Kana Wakambopinda muImba yeEergency, Iwe Unogona Kuwana Rakagadzirirwa Ringer's
Kana iwe wakakuvadzwa kana ukavhiyiwa kuburikidza nekuvhiya, pane mukana wakanaka wakagamuchira Lactated Ringer's. Zvisinei, zvisingazivi zita racho nderekuti, Rakagadzirirwa Ringer's inogadziriswa inokosha yekuchengetedza uye ine zvishoma migumisiro.
Yakagadziriswa Ringer ndiyo sarudzo isina kuchena iyo inoshandiswa kutora mvura yakasakara yakaraswa nemuviri. Iyo inowanzoshandiswa kumushandura kwemvura, zvinoreva kuti murwere anoda kushandiswa kwechisimba chemvura panzvimbo yekurasikirwa neropa kana kurwara.
Inoratidzika semvura, asi inowedzera zvinokonzera kusanganisira calcium, potasium, lactate, sodium, uye chloride.
Yakagadzirirwa Ringer's inozivikanwawo seLR, Ringer's Lactate uye Ringer's.
Chikonzero nei Inonzi Rakaitwa Ringer's
Mukupera kwema1800. mumwe chiremba anonzi Sydney Ringer akatanga chirongwa chaiva ne calcium, potasium, sodium, uye chloride mumvura. Mhinduro yacho yaitumidzwa se "Ringer's," mushure mokunge yakagadzira.
Makore gare gare, chiremba anonzi Alexis Hartmann akatsunga kuti kuwedzera ractacate kuchigadziriso kwakaita kuti zvive zvakakodzerwa nevarwere vevana. Lactate ndiyo makemikari inogadzirwa nemisungo yedu munguva yekurovedza muviri uye chikamu chemuviri wemukaka. Nekuwedzera kwe lactate, mhinduro yakazozivikanwa se "Lactated Ringer's."
Chinoita Kuti Ishandiswe
Yakagadziriswa Ringer inowanzoshandiswa kushandura mvura yakarasikirwa, ropa, kana maviri. Pamusana pezvinhu zvakagadzirwa ne-sodium, zvinowanzoshandiswa kushandiswa kwemvura zvinoramba zvichiripo asi panzvimbo inowanzoshandiswa apo huru yakawanda yemvura inofanira kupiwa, inozivikanwa sekudzikinurwa kwemvura. Zvakaitwa Ringer zvinowanzoshandiswa pane zvinowanzoitwa saline solution nokuti ine zvose mvura uye electrolytes, uye yakakodzera vose vana nevakuru.
Yakagadziriswa Ringer inewo zvishoma zvingava nemigumisiro yakawanda kupfuura yakasarudzika saline.
Kupisa kwakanyanya, kushungurudzika, kurasikirwa kukuru kweropa, uye kurasikirwa kwakanyanya kwemvura (kunokonzerwa nokupera mvura, kuvhiyiwa kana zvimwe zvinetso) ndezvimwe zvezviitiko umo Lactated Ringer inopiwa.
Zvishoma zvishoma zveLactated Ringer zvinogona kupiwa sekuchengetedza IV, zvichipa mvura inodiwa apo murwere asingakwanisi kunwa mvura yakakwana kuti atsigire basa ravo rinowanzoshanda.
Ngozi uye Migumisiro Yechirwere
Pane zvipembenene zvishomanana zvinosanganiswa neLactated Ringer's izvo zvisingabatanidzi nemhando ipi zvayo inopisa. Kunyanya, njodzi dzinosanganisira:
- kurwadziwa paIi nzvimbo
- zvose zvinokonzera kugadzikana kusvika pakugadzirisa
- kunyanya kushandiswa kwemvura
- kunyanya kudarika kwe electrolytes, chloride, kana potassium
Nemhaka yekuti kune mukana wekushandisa zvakanyanya, zvinokosha kuti vashandi vanonyatsocherechedza varwere vanowana Lactated Ringer's.
Yakagadzirirwa Ringer yave ichiongororwa uye inowanikwa yakachengeteka kushandiswa kune vakawanda vakwegura nevana. Izvo hazvina kuongororwa zvizere zvekushandiswa nevarwere vemajeri, vakadzi vane pamuviri, kana vacheche. Mukuwedzera, haifaniri kushandiswa nevarwere vane chirwere chetsvina kana chirwere chemwoyo.
Iyo Yakapiwa Sei
Yakagadziriswa Ringer inoshandiswa mukati-kati (kuburikidza ne IV), zvakananga muropa. Hazvambotorwa nemuromo. Inowanzopiwa mumamiriro ezvinhu akaoma kana kuvhiyiwa.
Sources:
Braun, R. Medical. Lactated ringers. Drugs.com. Webhu. 2015.
RxList. Zvinowanzovhiringidza zvinokonzerwa nemakwenzi emarara. RxList. 2017.
> Schwarz, Evan. Muchidimbu, nyaya dzakasarudzwa dzinoshandiswa. Emergency Physicians Monthly. Webhu. May 8, 2015.