Yakazara parenteral chikafu

Yese parenteral chikafu (TPN) inzira yekudyisa iyo inodarika nzira yemudumbu. Fomura yakakosha inopihwa kuburikidza netsinga inopa zvakawanda zvinovaka muviri izvo muviri unoda. Iyo nzira inoshandiswa kana mumwe munhu asingakwanise kana asingafanire kugashira feedings kana zvinwiwa nemuromo.

Iwe unozofanirwa kudzidza maitiro ekuita TPN feedings kumba. Iwe unodawo kuziva kuti ungachengeta sei chubhu (catheter) uye ganda panopinda catheter mumuviri.

Tevedza chero chaiyo mirayiridzo yaunopihwa nemukoti. Shandisa ruzivo rwuri pazasi sechiyeuchidzo chekuita.

Chiremba wako achasarudza iwo akaenzana macalorie uye TPN mhinduro. Dzimwe nguva, unogona zvakare kudya nekunwa uchiwana chikafu kubva kuTPN.

Mukoti wako anokudzidzisa kuti unga:

• Chengetedza iyo catheter uye ganda
• Shandisa pombi
• Flush the catheter
• Endesa iyo TPN fomula uye chero mushonga kuburikidza nekateti

Zvakakosha kushambidza maoko ako zvakanaka uye kubata zvinhu sekuudzwa kwawakaitwa nemukoti wako, kudzivirira hutachiona.

Iwe zvakare uchave uine nguva zhinji kuongororwa ropa kuti uve nechokwadi chekuti TPN iri kukupa iwe chaicho chikafu.

Kuchengeta maoko nenzvimbo zvisina utachiona uye hutachiona zvinodzivirira hutachiona. Usati watanga TPN, ita shuwa matafura nenzvimbo kwaunoisa zvekushandisa zvagezwa uye kuomeswa. Kana, isa tauro yakachena pamusoro pepamusoro. Iwe unozoda iyi yakachena nzvimbo kune ese emidziyo.

Chengeta mhuka dzinovaraidza pamwe nevanhu vari kurwara vasipo. Edza kusahwa kana kukosora panzvimbo dzako dzebasa.

Shamba maoko ako zvakakwana nesipo inorwisa mabhakitiriya pamberi peTPN infusion. Vhura mvura, nyorovesa maoko ako nemaoko uye nekuunganidza sipo yakawandisa kwese kwese kweanosvika masekondi gumi nemashanu. Wadaro sukurudza maoko ako nezvigunwe zvemunwe zvichinongedzera pasi usati waomesa netauro rakachena remapepa.

Chengeta yako TPN mhinduro mufiriji uye tarisa zuva rekupera usati washandisa. Kanda kure kana yapfuura zuva racho.

Usashandise bhegi kana riine idonhe, shandura muvara, kana zvidimbu zvinoyangarara. Fonera kambani inopa kuti vazive kana paine dambudziko nemhinduro.

Kuti udziye mhinduro, ibudise mufiriji maawa maviri kusvika mana usati washandisa. Iwe unogona zvakare kumhanya kudziya (kwete kupisa) kunyudza mvura pamusoro pehombodo. Usachipisa mu microwave.

Usati washandisa bhegi, unowedzera mishonga yakakosha kana mavitamini. Mushure mekugeza maoko ako nekuchenesa nzvimbo dzako:

• Pukuta kumusoro kwekapu kana bhodhoro nepadhibhakitiriya.
• Bvisa chifukidziro kubva mutsono. Dhonza pombi kuti utore mweya mujekiseni muuwandu hwawakaudzwa nemukoti wako kuti ushandise.
• Isa tsono mubhodhoro uye jekesa mweya mubhodhoro nekusundira pane plunger.
• Dhonza zvakare iyo plunger kusvikira iwe uine iyo chaiyo huwandu musirinji.
• Pukuta chiteshi chebhegi rePNG neimwe padhi inorwisa mabhakitiriya. Pinza tsono uye zvishoma nezvishoma pusha pombi. Bvisa.
• Zvinyoronyoro fambisa bhegi kusanganisa mishonga kana vhitamini mumhinduro.
• Kanda tsono mumudziyo wakakosha.

Mukoti wako anokuratidza mashandisiro epombi. Iwe unofanirwa zvakare kuteedzera rairo dzinouya nepombi yako. Mushure mekupa mushonga wako kana mavitamini:

• Iwe unozofanirwa kusuka maoko ako zvakare uye nekuchenesa nzvimbo dzako dzebasa.
• Unganidza zvese zvako zvekushandisa uye woongorora zvinyorwa kuti uone kuti ndezvechokwadi.
• Bvisa pombi zvigadzirwa uye gadzirira spike uchichengeta magumo akachena.
• Vhura iyo kiramba uye shandisa iyo mvura nemvura. Ita shuwa kuti hapana mhepo iripo.
• Sunga bhegi reTPN kupombi zvinoenderana nemirayiridzo yemutengesi.
• Pamberi peiyo infusion, sunungura mutsetse uye flush nemunyu.
• Dzorera iyo tubing mujekiseni uye vhura zvese zvinosungisa.
• Iyo pombi inokuratidza marongero ekuenderera.
• Iwe unogona kutungamirwa kuti ubudise iyo catheter neine saline kana heparin kana iwe wapedza.

Fonera wako mupi wezvehutano kana iwe:

• Une dambudziko nepombi kana infusion
• Iva nefivhiri kana shanduko muhutano hwako

Hyperalimentation; TPN; Kusadya zvakanaka - TPN; Kushaya zvinovaka muviri - TPN

Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold M. Nutritional manejimendi uye kupinda mukati. Muna: Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold M, eds. Unyanzvi hweKiriniki hweKiriniki: Huru kune Hwepamberi Hunyanzvi. 9th ed. New York, NY: Pearson; 2016: chits.

Ziegler TR. Kushaya zvinovaka muviri: kuongorora uye kutsigira. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 204.

• Kutsigira Kwehutano