Litaelo tsa ho sebelisoa ha tharollo ea tsoekere ho ampoules

Tharollo ea tsoekere ke mohloli oa lik'habohaedreite tse bonolo tse tsoang. Moriana o khona ho koahela karolo ea litšenyehelo tsa matla le ho ntlafatsa lits'ebetso tsa redox 'meleng. Ntho e sebetsang ea lithethefatsi ha e pepesehe ke liphio mme e kenella ka botlalo mmeleng. Pele o sebelisa moriana, ho khothalletsoa hore o bale litlatsetso ka hona, 'me u buisane le setsebi.

Sebopeho le mofuta oa tokollo

Ntho e sebetsang ea lithethefatsi ke glucose monohydrate. Liketso tse ling li kenyelletsa:

• metsi a kenang;
• hydrochloric asiti;
• sodium chloride.

Tharollo e ntšoa ka mokhoa oa mokelikeli o se nang 'mala o hlakileng o bosehla. E kenngoa ka ampoules ea khalase ea 5 ml. Ho na le li-ampoule tse 5 le sekoli bakeng sa ho li bula ka paketeng ea blister.

Setlhare se ke ke sa sebelisoa kamora letsatsi la ho felloa ke nako, e leng lilemo tse 3 ka polokelo e nepahetseng.

Melemo ea pharmacological

Karolo e sebetsang e kena linthong tsohle le ho litho tsohle ka lithibelo tsa histo. Insulin e laola lipalamo tsa sele. Ho latela pentose phosphate le hexose phosphate pathways, lithethefatsi li kenella ts'ebetsong ea biotransformation ka ho theha glycerin, amino acid, li-nucleotide le metsoako ea macroergic.

Nakong ea glycolysis ka sebopeho sa matla ka sebopeho sa ATP, tsoekere e tšeloe metsi le kharbonoksi. Lihlahisoa tsa halofo ea bophelo li tsoa lipelong le matšoafong. Glucose e pheta litšenyehelo tsa matla. Tlas'a tšusumetso ea eona, diuresis ea eketseha, ts'ebetso ea contractile ea mesifa ea pelo le ts'ebetso ea sebete ea ntlafala, phallo ea mali ho tsoa maling ho tsoa liseleng e laoloa, khatello ea methapo ea methapo ea kutlo e tloaelehile, mme lits'ebetso tsa metabolic li potlakisitsoe.

Ntho e sebetsang ke mohloli oa matla le limatlafatsi.ho hlokahala ho netefatsa mesebetsi ea bohlokoa ea 'mele. Sebeteng, e kenya ts'ebetso ea glycogen, hape e ntlafatsa lits'ebetso tsa oxidation le ho hlaphoheloa.

Matšoao le contraindication

Sengoloa se bontša sepheo le lithibelo tsa mantlha tsa ho nka moriana. Tšoaetso e ka sehloohong ea ts'ebeliso ea tharollo ke hypoglycemia. Contraindication e kenyelletsa maemo a latelang:

• hypersensitivity ho motsoako o sebetsang;
• Delirium ea joala le ho haelloa ke metsi haholo
• anuria
• edema ea pulmonary le bokong;
• ho hloleha ka matla ka letsoho le letšehali;
• hemorrhage ka mokokotlong oa mokokotlo oa mofuta oa subarachnoid le intracranial;
• lefu la tsoekere;
• hyperosmolar coma;
• hyperlactacidemia;
• glucose-galactose malabsorption.

Ka hyponatremia, ho nyekeloa ke pelo, le ho hloleha ha methapo, moriana o lokela ho sebelisoa ka hloko.

Litaelo tsa ho sebelisoa

Setlhare se fanoa kahare kapa ka ho tsuba ka tekanyo e phahameng ea marotholi a 150 ka motsotso. Litekanyetso tsa letsatsi le letsatsi ha lia lokela ho feta 2000 ml. Ka metabolism e tloaelehileng, tekanyetso e le 'ngoe ho motho e moholo ke 300 ml. Bakeng sa phepo e ntle ea botsoali, bana ba fuoa ho tloha ho 6 ho isa ho 15 ml ka boima ba kilo e le 'ngoe. Setlhare ha se reretsoe tšebeliso ea methapo kapa tšubuhlellano.

Litaelo bakeng sa ts'ebeliso ea tsoekere e bonts'a hore bakeng sa ho monya hantle motsoako o sebetsang, ho bohlokoa ho laola bongata ba eona mohloling le maling, hammoho le insulin. Tlas'a lits'ebetso tse tloaelehileng tsa metabolic, tekanyo ea tsamaiso ea tharollo ea batho ba baholo ke 0.5 ml ka 1 kg ka hora, bakeng sa bana - 0,25 ml. Tse ling tsa litlamorao ke:

• venous thrombosis;
• phlebitis;
• tšenyo ea methapo;
• bohloko sebakeng sa ente;
• acidosis;
• hyperglycemia;
• polyuria;
• hypophosphatemia;
• ho nyekeloa
• hypervolemia
• angioedema;
• makhopho a letlalo;
• feberu.

Lithethefatsi li na le phello e eketsang ha li ntse li sebelisoa ka tharollo ea sodium chloride. Glucose ke setha se matla se matlafatsang.ka hona, ha e khothalletsoe ho kenngoa ka har'a syringe e tšoanang le lihlahisoa tsa mali le hexamethylenetetramine ka lebaka la erythrocyte hemolysis le aggregation.

Moriana o khona ho theola tšebetso ea nystatin, streptomycin, adrenergic agonists le analgesics. Maemong a standardoglycemic, bakeng sa ho monya hantle tsoekere, ho hlahisoa tharollo ho khothalletsoa ho kopantsoe le insulin.

Li-analog

Setlhare se na le tse emeng. Molekane oa eona ea tsebahalang ke Glucosteril. Setlhare sena se laetsoe phepo e nepahetseng ea motsoali le bakeng sa ho ikhatholla 'mele.

Ntho e sebetsang ea Glucosteril e ntlafatsa ts'ebetso ea antitoxic ea sebete mme e ntlafatsa tsela ea ts'ebetso ea ho hlaphoheloa le ea oxidation. Phekolo e thusa ho tlatsa khaello ea metsi. Ha e kenella ka har'a lithane, karolo e sebetsang ea phosphorylated 'me ea fetoloa hore e be glucose-6-phosphate. Ts'ebetsong ea metabolism, ho hlahisoa matla a lekaneng, a hlokahalang ho netefatsa ts'ebetso ea 'mele. Tharollo ea Hypertonic e hlapolla methapo ea mali, e eketsa diuresis le myocardial contractility, e eketsa khatello ea mali ea osmotic.

Bakeng sa ho monya ka mokhoa o potlakileng le o felletseng oa ntho e sebetsang, 1 UNIT ea insulin ka 4 ml ea moriana e fanoa. Ha e kopantsoe le meriana e meng, ho khothalletsoa ho shebella ho lumellana ha maemo. Bakeng sa phepo e ntle ea botsoali bongoaneng, matsatsing a pele a kalafo, 6 ml ea moriana ka kilo e le 'ngoe ea boima ba' mele e lokela ho tsamaisoa. Tlas'a tlhokomelo ea setsebi, moriana o sebelisetsoa anuria le oliguria.

Ho itšireletsa ha tharollo ea tsoekere le lithethefatsi tse ling ho thibetsoe. Ho hlokahala hore u kopane le ngaka e tlang.

Tlhahlobo ea Mamello