Yavaibvisa chloride bufus - nharaunda uye nzira kushandiswa

"Sodium chloride bufus" - zita kurapwa kubva boka zvokufembedzwa uye diluents hwekutengeserana kuitika sezvo basa chirungiso yacho yavaibvisa chloride.

Pharmacological migumisiro

Sezvo chokwadi, plasma-fuma, "Sodium chloride bufus" rine zvinotevera migumisiro:

• Detoxification.
• Rehydration maturo.
• Kuva kunobva yavaibvisa ions, inozadza dhefisiti dzavo, muchikura zvimwe zvirwere pathological.
• The hypertonic mhinduro pamusoro yavaibvisa chloride, kushandiswa muchimiro nechitarisiko mafomu, vatsigiri excretion ose pus kubva anogumbura nezvechii, asi anewo antibacterial basa.
• Intravenous kwokubatsira munhu hypertonic mhinduro kwezvisingagutsi kuwedzera diuresis uye kunoita replenishment pamusoro kuperevedza yavaibvisa uye kuiisa chlorine ions.

Kana rikashandiswa isotonic mhinduro

Kushandiswa "Sodium chloride bufus" 0,9% zvinokurudzirwa zvinotevera nyaya:

• Conditions dzinoratidzwa zhinji mvura kurasikirwa kana rwakakwana yaunodya kuti manyoka, pernicious kurutsa, korera, kutsva, une nzvimbo huru, achiperekedzwa zvakawanda exudation.
• Dysmetabolic zvirwere aine kushaya ropa yavaibvisa uye kuiisa chlorine ions.
• ileus.
• Kudhaka.
• Washing kuti maronda, kusanganisira chirwere uye pus.

• Washing kwemaziso iri zvirwere maronda kana kuonekwa ane muviri wokumwe uye nasal mhango nokuda nokurapa rhinitis.
• Uchishandisa dilution kuti pfungwa Pharmaceuticals.
• Shandisa yokudiridzira zvinangwa dressings.

Zvairatidza kuti kushandisa imwe hypertonic mhinduro

Rinoreva nachiremba izvi zvinhu:

• Ropa pulmonary localization.
• Ropa pamwe localization mudumbu kana muura.
• Rinogona kushandiswa kumanikidza weti goho sezvi- osmotic diuretic.
• Kupera mvura mumuviri.
• Kudhaka sirivha nitrate.
• Suppurating maronda (mu iyi "Sodium chloride bufus" rinoshandiswa topically).
• Kupatira (rectal chikumbiro akaratidzwa).

Contraindications

Mirayiridzo "yavaibvisa chloride bufusu" rinopa mazano dzinoverengeka ezvinhu idzo kushandiswa kwezvinodhaka izvi zvisingagamuchirwi:

• Hypernatremia.
• Acidosis.
• Chloruremia.
• Hypokalemia.
• The zvakawandisa kuunganidza mvura iri intercellular nzvimbo.
• Hemodynamic zvirwere zvinogona kutungamirira pfungwa edema uye zvemapapu.
• Kuzvimba uropi.
• Pulmonary edema.
• Chenjera kukundikana kuruboshwe ventricular ishande.
• Kushandiswa glucocorticoids, kunyanya pamatunhu mishonga.

nemishonga

Kusashandiswa kana zvikashandiswa zvakapfurikidza kunogona kukanganisa zviratidzo izvi:

• Acidosis ( "acidification" womukati ezvinhu).
• Hyperhydration.
• Zvinoderedza ropa potassium ions.

Nzira Use

"Sodium chloride bufus" rinogona kushandiswa nenzira dzinotevera:

• Intravenous inoramba ichishanda.
• Subcutaneously.
• Rectally.
• Topically, munharaunda.

Asati kushandisa isotonic mhinduro kuva neshungu kuti tembiricha kuti 36-38 Celsius.

The chipimo chemushonga neimwe nyaya akatsunga nomumwe zvichienderana nemvura vhoriyamu, mwero kuperevedza yavaibvisa uye kuiisa chlorine ions. The avhareji yokudengenyeka zuva chinotarisirwa anenge mumwe fő kuti mhinduro. Zvisinei, kana bhuku Urume jekiseni raidudzwa kudhaka anogona ngazviwedzerwe kusvika marita matatu pazuva. sumo zvazvingava Kazhinji 540 milliliters paawa, asi kana zvava kudikanwa mwero inogona akawedzera.

Kana akazivisa richikwidibira ropa nevezera ari mwana anokonzerwa kupera muviri, anoratidza kuunzwa isotonic mhinduro kubva 20-30 milliliters por kilogram kurema mwana. Izvi Kutarisirwa muoti unoshandiswa pamberi kuvhara chirwere maitirwo ezvinhu, uye mumarabhoritari parameters. Humwe zvemaBhaibheri jekiseni mhinduro akawana zano nokuti panguva kuongorora mumarabhoritari parameters. kushandisa zvinodhaka refu kunoratidza kuti hurongwa richiona nezvezvabuda electrolytes vari plasma weti uye.

Hypertonic mhinduro nokuti intravenous Kutarisirwa ane 10 muzana wevasungwa.

Nokuti gastric lavage mhinduro rinoshandiswa 2-5%.

The enema inoshandiswa kukurudzira defecation kupatira, akashandisa 5 muzana mhinduro mune imwe mari Rine mamiririta 100, kana 0,9% kuti marita anosvika matatu pazuva.

Kufanana ziso Madonhwe yakarumbidza 1-2 madonhwe muziso neimwe.

Nokuti inhalations "Sodium chloride bufus" rinofanira kushandiswa manomwe - gumi mazuva. Sezvo kutonga, chenjera zviratidzo panguva iyi nenguva kubva atanga. Achiziva inhalation, unofanira kuomerera zvinotevera:

• Temperature inhalable muvhenganiswa haafaniri kupfuudza madhigirii 40.
• The nzira yaifanira pakati kudya.
• Kufema kunofanira wakadzikama kundosvikira - yakadzika, pakati inhalation uye nedzinovengwa - zvishomanana kumbomira.
• Kana inhalation nzira uchishandisa nebulizer kubata kukosora yakakodzera mubatanidzwa sesaline kugadzirira yakavakirwa ambroxol ( "Mucosolvan" "Ambrobene") kana acetylcysteine ( "Fluimucil"); tsika kubatsira bronchoobstruction zvinoreva pamwe bronchodilator basa ( "Berotek" "Berodual"); mune zvimwe zviitiko, zvinoratidza kushandiswa Anti-anogumbura ( "budesonide") kana akambozvishandisa kuuraya utachiona ( "Miramistin", "Gentamycin") rinoreva.

Mhino "Sodium chloride bufus" rinoshandiswa Kazhinji, sezvo kazhinji kacho ndiye lavages of nasal mhango pamwe vasiri sesaline yakakwana.

Kana zvakakodzera, yesaline nokuda inhalation mumba anogona kutsiviwa sesaline kana chicherwa mvura pasina gasi.

Kuti tidzivise divi migumisiro uye zvakaoma kunzwisisa zviri pakugadzirira musanganiswa nokuda inhalation inofanira kuchengetwa zvairatidza, akaratidza mumirayiridzo akakodzera zvinodhaka.