ntsiav tshuaj, sab laug ventricular tsis ua haujlwm lossis hypervolemia tuaj yeem tsim kho.

Ntau zaus nrog kev siv cov piam thaj hauv kev siv tsis zoo, cov kev mob tshwm sim loj tuaj yeem tshwm sim, xws li hyperglycemia thiab qab los noj mov. Raws li txoj cai, cov kev mob tshwm sim tom qab kev tswj hwm ntawm cov tshuaj insulin, nrog cov ntsiav tshuaj xws li cov txheej txheem yog qhov tsawg kawg.

Txhawm rau zam qhov tsis zoo lub txim ntawm kev kho mob ntshav qab zib mellitus lossis hypoglycemic lub xeev, lub sijhawm noj tshuaj qhia los ntawm kws kho mob yuav tsum tau ua raws nraim kom meej meej. Cov ntsiav tshuaj tsis tuaj yeem nqos, lawv yuav tsum nqus lossis zom, ua li no ib teev ua ntej noj mov, vim tias cov piam thaj ua kom tsis qab los. Cov tshuaj no dhau los ntawm lub cev los ntawm lub raum, tsis pub dhau ib hnub tom qab.

Yuav thov li cas thiab koob tshuaj?

Cov piam thaj yog muab tshuaj rau hauv lub cev. Qhov siab thiab qhov ntau ntawm cov tshuaj tau txiav txim siab nyob ntawm seb tus neeg muaj hnub nyoog, xwm txheej thiab qhov hnyav. Qhov kev xav ntawm dextrose hauv cov ntshav yuav tsum tswj xyuas kom zoo.

Feem ntau, cov tshuaj raug txhaj rau hauv qhov nruab nrab lossis ntu hlab ntsha, muab cov osmolarity ntawm cov tshuaj txhaj. Kev qhia ntawm kev daws teeb meem hyperosmolar tuaj yeem ua rau voos voos thiab phlebitis. Yog tias ua tau, thaum siv tag nrho cov kev daws teeb meem, nws raug nquahu kom siv cov ntxaij lim dej hauv cov kab dej ntawm txoj kev daws teeb meem.

Pom zoo siv rau cov neeg laus:

• raws li qhov chaw ntawm carbohydrates thiab nrog isotopic lub cev qhuav dej: nrog lub cev qhov hnyav txog 70 kg - los ntawm 500 txog 3000 ml ib hnub,
• rau diluting parenteral npaj (raws li lub hauv paus daws): los ntawm 50 txog 250 ml ib koob ntawm cov tshuaj tau muab tshuaj.

Pom zoo siv rau menyuam yaus (nrog rau cov menyuam yug tshiab):

• raws li qhov chaw ntawm carbohydrates thiab nrog isotopic extracellular lub cev qhuav dej: nrog lub cev qhov hnyav ntawm 0 txog 10 kg - 100 ml / kg ib hnub, nrog lub cev qhov hnyav ntawm 10 txog 20 kg - 1000 ml ntawm 50 ml ib kg tshaj 10 kg hauv ib hnub, nrog hnyav lub cev los ntawm 20 kg - 1500 ml 20 ml ib kg tshaj 20 kg nyob rau ib hnub,
• rau diluting parenteral npaj (raws li lub hauv paus daws): los ntawm 50 txog 100 ml ib koob ntawm cov tshuaj tau muab tshuaj.

Ntxiv rau, 10% cov kua nplaum nyob hauv kev kho mob yog siv los kho thiab tiv thaiv kom tsis txhob mob ntshav qab zib tsawg tsawg thiab thaum lub cev qhuav dej thaum muaj dej tsis txaus.

Qhov siab ntau rau kev noj tshuaj txhua hnub tau txiav txim siab ntawm tus kheej nyob ntawm hnub nyoog thiab tag nrho lub cev qhov hnyav thiab thaj tsam li 5 mg / kg / feeb (rau cov neeg mob laus) txog 10-18 mg / kg / feeb (rau menyuam, nrog rau cov menyuam mos).

Tus nqi ntawm kev tswj hwm ntawm txoj kev daws teeb meem tau xaiv raws li kev mob hauv chaw kuaj mob ntawm tus neeg mob. Txhawm rau kom tsis txhob hyperglycemia, qhov pib rau kev siv dextrose hauv lub cev yuav tsum tsis txhob dhau, yog li ntawd, qhov siab tshaj plaws ntawm kev siv tshuaj ntawm cov tshuaj hauv cov neeg laus yuav tsum tsis pub tshaj 5 mg / kg / feeb.

Pom zoo kom muab tshuaj rau cov menyuam yaus, nyob ntawm seb muaj hnub nyoog li cas:

• cov menyuam yug ua ntej thiab puv sijhawm - 10-18 mg / kg / min,
• los ntawm 1 mus rau 23 hlis - 9-18 mg / kg / min,
• txij li 2 txog 11 xyoos - 7-14 mg / kg / min,
• los ntawm 12 txog 18 xyoo - 7-8.5 mg / kg / min.

Cov kua nplaum tov 5% (isotonic) yog muab tshuaj dropwise (mus rau hauv cov hlab ntsha). Qhov siab tshaj plaws ntawm kev tswj hwm yog 7.5 ml / min (150 tee) lossis 400 ml / teev. Qhov muab tshuaj rau cov neeg laus yog 500-3000 ml ib hnub.

Rau cov menyuam mos uas nws lub cev hnyav tsis tshaj 10 kg, qhov zoo tshaj plaws ntawm lub cev Glucose yog 100 ml ib kg ntawm qhov hnyav ib hnub. Cov menyuam yaus, uas lawv lub cev hnyav yog 10-20 kg, noj 150 ml ib kg ntawm lub cev qhov hnyav ib hnub, ntau dua 20 kg - 170 ml rau ib kg ntawm lub cev hnyav hauv ib hnub.

Qhov siab tshaj plaws yog 5-18 mg rau ib kg ntawm lub cev qhov hnyav ib feeb, nyob ntawm seb hnub nyoog thiab lub cev hnyav.

Cov kua nplaum hypertonic tov (40%) yog muab cov tshuaj dropwise ntawm tus nqi nce txog 60 tee hauv ib feeb (3 ml ib feeb). Qhov siab tshaj plaws rau cov neeg laus yog 1000 ml ib hnub.

Nrog kev tswj hwm dav hlau tswj hwm, cov kua dej qab zib daws ntawm 5 thiab 10% hauv qhov muab tshuaj ntawm 10-50 ml tau siv. Txhawm rau zam dhau hyperglycemia, cov tshuaj pom zoo yuav tsum tsis txhob tshaj.

Hauv cov ntshav qab zib mellitus, kev siv cov piam thaj yuav tsum tau ua nyob rau hauv kev saib xyuas tsis tu ncua ntawm nws cov concentration hauv zis thiab ntshav. Txhawm rau txhawm rau thauj thiab thauj cov tshuaj uas tau siv parenterally, cov koob tshuaj pom zoo ntawm Glucose yog 50-250 ml ib koob ntawm cov tshuaj. Qhov koob tshuaj thiab kev siv ntawm kev tswj hwm ntawm cov tshuaj yog nyob ntawm tus yam ntxwv ntawm cov tshuaj yaj hauv lub ntsej muag.

Cov ntsiav tshuaj qabzib yog noj ntawm qhov ncauj, 1-2 ntsiav tshuaj ib hnub.

Cov neeg laus, nrog rau cov menyuam yaus hnub nyoog tshaj peb xyoos, yuav tsum noj cov tshuaj classic ib lossis ib nrab ntsiav tshuaj peb zaug ib hnub. Yog tias tus kws kho mob sau daim ntawv sib xyaw ua ke (nrog ascorbic acid), kev noj tshuaj yog xam raws cov ntsiab lus ntawm cov khoom siv tivthaiv kawg.

Raws li kev tiv thaiv, cov neeg laus tuaj yeem noj los ntawm 50 txog 100 mg ntawm cov tshuaj thoob plaws ib hnub. Cov kev cai niaj hnub rau cov menyuam yaus txij li 6 txog 14 xyoos yog tsis ntau tshaj li tsib caug milligrams. Yog hais tias Glucose nrog ascorbic acid tau raug kho rau kev kho mob, cov neeg mob cov neeg laus tau muab tshuaj rau 50 rau 100 milligrams peb txog tsib zaug hauv ib hnub.

Rau cov menyuam yaus hnub nyoog dhau 6 xyoo, cov kws kho mob tau sau ntawv 50 lossis 100 mg nrog ascorbic acid. Yuav kom ua tiav qhov tshwm sim, koj yuav tsum tau noj cov tshuaj ob lossis peb zaug hauv ib hnub. Tus kws kho mob tuaj yeem txiav txim siab ntau npaum li cas, nrog rau lub sijhawm kho mob, ib tus zuj zus, nyob ntawm qhov muaj mob ntau yam lossis xav tau kev tiv thaiv.

Ua ntej noj cov tshuaj sib xyaw nrog ascorbic acid, koj yuav tsum tau suav qhov tseeb qhov ntau npaum.

Txog kev daws teeb meem, kev tswj hwm cov dej khov yog xyaum, rau cov ntsiav tshuaj, kev tswj hwm qhov ncauj (sublingual resorption). Cov koob tshuaj yog txiav txim siab los ntawm lub hnub nyoog ntawm tus neeg mob, qabzib rhiab thiab qhov laj thawj ntawm kev noj cov tshuaj.

Txais tos ntawm daim ntawv no - sab hauv, rau kev tiv thaiv lossis kev kho mob, lub sijhawm kawm yog txiav txim los ntawm tus kws kho mob, qhov ntau npaum li cas tuaj yeem hloov kho. Lub sijhawm txais khoom yog ywj pheej ntawm cov zaub mov. Raws li cov lus qhia ntawm nom tswv, daim ntawv thov yog:

• Rau kev tiv thaiv, cov menyuam tau muab 50 mg ib hnub ib zaug, rau kev kho mob (thiab txhawm rau txhim kho kev nqus ntawm cov hlau) - 100 mg txog 3 zaug hauv ib hnub.
• Cov neeg laus tau muab 100 mg rau ib hnub rau prophylaxis thiab tib tus nqi, tab sis txog li 5 zaug hauv ib hnub, yog tias nws yuav tsum tau txhim kho qhov nqus hlau lossis rau kev kho mob.

Daim ntawv ntawm cov tshuaj no yog siv los ntawm cov chaw poob qis hauv cov tsev kho mob. Lub hmoov yog diluted nrog dej (rau ampoule txog li 2 ml), maj mam muab tshuaj kom tiav ib qho lossis intramuscularly. Dosages yog raws li nram no:

• Cov menyuam yaus txog li 2 ml ntawm cov tshuaj (5%) tov ib hnub ib zaug, lossis 4 ml ntawm 2.5%.
• Cov neeg laus yog cov tshuaj noj qabzib thiab ascorbic acid nyob rau hauv 3 ml ntawm qhov kev daws teeb meem ib zaug lossis hauv 6 ml ntawm qhov tsis muaj zog (2.5%).

Feem ntau ntawm qhov tsis zoo ntawm lub cev yog cov lus teb rau ib qho dhau ntawm ascorbic acid, tshwj xeeb tshaj yog tias lub cev tsis muaj peev xwm tsis tau pib pom. Kev noj ntau dhau yog ua tau rau ib qho kev noj tshuaj ib zaug ntawm 10 ntsiav tshuaj, uas yuav ua rau pom kev mob taub hau, pw tsaug zog, xeev siab (tuaj yeem ua rau ntuav), thiab mob plab hnyuv.

Lo lus teb rau ib qho dhau heev ntawm cov piam thaj yog:

• inhibition ntawm lub luag haujlwm ntawm cov cuab yeej ua tsis ncaj (ntxig tshuaj),
• kev cuam tshuam ntawm cov glomerular apparatus (lub raum).

Yog tias cov kev cai pom zoo tshaj li dhau, cov kev mob tshwm sim muaj feem ntau pom. Thaum noj cov tshuaj dextrose ntau dhau nrog cov tshuaj ascorbic acid, mob taub hau, nce ntxiv kev txob taus, puas rau lub plab zom mov, tsam plab, thiab tsis tshua muaj neeg tsis pom kev.

Nrog rau kev noj tshuaj ntau dhau, nws yog qhov ua tau: txo qis ntawm insulin synthesis, qhov pib ntawm hyperglycemia, txo qis ntawm qab los noj mov. Hauv cov xwm txheej zoo li no, nws yog ib qho tsim nyog kom tsum tsis txhob noj dextrose thiab sab laj rau tus kws kho mob txog kev kho mob thaum muaj tsos mob.

Dextrose ntsiav tshuaj noj sublingually, uas yog, nqus tau.

1. Rau kev qaug cawv thiab teeb meem mob siab, noj 2-3 ntsiav tshuaj ib hnub nrog kev cuam tshuam ntawm 2 teev.
2. Tus mob ntshav qab zib tsis tas yuav tsum tau cov khoom noj ntxiv rau lub cev, tabsis tsam muaj ntshav qabzib ho tiv thaiv ntshav qab zib, noj 2 ntsiav tshuaj ib zaug. Kev nyiam tsis muab rau cov khoom lag luam resorption, tab sis rau cov ntsiav tshuaj uas ntxo tau. Yog tias muaj mob hnyav, yuav tsum noj 2-3 ntsiav tshuaj ntxiv rau ib feeb lossis hno cov ntshav qab zib ib leeg. Kev txiav txim siab ntawm kev pom zoo ntawm kev kho mob yog ua los ntawm tus kws kho mob.
3. Cov neeg ncaws pob haus ntshav qabzib ua ntej kev cob qhia, diluting ntsiav tshuaj hauv dej ntawm tus nqi ntawm 7 g ntawm tshuaj rau 1 liv dej. Haus dej haus kom sov yuav tsum pom 20 feeb ua ntej chav kawm. Tsis txhob ntshai rau cov calories ntau ntawm cov dej haus. Cov piam thaj hauv cov ntsiav tshuaj yuav tsis ua mob rau daim duab, tab sis nws yuav ua kom lub zog ntawm lub zog.

Cov menyuam yaus tom qab muaj hnub nyoog peb thiab neeg laus yuav tsum noj ib nrab lossis ib daim ntsiav tshuaj peb zaug ib hnub. Thaum noj ntshav qabzib nrog ascorbic acid, cov koob tshuaj tau hloov pauv mus rau ascorbic acid. Rau cov neeg laus, los ntawm tsib caug txog rau ib puas milligrams ntawm cov tshuaj tau raug sau tseg rau kev tiv thaiv ib hnub, thiab rau cov menyuam yaus txij li 6 txog kaum plaub xyoo, tsis pub tshaj tsib caug milligrams.

Kev siv tshuaj kho ntshav qab zib nrog ascorbic acid rau cov neeg laus yog los ntawm tsib caug txog ib puas milligrams. Nws yog ib qho tsim nyog yuav tsum noj cov ntsiav tshuaj ntawm peb mus rau tsib zaug ib hnub. Cov menyuam yaus txij thaum muaj hnub nyoog rau xyoo tau sau cia tsib caug lossis ib puas milligrams ntawm cov piam thaj nrog ascorbic acid hauv cov ntsiav tshuaj.

• Lub nroog Moscow, Moscow, Smolenskaya pl., 3, TDK Smolensky Ntu (nkag los ntawm txoj kab 1 Smolensky sab nraud) Sab nraud ntawm Lub Vaj Vaj
• Mon-Fri - txij 09:00 txog 20:00, Sat-Sun - txog 10:00 txog 19:00
• ,, Moscow.vision.rf

Ophthalmologist, Tus Neeg sib tw ntawm Medical Science.

Cov kua nplaum (glucose) noj tau qhov ncauj 1.5 teev ua ntej noj mov. Kev noj tshuaj ib zaug yuav tsum tsis pub ntau tshaj 300 mg ntawm qhov tshuaj ib 1 kg ntawm tus neeg mob qhov hnyav, noj hauv ib teev.

Cov kua nplaum nyob rau hauv cov kua dej los ntawm txoj kev nrog kua los yog dav hlau txoj kev, qhov teem caij tau tsim los ntawm tus kws kho mob uas koom nrog.

Raws li cov lus qhia, qhov ntau tshaj txhua hnub tshuaj rau cov neeg laus nrog Txoj kev lis ntshav yog rau:

• 5% isotonic dextrose kev daws teeb meem - 2000 ml, kev tswj hwm ntawm 150 tee ib feeb lossis 400 ml ib teev,
• 0% hypertonic daws - 1000 ml, nrog qhov ceev ntawm 60 tee ib feeb,
• 20% kev daws - 300 ml, ceev - txog 40 ncos ib feeb,
• Kev daws 40% - 250 ml, qhov txhaj tshuaj siab tshaj plaws yog nce mus txog 30 tee hauv ib feeb.

Thaum muab tshuaj rau ntshav qab zib rau menyuam yaus, kev muab tshuaj yog tsim raws qhov hnyav ntawm lub cev ntawm tus menyuam, thiab yuav tsum tsis txhob ntau tshaj cov ntsuas hauv qab no:

• Nrog rau tus menyuam yaus qhov hnyav ntawm 0 txog 10 kg - 100 ml rau 1 kg ntawm qhov hnyav hauv ib hnub,
• Cov menyuam ntawm 10 mus rau 20 kg - 50 ml rau txhua kg dua 10 kg hauv ib hnub yog ntxiv rau 1000 ml
• Rau cov neeg mob hnyav dua 20 kg - txog 1500 ml ntxiv 20 ml ib kg ntau tshaj 20 kg ib hnub.

Kev tswj xyuas dav hlau ntawm 5% thiab 10% kev daws teeb meem yog kho nrog ib zaug tshuaj ntawm ml.

Nyob rau hauv rooj plaub thaum Glucose ua cov tshuaj tseem ceeb rau kev tswj hwm kev coj noj coj ua ntawm lwm cov tshuaj, qhov nyiaj ntawm cov tshuaj tau daws rau hauv ib qho ntim ntawm 50 txog 250 ml ib koob ntawm cov tshuaj. Tus nqi ntawm kev tswj hwm hauv qhov no yog txiav txim siab los ntawm cov yam ntxwv ntawm cov tshuaj yaj hauv nws.

Cov ntsiab lus kub

• Hemorrhoid Kho Tseem Ceeb!
• Kev daws qhov chaw mos tsis xis nyob, Dryness, thiab khaus tseem ceeb!
• Kev kho mob rau kev mob khaub thuas Tseem ceeb!
• Kev kho mob ntawm lub nraub qaum, cov leeg, pob qij txha Tseem ceeb!
• Kev kho mob zoo rau lub raum Tseem ceeb!

Raws li cov lus qhia, Glucose tsis ua kev phem rau lub cev nrog kev teem caij kom raug thiab ua raws li cov cai ntawm kev siv.

Cov kev mob tshwm sim los ntawm cov tshuaj muaj xws li:

• Mob laug ventricular tsis ua hauj lwm,
• Qog Ntshav,
• Hypervolemia
• Polyuria
• Ua npaws.

Tej zaum qhov tshwm sim ntawm qhov mob ntawm thaj chaw ntawm kev tswj hwm, kev hloov hauv zos hauv daim ntawv ntawm doog, thrombophlebitis, kev txhim kho ntawm kev kis mob.

Tus thawj coj ntawm lub koom haum rau cov ntshav qab zib: “Pov ntsuas ntawm lub ntsuas thiab kuaj kab. Tsis muaj ntau yam Metformin, Diabeton, Siofor, Glucophage thiab Januvius! Kho nws nrog qhov no. "

Cov kua nplaum (lub npe thoob ntiaj teb - dextrose) yog hais txog detoxification thiab cov kab mob metabolism. Nws muaj peev xwm them tau rau cov tsis muaj peev xwm ntawm cov khoom noj haus tau yooj yim hauv cov nplooj siab hauv cov ntshav thiab ntshav, nce ntxiv ntawm lub cev ua kom muaj cov co toxins hauv cov zis thiab txhim kho kev ua haujlwm ntawm lub siab.

Npaj rau khoom noj. Carbohydrates.

Thaum siv hauv cov koob tshuaj pom zoo, tsis muaj qhov tshwm sim tsis zoo tshwm sim.

Muaj tsis muaj kev sib txuam nrog cov tshuaj.

Cov kua nplaum yog cov txhais tau tias kev ua zaub mov zoo ntawm carbohydrate. Lub luag hauj lwm pharmacological tseem ceeb yog txhawm rau txhim kho cov metabolism hauv lub cev, ua kom rov ua dua ntawm cov txheej txheem redox.

Cov kua nplaum hauv cov ntsiav tshuaj muaj cov vasodilating muaj pes tsawg leeg thiab ua kom loog. Ntawm qib cellular, nws muab lub zog tsim peev xwm ntawm ib tus neeg, nce nws kev txawj ntse thiab lub cev.

Cov kua nplaum 5% nyob rau hauv hom kev daws teeb meem yog siv feem ntau. Txoj kev lis ntshav ntawm cov tshuaj pab txo cov kev ua kom tsis muaj dej hauv lub cev, kho cov ntshav ntxiv.

Kev daws ntawm 10-40% yog hu ua hypertonic. Lawv nce osmotic siab thiab tso zis, ua kom cov txheej txheem metabolism hauv lub siab thiab muaj txiaj ntsig zoo rau kev ua haujlwm ntawm lub cev nqaij daim tawv tseem ceeb hauv lub cev.

• tso dej rau (tsawg kawg yog 300 ml ntawm cov kua, ntau kawg 2 l),
• subcutaneously (nyob rau hauv ib lub sijhawm txog li 500 ml),
• nyob rau hauv daim ntawv ntawm enemas (ml).

Cov lus qhia tshwj xeeb

Muaj qee tus neeg mob kev mob tshwm sim, suav nrog anaphylactoid / anaphylactic tshua, kev tsis haum lub siab thaum siv cov kev daws teeb meem. Yog hais tias cov tsos mob los yog cov cim qhia ntawm qhov kev tiv thaiv tsis haum lub siab, tus Txoj kev lis ntshav yuav tsum nres tam sim ntawd.

Siv cov kua nplaum tsis tau yog tias tus neeg mob ua xua rau cov pob kws thiab pob kws ua cov khoom lag luam.

hypomagnesemia, hypokalemia, hypophosphatemia, hyponatremia, hyperhydration / hypervolemia thiab, piv txwv li, mob tsis txaus ntseeg, suav nrog kev mob ntsws txhaws thiab hyperemia), hypoosmolarity, hyperosmolarity, lub cev qhuav dej thiab osmotic diuresis.

Cov mob ua kom ntshav qab zib ua rau mob taub hau tuaj yeem ua rau mob taub hau, xeev siab, mob plab, qaug dab peg, tsis nco qab, cerebral edema, thiab tuag taus.

Nrog rau cov tsos mob hnyav ntawm hyponatremic encephalopathy, yuav tsum tau txais kev kho mob ceev ceev.

Kev pheej hmoo ntawm hypoosmotic hyponatremia pom nyob hauv menyuam yaus, poj niam, laus, neeg mob tom qab kev phais mob thiab cov neeg mob hlwb polydipsia.

Txoj kev pheej hmoo ntawm kev tsim mob encephalopathy, raws li muaj teeb meem ntawm hypoosmotic hyponatremia, muaj ntau dua rau cov menyuam yaus thiab cov tub ntxhais hluas hnub nyoog qis dua 16 xyoo, cov poj niam hauv kev mob premenopause, cov neeg mob nruab nrab lub paj hlwb thiab cov neeg mob hypoxemia.

Kev kuaj ib puag ncig yuav tsum tau ntsuas kev hloov pauv ntawm cov dej sib npaug, kua qaub-lub hauv paus kev sib npaug, thiab kev ntsuas hluav taws xob thaum lub sijhawm siv tshuaj kho mob ntev thiab, yog tias tsim nyog, ntsuas qhov koob tshuaj lossis tus mob ntawm tus neeg mob.

Cov kua nplaum tau sau tseg nrog kev ceev faj rau cov neeg mob uas muaj kev pheej hmoo ntawm dej thiab electrolyte tsis txaus, ua rau kev hnyav ntxiv los ntawm kev nce lub nra ntawm cov dej dawb, hyperglycemia, qhov yuav tsum tau siv cov tshuaj insulin.

Kev kuaj mob qhov ntsuas ntawm tus neeg mob yog lub hauv paus rau kev tiv thaiv thiab kho kev ntsuas.

Hauv kev saib xyuas zoo, lub ntim ntshav ntau yog ua rau cov neeg mob ntsws, mob plawv lossis lub raum tsis ua haujlwm thiab lub cev tsis ua haujlwm.

Thaum siv cov tshuaj dextrose ntau ntau lossis siv ntev, nws yog ib qho tsim nyog los tswj cov kev xav ntawm cov poov tshuaj hauv cov ntshav ntshav thiab, yog tias tsim nyog, sau cov tshuaj poov tshuaj npaj kom tsis txhob mob hypokalemia.

Txhawm rau tiv thaiv hyperglycemia thiab hyperosmolar syndrome tshwm sim los ntawm kev qhia sai ntawm dextrose cov kev daws teeb meem, nws yog qhov tsim nyog los tswj tus nqi ntawm txoj kev lis ntshav (nws yuav tsum yog qis dua qhov qub rau kev siv dextrose hauv tus neeg mob lub cev).

Nrog ceev faj, kev saib xyuas cov ntshav qab zib hauv lub cev cov txiaj ntsig yog ua rau cov neeg mob uas muaj kev qaug zog heev, ua rau lub hlwb raug mob hnyav (kev tswj hwm cov ntsiab lus qabzib yog contraindicated rau thawj hnub tom qab raug mob taub hau), thiamine deficiency (suav nrog nyob rau hauv cov neeg mob uas muaj cawv cawv), thiab txo qis kev mob siab ( piv txwv, nyob rau hauv cov xwm txheej xws li mob ntshav qab zib mellitus, sepsis, kev poob siab thiab mob, lub raum tsis ua haujlwm), dej thiab electrolyte tsis txaus, mob hlab ntsha ischemic mob hnyav, thiab hauv cov menyuam mos yug tshiab.

Hauv cov neeg mob uas muaj lub cev tsis zoo, rov qab noj zaub mov zoo tuaj yeem ua rau muaj kev txhim kho ntawm kev noj zaub mov tshiab, uas yog tus cwj pwm los ntawm kev nce ntxiv ntawm cov tshuaj intracellular ntawm magnesium, potassium thiab phosphorus vim muaj ntau zog anabolism.

Kev tuav kua dej thiab thiamine tsis muaj peev xwm kuj ua tau. Txhawm rau kom zam kev txhim kho ntawm cov teeb meem no, nws yog ib qho tsim nyog yuav tsum tau ua kev soj ntsuam thiab ua tib zoo saib xyuas thiab nce kev noj zaub mov kom tsawg, ua kom tsis txhob noj zaub mov ntau dhau.

Hauv kev kho mob hlwb, qhov nrawm thiab ntim ntawm cov infusions yog txiav txim siab los ntawm tus kws kho mob koom nrog, kev paub txog kev kho mob leeg ntshav hauv menyuam yaus, thiab vam khom lub cev lub cev, hnub nyoog, metabolism thiab kev kho mob ntawm tus menyuam, nrog rau kev kho tus mob ntxiv.

Cov menyuam mos yug tshiab, tshwj xeeb tshaj yog cov menyuam yaus ua ntej lossis yug menyuam lub cev, muaj qhov pheej hmoo loj los ntawm kev muaj ntshav qab zib thiab hyperglycemia, yog li lawv xav tau kev saib xyuas ntau ntxiv txog kev saib xyuas ntawm dextrose hauv cov ntshav.

Kev mob ntshav qab zib tsawg tuaj yeem ua rau mob cramps ntev ntev hauv cov menyuam yug tshiab, tsis nco qab thiab puas hlwb. Hyperglycemia yog txuam nrog kev ncua kev mob fungal thiab kab mob kis kab mob, necrotic enterocolitis, mob ntshav siab, ua ntej lub cev tsis ua haujlwm, bronchopulmonary dysplasia, ua kom ntev li nyob hauv tsev kho mob, thiab lub txiaj ntsig tuag tau.

Cov menyuam yaus, cov menyuam mos thiab menyuam laus dua, muaj qhov pheej hmoo ntau dua ntawm kev mob hyponatremic encephalopathy thiab hypoosmotic hyponatremia. Cov piam thaj hauv kev daws teeb meem lawv yuav tsum tau ua tib zoo saib xyuas ntawm cov concentration ntawm electrolytes hauv cov ntshav ntshav.

Thaum siv cov tshuaj dextrose hauv cov neeg laus laus, ib qho yuav tsum coj mus rau hauv tus neeg muaj mob plawv, cov kab mob ntawm daim siab, ob lub raum, nrog rau kev siv tshuaj sib ntxiv.

Cov ntsiab lus qabzib yog contraindicated ua ntej, ib txhij nrog, lossis tom qab ntshav ntxiv los ntawm tib cov khoom siv infusion, vim pseudoagglutination thiab hemolysis yuav tshwm sim.

Tsis muaj cov ntaub ntawv hais txog cov nyhuv ntawm cov tshuaj ntawm lub peev xwm los tsav tsheb thiab kev txhim kho cov tshuab.

Nrog rau txoj kev tswj hwm ceev ceev thiab kev siv lub sijhawm ntev ntev hauv qab zib, cov hauv qab no yog qhov ua tau:

• Hyperosmolarity,
• Qog Ntshav,
• Osmotic diuresis (li tshwm sim ntawm hyperglycemia),
• Hyperglucosuria,
• Hypervolemia.

Yog tias muaj ntau cov tsos mob tshwm sim, nws raug nquahu tias yuav tsum tau ntsuas kom tshem tawm lawv thiab txhawb kev kho mob, nrog rau kev siv tshuaj diuretics.

Cov tsos mob ntawm kev noj ntau dhau vim tshwm sim los ntawm cov tshuaj ntxiv diluted hauv ib 5% cov kua nplaum nyob hauv kev txiav txim siab feem ntau yog cov yam ntxwv ntawm cov tshuaj no. Yog tias muaj kev noj ntau dhau, nws raug nquahu kom tawm ntawm cov kev qhia daws thiab kev coj ua tshwm sim thiab txhawb kev kho mob.

Tsis tau piav txog ntawm kev siv yeeb tshuaj Kev sib tsoo kua nplaum nrog lwm cov tshuaj tsis tau piav qhia.

Thaum cev xeeb tub thiab lactation, qabzib raug pom zoo rau kev siv.

Txhawm rau ua kom zoo dua qub ntxiv cov piam thaj, cov neeg mob tau ib txhij xaj sc insulin ntawm tus nqi ntawm 1 pawg rau 4-5 g ntawm cov piam thaj.

Nws tsis pom zoo kom tswj cov ntshav qab zib sai sai tom qab muab ntshav rau hauv tib lub cev, vim tias muaj qhov ua kom mob thrombosis thiab hemolysis.

Cov kua nplaum tov yog qhov tsim nyog rau kev siv tsuas yog nyob rau hauv qhov xwm txheej ntawm pob tshab, ntim kev ntseeg siab thiab qhov tsis pom ntawm impurities. Siv cov tshuaj tam sim ntawd tom qab txuas lub vial rau txoj kev lis ntshav.

Nws yog txwv tsis pub siv cov kua nplaum hauv cov dej uas txuas nrog hauv koob, vim qhov no yuav ua rau muaj huab cua embolism vim tias qhov nqus ntawm cov huab cua nyob hauv thawj pob ntawv.

Lwm yam tshuaj yuav tsum tau ntxiv rau kev daws teeb meem ua ntej lossis thaum lub sij hawm Txoj kev lis ntshav los ntawm kev txhaj tshuaj rau hauv thaj chaw tsim tshwj xeeb ntawm cov thawv. Thaum ntxiv cov tshuaj, cov isotonicity ntawm cov kev daws teeb meem yuav tsum tau kuaj xyuas. Txoj kev daws teeb meem los ntawm kev sib tov yuav tsum siv tam sim tom qab npaj.

Lub thawv yuav tsum tau muab pov tseg tam sim ntawd tom qab siv cov tshuaj, tsis hais cov tshuaj seem hauv nws los tsis siv.

Kev siv cov kua nplaum nyob hauv lub sijhawm cev xeeb tub thiab pub niam mis.

Rau cov neeg mob ntshav qab zib, cov tshuaj tau tswj hwm nyob rau hauv kev tswj hwm ntawm cov piam thaj hauv cov ntshav thiab zis.

Kev ua txhaum yog nqa tawm hauv tsev kho mob, hauv kev ua raws li tag nrho cov cai asepsis.

Thaum ua ke nrog lwm cov tshuaj, qhov sib xyaw ntawm cov tshuaj yog tswj tau pom, qhov sib xyaw ua ke yuav tsum yog pob tshab yam tsis pom kev ncua. Nws yog ib qho tsim nyog yuav tsum tau npaj cov khoom qab zib nrog cov kua nplaum sai sai ua ntej kev tswj hwm tus txheej txheem; nws yog txwv tsis pub siv qhov sib xyaw txawm tias tom qab kev khaws cia luv.

Txawm hais tias ascorbic acid nrog cov piam thaj muaj txiaj ntsig thaum lub sijhawm cev xeeb tub yog qhov teeb meem kev txhawj xeeb rau cov niam feem ntau xav tias, txij li thaum tus poj niam xav tias yuav yug menyuam, tus poj niam lub cev tau ntsib nrog kev ua kom sai ntawm cov vitamins.

Txawm li cas los xij, tsis zoo li qabzib, ascorbic acid tuaj yeem ua rau muaj kev phom sij rau tus menyuam hauv plab yog tias noj ntev ntev hauv qhov siab, uas yuav ua rau kev tshem tawm tom qab. Vim li no, cov kws kho mob qhia kom pib noj cov tshuaj rau cov poj niam cev xeeb tub tsuas yog muaj qhov pom tseeb ntawm cov vitamin C thiab thaum cev xeeb tub lig (feem ntau yog peb lub hlis thib 3). Norm - 100 mg. Nrog lactation, 120 mg.

Ob peb ntau dua nuances los ntawm cov lus qhia ntawm nom:

• Ascorbic acid muaj qhov ntxim rau ntawm cov nqi ntawm kev tsim cov tshuaj hormones corticosteroid, yog li nrog siv sijhawm ntev, koj yuav tsum tswj ntshav siab thiab lub raum kev ua haujlwm.
• Yog tias tus neeg mob ntshav kuaj pom los ntawm kev ua kom muaj hlau ntau ntxiv, cov koob tshuaj ascorbic acid yuav tsum raug txo kom tsawg.
• Yog hais tias kev kho mob nrog ascorbic acid thiab cov kua nplaum ua thaum ua kev tiv thaiv kab mob hauv qhov ncauj, lub bioavailability ntawm estrogen yuav nce ntxiv.
• Qhov nqus ntawm ascorbic acid txo qis thaum muaj kev sib txuam nrog kev kho nrog salicylates (ntxiv rau qhov kev pheej hmoo ntawm qhov tshwm sim tsis zoo rau lawv nce) thiab thaum noj nrog alkaline haus.
• Vitamin C txhim kho kev nqus ntawm penicillin.

Cov lus qhia cais tshwj xeeb hais tias cov vitamin C thiab cov piam thaj nce ntxiv rau qhov tsis txaus siab ntawm mexiletine, ua rau siv cov tshuaj anticoagulants tsis muaj txiaj ntsig, thiab yuav cuam tshuam rau qhov kev tsis haum ntawm acetylsalicylic acid thiab tshuaj nrog kev hloov ua alkaline.

Yuav ua li cas noj piam thaj hauv ntsiav tshuaj?

Hmoov tsis zoo, koj tuaj yeem noj ntshav qabzib, lossis hmoov zoo, tsis yog txhua tus. Muaj ntau tus naj npawb ntawm cov cim kho mob, raws li qhov uas nws qhov kev qhia nkag rau hauv lub cev yog qhov tsim nyog. Tsuas yog tus kws kho mob tau sau tseg tias muaj pes tsawg khob piam thaj uas ib tus neeg laus lossis menyuam yaus tuaj yeem noj nyob hauv ib hnub.

Tus nqi tag nrho ntawm tus neeg mob nyob ntawm qhov no, txij li tus nqi rau kev ntim cov tshuaj tsis loj, tab sis haus cov dej qabzib (ntau dua ib pob) tuaj yeem ua tus nqi zoo nkauj. Yog li, muaj qhov taw qhia hauv qab no rau kev siv:

• lub cev intoxication
• ntshav qab zib,
• hemorrhagic diathesis,
• ntuav
• poob siab
• atrophy ntawm daim siab
• postoperative lub sijhawm
• zawv plab
• daim siab ua hauj lwm
• dystrophy
• Kab mob siab.

Nws yuav tsum nco ntsoov tias tsuas yog tus kws kho mob tau sau ntawv rau yeeb tshuaj. Raws li koj cov ntaub ntawv, cov ntaub ntawv txheeb xyuas, nws tuaj yeem qhia meej meej yuav ua li cas noj cov piam thaj hauv cov ntsiav tshuaj, muaj pes tsawg ntsiav tshuaj ib hnub tuaj yeem noj thiab nyob rau hauv cov koob tshuaj twg. Kev noj tshuaj rau tus kheej yog qhov txaus ntshai, yog li koj yuav tsum tsis txhob ua kom koj muaj mob.

Tsis muaj cov ntshav qab zib txaus ntshai li txaus ntshai dhau li ib qho txiaj ntsig dhau lawm. Cov zaub mov ua qhov ua kom muaj qabzib, tab sis yog tias cov piam thaj tseem nyob qis, ces cov piam thaj hauv cov ntsiav tshuaj yuav siv. Nws nce lub peev xwm ntawm lub zog thiab ua rau muaj kev rov qab sai ntawm lub cev tom qab kev siv lub cev.

Cov piam thaj tau koom nrog hauv cov txheej txheem hauv kev zom zaub mov thiab muab cov tshuaj tua hluav taws xob photochemical. Mob qaug zog ntev, tsis muaj peev xwm tiv taus kev puas siab puas ntsws thiab lub cev qhia tau tias nws tsis muaj cov khoom no hauv lub cev.

Yeeb tshuaj sib cuam tshuam

Cov tshuaj pab rau qhov nqus sai ntawm cov hlau ions los ntawm txoj hnyuv. Kev tshem tawm ntau hauv cov hlau tawm hauv lub cev tshwm sim yog tias cov piam thaj nrog Deferoxamine raug kho nyob rau tib lub sijhawm.

Kev ceev faj yuav tsum tau noj nrog piam thaj "nrog ascorbic acid ua ke nrog sulfanilamide thiab salicylic acid rau cov neeg mob kuaj pom tias muaj kuab thiab ntshav qab ntsev ntau heev.

Cov tshuaj hauv qab no yog cov qauv tshuaj tiv thaiv ntsej muag ntawm qabzib:

• Glucosteril
• Cov piam thaj-E
• Piam thaj xim av,
• Txhaws Bufus,
• Dextrose
• Eskom Qabzib,
• Dextrose Vial
• Peritoneal qabzib cov kua qab ntsev tsawg.

Raws li kev txiav txim siab ntawm tus kws kho mob mus kawm, cov piam thaj hauv cov ntsiav tshuaj tuaj yeem hloov nrog ib qho ntawm cov tshuaj:

Cov tshuaj tua ntshav (analogues) yog: kev daws teeb meem - Glucosteryl, Glucose Bufus, Glucose-Eskom.

Hauv cov khw muag tshuaj, koj tuaj yeem yuav cov tshuaj zoo li hauv cov kua nplaum. Lawv cov khoom tseem ceeb yog dextrose monohydrate, yog li cov tshuaj muaj cov khoom zoo sib xws. Xws li cov nyiaj:

• Piam thaj Biefe,
• Piam thaj xim av,
• Qabzib Vial,
• Cov piam thaj-E
• Glucosteril
• Dextrose
• Dextrose Monohydrate,
• Dextrose Vial
• Likadex PF Dextrose Monohydrate.

Kev npaj nrog tib cov tshuaj muaj zog: Glucosteril, Glucose-Eskom, Dextrose-Vial thiab lwm yam.

Glucose analogs, tshuaj zoo sib xws hauv cov haujlwm ntawm kev ua: Aminoven, Hepasol, Hydramine, Fibrinosol thiab lwm yam.

Cov lus thiab cov xwm txheej ntawm kev cia

Raws li cov lus qhia, Glucose hauv ib daim ntawv tsuas tshuaj yuav tsum muab cia rau qhov txias txias, tawm ntawm qhov chaw ncav cuag ntawm cov menyuam yaus. Lub txee lub neej ntawm cov tshuaj yog nyob ntawm lub chaw tsim khoom thiab thaj tsam li ntawm 1.5 txog 3 xyoos.

Pom qhov yuam kev hauv cov ntawv nyeem? Xaiv nws thiab nias Ctrl Enter.

Khaws ntawm qhov kub thiab txias tsis tshaj 25 ° C, ncav tsis cuag cov me nyuam.

• daws rau Txoj kev lis ntshav 5%: 100, 250, 500 ml - 2 xyoos, 1000 ml - 3 xyoos,
• daws rau Txoj kev lis ntshav 10% - 2 xyoos.

Cov ntsiav tshuaj yog ntim rau hauv ib qho contour lossis cell tsis muaj blister ntawm 10 daim. Cov hlwv cov hlwv pov thawj tuaj yeem tso rau hauv cov thawv ntawv 1 ntawm 2, 5 daim paib rau ib pob. Rau cov neeg siv khoom hauv cov khw muag tshuaj, cov tshuaj noj tau muab pov tseg yam tsis muaj tshuaj.

Khaws tsis ncav cuag ntawm cov menyuam yaus.

Khw ntawm ° C.

Lub sijhawm hnub tim qhia ntawm ntim.

Tsis txhob siv tom qab hnub tau hais tseg.

Cov piam thaj 500mg No. 20 ntsiav tshuaj

Cov piam thaj tov 5% 250 ml

Cov piam thaj tov rau Txoj kev lis ntshav 10% 200 ml lub raj mis

Cov piam thaj tov rau Txoj kev lis ntshav 5% 200 ml lub raj mis

Cov piam thaj tov 5% 100 ml

Glucose Brown tov 5% 500 ml

Kev tsis txaus siab Antistress yog kev noj zaub mov ntxiv (lub cev lom zaub mov ntxiv), ib qho txiaj ntsig ntxiv ntawm flavs.

Selenium xiv yog kev noj haus ntxiv (BAA), ib qhov ntxiv los ntawm cov vitamins, miner.

Kev tsis txaus siab Ophthalmo - cov tshuaj sib xyaw ua ke uas muaj cov vitamins, kab kawm thiab loj hlob.

Complivit-Active yog cov tshuaj multivitamin nrog loj heev- thiab microelements. Tso daim ntawv thiab comp.

Ua tiav "Niam" rau kev xeeb tub thiab pub mis.

Ua kom tiav "Niam" - ib cov tshuaj, uas suav nrog cov Vit complex.

Ua kom tiav D3 Calcium rau menyuam yaus.

Kev ua kom tiav Calcium D3 rau cov menyuam yaus yog tsim cov tshuaj calcium thiab vitamin D3.

Khaws tsis ncav cuag ntawm cov menyuam yaus.

Hauv qhov chaw tiv thaiv los ntawm ya raws ntawm qhov kub tsis siab tshaj 25 ° C. Khaws tsis ncav cuag ntawm cov menyuam yaus.

3 xyoos Tsis txhob siv tom qab tshaj li lub sijhawm teev rau ntawm pob.

Cov piam thaj ntau npaum li cas? Tus nqi ntawm cov tshuaj nyob ntawm daim ntawv tso tawm. Tus nqi piam thaj tsim nqi txog 20 rubles. Txhawm rau 5% kev daws rau Txoj kev lis ntshav (400 ml) koj yuav tsum them 50 rubles, thiab rau ib pob ntawm kaum ampoules - 90 rubles.

Txee lub neej kuj txawv raws daim ntawv tso tawm. Txog hmoov, nws yog 5 xyoos, rau kev daws teeb meem hauv ampoules - 6 xyoo, thiab cov piam thaj hauv cov ntsiav tshuaj cia rau 4 xyoos nkaus xwb.

Cov tshuaj yog tsim rau siv tsuas yog tias kev ncaj ncees ntawm lub pob, ua kom pom tseeb ntawm cov kua thiab qhov tsis muaj qhov pom ntawm impurities. Raws li cov lus qhia, nws pom zoo kom khaws cov piam thaj hauv ib daim ntawv tshuaj ntawm qhov kub ntawm 15 txog 25 degrees, hauv qhov chaw tiv thaiv los ntawm menyuam yaus.

Nrog rau txhua qhov tshwm sim tsis zoo ntawm kev siv ntau dhau ntawm cov tshuaj, koj tuaj yeem yuav cov tshuaj ascorbic acid nrog cov piam thaj - cov kws kho mob tsis tas yuav. Lub txee lub neej rau cov ntsiav tshuaj yog 1 xyoos, kev daws teeb meem (ntshiab vitamin C) tseem khaws cia rau ib lub xyoo yog tias qhov tshuaj lom ntawm cov tshuaj yog 50 mg, thiab 1.5 xyoo rau kev saib xyuas ntawm 100 mg.

Cov yam ntxwv ntawm kev siv kua nplaum hauv cov ntsiav tshuaj

Cov kua nplaum hauv cov ntsiav tshuaj sau rau tus neeg mob nrog ceev faj. Piv txwv li, yog tias koj lub raum tsis ua haujlwm, koj tus kws kho mob yuav tsum saib xyuas koj tus mob tas mus li tom qab noj tas. Kev tswj hwm tshwj xeeb yog qhov xav tau rau qhov ntsuas ntawm central hemodynamics.

Cov poj niam cev xeeb tub thiab lactating feem ntau kuj tau sau cov ntsiav tshuaj qabzib. Lawv muaj qhov zoo cuam tshuam loj hlob ntawm tus me nyuam thiab leej niam cov kua mis. Rau cov poj niam cev xeeb tub, tsis muaj cov kua nplaum tshwj xeeb cais, yog li tus nqi yuav zoo ib yam.

Qee cov neeg ntseeg tias cov tshuaj no yuav cuam tshuam koj lub peev xwm tsav tsheb. Tab sis, hmoov zoo, lub tswv yim no yog qhov yuam kev. Cov kws kho mob tau ua pov thawj tias cov piam thaj tsis muaj kev cuam tshuam rau kev coj ua ntawm tus neeg tsav tsheb. Los ntawm txoj kev, tus nqi ntawm cov piam thaj hauv ntsiav tshuaj tsis hloov pauv nyob ntawm lub hom phiaj.

Cov kua nplaum hauv cov ntsiav tshuaj yog feem ntau kho rau cov neeg ncaws pob. Qhov no yog qhov tsim nyog nyob rau hauv thiaj li yuav muab cov nqaij thiab mob siab nrog txaus cov nyiaj carbohydrates. Nws muab lub zog rau lub cev.Nws tseem tuaj yeem tiv thaiv qhov pom ntawm qhov tsis muaj zog thiab kiv taub hau tom qab qhov kev tawm dag zog.

Dextrose ntsiav tshuaj pom zoo kom maj mam yaj hauv qab tus nplaig. Cov kev txhaj tshwj xeeb ntawm cov tshuaj thiab lub sijhawm ntawm kev kho mob ncaj qha nyob ntawm tus neeg mob lub sijhawm. Yog li, cov ntaub ntawv no tau muab tshwj rau tus kws kho mob tom qab kuaj mob ntawm tus neeg mob.

Yog tias cov ntshav qabzib ntau hauv tib neeg lub cev, hyperglycemia tuaj yeem txhim kho, cov yam ntxwv tseem ceeb ntawm kev tsis nqhis dej (polydipsia) thiab tso zis sai (polyuria). Nyob rau ntawm cov mob hnyav, mob sab laug ventricular tsis ua hauj lwm (ua tsis taus pa, hnoos, txog siav, mob ntsws ntsws) tshwm sim.

Cov kua nplaum hauv cov ntsiav tshuaj yog qhov tseem ceeb rau ntau tus neeg. Ua ntej tshaj plaws, nws ua raws li cov neeg ua haujlwm ntawm lub zog uas txhawb lub cev thiab cov ntaub so ntswg. Kev ua haujlwm ntawm lub hlwb yuav nyob ntawm ntau npaum li cas lub cev tuaj yeem nqus tau cov khoom sib txuas.

Glucose yog noj nrog zaub mov. Nws tawg nyob rau hauv cov zom zaub mov mus rau qhov yooj yim lwg me me, uas tom qab ntawd nkag mus rau cov ntshav thiab kis thoob plaws lub cev. Cov txheej txheem ua kom dhau los yuav pab tshem tag nrho cov tsis tseem ceeb ntawm lub cev, yog li tsis txhob txhawj txog kev noj tshuaj. Yuav ua li cas noj piam thaj hauv ntsiav tshuaj? Tus neeg mob yuav tsum paub dab tsi?

• Cov yam ntxwv ntawm lub zog
• Thaum twg kuv tuaj yeem nqa mus

Sab sij huam

1. Qhov kev tawm tsam ntawm ib cheeb tsam lossis kev tiv thaiv kab ke yuav tshwm sim.
2. Cov tshuaj muaj peev xwm ua kom puas cov hnoos qeev ntawm lub plab zom mov.
3. Pancreatic insulin ntau lawm yog inhibited.
4. Tus mob Nephrocalcinosis (oxalate), thiab hyperoxaluria.

Lub npe cov tshuaj, ntau npaum li cas ntawm cov tshuaj txuam, ntim khoom

Cov naj npawb ntawm ib thooj

Cov piam thaj, ntsiav tshuaj 0.5 g, contour blister

Cov piam thaj, ntsiav tshuaj, 0.5 g, xov tooj ntawm tes uas tsis muaj kev sib txuas

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- Elena Malysheva: Qhia kom yuag poob yam tsis tau ua dab tsi! Tshawb nrhiav seb >>>

Txhawb kev tsim kho ntawm corticosteroid cov tshuaj hormones, txhim kho kev nqus ntawm hlau (uas yuav pab kom tshem tawm ntawm lub cev tsis muaj zog), kev ua kom muaj zog ntawm kev tiv thaiv tsis muaj zog - qhov no yog vim li cas ascorbicum, uas tsis tshua pom los ntawm cov tshuaj puv, feem ntau yog coj.

Txawm li cas los xij, cov vitamins C, tshwj xeeb tshaj yog ua ke nrog cov piam thaj, tuaj yeem muaj qhov tsis zoo rau lub cev vim qhov kev nkag mus sai rau cov ntshav thiab cov nqaij hauv daim ntawv dehydroascorbic acid. Qhov txiaj ntsig ntawm cov tshuaj no tuaj yeem ntsuas txawm tias muaj mob taub hau ntau zaus los ntawm ntshav txhaws.

Hais txog pharmacodynamics ntawm ascorbic acid:

• Kev tiv thaiv kab mob tshwm sim nyob rau hauv ob lub raum, feem ntau yog tas li oxalate.
• Tus nqi ntawm kev nthuav tawm los ntawm ob lub raum nyob ntawm qhov koob tshuaj - cov qib siab sai dua.

• Qhov tshwm sim ntawm zawv plab, mob plab hnyuv tws.
• Kev ua haujlwm Hypokalemia thiab thrombocytosis hauv kev soj ntsuam.
• Kev sib cais ntawm cov ntsuas ntawm qhov kev ua ntawm transaminases, bilirubin.
• Nyob rau hauv muaj cov qog ua rau metastases, kev tswj hwm ntawm ascorbic acid nrog qabzib yog tsis xav tau, txij li qhov nrawm ntawm txoj kev no tsis suav nrog.

Cov kua nplaum hauv cov ntsiav tshuaj: yuav ua li cas noj tshuaj rau cov menyuam yaus thiab cov neeg laus (cov lus qhia)

Feem ntau, cov ntsiav tshuaj tau muab tshuaj rau cov menyuam yaus nrog tshuaj ascorbic acid. Nrog rau kev sib txuam ntawm cov tshuaj no, cov tshuaj ntawm corticosteroids yog kho kom zoo, yog li koj yuav tsum tau saib xyuas lub raum kev ua haujlwm, ntshav siab, theem insulin.

Cov txheej txheem txhua hnub rau ib tus menyuam laus dua 6 xyoo tsis yog ntau dua 500 mg ntawm dextrose. Cov koob tshuaj no tuaj yeem muab faib ua 3-5 koob. Hauv cov menyuam yaus, nrog lub zog lub zog ntawm lub cev, qhov kev nqaj yuav txo tau cov ntshav qab zib, yog li ntawd, thiaj li yuav tau txais lub zog, cov rog pib tawg, thiab cov foos acetone.

Cov mob zoo li no yuav ntuav nrog ntuav. Thaum pom cov tshuaj acetone, tus menyuam tau muab ntau ntsiav tshuaj rau ib zaug thiab haus hnyav.Cov menyuam yaus hnub nyoog qis dua 3 xyoos tsis yog cov ntsiav tshuaj suab thaj - lawv yuav tsum tau npaj cov tshuaj 5% daws teeb meem lossis ywj siab yaj cov tshuaj hauv dej.

Rau cov menyuam yaus, cov lus qhia tshwj xeeb rau kev siv cov piam thaj hauv cov ntsiav tshuaj yog qhov tsim nyog, txij li tus me nyuam lub cev pom tias ib qho yeeb tshuaj hauv qhov sib txawv. Nws yog kws kho nrog ceev faj heev. Cov menyuam yaus hnub nyoog qis dua 5 xyoos tsis xav noj tshuaj, vim tias lawv yuav tsis tuaj yeem noj cov tshuaj sublingually. Cias rau, tus menyuam yuav tsis tuaj yeem muab tshuaj nyob rau hauv tus nplaig thiab yaj.

Cov ntaub ntawv ntawm lub xaib yog tsuas yog rau cov hom phiaj kev kawm nrov, tsis lees paub kev siv thiab kev kho mob tsis yog, tsis yog phau ntawv coj ua. Tsis txhob muab tshuaj rau tus kheej.

Kev zom cov kua nplaum tshwj xeeb

Mob ntshav qab zib, raws li cov lus qhia, yog ib qho ntawm contraindications rau kev noj dextrose hauv ntsiav tshuaj. Tab sis qee zaus tus kws kho mob tau sau ntawv rau cov tshuaj no rau cov neeg mob yog tias lawv muaj ntshav qab zib hom 1. Qhov no yog vim qhov tseeb tias cov neeg mob zoo li no tau qhia insulin hauv ntsiav tshuaj lossis lwm yam tshuaj muaj insulin.

Thiab nrog lub ntsej muag ua kom lub ntsej muag nyob hauv lub cev (ntev ntev hauv cov zaub mov, muaj cov tshuaj insulin ntau, kev nyuaj siab lossis lub cev ntxhov siab, thiab lwm yam), cov thyroid hormone tsis tuaj yeem nkag mus rau hauv lub hlwb. Kev mob ntshav qab zib tsawg zuj zus, tshwm sim los ntawm kev tawm hws, tsis muaj zog, mob tachycardia, ua rau leeg huam. Qee zaum muaj kev tawm tsam sai sai.

Nws yog ib qho tseem ceeb kom nco ntsoov tias thaum tsis muaj kev pab tsim nyog, ib tus neeg uas muaj ntshav qab zib tuaj yeem poob rau qhov tsis nco qab. Txais tos ntawm qabzib sai sai normalizes qib ntawm cov piam thaj hauv cov ntshav, vim tias cov ntsiav tshuaj pib yuav tsum tau nqus tau thaum lub sijhawm resorption.

Nrog lub suab thaj txo qis hauv cov ntshav qab zib thiab tus neeg mob lub mob hnyav, cov kua nplaum yuav tsum raug noj txhua 5 feeb hauv qhov uas tus kws kho mob tau hais tseg. Lub teeb tawm tsam rau ntawm keeb kwm ntawm ntshav qab zib xav tau kev siv cov tshuaj txhua 20 feeb kom txog thaum tus neeg mob rov qab los. Cov lus qhia meej rau kev siv tshuaj yog muab los ntawm kws kho mob.

Sau cov piam thaj thiab ncaws pob. Dextrose cov ntsiav tshuaj yog qhov xav tau thaum ua si kis las kom muaj qib ntawm cov piam thaj hauv ntshav, muab cov khoom noj carbohydrates rau cov leeg thiab lub siab.

Ua ntej kev cob qhia ntev ntev, kev ntaus pob ncaws pob coj tus nqi ntawm cov tshuaj pom zoo los ntawm cov kws tshwj xeeb. Qhov no yooj yim dua yog tias koj tsis tuaj yeem noj tag nrho hauv ib teev lossis ob teev ua ntej chav kawm.

Thaum lom nrog cawv thiab tshuaj muaj yees, cov hlwb ua rau muaj kev txom nyem. Txais tos cov qabzib tso cai koj ua kom muaj kev phom sij ua rau lawv, ua kom rov qab muab cov khoom noj muaj txiaj ntsig mus rau cov kab mob. Yog li, dextrose hauv cov ntsiav tshuaj muaj txiaj ntsig zoo rau kev kho mob ntawm cawv intoxication, kev quav yeeb tshuaj, tshem tawm los ntawm binge.

Tsis tas li ntawd, cov tshuaj hloov kho daim siab ua haujlwm, pab kom sai sai lub cev ntawm cov poov tshuaj lom toxins. Cov koob tshuaj uas tau pom zoo los ntawm tus kws tshaj lij hauv cov xwm txheej no yog noj txhua 2-3 teev.

Kuv tus me nyuam feem ntau muaj cov acetone hauv nws cov zis. Tam sim ntawd tom qab nws qhov tsos, thiaj li tiv thaiv qhov pib ntawm ntuav, Kuv siv kua nplaum. Kuv muab kuv tus tub ob ntsiav tshuaj rau nws thiab ua kom nws haus dej ntau - txog 1 liter.

Qee lub sij hawm kuv muaj cov mob no thaum kuv nkees nkees, kuv txhais tes pib tshee. Ntawm kev txais tos, tus kws kho mob tau hais tias nws muaj ntshav qab zib tsawg - cov ntshav qab zib poob qis heev, thiab pom zoo kom noj ntshav qabzib.

Kuv txiav txim siab txhim kho kuv daim ntawv thiab pib mus ua si, tabsis pom tias kuv tsuas ua tau li ib teev ua nws. Ib tug phooj ywg qhia kev daws ib qho dej ntawm cov piam thaj 2 teev ua ntej kev cob qhia. Tam sim no kuv pheej siv nws daim ntawv qhia.

Cov ncauj lus hauv tsab xov xwm tsuas yog kev taw qhia nkaus xwb. Cov khoom siv ntawm kab lus tsis hu rau kev kho ywj siab. Tsuas yog tus kws kho mob muaj txiaj ntsig tuaj yeem ua tus kab mob thiab muab tswv yim rau kev kho mob raws li tus yam ntxwv ntawm tus neeg mob tshwj xeeb.

Cov neeg mob hais dab tsi tom qab siv piam thaj? Feem ntau cov kev tshuaj xyuas yog qhov zoo. Cov tshuaj tawm tsam nrog nws "lub luag haujlwm" muab rau nws: nws txhim kho cov txheej txheem ntawm cov txheej txheem hauv lub cev, muab lub zog ntxiv, thiab muaj cov txiaj ntsig zoo rau kev ua haujlwm ntawm lub siab thiab lwm cov kab ke hauv nruab nrog cev.

Cov Ntshav Qab Zib, tus nqi uas tsis yog ntau tshaj 30 rubles, feem ntau siv rau kev kho mob hauv tsev. Nws tuaj yeem muas hauv yuav luag txhua txhua lub tsev muag tshuaj, tus nqi kuj tsawg, thiab cov txiaj ntsig kho tau ua rau muaj qhov rov qab nrawm dua.

Cov lus qhia hauv tsab xov xwm tsuas yog rau kev qhia xwb. Cov khoom siv ntawm kab lus tsis hu rau kev kho ywj siab. Tsuas yog tus kws kho mob muaj txiaj ntsig tuaj yeem ua tus kab mob thiab muab tswv yim rau kev kho mob raws li tus yam ntxwv ntawm tus neeg mob tshwj xeeb.

Cov kua nplaum hauv cov ntsiav tshuaj: taw qhia rau kev siv, siv tshuaj zoo ib yam, raug nqi

Cov kua nplaum muab detoxification thiab hydrating zoo rau lub cev. Cov tuam txhab ua tshuaj tsim ob hom tshuaj - hauv cov ntsiav tshuaj, zoo li hauv tshuaj sib tov rau kev txhaj tshuaj. Kev qhia rau kev siv thiab tus nqi yuav sib txawv. Siv cov tshuaj, koj tuaj yeem tshem tawm cov teeb meem hauv lub cev hauv lub cev. Lub hauv paus tseem ceeb ua ke yog nyob rau hauv daim ntawv ntawm lub hmoov dawb ntawm cov muaju me me uas tsis muaj ntxhiab tsw. Xav txog cov cim tseem ceeb rau kev siv cov ntsiav tshuaj daim ntawv ntawm cov tshuaj, nrog rau kev phiv tuaj yeem tshwm sim.

Qib nplaum nyob hauv cov ntsiav tshuaj, nrog rau kev sib xyaw nrog ascorbic acid, yog muaj nyob rau hauv ntau kis:

1. Nrog hypovitaminosis thiab vitamin tsis txaus.
2. Nyob rau lub sijhawm lactation thiab thaum xeebtub.
3. Tsis tas li, yuav siv tshuaj yaj yeeb rau cov neeg mob uas xav tau cov tshuaj ascorbic acid thiab piam thaj ntau ntxiv.
4. Cov tshuaj yuav tsum tau coj los ntawm cov menyuam thaum lub caij loj hlob khov.
5. Cov tshuaj yuav pab kom rov muaj zog thaum tawm dag zog lub cev, zoo li thaum lub sijhawm ua kom rov zoo cev (rov qab los ntawm lub cev tom qab mob hnyav).

Ib ntsiav tshuaj muaj ib hom kab qabzib monohydrate thiab ntau yam ntxiv:

1. Qos yaj ywm starch.
2. Talc.
3. Stearic acid.
4. Tshuaj calcium stearate.

Cov ntsiav tshuaj muaj qhov tiaj tiaj thiab ib puag ncig zoo. Lawv tuaj yeem paub qhov txawv ntawm txoj kab sib cais thiab ob txoj kab sib dhos. Hauv kev tsim cov tshuaj hauv kev sib xyaw nrog cov tshuaj ascorbic acid, ib qho chaw khiav dej num thiab ib chamfer (ib qho kev nyuaj siab ntawm lub dav hlau thiab sab npoo) tau siv. Kaum lub ntsiav tshuaj muab tso rau hauv cov hlwv tshuab. Cov khoom siv suav nrog lub thawv ntawv nrog ib lossis ob lub hlwv, nrog rau cov lus qhia rau kev siv. Cov khoom siv yuav sib txawv raws li cov khoom lag luam.

Glucose koom nrog hauv kev zom cov carbohydrate ib yam li lub zog hauv lub cev. Tom qab nws tau txais, lub zog poob nyiaj them rov qab, kev cog lus ntawm cov leeg nruab nrab ntawm lub plawv (myocardium) zoo tuaj.

Kev npaj ua ke nrog ascorbic acid tswj cov txheej txheem metabolic, txhawb kev tsim cov ntaub so ntswg, thiab tseem cuam tshuam rau cov ntshav coagulation. Qhov kev txuam yog koom nrog hauv kev coj los ua ke ntawm cov tshuaj hormones adrenal cortex.

Ua kom lub cev tiv taus ntau cov kis mob. Qhov tsis yooj yim ntawm cov hlab ntsha yog txo, thiab lub cev qhov xav tau cov vitamins ntawm pawg A, E thiab B, folic, pantothenic acid kuj tau sau.

Daim ntawv foos ntawm cov tshuaj tsis tuaj yeem noj los ntawm cov neeg mob uas mob ntshav qab zib mellitus, nrog rau cov neeg mob uas muaj keeb kwm tsis tshua mob ntev. Kev tsis ncaj ncees contraindications suav nrog hypersensitivity rau ib qho ntawm cov yeeb tshuaj, ib tug nyiam mus rau thrombosis thiab thrombophlebitis. Tsis tas li, "Glucose" nrog cov tshuaj ascorbic acid tsis tau raug samfwm rau cov menyuam yaus hnub nyoog qis dua rau xyoo.

Cov neeg laus, nrog rau cov menyuam yaus hnub nyoog tshaj peb xyoos, yuav tsum noj cov tshuaj classic ib lossis ib nrab ntsiav tshuaj peb zaug ib hnub.Yog tias tus kws kho mob sau daim ntawv sib xyaw ua ke (nrog ascorbic acid), kev noj tshuaj yog xam raws cov ntsiab lus ntawm cov khoom siv tivthaiv kawg.

Raws li kev tiv thaiv, cov neeg laus tuaj yeem noj los ntawm 50 txog 100 mg ntawm cov tshuaj thoob plaws ib hnub. Cov kev cai niaj hnub rau cov menyuam yaus txij li 6 txog 14 xyoos yog tsis ntau tshaj li tsib caug milligrams. Yog hais tias Glucose nrog ascorbic acid tau raug kho rau kev kho mob, cov neeg mob cov neeg laus tau muab tshuaj rau 50 rau 100 milligrams peb txog tsib zaug hauv ib hnub.

Rau cov menyuam yaus hnub nyoog dhau 6 xyoo, cov kws kho mob tau sau ntawv 50 lossis 100 mg nrog ascorbic acid. Yuav kom ua tiav qhov tshwm sim, koj yuav tsum tau noj cov tshuaj ob lossis peb zaug hauv ib hnub. Tus kws kho mob tuaj yeem txiav txim siab ntau npaum li cas, nrog rau lub sijhawm kho mob, ib tus zuj zus, nyob ntawm qhov muaj mob ntau yam lossis xav tau kev tiv thaiv.

Ua ntej noj cov tshuaj sib xyaw nrog ascorbic acid, koj yuav tsum tau suav qhov tseeb qhov ntau npaum.

Raws li kev txais tos, ntau yam tshwm sim tuaj yeem tshwm sim:

1. Qhov kev tawm tsam ntawm ib cheeb tsam lossis kev tiv thaiv kab ke yuav tshwm sim.
2. Cov tshuaj muaj peev xwm ua kom puas cov hnoos qeev ntawm lub plab zom mov.
3. Pancreatic insulin ntau lawm yog inhibited.
4. Tus mob Nephrocalcinosis (oxalate), thiab hyperoxaluria.

Thaum siv ib txhij nrog cov tshuaj tua kab mob, nws yuav tsum raug coj mus rau hauv tus account tias ascorbic acid tuaj yeem nce qhov kev xav ntawm benzylpenicillin ", zoo li tetracycline hauv cov ntshav. Cov kua nplaum nrog tshuaj ascorbic acid hauv kev noj ntau dua ib tus kab mob hauv ib hnub tuaj yeem txhim kho txoj kev noj qab haus huv ntawm cov tshuaj hormonal Ethinyl Estradiol.

Cov tshuaj pab rau qhov nqus sai ntawm cov hlau ions los ntawm txoj hnyuv. Kev tshem tawm ntau hauv cov hlau tawm hauv lub cev tshwm sim yog tias cov piam thaj nrog Deferoxamine raug kho nyob rau tib lub sijhawm.

Kev ceev faj yuav tsum tau noj nrog piam thaj "nrog ascorbic acid ua ke nrog sulfanilamide thiab salicylic acid rau cov neeg mob kuaj pom tias muaj kuab thiab ntshav qab ntsev ntau heev. Txwv tsis pub, qhov ntxim nyiam ntawm crystalluria yuav nce ntxiv. Cov tshuaj kuj tseem txo cov txiaj ntsig ntawm kev tiv thaiv kev tiv thaiv.

Hauv cov khw muag tshuaj ntawm Lavxias Federation cov piam thaj nrog ascorbic acid tuaj yeem muas tau yam tsis muaj kws kho mob sau. Tus nqi nruab nrab ntawm lub hlwv nrog 10 ntsiav tshuaj yog nees nkaum tsib rubles.

Raws li kev txiav txim siab ntawm tus kws kho mob mus kawm, cov piam thaj hauv cov ntsiav tshuaj tuaj yeem hloov nrog ib qho ntawm cov tshuaj:

Glucose nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj yog cov tshuaj uas npaj rau kev noj haus ntawm qhov ncauj ntawm tus neeg mob. Qhov tshuaj yeeb dej caw no muaj cov dej ua kom tsis txhob ntub thiab tshem tawm hauv lub cev.

Cov tuam txhab ua tshuaj tsim cov kua nplaum nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj lossis kev daws rau kev txhaj tshuaj, thiab cov lus qhia rau kev siv rau hauv cov rooj plaub no yuav txawv me ntsis.

Lub ntsiab tseem ceeb nyob rau hauv cov tshuaj yog dextrose monohydrate, cov ntsiab lus ntawm uas yuav ua tau:

1 ntsiav tshuaj - 50 mg, 100 ml ntawm kev daws - 5, 10, 20 lossis 40 g.

Yog li, piv txwv li, cov lus sib xyaw ntawm cov kua nplaum ntev tseem suav nrog cov tshuaj tiv thaiv kab mob. Ua li no, siv hydrochloric acid thiab dej rau Txoj kev lis ntshav, tag nrho cov no yuav siv sij hawm rau hauv tus account cov lus qhia rau kev siv tshuaj.

Vim tias qhov tseeb tias tus nqi ntawm cov piam thaj ntsiav tshuaj thiab kev daws teeb meem tsawg heev, lawv tuaj yeem nqa los ntawm txhua ntu ntawm cov pejxeem.

Dextrose monohydrate tuaj yeem muas hauv lub tsev muag tshuaj hauv daim ntawv ntawm:

ntsiav tshuaj (hauv cov hlwv ntawm 10 daim), txhaj tshuaj: hauv cov thawv yas (hauv qhov ntau ntawm 50, 100, 150, 250, 500 lossis 1000 ml), lub raj mis iav (ntim hauv 100, 200, 400 lossis 500 ml), tov rau kev tswj hwm hauv cov iav ampoules (5 ml lossis 10 ml txhua).

Cov lus qhia rau kev siv qhia tau tias kev noj cov ntsiav tshuaj lossis ib txoj kev daws teeb meem yog qhov tsim nyog ua kom rov ua tiav qhov tsis muaj peev xwm ntawm cov carbohydrates hauv lub cev, uas tuaj yeem tshwm sim tawm tsam ntawm keeb kwm ntawm ntau yam kab mob pathological.

Qhov loj tshaj plaws yog kom tsis txhob noj tshuaj yog tias kuaj ntshav qab zib.

Ib qho ntxiv, kua nplaum tuaj yeem siv rau:

lub cev ua rau lub cev tsis haum, txhim kho lub cev qhuav dej uas tshwm sim tom qab kev phais mob lossis tom qab mob plab zom mov ntev, hemorrhagic diathesis, tsaus muag, poob siab, ntshav qab zib tsawg, kab mob siab, ua kom lub siab tsis ua haujlwm, dystrophy lossis atrophy ntawm daim siab.

Nws yog nruj me ntsis txwv tsis pub siv ib qho kev daws teeb meem thiab qab zib ntsiav tshuaj hauv cov xwm txheej ntawd thaum tus neeg mob muaj keeb kwm ntawm cov kev ua tsis taus zoo li no:

hyperosmolar coma, decompensated ntshav qab zib mellitus, hyperlactacidemia, kev siv ntshav qab zib tsis zoo tom qab kev phais mob.

Tshwj xeeb tshaj plaws, cov tshuaj yuav tsum muab tshuaj nyob rau hauv cov ntaub ntawv ntawm:

mob raum tsis ua haujlwm, decompensated lub plawv tsis ua haujlwm (hauv qhov keeb kwm), hyponatremia.

Nws yog ib qho tseem ceeb kom paub tias cov kua nplaum muaj categorically contraindicated nyob rau hauv cov ntshav qab zib mellitus, mob sab laug ventricular tsis ua haujlwm, o ntawm lub hlwb lossis lub ntsws. Xyuam ceeb tau muab rau menyuam.

Nws tseem siv tsis tau cov tshuaj rau hyperhydration, nrog rau kev ua kom muaj txoj hlab ntshav nrog txoj kev muaj peev xwm ntawm kev tsim muaj cov hlab ntsws. Tus nqi ntawm cov tshuaj tsis cuam tshuam nws cov contraindications.

Cov kws kho mob pom zoo kom siv cov kua nplaum hauv lub cev ib nrab thiab ib teev ua ntej noj mov. Ib koob tshuaj ib zaug yuav tsum tsis pub ntau dua 300 mg ntawm 1 tshuaj rau 1 kg ntawm tus neeg mob qhov hnyav.

Yog tias cov kua nplaum ua kua yuav tsum muab tshuaj rau hauv siab, tus kws kho mob tuaj koom yuav txiav txim siab seb qhov ntim cov tshuaj rau cov kua dej los yog cov dav hlau txheej txheem.

Raws li cov lus qhia, qhov siab tshaj txhua hnub koob tshuaj (nrog rau Txoj kev lis ntshav) rau tus neeg mob laus yuav yog:

5 feem pua ​​dextrose tov - 200 ml ntawm ib qho kev txhaj tshuaj ntawm 150 tee ib feeb lossis 400 ml rau 1 teev, 0 feem pua ​​tov - 1000 ml ntawm ib qho kev txhaj tshuaj ntawm 60 tee ib feeb, 20 feem pua ​​kev daws - 300 ml ntawm qhov nrawm txog 40 ncos, 40 feem pua kev daws - 250 ml nrog qhov siab tshaj plaws ntawm qhov tso nrog ntawm 30 tee hauv 1 feeb.

Yog tias muaj kev xav los tswj cov Glucose rau menyuam mob, ces nws cov koob tshuaj yuav raug teeb tsa raws qhov hnyav ntawm tus menyuam, thiab tsis pub dhau qhov ntsuas:

qhov hnyav txog 10 kg - 100 ml ib kilogram qhov hnyav hauv 24 teev, qhov hnyav txog 10 mus rau 20 kg - txog qhov ntim ntawm 1000 ml yuav tsum tau ntxiv 50 ml ib kilogram tshaj 10 kg ntawm qhov hnyav hauv 24 teev, hnyav dua 20 kg - txog 1500 ml 20 ml yuav tsum tau ntxiv ib phaus ntawm qhov hnyav tshaj 20 kg.

Nrog kev tso dej dav hlau tswj hwm ntawm 5 lossis 10 feem pua ​​daws teeb meem, ib koob ntawm 10 txog 50 ml yuav raug kho. Tus nqi ntawm cov ntsiav tshuaj thiab kev daws teeb meem yog txawv, raws li txoj cai, tus nqi ntawm cov ntsiav tshuaj tau qis dua.

Thaum tau txais cov kua nplaum raws li lub hauv paus tshuaj nrog kev tswj hwm kev tswj hwm ntawm lwm cov tshuaj, qhov ntim ntawm qhov kev daws yuav tsum tau txiav los ntawm 50 txog 250 ml rau ib 1 koob ntawm cov tshuaj.

Qhov ntsuas ntawm kev tswj hwm yuav txiav txim siab los ntawm cov yam ntxwv ntawm cov tshuaj yaj hauv qabzib.

Raws li cov lus qhia, Glucose yuav tsis muaj kev cuam tshuam tsis zoo rau tus neeg mob lub cev. Qhov no yuav muaj tseeb yog tias nws raug kuaj xyuas raug thiab txoj cai tau tsim ntawm kev thov raug pom.

Qhov tshwm sim los ntawm cov kev cuam tshuam nrog:

kub taub hau, polyuria, hyperglycemia, mob laug laug ventricular tsis ua hauj lwm, hypervolemia.

Muaj qhov muaj feem ntau ntawm qhov mob ntawm qhov chaw txhaj tshuaj, nrog rau cov tshuaj tiv thaiv hauv zos, piv txwv li, kis mob, bruising, thrombophlebitis.

Cov kua nplaum tuaj yeem siv lub sijhawm thaum cev tes taw thiab lactation. Tus nqi ntawm cov tshuaj tsis hloov pauv nyob ntawm nws siv.

Yog tias kev sib xyaw nrog lwm cov tshuaj uas xav tau, tom qab ntawd lawv cov kev tsim nyog yuav tsum tau tsim kom pom.

Nws yog ib qho tseem ceeb kom sib xyaw cov tshuaj tam sim ua ntej Txoj kev lis ntshav. Kev khaws cia ntawm cov tshuaj tiav thiab nws siv nws yog nruj me ntsis txwv!

Cov piam thaj hauv cov ntsiav tshuaj yog qhov tshuaj tshwj xeeb uas tau npaj rau lub qhov ncauj. Cov tshuaj no muaj cov nyhuv hydrating.Ntau lub tuam txhab ua lag luam tsim cov kua nplaum nyob hauv daim ntawv ntawm cov ntsiav tshuaj thiab ua ib qho kev daws teeb meem. Cov lus qhia rau kev siv yuav txawv, raws li tus nqi nws tus kheej. Niaj hnub no peb yuav xav txog cov kua nplaum hauv daim ntawv ntawm cov ntsiav tshuaj.

Cov kua nplaum yog cov tshuaj uas yooj yim nkag mus rau hauv txhua qhov nqaij thiab kabmob hauv tib neeg lub cev. Qhov no tshwm sim dhau los ntawm kev cuam tshuam txog keeb kwm keeb kwm. Kev thauj mus los yog tswj hwm los ntawm cov insulin, qhov txiaj ntsig ntawm cov khoom noj haus. Nws yog yooj yim nqus los ntawm lub cev. Kev zom zaub mov yog los ntawm kev tso lub zog tawm, uas tsim nyog rau tib neeg lub neej.

Yog tias koj noj cov piam thaj hauv cov ntsiav tshuaj tsis tu ncua, tom qab ntawd cov kev hloov hauv lub cev tau tshwm sim:

osmotic lub siab hloov pauv rau qhov zoo dua, cov metabolism yog txhim kho, vasodilation tau pom, daim siab ua haujlwm, suav nrog antitoxic, tab tom txhim kho, muaj qhov nce ntawm cov kua hauv lub cev tawm ntawm cov ntshav mus rau hauv cov ntshav, thiab diuresis nce ntxiv.

Hmoov tsis zoo, koj tuaj yeem noj ntshav qabzib, lossis hmoov zoo, tsis yog txhua tus. Muaj ntau tus naj npawb ntawm cov cim kho mob, raws li qhov uas nws qhov kev qhia nkag rau hauv lub cev yog qhov tsim nyog. Tsuas yog tus kws kho mob tau sau tseg tias muaj pes tsawg khob piam thaj uas ib tus neeg laus lossis menyuam yaus tuaj yeem noj nyob hauv ib hnub. Tus nqi tag nrho ntawm tus neeg mob nyob ntawm qhov no, txij li tus nqi rau kev ntim cov tshuaj tsis loj, tab sis haus cov dej qabzib (ntau dua ib pob) tuaj yeem ua tus nqi zoo nkauj. Yog li, muaj qhov taw qhia hauv qab no rau kev siv:

kev muaj kab mob hauv lub cev, ua rau lub cev tsis muaj ntshav qab zib, mob ntshav tes, dias, ntuav, poob siab, mob ntshav siab, lub sijhawm qoj tom qab, zawv plab, mob siab, tsis ua haujlwm, mob ntshav siab, mob siab.

Nws yuav tsum nco ntsoov tias tsuas yog tus kws kho mob tau sau ntawv rau yeeb tshuaj. Raws li koj cov ntaub ntawv, cov ntaub ntawv txheeb xyuas, nws tuaj yeem qhia meej meej yuav ua li cas noj cov piam thaj hauv cov ntsiav tshuaj, muaj pes tsawg ntsiav tshuaj ib hnub tuaj yeem noj thiab nyob rau hauv cov koob tshuaj twg. Kev noj tshuaj rau tus kheej yog qhov txaus ntshai, yog li koj yuav tsum tsis txhob ua kom koj muaj mob.

Raws li tau hais txog, tsis yog txhua tus neeg muaj cai siv cov piam thaj. Thaum xub thawj siab ib muag, nws zoo nkaus li qhov no yog ib qho tshuaj tsis raug mob, tab sis txawm tias nws qee zaum muab cov kev xav tsis tiav kiag li. Yog li, ib daim ntawv teev ntawm contraindications rau kev siv ntawm cov tshuaj no tau raug suav ua ke. Nws muaj ntau. Feem ntau, cov kws kho mob saib nws tus yam ntxwv ntawm tus neeg mob thiab txiav txim siab ntawm lawv tus kheej seb puas muaj cov piam thaj nyob hauv nws lossis tsis.

Yog li, yog tias koj muaj ib qho ntawm cov kab mob los ntawm cov npe hauv qab no, tom qab ntawd cov tshuaj yog nruj me ntsis txwv rau koj:

mob ntshav qab zib mellitus, hyperglycemia, hyperlactacidemia, mob laug laug ventricular tsis ua haujlwm.

Kev saib xyuas tshwj xeeb yuav tsum tau muab rau kev sau cia rau menyuam yaus. Tus menyuam lub cev nws txawv ntawm lub cev ntawm tus neeg laus lub cev, yog li ntawd, tsuas yog tus kws kho mob hauv tsev kho mob yuav qhia koj tias yuav tsum muaj cov piam thaj ntau npaum li cas thiab nws tuaj yeem siv tau li cas.

Nws ntseeg tau tias cov piam thaj tsis ua rau muaj kev mob tshwm sim. Tab sis, cov lus no yeej muaj tseeb tsuas yog tias cov tshuaj raug tsim tawm raws li kev cai, nrog rau nws txoj kev siv raws li cov lus qhia thiab cov lus qhia los ntawm tus kws kho mob. Txwv tsis pub, cov tshuaj ua rau:

polyuria, kub taub hau, hypervolemia, nqhis dej, mob sab laug ventricular tsis ua haujlwm.

Cov lus qhia thiab cov kws kho mob qhov tau teem tseg tau tsim tawm vim li cas. Ib tus neeg tuaj yeem zam dhau ntau yam teebmeem kev noj qab haus huv, nrog rau kev khaws nws cov nyiaj yog tias nws ua tiav txhua yam uas tus kws kho mob qhia.

Ua ntej noj cov piam thaj hauv cov ntsiav tshuaj, koj yuav tsum ua tib zoo nyeem cov lus qhia rau kev siv. Ib qho kev qhia yog ib yam uas hauv qhov no tsis tuaj yeem tsis quav ntsej. Cov ntaub ntawv muaj txiaj ntsig ntau tau muab zais rau hauv nws, uas yuav pab kom zam dhau qhov xwm txheej tsis zoo thiab mus tom tsev kho mob. Tab sis nrog cov lus pom zoo dav dav tuaj yeem nrhiav hauv Is Taws Nem.

Feem ntau cov kws kho mob qhia kom noj cov kua nplaum hauv cov ntsiav tshuaj raws li cov lus qhia.

Feem ntau, qhov no yog ib teev thiab ib nrab ua ntej noj mov. Ib koob tshuaj yuav tsum tsis pub ntau tshaj 300 mg rau 1 kg ntawm tus neeg.Pes tsawg zaus ib hnub twg thiab noj tshuaj dab tsi noj yuav qhia rau tus kws kho mob uas tuaj koom. Nyob rau hauv tsis muaj qhov xwm txheej koj tuaj yeem kho tus kheej kho txoj kev kho, vim hais tias muaj qhov tshwm sim siab ntawm kev siv ntau tshaj. Thiab qhov no, raws li koj paub, tsis tuaj yeem ua rau txhua yam zoo.

Cov kua nplaum hauv cov ntsiav tshuaj sau rau tus neeg mob nrog ceev faj. Piv txwv li, yog tias koj lub raum tsis ua haujlwm, koj tus kws kho mob yuav tsum saib xyuas koj tus mob tas mus li tom qab noj tas. Kev tswj hwm tshwj xeeb yog qhov xav tau rau qhov ntsuas ntawm central hemodynamics.

Cov poj niam cev xeeb tub thiab lactating feem ntau kuj tau sau cov ntsiav tshuaj qabzib. Lawv muaj qhov zoo cuam tshuam loj hlob ntawm tus me nyuam thiab leej niam cov kua mis. Rau cov poj niam cev xeeb tub, tsis muaj cov kua nplaum tshwj xeeb cais, yog li tus nqi yuav zoo ib yam.

Qee cov neeg ntseeg tias cov tshuaj no yuav cuam tshuam koj lub peev xwm tsav tsheb. Tab sis, hmoov zoo, lub tswv yim no yog qhov yuam kev. Cov kws kho mob tau ua pov thawj tias cov piam thaj tsis muaj kev cuam tshuam rau kev coj ua ntawm tus neeg tsav tsheb. Los ntawm txoj kev, tus nqi ntawm cov piam thaj hauv ntsiav tshuaj tsis hloov pauv nyob ntawm lub hom phiaj.

Cov kua nplaum hauv cov ntsiav tshuaj yog feem ntau kho rau cov neeg ncaws pob. Qhov no yog qhov tsim nyog nyob rau hauv thiaj li yuav muab cov nqaij thiab mob siab nrog txaus cov nyiaj carbohydrates. Nws muab lub zog rau lub cev. Nws tseem tuaj yeem tiv thaiv qhov pom ntawm qhov tsis muaj zog thiab kiv taub hau tom qab qhov kev tawm dag zog. Tab sis, tus kws kho mob yuav tsum tswj hwm cov tshuaj rau cov neeg ncaws pob, vim nws yog ib qho tseem ceeb kom muab tshuaj kom yog.

Rau cov menyuam yaus, cov lus qhia tshwj xeeb rau kev siv cov piam thaj hauv cov ntsiav tshuaj yog qhov tsim nyog, txij li tus me nyuam lub cev pom tias ib qho yeeb tshuaj hauv qhov sib txawv. Nws yog kws kho nrog ceev faj heev. Cov menyuam yaus hnub nyoog qis dua 5 xyoos tsis xav noj tshuaj, vim tias lawv yuav tsis tuaj yeem noj cov tshuaj sublingually. Cias rau, tus menyuam yuav tsis tuaj yeem muab tshuaj nyob rau hauv tus nplaig thiab yaj.

Cov lus qhia rau kev siv:

Cov nqi hauv cov khw muag tshuaj hauv online:

Cov kua nplaum - ib qho khoom siv rau kev noj zaub mov carbohydrate, muaj qhov ua kom detoxifying thiab hydrating.

• daws rau Txoj kev lis ntshav 5%: xim tsis muaj pob tshab kua dej ntawm 100, 250, 500 lossis 1000 ml hauv cov thawv ntim yas, 50 lossis 60 pcs. (100 ml), 30 lossis 36 pcs. (250 ml), 20 lossis 24 pcs. (500 ml), 10 lossis 12 pcs. (1000 ml) hauv cais cov hnab tiv thaiv, uas tau ntim rau hauv cov thawv ntawv thawv nrog cov xov tooj ntawm cov lus qhia kom siv,
• Txoj kev lis ntshav 10%: cov xim tsis muaj pob tshab (500 ml txhua qhov hauv cov thawv yas, 20 lossis 24 pcs. hauv cov hnab tiv thaiv cais, uas tau ntim rau hauv cov thawv ntawv thawv nrog cov naj npawb tsim nyog ntawm cov lus qhia rau kev siv).

Cov khoom siv nquag: dextrose monohydrate - 5.5 g (uas sib raug rau 5 g ntawm anhydrous dextrose) lossis 11 g (uas sib raug rau 10 g ntawm anhydrous dextrose).

Muaj kev zam: dej rau txhaj - txog li 100 ml.

• raws li qhov ntawm carbohydrates,
• raws li tivthaiv cov tshuaj tiv thaiv kabmob thiab ntshav ntxiv ua kua (nrog kev poob siab, vau),
• raws li lub hauv paus daws rau dissolving thiab diluting tshuaj muaj zog,
• nrog cov ntshav qog ntshav qab zib tsawg (nrog rau lub hom phiaj tiv thaiv thiab kho mob),
• nrog lub cev qhuav dej (vim yog zawv plab / ntuav, raws li nyob rau hauv lub sijhawm postoperative).

• hyperlactatemia,
• hyperglycemia
• hypersensitivity rau ib yam tshuaj,
• Dextrose Kev Cia Siab
• hyperosmolar coma,
• ua xua rau cov khoom noj uas muaj pob kws.

Txuas ntxiv rau 5% cov kua nplaum hauv qab: cov ntshav qab zib uas tsis ua kom tiav.

Ntxiv rau 10% cov kua nplaum:

• decompensated ntshav qab zib mellitus thiab ntshav qab zib insipidus,
• kev tso tawm cov ntshav ua kom ntau dhau los yog hypervolemia thiab hemodilution,
• mob raum tsis ua haujlwm (nrog anuria lossis oliguria),
• decompensated lub plawv tsis ua haujlwm,
• cirrhosis ntawm daim siab nrog ascites, dav dav edema (suav nrog rau kev mob ntsws thiab txoj hlab ntsws).

Txoj kev lis ntshav ntawm 5% thiab 10% kev daws teeb meem yog pom tseeb thaum nruab hnub tom qab raug mob taub hau.Tsis tas li, contraindications rau cov tshuaj ntxiv rau dextrose daws yuav tsum tau txiav txim siab.

Siv tau thaum cev xeeb tub thiab lactation raws li kev qhia.

Cov piam thaj yog muab tshuaj rau hauv lub cev. Qhov siab thiab qhov ntau ntawm cov tshuaj tau txiav txim siab nyob ntawm seb tus neeg muaj hnub nyoog, xwm txheej thiab qhov hnyav. Qhov kev xav ntawm dextrose hauv cov ntshav yuav tsum tswj xyuas kom zoo.

Feem ntau, cov tshuaj raug txhaj rau hauv qhov nruab nrab lossis ntu hlab ntsha, muab cov osmolarity ntawm cov tshuaj txhaj. Kev qhia ntawm kev daws teeb meem hyperosmolar tuaj yeem ua rau voos voos thiab phlebitis. Yog tias ua tau, thaum siv tag nrho cov kev daws teeb meem, nws raug nquahu kom siv cov ntxaij lim dej hauv cov kab dej ntawm txoj kev daws teeb meem.

Pom zoo siv rau cov neeg laus:

• raws li qhov chaw ntawm carbohydrates thiab nrog isotopic lub cev qhuav dej: nrog lub cev qhov hnyav txog 70 kg - los ntawm 500 txog 3000 ml ib hnub,
• rau diluting parenteral npaj (raws li lub hauv paus daws): los ntawm 50 txog 250 ml ib koob ntawm cov tshuaj tau muab tshuaj.

Pom zoo siv rau menyuam yaus (nrog rau cov menyuam yug tshiab):

• raws li qhov chaw ntawm carbohydrates thiab nrog isotopic ntxiv ua kom lub cev qhuav dej: nrog lub cev qhov hnyav ntawm 0 txog 10 kg - 100 ml / kg ib hnub, nrog lub cev qhov hnyav ntawm 10 txog 20 kg - 1000 ml + 50 ml ib kg dhau 10 kg hauv ib hnub, lub cev hnyav los ntawm 20 kg - 1500 ml + 20 ml ib kg tshaj 20 kg hauv ib hnub,
• rau diluting parenteral npaj (raws li lub hauv paus daws): los ntawm 50 txog 100 ml ib koob ntawm cov tshuaj tau muab tshuaj.

Ntxiv rau, 10% cov kua nplaum nyob hauv kev kho mob yog siv los kho thiab tiv thaiv kom tsis txhob mob ntshav qab zib tsawg tsawg thiab thaum lub cev qhuav dej thaum muaj dej tsis txaus.

Qhov siab ntau rau kev noj tshuaj txhua hnub tau txiav txim siab ntawm tus kheej nyob ntawm hnub nyoog thiab tag nrho lub cev qhov hnyav thiab thaj tsam li 5 mg / kg / feeb (rau cov neeg mob laus) txog 10-18 mg / kg / feeb (rau menyuam, nrog rau cov menyuam mos).

Tus nqi ntawm kev tswj hwm ntawm txoj kev daws teeb meem tau xaiv raws li kev mob hauv chaw kuaj mob ntawm tus neeg mob. Txhawm rau kom tsis txhob hyperglycemia, qhov pib rau kev siv dextrose hauv lub cev yuav tsum tsis txhob dhau, yog li ntawd, qhov siab tshaj plaws ntawm kev siv tshuaj ntawm cov tshuaj hauv cov neeg laus yuav tsum tsis pub tshaj 5 mg / kg / feeb.

Pom zoo kom muab tshuaj rau cov menyuam yaus, nyob ntawm seb muaj hnub nyoog li cas:

• cov menyuam yug ua ntej thiab puv sijhawm - 10-18 mg / kg / min,
• los ntawm 1 mus rau 23 hlis - 9-18 mg / kg / min,
• txij li 2 txog 11 xyoos - 7-14 mg / kg / min,
• los ntawm 12 txog 18 xyoo - 7-8.5 mg / kg / min.

Raws li cov ntaub ntawv muaj, cov xwm txheej tshwm sim tsis tuaj yeem txiav txim siab.

• kev tiv thaiv kab mob: kev ua haujlwm tsis txaus *, anaphylactic tshua *,
• metabolism thiab khoom noj khoom haus: hypervolemia, hypokalemia, hypomagnesemia, lub cev qhuav dej, hyperglycemia, hypophosphatemia, electrolyte tsis txaus, hemodilution,
• daim tawv nqaij thiab cov nqaij mos ua pob: ua pob ua pob, nce tawm hws,
• cov hlab ntsha: phlebitis, venous thrombosis,
• ob lub raum thiab mob txeeb zig: polyuria,
• pathological mob ntawm qhov chaw txhaj tshuaj thiab cov teeb meem dav dav: kev sib kis ntawm qhov chaw txhaj tshuaj, ua daus *, phlebitis, kub taub hau *, mob hauv zos, ua rau mob ntawm qhov chaw txhaj tshuaj, ntxiv rau ntawm qhov chaw txhaj tshuaj, ua npaws, tshee, febrile tshua, thrombophlebitis,
• kuaj thiab ntsuas cov ntaub ntawv: glucosuria.

* Cov kev mob tshwm sim no yog qhov ua tau rau cov neeg mob uas ua xua rau pob kws. Lawv tuaj yeem tshwm sim lawv tus kheej hauv daim ntawv ntawm cov tsos mob ntawm lwm yam, xws li cyanosis, hypotension, bronchospasm, angioedema, khaus.

Muaj qee tus neeg mob kev mob tshwm sim, suav nrog anaphylactoid / anaphylactic tshua, kev tsis haum lub siab thaum siv cov kev daws teeb meem. Yog hais tias cov tsos mob los yog cov cim qhia ntawm qhov kev tiv thaiv tsis haum lub siab, tus Txoj kev lis ntshav yuav tsum nres tam sim ntawd. Nyob ntawm qhov ntsuas mob, qhov ntsuas tsim nyog yuav tsum ua.

Siv cov kua nplaum tsis tau yog tias tus neeg mob ua xua rau cov pob kws thiab pob kws ua cov khoom lag luam.

Ua raws li tus neeg mob lub chaw kho mob, cov metabolism (dextrose siv qib pib), ntim thiab tus nqi infusion, kev tswj hwm ntawm dextrose tuaj yeem ua rau muaj mob electrolyte tsis txaus (hu ua, hypomagnesemia, hypokalemia, hypophosphatemia, hyponatremia, hyperhydration / hypervolemia thiab, piv txwv li, mob heev dhau los, suav nrog kev mob ntsws ntsig thiab mob hyperemia), hypoosmolarity, hyperosmolarity, lub cev qhuav dej thiab cov osmotic diuresis.

Cov mob ua kom ntshav qab zib ua rau mob taub hau tuaj yeem ua rau mob taub hau, xeev siab, mob plab, qaug dab peg, tsis nco qab, cerebral edema, thiab tuag taus.

Nrog rau cov tsos mob hnyav ntawm hyponatremic encephalopathy, yuav tsum tau txais kev kho mob ceev ceev.

Kev pheej hmoo ntawm hypoosmotic hyponatremia pom nyob hauv menyuam yaus, poj niam, laus, neeg mob tom qab kev phais mob thiab cov neeg mob hlwb polydipsia.

Txoj kev pheej hmoo ntawm kev tsim mob encephalopathy, raws li muaj teeb meem ntawm hypoosmotic hyponatremia, muaj ntau dua rau cov menyuam yaus thiab cov tub ntxhais hluas hnub nyoog qis dua 16 xyoo, cov poj niam hauv kev mob premenopause, cov neeg mob nruab nrab lub paj hlwb thiab cov neeg mob hypoxemia.

Kev kuaj ib puag ncig yuav tsum tau ntsuas kev hloov pauv ntawm cov dej sib npaug, kua qaub-lub hauv paus kev sib npaug, thiab kev ntsuas hluav taws xob thaum lub sijhawm siv tshuaj kho mob ntev thiab, yog tias tsim nyog, ntsuas qhov koob tshuaj lossis tus mob ntawm tus neeg mob.

Cov kua nplaum tau sau tseg nrog kev ceev faj rau cov neeg mob uas muaj kev pheej hmoo ntawm dej thiab electrolyte tsis txaus, ua rau kev hnyav ntxiv los ntawm kev nce lub nra ntawm cov dej dawb, hyperglycemia, qhov yuav tsum tau siv cov tshuaj insulin.

Kev kuaj mob qhov ntsuas ntawm tus neeg mob yog lub hauv paus rau kev tiv thaiv thiab kho kev ntsuas.

Hauv kev saib xyuas zoo, lub ntim ntshav ntau yog ua rau cov neeg mob ntsws, mob plawv lossis lub raum tsis ua haujlwm thiab lub cev tsis ua haujlwm.

Thaum siv cov tshuaj dextrose ntau ntau lossis siv ntev, nws yog ib qho tsim nyog los tswj cov kev xav ntawm cov poov tshuaj hauv cov ntshav ntshav thiab, yog tias tsim nyog, sau cov tshuaj poov tshuaj npaj kom tsis txhob mob hypokalemia.

Txhawm rau tiv thaiv hyperglycemia thiab hyperosmolar syndrome tshwm sim los ntawm kev qhia sai ntawm dextrose cov kev daws teeb meem, nws yog qhov tsim nyog los tswj tus nqi ntawm txoj kev lis ntshav (nws yuav tsum yog qis dua qhov qub rau kev siv dextrose hauv tus neeg mob lub cev). Nrog rau kev nce siab ntxiv ntawm dextrose hauv cov ntshav, tus nqi infusion yuav tsum tau txo lossis insulin yuav tsum tau kho.

Nrog ceev faj, kev saib xyuas cov ntshav qab zib hauv lub cev cov txiaj ntsig yog ua rau cov neeg mob uas muaj kev qaug zog heev, ua rau lub hlwb raug mob hnyav (kev tswj hwm cov ntsiab lus qabzib yog contraindicated rau thawj hnub tom qab raug mob taub hau), thiamine deficiency (suav nrog nyob rau hauv cov neeg mob uas muaj cawv cawv), thiab txo qis kev mob siab ( piv txwv, nyob rau hauv cov xwm txheej xws li mob ntshav qab zib mellitus, sepsis, kev poob siab thiab mob, lub raum tsis ua haujlwm), dej thiab electrolyte tsis txaus, mob hlab ntsha ischemic mob hnyav, thiab hauv cov menyuam mos yug tshiab.

Hauv cov neeg mob uas muaj lub cev tsis zoo, rov qab noj zaub mov zoo tuaj yeem ua rau muaj kev txhim kho ntawm kev noj zaub mov tshiab, uas yog tus cwj pwm los ntawm kev nce ntxiv ntawm cov tshuaj intracellular ntawm magnesium, potassium thiab phosphorus vim muaj ntau zog anabolism. Kev tuav kua dej thiab thiamine tsis muaj peev xwm kuj ua tau. Txhawm rau kom zam kev txhim kho ntawm cov teeb meem no, nws yog ib qho tsim nyog yuav tsum tau ua kev soj ntsuam thiab ua tib zoo saib xyuas thiab nce kev noj zaub mov kom tsawg, ua kom tsis txhob noj zaub mov ntau dhau.

Hauv kev kho mob hlwb, qhov nrawm thiab ntim ntawm cov infusions yog txiav txim siab los ntawm tus kws kho mob koom nrog, kev paub txog kev kho mob leeg ntshav hauv menyuam yaus, thiab vam khom lub cev lub cev, hnub nyoog, metabolism thiab kev kho mob ntawm tus menyuam, nrog rau kev kho tus mob ntxiv.

Cov menyuam mos yug tshiab, tshwj xeeb tshaj yog cov menyuam yaus ua ntej lossis yug menyuam lub cev, muaj qhov pheej hmoo loj los ntawm kev muaj ntshav qab zib thiab hyperglycemia, yog li lawv xav tau kev saib xyuas ntau ntxiv txog kev saib xyuas ntawm dextrose hauv cov ntshav. Kev mob ntshav qab zib tsawg tuaj yeem ua rau mob cramps ntev ntev hauv cov menyuam yug tshiab, tsis nco qab thiab puas hlwb. Hyperglycemia yog txuam nrog kev ncua kev mob fungal thiab kab mob kis kab mob, necrotic enterocolitis, mob ntshav siab, ua ntej lub cev tsis ua haujlwm, bronchopulmonary dysplasia, ua kom ntev li nyob hauv tsev kho mob, thiab lub txiaj ntsig tuag tau. Kev saib xyuas tshwj xeeb yuav tsum tau them nyiaj rau kev saib xyuas cov leeg ntshav infusion thiab lwm yam khoom siv rau kev tswj hwm tshuaj kom tsis txhob muaj feem ntau ua rau tuag taus ntawm cov menyuam mos.

Cov menyuam yaus, cov menyuam mos thiab menyuam laus dua, muaj qhov pheej hmoo ntau dua ntawm kev mob hyponatremic encephalopathy thiab hypoosmotic hyponatremia. Cov piam thaj hauv kev daws teeb meem lawv yuav tsum tau ua tib zoo saib xyuas ntawm cov concentration ntawm electrolytes hauv cov ntshav ntshav. Kev hloov kho sai ntawm hypoosmotic hyponatremia yog qhov muaj feem txaus ntshai vim qhov pheej hmoo ntawm cov leeg mob nyhav nyhav hnyav.

Thaum siv cov tshuaj dextrose hauv cov neeg laus laus, ib qho yuav tsum coj mus rau hauv tus neeg muaj mob plawv, cov kab mob ntawm daim siab, ob lub raum, nrog rau kev siv tshuaj sib ntxiv.

Cov ntsiab lus qabzib yog contraindicated ua ntej, ib txhij nrog, lossis tom qab ntshav ntxiv los ntawm tib cov khoom siv infusion, vim pseudoagglutination thiab hemolysis yuav tshwm sim.

Tsis muaj cov ntaub ntawv hais txog cov nyhuv ntawm cov tshuaj ntawm lub peev xwm los tsav tsheb thiab kev txhim kho cov tshuab.

Siv tib lub sijhawm dhau los ntawm catecholamines thiab tshuaj steroids txo cov piam thaj kev khaws cia.

Nws tsis yog qhov tsis suav hais tias muaj kev cuam tshuam ntawm cov dej-electrolyte sib npaug ntawm dextrose cov kev daws teeb meem thiab cov tsos ntawm cov nyhuv glycemic thaum siv ua ke nrog cov tshuaj uas cuam tshuam rau cov dej-electrolyte tshuav thiab muaj cov nyhuv hypoglycemic.

Cov tshuaj tua ntshav (analogues) yog: kev daws teeb meem - Glucosteryl, Glucose Bufus, Glucose-Eskom.

Khaws ntawm qhov kub thiab txias tsis tshaj 25 ° C, ncav tsis cuag cov me nyuam.

• daws rau Txoj kev lis ntshav 5%: 100, 250, 500 ml - 2 xyoos, 1000 ml - 3 xyoos,
• daws rau Txoj kev lis ntshav 10% - 2 xyoos.

1. 
   Kogan-Yasny V.M. Muaj mob suab thaj, Xeev kev tshaj tawm cov ntawv kho mob - M., 2011. - 302 p.
2. 
   Kogan-Yasny, V.M. Mob qab zib / V.M. Kogan Yasny. - M .: Lub Xeev Lub Tsev Luam Ntawv Cov Ntaub Ntawv Kho Mob, 2006. - 302 p.
3. 
   Kartelishev A. V., Rumyantsev A. G., Smirnova N. S. Cov teeb meem teeb meem ntawm kev rog rog hauv menyuam yaus thiab cov hluas, Medpraktika-M - M., 2014. - 280 p.

Cia kuv qhia kuv tus kheej. Kuv lub npe yog Elena. Kuv tau ua haujlwm li endocrinologist rau ntau dua 10 xyoo. Kuv ntseeg hais tias tam sim no kuv yog tus kws tshaj lij hauv kuv daim teb thiab kuv xav pab txhua tus neeg tuaj saib lub vev xaib kom daws qhov nyuaj thiab tsis yog li cov haujlwm. Txhua cov ntaub ntawv rau lub xaib tau sau thiab ua tib zoo ua kom tiav thiaj li xa ntau li ntau tau cov ntaub ntawv tsim nyog. Ua ntej thov cov ntaub ntawv uas tau piav qhia hauv lub vev xaib, kev sab laj yuav tsum nrog cov kws tshwj xeeb ib txwm tsim nyog.

Yuav ua li cas haus piam thaj

Cov kua nplaum nyob rau hauv cov ntsiav tshuaj yuav tsum tau siv qhov ncauj sublingually - ib txoj kev ntawm resorption nyob rau hauv tus nplaig. Koj yuav tsum siv cov tshuaj ib teev lossis ib nrab ua ntej noj mov, vim tias kev siv dextrose txo qhov qab los noj mov. Cov koob tshuaj yog nyob ntawm seb muaj hnub nyoog li cas, hnyav thiab mob ntawm tus neeg mob. Nws yog tsis yooj yim sua kom muab tshuaj rau ntawm nws tus kheej, txij li muaj ntau tus lej sib kis kom coj nws.

Thaum raug lom

Cov tshuaj yeeb tshuaj yog siv los ua tus neeg tshwj xeeb. Thaum kho tshuaj lom nrog hydrocyanic acid, arsenic, carbon monoxide, aniline, paracetamol, nrog rau lwm yam tshuaj, qabzib hauv cov ntsiav tshuaj yog tshuaj kom txhim kho tus neeg mob lub neej.Cov tshuaj yog zoo rau intoxication ntawm lub cev vim muaj lub siab ua haujlwm tsis zoo. Cov neeg mob tau hais kom noj 2-3 ntsiav tshuaj nrog thaj tsam luv li 2 teev kom txog thaum pib ntawm kev txhim kho.

Nrog ntshav qab zib

Vim tias muaj kev ntxhov siab ntxhov siab lossis noj ntau yam tshuaj insulin, yog tias qhov xav tau ncua sij hawm nruab nrab ntawm pluas noj tsis tau pom tias muaj ntshav qab zib, qhov yuav txo qis cov ntshav qab zib yuav tshwm sim tau. Txhawm rau qhov nws ib txwm ua, koj yuav tsum noj cov ntsiav tshuaj uas ntxo tau. Hauv kev mob ntshav qis, noj 1-2 daim hauv 5 feeb kom txog thaum tsis muaj zog, tawm hws, tshee tshee yog tshem tawm.

Hauv cov muaj mob me, 3-4 ntsiav tshuaj siv tom qab 30 feeb. Txais tos ntawm dextrose yog nres tom qab ploj ntawm cov yam ntxwv ntawm tus kheej. Nws yog ib qho tseem ceeb kom tsis txhob cuam tshuam cov tsos mob ntawm kev mob ntshav qab zib nrog cov cim taw qhia ntawm hyperglycemia thiab tswj hwm kev ua kom muaj suab thaj nrog kev pab ntawm cov cuab yeej. Txwv tsis pub, yuav muaj qhov nce siab ntxiv hauv nws theem, tus neeg mob nws yuav phem zuj zus thiab poob siab yuav tshwm sim.

Cov kua nplaum rau kev ncaws pob

Kev noj tshuaj rau cov kws ncaws pob yog cov kws kho mob lub cev thaum ua haujlwm ntau dhau - nrog kev qhia ua haujlwm ntau. Dextrose yog qhov tsim nyog rau cov leeg nqaij ua kis las kom sai rau lub cev lub zog. Nws tsis tsim nyog noj cov tshuaj ua ntej kev cob qhia, vim tias yuav muaj kev nce qib hauv cov tshuaj insulin, thiab tom qab ntawd cov ntshav qab zib kom tsawg. Nws yog qhov zoo dua los siv cov tshuaj rau 1, -2 teev ua ntej kev tawm dag zog. Rau kev nkag mus, koj yuav tsum yaj 7 ntsiav tshuaj ntawm 1 gram hauv ib qho dej thiab haus 4 khob ntawm kua nrog ib nrab feeb.

Cov piam thaj rau menyuam yaus

Feem ntau, cov ntsiav tshuaj tau muab tshuaj rau cov menyuam yaus nrog tshuaj ascorbic acid. Nrog rau kev sib txuam ntawm cov tshuaj no, cov tshuaj ntawm corticosteroids yog kho kom zoo, yog li koj yuav tsum tau saib xyuas lub raum kev ua haujlwm, ntshav siab, theem insulin. Cov txheej txheem txhua hnub rau ib tus menyuam laus dua 6 xyoo tsis yog ntau dua 500 mg ntawm dextrose. Cov koob tshuaj no tuaj yeem muab faib ua 3-5 koob. Hauv cov menyuam yaus, nrog lub zog lub zog ntawm lub cev, qhov kev nqaj yuav txo tau cov ntshav qab zib, yog li ntawd, thiaj li yuav tau txais lub zog, cov rog pib tawg, thiab cov foos acetone.

Cov mob zoo li no yuav ntuav nrog ntuav. Thaum pom cov tshuaj acetone, tus menyuam tau muab ntau ntsiav tshuaj rau ib zaug thiab haus hnyav. Cov menyuam yaus hnub nyoog qis dua 3 xyoos tsis yog cov ntsiav tshuaj suab thaj - lawv yuav tsum tau npaj cov tshuaj 5% daws teeb meem lossis ywj siab yaj cov tshuaj hauv dej. Koj yuav tsum tsis txhob muab kua qab zib rau koj tus menyuam ua ntej pub mis, vim tias lawv yuav tsis kam mis.

Sab sij huam

Cov kev qhia muaj cov lus ceeb toom txog kev muaj peev xwm phiv tom qab noj cov dextrose. Kev siv cov tshuaj ua rau muaj kev nce hauv cov roj (cholesterol), uas tuaj yeem ua rau cov ntshav txhaws thiab cov leeg ntshav ntawm cov leeg ntshav - thrombophlebitis. Tsis tshua muaj tom qab noj cov ntsiav tshuaj tuaj yeem pom:

• tsis qab los
• hypervolemia
• sab laug ventricular tsis ua hauj lwm,
• xeev siab, nqhis dej, dyspepsia, flatulence.

Noj ntau dhau

Yog tias cov kev cai pom zoo tshaj li dhau, cov kev mob tshwm sim muaj feem ntau pom. Thaum noj cov tshuaj dextrose ntau dhau nrog cov tshuaj ascorbic acid, mob taub hau, nce ntxiv kev txob taus, puas rau lub plab zom mov, tsam plab, thiab tsis tshua muaj neeg tsis pom kev. Nrog rau kev noj tshuaj ntau dhau, nws yog qhov ua tau: txo qis ntawm insulin synthesis, qhov pib ntawm hyperglycemia, txo qis ntawm qab los noj mov. Hauv cov xwm txheej zoo li no, nws yog ib qho tsim nyog kom tsum tsis txhob noj dextrose thiab sab laj rau tus kws kho mob txog kev kho mob thaum muaj tsos mob.

Cov nqe lus ntawm kev muag khoom thiab kev cia khoom

Cov ntsiav tshuaj yog ntim rau hauv ib qho contour lossis cell tsis muaj blister ntawm 10 daim. Cov hlwv cov hlwv pov thawj tuaj yeem tso rau hauv cov thawv ntawv 1 ntawm 2, 5 daim paib rau ib pob. Rau cov neeg siv khoom hauv cov khw muag tshuaj, cov tshuaj noj tau muab pov tseg yam tsis muaj tshuaj. Koj tuaj yeem khaws cov tshuaj yam tsis muaj kev nkag mus rau hauv tshav ntuj hauv qab 25 degrees tsis ntev dua 4 xyoos txij li hnub pib.

Hauv cov khw muag tshuaj, koj tuaj yeem yuav cov tshuaj zoo li hauv cov kua nplaum. Lawv cov khoom tseem ceeb yog dextrose monohydrate, yog li cov tshuaj muaj cov khoom zoo sib xws. Xws li cov nyiaj:

• Piam thaj Biefe,
• Piam thaj xim av,
• Qabzib Vial,
• Cov piam thaj-E
• Glucosteril
• Dextrose
• Dextrose Monohydrate,
• Dextrose Vial
• Likadex PF Dextrose Monohydrate.

Tus nqi ntawm cov piam thaj ntsiav tshuaj

Koj tuaj yeem yuav cov tshuaj hauv lub tsev muag tshuaj. Nws yooj yim rau tus neeg siv khoom xaj kom xa cov tshuaj hauv Is Taws Nem. Tus nqi ntawm cov tshuaj yog nyob ntawm txoj cai nqe ntawm lub khw muag khoom muag thiab ntim. Tus nqi ntawm cov ntsiav tshuaj hauv cov khw muag tshuaj hauv Moscow yog nthuav tawm hauv lub rooj:

Lub npe cov tshuaj, ntau npaum li cas ntawm cov tshuaj txuam, ntim khoom

Cov naj npawb ntawm ib thooj

Cov piam thaj, ntsiav tshuaj 0.5 g, contour blister

Cov piam thaj, ntsiav tshuaj 0.5 g, contour blister

Cov piam thaj, ntsiav tshuaj 0.5 g, contour blister

Cov piam thaj, ntsiav tshuaj, 0.5 g, xov tooj ntawm tes uas tsis muaj kev sib txuas

Olga, hnub nyoog 35 xyoo. Kuv tus menyuam feem ntau muaj cov acetone hauv nws cov zis. Tam sim ntawd tom qab nws qhov tsos, thiaj li tiv thaiv qhov pib ntawm ntuav, Kuv siv kua nplaum. Kuv muab kuv tus tub ob ntsiav tshuaj rau nws thiab ua kom nws haus dej ntau - txog 1 liter. Qee zaum cov txheej txheem no yuav tsum rov ua dua. Nws ib txwm pab, tab sis ua ntej nws tsim nyog los noj tshuaj antiemetic.

Galina 38 xyoo. Qee lub sijhawm kuv ntsib cov mob no thaum kuv nkees nkees, kuv txhais tes pib tshee tshee. Ntawm kev txais tos, tus kws kho mob tau hais tias nws muaj ntshav qab zib tsawg - cov ntshav qab zib poob qis heev, thiab pom zoo kom noj ntshav qabzib. Tam sim no kuv ib txwm nqa tshuaj noj lossis khoom qab zib nrog kuv thiab siv lawv nrog kev noj qab haus huv tam sim ntawd.

Andrei, 33 xyoo kuv txiav txim siab txhim kho kuv tus qauv thiab pib mus rau hauv lub chaw qoj ib ce, tab sis pom tias kuv tsuas ua tau ib teev ua nws. Ib tug phooj ywg qhia kev daws ib qho dej ntawm cov piam thaj 2 teev ua ntej kev cob qhia. Tam sim no kuv pheej siv nws daim ntawv qhia. Kuv yaj 14 ntsiav tshuaj hauv ib qho dej thiab maj mam haus ib khob ua ntej tawm ntawm lub tsev mus kawm.

Cov ntaub ntawv dav dav

Lub chaw muag tshuaj pleev ntsej muag - cov tshuaj tshwj xeeb nrog kev tsis muaj qabzib nyob hauv qab. Nws yog feem ntau kho rau kev mob hlwb thiab lub siab lub zog kom thiaj li rov ua tau cov carbohydrates. Nws yog cov khoom noj muaj txiaj ntsig, tab sis tsis ua haujlwm hloov cov khoom tiav nrog cov piam thaj cov ntsiab lus.

Cov piam thaj muaj txiaj ntsig zoo li cas thiab vim li cas nws thiaj li xav tau? Nws luam nrog qhov uas tsis muaj lub zog, lub xeev hypoglycemic, thiab ua rau cov uas tsis muaj zaub mov tau yooj yim kom tau txais cov zaub mov carbohydrates. Feem ntau kho nyob rau hauv nrog cov vitamins. Nrog ascorbic acid yog siv rau cov tshuaj vitamin deficiency / hypovitaminosis, thaum cev xeeb tub / lactation, txhawm rau kom ua haujlwm tau zoo.

Muaj nyob rau hauv cov ntsiav tshuaj, hauv daim ntawv ntawm kev daws rau Txoj kev lis ntshav, hauv ampoules. Cov kev daws teeb meem yog siv rau hauv cov chaw nyob ruaj ruaj.

Tus nquag ua hauj lwm yog piam thaj monohydrate. Ib chav tsev muaj 1 gram ntawm cov khoom xyaw dhia. Raws li cov khoom xyaw pabcuam, hmoov txhuv nplej siab, calcium stearate, talc, stearic acid yog siv.

Kev taw qhia thiab contraindications

Kev qhia rau nkag yog:

• ntshav qab zib,
• kev kho ntxiv rau kev ntxhov siab mob hlwb siab,
• kev kho ntxiv rau kev ua haujlwm ntawm lub cev,
• khoom noj khoom haus tsis muaj zog.

Cov tshuaj muaj peev xwm ua tau rau ntau yam kev qaug, lom, ntuav thiab raws plab.

Contraindications suav nrog:

• muaj lub cev tsis haum rau lub tshuaj,
• ntshav qab zib mellitus (tshwj tsis yog rau hypoglycemic tej yam kev mob),
• tsis muaj ntshav qab zib hyperglycemic tej yam kev mob,
• kawm tsis hnov ​​lus zoo (ntshav qab zib),
• hnub nyoog txog li 3 xyoos.

Cov lus qhia rau kev siv

Qhov nruab nrab ib hnub twg yog 1-2 ntsiav tshuaj. Yog tias tsim nyog, nws tuaj yeem muaj ntau ntxiv.

Qhov ntau npaum li cas thiab lub sijhawm rau kev kho mob yog txiav txim siab raws li qhov thiab chav kawm ntawm tus kabmob, qhov tshwm sim kho tau.

Cov ntsiav tshuaj yuav tsum tau zom lossis yaj. Cov tshuaj muaj peev xwm txo me ntsis kev qab los noj mov, yog li nws tau sau tseg 1 teev ua ntej noj mov.

Cov tshuaj zoo rau.Thaum noj mov, qee kis, cov tsos mob ua xua pom, tshwj xeeb, urticaria, khaus, txau tawv. Qhov kev nquag tshwm sim yog qhov ua kom qab los.

Nrog rau tib lub koob tshuaj ntawm cov tshuaj hauv cov khoom noj ntau, kev cuam tshuam ntawm lub plab zom mov pib. Nrog rau qhov kev nthuav qhia no, nws yuav tsum tso tseg cov tshuaj.

Thaum cev xeeb tub, koj tuaj yeem noj cov piam thaj hauv cov ntsiav tshuaj. Nyob rau lub sijhawm lactation, koj tseem tuaj yeem siv tshuaj. Ib tug poj niam yuav tsum nruj me ntsis rau cov txheej txheem (ntau npaum li cas thiab sijhawm) uas tus kws kho mob tau hais tseg.

Mus txog 3 xyoos tsis tau sau tseg hauv cov ntawv foos.

Nrog rau siv ntev, nws raug pom zoo kom soj ntsuam cov ntsuas qab zib. Cov tshuaj tuaj yeem siv rau mob ntshav qab zib thaum lub sijhawm so ntawm hypoglycemia. Hauv kev mob me, cov ntsiav tshuaj siv, hauv qhov xwm txheej loj, lawv raug tswj hwm los ntawm tus neeg saib xyuas kev noj qab haus huv los yog intramuscularly.

Yees duab txog cov haujlwm ntawm cov piam thaj hauv lub cev:

Cov piam thaj rau cov menyuam yaus hauv cov ntsiav tshuaj

Cov menyuam yaus feem ntau tau muab tshuaj rau cov tshuaj nrog rau cov vitamin C. Hauv kev sib xyaw ua ke no, ntxiv rau cov nqi zog thiab txhawb kev tiv thaiv kab mob hauv lub cev tau muab los. Rau cov menyuam yaus txij 6 xyoo, koob tshuaj rau txhua hnub yuav tsum tsis pub ntau tshaj 500 mg. Muaj qee kis, cov koob tshuaj tau tswj hwm los ntawm tus kws kho mob menyuam yaus.

Lawv muab cov ntsiav tshuaj npaj nrog txhawb cov tshuaj acetones, nrog rau haus hnyav. Rau cov menyuam yaus hnub nyoog qis dua 3 xyoos, npaj-daws kev daws teeb meem. Koj tuaj yeem tuaj yeem ywj pheej yug cov ntsiav tshuaj hauv dej.

Qee zaum cov niam txiv nug - tus menyuam puas tuaj yeem haus cov piam thaj hauv ampoules? Tsis muaj kev txwv txog qhov no, tab sis nws yog qhov tsim nyog los dilute cov concentrate nrog dej - 1: 1. Lub sijhawm nruab nrab ntawm kev pub mis thiab noj tshuaj yog 1.5 teev.