Uma kungabikho ukwelashwa, kunokwenzeka ukuthi ukwethuka. I-syndrome yokuphelelwa amandla kwamanzi ivame kakhulu ezinganeni futhi ingathuthuka ngokushesha, ikakhulukazi eshisayo noma ezinkingeni zamathumbu ngokuhlanza nokuhuda. Ezimweni ezinjalo, isidingo esiphuthumayo sokugcwalisa ukungabi khona kwamanzi anoketshezi nama-electrolyte (usawoti) emzimbeni. Iyini lesi sifo, thola ku-athikili ethi "Ukudambiswa kwamanzi emzimbeni kanye nezindlela zokuwunqoba."
Izimbangela zokuphelelwa amandla kwamanzi
Izimbangela zokuphela kwamanzi omzimba zingahlanganisa:
- ukuhlanza i-irofuznaya kanye / noma isifo sohudo;
- isimo sezulu esishisayo kakhulu;
- i-fever ephezulu ngokujuluka okukhulu;
- umsebenzi omningi wokuziphuza ngaphandle kokuphuza;
- ukushisa.
Ukuxilongwa kokuphelelwa amandla kwamanzi
Kuye ngesilinganiso sokuphelelwa amandla kwamanzi, isiguli sinenkinga ethile yezimpawu zomtholampilo. Izimpawu zokuphelelwa amandla kwamanzi zihlanganisa:
- ukoma, umlomo owomile kanye nosizi;
- ukunciphisa emthamo we-urine okhulelwe;
- ukuphuza nokuma kwesikhumba;
- i-ophthalmology yamehlo; ezinganeni kunokwenzeka ukuba ikwazi ukushaya indlwabu ngamapayipi (izikhala phakathi kwamathambo e-skull);
- ukunciphisa kwengcindezi yegazi, izinga lenhliziyo elandayo nokuphefumula.
Ngemuva kokusungula uhlelo lokumnika ukungena emzimbeni, kubalulekile ukuthola isizathu sokuphelelwa amandla kwamanzi nokuqapha ngokucophelela isimo sesiguli.
Ukubuyisela
Ngendwangu yokugcwaliswa kwevolumu yomswakama, isiguli ngokushesha siyaqhubeka siphumelele. Emntwaneni odidekile ngenxa yokuphelelwa amandla kwamanzi, ukwelashwa okunamandla kuholela ekushabalaleni okusheshayo kwezimpawu. Iziguli zivame ukukala ukucindezelwa kwegazi kanye ne-pulse ukuqinisekisa ukubuyiswa kohlelo olujwayelekile lwesistimu yokujikeleza nokusebenza kwe-hypovolemia (ukwehla kwevolumu yegazi), okuwumphumela wokudambiswa kwamanzi. Uma isiguli sisesimweni esibucayi, kungadingeka ukuthi i-catheter ephakathi nendawo ingadingeka. Lolu hlelo alusebenzi nje ukusikhipha kwezixazululo, kodwa futhi nokulinganisa ukucindezelwa endaweni efanelekayo - ukucindezeleka okuphakathi komzimba, okunikeza umqondo wezinga lokumiswa komzimba.
Izimpawu zomzimba
Izinkomba zesimo sesiguli yilezi zimpawu nombala womchamo. Ngokubuyiselwa kokugeleza kwegazi okujwayelekile ezingxenyeni nasekusebenziseni kwezinso, ukukhishwa komchamo kwenyuka, okuba okungagxili kakhulu. Ezinganeni, ama-fontanel futhi athola ukuqina, futhi isikhumba - ukuqina. Ngemuva kokuvela kwenkinga, isiguli siqala ukuthatha amanzi ngaphakathi. Ngesimo jikelele esanelisayo, isiguli singakugwema ukukhipha okungenakunqunywa kwezixazululo ngokuthatha uketshezi ngaphakathi. Amalungiselelo okuvuselelwa ngomlomo asetshenziswa kabanzi, ikakhulukazi ezinganeni ezinehudo.
Ukwelashwa okusekelayo
Ngisho nangemva kokuphela kwe-infusion emangcwabeni, kubalulekile ukuqhubeka nokuthatha uketshezi ngaphakathi. Izincomo zesidakamizwa zokwelashwa zimi kanje:
- Uma kunezibonakaliso zokuphelelwa yisisu, phuza okungenani ama-500ml we-fluid njalo ngehora.
- Ikakhulukazi efanelekile ekulungiseni ukuphelelwa amandla kwamanzi ngamanzi amaminerali ngaphandle kwegesi kanye netiye elibuthaka elimnandi.
- Ezinye iziphuzo, njengekhofi notshwala, azikhuthazwa ukuba zigcwalise ukulahleka, njengoba zikhuthaza ukukhululwa komchamo, okwandisa inkinga.
Uma isiguli sikwazi ukuphuza, indlela ephumelela kakhulu yokugcwalisa umthamo wetshezi emzimbeni ukutholakala kwezixazululo zikasawoti. Emazweni asathuthuka, amalungiselelo okufudumala ngomlomo asindisa impilo yabantwana abaningi abanehudo olunzima, isibonelo, ngekholera. Lezi zixazululo zisebenza njengomthombo wokudinga kakhulu isiguli:
- amanzi;
- i-sodium chloride (usawoti);
- i-potassium chloride (amaminerali);
- i-glucose (ushukela).
Njengoba kunomkhuhlane omkhulu ngenxa yokuhuda, isisombululo esithile se-glucose-brine isixazululo (kuye ngokuthi ubudala nesisindo) kufanele kuthathwe ngemuva kokuhlukunyezwa ngalunye. Manje siyazi ukuthi ukuphelelwa yisidumbu singakanani nokuthi singayinqoba kanjani ngosizo lokuphathwa ngendlela efanele.