Kodi munayamba mwayang'anapo munthu atagona pabedi la kuchipatala ndipo mwawona botolo la saline litalumikizidwa kumanja kwake? Nthawi zambiri timatchula onsewa kuti 'kupereka saline.' Koma pali zambiri m'mabotolo amenewo kuposa zimenezo. Lero tikulankhula za Dextrose kapena glucose solution, madzi opulumutsa moyo omwe nthawi zambiri amagwiritsidwa ntchito m'zipatala.
Mwachidule, kodi Dextrose ndi chiyani?
Dextrose ndi chinthu chosavuta kwambiri. Ichi ndi chinthu china chomwe timalankhula za shuga m'matenda tsiku ndi tsiku. Kunena zoona, iyi ndi shuga wosavuta wopangidwa kuchokera ku zomera, makamaka chimanga. Maselo m'thupi lathu amafunikira mphamvu kuti agwire ntchito. Monga mafuta a galimoto. Mphamvu imeneyo ndiye mafuta akuluakulu omwe matupi athu amagwiritsa ntchito popanga. Chifukwa chake Dextrose ndi gwero lenileni la mphamvu ya shuga lomwe lingaperekedwe mwachindunji m'magazi.
Kodi mankhwalawa amagwiritsidwa ntchito pazochitika ziti?
Mankhwala a dextrose amagwiritsidwa ntchito kuchipatala pazifukwa zitatu zazikulu.
1. Monga chithandizo cha zakudya
Tangoganizani kuti wina ali mu mkhalidwe womwe sangathe kudya kapena kumwa kapena kuyamwa michere m'matumbo mwawo atachitidwa opaleshoni yayikulu, chifukwa cha matenda oopsa, kapena chifukwa cha matenda ena. Mu mkhalidwe wotere, sizingatheke kusala kudya kwa masiku ambiri. Thupi limataya mphamvu. Muzochitika zotere, zakudya zofunikira zimaperekedwa mwachindunji ku thupi kudzera mu mtsempha. Timatcha izi ``Total Parenteral Nutrition - TPN``. Pano, Dextrose ndiye gwero lalikulu la mphamvu mu chisakanizo ichi cha zakudya. Ndiko kuti, mphamvu zomwe zimapezeka kuchokera ku chakudya zimaperekedwa mwachindunji ku magazi.
2. Pamene shuga m'magazi ali otsika (Shuga Wochepa M'magazi)
Uku ndiye kugwiritsa ntchito Dextrose mwachangu komanso kofala kwambiri. Timatcha hypoglycemia pamene shuga m'magazi atsika mwadzidzidzi moopsa. Izi zitha kuchitika ngati wodwala matenda a shuga amwa insulin yambiri, alephera kudya, kapena ali ndi matenda ena.
Pano wodwala,
- Chizungulire
- Kunjenjemera
- Thukuta kwambiri
- Chisokonezo
- Zinthu monga kutaya chidziwitso zimatha kuchitika pambuyo pake .
Pakagwa ngozi ngati iyi, ngati n'kovuta kupatsa wodwala shuga pakamwa, njira yabwino yobwezera shuga mwachangu ndi kumulowetsa Dextrose solution mu mtsempha. Izi zimapatsa ubongo ndi thupi mphamvu zomwe zimafunikira nthawi yomweyo.
3. Pamene potaziyamu m'magazi ikuwonjezeka (Potaziyamu Yaikulu)
Izi n'zovuta pang'ono. Magazi athu ali ndi mchere wotchedwa potaziyamu. Ndi wofunikira kwambiri pakugwira ntchito kwa mtima, mitsempha, ndi minofu. Komabe, ngati potaziyamu m'magazi akwera kwambiri, kaya chifukwa cha mavuto a impso kapena zifukwa zina, zingayambitse mtima kusiya kugwira ntchito.
Zikatero, madokotala amapereka Dextrose solution pamodzi ndi insulin. Kenako, mothandizidwa ndi insulin, potaziyamu wochulukirapo m'magazi amapita m'maselo a thupi. Izi zikutanthauza kuti potaziyamu imachotsedwa m'magazi, zomwe zimachepetsa msanga chiopsezo cha mtima.
Zinthu zoti muuze dokotala wanu musanapereke mankhwala awa
Ngakhale kuti mankhwalawa amaperekedwa kuchipatala, ndikofunikira kuti gulu lanu lachipatala lidziwe mbiri yanu yaumoyo. Choncho onetsetsani kuti mwawauza ngati muli ndi vuto lililonse mwa izi:
| Matenda kapena chizolowezi | N’chifukwa chiyani chidziwitso chili chofunika? |
|---|---|
| Matenda a shuga | Popeza dextrose ndi shuga, kuchuluka kwa shuga m'magazi kuyenera kuyang'aniridwa mosamala akaperekedwa kwa odwala matenda ashuga. |
| Matenda a Impso | Impso zikalephera kugwira ntchito bwino, kuchuluka kwa madzi ndi mchere m'thupi kumatha kusintha. |
| Kutuluka magazi mu ubongo kapena msana | Nthawi zina, kusintha kwa shuga m'magazi kungakhudze matenda awa. |
| Kuledzera mowa | Kumwa mowa kumakhudza kuchuluka kwa mavitamini ndi michere m'thupi, choncho muyenera kusamala mukalandira chithandizo. |
| Kutupa kwa dextrose, chimanga, kapena china chilichonse | Popeza dextrose imapangidwa kuchokera ku chimanga, ndikofunikira kudziwitsa dokotala ngati muli ndi vuto la chimanga. |
| Ngati muli ndi pakati kapena mukuyembekezera mwana | Monga mankhwala ena aliwonse, ndikofunikira kudziwitsa dokotala pazochitika izi. |
| Ngati mayi akuyamwitsa mwana wake | Popeza mankhwala omwe mayi amamwa amatha kupita kwa mwana kudzera mu mkaka wa m'mawere, dziwitsani dokotala za izi. |
Kumbukirani, awa ndi madzi operekedwa m'mitsempha kuchipatala ndi dokotala kapena anamwino ophunzitsidwa bwino. Awa si mankhwala omwe mungatengere kunyumba kapena kugwiritsa ntchito nokha.
Kodi mankhwala awa angaperekedwe kwa ana?
Inde, mankhwalawa angaperekedwe kwa ana motsogozedwa ndi dokotala wa ana ngati pakufunika kutero. Komabe, pali zinthu zina zomwe muyenera kusamala nazo. Zinthu monga mlingo ndi liwiro la kuperekedwa ziyenera kuwerengedwa mosamala malinga ndi kulemera ndi thanzi la mwana.
Nanga chimachitika ndi chiyani ngati mwamwa mankhwala ochulukirapo?
Popeza chithandizochi chimachitika motsogozedwa ndi dokotala kuchipatala, chiopsezo chogwiritsa ntchito mankhwala mopitirira muyeso n'chochepa kwambiri. Gulu lachipatala lidzayang'anira matenda anu nthawi zonse. Ngati mukuganiza kuti china chake chachitika, dziwitsani dokotala kapena namwino nthawi yomweyo. Pakagwa ngozi, adzachitapo kanthu kofunikira. Ngati pali kukayikira kulikonse kwa poizoni, adzalumikizana ndi National Poisons Information Centre ku Colombo National Hospital kuti akakupatseni upangiri, kapena adzakutumizani ku Emergency Treatment Unit (ETU) ya chipatalacho.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?
Monga mankhwala ena aliwonse, Dextrose ingayambitse zotsatira zina zoyipa. Komabe, nthawi zambiri, izi zimakhala zazing'ono.
| Mtundu wa zotsatira zoyipa | Zizindikiro |
|---|---|
| Zinthu zoti muuze dokotala kapena namwino wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa milomo, lilime kapena nkhope. |
| Zizindikiro za shuga wambiri m'magazi (hyperglycemia) | Pakamwa pouma, ludzu lochuluka, kukodza pafupipafupi, nseru, kupweteka m'mimba, fungo loipa la mpweya wochokera ku zipatso. |
| Zina | Chisokonezo. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kunenedwa ngati zikupitirira | |
| Kuvulala pang'ono | Pakamwa pouma, kupweteka kapena kutupa komwe kunaperekedwa saline. |
Kodi pangakhale mavuto ndi mankhwala ena?
Mankhwala a dextrose nthawi zambiri samayambitsa mavuto aakulu ndi mankhwala ena. Komabe, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa (mankhwala a matenda ena, mavitamini, mankhwala azitsamba, ndi zowonjezera). Komanso, uzani dokotala wanu ngati mumasuta kapena kumwa mowa. Zinthu zina zingakhudze chithandizo chomwe mumapatsidwa.
Uthenga Wopita Nawo Kunyumba
- Dextrose ndi madzi a shuga omwe amaperekedwa kudzera m'mitsempha m'zipatala. Amapatsa thupi mphamvu.
- Amagwiritsidwa ntchito makamaka popereka zakudya, pamene shuga m'magazi ali ochepa, komanso pamene potaziyamu m'magazi ali ochuluka.
- Mankhwala awa amaperekedwa kuchipatala kokha, moyang'aniridwa ndi dokotala. Sangatengedwe kupita kunyumba.
- Ngati muli ndi matenda monga matenda a shuga, matenda a impso, kapena ziwengo, uzani dokotala wanu musanalandire chithandizo.
- Ngati mukukumana ndi zizindikiro zachilendo (zilonda za pakhungu, kupuma movutikira, ludzu lochuluka) panthawi ya chithandizo, dziwitsani gulu lachipatala nthawi yomweyo.
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