Parenteral zvokudya senzira nechokwadi muviri zvinokosha zvisaririra zvinhu uye mavhitaminzi

Sezvo chikazozikamwa, kudya zvinovaka muviri, uye ane mutemo unoti chinoumba chikamu kurapwa kwezvirwere zvakawanda uye zvinotyisa kukuvara, zvisinei parenteral zvokudya akashandisa panguva nokukundikana kana kutadza zvakasikwa zvokudya murwere. Shoko rokuti "parenteral zvokudya" rinobva pashoko rechiGiriki «a» - kumativi uye «enteron» - dumbu uye chinoratidza kupa muviri pamwe zvinovaka muviri - muviri pakugadzira parutivi nemudumbu, uko nouwandu anoenderana yepanyama kudya.

Chakagadzirwa zvokudya (enteral kana parenteral) unoratidzwa varwere haana kugamuchira zvokudya kupfuura mazuva 7-10. Zvokudya kwakadaro kunogona kuva wakakwana uye kukwana. Kana zvachose parenteral kunovaka muviri zvose zviri zvinovaka muviri vari chakaunzwa muropa, uye varwere regai kunyange kunwa mvura pachena. Mienzaniso parenteral zvinovaka muviri kunosanganisira kushandiswa chete zvinokosha zvinovaka muviri, dzakadai mapuroteni uye makabhohaidhiretsi, kana simba riri kubudikidza muromo hazvivakwani, inoda kuwedzererwa.

Chinangwa parenteral kunovaka muviri - kuona muviri simba pfuma, mapurasitiki zvinhu, kuronda zvinhu, electrolytes uye mavhitaminzi, kudzoreredzwa uye nokururamiswa yaivapo nezvinhu, kuramba kushingaira mapuroteni guru.

Zvairatidza kuti kushandisa parenteral zvokudya zviri pathological ezvinhu uye zvirwere iyo pane makemikari kana dzichipfekeka kukundikana nemudumbu. Mufananidzo uyu kakawanda akacherechedza panguva ischemia uye bowel mhingaidzo. Used parenteral zvinovaka muviri pamberi munzvimbo dzakasiyana-siyana nemudumbu zvemaziso vhiringidza ndima kwezvokudya: bundu inotungamirwa, kutsva kana postoperative aienda pamusoro yegurokuro, septic urongwa, uyewo kudya, zvakakomba anogumbura kuchinja, pakoma, chavanoziva uye tetenasi.

Kune mapoka makuru matatu zvinhu izvo zvinokwanisika vachishandisa parenteral kudya kunovaka. Kugadzirira: shuga, triacylglycerol, uye amino acids. Zvakakosha kuti magadzirisiro idzi zvinhu dzave kubatanidzwa kuitira kuti zvose mapurasitiki uye simba zvinodiwa nomuviri vakanga zvakazara inopiwa.

Shuga mhinduro dziri chakaunzwa huru huru tsinga, vane wevasungwa 10 kusvika 70%. Shuga haasi tsime zvakakwana simba nokuda simba zvinodiwa, saka shandisa nayo kuramba mhinduro.

Amino acids nokuti parenteral zvokudya, kana panzvimbo dzavo zvinogadzirisa ane noenderana rakawanda amino acids (zvinokosha uye non-zvinokosha) vane wevasungwa inobva 3 kusvika 10% uye vari hyperosmolar.

Parenteral zvokudya zvinofanira kuitwa fanira pasi pokudzora chiremba, iyo anodzora Urume nepakati, zvokudya uye zvicherwa mumuviri. Pane mukana wokutapukirwa pa nzvimbo kupinza yacho tsono, uye mazhinji nokushandiswa parenteral zvokudya, pane mukana kusiyana chirwere rose muviri. Uyezve, kana tsono kutara murombo, mushonga anogona kupinda akapoteredza zvinyama, uye kwete tsinga, uye kutungamirira pakuonekwa imwe mota.

The kudzokera zvisingatomboiti kudya mu varwere taipiwa parenterally kwenguva refu kunofanira kunge zvishoma nezvishoma, nokuti muviri inoda nguva kuchinja.

The hunhu nokudzika kuitika mumuviri Kumwe kuchinja kunotanga havatsananguri huru contraindications pakushandisa zvimwe zvinodhaka zvinoshandiswa parenteral kudya kunovaka. Saka, muna renal kana chiropa kukundikana vari contraindicated kushandisa mafuta emulsions uye amino asidhi wemisanganiswa vane pfungwa edema, lipoid nephrosis, chenjera myocardial infarction, zviratidzo mafuta embolism - fatliquors.