Imirire y'ababyeyi

thumb
Imirire y'ababyeyi ( PN ) ni ukugaburira umuntu ibiryo byintungamubiri kumitsi,  kurenga inzira isanzwe yo kurya no gusya. Ibicuruzwa bikozwe ninganda zikora imiti .  Umuntu yakira imvange yintungamubiri akurikije amata arimo glucose, umunyu, aside amine, lipide na vitamine hamwe nubunyu ngugu . https://bsna.co.uk/pages/about-specialist-nutrition/commercial-compounders Yitwa imirire yuzuye y'ababyeyi ( TPN ) cyangwa intungamubiri zose ( TNA ) mugihe nta mirire ihambaye iboneka munzira zindi, hamwe nimirire yababyeyi igice ( PPN ) mugihe imirire nayo yinjiye mubice . Yitwa imirire yababyeyi ( PPN )  mugihe itanzwe binyuze mumitsi yinjira mumubiri aho kunyura mumitsi yo hagati nkimirire yimitsi yo hagati ( CVN ).

 Gukoresha ubuvuzi 
Indyo yuzuye y'ababyeyi (TPN) itangwa mugihe inzira ya gastrointestinal https://en.wikipedia.org/wiki/Human_gastrointestinal_tractidakora kubera guhagarara mukomeza (irahagaritswe, cyangwa ifite ibibyimba - fistula ) cyangwa kuberako ubushobozi bwayo bwo kwangirika bwangiritse. Kozier, B., & Erb, G., & Berman, A.J., & Burke, K., & Bouchal, S. R., & Hirst, S. P.. (2004). Fundamentals of Nursing: The Nature of Nursing Practice in Canada. Canadian Edition. Prentice Hall Health: Toronto. Yakoreshejwe kubarwayi ba comatose, nubwo kugaburira munda mubisanzwe ari byiza, kandi ntibikunze guhura nibibazo. Imirire y'ababyeyi ikoreshwa mu gukumira imirire mibi ku barwayi badashobora kubona intungamubiri zihagije binyuze mu nzira cyangwa mu nda.  Umuryango w’ubuvuzi bukomeye (SCCM) hamwe n’umuryango w’abanyamerika ushinzwe imirire y’ababyeyi n’imirire irasaba gutegereza kugeza ku munsi wa karindwi wo kwita ku bitaro. Van Gossum A, Cabre E, Hebuterne X, Jeppesen P, Krznaric Z, Messing B, Powell-Tuck J, Staun M, Nightingale J. ESPEN Guidelines on Parenteral Nutrition: Gastroenterology. Clinical Nutrition. 2009; (28):415-427.

 Ibimenyetso byuzuye kuri TPN 
Indwara zisaba gukoresha TPN zirimo:

 Short bowel syndrome
 Kubura amarahttps://en.wikipedia.org/wiki/Bowel_obstruction
 Amaraso akora gastrointestinal
 Pseudo-inzitizi hamwe no kutihanganira byuzuye ibiryohttps://en.wikipedia.org/wiki/Intestinal_pseudo-obstruction
 Ibisohoka byinshi (bisobanurwa nka> 500ml / kumunsi) fistula enteric-cutaneous (keretse niba umuyoboro ugaburira ushobora kunyuzwa kure kuri fistula)

 Indwara ya Gastrointestinal 
TPN irashobora kuba inzira yonyine ishoboka yo gutanga imirire kubarwayi badafite inzira zifata gastrointestinal cyangwa bafite ibibazo bisaba kuruhuka amara byuzuye, harimo no kubura amara, The Merck Manual, 2008 syndrome de mara,  gastroschisis,  impiswi ndende tutitaye kubitera,  indwara ikomeye ya Crohn  cyangwa colitis ulcerative colitis,  hamwe nindwara zimwe na zimwe zabana ba GI harimo kuvuka kwa GI anomalies hamwe na enterocolitis enterocolitis . https://doi.org/10.1016%2FS0095-5108%2818%2930352-X

 Referances 
Ikiciro:Health