Ọ bụ glucose dị mkpa n’anụ ahụ maka usoro metabolic dị iche iche.

N'ihi mmụba nke anụ ahụ zuru oke na ntụgharị ya na glucose-6-phosphate, ihe glucose na-akwụghachi ụgwọ maka mmiri ahụ. N'okwu a, ngwakọta dextrose 5% bụ isotonic nye plasma ọbara, na 10%, 20% na 40% (hypertonic) na-enye aka na-abawanye nrụgide osmotic ọbara na mmụba na mmepụta mmamịrị.

Analogs glucose

Ihe ana - eme glucose na akụrụngwa nke nọ n'ọrụ bụ ọgwụ Glucosteril na Dextrose n'ụdị usoro nke nza maka infusion.

Dabere na usoro nke ime ihe na isonye na otu ọgwụ ọgwụ, Grik analogues gụnyere Aminokrovin, Aminotrof, Aminoven, Aminodez, Aminosol-Neo, Hydramin, Dipeptiven, Infuzamine, Infuzolipol, Intralipid, Nefrotekt, Nutriflex, Oliklinomel na Haimiks.

Ihe ngosiputa maka iji glucose

Ngwọta glukos, dị ka ntuziaka a si dị, ka enyere n'iwu:

Na-emegide ihe ndabere nke nri carbohydrate ezughi oke,
N ’ndabere nke nnukwu ịxụbiga mmanya ókè,
Na ọgwụgwọ hypoglycemia,
Na-emegide nzụlite mmịnya nke ọrịa imeju - ịba ọcha n'anya, dystrophy na atrophy nke imeju, gụnyere ọdịda nke imeju.
Na toxicoinfection,
Site na akpịrị ịkpọ nkụ nke etiologies dị iche iche - afọ ọsịsa na ọgbụgbọ, yana oge ọrụ,
Ọrịa ịba ọcha n'anya.
Na ida na ujo.

Ihe ngosi ndi a bu kwa ihe ndabere n’eji gululu n’oge omumu.

Na mgbakwunye, a na-eji ngwọta glucose dị ka akụrụngwa maka mgbochi dị iche iche na ọbara dochie anya mmiri, yana maka ịkwadebe usoro ọgwụgwọ maka nchịkwa mgbochi.

Ihe ngbanwe

A na-egbochi glucose n'ụdị usoro onunu ogwu ọ bụla:

Hyperglycemia,
Hyperosmolar coma,
Hypersensitivity
Perba ọcha n'anya,
Hyperlactacidemia,
Ọgba aghara aghara n’agha nke na -ebi edema n’akwara,
Ọrịa mkpofu glucose Postoperative,
Ọkpụkpụ ventricular ọdịda,
Ellingbụrụ ụbụrụ na ngụgụ.

N'ime ụlọ ọgwụ ụmụaka, a naghị eji mmiri ọgwụ glucose karịa 20-25% eme ihe.

N'iji nlezianya, na-achịkwa ọkwa nke glucose, a na-enye ọgwụ ahụ ka ọ ghara ịmalite inwe nkụchi obi na-adịghị ala ala, hyponatremia na ọrịa shuga mellitus.

A na-eji usoro glucose n'oge ime dị n’okpuru nlekọta nke dọkịta n’ụlọ ọgwụ.

Sing na-a Gụ glucose na usoro onunu ogwu

A na-a Gụ glucose maka ndị okenye

Ngwọta glukulu 5% - ihe ruru 2 lita kwa ụbọchị na ọnụọgụ 7 ml kwa nkeji,
10% - ruo 1 liter na ọsọ 3 ml kwa nkeji,
20% - 500 ml na etu 2 ml kwa nkeji,
40% - 250 ml na ọnụego nke 1.5 ml kwa nkeji.

Dabere na ntuziaka ndị ahụ, a ga-enwe ike inye glucose 5% na 10% ọbara ọgbụgba.

Maka nnabata nke nnukwu doses nke ihe mejupụtara (dextrose), a na-atụ aro ka ị were insulin ghaa ya. Na-emegide nzụlite nke ọrịa shuga mellitus, a ga-edozi ihe ngwọta site na ileba ọkwa glucose dị na mmamịrị na ọbara.

Maka nri nri parenteral, a na-enye ụmụaka, yana amino acid na abụba, glucose 5% na 10% na ụbọchị mbụ na ọnụego 6 g nke dextrose kwa 1 n'arọ nke ahụ dị kwa ụbọchị. N'ụdị nke a, ekwesịrị ịdị na-achịkwa oke mmiri kwa ụbọchị nke mmiri ọgwụ agbara.

Maka ụmụaka na-eru kilogram 2-10 - 100-160 ml kwa 1 n'arọ,
Site na ịdị arọ nke 10-40 n'arọ - 50-100 ml kwa 1 n'arọ.

N'oge ọgwụgwọ, ọ dị mkpa ileba ọkwa nke glucose anya.

Mmetụta Ọ na-enwe Ọrịa Gris

Dịka iwu, usoro glucose anaghị ebutekarị nsonaazụ. Agbanyeghị, na-emegide ndabere nke ọrịa ụfọdụ, iji ọgwụ nwere ike ibute nnukwu ventricular ọdịda na hypervolemia.

N'ọnọdụ ụfọdụ, mgbe ị na-etinye ihe ngwọta, mmeghachi omume mpaghara nwere ike ime na saịtị ịgba ahụ n'ụdị thrombophlebitis na mmepe nke ọrịa.

An overụbiga glucose ọnụ, ihe ndị na-esonụ nwere ike ime:

Mmebi nke mmiri-electrolyte itule,
Glucosuria
Hyperglycemia,
Perba ọcha n'anya
Hypeglycemic hyperosmolar coma,
Enwetara liponeogenesis na-abawanye na mmepụta CO2 na-abawanye.

Site na mmepe nke mgbaàmà ndị dị otú a, enwere ike ịbawanye ụba na nkeji iku ume na imeju abụba, nke chọrọ iwepụ ọgwụ na iwebata insulin.

Mpempe usoro onunu ogwu

Injection 40%, 10 ml na 20 ml

1 ml nke ihe ngwọta nwere

bekee arụ ọrụ: glucose monohydrate 0.4 g n'ihe banyere glucose anhydrous

ndị na-ebu ụzọ: 0.1 M hydrochloric acid, sodium chloride, mmiri maka ịgba ntụtụ

Na-apụta, mmiri na-acha odo odo ma ọ bụ nke na-acha odo odo

Ngwongwo ogwu

Mlọ ọgwụ

Mgbe nchịkwa intraven, glucose nwere ọbara na-abanye ahụ na akwara, ebe esonyere ya na usoro metabolic. A na-echekwa glucose na sel nke ọtụtụ anụ ahụ n'ụdị glycogen. Na-abanye na usoro nke glycolysis, a na-eme ka glucose dị ka pyruvate ma ọ bụ lactate, n'okpuru ọnọdụ ikuku, pyruvate na-eme ka carbon dioxide na mmiri nwee ike na usoro nke ATP. Ngwaahịa ikpeazụ nke fatịlaịza zuru oke nke umeji na -akpịrị site na ngụgụ na akụrụ.

Mlọ ọgwụ

Ọgwụ glucose na-enye ọgwụ ike iji dochie ya. Site na ntinye nke usoro ọgwụgwọ hypertonic n'ime akwara, nrụgide osmotic intravascular na-ebili, mmiri mmiri site na anụ ahụ ruo n'ọbara na-abawanye, usoro metabolic na-eme ngwa ngwa, ọrụ imeju na-emeziwanye, akwara obi na-abawanye uru, akwara na-abawanye, diuresis na-abawanye. Site na ntinye nke usoro glucose hypertonic, a na-emegharị usoro redox, a na-emekwa ka itinye glycogen na imeju na-arụ ọrụ.

Mkparịta ụka ọgwụ ọjọọ

Ekwesighi iji usoro glucose 40% edozi otu sirinji ya na hexamethylenetetramine, ebe ọ bụ na glucose bụ ihe na - eme ka ọ dị nro. A naghị atụ aro ka ị gwakọta ngwọta alkaline n'otu sirinji: yana ọgwụ ị generalụ ọgwụ na ọgwụ hypnotics, ka ọrụ ha na-ebelata, ngwọta alkaloids, na-egbochi streptomycin, na-ebelata ịdị irè nke nystatin.

N'okpuru mmetụta nke thiazide diuretics na furosemide, nnabata glucose na-ebelata. Insulin na - akwalite mmeri nke glucose na anụ ahụ na - emegharị ahụ, na - akpali nguzobe nke glycogen, njikọ nke protein na ọdụdụ ọdụdụ. Ngwọta glucose na-ebelata nsonaazụ nsị nke pyrazinamide na imeju. Mmeghe nke nnukwu glucose ngwọta na-enye aka na mmepe nke hypokalemia, nke na-abawanye oke nsi nke nkwadebe digitalis n’otu oge.

Ntụziaka pụrụ iche

Ekwesịrị iji ọgwụ ahụ mee ihe n'okpuru nchịkwa shuga ọbara na ọkwa electrolyte.

Ekwesighi iji ọgwụ a eme ihe n'otu oge.

A naghị atụ aro ya ka ọ guzosie ike glucose na oge nnukwu mmerụ ahụ ụbụrụ, ma ọ bụrụ na ọghọm nke ọrịa ụbụrụ, n'ihi na ọgwụ ahụ nwere ike ịbawanye mmebi nke akụkụ ụbụrụ ma mee ka ọrịa ahụ ka njọ (ma e wezụga n'ọnọdụ mgbazi nke hypoglycemia).

Site na hypokalemia, a ghaghị ijikọ ntinye nke glucose na mgbazi nke ụkọ potassium (n'ihi ihe ize ndụ nke ịba ụba hypokalemia).

Maka iwulite glucose dị mma na ọnọdụ normoglycemic, ọ dị mma ijikọta nchịkwa ọgwụ na nchịkwa nke (subcutaneous) insulin na-adị mkpụmkpụ na ọnụego 1 unit kwa 4-5 g nke glucose (okwu akọrọ).

Ejila ihe ngwọta ahụ subcutaneously na intramuscularly.

Enwere ike iji ọdịnaya nke ampoule ahụ mee ihe naanị maka otu onye ọrịa, mgbe ọ mebiri nkwụsi ike nke ampoule ahụ, a ga-atụfu usoro a na-etinyeghị.

Na ọdịda akụrụ, decompensated obi nkụda mmụọ, hyponatremia achọrọ nlekọta pụrụ iche, nlekota nke Central hemodynamics.

Jiri n’oge ime ma ọ bụ n’ịra

Ọbara nke ụmụ nwanyị dị ime nwere ọrịa Normoglycemia nwere ike ịmịkọrọ mmadụ ọbara nwere ike ibute hyperglycemia nwa ebu n'afọ ma mekwaa acidosis metabolic. Nke ikpeazụ a dị mkpa ịtụle, ọkachasị mgbe nsogbu nwa ebu n'afọ ma ọ bụ hypoxia adịla n'ihi ihe ndị ọzọ na-akpata agụụ.

Iji Ọrịa Pmụaka

A na-eji ọgwụ ahụ eme ihe n’ebe ụmụaka nọ naanị ka edepụtara ya ma ọ bụ n’okpuru nlekọta nke dọkịta.

Akụkụ nke nsonaazụ nke ọgwụ nwere ike ịkwọ ụgbọala ma ọ bụ usoro ndị nwere ike ịdị ize ndụ

Dodoụbiga ya ókè

Ọrịa: hyperglycemia, glucosuria, mụbara osmotic ọbara mgbali (ruo mmepe nke hyperglycemic coma), hyperhydration na elektrolyte.

Ọgwụgwọ: a na-akagbu ọgwụ wee kọọ insulin na ọnụego 1 otu maka glucose ọbara dị 0.45-0.9 ọ bụla ruo mgbe a ruru ogo glucose ọbara nke 9 mmol / l. Ekwesịrị iji nwayọọ nwayọọ belata glucose ọbara. N'otu oge, nhọpụta insulin, infusion nke edozi saline agbanwe.

Ọ bụrụ na ọ dị mkpa, a na-enye usoro ọgwụgwọ Symptomatic.

Mwepụta wepụtara na nkwakọ

10 ml ma ọ bụ 20 ml na ampoules iko nwere mgbanaka ezumike ma ọ bụ nkwụsịtụ. Ampoules 5 ma ọ bụ 10 tinyere ntuziaka maka ojiji ahụike na steeti na asụsụ Russian ka etinye ya na mkpọchi kaadiboodu.

Ma ọ bụ ise ampoules na-etinye n'ime akpa draịva na-acha agba agba na fim polymer. Maka ngwugwu 1 ma ọ bụ 2 ọnya na ampoules, ya na ntuziaka maka ojiji ahụike na steeti na asụsụ Russian, tinye ya na kaadiboodu.

Mpempe akwụkwọ Mpempe akwụkwọ

Jolọ ọrụ na-ahụ maka ọha na eze Farmak, Ukraine

Adreesị nzukọnọrọ n'ụlọRepublic nke Kazakhstannkwupụta sitere n'aka ndị na - azụ ahịa maka ogo ngwaahịa (ngwongwo)

Republic nke Kazakhstan, 050009 Almaty, ul. Abay 157, office 5

Ngwakọta na ụdị ntọhapụ

Otu narị mililite nke pesenti 40% maka ntụtụ nwere gram iri anọ na glucose. Otu narị mililite nke 5% ngwọta nwere milligrams ise nke ihe na-arụ ọrụ. A na-emepụta ọgwụ ahụ n'ụdị usoro 40% maka infusion na karama iko nwere ikike nke 100, 200, 250, 400 na 500 ml. A kwakọbara ha na igbe kaadiboodu, ebe enwere ntuziaka maka ojiji nke ọgwụ. Ọzọkwa, ngwaahịa dị na akpa rọba.

40% nke ọgwụ dị na ampoules nke iri na iri abụọ mililiters, nke a na-akwakọba na igbe kaadi. Igbe nke ọ bụla nwere ampoules iri maka nchịkwa n'ime akwara. Enwekwara nkuzi maka iji ogwu.

Ntụziaka maka ojiji nke gluuze ampoules

Ihe na - eme ka mmiri gluu bụ mmiri na - eme ka ọ dị ike na - eme ka carbohydrates dị ngwa ngwa. Ọgwụ nwere ike ikpuchi akụkụ nke ụgwọ ọrụ ume ma melite usoro redox na ahụ. Ihe dị n ’ọgwụ ọgwụ ahụ apụbeghị n’akụkụ akụrụ ma ahụ ya niile. Tupu ị theụ ọgwụ, a na-atụ aro ka ị gụọ nkọwapụta ahụ wee gaa kpọtụrụ ọkachamara.

Ihe ngosi na contraindications

Nkọwa ahụ na-egosi ebumnuche na mmachi maka ị theụ ọgwụ. Isi ihe na-egosi maka iji ihe ngwọta bụ hypoglycemia. Ihe ndị a na-egbochi mgbochi: Ọnọdụ ndị a:

hypersensitivity na ike ọrụ,
mmanya na-egbu egbu na akpịrị ịkpọ nkụ,
Anuria
ụkwara ume ọkụ na ụbụrụ ede,
nnukwu ọdịda ventricular ọdịda,
subarachnoid na ọbara intracranial n'ime eriri afọ,
ọrịa shuga mellitus
hyperosmolar coma,
hyperlactacidemia,
glucose-galactose malabsorption.

Site na hyponatremia, ọgbụgba obi na -akasị obi, yana ọdịda akụrụ, a ga-eji ị .ụ ọgwụ ahụ.

Analogs nke pụtara

Ọgwụ nwere ndị dochie anya ya. Onye ọ kacha mara amara bụ Glucosteril. Edere ọgwụ a maka nri obere akụkụ nri ya na ime mmiri mmiri.

Ihe na-arụ ọrụ nke Glucosteril na-akwalite ọrụ antitoxic nke imeju ma na-eme ka mgbake na oxidation dịkwuo mma. Ọgwụ na - eso eme ụkọ mmiri. N’ịkpụgharị n’ime anụ ahụ, a na-agbanye ihe mejupụtara n’ime ya ma gbanwee ya ka ọ bụrụ glucose-6-phosphate. N'ime usoro nke metabolism, a na-emepụta ike zuru ezu, nke achọrọ iji hụ na arụ ọrụ nke ahụ. Ngwọta nke Hypertonic na-eme ka akwara ọbara dịkwuo elu, na-eme ka diuresis na klọkị mịkialial adị, na-abawanye ọbara osmotic.

Maka nnabata ngwa ngwa zuru ezu, ọgwụ ọgwụ 1 UNIT nke insulin kwa 4 ml nke ọgwụ ahụ. Mgbe ejikọtara ya na ọgwụ ndị ọzọ, a na-atụ aro ka ọ nyochaa anya ndakọrịta. Maka parenteral oriri na-edozi ahụ na nwata, na ụbọchị mbụ nke ọgwụgwọ, 6 ml nke ọgwụ kwa 1 n'arọ nke oke ahụ kwesịrị ka a nye ya. N'okpuru nlekọta nke ọkachamara, a na-eji ọgwụ ahụ maka anuria na oliguria.

Amachibidoro iji onwe gị dozie nsogbu glucose na ọgwụ ndị ọzọ. Achọrọ nyocha nke dibia bekee chọrọ.

Nyocha nyocha Ndidi

Ngwá ọrụ dị mkpa maka m bụ glucose na ampoules. Ntụziaka maka ojiji ejiri ozi niile dị mkpa gbasara mmetụta ọgwụ a .ụrụ. Nwere ike ịzụta ya na ampoules na karama iko maka ndị na-eji mmiri. Ọ kacha enyere aka idozi onodu ahu na oge nnabata. Ọgwụ dị oke mkpa, a na-enye ya ọgwụ maka ọnọdụ ujo, mbelata ọbara mgbali elu na ọrịa na-efe efe.

Na acetone syndrome, enyere nwa nwoke nwoke ọgwụgwọ ntụ ntụ isotonic nke 5%. Ntụziaka ahụ na-egosi isi contraindications na ihe ngosi maka iji ọgwụ ahụ, yana nsonaazụ ndị a na-ahụ anya. N'ụzọ nkịtị, ụbọchị ọgwụgwọ nke abụọ, enwere mmetụta dị mma ama ama. Iji zere mmepe nke mmeghachi omume nfụkasị, ana m adụ gị ọdụ ka ị na-enye ọgwụ ahụ naanị n'okpuru nlekọta nke ọkachamara. A zụtara ihe ngwọta na ụlọ ahịa ọgwụ na-enweghị ọgwụ.

Mpempe 5 glucose dị mma bụ ihe dị ọnụ ala ma bụrụ ihe akwadoro. Ayere ya ogwu ogbugba. Enwere ike ịzụta ọgwụ ahụ na ọnụ ahịa mara mma na ahịa ọgwụ ọ bụla. Ugbo ala a nwere nchịkọta zuru oke. O nwere nkọwa nke ihe arụ ọrụ na otu esi eji ya n'ụzọ ziri ezi. Ana m akwado ka ị jiri nlezianya mụọ ntuziaka maka glucose. Enwere ọtụtụ uru site na inje, mana ihe fọrọ nke nta ka ọ bụrụ na ọ nweghị mmeghachi ike ọ bụla.

Mmetụta akụkụ

Ngwọta glucose ọgwụ a gbanyere mkpọrọgwụ n’esepụghị aka nwere ike ime ka enwee echiche nwute ma ọ bụ hyperglycemia. Enwerekwa nsogbu ndị nwere ike ibute ọrịa obi, nke hypervolemia gosipụtara, nnukwu ọdịda ventricular. N'ọnọdụ ndị a na-adịghị ahụkebe, ahụ ọkụ nwere ike ịmalite. N'ebe a na-agbanye ọgwụ, mgbakasị ahụ, mmepe nke ọrịa na-efe efe na thrombophlebitis ga-ekwe omume.

Mmekọrịta na ọgwụ ndị ọzọ

N'iji oge nke gluuze mmiri na furasemide na thiazide diuretics, ekwesiri iburu n’uche na ha nwere ike imetụta ọkwa nke carbohydrate a n’ọbara.

Insulin na - enyere glucose aka ibute akwara akụkụ. Ọ na - akpali mmepụta nke glycogen, njikọ nke abụba abụba na protein. Ngwọta glucose na-ebelata oke nsị nke pyrazinamide na imeju. Site na ntinye nke oke ọgwụ a, hypokalemia nwere ike ịmalite (mbelata ogo nke potassium n’ime ọbara ọbara), nke a na - ebulitekwa nsị nke nhazi digitalis ma ọ bụrụ na ejiri glucose n’otu oge.

Enwere ihe akaebe nke enweghị ike ọgwụ a na ọgwụ dịka aminophylline, soluble barbiturates, erythromycin, hydrocortisone, kanamycin, ọgwụ soluble sulfanilamide na cyanocobalamin.

N'ihe banyere ịdoụbiga mmanya ókè, ekwesịrị ịgwọ onye ọrịa Symptomatic, a ga-ekpebi ọkwa glucose dị n'ọbara na ịkwesịrị inye insulin n'ọtụtụ kwesịrị ekwesị.

Gịnị bụ glucose maka?

Ọ bụ glucose n’arụ bụ ume. Ọtụtụ mgbe, ndị dọkịta na-eji glucose n’ịgwọ ụfọdụ ọrịa ọrịa imeju. Ọzọkwa, ndị dọkịta na-etinye glucose n'ime ahụ mmadụ mgbe nsị. Tinye ya site na jet ma ọ bụ jiri mpekere.

A na-ejikwa glucose na-enye ụmụ ọhụrụ nri, ma ọ bụrụ na n'ihi ihe ụfọdụ ha anaghị eri nri. Glucose nwere ike sachapụ imeju nke nsí na nsí. Ọ na-eweghachi umeji ahụ na-efu ma mekwaa metabolism n'ime ahụ.

Site n'enyemaka nke glucose, ndị ọrụ ahụ ike na-ewepụ ụdị mmịnye ọ bụla. Mgbe ike ọzọ batara n’arụ ahụ, akwara na akwara ndị ọzọ na-amalite ịrụsi ọrụ ike. Ọ bụ glucose na-enye abụba ahụ kpamkpam.

Ọ dị ezigbo mkpa ịchịkwa ọnụego glucose n’ahụ mmadụ. Enweghi oke ma obu oke ihe a n’egosiputa odiri oria obula na mmadu. Usoro endocrine na-achịkwa ọkwa glucose, insulin homonụ na-achịkwa.

Ebee ka glucose dị?

Nwere ike izute ọdịnaya glucose dị elu na mkpụrụ vaịn na ụdị tomato na mkpụrụ osisi ndị ọzọ. Glucose bụ ụdị shuga. Na 1802, W. Praut chọpụtara glucose. Thelọ ọrụ ahụ na - arụ ọrụ na ịmịpụta glucose. Ha na-enweta ya site n'enyemaka nke nhazi stachi.

N'ime usoro ebumpụta ụwa, glucose na-apụta n'oge photosynthesis. Ọ bụghị otu mmeghachi ahụ na ahụ na-eme na-enweghị òkè nke glucose. Maka mkpụrụ ndụ ụbụrụ, glucose bụ otu n’ime ihe ndị na-edozi ahụ.

Ndị dọkịta nwere ike ịkọpụta glucose maka ebumnuche dịgasị iche. Ọtụtụ mgbe, glucose na-amalite ịhapụ hypoglycemia - enweghị glucose na ahụ. Nri na-ezighi ezi nwere ike ịmetụta ọkwa glucose oge ụfọdụ. Iji maa atụ, mgbe mmadụ họọrọ nri protin - ahụ ya enweghịkwa carbohydrates (mkpụrụ osisi, ọka).

N'oge nsi, ọ dị mkpa iji weghachi ọrụ nhicha nke imeju. Ojiji glucose na-enyekwa aka ebe a. Site na ọrịa imeju, glucose na-enwe ike iweghachi usoro ọrụ nke sel ya.

Site na ọgbụgbọ, ọgbụgbọ, ma ọ bụ ọbara ọgbụgba, mmadụ nwere ike ịnwe nnukwu mmiri. N'iji glucose, a na-eweghachi ọkwa ya.

Na nkụja ma ọ bụ daa - mgbada dị ukwuu nke ọbara mgbali - dọkịta nwekwara ike ịkọ ọzọ oriri glucose.

A na-ejikwa glucose maka nri nri parenteral, ma ọ bụrụ na n'ihi ihe ụfọdụ, mmadụ enweghị ike iri nri nkịtị. Mgbe ụfọdụ, a na-etinye ọgwụ glucose na ọgwụ.

Site na nchịkwa subcutaneous, mmetụta ndị ọzọ nwere ike ịda n'ụdị necrosis anụ ahụ. N'ihi nsonaazụ nke glucose ngwa ngwa na akwara, phlebitis nwere ike ịmalite. Ya mere, emela ọgwụ nke onwe, ọkachasị ma ọ bụrụ na ịnaghị nghọta ihe ọ bụla gbasara nke a. Nyefee ndị dọkịta ahụ ike gị.

A na-enye afọ ojuju n'ọrịa shuga, ma n'ọnọdụ ụfọdụ, a na-enye ya ọgwụ insulin naanị na ụlọ ọgwụ.

Usoro usoro onunu ogwu

A na-ahụta azịza glucose 40% na ntanetị (nwayọ nwayọ), maka ndị okenye - 20-40-50 ml kwa nchịkwa. Ọ bụrụ na ọ dị mkpa, a na-enye ntapu mmiri na ọnụego ruru 30 tụlee / min (1.5 ml / n'arọ / h). Ọgwụ maka ndị okenye nwere mmịpụta n’akwara afọ dị 300 ml kwa ụbọchị. Oke kachasị maka ndị okenye kwa ụbọchị bụ 15 ml / n'arọ, mana ọ bụghị ihe karịrị 1000 ml kwa ụbọchị.

Njirimara Ngwa:

Jiri n’oge ime ma ọ bụ n’ịra

Ọrịa glucose na ụmụ nwanyị dị ime nke nwere ọrịa Normoglycemia nwere ike ibute nwa ebu n’afọ na-akpata ya. Nke ikpeazụ a dị mkpa ịtụle, ọkachasị mgbe nsogbu nwa ebu n'afọ ma ọ bụ buru ihe ndị ebilite.

A na-eji ọgwụ ahụ eme ihe n’ebe ụmụaka nọ naanị ka edepụtara ya ma ọ bụ n’okpuru nlekọta nke dọkịta.

Ekwesịrị iji ọgwụ ahụ mee ihe n'okpuru nchịkwa shuga ọbara na ọkwa electrolyte.

A naghị atụ aro ịkọ ọgwụ glucose na oge oke, yana nnukwu nsogbu nke mgbasa ụbụrụ, ebe ọgwụ nwere ike ịbawanye mmebi nke akụkụ ụbụrụ ma mee ka ọrịa ahụ ka njọ (ma e wezụga n'ọnọdụ mgbazi).

Maka iwulite glucose ka mma na ọnọdụ normoglycemic, ọ bụ ihe amamihe dị na ikpokọta ntinye ọgwụ na nchịkwa nke (subcutaneous) insulin na-adị mkpụmkpụ ọnụego nke 1 unit kwa 4-5 g nke glucose (okwu akọrọ). Polyuria, glucosuria,

nsogbu ngha nke nri:,,.

mmeghachi omume anụ ahụ n'ozuzu: hypervolemia, mmeghachi ahụ nfụkasị (ahụ ọkụ, ọnya anụ ahụ, angioedema, ujo).

N'ọnọdụ mmeghachi omume na-adịghị mma, a ga-akwụsị nchịkwa nke ihe ngwọta, ọnọdụ onye ọrịa ahụ, yana enyemaka.

Mmekọrịta na ọgwụ ndị ọzọ:

Ekwesighi iji usoro glucose 40% mee otu mkpụrụ ọgwụ na hexamethylenetetramine, ebe ọ bụ na glucose bụ ihe na - eme ka ọ dị nro. A naghị atụ aro ka ị gwakọta ngwọta alkaline n'otu sirinji: yana ọgwụ ị generalụ ọgwụ na ọgwụ hypnotics, ka ọrụ ha na-ebelata, ngwọta alkaloids, na-egbochi streptomycin, na-ebelata ịdị irè nke nystatin.

Contraindications:

A na - enye ọgwụ mgbochi glucose 40% maka ndị ọrịa nwere: ọbara ọgbụgba na intraspinal, ma e wezụga ọnọdụ ndị metụtara hypoglycemia, akpịrị ịkpọ nkụ, gụnyere mmanya, hypersensitivity na akụkụ nke ọgwụ, anuria, ọrịa shuga mellitus na ọnọdụ ndị ọzọ na - esochi hyperglycemia, glucose galacto malabsorption syndrome. Ekwesighi iji ọgwụ a eme ihe n'otu oge.

Ọnọdụ ezumike:

10 ml ma ọ bụ 20 ml kwa ampoule. 5 ma ọ bụ 10 ampoules na mkpọ. 5 ampoules na chara acha, 1 ma ọ bụ abụọ na blisters na mkpọ.

Anyị na-aza ajụjụ a: mana ọzọ, gịnị kpatara anyị ji nwee glucose? Kedu usoro ọ na-ekere na ịkwado? Kedu uru ya, mmerụ ahụ, oleekwa ọnọdụ ndị ha na-egosi? Kedụ mgbe m ga-a pụ ọgwụ, ihe eji egbu mmiri, mmiri mmiri nwere glucose?

Ihe njirimara nke ogige ahụ, bara uru ma na-emerụ ahụ

Ọgwụ glucose abụghị ihe kemịkal dị na sistemụ kemịkalụ (tebụl Mendeleev), agbanyeghị, nwa akwụkwọ ọ bụla ga - enwerịrị echiche zuru oke gbasara kọmpụta a, n'ihi na ahụ mmadụ chọrọ ya n'ezie. Site na usoro nke kemịkalụ nke ahịhịa ndu mara na ihe nwere ihe mejupụtara atọm carbon, jikọtara ya na njikọ nke njikọ covalent. Na mgbakwunye na carbon, o nwere hydrogen na oxygen oxygen. Usoro nke onyinye ahụ bụ C 6 H 12 O 6.

Ọrịa glucose dị n’ahụ dị na anụ ahụ niile, akụkụ ahụ ndị na - enweghị ụdị. Kedu ihe kpatara glucose dị ma ọ bụrụ na ọ dị na mgbasa ozi ndu? Nke mbu, mmanya a n’ime ato bu ihe kacha ike n’aru ndi mmadu. Mgbe agbari, glucose na ntinye nke usoro enzymatic na-ewepụta oke ume - ụmụ irighiri 10 nke adenosine triphosphate (isi ihe na-echekwa ike) site na molikal 1 nke carbohydrate. Nke a bụ ogige a bụ ihe dị mkpa dị n'ahụ anyị. Mana nke ahụ abụghị naanị glucose dị mma maka.

Site na 6 H 12 Ihe dị ka 6 na-aga na-ewu ọtụtụ cellular owuwu. Yabụ, glucose dị n’ahụ na-etolite ngwa a na-anabata ya (glycoproteins). Na mgbakwunye, glucose na oke ya na-agbakọta n'ụdị glycogen n'ime imeju ma na-erepịa ya dịka ọ dị mkpa. A na-eji ogige a eme ihe nke ọma. Ọ na - ejikọ ọgwụ na - egbu egbu, na - agbaze itinye uche ha na ọbara na mmiri ndị ọzọ, na - enye aka na mkpochapụ (mkpochapu) ahụ ahụ ozugbo enwere ike, na - abụkarị onye na - ewepụ ngwa ngwa.

Ma carbohydrate a abụghị naanị uru, kamakwa ọ na - emerụ mmadụ ahụ, nke na - enye ihe kpatara ị ga - eji kpachara anya maka ọdịnaya ya na mgbasa ozi ndu - n'ọbara, mmamịrị E kwuwerị, glucose dị n’ahụ, ọ bụrụ na mgbanye ya karịrị akarị, na-eduga n’arụ glucose. Nzọụkwụ ọzọ bụ ọrịa shuga. A na-egosipụta nsi nke glucose n’eziokwu na protein n’arụ mmadụ anyị na-abanye na mmeghachi nke kemịkal na ogige ahụ. Ma, ọrụ ha efuola. Ihe atụ pụtara ìhè banyere nke a bụ haemoglobin. Na ọrịa shuga mellitus, ụfọdụ n'ime ya na-agbari, n'otu n'otu, ọ̀tụ̀tụ̀ hemoglobin a adịghị arụ ọrụ ya dị mkpa nke ọma. Otu maka anya - glycosylation nke protein protein nke anya na - eduga na cataracts na retinal dystrophy. Na ngwụcha, usoro ndị a nwere ike ibute ìsì.

Nri n’inwe buru ibu n’inwe ike ha

Nri nwere ọtụtụ ihe. Ọ bụghị ihe nzuzo na-atọ ụtọ ihe na-edozi ahụ, karịa glucose dị. Yabụ, ụtọ (ihe ọ bụla), shuga (ọkachasị ọcha), mmanụ a honeyụ nke ụdị ọ bụla, pasta mere nke ụdị ọka dị nro, ọtụtụ ngwaahịa nri na-egbu egbu nwere ọtụtụ ude na shuga bụ nri nwere glucose ebe enwere glucose n'ụba dị ukwuu.

Banyere mkpụrụ osisi, mkpụrụ osisi berry, enwere nghọtahie na ngwaahịa ndị a bara ụba na kọlụm anyị kọwara. O kwere nghọta, ihe fọrọ nke nta ka ọ bụrụ mkpụrụ osisi niile na-atọ ụtọ nke ukwuu. Ya mere, ọ dị ka ọdịnaya glucose dị ebe ahụ dịkwa elu. Mana uto nke mkpụrụ osisi ndị a na - akpata carbohydrate ọzọ - fructose, nke na --ebelata pasent nke glucose. Ya mere, iji mkpụrụ osisi buru ibu adịghị ize ndụ nye ndị ọrịa shuga.

Ngwaahịa nwere glucose maka ndị ọrịa mamịrị kwesịrị ịkpachapụ anya. Ikwesighi itu egwu ma zere iji ha. E kwuwerị, ọbụlagodi onye ọrịa mamịrị kwesịrị ị consumeụ obere nri a (ọnụego glucose kwa ụbọchị bụ onye maka mmadụ niile ma dabere na oke ahụ, na nkezi - 182 g kwa ụbọchị). O zuru ezu ị attentiona ntị na nchịkọta glycemic index na ibu glycemic.

Achịcha osikapa (karịsịa osikapa ọka na-acha ọcha), ọka, ọka bịrịbịrị, ngwaahịa ndị dabere na ntụ ọka wit (site na ụdị ọka wit dị nro) bụ ngwaahịa nwere glucose dị ala. Ha nwere ntụ ntụ glycemic n'etiti ọkara na elu (site na 55 ruo 100). Ojiji ha n’erị maka ọrịa ọnya na-arịa ọrịa mamịrị kwesiri ịnwe mmachi.

Illsnweta ọgwụ maka ọria mamiri: ọ ga - ekwe omume ma ọ bụ na ọ gaghị?

Ọrịa shuga mellitus bụ ọrịa na-adịghị ala ala nke na-ebute nsogbu nke ụdị metabolism niile, mana maka akụkụ ka ukwuu na-emetụta metabolism nke carbohydrates, nke na-esonye na ịba ụba nke glucose n'ọbara, mmamịrị (hyperglycemia, glucosuria). Yabụ, na ọrịa shuga, enwere ọtụtụ nke ogige a, yana oke ya na - akpata akpịrị glucose, dị ka anyị kwurula. Na ọrịa shuga, oke glucose na-agbanwe lipids, cholesterol, na-abawanye uru nke "ọjọọ" (enwere cholesterol ndị ọzọ "ọjọọ", nke a dị ize ndụ maka mmepe nke atherosclerosis). Ọ dị ize ndụ na nro maka anya.

Mpempe akwụkwọ ala! Ọ dị mkpa ịmara na a na-eji glucose na mbadamba, ntụ ntụ ma ọ bụ n'ụdị dropper maka ọrịa shuga naanị n'ọnọdụ pụrụ iche (enwere ụfọdụ ihe egosi). Ọ na-ike contraindicated were ha onwe gị!

Ojiji glucose na-arịa ọrịa shuga bụ ihe ziri ezi naanị na mmepe nke hypoglycemia - ọnọdụ mgbe ọkwa ya dara n'ọbara dị ala karịa 2.0 mmol / L. Ọnọdụ a dị ize ndụ maka mmepe nke coma. Onwere ihe omuma ya na ogwu:

Ọsụsọ oyi
Ahụ́ na-ama m jijiji n’ahụ́ niile
Ọnụ kpọrọ nkụ
Ọchịchọ iri nri,
Obi palpita, opi dika otutu,
Ọbara mgbali elu

Ojiji glucose n’okpuru ọnọdụ a nwere ike iji ngwaahịa ebe enwere ọtụtụ (swiiti ụtọ, achịcha, mmanụ a honeyụ). Ọ bụrụ na ọnọdụ ahụ gafere oke ma nwee hypoglycemic precoma, ma bụrụkwa coma, mgbe ahụ, ekwesịrị ịnye ọgwụ ahụ intravenously (na ampoules nwere ogo ọgwụ 40%). N’iburu n'uche, ị nwere ike iji glucose na mbadamba (n'okpuru ire ka ọ ka mma).

Ojiji nke glucose na mbadamba na paịlị

A na-ahụkarị glucose na mbadamba ihe n'ụlọ ọgwụ ọ bụla nke ọrịa mamịrị, ọkachasị ma ọ bụrụ na ọ nọla na ọgwụgwọ ọgwụ isulin ogologo oge ma na-enwe nchegbu oge ụfọdụ gbasara hypoglycemia. A kọwara ihe dị ka mbadamba glucose na mmepe nke ọnọdụ a kọwara na mbụ.

Ọgwụ "glucose" ọgwụ nwere ike inyere aka ịgwọ ọrịa ndị a:

A na-enwe nri na-edozi ahụ (cachexia), ọkachasị na ịnapụ nri nke carbohydrate na nri.
Ntinye toxicoinfection na ọnọdụ ndị ọzọ na-apụta na ọgbụgbọ na-asọ oyi, mmiri na-egbu, na -arụ ụmụaka.
Withụ ọgwụ ọjọọ ma ọ bụ ihe ndị ọzọ nwere ike imebi imeju.

A na-eji glucose maka ọgwụgwọ nke nsị na ọnọdụ ndị ọzọ na ọnwụ nke nnukwu mmiri mmiri na-adabere na ịdị arọ nke mmadụ (nke a dị mkpa karịsịa maka ụmụaka). Na mgbakwunye, na ndụ kwa ụbọchị ị na-enwekarị nsogbu banyere nsị. A na-eji glucose na ihe ndị na-eme ka ihe dị ọcha na-aga nke ọma n'ọnọdụ ndị a.

Mbadamba glucose nwere 0,5 g nke ihe na-arụ ọrụ, ebe 1 otu ntụ ntụ nwere 1 g. Nkwadebe ntụ ntụ dị mma iji na nwata, ebe ọ bụ na glucose na mbadamba siri ike ilo.

Usoro glycose nke ọgwụ bụ 0,5 g maka hypoglycemia (oke kachasị - ruo 2.0 g), maka nsị - mbadamba 2 kwa 1 liter nke ihe ngwọta. N'ihe banyere nsị na mkpokọ ịba ọcha n'anya, a ga-ewere mbadamba 2 kwa awa atọ ọ bụla.

A na-eji mmiri eji ebu nri?

Kedu ihe ọzọ m nwere ike iji ọgwụ a. Ọ bụrụ na enweghị contraindications, mgbe ahụ, iji n'ime dropper bụ ihe ziri ezi. Nkọwapụta nke ọgwụ ahụ nyere gị ohere ịghọta nke ọnọdụ ọnọdụ dropper nwere glucose nwere ike ịdị.

Isotonic akpukpo aru nke aru (akpukpo ahihia),
Ume ka hemorrhages na nwata (hemorrhagic diathesis),
Mmezi nke mmiri-electrolyte ọgba aghara na coma (hypoglycemic) dị ka akụkụ nke ọgwụgwọ mgbagwoju anya ma ọ bụ dịka usoro ọgwụgwọ bụ isi na prehospital ogbo nke nlekọta,
Na-egbu nsị nke mkpụrụ ndụ ọ bụla.

Iji ghọta etu esi ewere glucose na otu okwu, ị kwesịrị ịmara onwe gị na ihe mejupụtara ya, ihe ngosi ya na contraindications. Ntụziaka maka ojiji ga-aza azịza ajụjụ ndị a. A na-ejikarị onye na-egbu glucose na ndị nwere mmanya ma ọ bụ ihe ndị ọzọ na-emebi mmebi imeju. Kedu ihe kpatara glucose na nke a? Azịza ya dị mfe. Ọ na-agbagharị ebe nchekwa ume, ebe ọ bụ na imeju na ọrịa ndị a anaghị anagide ọrụ a.

Ampoules glucose nwere 5 ma ọ bụ 10 ml nke mmiri etisasịworo. Sistem na-achọ ihe n’ime ya chọrọ iji ihe vials tinyere ihe a.

Mpempe akwụkwọ ala! Ọ dị mkpa icheta na nchekwa nke ampoules na vials nke glucose kwesịrị rụrụ n'ọdịdị dị mma, ọkacha mma na-enweghị ụmụaka.

Kedu mgbe ọgwụ mgbochi?

Iji ọgwụ ahụ eme ihe na-enweghị ịgakwuru dọkịta nwere ike ibute nsonaazụ dị egwu, n'ihi na nke glucose abụghị ọgwụ na-adịghị emerụ ahụ. Kedu ihe bụ contraindications?