Ọnụ nri nne na nna zuru oke - ụmụ aka

Nchịkọta nri nne na nna (TPN) bụ usoro nri nke na-agafe akụkụ eriri afọ. A na-enye mmiri mmiri n’ime akwara iji nye imirikiti ihe na-edozi ahụ ahụ chọrọ. A na-eji usoro ahụ eme ihe mgbe mmadụ enweghị ike ịnata nri ma ọ bụ nye mmiri mmiri n'ọnụ.

Enwere ike inye ụmụ amụrụ ọhụrụ ọrịa ma ọ bụ akaghi aka TPN tupu ha amalite ịzụ nri ndị ọzọ. Ha nwekwara ike inwe ụdị nri a mgbe ha enweghị ike ịmịkọrọ nri na-edozi ahụ n’akụkụ eriri afọ ruo ogologo oge. TPN na-ewepụta ngwakọta nke mmiri mmiri, electrolytes, sugars, amino acids (protein), vitamin, mineral, na mgbe ọ na-abụ abụba (abụba) n'ime akwara nwa. TPN nwere ike ịzọpụta ụmụaka dị obere ma ọ bụ ndị na-arịa ọrịa. Ọ nwere ike inye nri dị mma karịa nri ntanetị (IV) mgbe niile, nke na-enye naanị sugars na salts.

Mustmụaka a na-azụ ụdị nri a ka a ga-elebanye anya nke ọma iji hụ na ha na-eri nri kwesiri ekwesi. Ọbara na mmamịrị na-enyere ndị otu ahụike aka ịmata mgbanwe ndị dị mkpa.

Kedụ ka e si enye TPN?

A na-etinyekarị eriri IV na akwara na aka nwa, ụkwụ, ma ọ bụ ntutu. Enwere ike iji nnukwu akwara na eriri afọ (eriri nwa). Mgbe ụfọdụ, a na-eji ogologo IV, nke a na-akpọ eriri ma ọ bụ eriri etinyere etinyere etinyere (PICC), maka nri ogologo oge IV.

Kedu ihe dị ize ndụ?

TPN bụ nnukwu uru maka ụmụ ọhụrụ ndị na-enweghị ike ịnweta nri n'ụzo ndị ọzọ. Otú ọ dị, ụdị nri a nwere ike ibute ọrịa shuga, abụba, ma ọ bụ electrolytes na-adịghị mma.

Nsogbu nwere ike ibilite n'ihi iji usoro TPN ma ọ bụ nke anọ. Ahịrị nwere ike ịkwaga ebe ma ọ bụ mkpụkọ nwere ike ịmalite. Ọrịa siri ike nke a na-akpọ sepsis bụ ihe mgbagwoju anya nke eriri IV. Mụaka ndị na-anata TPN ga-enyocha ya nke ọma site n'aka ndị ọrụ ahụike.

Iji TPN ogologo oge nwere ike ibute nsogbu imeju.

IV mmiri - ụmụ ọhụrụ; TPN - ụmụ ọhụrụ; Mmiri igba ogwu - umuaka; Hyperalimentation - ụmụ ọhụrụ

• Mmiri ogwu n'ime saịtị

Kọmitii American Academy of Pediatrics (AAP) na Nutrition. Nri na nne na nna. Na: Kleinman RE, Greer FR, eds. Akwụkwọ Nutrition Pediatric. 8th ed. Obodo Elk Grove, IL: American Academy of Pediatrics; 2019: isi 22.

Maqbool A, Bales C, Liacouras CA. Atresia nke eriri afọ, stenosis, na malrotation. Na: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Akwụkwọ ọgụgụ nke Ọrịa edimụaka. 21nke. Philadelphia, PA: Elsevier; 2020: isi 356.

Poindexter BB, Martin CR. Ngwa nri na-edozi ahụ / nkwado na-edozi ahụ na nwa ọhụrụ. Na: Martin RJ, Fanaroff AA, Walsh MC, ụmụ. Fanaroff na Martin nke Neonatal-Perinatal Medicine. Nke 11. Philadelphia, PA: Elsevier Saunders; 2020: isi 41.