Dextrose - Siv, Li Noj, Cov Kev Mob Tshwm Sim thiab Ntau Ntxiv

Taw qhia: Dextrose yog dab tsi?

Dextrose yog ib hom suab thaj yooj yim, zoo ib yam li glucose, uas yog lub hauv paus tseem ceeb ntawm lub zog rau lub cev cov hlwb. Nws yog los ntawm pob kws thiab feem ntau siv rau hauv cov chaw kho mob kom muab lub zog sai, tshwj xeeb tshaj yog rau cov neeg mob uas tsis tuaj yeem noj lossis haus. Dextrose muaj nyob rau hauv ntau hom, suav nrog cov tshuaj rau kev txhaj tshuaj rau hauv cov hlab ntsha (IV), cov ntsiav tshuaj, thiab cov hmoov. Nws lub luag haujlwm hauv kev kho mob yog qhov tseem ceeb, tshwj xeeb tshaj yog hauv kev kho mob cov mob uas cuam tshuam nrog cov ntshav qab zib qis; nws tsis yog siv los kho qhov qhuav dej ib leeg xwb.

Kev siv Dextrose

Dextrose muaj ntau qhov kev pom zoo siv kho mob, suav nrog:

• Kev Kho Mob Hypoglycemia: Dextrose feem ntau yog siv los ua kom cov ntshav qab zib sai sai rau cov tib neeg uas muaj ntshav qab zib tsawg (qis ntshav qab zib).
• Hloov kua dej: Nws feem ntau suav nrog hauv IV kua los muab dej thiab lub zog rau cov neeg mob uas tsis tuaj yeem noj zaub mov lossis kua dej ntawm qhov ncauj.
• Kev them nyiaj yug noj zaub mov: Cov tshuaj dextrose yog siv rau hauv cov khoom noj khoom haus parenteral rau cov neeg mob uas noj tsis taus vim muaj mob lossis phais.
• Tshuaj Diluent: Dextrose tuaj yeem ua ib qho diluent rau qee cov tshuaj uas tau muab tso rau hauv cov hlab ntsha.
• Rehydration: Nws yuav muaj nyob rau hauv cov kua dej rov ua kom lub cev qhuav, tab sis dextrose ib leeg tsis yog ib qho tshuaj ua kom lub cev qhuav.

Yuav ua li cas Nws Tej hauj lwm

Dextrose ua haujlwm los ntawm kev muab cov piam thaj sai sai, uas yog qhov tseem ceeb rau kev tsim hluav taws xob hauv lub cev. Thaum siv dextrose, nws nkag mus rau hauv cov hlab ntsha sai, ua rau cov ntshav qab zib nce ntxiv. Qhov no yog tshwj xeeb tshaj yog ib qho tseem ceeb rau lub hlwb thiab cov nqaij ntshiv, uas tso siab rau cov piam thaj ntau rau lub zog. Lub cev tuaj yeem siv cov piam thaj no rau kev xav tau lub zog tam sim lossis khaws cia rau kev siv tom qab.

Dosage thiab Administration

Qhov ntau npaum ntawm dextrose sib txawv raws li tus neeg mob lub hnub nyoog, kev kho mob, thiab cov qauv siv tshwj xeeb. Nov yog cov lus qhia dav dav:

• Cov Neeg Laus: Rau qhov ntshav qab zib qis: 12.5-25 grams ntawm dextrose (D50W) yuav muab tau rau hauv cov hlab ntsha. Rau kev hloov cov kua dej IV: Cov kua Dextrose (piv txwv li, D5W, D10W) feem ntau muab rau ntawm tus nqi ntawm 100-150 mL / teev, nyob ntawm qhov xwm txheej ntawm kev kho mob.
• Pediatrics: Rau cov neeg mob uas muaj ntshav qab zib qis: feem ntau pom zoo kom siv 0.2-0.5 gram/kg (siv D10W). Rau kev hloov cov kua dej IV: Cov tshuaj Dextrose raug muab raws li qhov hnyav ntawm tus menyuam thiab cov kev xav tau kev kho mob.

Dextrose tuaj yeem siv los ntawm kev txhaj tshuaj, infusion, lossis hais lus hauv ntsiav tshuaj lossis hmoov.

Cov teebmeem ntawm Dextrose

Cov kev mob tshwm sim ntawm dextrose tuaj yeem suav nrog:

• Hyperglycemia (cov ntshav qab zib siab)
• Cov kua dej ntau dhau
• Electrolyte imbalances

Cov kev mob tshwm sim hnyav tuaj yeem suav nrog:

• Kev tsis haum tshuaj (tsis tshua muaj)
• Kev mob hnyav hyperglycemia ua rau mob ntshav qab zib ketoacidosis hauv cov tib neeg uas raug mob
• Thrombophlebitis (mob ntawm cov hlab ntsha) ntawm qhov chaw txhaj tshuaj

Tshuaj Kev Sib Thoob

Dextrose tuaj yeem cuam tshuam nrog ntau yam tshuaj, suav nrog:

• Insulin: Cov koob tshuaj insulin yuav tsum tau hloov kho thaum muab dextrose.
• Qee cov tshuaj diuretics: Cov no tuaj yeem cuam tshuam rau qhov sib npaug ntawm electrolyte thaum siv nrog dextrose daws.
• Corticosteroids: Cov no tuaj yeem ua rau cov ntshav qab zib nce ntxiv, yuav tsum tau saib xyuas kom zoo thaum siv nrog dextrose.

Cov txiaj ntsig ntawm Dextrose

Cov txiaj ntsig zoo ntawm kev siv dextrose suav nrog:

• Kev nce nrawm hauv cov ntshav qab zib, muab lub zog tam sim.
• Kev siv ntau yam hauv ntau qhov chaw kho mob, suav nrog kev saib xyuas xwm txheej ceev thiab kev txhawb nqa khoom noj.
• Muaj ntau hom ntawv, ua kom yooj yim rau kev tswj raws li tus neeg mob xav tau.

Contraindications ntawm dextrose

Dextrose yuav tsum raug zam hauv qee qhov xwm txheej, suav nrog:

• Cov neeg mob uas paub qhov tsis txaus siab rau dextrose.
• Cov neeg uas muaj mob ntshav qab zib ntau heev. Siv nrog kev ceev faj rau cov neeg mob ntshav qab zib uas tsis tswj tau.
• Cov neeg mob uas muaj qee yam kab mob metabolic, xws li galactosemia.

Ceev faj thiab Kev Ceeb Toom

Ua ntej siv dextrose, cov kws kho mob yuav pom zoo:

• Saib xyuas cov ntshav qab zib kom ze, tshwj xeeb tshaj yog nyob rau hauv cov neeg mob ntshav qab zib.
• Kev ntsuam xyuas tsis tu ncua los kuaj xyuas cov qib electrolyte thiab lub raum ua haujlwm.
• Ceev faj rau cov neeg mob plawv lossis mob raum vim muaj kev pheej hmoo ntawm cov kua dej ntau dhau.

Cov Lus Nquag Nug (FAQ)

Dab tsi yog dextrose siv rau?

Dextrose feem ntau yog siv los kho cov ntshav qab zib tsawg, muab hydration, thiab muaj kev txhawb nqa khoom noj khoom haus hauv chaw kho mob.

Yuav siv dextrose li cas?

Dextrose tuaj yeem muab tso rau hauv qhov ncauj, qhov ncauj hauv cov ntsiav tshuaj, lossis ua hmoov sib xyaw nrog dej.

Puas muaj cov kev mob tshwm sim?

Cov kev mob tshwm sim muaj xws li ntshav qab zib siab thiab dej ntau dhau. Cov kev mob tshwm sim hnyav tsis tshua muaj tab sis tuaj yeem tshwm sim.

Kuv puas tuaj yeem noj dextrose yog tias kuv muaj ntshav qab zib?

Yog, tab sis tsuas yog thaum muaj kev qhia los ntawm kws kho mob thiab nyob rau hauv kev saib xyuas xwb.

Dextrose ua haujlwm sai npaum li cas?

Dextrose ua haujlwm sai, feem ntau hauv feeb, txhawm rau nce ntshav qab zib.

Puas yog dextrose muaj kev nyab xeeb thaum cev xeeb tub?

Dextrose tuaj yeem siv thaum cev xeeb tub, tab sis nws yuav tsum tau saib xyuas los ntawm tus kws kho mob.

Dextrose tuaj yeem siv rau cov menyuam yaus?

Yog lawm, dextrose muaj kev nyab xeeb rau kev siv menyuam yaus, tab sis cov koob tshuaj yuav txawv raws hnub nyoog thiab qhov hnyav.

Kuv yuav ua li cas yog tias kuv tsis noj tshuaj?

Yog tias koj tsis noj tshuaj dextrose, nrog koj tus kws kho mob tham rau kev taw qhia txog yuav ua li cas ntxiv.

Dextrose puas tuaj yeem ua rau muaj kev tsis haum tshuaj?

Kev ua xua rau dextrose tsis tshua muaj, tab sis yog tias koj muaj cov tsos mob xws li pob khaus lossis ua pa nyuaj, nrhiav kev pab kho mob tam sim ntawd.

Yuav tsum khaws dextrose li cas?

Dextrose daws yuav tsum tau muab cia rau hauv chav tsev kub, kom deb ntawm tshav ntuj ncaj qha, thiab yuav tsum tsis txhob khov.

Hom Lub Npe

Qee qhov kev sib xyaw ntawm dextrose suav nrog:

• Dextrose 5% hauv dej (D5W)
• Dextrose 10% hauv dej (D10W)
• Dextrose 50% (D50W)

xaus

Dextrose yog ib qho tshuaj tseem ceeb hauv kev kho mob, muab lub zog tseem ceeb thiab dej rau cov neeg mob xav tau. Nws qhov kev ua sai sai hauv kev nce ntshav qab zib ua rau nws mus rau kev kho mob hypoglycemia thiab muaj txiaj ntsig zoo hauv kev kho dej IV. Txawm hais tias feem ntau muaj kev nyab xeeb, nws yog ib qho tseem ceeb uas yuav tsum tau siv dextrose nyob rau hauv kev saib xyuas kev kho mob, tshwj xeeb tshaj yog rau cov neeg mob ntshav qab zib lossis lwm yam mob hauv qab no. Nco ntsoov sab laj nrog koj tus kws kho mob rau cov lus qhia thiab kev kho mob tus kheej.