Daaweynta Xididdada, Nidaamyada Bixinta Dareeraha ee Dib-u-soo-nooleynta, iyo Qalabka Badbaadada Unugyada
Vanessa G. Henke, Warren S. Sandberg, oo ku jirta Buugga Buug-gacmeedka Qalabka Suuxinta ee MGH, 2011
Dulmar Guud oo ku saabsan Nidaamyada Diirinta Dareeraha
Ujeedada ugu weyn ee kululeeyayaasha dareeraha IV-ga waa in lagu kululeeyo dareeraha la shubay heerkulka jirka ama wax yar ka sarreeya si looga hortago hypothermia sababtoo ah gelinta dareeraha qabow. Khataraha la xiriira isticmaalka kuleyliyeyaasha dareeraha waxaa ka mid ah xinjirowga hawada, hemolysis-ka kulaylka keena iyo dhaawaca xididdada dhiigga, daadashada hadda ee marinnada dareeraha, caabuqa, iyo gelinta cadaadiska.42
Diiriye dareere ah ayaa sidoo kale si buuxda loogu tilmaamay gelinta degdegga ah ee alaabada dhiigga qabow, sababtoo ah khatarta wadne istaagga iyo garaaca wadnaha (gaar ahaan marka qanjidhada sinoatrial-ka la qaboojiyo ilaa wax ka yar 30°C). Xidhitaanka wadnaha ayaa la muujiyay marka dadka waaweyn ay helaan dhiig ama balaasma heer ka badan 100 mL/daqiiqo muddo 30 daqiiqo ah.40 Heerka lagu kicin karo xidhitaanka wadnaha aad ayuu uga hooseeyaa haddii shubista lagu sameeyo bartamaha iyo dadka carruurta ah.
Diiriye-kuliyeyaasha dareeraha waxaa si ballaaran loogu kala saari karaa qalab loogu talagalay in lagu diiriyo dareerayaasha kiisaska caadiga ah iyo qalabyo aad u adag oo loogu talagalay dib-u-soo-nooleynta mugga weyn. Iyadoo dhammaan diiriye-kuliyeyaasha dareeraha ay ku jiraan kuleyliye, xakameyn heerkulbeeg ah, iyo, inta badan, akhrinta heerkulka, diiriye-kuliyeyaasha dareeraha soo-nooleynta waxaa loo habeeyay socodka sare, waxayna joojiyaan socodka bukaanka marka hawo muhiim ah laga helo tuubada. Diiriye-kuliyeyaasha dareeraha fudud waxay keenaan dareerayaal diirran heer ilaa 150 mL/daqiiqo (iyo mararka qaarkood heer sare, oo leh qalab gaar ah oo la tuuri karo iyo faleebo cadaadis leh), marka la barbardhigo diiriye-kuliyeyaasha dareeraha soo-nooleynta ee si wax ku ool ah u diiriya dareerayaasha heerka socodka ilaa 750 ilaa 1000 mL/daqiiqo (hal diiriye dareere soo-nooleyn ah xitaa wuxuu baabi'iyaa baahida loo qabo cadaadiska).
Kuleylinta dareerayaasha IV-ga waxaa lagu gaari karaa is-weydaarsiga kulaylka qalalan, beddelayaasha kulaylka ee ka soo horjeeda, gelinta dareeraha, ama (waxtar yar) iyadoo qayb ka mid ah wareegga dareeraha la dhigo meel u dhow kuleyliye gaar ah (sida qalab hawo lagu qasbayo ama furaash biyo kulul).
Waqtiga boostada: Jan-17-2025