Munyori: Clyde Lopez
Zuva Rekusika: 22 Chikunguru 2021
Gadziridza Zuva: 15 Mbudzi 2024
Anonim
Yese parenteral chikafu - vacheche - Mushonga
Yese parenteral chikafu - vacheche - Mushonga

Yese parenteral chikafu (TPN) inzira yekudyisa iyo inodarika nzira yemudumbu. Mvura inopihwa mutsinga kuti ipe zvinovaka muviri zvinoda muviri. Iyo nzira inoshandiswa kana munhu asingakwanise kana asingafanire kugashira feedings kana zvinwiwa nemuromo.

Vanorwara kana vasati vazvarwa vacheche vanogona kupihwa TPN vasati vatanga kumwe kudyidzana. Vanogona zvakare kuve nerudzi urwu rwekudya kana vasingakwanise kutora zvinovaka muviri kuburikidza nemudumbu wemudumbu kwenguva yakareba. TPN inounza musanganiswa wemvura, electrolyte, mashuga, amino acids (protein), mavitamini, zvicherwa, uye kazhinji lipids (mafuta) mutsinga yemucheche. TPN inogona kuponesa hupenyu hwevana vadiki kana vanorwara zvakanyanya vacheche. Iyo inogona kupa iri nani nhanho yehutano pane yakajairwa intravenous (IV) feedings, iyo inopa chete shuga nesalt.

Vacheche vanowana rudzi urwu rwekudya vanofanirwa kutariswa zvakanaka kuti vave nechokwadi chekuti vari kuwana chikafu chakakodzera. Ropa uye weti bvunzo dzinobatsira timu yehutano kuziva kuti ndedzipi shanduko dzinodiwa.


TPN INOPIWA SEI?

Mutsara weIV unowanzoiswa mutsinga muruoko rwemwana, tsoka, kana ganda romusoro. Tsinga hombe mudumbu (umbilical vein) inogona kushandiswa. Dzimwe nguva yakareba IV, inonzi yepakati mutsetse kana yepakati-yakaiswa yepakati catheter (PICC) mutsara, inoshandiswa kwenguva refu IV kudyisa.

NDEZVIPI ZVINGOZI?

TPN inobatsira zvikuru kune vacheche vasingakwanise kuwana chikafu mune dzimwe nzira. Nekudaro, mhando iyi yekudyisa inogona kukonzeresa akaenzana maseru eropa, mafuta, kana maelectrolyte.

Matambudziko anogona kukura nekuda kwekushandiswa kweiyo TPN kana IV mitsara. Mutsara unogona kubva panzvimbo kana kugwamba kunogona kuumba. Utachiona hwakakomba hunonzi sepsis ingangoita kusanzwisisika kwepakati mutsara IV. Vacheche vanogamuchira TPN vanozotariswa zvakatarwa neboka rezvehutano.

Kushandiswa kwenguva refu kweTPN kunogona kutungamira kumatambudziko echiropa.

IV mvura - vacheche; TPN - vacheche; Intravenous fluids - vacheche; Hyperalimentation - vacheche

  • Intravenous fluid nzvimbo

American Academy yePediatrics (AAP) Dare reNutrition. Chikafu chevabereki. Mune: Kleinman RE, Greer FR, eds. Chiremba Nutrition Handbook. 8th ed. Elk Grove Musha, IL: American Academy yePediatrics; 2019: chitsiko 22.


Maqbool A, Bales C, Liacouras CA. Utumbo atresia, stenosis, uye malrotation. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsiko 356.

Poindexter BB, Martin CR. Nutrient zvinodiwa / rutsigiro rwehutano mune yakatarwa nguva isati yakwana. Mune: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff naMartin's Neonatal-Perinatal Mushonga. 11th ed. Philadelphia, PA: Elsevier Saunders; 2020: chitsiko 41.

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