Ọrịa glucose na mbadamba - ntuziaka maka ojiji na egosi, analogues na ọnụ ahịa
Otu mbadamba ihe nwere gram glucose monohydrate yana ọtụtụ ihe ndị ọzọ:
- Iri ite.
- Talc.
- Stearic acid.
- Calcium stearate.
Mbadamba ụrọ ahụ nwere akụkụ dị larịị na nke dị gburugburu. Enwere ike igosi ha iche site na nkerisi nke na-ekewa na mpekere niile. N'ịmepụta ọgwụ ahụ yana ascorbic acid, a na-eji ntụpọ na bevel (nkụda mmụọ dị n'etiti ọdụ ụgbọ elu na elu akụkụ).
A na-etinye mbadamba iri na paịlị. Ngwa ahụ gụnyere nkwakọ ngwaahịa kaadiboodu nwere otu blisters abụọ ma ọ bụ ntuziaka maka ojiji. Ngwa ahụ nwere ike ịdị iche dabere na onye nrụpụta.
- ihe ngwọta maka infusion 5%: mmiri mmiri na-enweghị ntụpọ nke 100, 250, 500 ma ọ bụ 1000 ml na plastik, 50 ma ọ bụ 60 PC. (100 ml), 30 ma ọ bụ 36 PC. (250 ml), 20 ma ọ bụ 24 PC. (500 ml), 10 ma ọ bụ 12 PC. (1000 ml) na akpa nchedo dị iche iche, nke a na-akwakọba na igbe kaadiboodu nke ọnụ ọgụgụ ntuziaka dakọtara maka iji,
- infusion solution 10%: mmiri onyunyo na-enweghị oyuyo (500 ml nke ọ bụla na akpa plastik, 20 ma ọ bụ 24 PC. na akpa nchekwa iche, nke a na-akwakọba na igbe kaadiboodu nke nwere ndụmọdụ kwesịrị ekwesị maka ojiji).
Ihe na - arụ ọrụ: dextrose monohydrate - 5.5 g (nke kwekọrọ na 5 g nke anhydrous dextrose) ma ọ bụ 11 g (nke kwekọrọ na 10 g nke anhydrous dextrose).
Pụrụ iche: mmiri maka ịgba ntụtụ - ruo 100 ml.
A na-emepụta glucose n'ụdị ntụ ntụ, n'ụdị mbadamba nkume na mbadamba 20, yana n'ụdị edozi 5% maka ntụtụ n'ime karama 400 ml, ihe 40% na ampoules nke 10 ma ọ bụ 20 ml.
Akụkụ ike nke ọgwụ ahụ bụ dextrose monohydrate.
Dextrose abụghị naanị n'ụdị mbadamba. Enwere glucose n'ụdị ntụ ntụ na usoro ntụtụ. Mbadamba nkume ndị ahụ na-acha ọcha na agba ma nwee ụtọ dị ụtọ. Ihe mejupụtara ya gụnyere dextrose monohydrate, glucose aka.
Ọgwụ maka iji ihe ọnụ dị na blisters nke 10 PC. A na-ahụ ụzọ ntụtụ isi na ampoules iko ma ọ bụ arịa plastic.
Ọrịa glucose na-ezo aka na otu ọgwụ na-emetụta usoro metabolic (metabolism) n’ozuzu ya.
Otu mbadamba nwere otu gram nke glucose monohydrate, yana ihe inyeaka: talc, sitarasị nduku, steeti calcium na stearic acid. Mbadamba ụrọ ahụ nwere akụkụ dị larịị, nwere oghere dị larịị, na-ete akpọchi agba na warara.
Mbadamba glucose nwere ascorbic acid dịkwa ọcha, nwere bevel na dash. A na-etinye ha na mbadamba iri na blisters. N’ime kaadiboodu enwere ike inwe blisters abuo ma obu abuo, a na-etinye ntuziaka maka iji ogwu ahu n’ebe ahu.
Ọgwụ dị n'ụdị mbadamba nkume na azịza maka nchịkwa intravenous. Isi ihe dị n’ime glucose dị bụ dextrose monohydrate, ihe dị n’ime ya bụ:
- 500 mg kwa mbadamba
- 100 ml nke ihe ngwọta - 40, 20, 10 na 5 g.
Ngwakọta nke inyeaka nke ihe ngwọta ahụ gụnyere mmiri maka ntụtụ na hydrochloric acid.
Ọgwụ na-abanye na netwọ ọgwụ ahịa:
- Mbadamba ụrọ - na paịpụ ngwugwu 10,
- Ngwọta maka infusion - na plastic plastic nke 50, 100, 150, 250, 500, 1000 ml ma ọ bụ karama iko nke 100, 200, 400, 500 ml,
- Ngwọta maka nchịkwa intraven dị na ampoules 5 ml na 10 ml.
Mbadamba acha ọcha, cylindrical larịị, ya na ihe eji mara, ya na bevel.
Mbadamba iri na ise n'otu mpempe akwụkwọ polymer.
N'agbanyeghị ụdị ọgwụ a na-a doụ ya, isi ihe na-arụ ọrụ bụ dextrose monohydrate. N’aka ozo, ala glucose bu ihe akuko nyere aka.
Usoro onunu ogwu na otu esi etinye ya
Ọrịa shuga bụ ọgwụ a na-adịghị mkpa iji mebie ọtụtụ usoro nri metabolic na ahụ mmadụ. Ọ bụ ntụ ntụ ọcha, nke nwere obere kristal na enweghị isi ọ bụla, ebe ngwaọrụ a nwere uto dị ụtọ.
A na-eji ihe a eme ihe na ọgwụgwọ nke ọrịa ụfọdụ, yana mebiri ọrụ nke ọtụtụ akụkụ na sistem. Na metabolism nke glucose, a na-emepụta adenosine triphosphoric acid, nke bụ ihe dị mkpa na-eweta ume.
Ndị ọrịa nwere ọrịa shuga 1 enweghị glucose, mgbe ahụ, a na-enye insulin ahụ na mbadamba ma ọ bụ n'ụdị injections. Na-enweghị ya, usoro ịgbanyere afọ iji ghara ime eme n'ụzọ ziri ezi, na mgbakwunye, iji glucose na mbadamba ma ọ bụ na ngwọta nwere ike ịkwalite ọrụ antitoxic nke imeju.
Ọ dị mkpa ijikwa nnabata nke glucose na ihe ndị ọzọ, maka nke a, ọgwụ ga-ebu naanị dọkịta. Enwere ike ịnye glucose n'ụdị mbadamba maka ọrịa ndị a na ọnọdụ nke ahụ dịka:
- nri carbohydrate,
- hypoglycemia,
- axụbiga anụ ahụ n'ihi imebi imeju,
- toxicoinfection
- akpịrị ịkpọ nkụ - afọ ọsịsa, vomiting, postoperative oge.
Emekwala n’emeghị insulin maka ndị na-arịa ụdị ọrịa shuga na-arịa ọrịa shuga. Ọtụtụ n'ime ha na-eji inje ọgwụ ọgwụ a, mana mgbe ị nwetachara mbadamba ọgwụ nwere insulin, ọ bịara nwekwuo ohere ị theụ ọgwụ na ụdị mbadamba.
Ojiji glucose na mbadamba maka ọrịa shuga, nke bụ ụfọdụ ọgwụ, na-enye ndị ọrịa ohere ịhapụ ịjeụ ọgwụ a kpamkpam ma ọ bụ nke ọ bụla. Ohere a na-enye ndi mmadu ohere ime ka ndu ha ka nma, n’agbanyeghi nnuku a nwere nsogbu endocrine di ka oria shuga
Tupu ị takingụ glucose na mbadamba nkume, ị ga-akpachara anya gụọ ntuziaka maka ojiji. Ntụziaka bụ ihe nke a enweghị ike ileghara anya. E zoro ọtụtụ ozi bara uru na ya, nke ga - enyere aka zere ọnọdụ ọjọọ na ịbanye n'ụlọ ọgwụ. Mana iji nkwenye izugbe nwere ike ịchọta na Internetntanetị.
Ọtụtụ ndị dọkịta na-enye ndụmọdụ ị takingụ glucose na mbadamba dịka ntuziaka ahụ si dị.
Ọtụtụ mgbe, nke a bụ otu awa na ọkara tupu nri. Otu ụzọ ekwesịghị ịkarị 300 mg kwa 1 n'arọ nke mmadụ. Ugboro ole n’otu ụbọchị na usoro ị ga-ewe ga-agwa dibịa na-aga ya nke depụtara ya.
Ndị dọkịta na-atụ aro iji ọnụ ghee shuga ọnụ otu awa na ọkara tupu i rie nri. Otu ọgwụ ekwesịghị ịbụ ihe karịrị 300 mg nke ihe oriri kwa 1 n'arọ nke ịdị arọ onye ọrịa.
Ọ bụrụ na a ga-achịrị usoro glucose n'ọbara, dọkịta na-ahụ maka ịga ga-ekpebi oke nke ihe ahụ maka usoro ntapu ma ọ bụ inkjet.
Dịka ntuziaka ahụ si dị, ego kachasị maka ụbọchị onye ọrịa (yana infusion) maka onye ọrịa toro eto ga-abụ:
- Mpempe 5 dextrose pesenti - 200 ml na ntụtụ ọnụọgụ nke 150 tụlee kwa nkeji ma ọ bụ 400 ml na 1 awa,
- Ngwọta 0 pasent - 1000 ml na ọkwa 60 tụlee kwa nkeji,
- Nzoputa pesenti iri - 300 ml n ’okpomoku ruru ogo iri-abuo,
- Ngwọta 40 pasent - 250 ml na ntinye kachasị nke ruru 30 tụlee na 1 nkeji.
Ọ bụrụ na ọ dị mkpa inye ndị ọrịa na-ahụ maka glucose gwọọ ọrịa, mgbe ahụ, a ga-edobe ọgwụ ya dabere na ịdị arọ nwata ahụ, agaghị enwe ike gafere ihe ngosi ndị a:
- ịdị arọ ruo kilogram 10 - 100 ml kwa kilogram nke ịdị arọ n'ime awa 24,
- ịdị arọ site na 10 ruo 20 n'arọ - na olu nke 1000 ml ọ dị mkpa ịgbakwunye 50 ml kwa kilogram karịrị kilogram 10 nke ịdị arọ na awa 24,
- ibu karia 20 n'arọ - na 1500 ml ọ dị mkpa ka ịgbakwunye 20 ml maka kilogram nke ọ bụla karịrị 20 n'arọ.
Site na nchịkwa ụgbọelu intravenous nke 5 ma ọ bụ pasent 10 ga-edozi, a ga-edenye otu ọgwụ nke 10 na 50 ml. Ofgwọ mbadamba na ihe ngwọta dị iche, dịka iwu, ọnụahịa nke mbadamba dị ala.
Mgbe nnweta nke glucose dị ka ihe dị ala na nchịkwa parenteral nke ọgwụ ndị ọzọ, a ga-eburu olu nke azịza ahụ site na 50 ruo 250 ml kwa 1 ọgwụ ọgwụ a na-enye.
Ọ bụ ọgwụ nke ọgwụ a gbasaa na glucose ka a ga-ekpebi nha nke nchịkwa.
- Mpempe 5 dextrose pesenti - 200 ml na ntụtụ ọnụọgụ nke 150 tụlee kwa nkeji ma ọ bụ 400 ml na 1 awa,
- Ngwọta 0 pasent - 1000 ml na ọkwa 60 tụlee kwa nkeji,
- Nzoputa pesenti iri - 300 ml n ’okpomoku ruru ogo iri-abuo,
- Ngwọta 40 pasent - 250 ml na ntinye kachasị nke ruru 30 tụlee na 1 nkeji.
- ịdị arọ ruo kilogram 10 - 100 ml kwa kilogram nke ịdị arọ n'ime awa 24,
- ịdị arọ site na 10 ruo 20 n'arọ - na olu nke 1000 ml ọ dị mkpa ịgbakwunye 50 ml kwa kilogram karịrị kilogram 10 nke ịdị arọ na awa 24,
- ibu karia 20 n'arọ - na 1500 ml ọ dị mkpa ka ịgbakwunye 20 ml maka kilogram nke ọ bụla karịrị 20 n'arọ.
Mbadamba glucose
Carbohydrate bụ ụrọ na-enweghị ntụ, mmiri na-adịghị mma, nke nwere mmiri ụtọ. A na-ere glucose n'ụlọ ahịa ọgwụ n'ụdị mbadamba, ntụ ntụ maka nchịkwa ọnụ. Maka parenteral, a na-ezubere azịza nke nwere ihe mejupụtara nke 5, 10, 20, 40% na iko ma ọ bụ akpa plastic nke 200, 250, 400, 500, 1000 ml, nke a na-eji maka infusion (na-eji ụmụ irighiri mmiri), ma ọ bụ na ampoules nke 5, ezubere. 10, 20 ml - maka nchịkwa intraven.
Omume ọgwụ
Glucose (dextrose) na-ezo aka na monosaccharides. A na - achọta ya na ihe ọ juiceụ ofụ mkpụrụ vaịn na mkpụrụ osisi ndị ọzọ, n'ihi ya, ọ natara aha ọzọ - grape greepu. Ogwe glucose bụ disaccharides (maltose, lactose, sucrose) na oligosaccharides (cellulose, stachi, glycogen). N'ime ngwe nri, saccharides ndị dị mgbagwoju anya na-agbadata glucose na fructose. Dika monosaccharide, ihe nwere na ọbara, akwara ozi, ụbụrụ, akwara ọkpụkpụ na myocardium.
Glycogen etinye n’ime ahụ na-arụkwa ọrụ dị ka isi iyi nke ike - ma ọ bụrụ na ọ dị mkpa, a na-ekewa ya na dextrose. A na-eme iwu nke nguzozi nke monosaccharide na oligosaccharide site na iji enzymes. Insulin na-ebelata ọkwa glucose ọbara, ndị na-emegide ya na-eme ka mmụba shuga dị: glucagon, adrenaline, thyroxine, triiodothyronine. Ọ bụrụ na ọrụ endocrine ma ọ bụ sistemụ akwara mmiri na-agbagha, mmụba dị ukwuu na ọkwa shuga nwere ike ịdapụta na hyperglycemia nwere ike ịdapụta ma ọ bụ daa nke ukwuu na ịta ya - hypoglycemia.
Dextrose na-etinye aka na metabolism metabolism ma na-emetụta usoro metabolic:
- Ọrịa glucose n’ahụ dị mkpa maka abụba zuru oke, yana ụkọ ihe ahụ, a na-ahụ acid acids, (acidosis, ketosis).
- N'ime usoro nke glucose metabolism, adenosine triphosphoric acid guzobere, nke bụ ike ahụ.
- Ihe ga - eme ka hypertonic dextrose ga - enwe ike: “gbue” mmiri n’ime akwara ọbara site n’akwara na akwara, ya na ya nwere nsị, ma wepụ ya n’ahụ, mee ka mmamịrị ahụ dịkwuo elu, mee ka akwara obi sie ike, wee gbasaa arịa ọbara.
- Isotonic osiso nwere ike mebie maka oke mmiri.
- A na-eji ihe ahụ eme ihe maka nri nke carbohydrate nke ụbụrụ na akwara - glucose dị ngwa ngwa, arụmọrụ nke anụ ahụ na nke anụ ahụ na-abawanye.
Gịnị bụ glucose bara uru
Ngwongwo nke ihe ahu nwere ezigbo mmetụta na usoro metabolic na ọgwụgwọ nke oria. Womenmụ nwanyị dị ime nyere aka dextrose ma ọ bụrụ na enwere enyo enyo na obere nwa ebu n'afọ, yana iji belata ihe ime ọpụpụ na ịmụmụ nwa. Ọ na - enyere aka n’oge a iji merie ike ọgwụgwụ ma meziwanye ọdịmma mgbe ọkwa shuga dara ma aka ya maa jijiji. N'oge ime na lact n'oge iji ọgwụ, ọ dị mkpa iji nyochaa ọkwa shuga mgbe niile. Dabere na ntuziaka ndị ahụ, edepụtara ọgwụ ahụ:
- na-enwe ume nke carbohydrates, na hypoglycemia,
- intoxụbiga mmanya ókè n'ihi ọrịa imeju (na-arịa ịba ọcha n'anya),
- maka ọgwụgwọ nke nsị,
- na ụta nke ọrụ obi,
- itughari mmiri site na oria, n’aria oria ma obu ntuchi,
- na-ama jijiji, daa (mgbada siri ike).
Ọrịa glucose na mbadamba - ntuziaka maka ojiji na egosi, analogues na ọnụ ahịa
Maka ịtụgharị ume site na anụ ahụ, nri nke anụ ahụ na anụ ahụ, ọ dị mkpa ịnye abụba, carbohydrates, protein, Chọpụta akụkụ, vitamin na nri. Akụkụ ike dị na ya bụ carbohydrates, gụnyere glucose eke, galactose, raffinose, stachi. Ọtụtụ mgbe, site na ibu dị ukwuu, a na-edenye glucose na mbadamba, enwere ike iji ya dịka onye na-ahụ maka ngbanwe, ma enwere contraindications maka ọgwụ ahụ - ụbụrụ ụbụrụ, mellitus ọrịa shuga.
Carbohydrate bụ ụrọ na-enweghị ntụ, mmiri na-adịghị mma, nke nwere mmiri ụtọ. A na-ere glucose n'ụlọ ahịa ọgwụ n'ụdị mbadamba, ntụ ntụ maka nchịkwa ọnụ. Maka parenteral, a na-ezubere azịza nke nwere ihe mejupụtara nke 5, 10, 20, 40% na iko ma ọ bụ akpa plastic nke 200, 250, 400, 500, 1000 ml, nke a na-eji maka infusion (na-eji ụmụ irighiri mmiri), ma ọ bụ na ampoules nke 5, ezubere. 10, 20 ml - maka nchịkwa intraven.
Mbadamba ahụ nwere uto dị ụtọ, agba ọcha, ọdịdị gbara gburugburu, mbara ihu nwere berem na akụkụ ya. Ihe na-arụ ọrụ bụ dextrose monohydrate. A na-egosiputa ihe mejupụtara glucose na ihe ndị ọzọ dị n'otu mbadamba na tebụl:
Glucose (dextrose) na-ezo aka na monosaccharides. A na - achọta ya na ihe ọ juiceụ ofụ mkpụrụ vaịn na mkpụrụ osisi ndị ọzọ, n'ihi ya, ọ natara aha ọzọ - grape greepu. Ogwe glucose bụ disaccharides (maltose, lactose, sucrose) na oligosaccharides (cellulose, stachi, glycogen). N'ime ngwe nri, saccharides ndị dị mgbagwoju anya na-agbadata glucose na fructose. Dika monosaccharide, ihe nwere na ọbara, akwara ozi, ụbụrụ, akwara ọkpụkpụ na myocardium.
Glycogen etinye n’ime ahụ na-arụkwa ọrụ dị ka isi iyi nke ike - ma ọ bụrụ na ọ dị mkpa, a na-ekewa ya na dextrose. A na-eme iwu nke nguzozi nke monosaccharide na oligosaccharide site na iji enzymes. Insulin na-ebelata ọkwa glucose ọbara, ndị na-emegide ya na-eme ka mmụba shuga dị: glucagon, adrenaline, thyroxine, triiodothyronine. Ọ bụrụ na ọrụ endocrine ma ọ bụ sistemụ akwara mmiri na-agbagha, mmụba dị ukwuu na ọkwa shuga nwere ike ịdapụta na hyperglycemia nwere ike ịdapụta ma ọ bụ daa nke ukwuu na ịta ya - hypoglycemia.
Dextrose na-etinye aka na metabolism metabolism ma na-emetụta usoro metabolic:
- Ọrịa glucose n’ahụ dị mkpa maka abụba zuru oke, yana ụkọ ihe ahụ, a na-ahụ acid acids, (acidosis, ketosis).
- N'ime usoro nke glucose metabolism, adenosine triphosphoric acid guzobere, nke bụ ike ahụ.
- Ihe ga - eme ka hypertonic dextrose ga - enwe ike: “gbue” mmiri n’ime akwara ọbara site n’akwara na akwara, ya na ya nwere nsị, ma wepụ ya n’ahụ, mee ka mmamịrị ahụ dịkwuo elu, mee ka akwara obi sie ike, wee gbasaa arịa ọbara.
- Isotonic osiso nwere ike mebie maka oke mmiri.
- A na-eji ihe ahụ eme ihe maka nri nke carbohydrate nke ụbụrụ na akwara - glucose dị ngwa ngwa, arụmọrụ nke anụ ahụ na nke anụ ahụ na-abawanye.
Ngwongwo nke ihe ahu nwere ezigbo mmetụta na usoro metabolic na ọgwụgwọ nke oria. Womenmụ nwanyị dị ime nyere aka dextrose ma ọ bụrụ na enwere enyo enyo na obere nwa ebu n'afọ, yana iji belata ihe ime ọpụpụ na ịmụmụ nwa. Ọ na - enyere aka n’oge a iji merie ike ọgwụgwụ ma meziwanye ọdịmma mgbe ọkwa shuga dara ma aka ya maa jijiji. N'oge ime na lact n'oge iji ọgwụ, ọ dị mkpa iji nyochaa ọkwa shuga mgbe niile. Dabere na ntuziaka ndị ahụ, edepụtara ọgwụ ahụ:
- na-enwe ume nke carbohydrates, na hypoglycemia,
- intoxụbiga mmanya ókè n'ihi ọrịa imeju (na-arịa ịba ọcha n'anya),
- maka ọgwụgwọ nke nsị,
- na ụta nke ọrụ obi,
- itughari mmiri site na oria, n’aria oria ma obu ntuchi,
- na-ama jijiji, daa (mgbada siri ike).
Enweghị ọbara shuga dị nnọọ ize ndụ dị ka oke ị .ụbiga mmanya ókè. Nri na - eme ka glucose di ike, ma oburu n’agbata okpukpo a dikwa ala, a ga - eji glucose na mbadamba ihe. Ọ na - eme ka ikike nke ike dịkwuo elu ma na - enye aka na mgbake ahụ ngwa ngwa mgbe agbatịchara anụ ahụ. Ọ bụ glucose na-etinye aka na usoro metabolic ma na-enye mmeghachi mmeghachi omume photochemical. Ike ọgwụgwụ na-adịghị ala ala, enweghị ike iguzogide nchekasị na nke anụ ahụ na-egosi ụkọ ihe a.
Dextrose abụghị naanị n'ụdị mbadamba. Enwere glucose n'ụdị ntụ ntụ na usoro ntụtụ. Mbadamba nkume ndị ahụ na-acha ọcha na agba ma nwee ụtọ dị ụtọ. Ihe mejupụtara ya gụnyere dextrose monohydrate, glucose aka. 50 glucose n’otu mbadamba 1. Ndị na-emebe ihe na mbadamba mbadamba ndị ahụ anaghị anọkarị.
Ọgwụ maka iji ihe ọnụ dị na blisters nke 10 PC. A na-ahụ ụzọ ntụtụ isi na ampoules iko ma ọ bụ arịa plastic.
Mmadu n’enweta ihe ndi di nkpa. Ọ bụrụ na nri ahụ dịgasị iche iche, nweekwa nguzozi, mgbe ahụ, iji usoro inyeaka adịghị mkpa. N’ọnọdụ dị a canaa enweghị ike ime n’enweghị glucose ọzọ? Ntụziaka ahụ kwuru ihe ndị a:
- Ọnọdụ ujo, mkpọda, mbelata nke ọbara,
- akpịrị ịkpọ nkụ
- xxụbiga mmanya ókè,
- ọrịa imeju - ịba ọcha n'anya, dystrophy, atrophy, ọdịda imeju,
- hemorrhagic diathesis,
- hypoglycemia,
- Izu ike nke nwa ebu n'afọ na-ezughi ezu n'oge afọ ime,
- oge nkaa
- ike ahu.
Ọrịa glucose bara uru n’oge nrụgide uche na nke anụ ahụ. Edere ya usoro nkuzi maka obere ụmụ nwanyị dị ime, ụmụ akwụkwọ, ndị egwuregwu. Ihe ịrịba ama nke erughi glucose mgbe ọrịa gasịrị bụ isi nke acetone si n'ọnụ. N'itinye acetone n’ime ụmụaka, a na-enye ọgwụ a ka a nọrọ n’usoro dị a withaa, mana iji obere oge. Ihe ọ gluụcoseụ glucose dị mbadamba ga-abara ndị na-ese siga uru. Edere ya otu oge na ascorbic acid, nke a na-asachapụ ahụ n'ahụ n'okpuru nicotine.
E kwesịrị iwere Dextrose na mmebi nke ọrụ gbasara obi na nsogbu sitere na sistemụ akwara etiti. Ngwá ọrụ ahụ na-emebi ihe gbasara obi, na-ewepụ ụjọ nke oke, ma na - edozi usoro metabolic. Nkwadebe nke glucose nwere ike ịbụ ọtụtụ ihe. Mgbakwunye Vitaminized dị iche iche na-enye aka na-eme ka ahụ sie ike, ịbawanye ọkwa ike, nye ya arụmọrụ. A na-ere vitamin na-enweghị ọgwụ dọkịta, mana ọ bụ ihe ekwesighi iji ha na-enweghị nkwenye nke onye na-agwọ ọrịa. Usoro ọgwụgwọ ga-adị iche, dabere na ogo glucose ogo. Tupu ịmalite ọgwụgwọ, ịkwesịrị inweta nnwale ọbara.
A na-ewere mbadamba dextrose n'ime obere ụzọ, ya bụ, na-etinye obi gị dum.
- Maka nsogbu mmanya na nsị imeju, were mbadamba mbadamba ụbọchị abụọ kwa ụbọchị ka oge elekere abụọ.
- Ọrịa shuga adịghị mkpa carbohydrates ọzọ, mana n'ihe banyere hypoglycemia megide ọrịa shuga, were mbadamba abụọ otu mgbe. E nyeghị nhọrọ maka ndozigharị, kama ọ bụ mbadamba mbadamba. N'ọnọdụ dị njọ, a na-ewere mbadamba 2-3 ọzọ mgbe nkeji 20-30 ma ọ bụ na-enye glucose ọbara. Mkpebi ahụ banyere na ọ ga-ekwe omume ụdị ọgwụgwọ a.
- Ndị na-eme egwuregwu na-eri glucose tupu ọzụzụ, na-agbari mbadamba mmiri na ọnụego 7 g nke ọgwụ kwa 1 lita mmiri. Carbohydrate ọṅụṅụ mmanya na-atụ aro 20 nkeji tupu ọzụzụ. Atụla egwu maka ọdịnaya calorie nke ihe ọ .ụ .ụ. Ọrịa glucose na mbadamba ihe agaghị emerụ ọnụ ọgụgụ ahụ, mana ọ ga - eme ka ikike ịbawanye ike.
A na-agbanyekwu glucose ọzọ n'ihe metụtara ọbara shuga dị elu, nke na-apụta na ọrịa shuga.Ọ bụ ekwesighi ị drinkụ mbadamba ihe nwere mmụba nke lactic acid n'ime ahụ. N'ime ndị ọzọ contraindications:
- onye anabataghi,
- edem edere,
- ihe isi ike na mgbari glucose,
- nnukwu obi ventricular nkụda mmụọ,
- oke ibu.
Andoụbiga ya ókè, ihe na-egosi na afọ ọsịsa, afọ ọsịsa, ọgbụgbọ, na urination ugboro ugboro. N'iji ọgwụ eji eme ihe nke ọma, enweghị mmetụta ọ bụla. Site na nlekọta pụrụ iche metụtara glucose n'ihe banyere ọrịa shuga, n'oge nwata, ịtụrụ ime. Ọchịchọ maka ọgwụ glucose na-eduga n'ọgba aghara nke metabolic.
Ọgwụ glucose bụ ihe ngwọta dị ọnụ maka ọgwụgwọ ngwa ngwa nke ahụ. Ọgwụ a agaghị emerụ ahụ ma ọ bụrụ na ị notụghị ọgwụ ma na-ejikwa ọkwa shuga dị n’ọbara.
Ihe ngosi maka ojiji
A machibidoro iwu iji ngwọta na mbadamba glucose na ọnọdụ ndị ahụ mgbe onye ọrịa ahụ nwere akụkọ banyere ụdị nsogbu ọrụ ndị a:
- hyperosmolar coma,
- decompensated ọrịa shuga mellitus,
- hyperlactacidemia,
- Itinye glucose na-adighi nma mgbe aruchara ya.
Nke akpachapuru anya, ekwesịrị ịnye ọgwụ ahụ mgbe ọ bụla:
- enweghi nsogbu gbasara akwara,
- dezigharị obi obi (na akuko),
- hyponatremia.
Ọ ka ga - ekwe omume ị drugụ ọgwụ maka hyperhydration, yana ọrịa ọbara na - enwe oke ike nke ịmalite ọrịa edere. Ọnụahịa ọgwụ ahụ anaghị emetụta contraindications ya.
- dika isi iyi nke carbohydrates,
- dị ka akụrụngwa nke antishock na mmiri dochie anya ọbara (jiri ujo, daa),
- Dika ihe eji eme ka ogwughari na ọgwụ ndi ozo.
- jiri hypoglycemia na-agafeghị oke (ya na ebumnuche mgbochi yana ọgwụgwọ)
- ya na akpịrị ịkpọ nkụ (n'ihi afọ ọsịsa / ọgbụgbọ, yana n'oge ọrụ).
- hyperlactatemia,
- hyperglycemia
- hypersensitivity na ike ọrụ,
- Mkpesa nke Dextrose
- hyperosmolar coma,
- Ihe oriri nwere ọka.
Agbakwunye maka 5% gluuze ngwọta: ọrịa shuga na-adịghị agbakọ.
Agbakwunyere maka uzo glucose 10%:
- decompensated ọrịa shuga mellitus na ọrịa shuga insipidus,
- extracellular hyperhydration ma ọ bụ hypervolemia na hemodilution,
- nnukwu nsogbu gbasara akwara (ya na anuria ma obu oliguria),
- obi erughị ala,
- ọrịa imeju nke ascites, imeju, akụkụ edere (gụnyere mkpụrụ ume na akụkụ ụbụrụ).
A na-egbochi ọgwụ mgbochi nke 5% na 10% dextrose n'ime ụbọchị mgbe mmerụ isi gasịrị. Ọzọkwa, a ga-atụle contraindications maka ọgwụ ndị agbakwunye na dextrose solution.
Ojiji enwere ike n’oge afọ ime na lact dịka ihe egosi.
Dịka anyị kwuworo, ọ bụghị onye ọ bụla ka e nyere ike iji glucose. Na nyocha mbụ, ọ dị ka nke a bụ ọgwụ na-adịghị emerụ ahụ, mana ọbụlagodi mgbe ụfọdụ ọ na-enye nsonaazụ a na-atụghị anya ya. Ya mere, edekọwo ndepụta nke ihe contraindications maka iji ọgwụ a. Ọ bụ onye nkịtị.
Yabụ, ọ bụrụ na ịnwere otu ọrịa oria na listi dị n'okpuru, a ga - amachibido ọgwụ ahụ iwu kpamkpam
- ọrịa shuga mellitus
- hyperglycemia
- hyperlactacidemia,
- nnukwu ọdịda ventricular ọdịda.
Ekwesịrị ịhapụ nlebara anya kachasị mkpa maka ide akwụkwọ maka ụmụaka. Ahụ nwatakịrị dị iche na ahụ okenye, yabụ, ọ bụ naanị dọkịta ụmụaka ga-agwa gị etu glucose chọrọ ma ọ nwere ike isi nye ya ma ọlị.
E nyere glucose mepụtara na mbadamba ihe maka:
- nsogbu na-edozi ahụ
- hypoglycemia (shuga dị ala),
- nsị na ọgwụ ịba ọcha n'anya (paracetamol, aniline, carbon tetrachloride) nke na-adịghị agafe agafe.
- akpịrị ịkpọ nkụ (afọ ọsịsa, vomiting).
Ihe megidere iji ọgwụ a bụ ọnụnọ nke hyperglycemia (ọbara mgbali elu) na onye ọrịa, ọrịa shuga mellitus, hyperlactacidemia, hyperhydration na nnukwu ventricular ekpe. Ejila dextrose na mmiri hypersmolar, ya na ụbụrụ na / ma ọ bụ ngụgụ.
Ogologo oge ị ofụ ọgwụ ahụ nwere ike inye aka na mmepe nke hypokalemia (n'ọbara, mkpụkọ nke potassium ions na-ebelata), hypervolemia (ịba ụba olu nke ikesa plasma na ọbara) na hyperglycemia.
Maka ịtụgharị ume site na anụ ahụ, nri nke anụ ahụ na anụ ahụ, ọ dị mkpa ịnye abụba, carbohydrates, protein, Chọpụta akụkụ, vitamin na nri. Akụkụ ike dị na ya bụ carbohydrates, gụnyere glucose eke, galactose, raffinose, stachi.
- nnabata nke ihe dị n'ime,
- hyperglycemia,
- ọrịa shuga
- oke lactic acid,
- ụbụrụ ma ọ bụ ngụgụ,
- itinye n'ọrụ glucose na-akpata.
- akwara obi ventricular heart ada.
Mmadu n’enweta ihe ndi di nkpa. Ọ bụrụ na nri ahụ dịgasị iche iche, nweekwa nguzozi, mgbe ahụ, iji usoro inyeaka adịghị mkpa. N’ọnọdụ dị a canaa enweghị ike ime n’enweghị glucose ọzọ?
- Ọnọdụ ujo, mkpọda, mbelata nke ọbara,
- akpịrị ịkpọ nkụ
- xxụbiga mmanya ókè,
- ọrịa imeju - ịba ọcha n'anya, dystrophy, atrophy, ọdịda imeju,
- hemorrhagic diathesis,
- hypoglycemia,
- Izu ike nke nwa ebu n'afọ na-ezughi ezu n'oge afọ ime,
- oge nkaa
- ike ahu.
Ọrịa glucose bara uru n’oge nrụgide uche na nke anụ ahụ. Edere ya usoro nkuzi maka obere ụmụ nwanyị dị ime, ụmụ akwụkwọ, ndị egwuregwu. Ihe ịrịba ama nke erughi glucose mgbe ọrịa gasịrị bụ isi nke acetone si n'ọnụ.
N'itinye acetone n’ime ụmụaka, a na-enye ọgwụ a ka a nọrọ n’usoro dị a withaa, mana iji obere oge. Ihe ọ gluụcoseụ glucose dị mbadamba ga-abara ndị na-ese siga uru. Edere ya otu oge na ascorbic acid, nke a na-asachapụ ahụ n'ahụ n'okpuru nicotine.
E kwesịrị iwere Dextrose na mmebi nke ọrụ gbasara obi na nsogbu sitere na sistemụ akwara etiti. Ngwá ọrụ ahụ na-emebi ihe gbasara obi, na-ewepụ ụjọ nke oke, ma na - edozi usoro metabolic.
Nkwadebe nke glucose nwere ike ịbụ ọtụtụ ihe. Mgbakwunye Vitaminized dị iche iche na-enye aka na-eme ka ahụ sie ike, ịbawanye ọkwa ike, nye ya arụmọrụ. A na-ere vitamin na-enweghị ọgwụ dọkịta, mana ọ bụ ihe ekwesighi iji ha na-enweghị nkwenye nke onye na-agwọ ọrịa.
A na-agbanyekwu glucose ọzọ n'ihe metụtara ọbara shuga dị elu, nke na-apụta na ọrịa shuga. Ọ bụ ekwesighi ị drinkụ mbadamba ihe nwere mmụba nke lactic acid n'ime ahụ. N'ime ndị ọzọ contraindications:
- onye anabataghi,
- edem edere,
- ihe isi ike na mgbari glucose,
- nnukwu obi ventricular nkụda mmụọ,
- oke ibu.
ụkọ vitamin na hypovitaminosis,
ọnụnọ nke ịba ụba nke glucose na ascorbic acid,
N'oge uto kpụ ọkụ n'ọnụ,
n'oge nnọkọ,
mgbatị ahụ ike.
Ruo ókè, ascorbine na-erite uru ahụ naanị, yabụ ndepụta nke contraindications na ya dị mkpụmkpụ. O nwere ike imerụ ndị mmadụ n'otu n'otu:
- ya na obrom onye mbu
- ya na thrombophlebitis,
- n'okpuru afọ 6.
Ebe ọ bụ na ihe e ji mara vitamin a, ọ̀tụ̀tụ̀ glucose dị elu, a ga-eji ya kpachara anya na ndị nwere:
- ọrịa shuga mellitus
- kpuchie okwute,
- nephrourolithiasis.
Edebere glucose oge gboo na mbadamba, yana yana ascorbic acid, n'ọtụtụ ọnọdụ:
- Na hypovitaminosis na ụkọ vitamin.
- N'oge a na-ara ehi ya na mgbe a na-eme ya.
- Ọzọkwa, ọgwụ ga-adị mkpa maka ndị ọrịa nwere oke ascorbic acid na glucose.
- Ọgwụ a kwesịrị ị takenụ ọgwụ ụmụaka site n’oge uto kpụ ọkụ n’ọnụ.
- Ọgwụ ga - enyere aka weghachite ike n'oge mgbatị anụ ahụ siri ike, yana n'oge oge ọnya (ịgbake ahụ mgbe ọrịa siri ike).
Ndị ọrịa nwere ọrịa mellitus na-arịa ya enweghị ike iwere ụdị mbadamba ọgwụ ahụ, yana ndị ọrịa nwere akụkọ banyere glucosuria na hyperglycemia dị mkpirikpi. Ihe mgbochi zuru oke gụnyere hypersensitivity na otu n'ime ihe ndị ahụ, ọchịchọ nke thrombosis na thrombophlebitis. Ọzọkwa, "glucose" yana yana ascorbic acid ka ekwenyeghi maka ụmụaka na-erubeghị afọ isii.
Site na ntuziaka, a na-eji glucose n'ụdị edozi mee ihe n'okwu ndị a:
- Isotonic mmiri na-egbu mmiri,
- Dị ka isi iyi nke carbohydrates.
- Nzube nke dilution na mbufe nke ọgwụ eji parenterally.
Edere glucose na mbadamba nkume maka:
- Hypoglycemia,
- Enweghi nri carbohydrate,
- Ihe ntanye n’ime, gụnyere ọrịa ndị sitere na ọrịa imeju (ịba ọcha n’anya, dystrophy, atrophy),
- Ọrịa ọjọọ
- Fụọnụ ma daa,
- Akpịrị akpọnwụ (oge ọrụ, vomiting, afọ ọsịsa).
Dịka ntụzịaka ahụ si dị, a machibidoro glucose maka iji ya:
- Hyperglycemia,
- Hyperosmolar coma,
- Decompensated ọrịa shuga,
- Hyperlactacidemia,
- Ahụhụ nke ahụ na - egbochi glucose (yana nrụgide metabolic).
Ejiri akpachapụ glucose na-akpachara anya na:
- Hyponatremia,
- Ọdịda akwara na-adịghị ala ala (anuria, oliguria),
- Decompensated obi ọdịda nke na-adịghị ala ala uwa.
Dabere na ntuziaka maka glucose, a na-eji ọgwụ ahụ akwụ ụgwọ maka adịghị ike nke carbohydrates n'ime ahụ nke na-emegide ihe ndabere nke ọrịa dị iche iche.
Ọ bụ glucose na-etinye aka na usoro ọgwụgwọ siri ike maka:
- Mmezi nke akpịrị na-eme n'oge ọrụ ma ọ bụ n'ihi ọgbụgbọ na afọ ọsịsa,
- Mmanya ahụ,
- Ọrịa imeju, ịba ọcha n'anya, dystrophy na atrophy nke imeju,
- Hemorrhagic diathesis,
- Hypoglycemia,
- Ckma jijiji na ida.
Ojiji nke glucose dị n'ụdị ihe ngwọta bụ contraindicated na ndị ọrịa nwere akụkọ banyere ọrịa na-esote ọrịa na ọrịa ndị a:
- Decompensated ọrịa shuga mellitus,
- Hyperglycemia,
- Hyperlactacidemia,
- Mgbasa ga-agbari uto nke glucose,
- Hyperosmolar coma.
N'iji nlezianya mee ka ndị ọrịa nwee ọgwụ nlekọta intraven.
- Abụọla nkụda mmụọ na-adịghị ala ala,
- Hyponatremia,
- Ọkụ akwara afọ n’ala.
Na mgbakwunye, ekwesighi iwere mbadamba glucose na:
- Usoro mgbasa ozi, na nke enwere nnukwu ihe ọghọm nke akwara umeji ma ọ bụ ụbụrụ,
- Ọkpụkpụ ventricular ọdịda,
- Ellingbụrụ ụbụrụ ma ọ bụ ngụgụ
- Perba ọcha n'anya.
Glucose na hypoglycemia
A na - achọpụta hypoglycemia mgbe ọkwa glucose ọbara dara n'okpuru ihe ngosi ndị dị ka 2, 8 - 3, 3 mmol / L. Usoro dị otú a na-ejikọkarị ya na njiri mara nke ndị ọrịa nwere ike ịmata ngwa ngwa, mana oge ụfọdụ enwere ike ọ gaghị enwe mmetụta nke hypoglycemia.
Hypoglycemia na-etolite ngwa ngwa ma nwee ike ịda n'oge ọ bụla, yabụ, ọ dị mkpa ibute onye ọrịa nwere ọrịa shuga enyemaka oge. Ihe kpatara usoro a bụ na ọkwa glucose mepụtara n'ọbara anaghị agakọ uru ike nri na-eri kwa ụbọchị na mgbatị ahụ siri ike n'ahụ.
Iji ọgwụ nwere glucose, ị nwere ike ịhazi ọrịa glycemic nke ahụ mmadụ na ọrịa shuga.
Ihe ngbanwe
Nsonaazụ ndị enwere ike gụnyere ndị a:
- ịhydụbiga mmanya ókè
- nri riri
- phlebitis na thrombosis,
- ọnya akpụkpọ ahụ na saịtị ịgba ahụ,
- mgbagha nke imeju.
Ọ bụrụ na otu n'ime ihe mgbaàmà ndị dị na listi a emee, gakwuru dọkịta. Dị ka ọ na-adịkarị, ndị ọrịa aghaghị ịhapụ ọgwụ ndị nwere glucose.
Ọrịa mamịrị
Ọtụtụ mgbe, site n’inwe hypoglycemic nke sonyere ọrịa shuga, a pụrụ ime ka ọ̀tụ̀tụ̀ glucose dị ọcha site n’ịba insulin na mbadamba ihe. You nwere ike imeri ọnọdụ hypoglycemic site na ịhapụ dextrose.
Ihe a na - arụ ọrụ bụ isomer deplerorotatory optical glucose isomer, nke a na - emepụta n'ụdị mbadamba nkume chewable nwere ụtọ dị iche iche. Typedị glucose dị mkpa maka nri nke ụbụrụ mmadụ na akwara.
Dabere na eziokwu na dextrose nwere naanị otu mkpụrụ ndụ, a naghị agbari ya n’ime eriri afọ, kama ọ ga-amalite ịmịkọrọ ahụ ozugbo, ahụ n’akụkụ ọnụ. Ọ bụ ọgwụ endocrinologist ka edepụtara nhọrọ nke ọgwụ n’onwe ya na etu ọ ga -esi maka ọrịa shuga.
Ọ dịghị mkpa ịchekwa usoro temprechọ pụrụ iche, dị ka mgbe ị na-echekwa inje insulin. Mbadamba insulin nke na-arụ ọrụ ogologo oge nwere arụ ọrụ nke ahụ hypoglycemic n'ahụ n'ahụ maka awa 12 site na oge ejiri ha.
Ọtụtụ mgbe, a na-ejikwa glucose na-egbu egbu site na ọgwụ ọjọọ, mmanya, aniline, carbon monoxide na ihe ndị ọzọ na-eme ka ahụ egbu egbu. N'agbanyeghị uru dị ukwuu nke glucose na ịdị ukwuu ya, n'agbanyeghị nke ahụ, ị nweghị ike ị itụ ya mgbe niile, ebe enwere ọgwụ mgbochi ndị a:
- hyperglycemia
- hypersensitivity
- ịhydụbiga mmanya ókè
- nsogbu glucose ojiji,
- ọbara ọgbụgba na ngụgụ na ụbụrụ,
- hyperosmolar coma,
- akụkụ ahụ n’ime ya.
Mgbe insulin batara n'ahụ ahụ mgbe ejirila mbadamba mbadamba, ọdịda ventricular ọdịda ma ọ bụ hypervolemia nwere ike ịmalite.
Ọtụtụ mgbe ana-eji glucose na-abaghị uru na mbadamba, mmetụta ndị dị njọ nwere ike ịdapụta, dịka hyperglycemia na agụụ belata. Dịka iwu, nsonaazụ na-apụta mgbe nchịkwa nke insulin, na mbadamba usoro dị otu a adịkarịghị ụkọ.
Iji zere nsonaazụ na-adịghị mma nke ọgwụgwọ dị otú ahụ maka ọrịa mellitus ma ọ bụ ọnọdụ hypoglycemic, usoro ọgwụgwọ nke dọkịta gosipụtara kwesịrị ịgbasochi nke ọma. Enweghị ike ịedụ mbadamba ihe ndị ahụ, a ga-amịrị ha ma ọ bụ rie ha, na-eme nke a otu awa tupu nri, ebe ọ bụ na glucose na-ebelata agụụ. Ewepu ihe a site na akụrụ ya, mgbe otu ụbọchị gachara.
Etu esi etinye na dose?
A na-elekọta glucose n'ọbara. A na-ekpebi ị andụ ọgwụ na ọgwụ ọgwụ ahụ dabere n'afọ, ọnọdụ na ịdị arọ nke onye ọrịa. Ekwesịrị iji nlezianya chịkwaa nke dextrose n'ime ọbara.
Dị ka ọ na-adịkarị, ọgwụ a na-abanye n'ime akwara ma ọ bụ gburugburu, na-enye osmolarity nke ọgwụ ọnya ahụ. Mmeghe nke usoro ọgwụgwọ hyperosmolar nwere ike ime ka mgbakasị ahụ veins na phlebitis. Ọ bụrụ na ọ ga - ekwe omume, mgbe ị na - eji usoro parenteral niile eme ihe, a na - atụ aro ka iji nzacha dị na ntinye ntanetị nke ihe ngwọta nke sistemụ infusion.
Ka akwadoro maka ndị okenye:
- dika isi iyi nke carbohydrates na akpukpo akpukpo anakpo: nke ya na aru ya di ihe dika 70 n'arọ - site na 500 rue 3000 ml kwa ubochi,
- maka nkwadebe parenteral dil (dị ka ụzọ isi dozie): site na 50 ruo 250 ml kwa ọgwụ ọgwụ a na-enye.
Ejiri akwadoro maka ụmụaka (gụnyere ụmụ amụrụ ọhụrụ):
- dị ka isi iyi nke carbohydrates na mmiri akpukpo mmiri dị na isotopic extracellular: nwere aru nke 0 ruo 10 n'arọ - 100 ml / n'arọ kwa ụbọchị, yana ịdị arọ nke 10 ruo 20 n'arọ - 1000 ml nke 50 ml kwa kilogram karịa 10 n'arọ kwa ụbọchị, yana ịdị arọ Ahụ sitere na 20 n'arọ - 1500 ml 20 ml kwa n'arọ karịrị 20 n'arọ kwa ụbọchị,
- maka diling parenteral preparations (dị ka ụzọ isi dozie): site na 50 ruo 100 ml kwa ọgwụ ọgwụ a na-enye.
Na mgbakwunye, a na-eji ngwakọta glucose 10% mee ihe iji gwọ ma gbochie hypoglycemia na-erughị ala na n'oge ịmịkụ mmiri ma ọ bụrụ na mmiri furu.
A na-ekpebi oke onunu kwa ụbọchị n’otu n’otu dabere n’afọ na mkpokọta ahụ mmadụ na oke site na 5 mg / kg / nkeji (maka ndị okenye) rue 10-18 mg / kg / nkeji (maka ụmụaka, gụnyere ụmụ amụrụ ọhụrụ).
A na-ahọrọ ọnụego ọgwụ mgbochi ka dabere n'ọnọdụ ụlọ ọrịa nke onye ọrịa. Iji zere hyperglycemia, ọnụ ụzọ maka iji dextrose n'ime ahụ ekwesịghị gafere, yabụ, ọnụego nchịkwa ọgwụ kachasị na ndị ọrịa okenye ekwesịghị gafere 5 mg / kg / nkeji.
Na-atụ aro usoro onunu ogwu nke umuaka, dabere n’afọ:
- nwa amụrụ ime na afọ zuru oke - 10-18 mg / kg / min,
- site na 1 ruo ọnwa 23 - 9-18 mg / kg / min,
- site na afọ 2 ruo 11 - 7-14 mg / kg / min,
- site na afọ 12 ruo 18 - 7-8.5 mg / kg / min.
A na-emezi usoro glukos 5% (isotonic) dropwise (n'ime akwara). Oke nchịkwa kachasị bụ 7.5 ml / min (150 tụlee) ma ọ bụ 400 ml / awa. Usoro ọgwụgwọ maka ndị okenye bụ 500-3000 ml kwa ụbọchị.
Maka ụmụ amụrụ ọhụrụ, ogo ha anaghị agafe kilogram 10, ezigbo glukos bụ 100 ml kwa kilogram kwa ụbọchị. ,Mụaka, nke ịdị arọ ha bụ kilogram 10-20, na-ewere 150 ml kwa kilogram nke ahụ ha kwa ụbọchị, karịa kilogram 20 - 170 ml kwa kilogram nke ahụ ha kwa ụbọchị.
Ogo kachasị bụ 5-18 mg kwa kilogram nke ịdị arọ anụ ahụ kwa nkeji, dabere na afọ na oke ahụ.
A na-eji usoro glucose hypertonic (40%) na-atụle ntụpọ na ọnụego ruru 60 tụlee kwa nkeji (3 ml kwa nkeji). Usoro kachasị maka ndị okenye bụ 1000 ml kwa ụbọchị.
Site na nchịkwa ugboelu intravenous, a na-eji ngwọta glucose nke 5 na 10% na usoro nke 10-50 ml. Iji zere ịba ọcha n'anya, ọgwụ a tụrụ aro agaghị agafe.
Na ọrịa shuga mellitus, a ga-eji ojiji nke glucose n'okpuru nlele anya mgbe ọ bụla ya gbasara mmamịrị na ọbara. Iji kpoo na mbufe ọgwụ a na-eji parenterally, ọgwụ a na-atụ aro nke Glucose bụ 50-250 ml kwa ọgwụ. Usoro na usoro nchịkwa nke ihe ngwọta na-adabere na njirimara nke ọgwụ etisasịwo na glucose.
A na-ewere mbadamba glucose ọnụ, 1-2 mbadamba kwa ụbọchị.
Ndị ọrịa okenye, yana ụmụaka gafere afọ atọ, kwesịrị ị ,ụ ọgwụ ochie otu ugboro ma ọ bụ ọkara mbadamba ụbọchị atọ. Ọ bụrụ na dọkịta edepụtara ụdị njikọ (yana ascorbic acid), a na-agbakọ usoro ahụ dabere na ọdịnaya nke ihe ikpeazụ mejupụtara.
Dịka ihe mgbochi, ndị okenye nwere ike ị nweta site na 50 ruo 100 mg nke ọgwụ ahụ ụbọchị niile. Thekpụrụ dịịrị ụmụaka kwa afọ site na afọ isii ruo afọ iri na anọ erughị milligrams iri ise. Ọ bụrụ na -emeju glucose na ascorbic acid maka ọgwụgwọ, a na-enye ndị ọrịa toro eto ọgwụ ọgwụ ruru 50 ruo 100 ugboro atọ ruo ise kwa ụbọchị.
Maka ụmụaka gbara afọ isii karịa, ndị dọkịta depụtara ọgwụ ọgwụ ascorbic acid dị 50 ma ọ bụ 100. Iji nweta nsonaazụ ahụ, ị ga-achọ ị theụ ọgwụ ahụ ugboro abụọ ma ọ bụ atọ n'ụbọchị. Dọkịta nwere ike ikpebi usoro onunu ogwu ya, yana oge ọgwụgwọ, otu, dabere na ọrịa ahụ ma ọ bụ mkpa mgbochi.
Tupu iwere ọgwụ a jikọtara ọnụ na ascorbic acid, ịkwesịrị ịgụta usoro ziri ezi.
Maka osisa, a na-arụ ọrụ intravenous, maka mbadamba ụrọ, nchịkwa ọnụ (reslingption sublingual). A na-ekpebi usoro dos site na afọ onye ọrịa, ọgụgụ isi glucose na ihe kpatara ị takingụ ọgwụ ahụ.
N'ikuku n'ụdị a - n'ime, maka mgbochi ma ọ bụ ọgwụgwọ, dọkịta kpebiri na oge ọ ga-aga, dọkịta ahụ nwekwara ike idozi ya. Oge inara site na nri adịghị. Dabere na iwu gọọmentị, ngwa a bụ:
- Maka mgbochi, a na-enye ụmụaka 50 mg otu ugboro kwa ụbọchị, maka ọgwụgwọ (yana iji melite nnabata nke nkwadebe ígwè) - 100 mg ruo ugboro 3 kwa ụbọchị.
- A na-enye ndị okenye 100 mg kwa ụbọchị maka prophylaxis na otu ego, mana ruo ugboro ise kwa ụbọchị, ọ bụrụ na ọ dị mkpa iji kwalite nnweta iron ma ọ bụ maka ọgwụgwọ.
A na-eji ụdị ọgwụ a eme ihe site na ụmụ akwụkwọ na ụlọ ọgwụ. A na-agwakọta ntụ ntụ na mmiri (kwa ampoule ruo 2 ml), jiri nwayọ na-eduzi ma ọ bụ intramuscularly. Dosages dị ka ndị a:
- Upmụaka ruru ihe dị ka 2 ml nke kpochapụwo (5%) otu ugboro n'ụbọchị, ma ọ bụ 4 ml nke 2,5%.
- A na-enye ndị okenye ọgwụ glucose na ascorbic acid na 3 ml nke usoro ọkọlọtọ otu ugboro ma ọ bụ na 6 ml nke adịghị ike (2.5%).
Imirikiti mmeghachi omume na-adịghị mma nke anụ ahụ bụ nzaghachi nye ọgwụ ascorbic acid, ọkachasị ma ọ bụrụ na egotaghị ụkọ ihe na mbụ. Dodoụbiga ihe ọ isụ isụ ókè enwere ike ịnwe otu mkpụrụ ọgwụ dị mbadamba iri, nke ọ ga-eji isi ọwụwa, nsogbu ihi ụra, ọgbụgbọ siri ike (nwere ike banye na ọgbụgbọ), na mgbali afọ.
Azịza nke oke glucose bụ:
- mgbochi nke ọrụ nke oghere anụ (pancreas),
- ogha aghara nke ngwa agha (akụrụ).
Ọ bụrụ na ụkpụrụ a tụrụ aro gafere karịa, a na-ahụkarị nsonaazụ ya. Ka ị na-a ascụ ọgwụ ụkwara ọxtụ deụ na -akpọ mmiri, isi ọwụwa, ịba ụba oke, mmebi nke eriri afọ, ịmịcha ahụ, na ura enweghị oge nwere ike ime.
Site na ị anụbiga ọgwụ ókè, ọ ga-ekwe omume: mbelata insulin njikọ, mmalite nke hyperglycemia, mbelata agụụ. N'ọnọdụ ndị dị otú a, ọ dị mkpa ịkwụsị ịhapụ dextrose ma kpọtụrụ dọkịta maka ịkọwa ọgwụgwọ Symptomatic.
A na-ewere mbadamba dextrose n'ime obere ụzọ, ya bụ, na-etinye obi gị dum.
- Maka nsogbu mmanya na nsị imeju, were mbadamba mbadamba ụbọchị abụọ kwa ụbọchị ka oge elekere abụọ.
- Ọrịa shuga adịghị mkpa carbohydrates ọzọ, mana n'ihe banyere hypoglycemia megide ọrịa shuga, were mbadamba abụọ otu mgbe. E nyeghị nhọrọ maka ndozigharị, kama ọ bụ mbadamba mbadamba. Ọ bụrụ na ọnọdụ siri ike, were mbadamba nkume abụọ ọzọ nke 2-3 kwa nkeji ma ọ bụ sonye shuga. Mkpebi ahụ banyere na ọ ga-ekwe omume ụdị ọgwụgwọ a.
- Ndị na-eme egwuregwu na-eri glucose tupu ọzụzụ, na-agbari mbadamba mmiri na ọnụego 7 g nke ọgwụ kwa 1 lita mmiri. Carbohydrate ọṅụṅụ mmanya na-atụ aro 20 nkeji tupu ọzụzụ. Atụla egwu maka ọdịnaya calorie nke ihe ọ .ụ .ụ. Ọrịa glucose na mbadamba ihe agaghị emerụ ọnụ ọgụgụ ahụ, mana ọ ga - eme ka ikike ịbawanye ike.
Aftermụaka mgbe afọ atọ na ndị okenye kwesiri ị were ọkara ma ọ bụ mbadamba ihe ugboro atọ n'ụbọchị. Mgbe ị na-ewere glucose na ascorbic acid, a na-agbanwe ọgwụ ahụ ka ọ bụrụ ascorbic acid. Maka ndị okenye prophylactic, site na mkpụrụ ọgwụ iri ise rue otu narị milligrams ka a na-enye ya kwa ụbọchị, maka ụmụaka site na afọ isii ruo afọ iri na anọ, ọ bụghị karịa milligrams iri ise.
Ọgwụ nke glucose na ascorbic acid maka ndị okenye sitere na pasili iri ise ruo otu narị. Ọ dị mkpa ịnara mbadamba ihe ugboro atọ ruo ise kwa ụbọchị. Edere ụmụaka site na afọ isii na ọgwụ ọgwụ ọgwụ ascorbic acid dị iri ise ma ọ bụ otu narị glucose na mbadamba ihe.
- Moscow, Moscow, Smolenskaya pl., 3, TDK Smolensky Passage (ụzọ mbata site na 1st Smolensky kwa.) Akụkụ mpụga nke Ogige Ubi.
- Mon-Fri - si na 09: 9 ruo 20:00, Sat-Sun - site na elekere 10:00 ruo 19:00
- ,, Moscow.vision.rf
Ndi Ogwu, onye mmuta nke sayensi.
A na-ewere mbadamba glucose ọnụ 1.5 awa tupu nri. Otu usoro ọgwụgwọ ekwesịghị ịgụta 300 mg nke ọgwụ kwa 1 n'arọ nke ịdị arọ onye ọrịa, nke a na-ewe n'ime otu awa.
A na-edozi mmiri nke glucose na intravenly site na usoro ntapu ma ọ bụ usoro jet, a na-ehiwe ọkwa n'otu n'otu site na dọkịta na-aga ya.
Dịka ntuziaka ahụ si dị, usoro ọgwụgwọ kachasị maka ndị okenye nwere infused bụ nke kacha nta kwa ụbọchị bụ maka:
- 5% isotonic dextrose ngwọta - 2000 ml, ọnụego nchịkwa nke 150 tụlee kwa nkeji ma ọ bụ 400 ml kwa elekere,
- 0% hypertonic ngwọta - 1000 ml, na ọsọ nke 60 tụlee kwa nkeji,
- Ngwọta 20% - 300 ml, ọsọ - aka 40 ruru nkeji,
- Ngwọta 40% - 250 ml, ọnụego ntụtụ kachasị ruru 30 tụlee kwa nkeji.
Mgbe ị na-edebere ụmụaka ahụ glucose, a na -ebi usoro onwonye dabere na ịdị arọ nwata ahụ, ọ ga-agabigaghị ihe ngosi ndị a
- Site na ogo nwata site na 0 ruo 10 n'arọ - 100 ml kwa 1 n'arọ nke ịdị arọ kwa ụbọchị,
- Frommụaka sitere na 10 ruo 20 n'arọ - 50 ml maka kilogram nke ọ bụla karịrị 10 n'arọ na-agbakwunye na 1000 ml,
- Maka ndị ọrịa na-eru ihe karịrị kilogram 20 - a na-agbakwunye 1500 ml na kilogram 20 karịa kilogram kwa ụbọchị.
Ejiri usoro jet intravenous nke 5% na 10% ga-edozi otu usoro onunu ogwu.
N'ihe banyere mgbe glucose na-arụ ọrụ dị ka ọgwụ bụ ọgwụ maka nchịkwa parenteral nke ọgwụ ndị ọzọ, a na-ewere ego nke usoro a na ogo 50 ruo 250 kwa ọgwụ nke enyere. A na-ekpebi ọnụego nchịkwa n'ọnọdụ a site na njirimara nke ọgwụ etisasịwo na ya.
Isiokwu ndị na-ekpo ọkụ
- Ọgwụ Hemorrhoid Dị Mkpa!
- Idozi Nsogbu Ugha, Udiri, na Itching Di Mkpa!
- Ọgwụ zuru oke maka oyi dị Mkpa!
- Ọgwụgwọ nke azụ, akwara, nkwonkwo Dị Mkpa!
- Ọgwụ zuru oke maka ọrịa akụrụ Dị Mkpa!
Dịka ntụzịaka ahụ si dị, glucose anaghị emetụta ahụ mmadụ na ezigbo nhọpụta yana nnabata iwu ojiji.
Mmetụta ndị ọgwụ ọjọọ nwere ike ịgụnye:
- Ọkpụkpụ ventricular ọdịda,
- Hyperglycemia,
- Hypervolemia
- Polyuria
- Ahụ Ikpo Ọkụ.
Ikekwe ọdịdị nke ihe mgbu na mpaghara nchịkwa, mmeghachi omume mpaghara n'ụdị ọnya, thrombophlebitis, mmepe nke ọrịa.
Onye isi nke forlọ Ọrụ Maka Ọrịa Shuga: “Tụfuo mita na mpempe ule. Enweghịzi Metformin, Diabeton, Siofor, Glucophage na Januvius! Jiri nke a mee ya. "
Ọrịa glucose (aha mba ụwa - dextrose) na-ezo aka detoxification na ndị na-enye metabolic. Ọ na - enwe ike ịkwụ ụgwọ maka mkpụkọ carbohydrates dị mkpụmkpụ n'ime imeju na ọbara, mee ka mmịpụta ahụ na mmamịrị dịkwuo mma ma mee ka ọrụ nsị dị mma.
Nkwadebe maka nri. Carbohydrates.
Mgbe ejiri ya na usoro onunu ogwu achoro, onweghi mmeghachi omume ojoo.
Enweghị ọgwụ ọ bụla maka enweghị ọgwụ ndị ahụ.
Ihe na-eme ka glucose bụ ụzọ dị mma e si eme nri. Ebumnuche bụ isi nke ọgwụ ọgwụ gbalitere metabolism na ahụ, ịgbalite usoro redox.
Ọrịa glucose na mbadamba nkume nwere mmetụta vasodilating na ọgwụ na-egbu egbu. Na ọkwa cellular, ọ na-eme ka mmadụ nwekwuo ume ọrụ, na-eme ka ọgụgụ isi ya na arụpụtaghị ihe ọ na-eme.
A na-eji glucose 5% n'ụdị edozi mee ihe ọtụtụ mgbe. Mmetụta infusion nke ọgwụ ahụ na-enyere aka belata ụkọ mmiri n'ime ahụ, na-emelite oke ọbara.
Ngwọta nke 10-40% ka a na-akpọ hypertonic. Ha na - abawanye osmotic pressure na urination, na - eme ka usoro metabolic dị n’imeju na-arụ ọrụ ma na - enwekwa mmetụta bara uru na arụ ọrụ na akwara isi nke ahụ.
- intravenously (opekempe 300 ml nke mmiri mmiri, kacha 2 l),
- subcutaneously (na oge ruru 500 ml),
- n'ụdị enemas (ml).
Ntụziaka pụrụ iche
Enweela ọnọdụ nke mmeghachi nke infusion, gụnyere mmeghachi omume anaphylactic / mmeghachi nke anaphylactic, mmeghachi omume hypersensitivity mgbe ị na-eji usoro dextrose. Ọ bụrụ na ihe mgbaàmà ma ọ bụ ihe ịrịba ama nke mmeghachi omume hypers, a ga-akwụsị infusion ahụ ozugbo.
A gaghị eji glucose ma ọ bụrụ na onye ọrịa ahụ nwere ihe nfụkasị maka ngwaahịa ọka na ọka.
hypomagnesemia, hypokalemia, hypophosphatemia, hyponatremia, hyperhydration / hypervolemia na, dịka ọmụmaatụ, ọnọdụ mkpọchi, gụnyere ọrịa ụkwara ume ọkụ na hyperemia), hypoosmolarity, hyperosmolarity, akpịrị ịkpọ nkụ na osmotic diuresis.
Hypoatmotic hyponatremia nwere ike ibute isi ọwụwa, ọgbụgbọ, cramps, lethargy, coma, akụkụ ụbụrụ, na ọnwụ.
Site na mgbaàmà siri ike nke hyponatremic encephalopathy, a chọrọ nlekọta ahụike mberede.
A na-ahụkarị ihe egwu nke hypoosmotic hyponatremia na ụmụaka, ụmụ nwanyị, ndị agadi, ndị ọrịa mgbe a wachara ha ahụ na ndị nwere polydipsia psychogenic.
Ihe ize ndụ nke ịmalite encephalopathy, dị ka nsogbu nke hypoosmotic hyponatremia, dị elu na ụmụaka na ndị na-eto eto na-erubeghị afọ 16, ụmụ nwanyị nọ na premenopause, ndị ọrịa nwere ọrịa ụjọ nke etiti na ndị ọrịa nwere hypoxemia.
A chọrọ oge nlele nyocha ime ụlọ iji lelee mgbanwe na nguzozi mmiri, itule acid, na electrolyte na oge parenteral ọgwụgwọ ma, ọ bụrụ na ọ dị mkpa, nyochaa ogo ma ọ bụ ọnọdụ onye ọrịa.
Ejiri glucose na-akpachara anya maka ndị ọrịa nwere oke mmụba nke mmiri na elezighị anya, na-akawanye njọ site na mmụba nke mmiri efu, hyperglycemia, mkpa iji insulin.
Ihe ngosipụta nke ulo ogwu banyere ọnọdụ onye oria bu ihe ndabere na mgbochi na idozi ihe.
N'okpuru nlezianya anya, a na-eme nnukwu infusion na ndị ọrịa nwere ọrịa obi, ọrịa obi ma ọ bụ ọdịda akụrụ na hyperhydration.
Mgbe ị na-eji nnukwu dextrose ma ọ bụ iji ogologo oge eme ihe, ọ dị mkpa iji chịkwaa nchịkọta nke potassium na plasma ọbara, ma ọ bụrụ na ọ dị mkpa, dezie nkwadebe potassium iji zere hypokalemia.
Iji gbochie hyperglycemia na ọrịa hyperosmolar nke sitere na ntinye ngwa ngwa nke ngwọta dextrose, ọ dị mkpa iji chịkwaa ọnụego nke infusion (ọ ga-adị n'okpuru mbido ojiji nke dextrose n'ime ahụ onye ọrịa).
Na akpachapụ anya, a na-eme nchịkwa intravenous of glucose na ndị ọrịa nwere oke ike ọgwụgwụ, nnukwu ụbụrụ traumatic ụbụrụ (nchịkwa nke ngwọta glucose na-egbochi ụbọchị mbụ mgbe mmerụ isi), ụkọ thiamine (gụnyere na ndị ọrịa nwere mmanya na-adịghị ala ala), na ibelata dextrose ndidi (ruo dịka ọmụmaatụ, n'ọnọdụ ndị dị ka ọrịa shuga mellitus, sepsis, ujo na trauma, ọdịda akụrụ), mmiri na elektrolyte imbalances, ọrịa mgbu na-akpata oke ala, na ụmụ amụrụ ọhụrụ.
N'ime ndị ọrịa nwere ezigbo erighị ihe na-edozi ahụ, ịmaliteghachi ihe oriri na-edozi ahụ nwere ike iduga mmepe nke ọrịa iri nri, nke a na-eji mmụba na mkpokọta intracellular nke magnesium, potassium na site na ịba ụba anabolism.
Njidere nke mmiri na-adịghị na mmiri na mmiri erughị ihe dịkwa mma. Iji zere mmepe nke nsogbu ndị a, ọ dị mkpa iji nlezianya na nlebara anya mgbe niile ma nwekwuo oriri na-edozi ahụ nke nta nke nta, na-ezere ihe oriri na-edozi oke.
Na pediatrics, ọsọ na olu nke infusus kpebisiri ike site na dọkịta na-aga, nwere ahụike nke intravenous infusion therapy na ụmụaka, na-adabere na ahu, afọ, metabolism na ọnọdụ ahụike nke nwatakịrị, yana ọgwụ concomitant.
Smụ amụrụ ọhụrụ, ọkachasị akatamkpa ma ọ bụ obere afọ ịmụ nwa, nọ n'ihe egwu dị elu nke ịmalite hypoglycemia na hyperglycemia, yabụ ọ dị ha mkpa ilezi anya nke ọma banyere oke dextrose n'ọbara.
Hypoglycemia nwere ike ibute nsogbu nke ụmụ amụrụ ọhụrụ, coma na mmebi ụbụrụ. Hyperglycemia metụtara ọrịa fungal na nje na-efe efe, necrotic enterocolitis, hemorrhage intraventricular, retinopathy premature, bronchopulmonary dysplasia, mmụba ogologo nke ọnụnọ ụlọ ọgwụ, na nsonaazụ na-egbu egbu.
Childrenmụaka, ma ụmụ amụrụ ọhụrụ na okenye, nọ n'ihe ize ndụ dị elu nke ịmalite encephalopic hyponatremic na hypoosmotic hyponatremia. N'ihe banyere usoro glucose dị ha mkpa iji nlezianya na-elebara mkpokọta electrolytes na plasma ọbara.
Mgbe ị na-eji ọgwụ dextrose na ndị ọrịa agadi, mmadụ kwesịrị iburu n'uche ọnụnọ nke ọrịa obi, ọrịa nke imeju, akụrụ, yana ọgwụ ọgwụ concomitant.
A na-egbochi ọgwụ glucose tupu, n'otu oge, ma ọ bụ mgbe a gbasasịrị ọbara site na otu ngwa mgbakwunye, ebe pseudoagglutination na hemolysis nwere ike ime.
Enweghị data maka mmetụta ọgwụ nwere ike ịkwọ ụgbọala na usoro ndị dị mgbagwoju anya.
Site na nchịkwa Gọgulu dị oke ogologo na iji ogologo oge, ihe ndị a ga-ekwe omume:
- Hyperosmolarity,
- Hyperglycemia,
- Osmotic diuresis (n'ihi hyperglycemia),
- Hyperglucosuria,
- Hypervolemia.
Ọ bụrụ n ’ị symptomsụbiga ọ symptomsụ n’oriri na - apụta, a na - atụ aro ka e mee ihe iji kpochapụ ha na usoro ọgwụgwọ na - akwado ya, gụnyere iji ọgwụ mgbatị ahụ.
Ihe nrịba ama nke ọgwụ ị causedụ ọgwụ gabigara ókè karịa nke ọgwụ ọgwụ ndị a gbariri 5% ga-eme ka ọ pụta ìhè. N'ọnọdụ ịdoụbiga mmanya ókè, a na-atụ aro ịhapụ mmeghe nke ihe ngwọta ma na-eduzi usoro ọgwụgwọ na nkwado.
A kọwaghị usoro mmekọrịta ọgwụ ọjọọ Glucose na ọgwụ ndị ọzọ.
N'oge ime na lactation, a na-anabata glucose maka ojiji.
Iji mee ka glucose dịkwuo mma, a na-enye ndị ọrịa ọgwụ ins insulin n'otu oge na ọnụego nke 1 unit kwa 4-5 g nke glucose.
A naghị akwado ịnye glucose ozugbo ọbara ọgbụgba n'ime otu sistemu, ebe enwere enwere thrombosis na hemolysis.
Ngwọta glucose dị mma maka iji naanị n'ọnọdụ nke nghọta, nkwanye ihe nkwakọ ngwaahịa na enweghị adịghị adịghị ahụ anya. Jiri ihe ngwọta ozugbo mgbe ịtinye vial na sistemụ infusion.
Amachibidoro iji arịa nke gluuzical mmanụ na usoro, n'ihi na nke a nwere ike ibute mmepe nke embolism ikuku n'ihi nnabata ikuku nke dị na ngwugwu mbụ.
Ekwesịrị itinye ọgwụ ndị ọzọ na ngwọta ahụ tupu ma ọ bụ n'oge infusion site na ntụtụ n'ime mpaghara a haziri nke ọma. Mgbe ị na-agbakwunye ọgwụ ahụ kwesịrị ịlele isotonicity nke nsonaazụ a na-esi na ya apụta. Ihe ngwọta nke agwakọtara ga-eji ya ozugbo emechara nkwadebe.
A ga-atụfu akpa ahụ ozugbo ejiri ọgwụ ahụ, agbanyeghị ma ọgwụ ahụ ka dị na ya ma ọ bụ na ahapụghị.
Egosiputa ojiji eji glucose n’oge di ime na inye ndi ara ara.
Maka ndị ọrịa nwere ọrịa shuga, a na-a drugụ ọgwụ ahụ n'okpuru nchịkwa glucose n'ọbara na mmamịrị.
A na-ebute infusions n'ụlọ ọgwụ, na-agbaso usoro asepsis niile.
Mgbe ejikọtara ya na ọgwụ ọgwụ ndị ọzọ, a na-achịkwa nnabata nke ọgwụ a anya, ngwakọta a ga-enwe kwesịrị ịnwe ọfụma na-enweghị enyo enyo. Ọ dị mkpa ijikọta glucose ozugbo tupu usoro nchịkwa; a machibidoro iwu iji ngwakọta ahụ ọbụlagodi obere nchekwa.
Ma ascorbic acid nke nwere glucose bara uru n'oge afọ ime bụ ihe metụtara ọtụtụ ndị nne na-atụ anya, ebe ọ bụ na mgbe nwanyị na-achọ nwa, ahụ nwanyị na-enwe mkpochasị vitamin nke ngwa ngwa.
Agbanyeghị, n'adịghị ka glucose, ascorbic acid nwere ike ibute nsogbu nwa ebu n'afọ ma ọ bụrụ na e were ya ogologo oge n'ọtụtụ ọnụọgụ dị elu, nke ga-akpasu iweghachi. Maka nke a, ndị dọkịta na-adụ ọdụ ịmalite ị theụ ọgwụ maka ụmụ nwanyị dị ime naanị site na enweghị ụkọ vitamin C yana afọ ime (karịchaa ọnwa atọ). Nkịtị - 100 mg. N’ebe a na-ara ara, 120 mg.
Ole na ole ozo site na ntuziaka gọọmentị:
- Ascorbic acid nwere mmetụta na-akpali akpali na nguzobe homonụ nke corticosteroid, yabụ, iji ogologo oge, ịkwesịrị ijikwa ọbara mgbali na ọrụ akụrụ.
- Ọ bụrụ na a na-amata nnwale ọbara ọbara nke onye ọrịa ahụ site na ihe dị ukwuu na-emetụta iron, a ga-ebelata dose nke ascorbic acid.
- Ọ bụrụ na a na - eme ọgwụ ascorbic acid na glucose mgbe a na - aceụ ọgwụ mgbochi ọnụ, bioav adị nke estrogen ga - abawanye.
- A na - ebelata ihe ndị na - eme ka ascorbic acid belata ma ọ bụrụ na a na - ejikọ ya na salicylates (gbakwunyere n'ihe ize ndụ nke mmeghachi omume na - emetụta ha) na mgbe ị takenụ mmanya alkaline.
- Vitamin C na - eme ka nnabata nke penicillin na-eto.
Ntụziaka dị n'aka gọọmentị iche kwuru na vitamin C na glucose na-eme ka mmiri mexiletine dịkwuo elu, na-eme ka ojiji nke ọgwụ anticoagulants ghara ịdị irè, na ọ nwere ike imetụta ọgwụ Acetylsalicylic acid na ọgwụ alkaline.
Etu esi ewere glucose na mbadamba ihe?
Na nwute, ị nwere ike were glucose, ma ọ bụ ihe ọma, ọ bụghị mmadụ niile. Enwere otutu ihe ngosiputa ogwu, dika nke ntinye ya n’aru odi nkpa. Naanị dọkịta depụtara ole mbadamba glucose onye okenye ma ọ bụ nwatakịrị nwere ike iri kwa ụbọchị.
Ngụkọta ọnụ nke onye ọrịa na-adabere na nke a, ebe ọ bụ na ọnụahịa maka ịkwakọ ọgwụ adịghị nnukwu, mana ị drinkingụ ụzọ glucose (ihe karịrị otu mkpọ) nwere ike ịkwụ ụgwọ penny mara mma. Yabụ, enwere akara ndị a maka ojiji:
- egbu egbu ahu
- hypoglycemia,
- hemorrhagic diathesis,
- vomiting
- ujo
- atrophy nke imeju
- oge nkaa
- afọ ọsịsa
- imeju imeju
- dystrophy
- Ọrịa ịba ọcha n'anya.
Ekwesịrị icheta na ọ bụ naanị dọkịta depụtara ọgwụ. Dabere na data gị, data nyocha, ọ nwere ike ịkọwa n'ụzọ doro anya otu esi ewere nkwadebe glucose na mbadamba, ole mbadamba kwa ụbọchị ka a ga-ewere na n'ime usoro onunu ogwu. Medicationgwọ onwe gị dị ize ndụ, yabụ ịkwesighi itinye ahụike gị n'ihe egwu.
Enweghị ọbara shuga dị nnọọ ize ndụ dị ka oke ị .ụbiga mmanya ókè. Nri na - eme ka glucose di ike, ma oburu n’agbata okpukpo a dikwa ala, a ga - eji glucose na mbadamba ihe. Ọ na - eme ka ikike nke ike dịkwuo elu ma na - enye aka na mgbake ahụ ngwa ngwa mgbe agbatịchara anụ ahụ.
Ọ bụ glucose na-etinye aka na usoro metabolic ma na-enye mmeghachi mmeghachi omume photochemical. Ike ọgwụgwụ na-adịghị ala ala, enweghị ike iguzogide nchekasị na nke anụ ahụ na-egosi ụkọ ihe a.
Mkparịta ụka ọgwụ ọjọọ
Ọgwụ a na-enye aka na ngwa ngwa eriri afọ nke eriri afọ. Mwepu ígwè n’ahụ ike na-apụta ma ọ bụrụ na edepụtara glucose na Deferoxamine n'otu oge.
Ekwesịrị ịkpachara anya na glucose ”na ascorbic acid yana nchịkọta nke sulfanilamide na salicylic acid na ndị ọrịa nwere oke oke urate na mmamịrị mmịrị.
Ọgwụ ndị a bụ analogues nke glucose:
- Glucosteril
- Glucose-E
- Glucose Brown,
- Nnukwu glucose Bufus,
- Dextrose
- Eskom glucose,
- Dextrose Vial
- Peritoneal glucose dị ala na-edozi calcium dị ala.
Dabere na mkpebi nke dibịa na-aga, glucose na mbadamba ga-eji dochie otu ọgwụ:
Ihe analogues glucose bu: ngwọta - Glucosteryl, Glucose Bufus, Glucose-Eskom.
N'ime ụlọ ahịa ọgwụ, ị nwere ike ịzụta analogs nke glucose mbadamba. Ngwa ọrụ ha bụ dextrose monohydrate, yabụ ọgwụ ndị ahụ nwere otu ụdị. Ego ndị ahụ gụnyere:
- Glucose Biefe,
- Glucose Brown,
- Nnukwu glucose,
- Glucose-E
- Glucosteril
- Dextrose
- Dextrose Monohydrate,
- Dextrose Vial
- Likadex PF Dextrose Monohydrate.
Nkwadebe na otu ihe eji eme ihe: Glucosteril, Glucose-Eskom, Dextrose-Vial na ndị ọzọ.
Analogs analogs, ọgwụ ndị yiri ya na usoro ha ji arụ ọrụ: Aminoven, Hepasol, Hydramine, Fibrinosol na ndị ọzọ.
Usoro na ọnọdụ nchekwa
Dịka ntuziaka ahụ si dị, ekwesịrị ịchekwa glucose n'ụdị usoro ọgwụgwọ ọ bụla mgbe ọ bụla, ma agamabeghị ụmụaka. Ndụ nchekwa nke ọgwụ ahụ na-adabere na onye nrụpụta ya na afọ 1,5 ruo afọ 3.
Hụrụ njehie na ederede? Họrọ ya wee pịa Ctrl Tinye.
Chekwaa na nju okpomọkụ kariri 25 Celsius C, nke ụmụaka agaghị eru.
- ihe ngwọta maka infusion 5%: 100, 250, 500 ml - afọ 2, 1000 ml - afọ 3,
- ihe ngwọta maka infusion 10% - 2 afọ.
Mbadamba ụrọ na-achịkọta achịcha ma ọ bụ ọnya na-enweghị mkpụrụ nke mkpụrụ iri. Enwere ike itinye blisters n'ime igbe kaadi nke 1, 2, 5 efere n'otu mkpọ. Nye ndị ahịa ya n'ụlọ ahịa ọgwụ, a na-enye ọgwụ eji enweghị ọgwụ.
Ekwela ka ụmụaka ghara iru ya.
Na-echekwa na Celsius C.
Ekwuputara oge mmebi ahụ na nkwakọ ngwaahịa.
Ejila mgbe ụbọchị ahụ akọwapụtara.
Mbadamba ụrọ 500mg Nke 20
Ngwọta glukulu 5% 250 ml
Ngwọta glukulu maka infusion 10% 200 ml karama
Ngwọta glukulu maka infusion 5% 200 ml karama
Ngwọta glukulu 5% 100 ml
Glucose Brown ngwọta 5% 500 ml
Complivit Antistress bụ mgbakwunye nri (nri nri na-arụ ọrụ n'ihe ọmụmụ), ihe ndị ọzọ na-eweta flavụ.
Complivit Selenium bụ mgbakwunye nri (BAA), mgbakwunye nke vitamin, miner.
Complivit Ophthalmo - ọgwụ a jikọtara nwere vitamin, Chọpụta akụkụ ma tolite.
Complivit-Active bụ ọgwụ multivitamin nwere nnukwu-microelements. Mwepụta weputara na comp.
Gbakọọ "Mama" maka ime na ara.
Gbakọọ "Mama" - ọgwụ, nke gụnyere ihe mgbagwoju Vit.
Callium Dọli Cal3 maka ụmụ ọhụrụ.
Calli D3 kwakọtara maka ụmụ ọhụrụ bụ ọgwụ calcium na vitamin D3 mepụtara.
Ekwela ka ụmụaka ghara iru ya.
N'ebe echekwara site na iru mmiri na okpomọkụ adịghị elu 25 Celsius. Ekwela ka ụmụaka ghara iru ya.
Afọ 3 Ejila oge gafere karịa oge enyere na ngwugwu.
Ego ole bụ glucose? Ọnụahịa ọgwụ ahụ na-adabere n'ụdị ntọhapụ. Igwe glucose na-akwụ nzu dị ihe dị ka ruble iri abụọ. Maka usoro 5% maka infusion (400 ml) ị ga-akwụ 50 rubles, yana maka ngwugwu nke ampoules iri - 90 rubles.
Ndụ shelf na-adịkwa iche site n'ụdị ntọhapụ. Maka ntụ ntụ, ọ bụ afọ 5, maka ngwọta na ampoules - afọ 6, a na-echekwa glucose na mbadamba ihe naanị afọ 4.
Ọgwụ dị mma maka iji naanị ma ọ bụrụ na iguzosi ike n'ezi ihe nke ngwugwu ahụ, nghọta nke mmiri mmiri na enweghị enweghị adịghị ahụ anya. Dịka ntuziaka ahụ si dị, a na-atụ aro ịchekwa glucose n'ụdị usoro ọgwụgwọ ọ bụla na ogo 15 ruo 25, n'ebe echekwara ụmụaka.
Site na mmerụ ahụ niile ị fromụ ọgwụ ọ ,ụdoụ, ị nwere ike ị zụta mbadamba ọgwụ ascorbic acid na glucose - ọgwụ dọkịta adịghị mkpa. Ndụ nchekwa nke mbadamba bụ 1 afọ, a na-echekwa azịza (vitamin C dị ọcha) maka otu afọ ma ọ bụrụ na itinye uche nke ihe na-arụ ọrụ bụ 50 mg, yana afọ 1,5 maka ịta 100 mg.
Akụkụ nke ojiji nke glucose na mbadamba
Edere onye ọrịa ahụ glucose na mbadamba nkume. Dịka ọmụmaatụ, ọ bụrụ na ọrịa akụrụ na-arịa gị, dọkịta gị kwesịrị ilebara ọnọdụ gị anya mgbe ị .ụchara ya. Achọrọ njikwa akụkụ kachasị maka ndị na-egosi Central hemodynamics.
Womenmụ nwanyị dị ime na -echekwa mmiri na-abụkarị mbadamba glucose. Ha na-emetụta oke nke nwa ebu n'afọ na mmiri ara nne. Maka ụmụ nwanyị dị ime, enweghị nkwadebe glucose pụrụ iche, yabụ ọnụahịa ahụ bụ otu.
Peoplefọdụ ndị kwenyere na ọgwụ a nwere ike imetụta ike ịkwọ ụgbọala. Mana, ọ dabara nke ọma, echiche a ezighi ezi. Ndị dọkịta achọpụtala na glucose anaghị emetụta omume nke onye ọkwọ ụgbọala. Site n'ụzọ, ọnụahịa glucose na mbadamba adịghị agbanwe dabere na ebe ị na-aga.
A na-edenyekarị glucose na mbadamba maka ndị na-eme egwuregwu. Nke a di nkpa iji nye ndi ahu obi na akwara ka ha nye otutu ahihia. Ọ na-enye ahụ ike.Ọ na - egbochi ọdịdị nke adịghị ike na nkụ ike mgbe mgbatị siri ike gachara.
A na-atụ aro mbadamba ihe ndị dị Dextrose ka ọ jiri nwayọ gbasaa n'ire. Ogo ọgwụ a kapịrị ọnụ na oge ọgwụgwọ ga-adabere kpọmkwem n'ọnọdụ onye ọrịa. Ya mere, ọ bụ dọkịta na-enye ozi a naanị mgbe nyochachara onye ọrịa.
Ọ bụrụ na glucose dị ukwuu na-abanye ahụ mmadụ, hyperglycemia nwere ike ịmalite, isi ihe ndị na-egosi ya bụ akpịrị ịkpọ nkụ (polydipsia) na urination ngwa ngwa (polyuria). N'ọnọdụ siri ike, ọdịda akwara azụ (ụfị, ụkwara, mkpụmkpụ ume, ụkwara ume ọkụ).
Ihe ndị na-enye glucose na mbadamba bụ ihe dị oke mkpa maka ọtụtụ mmadụ. Nke mbụ, ọ na - arụ ọrụ dị ka isi iyi nke ike na - eme ka mkpụrụ ndụ na anụ ahụ na-arụ ọrụ. Ọrụ sel gị ga-arụ ọrụ ga-adabere n’otú ahụ mmadụ ga-esi enweta ihe ha na-eme.
A na-eri nri glucose na nri. Ọ na-agbaze na ngwa ngwa diges na irighiri ihe dị nfe, nke na-abanye n'ọbara ọbara ma gbasaa ahụ niile. Usoro excretory ga - enyere aka wepu ihe niile na - adịghị mkpa na ahụ, yabụ echegbula onwe gị banyere usoro onunu ogwu. Etu esi ewere glucose na mbadamba ihe? Kedu ihe onye ọrịa ahụ kwesịrị ịma?
- Njirimara nke ihe
- Kedu mgbe m ga-ewere
Mmetụta akụkụ
- Ihe nfụkasị mpaghara ma ọ bụ mmeghachi omume sistemụ ga-eme.
- Ọgwụ nwere ike imebi akpụkpọ ahụ mucous nke usoro nri.
- A na-egbochi ọgwụ inscreatic.
- Nephrocalcinosis (oxalate), yana hyperoxaluria.
Aha ọgwụ, ego nke ihe arụ ọrụ, nkwakọ ngwaahịa
Ọnụ ọgụgụ nke iberibe kwa mkpọ
Ọkpụkpụ glucose, mbadamba 0,5 g, contour blister
Ihe ndị na-enye glucose, mbadamba, 0,5 g, sekit na-enweghị cell
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Na-akpali njikọ nke homonụ corticosteroid, na-emeziwanye nnabata nke iron (nke na - enyere aka iwepụ anaemia), na - agbasi ume ike n'ozuzu ya - nke a bụ ihe kpatara ascorbicum, nke ọgwụ siri ike na - ahụkarị.
Agbanyeghị, vitamin C, ọkachasị yana glucose, nwere ike nwee mmetụta dị njọ n'ahụ ahụ n'ihi nbanye ngwa ngwa n'ime sel na anụ ahụ n'ụdị dehydroascorbic acid. Enwere ike ịtụle uru nke ọgwụ a ọbụlagodi na isi ọwụwa ugboro ugboro n'ihi ọbara.
Banyere ọgwụ ọgwụ ọgwụ ascorbic acid:
- Metabolism pụtara na akụrụ, ihe ka ọtụtụ na - apịpụ ka oxalate.
- Ọnụego mkpụ ya site na akụrụ ya dabere na dose - ndị dị elu na-aga ngwa ngwa.
- Ihe mere ọnya afọ, eriri afọ.
- Hypokalemia na thrombocytosis na nsonaazụ ule.
- Mpepu nke ndị na-egosi na ọrụ transaminases, bilirubin.
- Ọnụnọ nke etuto ahụ na-eme metastases, nchịkwa nke ascorbic acid nwere glucose bụ ihe a na-achọghị, ebe ọ bụ na anaghị ewepụ ngwa ngwa nke usoro a.
Emeputa | Ọnụ ego maka PC 10. |
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