Daaweynta Xididdada, Nidaamyada Bixinta Dheecaannada ee Dib-u-nooleynta, iyo Aaladaha Badbaadinta Unugyada
Vanessa G. Henke, Warren S. Sandberg, oo ku jira Buuggaagta MGH ee Qalabka Suuxinta, 2011
Dulmar guud ee Nidaamyada Kuleylinta dareeraha
Ujeedada ugu muhiimsan ee kuleyliyaha dareeraha IV waa in lagu diiriyo dareeraha la geliyo meel u dhow heerkulka jirka ama wax yar ka sarreeya si looga hortago hypothermia sababtoo ah faleebada dareeraha qabow. Khatarta la xiriirta isticmaalka kulayliyaha dareeraha waxaa ka mid ah embolism-ka hawada, dhiigbaxa kuleylku keeno iyo dhaawaca markabka, qulqulka hadda ee jidka dareeraha, caabuqa, iyo dhexgelinta cadaadiska.42
Kuleyliyaha dareeraha ah ayaa sidoo kale si buuxda loogu tilmaamaa faleebada degdegga ah ee alaabta qabowga ah, sababtoo ah khatarta wadne istaagista iyo wadna xanuunka (gaar ahaan marka qanjidhada sinoatrial la qaboojiyo wax ka yar 30 ° C). Xiritaanka wadnaha ayaa la muujiyay marka dadka waaweyni ay helaan dhiig ama balaasmaha heerar ka badan 100 mL/daqiiqo 30 daqiiqo.
Kuleyliyeyaasha dareeraha ah ayaa si ballaaran loo kala saari karaa aaladaha loogu talagalay in lagu diiriyo dareeraha kiisaska caadiga ah iyo aaladaha kakan ee loogu talagalay dib-u-kicinta mugga weyn. Iyadoo dhammaan kulayliyeyaasha dareeraha ay ka kooban yihiin kuleyliyaha, koontaroolka kulaylka, iyo, inta badan, heerkulka akhrinta, kulayliyeyaasha dareeraha dib u kicinta ayaa loo hagaajiyay socodka sare, iyo joojinta socodka bukaanka marka hawo muhiim ah laga helo tuubada. Kuleyliyeyaasha dareeraha fudud waxay keenaan dareere diirran oo heerar ah ilaa 150 mL / min (iyo marmarka qaarkood heerar sare, oo leh qaybo gaar ah oo la tuuri karo iyo faleebo cadaadis leh), taas oo ka soo horjeeda kululeeyaha dareeraha dib-u-kicinta kuwaas oo si wax ku ool ah u diirra dareeraha qulqulka qulqulka ilaa 750 ilaa 1000 mL / min (hal dareere dib-u-nooleyn ah oo kululeeyaha cadaadiska xitaa wuxuu baabi'iyaa baahida).
Kuleyliyaha dareeraha IV waxaa lagu gaari karaa isweydaarsiga kulaylka qalalan, kulaylka ka soo horjeeda, gelinta dareeraha, ama (si aan waxtar lahayn) iyada oo la gelinayo qayb ka mid ah wareegga dareeraha meel u dhow kuleyliyaha goonida ah (sida qalabka hawada lagu qasbay ama joodariga biyaha kulul).
Waqtiga boostada: Jan-17-2025