پزشکی, مقالات

هیدراتاسیون درمانی

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آب درمانی و فواید آن

آب برای هر سلول بدن انسان ضروری است زیرا بیش از 60% از بدن انسان از آب تشکیل شده است. میزان آب در بدن ارتباط مستقیمی

با سلامتی و حتی زنده

بودن انسان دارد. میزان کم آب در بدن را کم آبی گویند، پزشک ممکن است برای درمان متوسط تا شدید کم آبی، هنگامی که سیستم گوارشی فرد به خوبی کار نکند برای دریافت مایعات بیشتر از آنچه که می تواند بنوشد نیاز داشته باشد و یا دریافت داروهایی که نمی توان از طریق دهان مصرف کرد، درمان موارد خونریزی شدید، عفونت شدید یا فشار خون پایین خطرناک درمان های IV یا هیدراتاسیون درمانی را تجویز کند که شانس زنده ماندن را به طور چشمگیری افزایش می دهد.

کودکان بیشتر از بزرگسالان دچار کم آبی می شود بدین دلیل برای درمان کودکان بیشتر مورد استفاده قرار می گیرد.

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موارد ایجاد کمبود آب

  • اسهال و استفراغ
  • ورزش شدید یا مدت زمان طولانی در گرما بدون نوشیدن آب
  • آسیب یا سوختگی
  • جراحی، به خصوص زمانی که برای مدت طولانی خوابیده اید یا قادر به خوردن یا نوشیدن نیستید.

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هیدراتاسیون درمانی چیست؟

هیدراتاسیون درمانی همان آبرسانی داخل وریدی IV است که شامل وارد کردن یک خط IV در ورید بازوی فرد برای تزریق مایعات پر از الکترولیت است. می تواند شامل منیزیم، پتاسیم، ویتامین های B، سولفات یا کلسیم باشد. ترکیب مایعات به عوامل مختلفی مانند سن، سابقه پزشکی، شرایط پزشکی و شدت کم ابی بستگی دارد.

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علام کمبود آب بدن

  •  سردرد، بی حالی، گیجی
  •  کاهش عملکرد شناختی (ذهنی)
  • سطح انرژی
  • خشکی چشم(بدون اشک)
  • خشکی لب و زبان
  • خشکی چشم
  • پوست چروکیده، خشک، لکه دار
  • احساس خستگی
  • تنفس سریع
  • ضربان قلب سریع
  • تب
  • تشنج
  • سرگیجه شدید که به فرد اجازه نمی دهد بایستد یا راه برود.
  • عملکرد دستگاه گوارش (کاهش هضم غذا و ایجاد ادرار و مدفوع) و تیره شدن رنگ ادرار
  • خاصیت ارتجاعی ضعیف پوست، اگر پوست را نیشگون بگیرید، به آرامی به حالت اولیه خود باز می گردد.

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مراحل آبرسانی با مایعات IV چه اتفاق می افتد؟

  • نوع مایع IV و مقدار مورد نیاز بدن را براساس وزن، سن و غیره مشخص کنید.
  • محل تزریق که معمولا در قسمت داخلی آرنج یا بالای دست است را ضدعفونی کنید.
  • گارو دور بازوی فرد ببندید تا خون رگ ها را پر کند.
  • وریدها را بررسی کنید تا محل دقیق وارد شدن را بیابید.
  • تنه ی آنژیوکت را بین شست و انگشت دوم، سوم و چهارم نگه دارید (به طوری که که سوراخ سرسوزن به طرف بالا باشد).
  • با شست دیگر دیستال ناحیه را به طرف دیستال بکشید تا ورید ثابت و بی حرکت نگه داشته شود.
  • آنژیوکت را با زاویه 20 تا 30 درجه وارد پوست وارد رگ کنید.
  • پس از ورود آنژیوکت به میزان 0.5 cm داخل رگ و مشاهده خون گارو را باز کنید و سپس در حالی که که سوزن را ثابت نگه داشتید اید کانول را به داخل رگ هدایت نمایید.
  • با یک انگشت پروگزیمال رگ را فشار دهید و پس از در آوردن سوزن ست سرم یا درپوش آنژیوکت را به آن وصل کنید.
  • با نوار چسب آنژیوکت را به پوست ثابت کنید.
  • و سپس به بطری سرم قندی نمکی وصل کنید.

معمولا سرم از آب استریل تشکیل می شود که کمی کلرید سدیم و الکترولیت (نمک یا شکر) به آن اضافه شده و برای داشتن احساس عالی کافی است. با تشخیص پزشک ممکن است ویتامین ها و مواد مغذی که تقویت بدن شما کمک می کند به سرم قندی نمکی افزوده شود. برخی از پرکاربرد ترین افزودنی های IV عبارتند از:

ویتامین B کمپلکس: این افزودنی با هشت ماده مغذی ضروری سبب تقویت انرژی و عملکرد مغز می گردد.

ویتامین C: این افزودنی سبب تقویت سیستم ایمنی و کاهش التهاب می گردد.

گلوتاتیون: این افزودنی به بدن کمک می کند تا DNA بسازد و ترمیم کند، بافت جدید ایجاد کند و سیستم ایمنی را تقویت می کند.

تائورین: این افزونی به فرد کمک می کند تا حد ممکن الکترولیت ها را حفظ کند، حتی زمانی که فرد دچار کم آبی می شود.

روی: همانند ویتامین C، به نگه داشتن سیستم ایمنی بدن در بهترین حالت و کندی تولید مثل میکروب کمک می کند.

داروها: تزریق دارویی برای کمک به حالت تهوع، سوزش سر دل، رفلاکس، سردرد، تب، درد ارائه می شود.

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آیا هیدراتاسیون درمانی خطرناک است؟

ممکن است در محل تزریقی که سوزن IV وارد می شود سبب عفونت شود و یا IV از ورید خارج شود و مایعات وارد بافت های اطراف ورید شوند برای جلوگیری از کاهش و از بین بردن تورم یک کمپرس گرم توصیه می گردد. اما به طور کلی خطرات جزئی هستند و فواید این روش بیشتر از خطرات می باشد.

فواید انفوزین هیدراتاسیون

1- در انفوزین هیدراتاسیون مستقیما وارد ورید می شود و محلول سرم نمکی وارد جریان خون می شود که جذب سریع تری نسبت به مصرف خوراکی سرم دارد زیرا باید منتظر بماند تا مایعات از دستگاه گوارش عبور کند.

2- از آن جایی که ویتامین ها، الکترولیت ها و مواد مغذی بلافاصله وارد خون می شوند زمان بهبودی کوتاه تر می گردد و فرد احساس بهتری خواهد داشت.

3- پزشک می تواند با توجه به اطلاعات فرد یک سرم متناسب به نیاز آن فرد تزریق کند.

4- در موارد شدید کم آبی تلاش برای نوشیدن مقدار زیادی مایعات می تواند سیستم گوارش را بیش از حد تحت فشار قرار دهد در روش هیدراتاسیون سبب می شود بدون جذب ویتامین ها، الکترولیت ها و مواد مغذی مورد نیاز بدن بازیابی گردد بدون اینکه چیزی بنوشد.

5- هیدراتاسیون سبب بهبود خون رسانی به اندام های حیاتی مانند کبد و کلیه ها می گردد و به نوبه خود به آن ها اجازه می دهد تا سموم را به طور موثرتری از بدن دفع کنند.

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پیشنهاد بررسی:  لوله وکیوم CBC K2, K3 لبویر لوله لخته کلات بدون ژل(Clot Activator) لبویر  – لوله وکیوم لخته ژل دار لبویر 

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