Imirire y'ababyeyi
Imirire y'ababyeyi ( PN ) ni ukugaburira umuntu ibiryo byintungamubiri kumitsi, [1] kurenga inzira isanzwe yo kurya no gusya. Ibicuruzwa bikozwe ninganda zikora imiti . [2] Umuntu yakira imvange yintungamubiri akurikije amata arimo glucose, umunyu, aside amine, lipide na vitamine hamwe nubunyu ngugu . [3] Yitwa imirire yuzuye y'ababyeyi ( TPN ) cyangwa intungamubiri zose ( TNA ) mugihe nta mirire ihambaye iboneka munzira zindi, hamwe nimirire yababyeyi igice ( PPN ) mugihe imirire nayo yinjiye mubice . Yitwa imirire yababyeyi ( PPN ) mugihe itanzwe binyuze mumitsi yinjira mumubiri aho kunyura mumitsi yo hagati nkimirire yimitsi yo hagati ( CVN ).
Gukoresha ubuvuzi[hindura | hindura inkomoko]
Indyo yuzuye y'ababyeyi (TPN) itangwa mugihe inzira ya gastrointestinal [4]idakora kubera guhagarara mukomeza (irahagaritswe, cyangwa ifite ibibyimba - fistula ) cyangwa kuberako ubushobozi bwayo bwo kwangirika bwangiritse. [5] Yakoreshejwe kubarwayi ba comatose, nubwo kugaburira munda mubisanzwe ari byiza, kandi ntibikunze guhura nibibazo. Imirire y'ababyeyi ikoreshwa mu gukumira imirire mibi ku barwayi badashobora kubona intungamubiri zihagije binyuze mu nzira cyangwa mu nda. [6] Umuryango w’ubuvuzi bukomeye (SCCM) hamwe n’umuryango w’abanyamerika ushinzwe imirire y’ababyeyi n’imirire irasaba gutegereza kugeza ku munsi wa karindwi wo kwita ku bitaro. [7]
Ibimenyetso byuzuye kuri TPN[hindura | hindura inkomoko]
Indwara zisaba gukoresha TPN zirimo:
- Short bowel syndrome
- Kubura amara[8]
- Amaraso akora gastrointestinal
- Pseudo-inzitizi hamwe no kutihanganira byuzuye ibiryo[9]
- Ibisohoka byinshi (bisobanurwa nka> 500ml / kumunsi) fistula enteric-cutaneous (keretse niba umuyoboro ugaburira ushobora kunyuzwa kure kuri fistula)
Indwara ya Gastrointestinal[hindura | hindura inkomoko]
TPN irashobora kuba inzira yonyine ishoboka yo gutanga imirire kubarwayi badafite inzira zifata gastrointestinal cyangwa bafite ibibazo bisaba kuruhuka amara byuzuye, harimo no kubura amara, [10] syndrome de mara, [10] gastroschisis, [10] impiswi ndende tutitaye kubitera, [10] indwara ikomeye ya Crohn [10] cyangwa colitis ulcerative colitis, [10] hamwe nindwara zimwe na zimwe zabana ba GI harimo kuvuka kwa GI anomalies hamwe na enterocolitis enterocolitis . [11]
Referances[hindura | hindura inkomoko]
- ↑ "BNFc is only available in the UK". NICE. Retrieved 2021-02-19.
- ↑ "Commercial Compounders". BSNA (in American English). Retrieved 2021-02-19.
- ↑ https://bsna.co.uk/pages/about-specialist-nutrition/commercial-compounders
- ↑ https://en.wikipedia.org/wiki/Human_gastrointestinal_tract
- ↑ Kozier, B., & Erb, G., & Berman, A.J., & Burke, K., & Bouchal, S. R., & Hirst, S. P.. (2004). Fundamentals of Nursing: The Nature of Nursing Practice in Canada. Canadian Edition. Prentice Hall Health: Toronto.
- ↑ "American Gastroenterological Association medical position statement: parenteral nutrition". Archived from the original on 2007-07-30. Retrieved 2008-01-05.
- ↑ Van Gossum A, Cabre E, Hebuterne X, Jeppesen P, Krznaric Z, Messing B, Powell-Tuck J, Staun M, Nightingale J. ESPEN Guidelines on Parenteral Nutrition: Gastroenterology. Clinical Nutrition. 2009; (28):415-427.
- ↑ https://en.wikipedia.org/wiki/Bowel_obstruction
- ↑ https://en.wikipedia.org/wiki/Intestinal_pseudo-obstruction
- ↑ 10.0 10.1 10.2 10.3 10.4 10.5 The Merck Manual, 2008
- ↑ https://doi.org/10.1016%2FS0095-5108%2818%2930352-X