Ma hope o ka wehe ʻana no ka pancreatitis, hiki i ke kauka ke kuhikuhi i ka hoʻohana ʻana o Getasorb. ʻO kēia lāʻau lapaʻau kahi hopena maʻalahi a maʻalahi paha no ka infusion.
ʻO ka mea ikaika o ka lāʻau lapaʻau ka hana hydroxyethyl stite Na + me Cl-, sodium klorida a me ka wai he mau kōkua kōkua.
Ke loaʻa nei ka lāʻau i kahi hopena plasma-hoʻololi inā loaʻa ka maʻi i ka hypovolemia a me ka pīhoihoi ma muli o ka hōʻemi ʻana, ka hōʻeha ʻana, ka puhi ʻana, ka hoʻomohala ʻana i ka maʻi ʻeha, ka hoʻowalewale o ke koko i loko o nā moku.
Pehea e hana ai ka lāʻau lapaʻau?
ʻO ka lāʻau tuki e hoʻāla ʻia ai ka plasma he ʻano o ka hana hydroxyethylated. ʻO kēia mea he mea ʻoi e hoʻohuihui i nā wahi momona kiʻekiʻe e loaʻa ana i nā koena polymerized. Kuhi ʻia kēia mau mea mai ka polysaccharides kūlohelohe; hua ʻuala a ʻōpala palaoa e hoʻohana ʻia ma ke ʻano he kumu.
Ma hope o ka hoʻoili ʻia ʻana o kēia pahuhopu i loko o kahi vein, ua loli koke ka ʻōmaʻomaʻo amylopectin, ʻo kēia mea i ke kahe koko no nā minuke 20. No ka hoʻonui i ka kūpaʻa a hoʻonui i ka lōʻihi o ka lāʻau lapaʻau, hoʻohana ʻia nā hydroxyethylation.
Kōkua ʻo Pentac e hoʻomaikaʻi i nā waiwai o ka rheological o ke koko ma o ka hoʻohaʻahaʻa ʻana i ka hematocrit, hōʻemi i ka nānāʻana i ka plasma, e hoʻohaʻahaʻa ana i ke ʻano o ka nui o ke kō, a me ka hoʻihoʻi hou ʻana i ka microcirculation impaired.
Ke hoʻokō ʻia ka hana pentac ma ka intravenously, wāwahi ka mea ola i lalo o ke kaomi o ka hana a ka hopena o ka metabolism e hana i ka haʻahaʻa haʻahaʻa haʻahaʻa. Hoʻopau wikiwiki ʻia ka huahana metabolic ma o nā lolo.
Hoʻopau i ka hapa nui o ka lāʻau lapaʻau ke kino me ka urine a ma waena o nā ʻōpū i ka lā mua, a me nā koena i ka manawa o ka pule.
Nā hōʻailona a me nā contraindications
Me nā hōʻeha o ka pancreatitisʻeha, ua hoʻopiha ka nui o ka wahi ma hope o ka peritoneum me ka waiʻole, ka mea e hiki ai i ka hypovolemia. Hoʻohana ʻia ka lāʻau lapaʻau inā he nānā ʻia ka hemorrhage mākaʻi a ʻaʻole lawa ka lāʻau i ka crystalloid.
ʻO ka mālama maʻi GetaSorb o 10% a me 6% e contraindicated inā he maʻi hypersensitivity i ka pōkaʻi, hypertension intracranial, hypertension arterial, maʻi intracranial, hōʻeha puʻuwai puʻuwai, hana i ʻole ke alo o ka hana, hōʻeha lohi ka naʻau, edema pulmonary cardiogenic.
Eia nō hoʻi, ʻaʻole ʻae ʻia ka hoʻohana ʻana i ka lāʻau no ka hyperhydration, hypervolemia, dehydration, maʻi hōʻeha ikaika, hyperchloremia, hypernatremia, hypokalemia, hemodialysis, nā keiki ma lalo o 18 makahiki o kona mau makahiki.
- Ke papa ʻia ka lāʻau lapaʻau inā hana ʻia ka hana puʻuwai wehe a ke pilikia kekahi kanaka.
- Hoʻomaʻamaʻa ʻia ka mālama ʻana i mua o ka hoʻopiʻi ʻana o ka maʻi maʻamau, maʻi ʻeha paʻa, nā maʻi W Waebrand, hemorrhagic diathesis, hypofibrinogenemia.
- I ka wā hapai, hiki iā ʻoe ke hoʻohana i ka lāʻau lapaʻau wale nō ma hope loa, inā ʻaʻole kōkua kekahi mau ʻano o nā lāʻau lapaʻau, ʻoiai ʻoi aku ka nui o nā pono no ka makuahine ke ʻoi aku ka nui o ka maʻi maʻi. I ka wā lactation, pono e haʻalele ʻia ka umauma o ka hōʻeha ʻole i ka pēpē.
Nā ʻōkuhi no ka hoʻohana ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i ka maʻi, pono e familiarize iā ʻoe iho me ka palapala aʻoaʻo. Hoʻohana wale ʻia ka lāʻau lapaʻau i ka hoʻomaka mua o ka hoʻokaʻina o ke koko, no laila e lawelawe ʻia me ka dropper i ka lā mua wale nō ma hope o ke koko ʻana.
Hoʻolahalaha ʻia ka Therapy ma lalo o ka mākaʻikaʻi mālama koʻikoʻi. Ma hope koke o ka loaʻa ʻana o nā hōʻailona kūpono, pau ka infusion.
ʻO ka maʻi kau i hoʻonohonoho ʻia i kēlā me kēia lā a pono hoʻi e mālama pono ʻia. ʻO ka liʻiliʻi, mālama ʻia ʻo Geta-Sorb no laila e hiki ke nānā i nā hoʻololi a me ke kūlana o ka mea maʻi. Inā hele mai nā hopena anaphylactoid, e hoʻopau koke ka mālama ʻana.
Kūkū ke kauka i ka dosage pakahi, ke nānā nei i ke kūlana o ka mea maʻi, ka nui o ke koko i nalowale, ka pae o ka hematocrit a me ka hemoglobin.
- Ke hoʻohana nei i kahi hopena o 6%, ʻaʻole ʻoi aku ka nui o ka infusion ma mua o 20 ml i kēlā me kēia hola ma o ka kilogram o ke kaumaha o ka mea maʻi.
- Inā hoʻohana ʻia kahi lāʻau lapaʻau he 10%, ʻo ka nui o ka infusion kiʻekiʻe paha he 20 ml i hoʻokahi hola.
- No nā poʻe kahiko, pono e koho pono ʻia ka ʻaha, inā ʻaʻole hiki i ka mea maʻi ke hoʻomohala i ka puʻuwai naʻau.
Nā hopena hopena
Hiki mai paha kahi hopena maikaʻi inā ʻaʻole hoʻohui i nā hoʻohui koko. Hiki i kahi palaki kūpono ke hoʻopilikia i ka hoʻopili koko.
I nā hihia lohi, hiki i kahi hōʻike o hypersensitivity, ʻaʻole ia e hilinaʻi i ka dosage lawelawe ʻia. Hoʻololi pinepine ka hematocrit a hoʻomohala ʻia ka dilop hypoproteinemia.
Ke hala nei i ka hala i hoʻoponopono ʻia e alakaʻi i kahi hala ʻole o ke kōpae o ke koko, kahi hoʻonui o ke kahe koko. Kē ʻia nā maʻi me ka ʻili o ka ʻili, aʻo ka maka a me ka ʻāʻī e lahui, nā pīhoihoi, ka puʻuwai a me nā hina ʻole.
- I ke ʻano o ka plasma plasma α-amylase e hoʻonui i kekahi manawa, akā ʻaʻole kēia he hōʻailona o ka hana hewa ʻole o ka pancreas. ʻO ka pinepine, me ka hoʻokele mau ʻana o ka hoʻonā i ke ao, e hoʻomaʻamaʻa ʻia ka ʻeha puha.
- Inā mālama ʻia ka lāʻau lapaʻau i loko o ka nui a me ka wikiwiki loa, hana ʻole ka hema hema o ka ventricular a me ka pulmonary edema, a pohō ʻia ke koko.
- Ke lilo nei a paʻakikī i ka mea maʻi e hanu nei, manaʻo ʻo ia i ka ʻeha ma ka lumbar, hōʻeha, cyanosis, ʻoiai ke kahe ʻana o ke koko a me ke kaʻina o ka hanu, e hoʻopau koke ka mālama ʻana.
Hoʻonui ka mea ikaika o ka lāʻau i ka nephrotoxicity o nā antibiotika aminoglycoside. Me ka hoʻomohala pinepine ʻana o nā anticoagulants, hoʻonui ka lōʻihi o ke koko. Ke ʻae ʻia nei ka hoʻohui ʻana i ka lāʻau lapaʻau me nā lāʻau ʻē aʻe.
E kāpae i ka hoʻonā e like me ka mea i kuhikuhi ʻia e kāu kauka. ʻO ke ola ma ka papa he 6% ka hopena he 4 mau makahiki, 10% - 5 mau makahiki. Mālama ʻia nā kīʻaha wehe ʻole i nā mahana a hiki i ka 25 kiʻekiʻe mai nā keiki. ʻAʻole ʻae ʻia ka hoʻokaʻawale ʻana i ka wai kala.
He haʻahaʻa ke kumu o ka lāʻau lapaʻau a he 130 wale nō mau rubles no ka pā o ka 500 ml. Oe ke kuai i ke kuana no ka infusion ma ka lapaʻau ma loko o kahi lāʻau. ʻO nā hui hou loa e pili ana i ka Voluven, Refortan, HyperKHPP, Infuzol HES, Stabizol, Gemokhes, a me Volekam.
Hāʻawi ʻia ka ʻikepili e pili ana i ka mālama ʻana o ka pancreatitis i ke wikiō ma kēia ʻatikala.
