Dextrose

Zoo Siab

• Dab tsi yog cov nquag dextrose npaj?
• Yuav siv dextrose li cas?
• Kuv yuav tsum ceev faj dab tsi thaum siv dextrose?
• Tsis txhob dextrose
  
• Saib xyuas koj cov piam thaj hauv ntshav thaum dextrose
• Dextrose rau menyuam yaus
• Dextrose hmoov thiab ua lub cev
• Dab tsi yog cov kev mob tshwm sim ntawm dextrose?
• Ua rau cov ntshav qab zib
• Outlook

Dab tsi yog dextrose?

Dextrose yog lub npe ntawm cov piam thaj yooj yim uas tau ua los ntawm pob kws thiab muaj khes mis zoo tib yam rau cov piam thaj, lossis ntshav qab zib. Dextrose feem ntau siv rau hauv cov khoom ci ua cov qab zib, thiab tuaj yeem pom cov khoom lag luam xws li cov khoom noj ua tiav thiab cov phoov pob kws.

Dextrose tseem muaj lub hom phiaj kho mob. Nws yog hauv cov kev daws teeb meem uas tau muab tshuaj, uas tuaj yeem sib xyaw nrog lwm cov tshuaj, lossis siv los txhim kho tus neeg cov ntshav qab zib.

Vim tias dextrose yog cov suab thaj "yooj yim", lub cev siv tau nws siv lub zog kom sai.

Cov suab thaj yooj yim tuaj yeem nce cov ntshav qab zib kom sai heev, thiab lawv feem ntau tsis muaj yam khoom noj muaj txiaj ntsig. Cov piv txwv ntawm lwm cov suab thaj yooj yim muaj xws li cov piam thaj, fructose, thiab galactose. Cov khoom lag luam uas tau ua los ntawm cov suab thaj yooj yim muaj xws li ua kom qab zib zoo nkauj, nplej zom dawb, thiab zib ntab.

Dab tsi yog cov nquag dextrose npaj?

Dextrose yog siv los ua ob peb txoj leeg pob (IV) npaj lossis sib xyaw, uas muaj tsuas yog hauv tsev kho mob lossis chaw kho mob.

Dextrose kuj tseem muaj nyob hauv cov tshuaj pleev qhov ncauj lossis hauv cov ntsiav tshuaj hauv qhov ncauj tshaj lub khw muag tshuaj.

Txhua qhov dextrose concentration muaj nws tus kheej siv tshwj xeeb. Cov kev siab ntau dua feem ntau yog siv los ua "cawm" koob tshuaj thaum ib tus neeg muaj ntshav qab zib qis nyeem ntawv.

Yuav siv dextrose li cas?

Dextrose yog siv ntau qhov sib txawv rau lub hom phiaj sib txawv. Piv txwv li, kws kho mob tuaj yeem sau tshuaj dextrose hauv txoj kev daws IV thaum ib tug neeg lub cev qhuav dej thiab tsis muaj piam thaj hauv ntshav. Dextrose IV daws tseem tuaj yeem ua ke nrog ntau cov tshuaj, rau IV tswj hwm.

Dextrose yog carbohydrate, uas yog ib qho ntawm cov khoom noj muaj txiaj ntsig hauv kev noj zaub mov zoo. Cov kev daws teeb meem uas muaj dextrose muab cov calories thiab tej zaum yuav muab tso rau hauv cov tshuaj amino acids thiab cov rog. Qhov no hu ua tag nrho cov khoom noj khoom haus niam txiv (TPN) thiab raug siv los muab khoom noj rau cov neeg tsis tuaj yeem nqus lossis tau txais cov khoom noj carbohydrates, amino acids, thiab cov rog los ntawm lawv lub plab.

High-concentration dextrose txhaj tshuaj tsuas yog muab los ntawm cov kws tshaj lij. Cov koob tshuaj no yog siv rau cov neeg uas muaj piam thaj hauv ntshav qis heev thiab tsis tuaj yeem nqos cov ntsiav tshuaj, zaub mov, lossis dej qab zib.

Yog tias ib tus neeg cov poov tshuaj qib ntshav siab dhau lawm (hyperkalemia), qee zaum cov kws kho mob kuj muab dextrose txhaj tshuaj ntawm 50 feem pua, tom qab ntawd insulin txhaj tshuaj. Qhov no tuaj yeem ua rau hauv tsev kho mob lub chaw teeb tsa. Thaum cov qog ntshav coj los tso rau hauv cov piam thaj ntxiv, lawv kuj noj hauv cov qab ntsev. Qhov no yuav pab txo qis tus tib neeg cov ntshav poov tshuaj kom tsawg. Qhov dextrose tau muab los tiv thaiv tus neeg los ntawm kev ua lub siab ntsws. Cov tshuaj ntshav yog kho cov nce potassium.

Cov neeg muaj ntshav qab zib lossis ntshav qab zib tsawg (mob ntshav qab zib tsawg) tuaj yeem nqa dextrose gel lossis ntsiav tshuaj yog tias lawv cov piam thaj hauv ntshav tau qis dhau. Cov kua dej los yog cov ntsiav tshuaj yaj zom hauv ib tus neeg lub qhov ncauj thiab pab txhawb kev ntshav qab zib kom ntshav sai. Yog tias ib tug neeg cov piam thaj hauv ntshav qis dua 70 mg / dL thiab lawv muaj cov tsos mob uas muaj ntshav qab zib tsawg, lawv yuav tau noj cov tshuaj dextrose. Cov piv txwv ntawm cov ntshav qab zib hauv lub cev muaj xws li tsis muaj zog, tsis meej pem, tawm hws, thiab lub plawv dhia nrawm.

Kuv yuav tsum ceev faj dab tsi thaum siv dextrose?

Tus kws kho mob yuav tsum tsis txhob muab dextrose rau cov neeg mob qee yam mob. Qhov no yog vim qhov dextrose tuaj yeem ua rau muaj ntshav qab zib ntau dhau lossis cov kua dej hloov hauv lub cev uas ua rau o lossis kua dej hauv lub ntsws.

Tsis txhob dextrose

• yog tias koj muaj hyperglycemia, lossis ntshav qab zib cov ntshav ntau
• yog tias koj muaj hypokalemia, lossis cov poov tshuaj qis hauv cov ntshav
• yog tias koj muaj qhov txha caj qaum, lossis o ntawm caj npab, ceg lossis ceg
• yog tias koj mob ntsws hauv ntsws, thaum lub cev nqus dej ntau hauv lub ntsws

Yog tias koj mob ntshav qab zib thiab koj tus kws kho mob tau sau ntawv dextrose qhov ncauj rau gel lossis ntsiav tshuaj rau koj, cov no tsuas yog siv thaum koj muaj ntshav qab zib cov ntshav tsis txaus. Koj tus kws kho mob lossis tus kws qhia txog ntshav qab zib yuav tsum qhia koj yuav ua li cas pom cov cim ntawm cov ntshav qab zib hauv qab thiab thaum twg yuav tsum siv tshuaj. Yog tias koj xav tau cov gel los yog ntsiav tshuaj ntawm tes, koj yuav tsum khaws lawv nrog koj txhua lub sijhawm thiab koj yuav tsum khaws qee yam hauv tsev. Koj tus kws kho mob yuav tsum piav qhia rau lwm tus neeg hauv tsev neeg thaum siv cov gel lossis ntsiav tshuaj, yog tias lwm tus yuav tsum tau muab rau koj.

Yog tias koj muaj qhov fab ua rau pob kws, koj tuaj yeem muaj kev fab tshuaj rau dextrose. Tham nrog koj tus kws kho mob ua ntej siv nws.

Saib xyuas koj cov piam thaj hauv ntshav thaum dextrose

Txawm hais tias koj tsis muaj qee yam kev mob, nws yog ib qho tseem ceeb rau kev soj ntsuam koj cov piam thaj hauv ntshav tas mus li yog tias lawv tau txais dextrose. Qhov no tuaj yeem ua kom paub tseeb tias dextrose tsis txaus ntshai nce ntshav qab zib. Koj tuaj yeem tshawb xyuas koj cov ntshav qab zib nrog kev kuaj mob hauv tsev. Lawv koom nrog kuaj ntshav los ntawm cov ntiv tes taw ntawm cov ntshav. Rau cov uas lub cev tsis tuaj yeem kuaj ntshav tau nyob hauv tsev, cov kev kuaj ntshav qabzib nyob rau hauv, txawm tias lawv tsis ntseeg tau.

Yog tias koj pom tias koj lossis lwm tus tab tom muaj qhov tsis zoo vim tias muaj ntshav qab zib hauv qis, cov tshuaj dextrose yuav tsum noj tam sim ntawd. Raws li Joslin Diabetes Center, plaub qhov ntshav qabzib muaj vaj huam sib luag rau 15 gram ntawm carbs thiab tuaj yeem nqa yog cov ntshav muaj piam thaj kom tsawg (tshwj tsis yog koj tus kws kho mob hais qhia). Zuaj cov ntsiav tshuaj kom huv si ua ntej nqos dej. Tsis muaj qhov dej xav tau. Koj cov tsos mob yuav tsum zoo nyob hauv 20 feeb. Yog tias lawv tsis pom, nrog koj tus kws kho mob tham.

Qhov dextrose gel feem ntau los rau hauv cov raj ib leeg, uas tau nchuav ncaj qha rau hauv lub qhov ncauj thiab nqos. Yog tias koj tsis tau muaj qhov hloov zoo tom qab 10 feeb, rov ua dua lwm lub raj. Yog tias koj cov piam thaj hauv ntshav tseem qis heev tom qab 10 feeb ntxiv, hu rau koj tus kws kho mob.

Dextrose rau menyuam yaus

Dextrose tuaj yeem siv rau hauv menyuam yaus zoo ib yam li nws siv rau hauv cov neeg laus, yog kev kho mob rau kev mob ntshav qab zib.

Yog tias muaj mob ntshav nce hlwb ntau dhau hwv, cov menyuam yaus yuav muab dextrose nkag siab rau txoj hlab ntshav. Kev kho sai thiab ntxov hauv cov menyuam yaus thiab cov menyuam mos uas muaj ntshav qab zib tsawg tseem ceeb, vim tias qhov tsis kho ntshav yuav ua rau lub hlwb puas. Yog tias lawv muaj peev xwm coj nws, dextrose tuaj yeem muab rau cov menyuam yaus qhov ncauj.

Hauv neonatal hypoglycemia, uas tuaj yeem tshwm sim los ntawm ntau qhov teeb meem xws li metabolism tsis xws luag lossis hyperinsulinism, cov menyuam mos yuav muaj me me ntawm dextrose gel ntxiv rau lawv cov zaub mov kom pab lawv tswj ntshav qab zib kom zoo. Nrog koj tus kws kho mob paub txog dextrose ntau npaum li cas los ntxiv rau lawv noj zaub mov. Cov menyuam mos uas yug ntxov ntxov yuav muaj feem yuav muaj ntshav qab zib tsawg, thiab tej zaum yuav raug muab dextrose los ntawm ib tus IV.

Dextrose hmoov thiab ua lub cev

Dextrose ib txwm muaj calorie-tuab thiab yooj yim rau lub cev zom kom lub zog tawg. Vim tias qhov no, dextrose hmoov muaj nyob thiab qee zaum siv los ua khoom noj khoom haus ntxiv los ntawm cov neeg tawm dag zog uas tab tom nrhiav kom nce phaus thiab cov leeg.

Thaum lub zog nce hauv calories thiab yooj yim rau kev rhuav tshem cov dextrose tuaj yeem muaj txiaj ntsig rau cov neeg tawm dag zog lossis cov uas tab tom nrhiav kom nce rau cov nqaij ntshiv, nws tseem ceeb heev kom nco ntsoov tias dextrose tsis muaj lwm yam tseem ceeb uas xav tau kom ua tiav lub hom phiaj no. Cov as-ham ntawd muaj protein thiab rog. Dextrose hmoov cov suab thaj yooj yim kuj tseem ua rau nws tawg yooj yim, thaum cov suab thaj thiab carbohydrates muaj txiaj ntsig zoo rau lub cev tsim lub cev ntau dua, vim tias lawv ua tau zoo dua ntawm kev pab cov rog hlawv.

Dab tsi yog cov kev mob tshwm sim ntawm dextrose?

Dextrose yuav tsum ua tib zoo muab rau cov neeg muaj ntshav qab zib, vim tias lawv yuav tsis tuaj yeem ua rau dextrose sai li sai tau uas tsis muaj tus mob. Dextrose tuaj yeem nce cov piam thaj hauv ntshav ntau dhau, uas yog lub npe hu ua hyperglycemia.

Cov tsos mob muaj xws li:

• fruity tsw ntawm pa
• nce nqhis dej nrog tsis paub yam ua
• daim tawv nqaij qhuav
• lub cev qhuav dej
• xeev siab
• txog siav
• mob plab dhau
• piav tsis tau qaug zog
• tso zis ntau zaus
• ntuav
• tsis meej pem

Ua rau cov ntshav qab zib

Yog tias koj yuav tsum siv tshuaj dextrose, koj cov piam thaj hauv ntshav tuaj yeem nce siab dhau tom qab. Koj yuav tsum kuaj koj cov ntshav qab zib tom qab siv cov tshuaj dextrose, raws li koj tus kws kho mob lossis tus kws qhia txog ntshav qab zib tau qhia. Koj yuav tau yoog koj cov tshuaj insulin kom txo koj cov piam thaj hauv ntshav.

Yog tias koj tau txhaj tshuaj IV rau nrog dextrose hauv tsev kho mob, koj tus kws saib xyuas neeg mob yuav kuaj koj cov piam thaj hauv ntshav. Yog tias cov ntshav qab zib cov ntshav ntsuas dhau siab, cov koob tshuaj IV ntawm koj cov dej yuav hloov kho lossis tso tseg tsis ua haujlwm ntxiv, kom txog thaum koj cov piam thaj hauv ntshav nce siab dua. Koj kuj tseem yuav tau muab cov insulin, los pab txo koj cov ntshav qab zib.

Outlook

Dextrose cov lus qab zib yooj yim ua rau nws muaj txiaj ntsig zoo rau kev kho ntshav qab zib thiab ntshav qab zib kom tsawg rau cov neeg mob txhua lub hnub nyoog, nrog qee txoj kev kho tau yooj yim thiab nqa tau yooj yim. Nws muaj kev nyab xeeb siv lub sijhawm ntev raws li qhov xav tau. Dextrose tsis tuaj yam tsis muaj kev phom sij, txawm li cas los xij, thiab txawm tias cov tsis muaj ntshav qab zib yuav tsum ua tib zoo saib xyuas lawv cov ntshav qab zib thaum noj.

Yuav tsum tau sab laj nrog kws kho mob ua ntej tso tseg kev kho mob ntshav qab zib, lossis yog tias koj ntsuam xyuas koj cov ntshav qab zib thiab nws muaj ntshav siab. Yog tias koj muaj piam thaj gel lossis ntsiav tshuaj hauv tsev, cia kom deb ntawm cov menyuam. Cov ntau uas menyuam me tsis txaus yuav raug xwm txheej tshwj xeeb.