Tilmaamaha:
1 Dib u buuxi tamarta iyo dareeraha jidhka; Waxaa loo isticmaalaa cunto aan ku filneyn ama luminta dareeraha jirka ee ballaaran (sida matag, shuban, iwm.) oo ay sababaan sababo kala duwan, wadarta nafaqada xididdada dhiigga, ketosis gaajo. 2 Hypoglycemia; 3 Hyperkalemia; 4. Xalka hypertonic waxaa loo isticmaalaa sida wakiilka fuuqbaxa unugyada; 5. Diyaarinta dialysate peritoneal; 6 dareeraha daroogada; 7 Baaritaanka dulqaadka gulukoosta ee xididka; 8 Diyaarinta dareeraha GIK (dareed polarized).
Isticmaalka iyo Qiyaasta:
1 Marka bukaanada leh tamar kabida ay hoos u dhacdo ama aysan cuni karin sabab qaar ka mid ah, guud ahaan waxaa lagu duri karaa 25% duritaan gulukoos oo xididka ah, isla markaana waxay buuxiyaan dareeraha jirka. Qadarka gulukooska la isticmaalo waxaa lagu xisaabiyaa iyadoo lagu salaynayo cadadka kulaylka loo baahan yahay.
2 Wadarta Daaweynta Nafaqada ee Xididdada: Gulukoosku waa isha tamarta ugu muhiimsan ee daaweyntan. Tamarta kalooriga aan borotiinka ahayn, saamiga gulukooska iyo baruurta waa 2:1. Qiyaasta waxay kuxirantahay baahiyaha kalooriga ee bukaan socodka. Marka loo eego baahida qadarka fuuq-celinta, gulukooska waxaa loo diyaarin karaa 25% ~ 50% ee uruurinta kala duwan, haddii loo baahdo, ku dar insulin, ku dar 1 unug oo insulin caadi ah 5 ~ 10g oo gulukoos ah. Sababtoo ah codsiga caadiga ah ee xalka gulukooska hypertonic, waxay aad u xanaaq badan tahay xididdada iyo faleebada emulsion baruurta ayaa loo baahan yahay, sidaas darteed faleebo weyn oo faleebo ah ayaa guud ahaan loo isticmaalaa.
3) hypoglycemia, xaaladaha daran waxaa lagu siin karaa cirbadeynta bolus ee 20 ~ 40ml ee 50% duritaan gulukoos ah.
4. Ketosis gaajada, xaaladaha daran waa in lagu daaweeyaa faleebo xididka ah oo ah 5% ~ 25% duritaanka gulukooska, iyo 100g oo gulukoos ah maalintii ayaa asal ahaan xakameyn kara cudurka.
5. Luminta biyaha Isotonic waxaa la siiyaa faleebo xididka oo ah 5% duritaan gulukoos.
6 Hyperkalemia waa in lagu daaweeyaa duritaanka 10 ~ 25%, iyo 1 unug oo faleebo insulin joogto ah halkii 2 ~ 4g oo gulukoos ah waxay yarayn kartaa xoogga potassium ee serum. Si kastaba ha ahaatee, daawayntani waxa ay u ogolaataa oo kaliya in ion potassium-ka ka baxsan unugyada ay galaan unugyada, iyo wadarta guud ee maadada potassium ee jidhku waxba iskama beddelin. Haddii aan la qaadin tillaabooyinka ka saarista potassium-ka, waxaa weli jirta suurtagalnimada soo noqoshada hyperkalemia.
7. Fuuqbaxa unugyada unugyada hypertonic (guud ahaan 50% duritaanka gulukooska) ayaa si degdeg ah loogu duraa xididada 20 ~ 50ml. Laakiin saameyntu waxay ahayd mid gaaban. Kiliinik ahaan, waa in fiiro gaar ah loo yeesho ka hortagga hyperglycemia, waana in si yar loo isticmaalo hadda. Marka loo isticmaalo in lagu hagaajiyo cadaadiska osmotic ee peritoneal dialysate, 20ml oo ah 50% gulukoos duritaanka, taas oo ah, 10g ee gulukoosku waxay kordhin kartaa cadaadiska osmotic ee 1L ee dialysate peritoneal by 55mOsm/kgH2O.
Kala xiriir Hada
