Ukondliwa kwabazali-kubhekisela ekunikezweni kwezakhamzimba ezivela ngaphandle kwamathumbu, njengokungena emthanjeni, ku-intramuscular, subcutaneous, intra-abdominal, njll. Umzila oyinhloko ufakwa emthanjeni, ngakho ukondliwa komzali kungabizwa nangokuthi ukondliwa komthambo ngomqondo omncane.
Ukudla ngokungena emthanjeni-kubhekisela endleleni yokwelapha ehlinzeka ngokudla okunempilo ezigulini ngemizila yokungena emthanjeni.
Ukwakheka kwezakhi zomzali - ikakhulukazi ushukela, amafutha, ama-amino acid, ama-electrolyte, amavithamini, kanye nezakhi zokulandelela.
Ukunikezwa kokudla okunomsoco-kuhluka ngeziguli kanye nezimo zezifo. Isidingo sekhalori somuntu omdala esijwayelekile singama-24-32 kcal/kg·d, futhi ifomula yokudla okunomsoco kufanele ibalwe ngokusekelwe esisindweni sesiguli.
I-glucose, amafutha, ama-amino acid nama-calories-1g glucose inikeza ama-kilojoule angu-4kcal, i-1g yamafutha inikeza ama-kilojoule angu-9kcal, kanti i-1g ye-nitrogen inikeza ama-calories angu-4kcal.
Isilinganiso sikashukela, amafutha kanye nama-amino acid:
Umthombo wamandla ongcono kakhulu ekondlekeni komzali kufanele kube uhlelo lwamandla olukabili olwakhiwe ushukela namafutha, okungukuthi, ama-calorie angewona amaprotheni (NPC).
(1) Isilinganiso senitrogen yokushisa:
Ngokuvamile 150kcal: 1g N;
Uma ukucindezeleka okubuhlungu kunamandla, ukunikezwa kwe-nitrogen kufanele kwandiswe, futhi isilinganiso sokushisa ne-nitrogen singashintshwa sibe ngu-100kcal:1g N ukuze kuhlangatshezwane nezidingo zokusekelwa kwe-metabolic.
(2) Isilinganiso sikashukela ne-lipid:
Ngokuvamile, i-70% ye-NPC inikezwa yi-glucose futhi i-30% inikezwa i-emulsion yamafutha.
Lapho ukucindezeleka okufana nokuhlukumezeka, ukunikezwa kwe-emulsion yamafutha kungakhuliswa ngokufanelekile futhi ukusetshenziswa kwe-glucose kungancishiswa. Zombili zinganikeza u-50% wamandla.
Isibonelo: iziguli ezingama-70kg, ingxenye yesisombululo sezakhi ezifakwa emthanjeni.
1. Ingqikithi yamakhalori: 70kg×(24——32)kcal/kg·d=2100 kcal
2. Ngokwesilinganiso sikashukela ne-lipid: ushukela wamandla-2100 × 70% = 1470 kcal
Amafutha amandla-2100 × 30% = 630 kcal
3. Ngokusho kwe-1g glucose inikeza amakhalori angu-4kcal, i-1g yamafutha inikeza amakholori angu-9kcal, futhi i-1g ye-nitrogen inikeza ama-calories angu-4kcal:
Inani likashukela = 1470 ÷ 4 = 367.5g
Isisindo samafutha = 630 ÷ 9 = 70g
4. Ngokwesilinganiso sokushisa ne-nitrogen: (2100 ÷ 150) ×1g N = 14g (N)
14×6.25 = 87.5g (amaprotheni)
Isikhathi sokuthumela: Jul-16-2021