Kai tōtika parenteral rite te ara ki te whakarite āhuatanga wahi faufaa o te tinana me te huaora

Ka rite ki te mea e mohiotia, nutrition tika, a ka he te wāhanga wāhanga whakahauanga o te maimoatanga o maha mate me whara ngaukino, Heoi tono parenteral kai tōtika i kore ngoikore o te kai tūturu o te manawanui ranei. Ko te wā "kai tōtika parenteral" ahu te i te «para» Kariki - tawhio me «enteron» - punuatuna me tohu whakarato i te tinana tangata ki ngā matūkai - kai kai i te wahi gastrointestinal, te wahi hāngai te kounga me te rahinga ki te kai tūturu.

tohua horihori kai tōtika (enteral parenteral ranei) i roto i te tūroro e kore te whiwhi kai neke atu i 7-10 ra. kia waiho te tino, me te kanohi taua kai. A, no te katoa parenteral kai tōtika katoa te matūkai e whakaurua ki roto ki te bloodstream, a kahore e tūroro ara inu wai mania. Motunga kai tōtika parenteral whai wāhi te whakamahi o te matūkai faufaa anake, pērā i pūmua me te warowaihā, ka te mana, ko te roto e kore e ranea te mangai, tono tāpiritanga.

Ko te whakaaro o te kai tōtika parenteral - te whakarite o te tinana ngā rauemi pūngao, rauemi kirihou, ahu mai ngā āhuatanga, electrolytes me huaora, whakahokinga mai, me te ako o te parekura tīariari, te pupuri i te papatipu pūmua kaha.

Tuhinga mō te whakamahi o parenteral kai tōtika he tikanga pathological me mate i roto i nei i reira ko te kore organic mahi ranei o te wahi gastrointestinal. Kei te tino maha kitea tēnei pikitia i roto i ischemia me whēkau tukuna ai. kai tōtika whakamahia parenteral i roto i te aroaro i roto i ngā wāhanga rerekē o te wahi gastrointestinal tutukitanga pūkaha ki te wahi o te kai: puku hanganga, weranga ranei postoperative whāiti o te pū kai, ngā tukanga ero, me te anorexia, nui huringa inflammatory, pōroa, mauri, me te timu.

E toru ngā rōpū matua o ngā matū e he ka taea te whakamahi i parenteral kai tōtika. Teuteu: waikawa kūhuka, triacylglycerol, me amino. He mea nui kia kua ngā rongoā o enei matū kia taua i tino whakaratohia e rua te kirihou me te whakaritenga pūngao o te rauropi.

otinga kūhuka e whakaurua ki roto ki te rua nui pokapū, to ratou he kukū o te 10 ki te 70%. e kore te mea te kūhuka te puna rawaka o te pūngao mo nga hiahia pūngao, na te whakamahi i te reira rongoā takiwa.

waikawa amino hoki parenteral kai tōtika, ranei, kaua ratou rongoā kei roto moni ōrite o waikawa amino (faufaa me kore-faufaa) i te kukū o i 3 ki te 10%, me te he hyperosmolar.

kia parenteral kai tōtika kia hanga whakahauanga raro i te mātakitaki o te rata, e whakahaere inu toenga, ngā matūkai me ngā kohuke i roto i te tinana. He he he mōrea o mate i te pae o te whakaurunga o te ngira, me ki te whakamahi roa o parenteral kai tōtika, i reira ko te taea o te kanorau o mate puta noa i te tinana. I tua atu, i roto i te take o te ngira whakatika rawakore, te otinga e taea te tomo ki te kikokiko e karapoti ana, a kahore i roto i te rua, ka arahi ki te ahua o te whēwhē.

kia āta te hoki ki te kai noa i roto i te tūroro e i whangai parenterally mo te wa roa, no te mea me te tinana wā ki te urutau.

Ko te āhua me te hōhonu puta i roto i te tinana o huringa pathological tautuhi nga contraindications matua ki te whakamahi o te tahi mau raau taero e whakamahia ana mō te parenteral kai tōtika. Ko te kupu, i roto i te tākihi ate ranei kore e contraindicated te whakamahi o ngā rare ngako me ranunga waikawa amino ki edema roro, nephrosis lipoid, whakapeka infarction myocardial, tohu o Embolism ngako - fatliquors.