ʻAʻole wale ka saline - e aʻo kākou e pili ana i nā ʻano wai IV i hāʻawi ʻia i ke kino (Lactated Ringers vs Normal Saline)

Ua noho paha ʻoe i loko o kahi haukapila? A i ʻole i kipa aku i kekahi? Ua ʻike paha ʻoe i kahi ʻōmole saline i hoʻopili ʻia i kou lima i ia manawa, ʻeā? Manaʻo ka hapa nui o kākou he like ka mea o kēlā me kēia ʻōmole saline i hāʻawi ʻia i ke kino ma kēia ʻano. Akā ʻo ka ʻoiaʻiʻo, ʻaʻole ia ka hihia. Aia nā ʻano wai IV like ʻole i hoʻohana ʻia no nā kūlana olakino like ʻole a ma nā kūlana like ʻole. No laila i kēia lā, e kamaʻilio kākou e pili ana i ʻelua o nā wai IV i hoʻohana pinepine ʻia ma ko kākou ʻāina, ʻo ia hoʻi ʻo Lactated Ringers a me Normal saline .

No ke aha he mea nui ka wai no ko mākou kino?

ʻO ka mea mua, e nānā kākou i ke kumu he mea nui loa ko kākou kino no ka wai. E noʻonoʻo wale, he 60% o ko kākou kino i hana ʻia me ka wai. He mea nui kēia wai no ka hana olakino o kēlā me kēia ʻōkana i loko o ko kākou kino, me ko kākou lolo, puʻuwai , māmā, a me nā puʻupaʻa. I ka ʻōlelo maʻalahi, hana ka wai i nā mea nui he nui i loko o ko kākou kino, me:

• Kōkua i nā cell e hana pono i kā lākou hana.
• Hoʻowali i ko kākou mau hono .
• Hoʻomalu i ka mahana o ke kino.
• Lawe ʻia nā meaʻai ma ke kino holoʻokoʻa.
• Hoʻokuʻu ʻia nā ʻōpala ma o ka mimi a me nā feces.
• Mālama i ka lolo a me ke kaula kuamoʻo mai ka hōʻino ʻia.

I kēia manawa ua maopopo iā ʻoe ke koʻikoʻi o ka wai? No kekahi kumu, no ka laʻana, ke luaʻi nui mākou , ke nalowale ke koko nui i kahi ulia koʻikoʻi, a i ʻole ke ʻeha mākou i nā kuni, lawe ʻia ka nui o ka wai mai ko mākou kino. Kāhea mākou i kēia he dehydration . Ke hana ʻia kēia, lilo ka nui o nā electrolytes i loko o ke kino i mea kaulike ʻole, mānoanoa ke koko, a pono ka puʻuwai e hana ikaika. ʻO kēia ka manawa e hāʻawi ʻia ai nā wai i loko o ke kino (IV) e hoʻihoʻi i nā hana o ke kino.

He aha nā Lactated Ringers a me ka Normal Saline?

ʻO kēia nā wai IV ʻelua i hoʻohana nui ʻia ma nā haukapila. Kāhea mākou iā lāua ʻelua he mau hopena crystalloid . ʻO ke ʻano kēia he liʻiliʻi loa nā ʻāpana i loko o kēia mau wai. No laila hiki iā lākou ke hele maʻalahi ma o ko mākou mau membrane cell a komo i loko o ke kino. Eia kekahi, he isotonic kēia mau wai ʻelua. ʻO ke ʻano kēia ua like loa ka nui o kēia mau wai me ka nui o ko mākou plasma koko. No laila, i ka wā e hāʻawi ʻia ai i ke kino, ʻaʻole lākou e hōʻeha i nā cell. Akā aia kekahi mau ʻokoʻa nui ma waena o nā mea ʻelua. Ma muli o kēlā mau ʻokoʻa, koho nā kauka i ke ʻano o ka wai i kūpono no kēlā me kēia maʻi. E like me kāu e ʻike ai, he wai paʻakai wale nō ka Normal Saline. Akā, aia i loko o ka Lactated Ringers kekahi mau paʻakai ʻē aʻe (electrolytes) e pono ai ko kākou kino. No laila, ʻoi aku ka kokoke o ka hopena Lactated Ringers i ke ʻano o ko kākou koko.

Pehea e koho ai nā kauka i kēia mau mea?

ʻAe, ʻo ka mea nui loa kēia. I ka manawa hea e hāʻawi ʻia ai ka Normal Saline? I ka manawa hea e hāʻawi ʻia ai nā Lactated Ringers? Na ke kauka nāna ʻoe e mālama nei e hana i kēia hoʻoholo. Nui nā kumu e hoʻohuli iā ia. E wehewehe hou aku kākou i kēia ma ka papa ma lalo nei.

Aia kekahi mau pilikia me nā wai IV?

ʻO ka maʻamau, palekana loa ka hāʻawi ʻana i nā wai IV ma lalo o ka nānā ʻana a ke kauka. Eia nō naʻe, e like me nā lāʻau lapaʻau āpau, aia nā pilikia. ʻO nā pilikia nui mai ka hāʻawi ʻana i ke ʻano wai kūpono ʻole, a i ʻole ka hāʻawi ʻana i ka nui a i ʻole ka liʻiliʻi .

Inā loaʻa iā ʻoe ka wai ma mua o kou pono:

• Ka pehu ʻana o nā wāwae a me nā lima.
• Ke koko kiʻekiʻe.
• Paʻakikī ka hanu ʻana.
• Ka lohi o ka ho'ōla ʻana o ka ʻeha.

Inā ʻaʻole lawa kou wai (inā hoʻomau ka dehydration):

• Hoʻonui ʻia ka helu o ka puʻuwai.
• Ke koko haʻahaʻa.
• Ka hāʻule ʻana o nā puʻupaʻa.
• Ka haʻalulu a me ka hāʻule ʻana o nā ʻōkana.

ʻO ia ke kumu i ka wā e hāʻawi ʻia ai ʻoe i nā wai IV ma ka haukapila, hele mau mai nā kahu maʻi e nānā i ke kahe ʻana o ke kahe a me kou kūlana. Nā wai IV, saline, Saline Maʻamau, Lactated Ringers, dehydration, Dehydration, nā wai IV Sinhala, nā ʻano saline