Dung doi truyen dich

Tags: thoi gian gan day, cung cap nang luong, trong truong hop, su lam dung, kham chua benh, co tac dung, truyen dich, dich truyen, thay thuoc, dung dich, mot so, co the, loai, nguoi, viec

Mot so nguoi khi kham chua benh cu nang nac doi truyen dich. Tham chi co su lam dung den do co nguoi khong benh tat gi, chi thay met mot chut nhung muon cho khoe hon cu nai ni thay thuoc xin truyen “nuoc bien”, truyen “dam” hay truyen “mo”. Thoi gian gan day da co rat nhieu truong hop bi bien chung do tu y truyen dich hoac lam dung viec truyen dich.

Tac hai cua viec truyen dich tuy tien

Ro rang voi cac tac dung dung trong dieu tri, dich truyen la dang thuoc rat quy, rat can thiet trong truong hop benh nang can duoc cap cuu hoac trong truong hop nguoi benh khong the uong thuoc. Tuy nhien, do co nhieu loai dich truyen, dung loai dich truyen nao se tuy vao tung truong hop benh cu the, voi lieu luong truyen vao trong co the se duoc can nhac tinh toan cho tung nguoi, co su theo doi cua thay thuoc chu khong phai loai nao cung truyen duoc va truyen voi bat cu lieu luong nao.

Dieu dac biet luu y la khi truyen dich, voi bat cu dich truyen nao, deu cung co the xay ra cac tai bien, doi khi rat tram trong nguy hiem den tinh mang. Truoc het la nguy co nhiem trung, xuat phat tu noi dua thuoc vao co the. Cac benh nhiem nhu: HIV/ AIDS, viem gan sieu vi B, C… deu co the lay nhiem qua con duong tiem chich, dac biet qua truyen dich, neu viec truyen dich bua bai khong dung quy cach, khong duoc vo trung.

Khong phai benh nao, nguoi nao cung co the truyen dich duoc, vi truyen dich tuy tien se rat nguy hiem.
Khong phai benh nao, nguoi nao cung co the truyen dich duoc, vi truyen dich tuy tien se rat nguy hiem. (Anh: Medicalinfusion)

Thu den, do truyen dich dua vao co the mot so luong nuoc lon, cac chat dien giai, cac chat dinh duong nen co the gay roi loan ve chuyen hoa gay cac hien tuong phu o tim, than… Dac biet, dich truyen co the gay phan ung toan than khi co the khong “chiu” nhu: hien tuong sot run hoac gay soc dich truyen rat nguy hiem.

Chinh vi vay, khi thay thuoc chi dinh cho dung dich truyen la da co su can nhac rat ky, thay do la viec rat can thiet va khi truyen dich, thay thuoc phai theo doi chat che de co tai bien xay ra se co bien phap xu ly kip thoi.

Tre em co ngoai le?

Tre em cung la doi tuong ma mot so bac phu huynh cung thuong nai ni cho vo dich truyen. Chi khi bi sot xuat huyet loai nang, co tinh trang that thoat nuoc tu mau trong co the thi bac si moi chi dinh vo dich truyen. Con neu chi bi sot thong thuong chua ro nguyen nhan ma voi truyen dich la rat sai.

Co truong hop dac biet can phai ke la doi voi tre tuy khong duoc map map nhu mot so tre cung trang lua khac nhung suc khoe binh thuong khong dau yeu gi, an uong van tot, the ma phu huynh lai tim cach tiem truyen loai dich truyen voi muc dich la de khoe hon, map map hon thi rat nguy hiem. Truyen dich nhu the chi lang phi, vi that ra doi voi tre binh thuong (xin dung co quan niem tre map map la dong nghia voi khoe manh), dich truyen chang co tac dung goi la “khoe hon, map map hon” ma tre duoc tiem luon luon co nguy co bi cac tai bien da ke o tren do tiem truyen gay ra. Nen luu y, chi co bac si moi la nguoi co tham quyen nhat trong viec quyet dinh co nen truyen dich hay khong. Va thong thuong, chi khi nao khong an uong duoc do benh, bac si moi chi dinh cho tiem dich truyen cung cap nang luong va chat dinh duong.

Xin dung tao suc ep tam ly doi voi thay thuoc de thay thuoc cho dung dich truyen, trong khi xet ve mat khach quan, viec truyen dich nhu the chua that su can thiet. Trong truong hop con an uong duoc thi che do an thich hop bao gio cung tot hon viec nuoi an bang tiem truyen, chua nhieu nguy co tai bien.

Khi nao thi truyen dich dung yeu cau dieu tri?

Ta can luu y, truyen dich co nhieu loai tuy theo tac dung, co the chia lam 4 loai nhu sau:

- Dich truyen cung cap nuoc, cac chat dien giai: dung trong truong hop co the bi mat nuoc, mat chat dien giai. Dung dich loai nay co dung dich “ngot” chua duong glucose, dung dich “man” chua muoi natri clorid, hoac dung dich chua nhieu chat dien giai co ten ringer lactat. Tu “nuoc bien” ban dau duoc dung chinh de chi dung dich man chua muoi natri clorid giong nhu nuoc bien nhung ve sau ba con ta dung tu “nuoc bien” de goi tat ca cac dich truyen khac.

- Dung dich tai lap can bang kiem toan: dung trong truong hop co the bi benh hoac thua toan (tuc du chat acid hay con goi “toan huyet”) hoac thua kiem (tuc du chat base). Truyen dich loai nay se co tac dung trung hoa su thua toan hay thua kiem, nhu khi nguoi benh bi toan huyet, bac si chi dinh tiem truyen dung dich kiem la natri bicarbonat.

- Dich truyen cung cap nang luong va chat dinh duong: dung trong truong hop benh nhan bi benh khong the an qua duong tiem tinh mach va day la loai dich truyen hay bi lam dung. Dich truyen loai nay cung cap cac acid amin thiet yeu (la chat dinh duong co ban lay tu chat dam), cac vitamin va chat khoang, mot so chat beo (nhu dau dau nanh tinh loc nham cung cap nang luong).

- Dich truyen thay the mau: dung trong truong hop nguoi benh bi mat mau. Dich truyen loai nay la cac dung dich keo chua cac chat co phan tu lon nhu dextran, co tac dung tai lap khoi luong chat long trong mau

Ngoai 4 loai dich truyen ke tren, nguoi ta can dung dich truyen co chua thuoc nhu thuoc khang sinh de tiem truyen trong truong hop bi nhiem khuan nang, vi dung khang sinh dang uong se khong hieu qua.

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Tìm hiểu: thoi gian gan day, cung cap nang luong, trong truong hop, su lam dung, kham chua benh, co tac dung, truyen dich, dich truyen, thay thuoc, dung dich, mot so, co the, loai, nguoi, viec

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