Glucose mu mawonekedwe a mapiritsi ndi mankhwala omwe amapangidwira chakudya cham'kamwa cha wodwala. Thupi limakhala ndi kuthirira ndi kusintha kwa thupi.
Makampani opanga mankhwala amapanga glucose mwanjira ya mapiritsi kapena yankho la jekeseni wamkati, ndipo malangizo ogwiritsira ntchito pazinthu izi ndi osiyana mosiyanasiyana.
Chofunikira chachikulu pa mankhwalawa ndi dextrose monohydrate, zomwe zili:
- Piritsi limodzi - 50 mg;
- 100 ml yankho - 5, 10, 20 kapena 40 g.
Chifukwa, mwachitsanzo, kapangidwe ka njira ya glucose imaphatikizanso zinthu zothandizira. Kuti muchite izi, gwiritsani ntchito hydrochloric acid ndi madzi kulowetsedwa, zonsezi zimaganizira malangizo ogwiritsira ntchito mankhwalawa.
Chifukwa chakuti mtengo wa mapiritsi a glucose ndi yankho ndi ochepa, amatha kutengedwa ndi magawo onse a anthu.
Dextrose monohydrate imatha kugulidwa pamankhwala opanga mankhwala monga:
- mapiritsi (m'matumba a zidutswa 10);
- jakisoni: mumapulasitiki ophatikizira (50, 100, 150, 250, 500 kapena 1000 ml), botolo lagalasi (100, 200, 400 kapena 500 ml);
- Njira yothetsera mtsempha wa magazi makapu (5 ml kapena 10 ml aliyense).
Kodi shuga ndi chiyani?
Malangizo ogwiritsira ntchito akuwonetsa kuti kumwa mapiritsi kapena njira yofunikira ndikofunikira kuti athe kubwezeretsanso kuchepa kwa mafuta m'thupi, omwe angachitike motsutsana ndi maziko azikhalidwe zosiyanasiyana zamatumbo.
Chachikulu ndikumwa kumwa mapiritsi ngati matenda a shuga apezeka.
Kuphatikiza apo, shuga angagwiritsidwe ntchito monga:
- kuledzera kwa thupi;
- kukonza kwam'mimba komwe kumachitika pambuyo pa opaleshoni kapena kutsegula m'mimba kwa nthawi yayitali;
- hemorrhagic diathesis;
- kugwa;
- mawonekedwe akugwedeza;
- hypoglycemia;
- hepatitis;
- kulephera kwa chiwindi;
- kuwonongeka kapena kuwonekera kwa chiwindi.
Kuphwanya kwakukulu
Ndi zoletsedwa kugwiritsa ntchito mapiritsi ndi shuga m'magawo amenewo pomwe mbiri yachipatala ya wodwalayo ikusonyeza zovuta zoterezi:
- hyperosmolar chikomokere;
- shuga wowonjezera;
- hyperlactacidemia;
- Kugwiritsa ntchito shuga molakwika pambuyo pakuchita opaleshoni.
Mosamala kwambiri, mankhwalawa amayenera kuperekedwa kudzera mwamitsempha:
- aakulu aimpso kulephera;
- mtima wosakhazikika (mu mbiri);
- hyponatremia.
Ndikofunikira kudziwa kuti shuga imapangidwa m'magulu a shuga, kuperewera kwamanzere kwamitsempha, kulephera kwa ubongo kapena mapapu. Chenjezo lomwe limaperekedwa kwa ana.
Ndikosatheka kugwiritsa ntchito mankhwalawa pochita kuchepa thupi, komanso matenda a m'magazi omwe ali ndi kuthekera kwakukulu kotukuka kwa pulmonary edema. Mtengo wa mankhwalawa suwakhudza ma contraindication ake.
Momwe mungagwiritsire ntchito ndi kumwa?
Madokotala amalimbikitsa kugwiritsa ntchito Glucose pakamwa ola limodzi ndi theka asanadye. Mlingo umodzi sayenera kupitirira 300 mg ya mankhwala pa 1 kg ya odwala.
Ngati yankho la glucose liyenera kuperekedwa kudzera mu magazi, adokotala adzadziwitsa kuchuluka kwa thunthu kapena njira ya injet.
Malinga ndi malangizo, mlingo woyenera wa tsiku ndi tsiku kwa wodwala wamkulu ndi:
- 5% dextrose yankho - 200 ml ya jakisoni wa 150 akutsikira mphindi imodzi kapena 400 ml mu ola limodzi;
- 0% yankho - 1000 ml pamlingo wakutsikira 60 pamphindi;
- 20% yankho - 300 ml mwachangu mpaka 40 madontho;
- 40% yankho - 250 ml yokhala ndi kuchuluka kwa ma dontho 30 mpaka mphindi imodzi.
Ngati pakufunika kuperekera Glucose kwa odwala omwe ali ndi ana, ndiye kuti mlingo wake udzakhazikitsidwa potengera kulemera kwa mwana, ndipo sungathe kupitilira izi:
- kulemera mpaka 10 makilogalamu - 100 ml pa kilogalamu ya kulemera mu maola 24;
- kulemera kuchokera 10 mpaka 20 makilogalamu - mpaka kuchuluka kwa 1000 ml ndikofunikira kuwonjezera 50 ml pa kilogalamu kuposa 10 kg yolemera mu maola 24;
- kulemera kopitirira 20 makilogalamu - mpaka 1500 ml ndikofunikira kuwonjezera 20 ml pa kilogalamu yolemera kuposa 20 kg.
Ndi jet intravenous jet 5 kapena 10 peresenti yothetsera, limodzi mlingo wa 10 mpaka 50 ml adzayikidwa. Mtengo wa mapiritsi ndi yankho ndizosiyana, monga lamulo, mtengo wamapiritsi ndi wotsika.
Mukalandira Glucose ngati maziko ndi makolo a mankhwala ena, kuchuluka kwa vutoli kuyenera kutengedwa kuchokera pa 50 mpaka 250 ml pa 1 piritsi yomwe umayigwiritsa ntchito.
Mulingo wa makonzedwe udzakhazikitsidwa ndi zomwe zimasungunuka ndi shuga.
Zotsatira zoyipa
Malinga ndi malangizo, Glucose sikhala ndi vuto lililonse m'thupi la wodwalayo. Izi zidzakhala zoona pokhapokha ngati zidaperekedwa molondola komanso malamulo okhazikitsidwa ndikugwiritsira ntchito.
Zotsatira zoyipa ndi izi:
- malungo
- polyuria;
- hyperglycemia;
- pachimake kumanzere kwamitsempha yamagazi;
- Hypervolemia.
Pali kupweteka kwakukulu pamalo a jakisoni, komanso zimachitika mderalo, mwachitsanzo, matenda, kuvulala, thrombophlebitis.
Glucose amatha kugwiritsidwa ntchito munthawi ya kukomoka ndi mkaka wa mkaka. Mtengo wa mankhwalawa sasintha malinga ndi momwe agwiritsidwira ntchito.
Ngati kuphatikiza mankhwala ena kukufunika, ndiye kuti kuphatikiza kwawo kuyenera kukhazikitsidwa mwakuwoneka.
Ndikofunikira kusakaniza mankhwala musanadye kulowetsedwa. Kusunga yankho lomalizidwa ndikugwiritsa ntchito koletsedwa!
