Ingqikithi yokondleka kwabazali

Ingqikithi yomsoco wabazali (i-TPN) iyindlela yokondla eyeqa umgudu wamathumbu. Ifomula ekhethekile enikezwa ngomthambo inikeza izakhamzimba eziningi ezidingwa ngumzimba. Indlela isetshenziswa lapho umuntu engakwazi noma engafanele ukuthola okuphakelayo noma uketshezi ngomlomo.

Uzodinga ukufunda ukuthi ungakwenza kanjani ukuphakelwa kwe-TPN ekhaya. Uzodinga futhi ukwazi ukuthi ungayinakekela kanjani ithubhu (ipayipi) nesikhumba lapho ipayipi lingena khona emzimbeni.

Landela noma imiphi imiyalelo ethile umhlengikazi akunikeza yona. Sebenzisa imininingwane engezansi njengesikhumbuzo sokwenza.

Udokotela wakho uzokhetha inani elifanele lamakhalori nesisombululo se-TPN. Kwesinye isikhathi, ungadla futhi uphuze ngenkathi uthola umsoco ku-TPN.

Umhlengikazi wakho uzokufundisa ukuthi:

• Nakekela ipayipi lesikhumba nesikhumba
• Sebenzisa ipompo
• Gcwalisa ipayipi
• Diliva ifomula le-TPN nanoma imuphi umuthi nge-catheter

Kubaluleke kakhulu ukuthi ugeze izandla zakho kahle futhi ubambe izinto ozinikezwa ngumhlengikazi wakho njengokukutshela, ukuvikela ukutheleleka.

Uzoba nokuhlolwa kwegazi njalo ukuze uqiniseke ukuthi i-TPN ikunikeza umsoco ofanele.

Ukugcina izandla nezindawo ezingenawo amagciwane namagciwane kuzovimbela ukutheleleka. Ngaphambi kokuqala i-TPN, qiniseka ukuthi amatafula nezindawo lapho uzobeka khona izinto zakho sezigeziwe futhi zomiswa. Noma, beka ithawula elihlanzekile ngaphezulu. Uzodinga le ndawo ehlanzekile kuzo zonke izimpahla.

Gcina izilwane ezifuywayo kanye nabantu abagulayo bengekho. Zama ukungakhwehleli noma uthimule lapho usebenza khona.

Geza izandla zakho kahle ngensipho elwa namagciwane ngaphambi kokufakwa kwe-TPN. Vula amanzi, manzi izandla zakho nezihlakala bese uqoqa insipho enhle yonke imizuzwana okungenani eyi-15. Bese ugeza izandla zakho ngomunwe ukhombe phansi ngaphambi kokumisa ngethawula lephepha elihlanzekile.

Gcina isisombululo sakho se-TPN esiqandisini bese uhlola usuku lokuphelelwa yisikhathi ngaphambi kokusetshenziswa. Lilahle uma selidlulile usuku.

Ungasisebenzisi isikhwama uma sivuza, sishintsha umbala, noma izingcezu ezintantayo. Shayela inkampani yokuphakela ubazise uma kunenkinga ngesisombululo.

Ukufudumeza ikhambi, likhiphe esiqandisini amahora amabili kuya kwayi-4 ngaphambi kokusetshenziswa. Ungagijimisa amanzi afudumele (hhayi ashisayo) okusika phezu kwesikhwama. Ungayifudumezi ngemicrowave.

Ngaphambi kokusebenzisa isikhwama, uzofaka imithi ekhethekile noma amavithamini. Ngemuva kokugeza izandla zakho nokuhlanza indawo yakho:

• Sula ingaphezulu lekepisi noma ibhodlela ngephedi elwa namagciwane.
• Susa ikhava enalithini. Donsela emuva i-plunger ukuze udonsele umoya ophezu kwesipontsho esilinganisweni semali othunyelwe ngumhlengikazi wakho.
• Faka inaliti ebhodleleni bese ujova umoya ebhodleleni ngokucindezela i-plunger.
• Donsela emuva i-plunger uze ube nenani elifanele kusirinji.
• Sula itheku lesikhwama se-TPN ngelinye iphedi elwa namagciwane. Faka inaliti bese ucindezela kancane i-plunger. Susa.
• Hambisa isikhwama ngobumnene uhlanganise imishanguzo noma uvithamini kwisisombululo.
• Phonsa inaliti esitsheni esikhethekile esibukhali.

Umhlengikazi wakho uzokukhombisa ukuthi usebenzisa kanjani ipompo. Kufanele futhi ulandele imiyalo eza nepompo yakho. Ngemuva kokufaka umuthi noma amavithamini akho:

• Uzodinga ukugeza izandla zakho futhi futhi uhlanze izindawo zakho zomsebenzi.
• Hlanganisa konke okuthengisiwe bese uhlola amalebula ukuze uqiniseke ukuthi alungile.
• Susa izimpahla zepompo bese ulungisa ispike ngenkathi ugcina imikhawulo ihlanzekile.
• Vula uqinisa bese ushayela ishubhu ngoketshezi. Qiniseka ukuthi awukho umoya okhona.
• Namathisela isikhwama se-TPN kupompo ngokwemiyalo yomhlinzeki.
• Ngaphambi kokumnika, khipha umugqa bese ugeza nosawoti.
• Sonta ishubhu kusigaxa somjovo bese uvula zonke izibopho.
• Iphampu izokukhombisa izilungiselelo zokuqhubeka.
• Ungaqondiswa ukuthi ukhiphe i-catheter nge-saline noma i-heparin lapho usuqedile.

Shayela umhlinzeki wakho wezempilo uma:

• Unenkinga ngepompo noma ukumnika
• Yiba nomkhuhlane noma ushintsho empilweni yakho

Hyperalimentation; I-TPN; Ukungondleki kahle - i-TPN; Ukungondleki kahle - i-TPN

USmith SF, uDuell DJ, uMartin BC, uGonzalez L, u-Aebersold M. Ukuphathwa kokudla okunempilo kanye nokungena ngaphakathi. Ku: Smith SF, uDuell DJ, Martin BC, Gonzalez L, Aebersold M, abahleli. Amakhono Wabahlengikazi Abasemtholampilo: Okuyisisekelo Kumakhono Athuthukile. Umhlaka 9. ENew York, NY: Pearson; 2016: isahluko 16.

I-Ziegler TR. Ukungondleki: ukuhlolwa nokusekelwa. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 204.

• Ukusekelwa Kwezomsoco