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Sodium chloride bufus - cheeb tsam thiab txoj kev siv
"Sodium chloride bufus" - ib tug luam lub npe ntawm cov tshuaj los ntawm cov pab pawg neeg ntawm cov kuab tshuaj thiab diluents, muaj raws li active ingredient lub sodium tshuaj dawb.
pharmacological los
Raws li, nyob rau hauv qhov tseeb, ntshav-tshuaj, "Sodium chloride bufus" muaj cov nram qab no los:
- Detoxification.
- Rehydration nyhuv.
- Yog ib qhov chaw ntawm sodium ions, nyob lawv tshaj, loj hlob nyob rau hauv tej yam pathological tej yam kev mob.
- Lub hypertonic tov ntawm sodium tshuaj dawb, siv nyob rau hauv daim ntawv ntawm lwm daim ntawv sau npe, yeej txhawb lub feem ntawm kua paug los ntawm lub inflammatory kom pom tseeb, tab sis kuj muaj antibacterial kev ua si.
- Tso dej thawj coj ntawm ib tug hypertonic tshuaj tau nyob rau hauv ib qho kev nce nyob rau hauv diuresis thiab yeej txhawb replenishment ntawm shortage ntawm sodium thiab tshuaj ions.
Thaum ua ntawv thov isotonic tshuaj
Txoj kev siv "Sodium chloride bufus" 0.9% yog advisable nyob rau hauv cov nram no mob:
- Tej yam kev mob yus muaj los ntawm ntau cov kua poob los yog tsis txaus kom tsawg ntawm raws plab, pernicious ntuav, kab mob cholera, kub nyhiab, muaj ib tug loj cheeb tsam, nrog xauv npo exudation.
- Dysmetabolic mob nrog tsis muaj ntshav sodium thiab tshuaj ions.
- ileus.
- Intoxication.
- Ntxuav ntawm wounds, xam nrog tus kab mob thiab kua paug.
- Ntxuav ntawm lub qhov muag nyob rau hauv kab txhab los yog nrhiav kom tau ntawm ib tug txawv teb chaws lub cev thiab qhov ntswg kab noj hniav rau cov kev kho mob ntawm txhaws ntswg.
- Siv cov dilution ntawm feeb meej pharmaceuticals.
- Siv rau irrigation hom phiaj cov ntaub qhwv.
Indications rau kev siv ntawm ib tug hypertonic tshuaj
Txhais tau hais tias kws kho rau cov tej yam kev mob:
- Ntshav pulmonary localization.
- Ntshav nrog localization nyob rau hauv lub plab los yog cov hnyuv.
- Nws yuav siv tau rau yuam zis tso zis li ib tug ntxiv osmotic diuretic.
- Lub cev qhuav dej.
- Intoxication nyiaj nitrate.
- Suppurating txhab (nyob rau hauv cov ntaub ntawv no "Sodium chloride bufus" yog siv topically).
- Cem quav (qhov quav daim ntawv thov qhia).
Contraindications
Cov lus qhia rau "sodium tshuaj dawb bufusu" muab kev cob qhia rau ib tug xov tooj ntawm tej yam kev mob rau cov uas txoj kev siv cov tshuaj no yog tsis tsim nyog:
- Hypernatremia.
- Acidosis.
- Chloruremia.
- Hypokalemia.
- Lub tshaj txuam nrog cov dej nyob rau hauv lub intercellular qhov chaw.
- Hemodynamic mob uas yuav ua rau lub hlwb edema thiab mob ntsws.
- O ntawm lub paj hlwb.
- Koj muaj teebmeem kev edema.
- Mob ua hauj lwm ntawm sab laug ventricular muaj nuj nqi.
- Kev siv cov glucocorticoids, tshwj xeeb tshaj yog nyob rau hauv siab koob tshuaj.
phiv
Kev siv los yog overdose yuav ua rau cov tsos mob no:
- Acidosis ( "acidification" internal ib puag ncig).
- Hyperhydration.
- Yuav txo tau nyob rau hauv cov ntshav potassium ions.
Txoj kev ntawm qhov kev siv
"Sodium chloride bufus" yuav siv tau nyob rau hauv lub nram qab no:
- Tso dej txia nyob rau hauv lub lag luam.
- Subcutaneously.
- Rectally.
- Topically, Senior.
Ua ntej siv isotonic tshuaj tau rhuab mus rau ib tug kub ntawm 36-38 degrees Celsius.
Cov tshuaj nyob rau hauv txhua rooj plaub yog txiav txim ib lub zuj zus nyob rau hauv lub cev qhuav dej ntim, degree ntawm shortage ntawm sodium thiab tshuaj ions. Qhov nruab nrab rau ib hnub twg yog muab hais txog ib tug liter ntawm kev daws teeb meem. Txawm li cas los, nyob rau hauv cov ntaub ntawv qhov ntim ntawm kua txhaj pronounced intoxication yuav muab ntau zog tuaj rau peb litres ib hnub twg. kev taw qhia tus nqi yog feem ntau 540 milliliters ib teev, tab sis thaum qhov yuav tsum tau tshwm sim nqi yuav muab ntau zog.
Nyob rau hauv cov ntaub ntawv ntawm cov lus hais txos ntawm cov ntshav siab nyob rau hauv tus me nyuam tshwm sim los ntawm lub cev qhuav dej, qhia tau hais tias cov kev taw qhia ntawm isotonic tov ntawm 20-30 milliliters ib kilogram luj ntawm tus me nyuam. Qhov no koom haum saib xyuas hom yog siv ua ntej kaw diagnostic cov txheej txheem, thiab kuaj tsis. Ntxiv tagnrho cov txhaj tshuaj tau kho rau thaum lub sij hawm qhov kev xeem ntawm laboratory tsis. Long-term siv ntawm cov tshuaj yog ib tug hais rau tus systematic xyuas ntawm electrolytes nyob rau hauv cov ntshav ntshav thiab zis.
Hypertonic tshuaj tso dej raws leeg koom haum saib xyuas muaj ib tug 10 feem pua concentration.
Rau cov pais plab lavage tshuaj yog siv 2-5%.
Lub enema siv mus tsim kho defecation cem quav, siv ib tug 5 feem pua daws nyob rau hauv ib tug npaum li ntawm 100 ml, los yog 0.9% ntawm peb mus txog litres ib hnub twg.
Zoo li lub qhov muag dauv pom zoo 1-2 ncos nyob rau hauv txhua lub qhov muag.
Rau inhalations "Sodium chloride bufus" yuav tsum tau siv rau xya - kaum hnub. Raws li ib tug txoj cai, lub mob cov tsos mob thaum lub sij hawm no lub sij hawm ntawm lub sij hawm mus regress. Li inhalation, koj yuav tsum ua raws li cov lus qhia nram qab:
- Kub inhalable sib tov yuav tsum tsis txhob ntau tshaj 40 degrees.
- Tus txheej txheem yuav tsum tau nqa tawm ntawm cov zaub mov.
- Ua tsis taus pa yuav tsum ua twj ywm ua pa - sib sib zog nqus, nruab nrab ntawm nqus tau pa thiab exhalation - me ntsis mas.
- Nyob rau hauv cov ntaub ntawv ntawm nqus tau pa txoj kev uas siv ib lub Cav Tshuab Pa Tshuaj los kho hnoos haum ua ke ntawm saline npaj raws li ambroxol ( "Mucosolvan" "Ambrobene") los yog acetylcysteine ( "Fluimucil"); ib tug ib txwm muaj ib tug nyhuv lig bronchoobstruction txhais tau tias nrog cov hlab ntsws qhib kev ua si ( "Berotek" "Berodual"); nyob rau hauv tej rooj plaub, nws qhia tau hais tias kev siv ntawm anti-inflammatory ( "budesonide") los yog antiseptic ( "Miramistin", "Gentamycin") txhais tau tias.
Qhov ntswg "Sodium chloride bufus" yog siv ncaw, txij thaum nyob rau feem ntau yog txaus lavages ntawm lub qhov ntswg kab noj hniav nrog physiological saline.
Yog hais tias tsim nyog, saline tov rau nqus tau pa nyob rau hauv lub tsev tej zaum yuav tau hloov nrog saline los yog mineral dej uas tsis muaj roj.
Kom tsis txhob tshwm sim thiab mob nyob rau hauv qhov kev npaj ntawm ib tug sib tov rau nqus tau pa yuav tsum muaj cai indications, thaws rov los nyob rau hauv cov lus qhia rau cov duas paub cov tshuaj.
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