Zakudya Parenteral njira kuonetsetsa zofunikira kufufuza zinthu thupi ndi mavitamini

Monga amadziwika, kudya chakudya chabwino, ndipo ndi kuvomerezedwa zikuluzikulu mbali ya zochizira matenda ambiri ndi kuvulala zoopsa Koma zakudya parenteral ntchito pa kulephera kapena kulephera kwa chakudya achilengedwe a mtima. Mawu akuti "zakudya parenteral" lachokera ku Greek «Para» - mozungulira ndi «enteron» - m'matumbo ndipo zosonyeza kupereka thupi ndi zakudya - zosakaniza zakudya ndi kachigawo m'mimba, kumene khalidwe ndi kuchuluka limafanana ndi zakudya zachilengedwe.

Amapanga zakudya (enteral kapena parenteral) akusonyeza odwala osati kulandira chakudya kuposa masiku 7-10. chakudya wotero wathunthu ndi tsankho. Pamene okwana parenteral zakudya zonse zakudya za tikuuzidwa mu m'magazi, ndi odwala ngakhale kumwa madzi opanda. Tsankho parenteral zakudya zimaphatikizapo kugwiritsa ntchito zakudya kokha zofunika, monga mapulotini chakudya, pamene mphamvu kudzera pakamwa singakwane, zofuna zina.

Cholinga cha zakudya parenteral - kuonetsetsa thupi mphamvu zipangizo pulasitiki, tifufuza zinthu, electrolytes, mavitamini, ndi kubwezeretsa ndi chilangizo zomvetsa wogwila, kukhala ngati mapuloteni misa yogwira.

Zikuonetsa ntchito ya zakudya parenteral ndi pathological zinthu ndi matenda amene pali organic kapena zinchito kulephera kwa mundawo m'mimba. cithunzithunzi ici zambiri anaona pa ischemia ndi matumbo kutsekeka. Ntchito parenteral zakudya mu kukhalapo mu madera osiyana a thirakiti m'mimba mawotchi mavuto ndimeyi chakudya: chotupa mapangidwe, zilonda zamoto kapena postoperative kuchepetsa wa kholingo, njira septic, komanso anorexia, mwaoneka kusintha yotupa, chikomokere atakomoka ndi kafumbata.

Pali magulu atatu chachikulu cha zinthu zimene zili zotheka kugwiritsa ntchito zakudya parenteral. Kukonzekera: shuga, triacylglycerol, ndi kwa amino zidulo. Nkofunika kuti njira ya zinthu zimenezi akhala ophatikizana chotero pulasitiki ndi zofunika mphamvu ya chamoyo zinkaperekedwa kwathunthu.

njira shuga tikuuzidwa mu ankasungidwa mtsempha, ali ndende ya 10 70%. The shuga singakwane mphamvu gwero kupereka zosowa mphamvu, choncho ntchito njira kulimbikira.

amino zidulo chakudya parenteral, kapena m'malo njira zawo munali ndalama yokwana amino zidulo (zofunikira ndipo si zofunika) ndi ndende ya 3 mpaka 10% ndipo hyperosmolar.

zakudya Parenteral ikhale kuvomerezedwa kuyang'aniridwa ndi dokotala, amene akulamulira madzimadzi bwino, zakudya ndi mchere m'thupi. Pali matenda pa singano jekeseni, ndi kugwiritsa ntchito nthawi yaitali zakudya parenteral pali kuthekera matenda zosiyanasiyana thupi lonse. Komanso, ngati osauka chikukonzekera singano, njira akhoza kulowa minofu ozungulira, osati mu mtsempha, ndi kuyambitsa maonekedwe a abscess ndi.

Kubwerera zakudya zabwinobwino odwala amene anadyetsedwa parenterally kwa nthawi yaitali ayenera pang'onopang'ono, chifukwa thupi amafunika nthawi kuti azolowere.

Chikhalidwe ndi kuya zikuchitika mu thupi la kusintha pathological chimatanthauza contraindications waukulu ntchito mankhwala ena ntchito zakudya parenteral. Choncho, kulephera aimpso kapena chiwindi ndi contraindicated ntchito emulsions mafuta ndi zosakaniza kwa amino asidi ndi ubongo edema, lipoid nephrosis, pachimake m'mnyewa wamtima infarction, zizindikiro za embolism mafuta - fatliquors.