Kudya kwevabereki-kunoreva kugoverwa kwezvokudya kubva kunze kwematumbo, zvakadai semutsinga, intramuscular, subcutaneous, intra-abdominal, etc. Nzira huru inopinza, saka kudya kwevabereki kunogonawo kunzi kudya kwemukati mune imwe pfungwa yakamanikana.
Intravenous nutrition-inoreva nzira yekurapa inopa kudya kuvarwere kuburikidza nemigwagwa inopinza.
Kuumbwa kwevabereki zvinovaka muviri-kunyanya shuga, mafuta, amino acids, electrolytes, mavitamini, uye trace elements.
Kupihwa kwevabereki chikafu-kunosiyana nevarwere uye mamiriro ezvirwere. Macalorie anodiwa nemunhu mukuru ari 24-32 kcal/kg·d, uye chikafu chinovaka muviri chinofanira kuverengerwa zvichienderana nehuremu hwemurwere.
Glucose, mafuta, amino acids uye macalories-1g glucose inopa 4kcal calories, 1g mafuta inopa 9kcal calories, uye 1g nitrogen inopa 4kcal calories.
Reshiyo yeshuga, mafuta uye amino acid:
Iyo yakanakisa simba sosi mukudya kwevabereki kunofanirwa kuve iyo mbiri simba system inoumbwa neshuga nemafuta, kureva, isiri-protein makori (NPC).
(1) Kupisa nitrogen ratio:
Kazhinji 150kcal: 1g N;
Kana kushungurudza kunetseka kwakanyanya, kugoverwa kwe nitrogen kunofanira kuwedzerwa, uye chiyero chekupisa-nitrogen chinogona kunyange kuchinjwa kusvika ku100kcal: 1g N kuti isangane nezvinodiwa zvekutsigirwa kwemagetsi.
(2) Shuga kune lipid reshiyo:
Kazhinji, 70% yeNPC inopiwa neglucose uye 30% inopiwa nemafuta emulsion.
Kana kushungurudzika kwakadai sekushungurudzika, kupiwa kwemafuta emulsion kunogona kuwedzerwa zvakakodzera uye kushandiswa kweglucose kunogona kuderedzwa. Zvose zvinogona kupa 50% yesimba.
Semuyenzaniso: 70kg varwere, chikamu intravenous kudya kunovaka muviri mhinduro.
1. Yese macalorie: 70kg×(24——32)kcal/kg·d=2100 kcal
2. Maererano nechiyero cheshuga kune lipid: shuga yesimba-2100 × 70% = 1470 kcal.
Mafuta kune simba-2100 × 30% = 630 kcal
3. Maererano ne1g glucose inopa 4kcal calories, 1g mafuta inopa 9kcal makori, uye 1g nitrogen inopa 4kcal makori:
Huwandu hweshuga = 1470 ÷ 4 = 367.5g
Huremu hwemafuta = 630 ÷ 9 = 70g
4. Maererano nereshiyo yekupisa kune nitrogen: (2100 ÷ 150) ×1g N = 14g (N)
14×6.25 = 87.5g (mapuroteni)
Nguva yekutumira: Jul-16-2021