1. Kurongwa kwehutano hwehutano hwehutano
Enteral nutrition (EN) inzira yekupa chikafu chinodiwa kune metabolism uye zvimwe zvakasiyana-siyana zvinovaka muviri kuburikidza nemudumbu.
Chikafu chevabereki (chikafu chevabereki, PN) ndechekupa chikafu kubva mutsinga serutsigiro rwehutano vasati vavhiyiwa uye mushure mekuvhiyiwa uye varwere vanorwara zvakanyanya. Zvokudya zvose zvinopiwa kubva kuvabereki zvinonzi total parenteral nutrition (TPN).
2. Musiyano pakati peEN nePN
Musiyano uripo pakati peEN nePN ndewekuti:
2.1 EN inowedzerwa nekutora nemuromo kana nemhino kudyisa mukati megumbo rekudya uye kutorwa; Kudya kwevabereki kunowedzerwa nejekiseni remutsinga uye kutenderera kweropa.
2.2 EN ine zvakawanda uye yakaenzana; chikafu chinowedzerwa nePN chiri nyore.
2.3 EN inogona kushandiswa kwenguva yakareba uye nguva dzose; PN inogona kushandiswa chete mune yakatarwa nguva pfupi.
2.4 Kushandiswa kwenguva refu kweEN kunogona kuvandudza basa remudumbu, kusimbisa kusimba kwemuviri, nekuvandudza mabasa akasiyana-siyana emuviri; kushandiswa kwenguva refu kwePN kunogona kukonzera kuderera kwehutano hwemimba uye kukonzera zvirwere zvakasiyana-siyana zvemuviri.
2.5 Mutengo weEN wakaderera; mutengo wePN wakakwira.
2.6 EN ine matambudziko mashoma uye haina njodzi; PN ine mamwe matambudziko.
3.kusarudzwa kweEN uye PN
Sarudzo yeEN, PN kana kusanganiswa kwezviviri zvinonyanya kutsanangurwa nemurwere wedumbu uye chiyero chekushivirira kune zvinovaka muviri. Zvinowanzoenderana nemhando yechirwere, mamiriro emurwere uye kutonga kwechiremba anotarisira. Kana iyo cardiopulmonary yemurwere isingagadzike, yakawanda yegastrointestinal absorption basa inorasika kana kudya kunovaka muviri kusaenzana uye nekukurumidza kunoda muripo, PN inofanira kusarudzwa.
Kana chirwere chemurwere chechirwere chinoshanda kana kuti chikamu chinoshanda, EN yakachengeteka uye inoshanda inofanira kusarudzwa. EN inzira yekudyisa inoenderana nemuviri, iyo isingangodzivisi njodzi dzinogona kuitika dzepakati venous intubation, asiwo inobatsira kudzoreredza kushanda kwematumbo. Zvakanakira zviri nyore, zvakachengeteka, zvehupfumi uye zvinoshanda, zvinoenderana nemabasa emuviri, uye kune akawanda akasiyana enteral nutrition agents.
Muchidimbu, iyo inonyanya kukosha uye yakakosha musimboti wekusarudza EN nePN ndeyekunyatso kudzora zviratidzo zvekushandisa, kunyatsoverenga huwandu uye nguva yerutsigiro rwekudya, uye kusarudza zvine musoro nzira yekusimbisa chikafu.
4. Kuchengetedza kwekugara kwenguva refu kwePN kuendeswa kuEN
Yenguva refu PN inogona kutungamirira kuderera kwebasa remudumbu. Naizvozvo, shanduko kubva mukudya kwevabereki kuenda kune inovaka muviri inofanirwa kuitwa zvishoma nezvishoma uye haigone kumiswa kamwe kamwe.
Apo varwere vane PN kwenguva refu vanotanga kushivirira EN, tanga shandisa yakaderera-concentration, inononoka kupinza ye elemental enteral nutrition gadziriro kana kwete-elemental enteral nutrition gadziriro, kutarisa mvura, electrolyte balance uye kudya kunovaka muviri, uye zvishoma nezvishoma kuwedzera matumbo Nutrition infusion chiyero, uye kuderedza chiyero che parenteral nutrition infusion nechiyero chakafanana, kusvikira mubereki apedza zvinovaka muviri zvakakwana, kusvikira mubereki apedza zvinovaka muviri zvakakwana, kusvikira mubereki apedza kudya. shanduko kusvika pakupedza kudya kunovaka muviri.
Nguva yekutumira: Jul-16-2021