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Nhung tinh huong can truyen nuoc cho co the?
Khi cam thay met moi, an uong kem, mat ngu...khong it nguoi nghi ngay den viec tim bac si de “vo nuoc” (tuc truyen nuoc bien) cho khoe.
Dieu dang noi o day la ca nguoi muon “tiep nuoc” va nguoi thuc hien viec “tiep nuoc” deu cam thay hai long, du viec lam do nhieu khi khong can thiet, ton kem tien bac, thoi gian, chua ke co the gay nguy hiem den tinh mang. Vi the khi nao nen truyen nuoc bien va can thiet khong?
O cac phong mach tu va mot so nha thuoc, hien tuong nguoi khong benh tat gi den de nghi duoc truyen dich la pho bien. Nhieu nguoi chi bi dau dau nhung cu nang nac doi vo “nuoc bien”. Khi gap bac si, duoc si co chuyen mon va co y tot khuyen khong nen thi ho phan ung bang cach bo di noi khac de duoc “tiep nuoc”.
Co bao nhieu loai dich truyen?
1. Nhom cung cap chat dinh duong cho co the, dung trong cac truong hop suy kiet, an uong kem:
- Dich ngot chua duong glucoza (con goi la glucose hoac dextrose) co tac dung cung cap nang luong cho co the. Dung dich glucoza co nhieu loai: 5%, 10%, 20%, 30%. Nua lit glucoza 5% cung cap nang luong tuong duong an mot bat com.
- Dich chua chat dam, chat beo va vitamin nhu: alversin 40, amigolg 8,5%, amino - plasmal 5%, nutrisol 5%, vitaplex, lipofundin, clinoleic... dung trong cac truong hop suy kiet, suy dinh duong. Cac san pham nay rat dat tien.
2. Nhom cung cap nuoc va cac chat dien giai, dung trong truong hop mat nuoc, mat mau (tieu chay, bong, oi mua...). Do la cac dung dich lactate ringer, natri clorua 0,9%, bicarbonate natri 1,4%...
>>Ban nen biet: xuat huyet duoi da la gi
3. Nhom dac biet nhu huyet tuong tuoi, dung dich chua albumin, dung dich dextran, haes-steril, gelofusin hay dung dich cao phan tu... dung trong cac truong hop can bu nhanh chat albumin hoac luong dich tuan hoan trong co the.
Cac loai dich truyen deu la thuoc dang dac biet, chi duoc dung khi bac si kham va ke toa.
Cac tinh huong can truyen dich
>>Co the ban can: sung hach bach huyet o co hiv
Dich truyen se la lieu thuoc hieu qua khi duoc dung dung benh, dung luc, dung lieu. Viec lam dung dich truyen hoac dung sai chi dinh co the dan den nhieu tai bien. Nguoi benh can duoc truyen dich trong cac tinh huong sau:
1. Boi hoan the tich dich cho co the bi mat nhu khi sot cao, oi mua, tieu chay, bong, chan thuong gay chay mau...
2. Cung cap chat dinh duong cho co the khi nguoi benh khong an uong duoc, suy kiet, hon me, phau thuat duong ruot...
3. Muon duong truyen dich de pha loang thuoc dua vao co the tu tu, vi co mot so loai thuoc khong the tiem thang va nhanh vao mach mau.
4. Boi hoan cac chat dien giai nhu natri, kali, canxi, clor... Cac chat nay thuong duoc phat hien thieu hut khi lam xet nghiem mau.
>>Ban can biet: Benh a sung - Nguyen nhan, trieu chung va cach chua tri hieu qua
Cac tai bien khi truyen dich
Du truyen dich co dung chi dinh hay khong van co the xay ra tai bien. Bao gom:
1. Run tiem truyen va soc. Dang truyen dich dot nhien lanh run, sot, toat mo hoi... Nang hon se lam tut huyet ap, hon me, ngung tim ngung tho va tu vong
2. Nhiem trung. Neu khong sat trung ky noi tiem truyen, cac thao tac khong dam bao vo trung co the gay ra nhiem trung tai cho, viem tinh mach, sung phu do lech kim khoi tinh mach. Neu vi trung lan vao mau se gay nhiem trung huyet va soc nhiem trung. Neu su dung kim, ong chich, day truyen cho nhieu nguoi co the lam lay benh viem gan sieu vi B,C, nhiem HIV, sot ret...
3. Qua tai the tich. Khi truyen dich voi so luong lon hoac truyen voi toc do qua nhanh se lam qua suc chiu dung cua tim va phoi, dan den met, kho tho, suy tim va phu phoi cap. Tai bien nay rat de xay ra tren cac doi tuong nhu benh nhan lon tuoi, co benh tim, suy than, tre em...
4. Tac khi. Het dich truyen ma khong biet hoac de bong khi lot vao mach mau co the gay thuyen tac khi. Neu nang co the gay chet nguoi.
5. Roi loan thua. Viec truyen khong dung loai dich truyen se gay roi loan thua cac chat co trong dich truyen, lam co the mat quan binh.
Viec truyen dich chi an toan khi co chi dinh cua bac si, de xac dinh co the benh nhan dang trong tinh trang nhu the nao va can nhung loai dich truyen gi. Can tuan thu tuyet doi cac quy dinh trong truyen dich ve toc do, thoi gian, so luong, dung cu phai dam bao vo trung tuyet doi.
Ngoai ra, noi truyen dich phai co du cac dieu kien xu ly chong soc de phong su co. Nguoi truyen dich phai co trinh do chuyen mon. Dieu quan trong la nguoi benh phai duoc theo doi that sat trong suot qua trinh truyen dich, de khi xay ra tai bien hay bien chung se duoc xu tri cap cuu kip thoi.
>>Moi ban doc tham khao them: O day
Post je objavljen 21.06.2017. u 03:43 sati.