Molomo rehydration tsoa: lisebelisoa

Ntshetsopeleng ya ea 'mele ea tšoaetso ea mala tsamaea le sete matšoao a sa thabiseng - khafetsa takatso ea ho hlapela, seha bohale mpeng bohloko, ho hlatsa le feberu. Nakong ea bokuli motho ea lahleheloang e khōlō palo ya mokelikeli, e ke ho hlokahala hore ka potlako ho tlatsa. Ho na le litsela tse peli tsa motheo rehydration phelang - Oral (ORT) le intravenous (VIT), empa ba rata ke maemong a mangata ho mokhoa pele. A sehloohong sena a re hlahlobeng likarolo tsa motheo e amanang le khopolo ea ho ORT. Re tla leka ho araba lipotso tsena: "ORT ke eng?", "Ha ho loketse ho khanna?" Ke melao ea rehydration phekolo molomo eng ", joalo-joalo.?.

tsoaetsanang mala le matšoao a gastrointestinal

Bakeng sa mafu a tsoaetsanang a hlobaetsang le mala (AII) kenyeletsa sehlopha eohle ea mafu a tšoaetsanoang le bakoang ke microorganisms - libaktheria kapa likokoana-hloko. sehlopha sena sa maemo pathological tšoauoa ka matšoao a tšoanang le ama haholo-holo pampitšana gastrointestinal, a etsa hore ho se sebetse lona. Mohloli oa tshwaetso le pathogen ena ke bajari (batho ba kulang kapa liphoofolo tse).

Matšoao a boloetse bona a fapa-fapaneng haholo. Ditlolo tsa pampitšana gastrointestinal amahanngoa le ketsahalo e sa gastritis, enteritis kapa colitis:

• gastritis tsamaea le ho nyekoa ke pelo, ho hlatsa, lesokolla, regurgitation, sensations bohloko sebakeng epigastric;
• enteritis etella pele ho bloating, kirietsa mantle a, sensations bohloko ho sa hlaka diriswa (a tšolloa bohloko mpeng), hlephileng setuloana ntle ho mali kapa slime litšila;
• khetholleha colitis ipiletsa bohata ho ithusa hanngoe, bohloko e bohale ka iliac sebakeng letšehali, khafetsa bo hlephileng litulo le mucus kapa splashes mali;
• ho na le maemong moo matšoao a matšoao a lefu la gastritis kopana, colitis le enteritis.

le matšoao tse ling tsa DCI

Ho phaella ho malfunctions pampitšaneng ena gastrointestinal, OCI etsahala le ditlolo le leng ka mesebetsi ea 'mele:

• botahoa boholo ka semelo sa eketseha mocheso oa 'mele, ho hlatsa, ho tšoaroa ke hlooho;
• kholiso ea spleen le sebete;
• mafu a amanang le ho hloka le liminerale le mosaletsa likarolo (khaello ea mali, haella a vithamine);
• ponahalo ea ka lekhopho ka 'mele oa etiology tse sa tšoaneng;

• chefo makala;
• ka masea a hlokomela hula mantsoe a fontanelle kgolo.

Ho phaella moo, e mong oa liponahatso kotsi ka ho fetisisa tsa DCI ke dehydration - tšebetso e eo ho eona ho ke haelloa mokelikeli ka makala le lisele tsa 'mele. Sena se ka bontšoa ka ho omile tsa lera la mucous kapa letlalo, mokuli o ikutloa nyoriloe haholo, o ile a re ho hloka taolo hemodynamic. Ha dehydration haholo develops angidremichesky makala. Ho phaella moo, ho ka khonehang feberu, ho hloka salivation tloaelehileng, hoarseness oa lentsoe. motho ea lahleheloang boima, e dinama tse nyenyane tse bonolo turgor le hlaha - boemong boo ho bona lera seleng e ba a otlolla. dehydration syndrome, e bitswang exsicosis. E le hore ho boele u maro ba lahlehileng 'meleng, maemong a mangata etsoang ka molomo rehydration.

exsicosis kotsi bakeng sa masea

tsoaetsanang a hlobaetsang le mala li bolotsana ka hore ka potlako ho ntshetsa pele haholo. Ho phaella moo, sehlopha sena sa pathologies tšoauoa ka mathata khafetsa le tse matla tsa lefu lena.

Clinical liponahatso tsa salmonellosis, letšollo bongata ba kokwanahloko, shigellosis, bana ehsherihioza ke, ka bomalimabe, ke bolaeang ka lebaka la ho dehydration ba lefu la - exsicosis. Nahanela ho lahleheloeng ke takatso e sa tloaelehang mokelikeli ke attributable haholo-holo ho peculiarities ea tsamaiso ea metabolism metsi le letsoai ea masea le bana ba lilemong tse pele oa bophelo. Ha ho bapisoa le motho e moholo, 'mele oa ngoana e tšoauoa ka:

• Tshebetso butsoe tsa makala urogenital (a liphio);
• kholo bophahamo ba modumo ea mokelikeli kantle ho sele;
• bana ba lokolla tsa metsi ka matšoafong le letlalo le ho isa tekanyong e moholo, 'me e amana le taba ea hore karo-karolelano ea' mele holim'a ka unit trust boima - boleng kgolo ha bapisoa le 'mele oa motho e moholo.

Mokhoa o ka sehloohong oa ho tsosolosa bana mora tsoaetsanang a hlobaetsang le mala - tlatseletsa maro a lahlehile. Molomo rehydration ka bana, hammoho le ka baahi ba batho ba baholo, ho bontšoa tabeng ea bonolo kapa e leka-lekaneng exsicosis isa tekanyong le fana ka maikutlo a tshebediso ya ditharollo tsoekere-letsoai. The mefuta e meng ho tekanyo ena - intravenous rehydration, le manipulations amanang - kalafo e bakang, lijo, enterosorption.

e ORT ke eng?

ORT - tshebetso ya replenishment ya lahlehileng 'mele metsi a mangata ka lebaka la ho hlatsa le ho / kapa khafetsa mekhatlo mantle a,' me feberu. Ho phethisa liketso tsa ka holimo li sebelisoa ditharollo tsoekere-letsoai, e le hore ba kene 'meleng oa mokuli ka mokhoa tloaelehileng. Mekhoa ea ho rehydration phekolo molomo o thehiloe thepa ea tsoekere e khothalletsa ho fetiswa ha ions sodium le potassium lahleha maemo pathological ka mucosa mala, 'me ka tsela eo, o ntse a hlaphoheloa ka ho leka-lekana le metsi a letsoai.

Ho atleha ha rehydration molomo itšetlehile ka go tshegetsa nako ya mellwane. Tsamaiso e lokela ho qala ka bo-lihora pele ba qala ho ea matšoao a lefu lena, lapeng, pele ho fihla ha lingaka.

Ho itšetlehile ka seo ho lahleheloa ke 'mele ea amohelwa - metsi kapa electrolyte, ke hlaheletseng:

• soledefitsitnoe dehydration - hangata tahlehelo ea electrolyte;
• metsi-haella dehydration - laoloa ke ho lahleheloa ke metsi;
• isotonic dehydration - ho lahleheloa ke metsi le electrolyte etsahala ka tekanyo e tšoanang.

Ho latela tlhophiso ena, ho lokisa dehydration sebelisa formulations tse fapa-fapaneng ho hlophisoa.

litokisetso

Ha dehydration (exsicosis) ke le tlhokahalo e potlakileng ho tlatsa molumo lahlehileng mokelikeli. molomo ditharollo rehydration e ka ka lokisoa le nosi, metsi pele a reka ka drugstore phofo kopanya, kapa e loketseng ho sebelisa thero. Fapaneng fanoa ka na bapharmasi ea lithethefatsi e sa tšoaneng haholo.

Ka Setšoantšo sa thulaganyou e dehydration, tse kang sebelisoa hangata lithethefatsi "Regidron". Ka lethal dose 'ngoe ea phofo e ena sodium chloride, sodium citrate, chloride potassium le tsoekere. Manaka ea mokhoa ona ke "Glyukosolan", eo ho eona ho hlophisoa e na le sodium chloride, sodium bicarbonate, chloride potassium le tsoekere. Itse powders ba hlapolotsoe ka litha e le nngwe le nngwe ya metsi (phehiloeng). E lokela ho a hopola hore ka lithethefatsi reconstituted e bolokoa e le ha ho na ho feta matsatsi a, leha ho le joalo re lokela ho lokisetsa hang-hang pele ho tsamaiso.

Ha molomo rehydration phekolo ka sebelisoa biorisovye kapa rantipole le raese broths, hammoho le "Oral" le bolela "GIDROVIT", "GIDROVIT Forte" et al a.

Sebōpeho sa "GIDROVIT" polyionic kenyelleditswe sorbent ho lokisetsa - colloidal silicon e dioxide. "GIDROVIT" le "GIDROVIT Forte" tseo ke li behetsoeng bana ba banyenyane. Tharollo tatso e itseng masked tatso fragola. Ho na le boetse ho na le lihlahisoa tse ntle le additives. Dikahare "Gidrovita" sephutheloana kapa "Gidrovita Forte" khalase hlapolotsoeng (200 di ml) ya metsi kapa momona tee. tharollo e fanoeng ho ba le mamello ka likarolo tse nyenyane (tseo hangata desoldering khaba).

litekanyetso li behoa

Letsatsi le letsatsi ba modumo polyionic tharollo - e pontshi tsa toka tloaelehileng. Ho itšetlehile ka tekanyo exsicosis (m. E. Ka mamello) ho tswa ho mekgwatshebetso ya ho simolleng nako hlaphoheloa, mofuta oa lithethefatsi meriana lethal dose ka 'na ea fapana ka e mong le e sebetsana le nyeoe e itseng. tekanyetso feteletseng, ho etsa mohlala, e ka ba e atlehang ka kalafo pele.

The bokae latelang ya lithethefatsi tse boeletsi tsa tlhaho (ka ka kilogerama ea boima ba 'mele):

• grudnichki - 100-150 di ml paakanyong ea;
• bana ba banyenyane - 80-120 di ml;
• Baithuti - 50-80 di ml;
• bana ba baholoanyane, batho ba baholo - 20-60 di ml.

Hangata e le ka ho phekola bana ba banyenyane kopana ditharollo tsoekere-letsoai le nang le letsoai ntle - congee, metsi, tee, le moro letheka ka boholo latelang:

• 1: 1 - le letšollo metsi;
• 1: 2 - ha e leka-lekaneng le feberu le letšollo;
• 2: 1 - le ho hlatsa haholo.

Letsoai le letsoai ntle tharollo ke ke e tsoakiloeng, kahoo tsamaiso bona alternated. Nakong ea molomo rehydration phekolo ka masea ha ba emisa ho fepa, empa ho fokotsa palo e lijo ho 50-75%.

Molomo rehydration phekolo: kgatotharabololo

Molomo Tsamaiso rehydration kakaretso etsoa ka litsela tse peli. Qalong tlosa mokelikeli le electrolyte haelloa - mellwane e phethile ka lihora tse tšeletseng pele. Ka Mokhahlelo oa bobeli qala tokiso phekolo. Sena se etsoa bakeng sa sohle se latele-up nako ea phekolo.

Ha rehydration o nahanela hlokahalang ea letsatsi le letsatsi ba ba le mamello e mokelikeli le letsoai. Ho boetse ke habohlokoa hore ba se ke lebala taba ea hore esita le nang le kalafo, ba bang ba lahleheloa ke ntse ke le teng. Nakong ea Mokhahlelo oa bobeli oa tsamaiso motho eo o lokela ho ho tlatswa ka tharollo ea lithethefatsi bophahamo ba modumo ea mokelikeli eo a neng a lahlehetsoe ke ho setuloana nakong ea pejana lihora tse tšeletseng.

Ho atleha ha rehydration phekolo molomo e bakileng maemong a mangata feela ke kamoo ho buuoa hoo ho ile a etsa ka tsela e nepahetseng. E lokela ho a hopola hore molumo o moholo oa tharollo desoldering hlatsa ka 'na etsahala ka mamello, kahoo mokelikeli ka tlameha ho tsamaisoa butle: 1-2 teaspoonfuls mong le e mong metsotso e 5-10. Ha ho nyekeloa ke pelo se teng, ho ke ho hlokahala hore ho ema hanyane le ho tsoela pele le selelekela ea mokelikeli.

Tšebeliso ea lithethefatsi bakeng sa ho rehydration hangata nka ho fihlela qetello ea letšollo.

Hlahlobisisa ho atleha ha ea ka mokhoa o ka mabaka a 'maloa:

• nona;
• kakaretso boemo ntlafatso;
• fokotseha ka bophahamo ba modumo ka lahleha har'a setuloana le ho hlatsa metsi.

Khanna molomo rehydration bakeng sa bana

Ho na le Maemong a moo ho felisa matšoao a exsicosis ka bana ba banyenyane ba lokela ho qala hang-hang, u le lapeng, pele ho fihla ha lingaka. Ka hona, 'mè ba lokela ho ka ho hlaka utloisise morero le mokhoa oa ho buuoa. Ho ke ke ho hlokahala hore a phethe ntho e kang ena:

• tšoara matsoho a hao ka sebolaya dikokwana-hloko;
• apara litlelafo;
• beha lesea ka e sephara holim'a metsi, ha ho retelehela hlooho ka lehlakoreng le le leng;
• loketse ho sebelisa tharollo kapa sebelisa phofo le mokelikeli, pheha ea lithethefatsi le mong (ho ke ke bohlokoa ho tieo latela litaelo fanoeng ke le monyetla ho buisana le ngaka e);
• lihora tse tšeletseng, e mong le metsotso 5-10 otpaivat ngoana a le mong tharollo khabana (maemong a matla, mokelikeli ka hlahiswa ka fatang - intranasally); rehydration thulaganyou e e etsoa ka nako e telele e le matšoao a ho hlatsa le letshollo aa ka a khaotsa;
• ha ho ntša metsi ha e fetang 6-8 lihora tse ngata, qala Infusion phekolo - ho qaloa ho ditharollo ka kemisong ea mali, moo litekanyetso li behoa lokela ho ka thata balwa;
• khaba mohele le setshelo eo tharollo e leng;
• tlosa litlelafo, matsoho ho sebetsana le sebolaya dikokwana-hloko.

A bapisa rehydration molomo le intravenous

Exsicosis felisoa ha matšoao a le replenishment la maro a 'mele lahlehetsoe ke khoneha feela ke molomo, empa hape ke rehydration intravenous. mekhoa ena e 'meli di kamehla bapisoa, a khanna lipatlisiso ka katleho ea bona. Ho fihlela joale, liphello e ke tse latelang: mekhoa bobeli thusa ho finyella lipakane tsa bona hoo e ka bang boemong ba tšoanang, empa e mong le e ba bona ba na le litšobotsi tse ba lona.

Ho ile ha fumanoa hore ka kalafo ya bana sephetho ho fetisisa bontša molomo rehydration. Lithethefatsi li tsamaisoa ka tsela ea neano, hang hape ntle le kotsi le ngoana. Meriana kopanngoa le decoction ea lihlahisoa tsa tlhaho. Lewa lena buelloa ka phekolo e ka sehloohong bakeng sa ho le bonolo ho e leka-lekaneng dehydration ka masea.

Ho etsa liqeto tsena tlile ka mor'a lithuto tsa lilemo tse peli a khanna, o neng o akarelletsa masea ba lilemo li tloha likhoeli tse peli lilemo tse tharo le matšoao a dehydration bonolo. Mashome a supileng-tharo bakuli mocha ba ile ba aroloa lihlopha tse peli - sehlopha se seng sa bana ba o ile a khetheloa ORT, e mong - VIT.

Ka lebaka leo, bakuli ba ba ile ba abeloa ho rehydration molomo, nako tlase qeta. Ka mor'a hore molomo rehydration phekolo ho fokotsa hore ho hlokahala hore bookelong.

Leha ho le joalo, ba bangata ba lingaka tsa bana, ho sa tsotellehe liphello tsa ho etsa lipatlisiso eo e tsoela pele ho sebelisa intravenous mokelikeli phekolo (Wit) ho lokisa liphello tsa bana ka tsela e itekanetseng exsicosis.

Menyetla ya ORT

Mokhoa ORT recovers haholo ka potlako ho ea mahloriso ea potassium le sodium 'meleng. Tabeng ena, aa tlwaelegileng oa setuloana ka 'na la hlaha matsatsing a 1-2 ka morao ho ka VIT.

Tshebediso ya rehydration molomo ka tsela e iketsang ho fokotsa palo ea Infusion intravenous lipetlele, bebofatswe ka lehlakoreng le leng, ho fokotsa litsenyehelo tsa ho phekola mokuli, 'me ka ba bang - sireletsa ke thibelo-ba khahlanong le seoa sa lefu la sebete bongata ba kokwanahloko, e leng se ka kena' mele ka maling kapa mucosal.

Ho phaella moo, tsela e bonolo ea mokhoa, hammoho le phihlelleho lona etsa ho ka khoneha ho sebelisa ORT ka Tleliniki kapa lapeng. tšebeliso ea pele ea molomo rehydration tharollo hoo e batlang e felisa ho hlokahala hore bookelong.

Tšoanetseng kopo mokhoa hang bakang mathata, athe ha ke le Infusion phekolo ditlamorao tse fetang 15% ea bakuli.

Haeba o sa nepahalang entseng, ORT ka 'na la hlaha latelang liphetoho e bohloko:

• ho hlatsa - ka lebaka la ho ka potlako desoldering mamello kholo bophahamo ba modumo ea tharollo;
• edema - hlaha ha boholo fosahetseng tsa metsi le brine.

lengolo la exsicosis

Joalokaha ho boletsoe pejana, ho mokhoa oa rehydration phekolo molomo e bontšoa ho le bonolo ho dehydration itekanetseng. E le hore re utloisise hore na ho ka etsahala hore le phethe ORT lapeng kapa ba lokela ho retelehela ho mekhoa e meng ea ho hlaphoheloa ea 'mele, e ke ho hlokahala hore ho tseba tlhophiso exsicosis le matšoao hore a tsamaee le e mong le e ba likhato tsa bolwetse. Sena ke 'nete haholo-holo tabeng ea ho kula ea masea le toddlers lilemo pele oa bophelo.

Ho na le likhato tse tharo exsicosis:

• Pele - e tšoauoa ka ho felloa nyane mokelikeli (ho fihlela ho 5% ea boima ba 'mele). boemo ena e tsamaea le ho nyoreloa ho itekanetseng, e elasticity tloaelehileng ea letlalo, ho ba teng ha mokelikeli lacrimal, ho tloaelehile ho hema. Bana prefontanel se nwela.
• Ka tekanyo ea bobeli ea bolwetse hlokomela malfunctions ea tsamaiso ea pelo le methapo. Kahoo phelang ea lahleheloang le palo e khōloanyane ea mokelikeli (ho fihlela ho 10% ya boima ba 'mele). Mokuli tšoauoa kholofalo kapa, ka fapana le hoo, ho tšoenyeha; mahlo sunken; ho hloka mokelikeli lacrimal; fokola 'me ka potlako pulse length. Bana nwela anterior fontanelle.
• Boraro lengolo la exsicosis isang ho lahleheloa ke mokelikeli moholo ho feta 10% boima ba 'mele. Kula e le boemong bo tebileng, O ile a re hemodynamic tsitse, hypovolemic makala. Boemo tšoauoa ka matšoao a kang ho otsela, ho hloka takatso ea ho fumana mokelikeli, maoto le matsoho a batang, e omeletseng mucous molomo haholo cavity, ha ho na ho ntša metsi bakeng sa lihora tse tšeletseng kapa ho feta.

Ha ho lahleheloa ke mokelikeli o moholo ho feta 20% ya boima ba 'mele, maemong a mangata le lefu lena e fella ka lefu.