Isondlo Parenteral njengendlela yokuqinisekisa izinto umkhondo kubalulekile umzimba kunye neevithamini

Njengoko yaziwa, ukutya okusempilweni, kwaye licandelo yinxalenye olusisinyanzelo unyango lwezifo kunye nomonzakalo kubuhlungu, kodwa ukutya parenteral isicelo kwi ukusilela okanye ukungakwazi ukutya zendalo yesigulana. Igama elithi "isondlo parenteral" livela kwisiGrike «para» - ngeenxa kwaye «enteron» - amathumbu ibonisa ukunika umzimba womntu izakhi - izithako okunesondlo yi iphecana zesisu, apho umgangatho nobungakanani ekwafanekisa le yemvelo yokudla.

ukutya ezingezizo (enteral okanye parenteral) okuchaziweyo izigulane abafumana ukutya ngaphezu kweentsuku 7-10. ukutya okunjalo inokuba i epheleleyo kunye noluphakathi. Xa iyonke ngesondlo parenteral zonke izondlo ebiqaliswe kwi egazini, kwaye izigulane musa kuyisela amanzi plain. isondlo Partial parenteral lubandakanya ukusetyenziswa kuphela izondlo ezibalulekileyo, ezifana iiprothini kunye carbohydrate, xa amandla kuya umlomo akwanelanga, efuna nezongezelelo.

Injongo lwesondlo parenteral - ukuqinisekisa komzimba amandla nobuncwane, izixhobo zeplastikhi, ukulandela iimpawu, electrolytes kunye neevithamini, restoration kunye nokulungiswa nelahleko ezikhoyo, kugcinwe protini mass esebenzayo.

Iimpawu zibonisa ukuba ukusetyenziswa ngesondlo parenteral iimeko zophendlo lwezifo kunye nezifo apho kukho ukusilela ephilayo okanye esebenza phecana zesisu. Lo mfanekiso kakhulu sivame ngexesha ischemia kunye kwamathumbu kokuphazanyiswa. isondlo elisetyenzisiwe parenteral phambi kwiindawo ezahlukeneyo iphecana zesisu imiqobo mechanical wawo ukuya kuvala ingxingwa lokutya: ithumba Ukwakheka, ukutsha okanye postoperative licuthe le kuvuleke iminxunya, iinkqubo yokubolisa, kwakunye ukudla, utshintsho kakhulu ukudumba, isiqaqa, zingqondweni kunye nominxano.

Kukho amaqela amathathu eziphambili zezinto kunokwenzeka usebenzisa isondlo parenteral na. Amalungiselelo: asidi iswekile, triacylglycerol, kunye acid. Kubalulekile ukuba izisombululo ezi zinto kuye kwahlanganiswa ukuze zombini iplastiki kunye neemfuno namandla eziphilayo banikwa ngokupheleleyo.

isisombululo glucose zingeniswa kwi Kwangale enkulu esembindini, zibe ndzo ka-10 ukuya kuma-70%. Iswekile akukho ngumthombo obaneleyo amandla iimfuno zamandla, ngoko sebenzisa oko izisombululo kanzulu.

acid nokondliwa parenteral, okanye mandithi izisombululo zabo equlathe izixa ezilingana acid (kubalulekile and non-kubalulekile) abe xi ukususela-3 ukuya kwi-10% kwaye hyperosmolar.

isondlo Parenteral kufuneka zenziwe inyanzelekile phantsi kweliso gqirha, elawula ukulungelelana fluid, izondlo neetyuwa emzimbeni. Kukho ingozi yosulelo kwisiza ngokufakwa inaliti, kunye nokusetyenziswa elide lwesondlo parenteral, kukho ithuba oluvuneka kulwahlukano losuleleko wonke umzimba. Ngaphezu koko, xa kwimeko amahlwempu kwamanani yenaliti, umxube akanakungena izihlunu ejikelezileyo, kungekhona Kwangale, kwaye kungakhokelela inkangeleko ithumba.

Ukubuyiselwa ukutya eqhelekileyo kwizigulane abondliwayo parenterally ixesha elide kufuneka ngcembe, ngenxa yokuba umzimba kufuneka ixesha ukuqhelana.

Uhlobo kunye nobunzulu esivulekayo umzimba utshintsho zophendlo lwezifo ukuchaza Izimo eziphambili ukusetyenziswa amanye amachiza asetyenziswa nokondliwa parenteral. Ngenxa yoko, ukusilela kwezintso okanye isibindi ukuba contraindicated ukusetyenziswa emulsions ezityebileyo kunye nemixube acid acid kunye nokudumba ingqondo, nephrosis lipoid, iposi etsolo engabalulekanga, iimpawu yamanqatha Embolism - fatliquors.