Ingqikithi yomsoco wabazali - izinsana

Ingqikithi yomsoco wabazali (i-TPN) iyindlela yokondla eyeqa umgudu wamathumbu. Uketshezi lunikezwa emthanjeni ukuhlinzeka izakhamzimba eziningi ezidingwa ngumzimba. Le ndlela isetshenziswa lapho umuntu engakwazi noma engafanele ukuthola okuphakelayo noma uketshezi ngomlomo.

Izinsana ezigulayo noma ezisanda kuzalwa zinganikezwa i-TPN ngaphambi kokuqala okunye ukuphakelwa. Bangaba nalolu hlobo lokondla lapho bengakwazi ukuncela izakhamzimba ngomgudu wamathumbu isikhathi eside. I-TPN iletha ingxube ye-fluid, i-electrolyte, ushukela, ama-amino acid (amaprotheni), amavithamini, amaminerali, kanye nama-lipids (amafutha) kaningi emthanjeni wosana. I-TPN ingasindisa impilo yezingane ezincane kakhulu noma ezigula kakhulu. Inganikela ngezinga elingcono lokudla okunempilo kunokuphakelwa okuvamile ngemithambo (IV), okunikeza ushukela nosawoti kuphela.

Izinsana ezithola lolu hlobo lokondla kufanele zibhekwe ngokucophelela ukuqinisekisa ukuthi zithola umsoco ofanele. Ukuhlolwa kwegazi nomchamo kusiza iqembu lezokunakekelwa kwempilo ukuthi lazi ukuthi yiziphi izinguquko ezidingekayo.

INIKELWA KANJANI I-TPN?

Umugqa we-IV uvame ukufakwa emthanjeni esandleni, ezinyaweni, noma ekhanda lomntwana. Umthambo omkhulu enkinjini yesisu (umbilical vein) ungasetshenziswa. Kwesinye isikhathi i-IV ende, ebizwa ngokuthi ulayini ophakathi noma umugqa we-central catheter (PICC), isetshenziselwa ukuphakelwa kwesikhathi eside kwe-IV.

BUYINI UBUNGOZI?

I-TPN iyinzuzo enkulu ezinganeni ezingakwazi ukuthola umsoco ngezinye izindlela. Kodwa-ke, lolu hlobo lokondla lungaholela emazingeni angajwayelekile kashukela, amafutha, noma ama-electrolyte.

Izinkinga zingakhula ngenxa yokusebenzisa imigqa ye-TPN noma IV. Ulayini ungaphuma endaweni noma amahlule angakheka. Ukutheleleka okungathi sína okubizwa nge-sepsis kuyinkinga engaba khona yomugqa ophakathi we-IV. Izinsana ezithola i-TPN zizobhekwa ngeso elibukhali yithimba lezokunakekelwa kwempilo.

Ukusetshenziswa kwesikhathi eside kwe-TPN kungaholela ezinkingeni zesibindi.

Uketshezi lwe-IV - izinsana; I-TPN - izinsana; Uketshezi olungena ngaphakathi - izinsana; Hyperalimentation - izinsana

• Amasayithi afakwa ngaphakathi emanzi

I-American Academy of Pediatrics (AAP) Ikomidi Lezomsoco. Ukudla kwabazali. Ku: Kleinman RE, Greer FR, ama-eds. Incwadi Yezingane Ezondlayo. Umhlaka 8. I-Elk Grove Village, IL: I-American Academy Yezingane; 2019: isahluko 22.

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

I-Poindexter BB, uMartin CR. Izidingo zomsoco / ukwesekwa kokudla okunempilo ngaphambi kwesikhathi. Ku: Martin RJ, Fanaroff AA, Walsh MC, ama-eds. UFanaroff kanye neMithi kaMartin's Neonatal-Perinatal Medicine. Umhla ka-11. IPhiladelphia, PA: Elsevier Saunders; 2020: isahluko 41.