Ubuthi therapy.

Ukukhutshwa kwetyhefu therapy - kususwa izinto eziyityhefu. izinto eziyityhefu kungaba nje kuphela abo bangena umzimba kokusingqongileyo yangaphandle, kodwa bakha ngaphakathi kuyo. Kwiimeko ezininzi, isibhedlele ifumana izigulane yityhefu utywala, libanda, iziyobisi, etheni izinto umphunga oyityhefu. A indlela yokususa ubuthi izigulane enjalo malunga efanayo. Noko ke, ukuba arhente ityhefu akhululwayo ngaphakathi kwiziko okanye inkqubo, indlela kwala manyathelo zonyango iza kutshintsha thile.

therapy Ukukhutshwa kwetyhefu yahlulwe ngamaqela amabini amakhulu: ezigulela extracorporeal kunye intracorporeal. Bona ndilibalule kwindawo yokuqala kwikhosi amanyathelo. Defusing umzimba directionally intracorporeal ngokwemvelo yoluvo zinomgutyulo (ngokusebenzisa inkqubo excretory). It ikhutshwa phandle ekuqhubeni antidotes izinto eziyityhefu kunye colloid kunye nezisombululo crystalloid ukuba umthamo replacement kunye normalizing umsebenzi kwezintso.

detoxification Extracorporeal wenziwa hayi ngaphakathi emzimbeni, yaye "ngaphandle", ubuthi eyenziweyo ukususa usebenzisa izixhobo imishini.

therapy detoxification Intracorporeal enokwenziwa amayeza zilandelayo:

1. izisombululo Saline ezisetyenziswa ilahleko izixa ezikhulu kwiincindi zomzimba. Njengoko yaziwa, amaxesha amaninzi isebenze ngexesha indlela ukunxila gag zemfuduka ubuthi, ngoko izigulane aphulukane eninzi ulwelo.

Ukukhutshwa kwetyhefu iziyobisi ugcwalisa umthamo ezidakileyo ulwelo ifumaneka iibhotile 200 400 ml. Osahluleyo wadala kuba lula ulawulo ngokwesiseko nomthamo ulwelo ezingekhoyo umzimba.

Amachiza ezininzi eziqhele ukusetyenziswa zezi zilandelayo:

"Disol" - sodium chloride - 600 mg Sodium citrate - 200 mg.

Isisombululo Iringa kaThixo - iqulethe isodiyam potassium, calcium chlorine.

2. Xa intoxications kunye nelahleko enkulu ulwelo yi kwanonyango detoxification, leyo amalungiselelo ziqulathe isisombululo iswekile yegazi. Iswekile - lo mthombo uphambili wamandla emzimbeni, ngoko ukugqibezela umsebenzi of bonke kuyinto nje iinkqubo eziyimfuneko.

3. izisombululo Colloidal lungahlulwa-hlulwa zibe zendalo kunye zokwenziwa (zendalo). Ukuziqhelisa, phantse lonke kusetyenziswa izisombululo zokwenziwa, ezi ziquka:

- dextran

- analogue of hydroxyethyl wesitatshi

- "Zhellatinol"

4. Osmodiuretiki kwakhona ngokubanzi ukususa izinto eziyityhefu emzimbeni. Representative: "Monnitol". La machiza iyaluthintela uphuhliso ukusilela kwezintso, nokukhawulezisa ukususwa izinto eziyityhefu.

5. Ukuze silondoloze ukulinganisela acid-isiseko kuyimfuneko ukusebenzisa isisombululo sodium hydrogen carbonate, okanye 9% potassium chloride.

Ukukhutshwa kwetyhefu therapy ngegazi okucoca iisoyi kunye nezinye substrates bemvelo kwenziwa ezi ndlela zilandelayo:

1. Hemosorbtion - flow igazi ngokusebenzisa sorbent lokucoca okhethekileyo, okubangela zonke izinto eziyityhefu omkhulu kunye naphakathi isusiwe.
2. Plasmapheresis - a igazi ukwahlukana ibe iiseli ezibomvu plasma. izinto Okulandelayo ezimise ubuyele egazini, kwaye plasma ityhefu kufakwa mali ezifanayo.
3. Plasmasorption - indlela efanayo plasmapheresis, kodwa akukho indawo abanikelayo plasma, yaye lise abakhe.
4. Lymphosorption - ndigqitha nkovu ngokusebenzisa filter sorbent.
5. Ihaemodialysis - "kidney yokwenziwa".
6. Laser kunye zokukhanya cuke igazi.

iindlela extracorporal unyango kwetyhefu lwenziwa kuphela kwimeko isoyikiso kubomi isigulana xa ezinye iindlela musa uncedo.