Daaweynta xidhitaanka, nidaamyada keenida dareeraha ee dib-u-dhiska, iyo aaladaha cusbada unugyada
Vanessa G. Henke, Warren S. Sandberg, oo ku jira buugga Mch ee buugga suuxinta ee qalabka suuxinta, 2011
Dulmar guud oo ku saabsan nidaamyada diirimaadka dareeraha
Ujeedada ugu weyn ee diirinta dareeraha ee IV waa in lagu diiriyo cabitaannada lagu xayeysiiyay ee ku jira meel u dhow heerkulka jirka ama waxyar ka sareeya si looga hortago hypothermia sababo la xiriira faleebo-galka oo cabitaannada qabow. Khataraha la xiriira isticmaalka diirimaadyada dareeraha ah waxaa ka mid ah daadashada hawada, kuleylka kuleylka iyo dhaawaca weelka, daadashada hadda, iyo infekshinka lagu cadaadiyo.42
Dheecaan dareere ah ayaa sidoo kale gabi ahaanba lagu tilmaamay faleebo deg-deg ah ee wax soo saarka dhiigga qabow, sababtuna tahay qatarta xiritaanka wadnaha iyo arkhaothia (gaar ahaan marka loo qaboojiyo wax ka yar 30 ° C). Xadhiga wadnaha ayaa la soo bandhigay markii dadka waaweyn ay helaan dhiig ama plasma sicir-sare 100 ml / min muddo 30 daqiiqo ah
Kuraasta dareeraha ayaa si ballaadhan loogu qori karaa aalado loogu talagalay in lagu diiriyo dareeraha cabitaannada ee xaaladaha caadiga ah iyo aalado adag oo aad u adag oo loogu talagalay dib u soo kicinta mugga weyn. In kasta oo dhammaan waxyaabaha kuleylka dareeraha ahi ay ku leeyihiin kuleyliye, xakameyn heerkul ah, iyo, xaaladaha badankood, kuleylka 'heerkulka dareeraha dareeraha' ayaa lagu hagaajiyaa qulqulka sare, oo u jooji qulqulka bukaanka marka loo ogaado bukaanka markii lagu ogaado bukaanka markii lagu ogaado tubbada. Kuleylka dareeraha fudud ayaa keenaya cabitaanno diiran oo qiimahoodu yahay illaa 150 ml / min (iyo in ka duwan sicirka dareeraha ah ee qulqulka ah ee ku jira illaa 750 ML / MINB (hal dareeraha dheecaanka oo kale) ayaa ka tirtiraya baahida loo qabo in la sameeyo baahida loo qabo in la sameeyo.
Kuleylka dareeraha IV-ga waxaa lagu fulin karaa kuleylka qalalan, is-weydaarsiga kuleylka, qulqulka dheecaanka, ama (in wax ku ool ah) adoo ka mid ah qalabka dheecaanka ah ee ku-meel-gaarka ah (sida aaladda hawada ee loo yaqaan 'ku-meel-gaarka ah' ama joodariga biyaha ee kulul).
Waqtiga Post: Jan-17-2025