Yu dɔn ɛva de na ɔspitul? Ɔ yu bin go fɛn pɔsin? Yu go mɔs dɔn si wan bɔtul we gɛt salin we dɛn tay na yu an da kayn tɛm de, nɔto so? Bɔku pan wi kin tink se ɛni bɔtul we gɛt salin we dɛn gi di bɔdi dis kayn we, gɛt di sem tin. Bɔt fɔ tru, nɔto so i bi. Difrɛn kayn IV fluid dɛn de we dɛn kin yuz fɔ difrɛn mɛdikal kɔndishɔn ɛn na difrɛn sityueshɔn dɛn. So tide, lɛ wi tɔk bɔt tu pan di IV fluid dɛn we dɛn kin yuz mɔ na wi kɔntri, we na Lactated Ringers ɛn Normal
saline .
Wetin mek wata impɔtant fɔ wi bɔdi?
Fɔs, lɛ wi luk wetin mek wi bɔdi rili impɔtant fɔ mek wi gɛt wata. Jɔs tink se,
60% pan wi bɔdi na wata. Dis wata impɔtant fɔ mek ɔl di ɔgan dɛn na wi bɔdi wok fayn fayn wan, ivin wi bren,
at , lɔng, ɛn kidni. Fɔ tɔk am simpul wan, wata kin du bɔku impɔtant tin dɛn insay wi bɔdi, lɛk:
- I de ɛp di sɛl dɛn fɔ du dɛn wok fayn fayn wan.
- I de mek wi jɔyn dɛn rɔtin .
- I de kɔntrol di tɛmpracha na di bɔdi.
- di nyutriεnt dεm de kכri כlsay na di bכdi.
- Dɛn kin pul dɔti tru urine ɛn fes.
- I de protɛkt di bren ɛn di spɛnal kɔd frɔm damej.
Naw yu ɔndastand aw wata impɔtant? Fɔ sɔm rizin, fɔ ɛgzampul, we
wi vɔmit bɔku, we wi lɔs bɔku blɔd pan siriɔs aksidɛnt, ɔ we wi bɔn, bɔku bɔku wata kin kɔmɔt na wi bɔdi. Wi kin kɔl
dis dɛhydration . We dis kin apin, di ilɛktrɔlayt dɛn we de na di bɔdi nɔ kin balans, di blɔd kin tik, ɛn di at kin gɛt fɔ wok tranga wan. dis na we dεn gi wata insay di bכdi (IV) fכ mek di bכdi wok bak.
Wetin na Laktat Ringer ɛn Nɔmal Salin?
Dis na di tu IV wata we dɛn kin yuz mɔ na ɔspitul. Wi kin kɔl dɛn ɔl tu
kristalɔyd sɔlvushɔn . dis min se di patikyula dεm we de insay dεn wata dεm ya rili sכm. So i izi fɔ pas na wi sɛl mɛmbran dɛn ɛn absɔb dɛn insay di bɔdi. Dɔn bak, dɛn tu wata ya
na isotonik . Dis min se di kɔnsɛntreshɔn fɔ dɛn wata ya rili fiba di kɔnsɛntreshɔn na wi blɔd plasma. So we dɛn gi dɛn to di bɔdi, dɛn nɔ de du bad to di sɛl dɛn. Bɔt sɔm big big difrɛns de bitwin dɛn tu. Bikɔs ɔf dɛn difrɛns dɛn de, dɔktɔ dɛn kin pik di kayn wata we go fayn fɔ ɛni wan pan di sikman dɛn.
| Tayp fɔ Fluid | Tin dɛn we de insay | Speshal wok |
|---|
| Nɔmal Salin (0.9% sɔdyɔm klorayd) . | Jɔs sɔdiɔm klorayd (sɔl) ɛn wata. | Di besik IV fluid we dɛn kin yuz mɔ. |
| Laktat Ringers (LR) we dɛn kɔl . | Sɔdiɔm klorayd, sɔdiɔm laktat, potashɔm klorayd, kalsiɔm klorayd ɛn wata. | Wan balans sɔlvushɔn, we fiba mɔ lɛk di plasma we de na wi blɔd. |
As yu si, Nɔmal Salin na jɔs sɔl wata. Bɔt Lactated Ringers gɛt sɔm ɔda sɔl dɛn (ilɛktrɔlayt) we wi bɔdi nid. fכ dat, di Lactated Ringers sכlushכn de nia di kכmכshכn fכ wi bכdi.
Aw dɔktɔ dɛn kin pik dɛn tin ya?
Okay, naw di tin we impɔtant pas ɔl. Ustɛm dɛn fɔ gi Nɔmal Salin? Ustɛm dɛn fɔ gi Lactated Ringers? Na di dɔktɔ we de trit yu nɔmɔ kin disayd fɔ du dis. Bɔku tin dɛn de we kin afɛkt am.
Di tin we impɔtant pas ɔl na dat i nɔ kin ɛva bi to pɔsin we sik fɔ disayd us kayn IV wata i nid. Dis na disizhɔn we dɔktɔ go disayd bay di sikman in kɔndishɔn, di blɔd tɛst rizɔlt, ɛn ɔda mɛrɛsin dɛn.
Lɛ wi ɛksplen dis mɔ na di tebul we de dɔŋ ya.
| IV fluid tayp | Di bɛst tɛm dɛn fɔ yuz | Situeshɔn fɔ avɔyd/tek tɛm fɔ yuz |
|---|
| Nɔmal Salin we dɛn kin yuz | - Fɔ bɔku pan di kɔndishɔn dɛn we de mek pɔsin nɔ gɛt wata (vomit/diarrea).
- If blɔd de kɔmɔt.
- Insay wan stet we pɔsin kin shɔk .
- If di sodium nɔ bɔku na di blɔd.
- Dis na di wangren wata we pɔsin kin gi we dɛn gi am blɔd.
| - Di wan dɛn we gɛt at sik .
- Di wan dɛn we gɛt sik na dɛn kidni.
- Pipul dɛn we de pan risk fɔ gɛt bɔku bɔku wata.
- Risk fɔ mek di klorayd lɛvɛl go ɔp na di blɔd (Hyperchloremia).
|
| Laktated Ringers dɛn we dɛn kin kɔl | - If pɔsin bɔn ɛn gɛt siriɔs aksidɛnt (Trauma).
- If blɔd kɔmɔt wantɛm wantɛm.
- We dɛn de du di ɔpreshɔn ɛn afta dɛn dɔn du di ɔpreshɔn.
- We di bɔdi lɔs ilɛktrɔlayt dɛn .
- Insay kɔndishɔn dɛn lɛk mɛtabolik asid.
| - Di wan dɛn we gɛt liva sik.
- Siriɔs kidni we nɔ de wok fayn.
- insay di kes fכ laktik asidכsis (inkrεs laktik asid na di bכdi).
- we di bכdi pH de pas 7.5.
|
Ɛni risk de wit IV fluid?
IV fluid dɛn kin jɔs rili sef fɔ gi ɔnda di sɔpɔtishɔn fɔ dɔktɔ. Bɔt jɔs lɛk ɛni tritmɛnt, prɔblɛm dɛn de we kin apin. Di men prɔblɛm dɛn we kin apin na we pɔsin gi
di rɔng kayn wata, ɔ we i gi am tumɔs ɔ smɔl .
If yu gɛt mɔ likwid pas aw yu nid:
- Di leg ɛn an dɛn kin swel.
- Di ay blɔd prɛshɔn.
- I nɔ kin izi fɔ yu fɔ blo.
- Dilay we wund de wɛl.
If yu nɔ gɛt bɛtɛ wata (if yu kɔntinyu fɔ gɛt wata we de kɔmɔt na yu bɔdi):
- Di at rit we de go ɔp.
- Lɔw blɔd prɛshɔn.
- Kidni we nɔ de wok fayn.
- Shok ɛn ɔgan dɛn we nɔ de wok fayn.
Dis na di rizin we mek we dɛn gi yu IV wata na ɔspitul, di nɔs dɛn kin kam ɔltɛm ɛn chɛk di wata we de flɔ ɛn yu kɔndishɔn.
Mɛsej we dɛn kin kɛr go na os
- Pan ɔl we wi kin se "saline," sɔm kayn IV fluid dɛn de we dɛn kin yuz na ɔspitul. Nɔmal Saline ɛn Lactated Ringers na tu pan di men kayn dɛn.
- Ɛni wan pan dɛn wata ya gɛt difrɛn we aw dɛn mek am, so dɛn kin wok difrɛn we na di bɔdi.
- Yu dɔktɔ go pik di kayn wata we go fayn fɔ yu fɔ gi yu, ɛn i go tek tɛm tink bɔt yu mɛrɛsin, yu ej, ɔda mɛrɛsin dɛn, ɛn di blɔd tɛst rizɔlt.
- IV fluid dɛn rili sef we dɛn gi yu kɔrɛkt wan ɔnda dɔktɔ advays, so nɔ fred dɛn we yu nɔ nid.
- If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis, nɔ ɛva shem fɔ aks di dɔktɔ ɔ di nɔs wokman dɛn we de trit yu.
IV fluid, salin, Nɔmal Salin, Lactated Ringers, dɛhaydreshɔn, Dihaydreshɔn, IV fluid Sinhala, di kayn salin
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