Ihe na-eme ka glucose na-eme ka mmadụ nwee ike ịnabata ọnyụ na-adịghị ala ala. Ọgwụ nwere ike ikpuchi akụkụ nke ụgwọ ọrụ ume ma melite usoro redox ahụ. Ihe dị n ’ọgwụ ahụ apụtaghị n’akụrụ akụrụ wee weghara ya kpamkpam. Tupu ị theụ ọgwụ, a na-atụ aro ka ị gụọ nkọwapụta ahụ wee gaa kpọtụrụ ọkachamara.
Ngwakọta na ụdị ntọhapụ
Ihe na - arụ ọrụ nke ọgwụ ahụ bụ glucose monohydrate. Ihe mgbakwunye ndi ozo gunyere:
- mmiri mgbochi mmiri;
- hydrochloric acid;
- chloride sodium.
A na-ewepụta azịza ya n'ụdị mmiri mmiri na-enweghị odo, na-acha odo odo. A na-etinye ya n'ime iko ampoules 5 ml. Enwere ampoules 5 na ịchafụ maka emepe ha na paịlị.
Enweghị ike iji ọgwụ ahụ emechaa mgbe ọ gwụsịrị, nke bụ afọ 3 nwere nchekwa dị mma.
Ngwongwo ogwu
Akụkụ nọ n'ọrụ na-abanye na akwara niile na akụkụ ahụ niile site na mgbochi. Insulin na-edozi njem ụgbọelu. Dabere na ụzọ pentose phosphate na hexose phosphate, ọgwụ a na - eme usoro biotransformation site na ihazi glycerin, amino acids, nucleotides na ogige macroergic.
N'oge glycolysis na usoro nke ike n'ụdị nke ATP, a na-eme glucose na mmiri na carbon dioxide. Ọkara ndụ-ndụ na-apụ n’akụrụ akụrụ na ngụgụ. Ọrịa glucose na-emezigharị ụgwọ ike. N'okpuru ya, diuresis na-abawanye, ọrụ nkwekọrịta nke akwara obi na ọrụ imeju na-eme ka ọ dị mma, na-achịkwa usoro nke mmiri n'ime ọbara site na akwara, osratic intravascular osmotic na-ahazi, yana usoro metabolic na-agbatịkwu.
Ihe na-arụ ọrụ bụ isi iyi nke ume na nri.dị mkpa iji hụ na ọrụ dị mkpa nke anụ ahụ. N'ime imeju, ọ na - eme ka nkwanye mmanụ glycogen rụọ ọrụ, ma na - akwalite usoro nke oxidation na mgbake.
Ihe ngosi na contraindications
Nkọwa ahụ na-egosi ebumnuche na mmachi maka ị theụ ọgwụ. Ihe kachasị egosi maka iji ihe ngwọta bụ hypoglycemia. Ihe ndị a na-egbochi mgbochi: Ọnọdụ ndị a:
hypersensitivity na ike ọrụ;- mmanya na-egbu egbu na akpịrị ịkpọ nkụ;
- ngbaka
- ọria ụbụrụ na ụbụrụ;
- nnukwu ọdịda ventricular ọdịda;
- oruru ọbara na ogwe akwara nke subarachnoid na udiri intracranial;
- ọrịa shuga mellitus;
- hyperosmolar coma;
- hyperlactacidemia;
- glucose-galactose malabsorption.
hypersensitivity na ike ọrụ;Site na hyponatremia, ọgbụgba obi mebiri emebi, yana ọdịda akụrụ, ekwesịrị iji nlezianya jiri ọgwụ ahụ.
Ntụziaka maka ojiji
A na-a drugụ ọgwụ ahụ intravenly ma ọ bụ na-asọ na ọnụego kachasị nke 150 tụlee kwa nkeji. Usoro ubochi obula ekwesighi iga nari 2000 ml. Site na metabolism nkịtị, otu ụzọ maka okenye bụ 300 ml. Maka nri na-enye ihe nri, a na-ahụ ụmụaka site na 6 ruo 15 ml kwa 1 n'arọ nke ịdị arọ. Ezubere ọgwụ a maka iji intramuscular ma ọ bụ subcutaneous were.
Ntụziaka maka ojiji nke glucose na-egosi na maka nnabata kacha mma nke mmiri na-arụ ọrụ, ọ dị mkpa ịchịkwa ego ya na mmamịrị na ọbara, yana were insulin. N'okpuru usoro metabolic nkịtị, ọnụego nchịkwa nke ihe ngwọta maka ndị okenye bụ 0,5 ml kwa 1 n'arọ kwa elekere, maka ụmụaka - 0.25 ml. Otu n'ime nsogbu ndị a bụ:
thrombosis venous;- phlebitis;
- mgbakasị akwara;
- ihe mgbu n’ebe a na-agba ya mmiri;
- acidosis;
- hyperglycemia;
- polyuria;
- hypophosphatemia;
- ọgbụgbọ
- hypervolemia
- angioedema;
- akpukpo anụ;
- ahụ ọkụ.
thrombosis venous;Ọgwụ nwere mmetụta mmụba mgbe eji ya nke sodium chloride. Ihe na-eme ka glucose bụ ihe dị iche iche na - egbu egbu.ya mere, anaghị atụ aro ka enyee ya otu mkpụrụ sirinji ya na ngwaahịa ọbara na hexamethylenetetramine n'ihi ọrịa hemolysis na erythrocyte na nchịkọta.
Ogwu ahu nwere ike wedata oru nke nystatin, streptomycin, agonist na adrenergic na analgesics. Na ọnọdụ normoglycemic, maka nnabata glucose kachasị mma, a na-atụ aro iwebata ihe ga - emeju yana insulin.
Analogs nke pụtara
Ọgwụ nwere ndị dochie anya ya. Onye ọ kacha mara amara bụ Glucosteril. Edere ọgwụ a maka nri nwantịntị na nke ịmịkọrọ mmiri.
Ihe na-arụ ọrụ nke Glucosteril na-akwalite ọrụ antitoxic nke imeju ma na-eme ka usoro mgbake na oxidation dịkwuo mma. Ọgwụ na-atụnye ụtụ na mmiri. N’ịkpụgharị n’ime anụ ahụ, a na-agbanye ihe mejupụtara ma megharịa glucose-6-phosphate. N'oge metabolism, a na-emepụta ike zuru ezu, nke achọrọ iji hụ na arụ ọrụ nke ahụ. Ngwọta nke Hypertonic na-eme ka akwara ọbara dịkwuo elu, na-eme ka diuresis na nsụ myocardial na-abawanye, na-eme ka ọbara mgbali elu nke osmotic dị elu.
Maka nnabata ngwa ngwa zuru ezu, ọgwụ ọgwụ 1 UNIT nke insulin kwa 4 ml nke ọgwụ ahụ. Mgbe ejikọtara ya na ọgwụ ndị ọzọ, a na-atụ aro ka ọ nyochaa anya ndakọrịta. Maka parenteral oriri na-edozi ahụ na nwata, na ụbọchị mbụ nke ọgwụgwọ, 6 ml nke ọgwụ kwa 1 n'arọ nke oke ahụ ga-achịkwa. N'okpuru nlekọta nke ọkachamara, a na-eji ọgwụ ahụ maka anuria na oliguria.
Amachibidoro iji onwe gị dozie nsogbu glucose na ọgwụ ndị ọzọ. Achọrọ nyocha nke dibia bekee chọrọ.
Nyocha nyocha Ndidi
Ngwá ọrụ dị mkpa maka m bụ glucose na ampoules. Ntụziaka maka ojiji ejiri ozi niile dị mkpa gbasara mmetụta ọgwụ a .ụrụ. Nwere ike ịzụta ya na ampoules na karama iko maka ndị na-eji mmiri. Ọ na - enyere aka ichekwa ọnọdụ anụ ahụ n'oge ọrụ. Ọgwụ dị oke mkpa, a na-enye ya ọgwụ maka ọnọdụ ujo, mbelata ọbara mgbali elu na ọrịa na-efe efe.
Site na acetone syndrome, ka enyere nwa nwoke nwoke ọgwụgwọ ihe isotonic glucose nke 5%. Ntụziaka ahụ na-egosi ihe ndị bụ isi contraindications na ngosipụta maka iji ọgwụ ahụ, yana nsonaazụ ndị a na-ahụ anya. N'ụzọ nkịtị, ụbọchị ọgwụgwọ nke abụọ, enwere mmetụta dị mma ama ama. Iji zere mmepe nke mmeghachi omume nfụkasị, ana m adụ gị ọdụ ka ị na-enye ọgwụ ahụ naanị n'okpuru nlekọta nke ọkachamara. A zụtara ihe ngwọta na ụlọ ahịa ọgwụ na-enweghị ọgwụ.
Mpempe 5 glucose dị mma bụ ihe dị ọnụ ala ma bụrụ ihe akwadoro. Ayere ya ogwu ogbugba. Enwere ike ịzụta ọgwụ ahụ na ọnụ ahịa mara mma na ahịa ọgwụ ọ bụla. Ugbo ala a nwere nchịkọta zuru oke. O nwere nkọwa nke ihe arụ ọrụ na otu esi eji ya n'ụzọ ziri ezi. Ana m akwado ka ị jiri nlezianya mụọ ntuziaka maka glucose. Enwere ọtụtụ ịgba inje, mana ihe fọrọ nke nta ka ọ bụrụ na achọtaghị mmeghachi omume ọ bụla.
