Koj puas tau nyob hauv tsev kho mob? Los yog mus ntsib ib tug neeg? Tej zaum koj yuav tau pom ib lub raj mis saline txuas rau ntawm koj txhais caj npab thaum lub sijhawm ntawd, puas yog? Peb coob tus xav tias txhua lub raj mis saline uas muab rau lub cev li no muaj tib yam. Tab sis qhov tseeb, qhov ntawd tsis yog qhov tseeb. Muaj ntau hom kua IV siv rau ntau yam mob thiab hauv ntau qhov xwm txheej. Yog li hnub no, cia peb tham txog ob hom kua IV uas siv ntau tshaj plaws hauv peb lub tebchaws, uas yog Lactated Ringers thiab Normal
saline .
Vim li cas cov kua dej thiaj li tseem ceeb rau peb lub cev?
Ua ntej, cia peb saib seb vim li cas peb lub cev thiaj li tseem ceeb rau cov kua dej. Xav txog seb,
60% ntawm peb lub cev yog ua los ntawm dej. Cov dej no yog qhov tseem ceeb rau kev ua haujlwm zoo ntawm txhua lub cev hauv peb lub cev, suav nrog peb lub hlwb,
lub plawv , lub ntsws, thiab lub raum. Hais yooj yim, dej ua ntau yam tseem ceeb hauv peb lub cev, suav nrog:
- Pab cov cell ua lawv txoj haujlwm kom zoo.
- Ua kom peb cov pob qij txha ntub .
- Tswj qhov kub ntawm lub cev.
- Cov as-ham raug nqa mus thoob plaws lub cev.
- Cov khib nyiab raug tso tawm los ntawm cov zis thiab cov quav.
- Tiv thaiv lub hlwb thiab tus txha caj qaum kom tsis txhob raug mob.
Tam sim no koj nkag siab tias dej tseem ceeb npaum li cas? Vim li cas, piv txwv li, thaum
peb ntuav ntau, thaum peb poob ntshav ntau hauv qhov xwm txheej loj, lossis thaum peb raug kub hnyiab, ntau cov kua dej raug tshem tawm ntawm peb lub cev. Peb hu qhov no tias
qhuav dej . Thaum qhov no tshwm sim, cov electrolytes hauv lub cev tsis sib npaug, cov ntshav tuab, thiab lub plawv yuav tsum ua haujlwm hnyav dua. Qhov no yog thaum cov kua dej raug muab rau hauv cov hlab ntsha (IV) kom rov qab ua haujlwm ntawm lub cev.
Cov Lactated Ringers thiab Normal Saline yog dab tsi?
Cov no yog ob hom kua IV uas siv ntau tshaj plaws hauv tsev kho mob. Peb hu ob hom no
ua cov kua crystalloid . Qhov no txhais tau tias cov khoom me me hauv cov kua no me heev. Yog li ntawd lawv tuaj yeem yooj yim hla peb cov cell membranes thiab nqus mus rau hauv lub cev. Tsis tas li ntawd, ob hom kua no
yog isotonic . Qhov no txhais tau tias qhov concentration ntawm cov kua no zoo ib yam li qhov concentration ntawm peb cov ntshav plasma. Yog li thaum lawv muab rau lub cev, lawv tsis ua rau cov cell puas tsuaj. Tab sis muaj qee qhov sib txawv loj ntawm ob hom no. Vim yog qhov sib txawv ntawd, cov kws kho mob xaiv hom kua uas yog rau txhua tus neeg mob.
| Hom kua | Cov khoom xyaw | Kev Tshwj Xeeb |
|---|
| Cov ntsev ib txwm muaj (0.9% sodium chloride) | Tsuas yog sodium chloride (ntsev) thiab dej. | Cov kua dej IV yooj yim uas siv ntau tshaj plaws. |
| Cov Tshuaj Lactated Ringers (LR) | Cov tshuaj muaj xws li sodium chloride, sodium lactate, potassium chloride, calcium chloride thiab dej. | Ib qho kev daws teeb meem sib npaug, zoo ib yam li cov plasma hauv peb cov ntshav. |
Zoo li koj pom, Cov Tshuaj Saline tsuas yog dej ntsev xwb. Tab sis Lactated Ringers muaj ntau lwm cov ntsev (electrolytes) uas peb lub cev xav tau. Yog li ntawd, cov tshuaj Lactated Ringers ze rau cov khoom sib xyaw ntawm peb cov ntshav.
Cov kws kho mob xaiv cov no li cas?
Zoo, tam sim no qhov tseem ceeb tshaj plaws. Thaum twg yuav tsum muab Normal Saline? Thaum twg yuav tsum muab Lactated Ringers? Qhov kev txiav txim siab no yog los ntawm tus kws kho mob uas kho koj. Muaj ntau yam uas cuam tshuam rau nws.
Qhov tseem ceeb tshaj plaws yog tias nws yeej tsis yog tus neeg mob lub luag haujlwm los txiav txim siab seb lawv xav tau hom kua IV twg. Qhov no yog kev txiav txim siab uas tus kws kho mob yuav ua raws li tus neeg mob tus mob, cov txiaj ntsig ntawm kev kuaj ntshav , thiab lwm yam mob.
Cia peb piav qhia ntxiv txog qhov no hauv lub rooj hauv qab no.
| Hom kua IV | Lub sijhawm zoo tshaj plaws los siv | Cov xwm txheej uas yuav tsum zam / ceev faj txog kev siv |
|---|
| Cov ntsev ib txwm muaj | - Rau feem ntau cov mob qhuav dej (ntuav/raws plab).
- Yog tias muaj kev los ntshav.
- Nyob rau hauv ib lub xeev ntawm kev poob siab .
- Thaum muaj cov sodium tsawg hauv cov ntshav.
- Qhov no yog tib cov kua dej uas muab tau nrog kev hloov ntshav.
| - Cov neeg mob uas muaj kab mob plawv .
- Cov neeg mob uas muaj kab mob raum.
- Cov neeg uas muaj kev pheej hmoo ntawm kev haus dej ntau dhau.
- Kev pheej hmoo ntawm kev nce ntxiv ntawm cov tshuaj chloride hauv cov ntshav (Hyperchloremia).
|
| Cov tshuaj lactated ringers | - Thaum muaj kev kub hnyiab thiab raug mob hnyav (Kev raug mob hnyav).
- Yog tias muaj kev los ntshav sai sai.
- Thaum lub sijhawm phais thiab tom qab phais.
- Thaum lub cev poob cov electrolytes .
- Hauv cov mob xws li metabolic acidosis.
| - Cov neeg mob uas muaj kab mob siab.
- Mob raum hnyav heev.
- Thaum muaj cov kab mob lactic acidosis (cov kab mob lactic acid ntau ntxiv hauv cov ntshav).
- Thaum cov ntshav pH siab tshaj 7.5.
|
Puas muaj kev pheej hmoo nrog cov kua IV?
Feem ntau cov kua IV muaj kev nyab xeeb heev rau kev muab tshuaj nyob rau hauv kev saib xyuas ntawm tus kws kho mob. Txawm li cas los xij, ib yam li lwm yam kev kho mob, muaj kev pheej hmoo. Cov kev pheej hmoo tseem ceeb yog los ntawm kev muab
hom kua tsis raug, lossis muab ntau dhau lossis tsawg dhau .
Yog koj tau kua ntau dua li koj xav tau:
- Ob txhais ceg thiab caj npab o.
- Ntshav siab.
- Ua pa nyuaj.
- Kev kho qhov txhab qeeb.
Yog tias koj tsis tau dej txaus (yog tias lub cev qhuav dej tseem txuas ntxiv mus):
- Lub plawv dhia ceev dua.
- Ntshav siab qis.
- Kev ua haujlwm tsis zoo ntawm lub raum.
- Kev poob siab thiab kev ua tsis tiav ntawm lub cev.
Qhov no yog vim li cas thaum koj tau txais cov kua IV hauv tsev kho mob, cov kws tu mob ib txwm tuaj xyuas thiab kuaj xyuas qhov ntws thiab koj tus mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Txawm hais tias peb hais tias "saline," muaj ntau hom kua IV siv hauv tsev kho mob. Normal Saline thiab Lactated Ringers yog ob hom tseem ceeb.
- Txhua yam kua dej no muaj cov khoom sib txawv, yog li ntawd lawv ua haujlwm sib txawv hauv lub cev.
- Koj tus kws kho mob yuav xaiv hom kua IV uas zoo tshaj plaws rau koj, suav nrog koj tus mob, hnub nyoog, lwm yam mob, thiab cov txiaj ntsig ntawm kev kuaj ntshav.
- Cov kua IV muaj kev nyab xeeb heev thaum muab raws li cov lus qhia ntawm kws kho mob, yog li ntawd tsis txhob ntshai lawv yam tsis tsim nyog.
- Yog koj muaj lus nug lossis kev txhawj xeeb txog qhov no, tsis txhob yig nug tus kws kho mob lossis cov neeg ua haujlwm saib xyuas koj.
Cov kua IV, saline, Normal Saline, Lactated Ringers, dehydration, Dehydration, IV fluids Sinhala, hom saline
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus