Na baka rehydration fitar: Appliances

A ci gaba da jiki ta hanji kamuwa tare da wani sa na m bayyanar cututtuka - m tura zuwa gidan wanka, yankan kaifi ciki zafi, amai da kuma zazzabi. A lokacin da wani rashin lafiya mai mutum hasarar wani babban adadin m, wanda wajibi ne maza maza cika. Akwai biyu na asali hanyoyi rehydration kwayoyin - baka (ORT) da kuma igiyar jini (bia), amma fĩfĩta ne a mafi yawan lokuta na farko Hanyar. A wannan labarin, za mu yi la'akari da asali al'amurran da suka shafi manufar ORT. Za mu yi kokarin amsa tambayoyi: "Abin da yake ORT?", "Yaushe ne shi dace da za su gudanar?" Mene ne dokoki na baka rehydration far ", da dai sauransu.?.

Hanji cututtuka da gastrointestinal cututtuka

Domin m hanji cututtuka (AII) sun ƙunshi dukan rukuni na cututtuka da lalacewa ta hanyar kwayoyin - kwayoyin ko ƙwayoyin cuta. Wannan category na pathological yanayin halin da irin wannan bayyanar cututtuka da kuma yafi shafar cikin gastrointestinal fili, haifar da tabarbarewa. A tushen kamuwa da cuta da wannan pathogen ne dako (rashin lafiya mutane ko dabbobi).

Bayyanar cututtuka da cutar ne sosai bambancin. Take hakki na gastrointestinal fili hade tare da ya faru na gastritis, enteritis ko colitis:

• gastritis tare da tashin zuciya da amai, ƙwannafi, regurgitation, m majiyai a cikin epigastric yankin.
• enteritis gubar zuwa bloating, tsãwa hanji, m majiyai to m sarrafawa (zub da ciki zafi), sako-sako da stool ba tare da jini ko slime impurities.
• faye hali colitis ƙarya tura zuwa defecate, kaifi zafi a hagu iliac yankin, m sako-sako da stools da gamsai ko bangaye na jini.
• akwai lokuta inda bayyanar cututtuka da cutar bayyanar cututtuka na gastritis hada, colitis kuma enteritis.

Sauran cututtuka na DCI

Bugu da kari ga malfunctions na gastrointestinal fili, OCI faruwa da sauran keta a cikin ayyukan da jiki:

• m maye a kan bango na ƙãra jiki zazzabi, amai, ciwon kai.
• kara girma daga cikin baƙin ciki, kuma hanta.
• cuta alaka da rashin ma'adanai da kuma alama abubuwa (anemia, bitamin, ƙarara).
• bayyanar wani kurji a jiki na daban-daban etiology.

• mai guba buga.
• a jarirai lura karyata na manyan fontanelle.

Bugu da kari, daya daga cikin mafi m manifestations DCI ne dehydration - wani tsari a cikin abin da akwai ruwa gaira a cikin Tsarin da kyallen takarda na jiki. Wannan za a iya bayyana ta rashin ruwa na mucous membranes ko a fata, da mãsu haƙuri ji sosai m, ya lura hemodynamic cuta. Lokacin da tsanani dehydration tasowa angidremichesky buga. Bugu da kari, zai yiwu zazzabi, rashin al'ada salivation, hoarseness na murya. The mutum hasarar nauyi, da taushi nama turgor auku - wani yanayin a cikin abin da jikin tantanin suna miƙa. dehydration ciwo kira exsicosis. Domin cika batattu ruwaye a cikin jiki, a mafi yawan lokuta kwashe baka rehydration.

exsicosis hatsari ga jariran

M hanji cututtuka ne insidious a cewa ci gaba da sauri sosai. Bugu da kari, wannan rukuni na pathologies halin da m, kuma mai tsanani da rikitarwa da cutar.

Clinical manifestations salmonellosis, kwayar zawo, shigellosis, ehsherihioza yara ne, da rashin alheri, su ne m saboda dehydration na ciwo - exsicosis. Ƙima zuwa mahaukaci ruwa asara ne ya yiwuwa da farko zuwa peculiarities na tsarin na ruwa-gishiri metabolism da jarirai da kuma yara a lokacin farko da shekaru na rayuwa. Idan aka kwatanta da ya fara tasawa, da yaro ta jiki ne halin da:

• Aikin rashin ci gaba na urogenital gabobin (koda).
• manyan girma na extracellular ruwa.
• yara saki na ruwa ta hanyar da huhu da kuma fata zuwa mafi girma har, da kuma yake da alaka da gaskiyar cewa da rabo daga jiki surface da naúrar taro - manyan darajar a lokacin da idan aka kwatanta da jikin da ya fara tasawa.

Babban Hanyar tanadi yara bayan m hanji cututtuka - replenishing bata ruwaye. Na baka rehydration a yara, kazalika a yawan balagaggun, da aka nuna a cikin hali na m ko matsakaici digiri exsicosis kuma yakan haifar da da yin amfani da glucose-Saline mafita. A madadin wannan awo - igiyar jini rehydration, da kuma related jan - causal magani, rage cin abinci, enterosorption.

Mene ne wani ORT?

ORT - mai aiwatar da ƙari na rasa jiki ruwaye saboda amai da / ko m hanji ƙungiyoyi, da kuma zazzabi. Don yin sama ayyuka suna amfani da glucose-Saline mafita, cewa shiga jiki na haƙuri a al'ada iri. Hanyar na baka rehydration far dogara ne a kan kaddarorin glucose inganta da canja wurin da sodium ions da potassium rasa a pathological yanayi ta cikin hanji mucosa, kuma, da ita murmurewa da ruwa-gishiri balance.

A tasiri na baka rehydration dogara da timeliness na magudi. A hanya ya kamata a qaddamar matsayin farko a matsayin na farko hours na farko na bayyanar cututtuka da cutar, a gida, kafin zuwa na likita kwararru.

Dangane da abin da asarar da jiki ne Marinjãyi - ruwa ko Wutan, an rarrabe su:

• soledefitsitnoe dehydration - kagaggun asarar Wutan.
• ruwa-da ƙyar dehydration - mamaye ruwa hasãra.
• isotonic dehydration - asarar ruwa da kuma electrolyte faruwa a wannan mataki.

A daidai da wannan rarrabuwa, to gyara dehydration yin amfani da daban-daban abun da ke ciki formulations.

shirye-shirye

Lokacin da dehydration (exsicosis) ne gaggawa bukatar cika girma rasa ruwa. baka rehydration mafita iya shirya da kansa, hadawa ruwa baya saya a wani kantin magunguna foda, ko da wani shirin yin amfani da halitta. A zangon gabatar a Pharmacy da kwayoyi ne quite bambancin.

Domin taimako na dehydration tsari, kamar akai-akai amfani da miyagun ƙwayoyi "Regidron". A daya kashi na foda dauke sodium chloride, sodium citrate, potassium chloride, da glucose. Analogue na nufin wannan ne "Glyukosolan", a cikin abin da abun da ke ciki ƙunshi sodium chloride, sodium bicarbonate, potassium chloride , da glucose. Ya ce powders ana diluted da daya lita na ruwa (Boiled). Ya kamata a tuna cewa a cikin reconstituted miyagun ƙwayoyi da aka adana a matsayin wani fiye da kwanaki, duk da haka shi ya kamata a shirya nan da nan kafin gwamnati.

Lokacin da na baka rehydration far za a iya amfani da biorisovye ko karas da shinkafa broths, kazalika da "Koyarwa da baki" na nufin "GIDROVIT", "GIDROVIT forte" et al.

A tsarin "GIDROVIT" polyionic hada sorbent shiri - colloidal silicon dioxide. "GIDROVIT" da "GIDROVIT forte" wajabta ga matasa da yara. Magani takamaiman dandano masked strawberry dandano. Akwai kuma kayayyakin ba tare da Additives. Content "Gidrovita" kunshin ko "Gidrovita forte" diluted gilashin (200 ml) na ruwa ko iced shayi. A bayani da aka bai wa haƙuri a cikin kananan rabo (sau da yawa desoldering cokali).

sashi

Daily girma polyionic bayani - wani nuna alama na wani fairly al'ada. Dangane da mataki na exsicosis (t. E. A jihar na haƙuri), da timeliness fara dawo da hanyoyin, da irin miyagun ƙwayoyi kashi na miyagun ƙwayoyi iya bambanta a kowane hali. Rarar allurai, misali, na iya zama mai tasiri a cikin jiyya da wuri.

Wadannan yawa na miyagun ƙwayoyi ne shawarwari a yanayi (a kan wani da kilogram na jiki nauyi):

• grudnichki - 100-150 ml na halitta.
• matasa da yara - 80-120 ml.
• Dalibai - 50-80 ml.
• mazan yara, manya - 20-60 ml.

Sau da yawa a lura da kananan yara hada glucose-Saline mafita da gishiri-free - congee, ruwa, shayi, broth kwatangwalo a cikin wadannan rabbai:

• 1: 1 - tare da na ruwa zawo.
• 1: 2 - a lokacin da matsakaici zazzabi da gudawa.
• 2: 1 - tare da m amai.

A gishiri da gishiri-free bayani ba za a iya gauraye, saboda haka su gwamnati alternated. A lokacin da na baka rehydration far a jarirai ba su daina ciyar, amma rage abinci yawa zuwa 50-75%.

Na baka rehydration far: wani algorithm

Na baka rehydration hanya ake kullum da za'ayi a cikin hanyoyi biyu. A farko cire ruwa da kuma electrolyte gaira - da magudi da aka yi a karo na farko shida hours. A cikin mataki na biyu a fara tabbatarwa far. Wannan ne yake aikata dukan follow-up lokacin da magani.

Lokacin da rehydration daukan la'akari da kullum da ake bukata na haƙuri a cikin ruwa da kuma salts. Yana da muhimmanci kada su manta da cewa ko da tare da magani, wasu asarar har yanzu suna nan. A lokacin da mataki na biyu na hanya da mutum yana bukatar da za a cika ta da miyagun ƙwayoyi bayani girma na ruwa da ya rasa a cikin stool a lokacin da suka gabata shida hours.

A tasiri na baka rehydration far ne ya sa a mafi yawan lokuta kawai ta yadda da hanya da aka yi daidai. Ya kamata a tuna da cewa manyan girma na bayani desoldering amai iya faruwa a cikin haƙuri, don haka da ruwa dole ne a gudanar sannu a hankali: 1-2 teaspoonfuls kowane 5-10 minti. Idan tashin zuciya ne ba, wajibi ne a jira kaɗan, kuma ci gaba da bullo da ruwa.

Da amfani da kwayoyi ga rehydration yawanci yana har ƙarshe na zawo.

Kimanta da tasiri na da hanya a kan da dama filaye:

• nauyi riba.
• janar jihar kyautata;
• rage a cikin juz'i na rasa a cikin stool da amai ruwa.

Gudanar da baka rehydration yara

Akwai lokuta inda kawar exsicosis cututtuka a matasa da yara da ya kamata a fara nan da nan, a gida, kafin zuwa na likitoci. Saboda haka, uwar ya kamata a fili gane manufa da kuma cikin shakka daga hanya. Wajibi ne a gudanar da wani abu kamar haka:

• yi wa hannuwanku da wani maganin antiseptik.
• sa safar hannu;
• sa jaririn a kan wani lebur surface, yayin da juya shugaban daya gefen.
• shirya yin amfani da bayani ko yin amfani da wani foda da ruwa, dafa da miyagun ƙwayoyi kadai (yana da muhimmanci tsananin bi umarnin da aka ba ta yiwuwa domin ganawa da kwararrun).
• domin shida hours, kowane 5-10 minti otpaivat yaro daya teaspoonful bayani (a cikin tsanani lokuta, ruwa iya gabatar ta hanyar bincike - intranasally). rehydration tsari ne da za'ayi idan dai da bayyanar cututtuka da amai da zawo ba su daina.
• idan urination ba fiye da 6-8 hours, za a fara jiko far - gabatarwar mafita a cikin jini rafi, cikinsa da sashi tilas ne a lasafta.
• cokali rike da ganga a cikin abin da bayani yana kunshe ne;
• cire safar hannu, hannuwanku zuwa rike antiseptic.

A kwatanta baka da kuma igiyar jini rehydration

Exsicosis kawar da cututtuka da kuma ƙari na rasa jiki ruwaye ne zai yiwu ba kawai ta baka, amma kuma ta igiyar jini rehydration. Wadannan hanyoyi guda biyu da aka kullum idan aka kwatanta, gudanar da bincike a kan su tasiri. Don kwanan wata, sakamakon su ne kamar haka: duka biyu da hanyoyin taimakawa ga cimma burin su a kamar wannan matakin, amma kowanne daga cikinsu na da halaye.

An gano cewa a lura da yara da mafi kyau da sakamakon ya nuna baka rehydration. Kwayoyi suna gudanar a cikin gargajiya hanya, sake ba tare da rauni da yaro. Magani a hade tare da decoction na halitta kayayyakin. Wannan dabara bada shawarar a matsayin farko far ga m zuwa matsakaici dehydration a jarirai.

Don wadannan karshe ta zo ne bayan shekaru biyu da nazarin, wanda hannu jariran shekaru daga watanni biyu zuwa uku da shekaru tare da bayyanar cututtuka na m dehydration. Saba'in da uku da matasa da marasa lafiya da aka kasu kashi biyu kungiyoyin - daya rukuni na yara da aka nada ORT, da sauran - bia.

A sakamakon haka, marasa lafiya da suke da aka sanya wa baka rehydration, kasa lokaci ciyar. Bayan da na baka rehydration far rage bukatar arin.

Duk da haka, mafi yawan pediatricians, duk da sakamakon bincike ya ci gaba da amfani da igiyar jini ruwa far (wato) don magance matsalar matsakaici exsicosis yara.

Abũbuwan amfãni daga ORT

Hanyar ORT recovers yawa sauri taro na potassium da sodium a cikin jiki. A wannan yanayin, daidaita stool iya faruwa 1-2 kwanaki daga baya fiye da da bia.

Amfani da baka rehydration ta atomatik rage adadin igiyar jini jiko a asibitoci, gudanarwa da a daya hannun, rage kudin na lura da wani haƙuri, kuma a kan sauran - samar da kariya ta anti-annoba rigakafin kwayar hepatitis, wanda zai iya shiga jiki ta hanyar jini ko mucosal.

Bugu da kari, cikin sauki daga cikin hanya, kazalika ta amfani sa shi yiwuwa a yi amfani da ORT a asibitin ko a gida. Farkon amfani da baka rehydration bayani kusan gusar da bukatar arin.

Proper aikace-aikace Hanyar wuya Yanã rikitarwa, alhãli kuwa a lõkacin da jiko far gefe-effects ne fiye da 15% na marasa lafiya.

Idan improperly yi, ORT iya faruwa wadannan m halayen:

• amai - saboda da m desoldering haƙuri manyan girma na bayani.
• edema - bayyana a lõkacin da azzãlumai rabbai na ruwa da kuma brine.

digiri exsicosis

Kamar yadda muka gani a baya, da dabara na baka rehydration far da aka nuna ga m zuwa matsakaici dehydration. Domin fahimtar ko yana yiwuwa a gudanar da wani ORT a gida ko kuma ya kamata koma ga sauran hanyoyin da dawo da na jiki, shi wajibi ne don sanin rarrabuwa exsicosis da alamun cewa raka kowane daga cikin digiri na Pathology. Wannan Gaskiya ne, a cikin hali na rashin lafiya da jarirai da toddlers farko shekaru na rayuwa.

Akwai uku digiri exsicosis:

• Farko - shi ne halin da kananan ruwa hasãra (har zuwa 5% na jiki nauyi). Wannan yanayin yana tare da tsakaita ƙishirwa, da al'ada elasticity na fata, da gaban lacrimal ruwa, al'ada numfashi. Yara prefontanel ba shanku.
• A na biyu digiri na Pathology lura malfunctions na zuciya da jijiyoyin jini tsarin. Kamar wancan ne da kwayoyin hasarar mafi yawan ruwa (har zuwa 10% na jiki nauyi). A haƙuri alama retardation ko, a akasin haka, tashin hankali; sunken idanu. rashin lacrimal ruwa. rauni, kuma m bugun jini. Yara shanku agara fontanelle.
• Uku mataki exsicosis take kaiwa zuwa ruwa asara mafi girma daga 10% jiki nauyi. Sharri ne aka yi a tsanani yanayin, ya lura hemodynamic rashin zaman lafiya, hypovolemic buga. Yanayin halin da cututtuka kamar drowsiness, rashin marmarin samun ruwa, sanyi wata gabar jiki, bushe mucous sosai baka rami, ba urination na awa shida ko fiye.

Idan ruwa hasãra ne mafi girma daga 20% na jiki nauyi, a mafi yawan lokuta cutar ƙare a mutuwa.