Umsoco Parenteral njengendlela ukuqinisekisa kubalulekile izakhi mkhondo emzimbeni futhi amavithamini

Nokho njengoba, umsoco ofanele eyaziwa, futhi kuyinto impoqo ingxenye ingxenye ekwelapheni izifo eminingi kulimale nabantu esibuhlungu, umsoco parenteral sisetshenziswa ukwehluleka noma ukungakwazi ukudla engokwemvelo isiguli. Igama elithi "umsoco parenteral" lisuselwa esiGrekini «para» - emhlabeni futhi «enteron» - esiswini futhi abonisa ukuhlinzeka umzimba womuntu izakhi - izithako lwethu lokudla okunempilo by pheshana emathunjini, lapho izinga nobungako bezithelo sifana Ukudla zemvelo.

umsoco Artificial (enteral noma parenteral) kuvezwa iziguli awutholi ukudla ezingaphezu kuka 7-10 izinsuku. ukudla okunjalo kungaba ephelele futhi ngokwengxenye. Lapho inani lokudla parenteral zonke izakhamzimba yethulwe emgudwini wegazi, futhi iziguli musa ngisho baphuze amanzi plain. Kwengxenye umsoco parenteral kuhilela ukusetshenziswa kuphela izakhi ezibalulekile, ezifana amaprotheni kanye carbohydrate, lapho amandla ngomlomo alanele, ezidinga anezele.

Injongo umsoco parenteral - ukuqinisekisa somzimba energy imithombo, izinto zepulasitiki, ukulandelela izakhi, electrolyte namavithamini, ukuvuselelwa kanye nokulungiswa ukulahlekelwa ezikhona, nokugcina amaprotheni mass asebenzayo.

Izinkomba ukusetshenziswa okunomsoco parenteral izimo zokucabanga okubangelwa isifo nezifo lapho kukhona ukwehluleka organic noma nemisebenzi yokusetshenziswa pheshana emathunjini. Lesi sithombe uvame waphawula phakathi ischemia kanye wamathumbu isimiso. Ezisetshenzisiwe umsoco parenteral ebukhoneni ezingxenyeni ezahlukene pheshana emathunjini izithiyo mechanical kuya ukudlula ukudla: isimila ekwakhekeni, ukusha noma nasezinkingeni ezilandela ngemva kokuhlinzwa ukuvaleka emphinjeni, izinqubo ukonakala, kanye sokuzincisha ukudla, izinguquko ezinzima ukuvuvukala, ikhoma, equlekile nomhlathi-ngqi.

Kukhona ngezigaba ezintathu eziyinhloko izinto okuyinto zingenzeka usebenzisa umsoco parenteral. Amalungiselelo: glucose, triacylglycerol nama-amino acid. Kubalulekile ukuthi izixazululo zalezi izinto kuye kwahlanganiswa ukuze kokubili plastic kanye nezidingo amandla umzimba zanikezwa ngokugcwele.

isixazululo glucose yethulwe vein elikhulu, banalo lokuhlushwa 10 ku-70%. Glucose akuyona umthombo eyanele yamandla ezikhungweni zokuphehla izidingo zamandla, ngakho ukuyisebenzisa izixazululo kanzulu.

amino acid umsoco parenteral, noma kunalokho izixazululo zabo equkethe amanani okulingana amino acid (kubalulekile futhi non-abalulekile) abe lokuhlushwa kusuka 3 kuya ku-10% futhi hyperosmolar.

umsoco Parenteral kufanele kwenziwe saziso ngaphansi kokuqondisa kukadokotela, olawula ibhalansi uketshezi, izakhi kanye namaminerali emzimbeni. Kukhona ingozi yokutheleleka endaweni Ukufakwa yenaliti, futhi ukusetshenziswa nokunwetshiwe okunomsoco parenteral, kukhona kungenzeka kwehlukahlukana ukutheleleka wonke umzimba. Ngaphezu kwalokho, uma abampofu kokungathembeki inaliti, ikhambi bangene nezicubu eziseduze, futhi hhayi vein, futhi kuholele ukubukeka ithumba.

I ukubuya ukudla okuvamile ezigulini Kondliwa parenterally isikhathi eside kufanele kube kancane kancane, ngoba umzimba udinga isikhathi ukujwayela.

Imvelo nokujula ezenzeka emzimbeni izinguquko sokugembula ukuchaza Izimo eziyinhloko ukusebenza kwezinye izidakamizwa ezisetshenziselwa umsoco parenteral. Ngakho, ngo-ukwehluleka kwezinso noma isibindi kuthiwa contraindicated ukusetshenziswa amanoni emulsions nama-amino acid Izingxube nge ubuchopho edema, nephrosis lipoid, acute isilethikusebenza, izimpawu fat embolism - fatliquors.