Jiri glucose na mbadamba ihe n'ụzọ ziri ezi

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.

Ihe ngosi maka ojiji

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.

Ihe ngbanwe

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:

• Ọrịa shuga mellitus

• 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.

Usoro onunu ogwu na nhazi

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-eji usoro onunu ogwu nke 10-50 ml.

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.

Nsonaazụ

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.

Ntụziaka pụrụ iche

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.

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.

Mkparịta ụka ọgwụ ọjọọ

Ojiji nke catecholamines na steroid na-ebelata glucose.

A naghị ewepụ ya na nsonaazụ ya na mmiri-electrolyte na nguzozi nke dextrose na ọdịdị nke mmetụta glycemic mgbe ejikọtara ya na ọgwụ na-emetụta nguzo mmiri-electrolyte ma nwee mmetụta hypoglycemic.

Ihe analogues glucose bu: ngwọta - Glucosteryl, Glucose Bufus, Glucose-Eskom.

Ihe ngosi na contraindications maka ojiji

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.

Njirimara nke iji glucose

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.

Ekwesịrị iburu n'uche na dextrose na-enwe ike ịkụda ihe nke cardiac glycosides n'ihi na inactivation na oxidation nke glycoside. N'ihi ya, ọ dịkarịa ala otu elekere ga-agbatị n'etiti ị theseụ ọgwụ ndị a. Ọ bụ glucose na-ebelata ịdị irè nke ọgwụ ndị a:

• nystatin
• nyocha
• streptomycin,
• ọgwụ adrenomimetic.

N'iji nlezianya na -emeju ọgwụ a maka hyponatremia na ọdịda akụrụ, na-enyocha Central hemodynamics mgbe niile. N’oge a na-enye nwa ara na n’oge afọ ime, a na-egosipụta ojiji nke dextrose. Undermụaka na-erubeghị afọ ise anaghị edenye glucose n'ụdị mbadamba, n'ihi na ụmụaka ahụ amaghị etu esi ewere ọgwụ ahụ (ana-anabata ya n'okpuru ire).

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).

Ọgwụ dị n'ọtụtụ usoro onunu ogwu:

• 0,5 mg mbadamba
• Ngwọta 100 ml nke 10, 20 na 40 mg.

Mbadamba glucose dị ọcha, cylindrical dị larịị ma nọrọ n'ihe ize ndụ. Otu mbadamba ihe dị 0,5 mg nke kọlọtọ bụ isi, dextrose monohydrate. Ọzọkwa enwere ọtụtụ ihe ndị ọzọ: stachi nduku, calcium stearate na talc. Edere ụdị mbadamba ọgwụ a maka ọdịmma onye ọrịa, imeziwanye ikike ya na ahụ ike ya.

Gịnị bụ glucose maka?

Ahụ mmadụ chọrọ glucose dị ka ihe eji emeghachi ọgwụ maka ọtụtụ mmeghachi omume kemịkal. Usoro a bụ ikefefe mkpụrụ ndụ niile na - eme na - eme ka ike na --eme ihe na - arụ ọrụ. Ọkpụkpọ glucose dị ka ihe a na-akpọ kristal, na-eme ka arụ ọrụ nke ihe cellular arụ ọrụ. Ihe ọzọ a abaakwa n’ime sel, jupụta ha n’ ume, na - akpali imekọrịta intracellular ma bido usoro mmeghachi omume nke mmiri.

Iri nri ezighi ezi nke monosaccharide na-ebute ọrịa, ike ọgwụgwụ na oke ụra. Site na nhazi nke usoro ọgwụgwọ nke gwọọ glucose, saturation na-eme ka nri ghara ịdị, mmetụta antitoxic na-adịwanye mma, ma na-abawanye ụba diuresis. Okwesiri iburu n’uche na glucose bụ ihe dị mkpa maka ịhazi oke uru akwara obi.

A na-ejikarị ọgwụ a eme ọgwụ maka ọgwụgwọ ọgwụgwọ nke ọtụtụ ọnọdụ: ụbụrụ ụbụrụ, ọrịa imeju na nsị. Ihe ọzọ dị mkpa bụ glucose bụ ihe dị mkpa maka ịrụ ụbụrụ kwesịrị ịrụ ọrụ. Na enweghị ya, enwere ike ịnwe nsogbu na itinye uche. Carbohydrate a nwekwara ike inwe mmetuta dị mma na ọnọdụ psychomotional nke mmadụ, na-emezi ma na-emekwa ka ahụ kwụsị ịrụ ọrụ.

A na-atụ aro ọgwụ ahụ maka iji ya mee ihe ndị a:

1. Na hypoglycemia (glucose plasma na-ezughị ezu).
2. Na akpịrị ịkpọ nkụ (ọgbụgbọ, ịgbari nri).
3. Mgbe nsí na nsí ọbara ọgbụgba dị iche iche.
4. Dika mmiri eji dochie anya obara.

A na-enyekarị ọgwụ ọgwụ maka ebumnuche prophylactic na ụkọ vitamin, mgbali anụ ahụ, n'oge oge uto kpụ ọkụ n'ọnụ ma ọ bụ weghachi ndụ dị mma mgbe ọ nwesịrị ọrịa.

Ntụziaka maka ojiji na usoro onunu ogwu

Dabere na ntuziaka maka ojiji, glucose dị na mbadamba ihe bụ maka iji sublingual, ya bụ, ndozi n'okpuru ire. Achọrọ ị takeụ ọgwụ ahụ ihe dị ka otu awa na ọkara tupu iri nri - ihe a chọrọ bụ n'ihi eziokwu ahụ na dextrose, nke bụ akụkụ nke ọgwụ ahụ, na-ebelata agụụ.

Edebere ego ọgwụ achọrọ maka afọ ole ọ dị yana ọrịa onye ọrịa:

• maka ị poisonụ nsị, edepụtara mbadamba 2-3, na-ahụ maka ezumike awa abụọ,
• ya na mellitus di ala nke ukwu, egosiputa mbadamba 1-2 na nkeji nke 5, na oria di oria, rue mbadamba mbadamba 3 ka egosiputa n’agbata nkera elekere.
• Maka ụmụaka, a na-ekewa ihe dị iche iche kwa ụbọchị (500 mg) n'ọtụtụ usoro - ruo ugboro 5 kwa ụbọchị, ruo afọ 3, a naghị enye mbadamba iwu sublingally - a ga-agwagbu ya na mmiri.

Mgbe agwakọta glucose na ascorbic acid, iji nlezianya nyochaa akụrụ, ọbara mgbali na ọkwa insulin dị mkpa.

N'oge ime na lactation

Enwere ike ịtụ aro ị additionalụ ọgwụ ascorbic acid nwere glucose n'ọnọdụ ụfọdụ. Ọtụtụ mgbe, a na-enye ọgwụ ahụ maka erighị ihe na-edozi ahụ. N’ime afọ ime, ebumnuche bụ ezughi oke n’ọkpụkpụ nwa ebu n’afọ. N'ime oge nke abụọ na nke atọ, enwere mkpa maka ihe a - ọbụlagodi 90 mg nke glucose. Ma, ọ dị mkpa ịtụle na ịdoụbiga ihe ókè nwere ike bụrụ ihe dị ize ndụ nye nwa ebu n’afọ. Ọzọkwa, enwere ike ịkọ glucose n'oge a na-enye nwa ara, mana oke kachasị nke ihe ahụ bụ 120 mg.

Tabletsụbiga mbadamba glucose ókè ma na-akpata ọnọdụ ndị a:

1. Mmebi nke usoro metabolic.
2. Mmebi nke arụ ọrụ nke pancreas na, n'ihi nke a, nsogbu na njikọ nke insulin.
3. Nnukwu mmụba nke cholesterol na shuga ọbara.
4. Ntọala nke ọgbụgba ọbara na paịlị.
5. Mmeghachi omume na-ezighi ezi nke sistemụ mmadụ, nke mmeghachi omume nfụkasị gosipụtara.

Iko oke monosaccharide n'ime ọbara na-enwe mmetụta dị oke njọ na arịa ndị ahụ, n'ihi nke a na-eduga n'ịrụ ọrụ nke akụkụ ahụ niile dị mkpa. N’ihi nke a, agaghị ekwe omume ibute ọrịa atherosclerosis, ọrịa akụrụ, nkụchi obi, na ọbụna ikpu ìsì.

Ọnọdụ ndị a bụ ihe ndị ọzọ contraindications maka iji glucose:

• enweghi nsogbu gbasara akwara,
• arụ ọrụ obi (na usoro ọmụmụ),
• n'ihi mgbanwe mgbanwe nke sodium n’ime ọbara,
• ịba ọcha n'anya (mmiri mmiri gabigara ókè n'ahụ ahụ),
• akụkụ ụbụrụ ma ọ bụ akụkụ akwara umeji,
• ọrịa mgbasa.

Ekwesịrị icheta na maka ụmụaka na-erubeghị afọ atọ na maka ndị ọrịa nwere ọrịa mellitus, a na-eji usoro nlezianya edezi ọgwụ a ma ọ bụ naanị maka ebumnuche pụrụ iche.

Usoro nke ime ihe

Ọ bụ glucose ma ọ bụ dextrose bụ shuga dị mfe (monosaccharide). Aha ọzọ bụ sugar grape. Ọ bụ akụkụ nke sugars na carbohydrates dị mgbagwoju anya: fructose, sucrose, stachi, maltose. N'ime usoro ịre ire, a na-agbanwe carbohydrates dị mgbagwoju anya na shuga dị mfe. Ihe ndị na-enye glucose na mbadamba nkume bụ ike dị mfe nke ahụ na-anabata ngwa ngwa na ahụ niile. Dextrose na-ekere òkè na usoro metabolic nke anụ ahụ:

• na-akwalite nguzobe na ndakpo nke abuba ndi nwere abuba,
• N'ihi nhazi glucose, a na -emepụta nucleoside triphosphate, nke bụ mmanụ maka ahụ na anụ ahụ nke mmadụ,
• dextrose na-azụ ahụ mọ na ụbụrụ mmadụ.

Glucose dị na blister nke mbadamba iri n’otu n’ime. A na-ere blisters abụọ iche iche na mpempe 1, na igbe, na ụzọ 2. 1 mbadamba - glucose 50 mg. Ọnụahịa ahụ dabere na ọnụọgụ mbadamba na ntinye. Ọnụ ego kacha nta maka otu ọnya si 6 rubles na n'elu.

Dodoụbiga ya ókè

Site na ịdoụbiga ọgwụ ókè, hyperglycemia, shuga dị elu na-adị. Ahụ mmadụ anaghị emepụta insulin zuru ezu nke nwere ike ịhazi glucose natara. Hyperglycemia na-emebi mmebi ahụ akwara na akụkụ ahụ, na-edugakwa coma.

Annwebiga glucose, isi ọwụwa, nsogbu nke eriri afọ, ahụ erughị ala, nsogbu ụra. Ọ bụrụ n ’ọnya pụta, a na-atụ aro ka ị gaa hụ dọkịta ka ọ gbanwee usoro glyrom gị.

Ọrịa shuga na-edugakarị ọrịa na-egbu egbu. Oké ọbara shuga dị oke ize ndụ.

Aronova S.M. nyere nkọwa banyere ọgwụgwọ ọrịa shuga. Na-agụ zuru ezu

Na ọrịa ahụ, ọrịa shuga

Ọrịa shuga, dị ka ntuziaka ndị a si dị, bụ otu n'ime contraindications maka iwere dextrose na mbadamba. Mana oge ụfọdụ dọkịta na-enye ndị ọrịa ọgwụ a ma ọ bụrụ na ha nwere ụdị shuga 1. Nke a bụ n'ihi eziokwu ahụ bụ na egosipụtara ndị ọrịa dị ka insulin na mbadamba ma ọ bụ ọgwụ ndị ọzọ nwere insulin. Na mmụba dị elu nke glucose dị ala (ogologo oge nri, nnukwu insulin, nsogbu mmetụta uche ma ọ bụ nke anụ ahụ, wdg), homonụ thyroid enweghị ike ịbanye na sel. Hypoglycemia na-etolite, gosipụtara site na ịsụsọ na-abawanye, adịghị ike, tachycardia, ụfụ. Mgbe ụfọdụ ọgụ na-etolite na mberede.

Ọ dị mkpa icheta na enweghị enyemaka kwesịrị ekwesị, onye nwere ọrịa shuga nwere ike ịda. Remata glucose ngwa ngwa na - eme ka ọ̀tụ̀tụ̀ shuga dị n'ọbara pụta, ebe mbido mbadamba ụrọ amalite ịmịcharịrị n'oge nnọkọ. Ihe kachasị mkpa abụghị ịgbagha ihe mgbaàmà hyperglycemia na hypoglycemia - ha yiri. Ọ bụrụ n ’glucometer, mgbe ahụ ị ga-ebu ụzọ mee nyocha ọbara.

Site n'ịbelata shuga dị larịị yana ọnọdụ ahụ siri ike nke onye ọrịa, a na-atụ aro ka a gluụọ glucose kwa minit 5 na ego onye ọkaibe nyere.Mmegide ọkụ na-akụ n'okirikiri nke ọrịa shuga chọrọ iji ọgwụ ahụ kwa nkeji 20 ruo mgbe onye ọrịa ahụ ga-agbake. Ndị dọkịta nyere ndụmọdụ maka ị forụ ọgwụ ahụ.

Na egwuregwu siri ike

Denye glucose na ndị na-eme egwuregwu. Mkpa mbadamba Dextrose dị mkpa n'egwuregwu iji nọgide na-enwe ọ̀tụ̀tụ̀ glucose dị n'ọbara, na-ebunye ndị na-enye carbohydrates uru ahụ na umeji.

Tupu ọzụzụ kpụ ọkụ n'ọnụ ruo ogologo oge, ndị na-eme egwuregwu na-ewere ọnụego ọgwụ nke otu ọkachamara tụrụ aro ya. Nke a dikariri nma mgbe ị gaghị enwe ike iri nri zuru oke na elekere ma ọ bụ abụọ tupu klaasị. Ọrịa glucose na-enye ike ịchọrọ maka ọzụzụ ma gbochie ọdịdị nke adịghị ike, akpịrị ịkpọ nkụ, na ike gwụ oke mgbe mgbatị anụ ahụ gbasasịrị.

A sị na mmanya na-egbu egbu

Mgbe ị withụrụ mmanya na ọgwụ ọjọọ, mkpụrụ ndụ ụbụrụ na-ata ahụhụ. Remata glucose na-enye gị ohere ịhapụ icheta ihe ọjọọ a na-eme ha, iweghachite inye mkpụrụ ndụ ihe oriri. Ya mere, dextrose na mbadamba ihe dị irè n'ịgwọ mmanya na-egbu egbu, ọgwụ riri ahụ, kpochapu site na binge.

Na mgbakwunye, ọgwụ ahụ na-eme ka ọrụ imeju dịkwuo mma, na-enyere aka iwepụ ngwa ngwa nsị anụ ahụ. Ọgwụ a ọkachamara na-atụ aro ya n'ọnọdụ ndị a na-ewere kwa awa 2-3 ọ bụla.