Glucose yana daya daga cikin manyan makiya masu ciwon sukari. Kwayoyinta, duk da girman girma dangane da kwayar gyada, sun iya barin hanzarin tashoshin jini.
Sabili da haka, daga cikin intercellular sarari, dextrose yana shiga cikin sel. Wannan tsari ya zama babban dalilin ƙarin samar da insulin.
A sakamakon wannan sakin, metabolism ga ruwa da carbon dioxide yana faruwa. Idan akwai babban hadadden tsarin dextrose a cikin magudanar jini, to yawan ƙwayoyi ba tare da cikas ba ya bayyana ta hanyar kodan.
Abun haɗin da fasalin mafita
Magungunan ya ƙunshi kowane miliyan 100:
- glucose 5 g ko 10 g (abu mai aiki);
- sodium chloride, ruwa don allura 100 ml, hydrochloric acid 0.1 M (tsofaffi).
Maganin glucose wani ruwa ne mai launin mara launi ko dan kadan.
Glucose yana da mahimmanci monosaccharide wanda ke rufe wani ɓangare na kuɗin kuzari. Shine asalin tushen saurin narkewar carbohydrates. Abubuwan da ke cikin caloric na abu shine 4 kcal a gram.
Abun da ke cikin miyagun ƙwayoyi zai iya samun sakamako iri-iri: haɓaka hadawar abu da iskar shaka da rage haɓaka, inganta aikin maganin hanta. Bayan gudanarwar cikin jijiya, abu yana rage rage rashi mai guba da sunadarai, haka kuma yana haɓaka tarin glycogen.
Tsarin isotonic na 5% yana iya cika kasawar ruwa. Yana da ma'anar detoxifying da sakamako na rayuwa, kasancewa mai wadatarwa mai mahimmanci mai mahimmanci kuma cikin sauri yana rage abinci mai gina jiki.
Tare da gabatarwar wani sinadarin glucose na kashi 10%:
- osmotic saukar karfin jini;
- increasedara yawan zubar da ruwa zuwa cikin jini;
- tafiyar matakai na rayuwa;
- inganci ya inganta aikin tsaftacewa;
- diureis yana ƙaruwa.
Wanene aka nuna magungunan?
Maganin 5% wanda aka gudanar cikin gudanarwa yana bayar da gudummawa ga:
- saurin maye gurbin ruwa mai lalacewa (tare da gabaɗaya, bushewar jiki da bushewar salula);
- kawar da yanayi na girgizawa da rushewa (a matsayin ɗaya daga cikin abubuwanda ke haifar da rawar jiki da maye gurbin jini).
10% bayani yana da irin waɗannan alamomi don amfani da gudanarwar cikin jiyya:
- tare da bushewar ciki (amai, tashin zuciya, a cikin bayan aikin);
- tare da guba tare da kowane irin guba ko magunguna (arsenic, kwayoyi, carbon monoxide, phosgene, cyanides, aniline);
- tare da hypoglycemia, hepatitis, dystrophy, atrophy na hanta, kumburi daga kwakwalwa da huhu, basur mai narkewa, matsalolin nakasa da zuciya, cututtukan cututtuka, cututtuka na toxico;
- a lokacin shirye-shiryen mafita na magunguna don gudanarwa na ciki (maida hankali ne akan 5% da 10%).
Ta yaya zan iya amfani da miyagun ƙwayoyi?
Maganin isotonic na 5% ya kamata a nutsar da shi a cikin mafi girman yiwuwar 7 ml a minti daya (saukad da 150 a minti ɗaya ko 400 ml a awa daya).
Ga tsofaffi, za a iya gudanar da maganin a cikin cikin kwayar 2 lita a rana. Zai yiwu a sha ƙananan ƙwayoyi a cikin ciki kuma a cikin enemas.
Maganin hypertonic (10%) an nuna don amfani kawai ta hanyar gudanarwar cikin jiyya a cikin adadin 20/40/50 ml a kowace jiko. Idan akwai hujja, to, tsoma shi da sauri ba 60 saukad da minti daya. Matsakaicin adadin don manya shine 1000 ml.
Daidai gwargwadon magungunan cikin jiki zai dogara ne akan bukatun mutum na kowane gabobin. Tsofaffi ba tare da wuce kima ba a kowace rana na iya ɗaukar kimanin 4-6 g / kg a kowace rana (kimanin 250-450 g kowace rana). A wannan yanayin, adadin ruwan allurar ya zama 30 ml / kg kowace rana.
Tare da rage yawan matakan tafiyar matakai, akwai alamomi don rage kashi yau da kullun zuwa 200-300 g.
Idan ana buƙatar magani na dogon lokaci, to wannan yakamata a yi a karkashin kulawa sosai game da matakan sukari.
Don saurin glucose mai sauri da cikakke, a wasu halaye, ana buƙatar gudanar da insulin lokaci guda.
Yiwuwar halayen masu illa ga abu
Umarni don amfani ya faɗi cewa abun da ke ciki ko babban abu a wasu yanayi na iya haifar da mummunan halayen jiki ga gudanarwar glucose na 10%, misali:
- zazzabi
- hypervolemia;
- hauhawar jini;
- m gazawar a cikin ventricle hagu.
Yin amfani da dogon lokaci (ko daga saurin gudanar da manyan juzu'o) na miyagun ƙwayoyi na iya haifar da kumburi, buguwa da ruwa, gurbataccen aiki na hanta ko ɓarnawar aikin injin.
A waɗancan wuraren da aka haɗa tsarin gudanarwa na jijiyoyin jini, haɓakar cututtuka, thrombophlebitis da necrosis nama yana yiwuwa, wanda ke ɗauke da cutar basur. Irin wannan halayen ga tsarin glucose a cikin ampoules na iya lalacewa ta hanyar samfuran lalata ko tare da dabarun gudanar da mulki ba daidai ba.
Tare da gudanar cikin jijiyoyin jini, ana iya lura da take hakkin metabolism:
- hypokalemia;
- hypophosphatemia;
- hypomagnesemia.
Domin guje wa halayen da ba ku da lahani ga abin da ke cikin miyagun ƙwayoyi a cikin marasa lafiya, ya wajaba a lura da shawarar da aka bayar da shawarar da kuma ingantaccen tsarin kulawa.
Ga wa ke yin glucose?
Umarnin don amfani yana ba da bayani game da manyan abubuwan hana haifuwa:
- ciwon sukari mellitus;
- maƙarƙashiya da huhun ciki;
- hauhawar jini;
- ƙwayar cuta na hyperosmolar;
- hyperlactacidemia;
- kasawa na aiki, yana barazanar ci gaban huhun kwakwalwa da kwakwalwa.
Yin hulɗa tare da wasu kwayoyi
Maganin glucose na 5% da 10% da abubuwan da ke tattare da shi suna ba da gudummawa ga sauƙin sha daga cikin narkewa daga cikin narkewar abinci. Ana iya ba da shawarar miyagun ƙwayoyi a hade tare da ascorbic acid.
Gudanarwa na lokaci daya yakamata ya kasance a cikin adadin 1 a kowace 4-5 g, wanda ke ba da gudummawa ga mafi girman ɗaukar abu mai aiki.
Ganin wannan, glucose 10% shine mai isasshen ƙwayar oxidizing wanda ba za'a iya gudanar dashi a lokaci guda tare da hexamethylenetetramine.
Ana iya magance glucose da:
- alkaloids mafita;
- janar maganin kwantar da hankali;
- kwayoyin hana daukar ciki.
Maganin zai iya raunana tasirin analgesics, magungunan adrenomimetic da rage tasirin nystatin.
Wasu halaccin gabatarwar
Lokacin amfani da maganin a cikin jini, yakamata a kula da matakan sukari na jini koyaushe. Gabatarwar babban glucose na glucose na iya zama ya rage ga masu ciwon sukari waɗanda ke da gagarumar asarar lantarki. Ba za a iya amfani da maganin 10% ba bayan mummunan harin ischemia a cikin mummunan saboda mummunan tasirin cutar hyperglycemia akan tsarin kulawa.
Idan akwai alamun, to za a iya amfani da maganin a cikin ilimin yara, yayin daukar ciki da lokacin lactation.
Bayanin abu ya nuna cewa glucose baya iya shafar ikon sarrafa kayan inji da sufuri.
Adadin kararraki
Idan ya wuce kima da yawa, maganin zai iya bayyanar da alamun alamun illa. Haɓaka haɓakar hyperglycemia da coma na iya yiwuwa.
Magana game da karuwar taro na sukari, girgiza na iya faruwa. A cikin pathogenesis na waɗannan yanayin, motsi na osmotic na ruwa da electrolytes suna taka muhimmiyar rawa.
Ana iya samar da mafita don jiko a cikin 5% ko 10% maida hankali a cikin kwantena na 100, 250, 400 da 500 ml.
