Traditional Culture Encyclopedia - Tourist attractions - Answer consumers' questions about the third generation of oral rehydration salts
Answer consumers' questions about the third generation of oral rehydration salts
Let's clarify a fact: oral rehydration salts are not divided into adult version and children's version. The osmotic pressure of body fluids in adults and children is 280-310 mmol/L.
Answer: Yes.
The advantage of oral rehydration salts lies in small intestine absorption, and intravenous drip is injected into blood vessels with needles.
The average area of an adult's entire intestine is about 32 square meters, which is equivalent to the size of half a badminton court. After drinking ORS3 solution, the stomach can empty ORS3 solution into the small intestine within a few minutes. There is glucose in ORS3, which can penetrate the absorption cell membrane on villi of intestinal wall and enter the blood circulation. Experiments show that this process is an active transportation process, and its energy is ATP hydrolysis. Experiments also show that Na+ and glucose are * * * coordinated transporters (if you don't understand it, it can be simply understood that Na+ pulls glucose into the cell when it enters the cell). This efficiency is very high. According to the data, the absorption rate of ORSIII in small intestine is about 4 times that of clear water.
The following figure explains the transport mechanism of sugar and sodium and the mechanism of osmotic water absorption.
How does it compare with intravenous drip? This is one thing. ORSIII is as effective as intravenous rehydration in the treatment of mild and moderate dehydration, but it starts treatment faster.
It is said that the speed of correcting dehydration is better than intravenous drip, not only at the level of body absorption, but also because ORS3 is easy to obtain. Moreover, the design of Keerbang 550 electrolyte beverage allows customers to conveniently prepare 550ml of standard oral rehydration salt 3 with ordinary bottled water, which is definitely much faster than going to the hospital to register and prescribe medicine and hang water.
Because of well-known reasons, if a child has diarrhea and goes to the hospital, doctors usually take intravenous infusion. Although intravenous infusion therapy is an important means of modern drug therapy, it plays an irreplaceable role in treating some diseases and saving patients' lives, but intravenous infusion is a harmful operation with higher risk than other ways of administration. According to the data in the article "Protecting the safety on the needle tip —— Experts' knowledge of infusion safety and protection in China", intravenous administration accounts for 57.9% of the distribution of administration routes involved in ADR/ incident reports in China in 20 15 years. In 2009, China produced 654.38+004 billion bottles (bags), which is equivalent to 8 bottles (bags) for each population of 654.38+03 billion, far higher than the international level of 2.5-3.3 bottles (bags). In 20 14 years, the infusion output is as high as136.92 million bottles (bags). And many of them are traditional Chinese medicine injections with insufficient evidence of curative effect but serious adverse reactions, which may lead to adverse reactions including death!
Therefore, in 20 13, the World Health Organization (WHO) called for "more than 90% children with diarrhea to use oral rehydration salts III".
ORS3 is recommended even if severe dehydration makes it impossible to drink water.
"A pack of rehydration salts can make children take fewer injections" is a very emotional statement, and it is not difficult to understand the reason behind it. Of course, patients with severe dehydration or intestinal obstruction can no longer drink ORS3, so we don't need this for comparison.
Answer: Yes.
Many authoritative organizations, including the World Health Organization (WHO), the Chinese Medical Association and the American Academy of Pediatrics (AAP), agree that people at risk of dehydration should start drinking oral rehydration salts.
The Clinical Practice Guide for Children with Acute Infectious Diarrhea in China even directly pointed out that from the beginning of children's diarrhea, enough liquid should be taken orally to prevent dehydration, and clean water such as ORS should be given.
If something is important, say it in the right posture. )
Answer: Because most sports drinks on the market contain too much sugar, it will cause osmotic diarrhea and hypernatremia. Therefore, drinking is not recommended. At the same time, it is not recommended to drink fruit juice, sweet tea, carbonated drinks, coffee, some medicinal teas or granules.
As can be seen from the figure below, the Na content of many brands on the market is almost zero, and these drinks can't replenish the electrolyte lost by the body, and even aggravate the condition.
At present, only one pharmaceutical factory in China is producing oral rehydration salt III ("Boye" oral rehydration salt III produced by Xi 'an Anjian Pharmaceutical Co., Ltd.), and it is a prescription drug. There are no pharmacies and few hospitals. Even many pediatricians have never heard of the name "oral rehydration salt ⅲ". Even if you can buy it, the price is not cheap. The price of Boye oral rehydration salt III is about 45 yuan /6 bags, 7.5 yuan/bag, and each bag is equipped with 250ml of water.
Because ORS is not easy to get outdoors, the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) recommend taking oral rehydration salts when traveling to prevent diarrhea and dehydration.
Diarrhea infection caused by any cause needs to be prevented and dehydrated. Keerbang 550 electrolyte solid beverage can be matched with many bottled water in the market, and 550ml standard hypotonic oral rehydration salt solution can be prepared quickly and conveniently, and it is safe to drink without first confirming the reason.
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