Isixazululo isotonic

izixazululo Isotonic kukhona ingxube multicomponent sakhiwa chemical ziyoncibilika amanzi distilled. Eqinisweni - lena izingoma aqueous, izithako okukhona kuzo okunye izinto eziqukethwe ingxenye ewuketshezi (uketshezi olungenambala olusegazini) igazi. Ngokwesibonelo, into efana sodium chloride, kufakwe isixazululo isotonic futhi samanje (nge ingxenyenamba mass ka 0.9%) e-plasma. Injected chloride ngemithambo yegazi sodium e isixazululo liyadingeka silondoloze inqubo okusheshayo emaceleni zishintshe yamanzi i-medium ehambisana lokuhlushwa ephakeme ka solutes. Ngenxa ingcindezi osmotic equalized solute lokuhlushwa ketshezi extracellular futhi oketshezini olungenambala lwegazi. Ngenxa osmotic ingcindezi ukulungiswa kwenzeka replenishment ketshezi kusilela e umzimba ngesikhathi Ukususwa (amanzi emzimbeni).

The elula sodium isotonic isixazululo chloride emanzini distilled zokwelapha futhi ngokuthi nosawoti, kodwa lokhu kabi amandla akhe, kusukela ukulungiselela ayiqukethe zonke izithako (isib, i-potassium nosawoti) kuyadingeka ukuze balondoloze isimo physiologically evamile ezicutshini zomzimba womuntu. It ikhiqizwa ampoules-10, 5 noma 2 ml equkethe sodium 0.9% chloride emanzini. Kukhona ukwakhiwa kancane eziyinkimbinkimbi ngokwengeziwe multicomponent isotonic. Ngokwesibonelo, "Disol" iqukethe 6 g sodium chloride no 2 g sodium acetate trihydrate kwelinye ilitha. Akhiqizwa izitsha eziyisikhombisa 0.4 amalitha no 0.2 amalitha, isetshenziselwa ngokukhishwa kobuthi egazini futhi rehydration. Ngaphezu kwalokho, leyo mithi ezisetshenziswa njengeziwusizo "Trisol", izinhlobo eziningana Iringa "Chlosol", "Acesol".

Isixazululo for ukumnika "Chlosol" iqukethe e 1 ilitha 4,75 g-sodium chloride, 3.6 g sodium acetate trihydrate, 1.5 g potassium chloride. Ukulungiswa kuhlanganiswe isetshenziselwa ngokukhishwa kobuthi egazini, plazmozamescheniya, rehydration, njengoba isisu, noma antishock antiplatelet ejenti. Kuthuthukisa kwegazi, kuvimbela ke kusukela ukuqina kanye nokuthuthukiswa lactic umzimba, hypovolemia liyancipha, kwandisa diuresis. Le isixazululo isotonic ikhiqizwa izitsha eziyisikhombisa 0.4 litre kanye ne-0.2 litre. Umuthi kungokwalabo Ved. Izimo alkalosis, hypersensitivity, hyperkalemia, CRF noma ukulinganiselwa ngoba nokuphathwa eliningi uketshezi emzimbeni. Kungase kube imiphumela emibi ezifana hyperkalemia, edema, imfiva, tachycardia.

Kuboniswe ngoba amanzi emzimbeni futhi ubuthi (ukudla okunobuthi, uhudo, ikholera, El Tor) isotonic "Acesol" okuyinto, njengokuthi "Chlosol", etholakala izitsha eziyisikhombisa 0.4 L noma 0.2 isitshalo nemithi L Nesvizh ( Belarus). Qualitative Ukwakheka efanayo ukulungiselela "Chlosol" kodwa lokuhlala ezahlukene izithako: ziyoncibilika 1 ilitha sodium 5 g chloride, 2 g sodium acetate trihydrate futhi 1 g potassium chloride. Izinkomba kanye contraindications ziyefana for the "Chlosol" izidakamizwa.

saline kunciphisa hypovolemia, lactic umzimba , futhi ukuqina igazi, sithuthukisa diuresis futhi kuthuthukisa capillary kwegazi, ngokukhishwa kobuthi egazini isinyathelo inegama ukuhweba "Trisol". ukukhululwa yayo izitsha eziyisikhombisa 0.4 l kanye 0.2 l. Le isixazululo isotonic iqukethe e 1 ilitha 5 g-sodium chloride, 4 g sodium Bicarbonate futhi 1 g potassium chloride. Sebenzisa in iziguli izifo ezihlobene ukudakwa olubi nokuphela kwamanzi emzimbeni, kuhlanganise uhudo acute, ukudla okunobuthi, El Tor nekholera. Lapho izidakamizwa iqondiswa njalo ngemva kwamahora 6 isilinganiso elibukhali yethulwa futhi lingashajwa ketshezi. Uma hyperkalemia eba, bese ikhambi Esikhundleni ekwakhiweni eliqukethe i-sodium chloride kanye sodium acetate, kuze kwesejwayelekile electrolyte ibhalansi.

Ekulungiseleleni lezi amalungiselelo ulandele ukulandelana abaphathi isithako ngamunye futhi, kuze kube yilapho siphela ngokuphelele kulowo eyedlule, usawoti elandelayo ingezwe. Noma yimuphi isixazululo sodium chloride isotonic ibhalwe amanzi distilled. It is etholwe ziphuzo zazihluzwa e kungaphefumuli okhethekileyo, obizwa ngokuthi Distillers. Kufanele ezenziwe ngengilazi. Amanzi etholakala kumadivayisi metal, asifanele ukulungiswa Izingxube isotonic, ngoba iqukethe metal ion okuyizinto nethonya elilimazayo izicubu zomzimba. esifanayo imithetho eqinile ayatholakala ngokwengamela izidakamizwa ngamunye, eziqukethwe imiyalelo kanye inkomba indlela (ngemithambo yegazi, phansi kwesikhumba, noma enemas) inqunywa udokotela. nemithi Isitolo endaweni emnyama ezingeni lokushisa okuyinto Kunconywa ngumkhiqizi. Ngaphambi ukusetshenziswa, ikhambi is kushintshwe lokushisa komzimba lesiguli 36-38 ° C.