Iyonke isondlo sabazali

Isondlo esipheleleyo sabazali (i-TPN) yindlela yokondla edlula iphecana lesisu. Ifomula ekhethekileyo enikezwe ngomthambo ibonelela ngezininzi izondlo ezifunwa ngumzimba. Indlela isetyenziswa xa umntu engakwazi okanye engafanelekanga ukufumana ukutya okanye ulwelo ngomlomo.

Kuya kufuneka ukuba ufunde indlela yokwenza ukutya kwe-TPN ekhaya. Kuya kufuneka uyazi ukuba uyikhathalela njani ityhubhu (i-catheter) kunye nesikhumba apho i-catheter ingena khona emzimbeni.

Landela nayiphi na imiyalelo ekhethekileyo akunikwa ngumongikazi. Sebenzisa olu lwazi lungezantsi njengesikhumbuzo sokwenza.

Ugqirha wakho uya kukhetha inani elifanelekileyo leekhalori kunye nesisombululo se-TPN. Ngamanye amaxesha, unokutya kwaye usele ngelixa ufumana isondlo kwi-TPN.

Umongikazi wakho uya kukufundisa ukuba:

• Khathalela i-catheter kunye nolusu
• Sebenzisa impompo
• Gcwalisa i-catheter
• Hambisa ifomula ye-TPN kunye nawaphi na amayeza nge-catheter

Kubaluleke kakhulu ukuba uhlambe izandla zakho kakuhle kwaye ubambe izinto ozidingayo njengoko umongikazi ekuxelele, ukuthintela usulelo.

Uya kuba novavanyo lwegazi rhoqo ukuqinisekisa ukuba i-TPN ikunika isondlo esifanelekileyo.

Ukugcina izandla kunye nomphezulu ungenazo iintsholongwane kunye neebhaktiriya kuya kuthintela usulelo. Ngaphambi kokuba uqale i-TPN, qiniseka ukuba iitafile kunye neendawo oza kubeka kuzo izinto zakho ziye zahlanjwa kwaye zomiswa. Okanye, beka itawuli ecocekileyo ngaphezulu. Uya kuyidinga le ndawo icocekileyo kuzo zonke izinto ezikhoyo.

Gcina izilwanyana kunye nabantu abagulayo kude. Zama ukungakhohleli okanye uthimle kwindawo osebenza kuyo.

Hlamba izandla zakho kakuhle ngesepha ye-antibacterial ngaphambi kokufakwa kwe-TPN. Vula amanzi, manzi izandla zakho nezihlahla zakho kwaye uqokelele isixa esifanelekileyo sesepha yonke imizuzwana eli-15. Emva koko hlamba izandla zakho ngomnwe okhombe phantsi ngaphambi kokuba wome ngephepha elicocekileyo.

Gcina isisombululo sakho se-TPN kwifriji kwaye ujonge umhla wokuphelelwa ngaphambi kokusetyenziswa. Yilahle kude ukuba idlulile kumhla.

Sukuyisebenzisa ibhegi ukuba inendawo evuzayo, itshintshe umbala, okanye iziqwenga ezidadayo. Fowunela inkampani yokubonelela ibazise ukuba kukho ingxaki kwisisombululo.

Ukufudumeza isisombululo, yisuse kwifriji iiyure ezi-2 ukuya kwezi-4 ngaphambi kokusetyenziswa. Kananjalo ungabaleka ushushu (ungatshisi) usike amanzi ngaphezulu kwengxowa. Musa ukuyitshisa kwi-microwave.

Ngaphambi kokuba usebenzise ibhegi, uya kongeza amayeza okanye iivithamini ezizodwa. Emva kokuhlamba izandla kunye nokucoca indawo yakho:

• Sula umphezulu wekepusi okanye ibhotile ngephedi yokubulala iintsholongwane.
• Susa isiciko kwinaliti. Tsala iplanja ukuze utsale umoya kwisirinji kwisixa esikuxelelwe ngumongikazi ukuba usisebenzise.
• Faka inaliti kwibhotile kwaye ufake umoya kwibhotile ngokutyhala iplanja.
• Tsala iplunger de ube unexabiso elifanelekileyo kwisirinji.
• Sula izibuko le-TPN ngolunye udidi lwe-antibacterial pad. Faka inaliti ucofe ngokucothayo iplanja. Susa.
• Ngenisa ngobunono ingxowa ukuze uxube amayeza okanye ivithamini kwisisombululo.
• Yilahle kude inaliti kwisitya esikhethekileyo esibukhali.

Umongikazi wakho uya kukubonisa indlela yokusebenzisa impompo. Kuya kufuneka uphinde ulandele imiyalelo eza nempompo yakho. Emva kokufaka iyeza okanye iivithamini:

• Kuya kufuneka uhlambe izandla zakho kwakhona kwaye ucoce indawo osebenza kuyo.
• Hlanganisa konke ukubonelelwa kwakho kwaye ujonge iilebheli ukuze uqiniseke ukuba zichanekile.
• Susa impompo kwaye ulungiselele ispike ngelixa ugcina iziphelo zicocekile.
• Vula uqinisa kwaye ugungxule ityhubhu ngolwelo. Qinisekisa ukuba akukho moya ukhona.
• Qhoboshela ingxowa ye-TPN kwimpompo ngokwemiyalelo yomthengisi.
• Ngaphambi kokufakwa, ukhulule umgca kwaye ugungxule ngetyuwa.
• Gweba i-tubing kwisitya senaliti kwaye uvule zonke izibopho.
• Impompo iya kukubonisa useto ukuze uqhubeke.
• Unokuyalelwa ukuba ucofe i-catheter nge-saline okanye i-heparin xa ugqibile.

Fowunela umboneleli wakho ukuba:

• Unengxaki ngempompo okanye ukumnika
• Unomkhuhlane okanye utshintsho kwimpilo yakho

Hyperalimentation; TPN; Ukungondleki - TPN; Ukungondleki-TPN

USmith SF, uDuell DJ, uMartin BC, uGonzalez L, uAebersold M.Ulawulo lwezondlo kunye nokungena ngaphakathi. Ku: Smith SF, uDuell DJ, uMartin BC, uGonzalez L, uAebersold M, ii-eds. Izakhono zoLondolozo lwezeKlinikhi: ezisisiseko kwizakhono eziPhambili. Umhla we-9. ENew York, NY: Pearson; 2016: isahluko 16.

UZiegler TR. Ukungondleki: uvavanyo nenkxaso. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 204.

• Inkxaso yeZondlo