Iyonke isondlo sabazali - iintsana

Isondlo esipheleleyo sabazali (i-TPN) yindlela yokondla edlula iphecana lesisu. Ulwelo lunikwa emthanjeni ukubonelela ngobuninzi bezakhamzimba ezifunwa ngumzimba. Le ndlela isetyenziswa xa umntu engakwazi okanye engafanelekanga ukufumana ukutya okanye ulwelo ngomlomo.

Ukugula okanye iintsana ezisandula ukuzalwa zinokunikwa i-TPN ngaphambi kokuqala ezinye ukutya. Banokuba nalo olu hlobo lokondla xa bengakwazi ukufunxa izakhamzimba ngokusebenzisa ithumbu ixesha elide. I-TPN ihambisa umxube we-fluid, i-electrolyte, ushukela, i-amino acid (iprotheni), iivithamini, amaminerali, kunye ne-lipids (amafutha) rhoqo emthanjeni wosana. I-TPN inokusindisa ubomi kwiintsana ezincinci okanye ezigula kakhulu. Inokubonelela ngenqanaba elingcono lesondlo kunokutya okutya rhoqo (IV), okunika iswekile kunye neetyiwa kuphela.

Iintsana ezifumana olu hlobo lokondla kufuneka zijongwe ngononophelo ukuqinisekisa ukuba zifumana isondlo esifanelekileyo. Uvavanyo lwegazi kunye nomchamo lunceda iqela lokhathalelo lwempilo ukuba lazi ukuba loluphi utshintsho olufunekayo.

IXHASWA NJANI?

Umgca we-IV uhlala ubekwa emthanjeni kwisandla somntwana, enyaweni, okanye entlonzeni. Umthambo omkhulu kwiqhosha lesisu (umbilical vein) unokusetyenziswa. Ngamanye amaxesha i-IV ende, ebizwa ngokuba ngumgca ophakathi okanye umgca we-catheter (PICC) ongaphakathi, isetyenziselwa ukondla ixesha elide IV.

ZINTONI IINGOZI?

I-TPN yinzuzo enkulu kubantwana abangenako ukufumana ukutya okunomsoco ngezinye iindlela. Nangona kunjalo, olu hlobo lokondla lunokubangela amanqanaba angaqhelekanga eswekile yegazi, amafutha, okanye ii-electrolyte.

Iingxaki zinokuphuhla ngenxa yokusetyenziswa kwemigca ye-TPN okanye ye-IV. Umgca unokuhamba ngaphandle kwendawo okanye amahlwili angenza. Usulelo olunzulu olubizwa ngokuba yi-sepsis yinto enokubakho kumgca ophakathi we-IV. Iintsana ezifumana i-TPN ziya kujongwa ngononophelo liqela lempilo.

Ukusetyenziswa kwexesha elide kwe-TPN kunokukhokelela kwiingxaki zesibindi.

Ulwelo lwe-IV - iintsana; I-TPN - iintsana; Ulwelo olungena ngaphakathi - iintsana; Hyperalimentation - iintsana

• Iisayithi ezingena ngaphakathi emanzini

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Maqbool A, Bales C, Liacouras CA. I-atresia yamathumbu emathunjini, i-stenosis, kunye ne-malrotation. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 356.

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