1. Ukuhlelwa kokwesekwa kokudla okunempilo
Ukondliwa kwe-Enteral (EN) kuyindlela yokuhlinzeka ngemisoco edingekayo ukuze kusetshenziswe i-metabolism nezinye izakhi ezihlukahlukene ngokusebenzisa i-gastrointestinal tract.
Ukondliwa kwabazali (umsoco wabazali, i-PN) ukuhlinzeka ngokudla okuvela emthanjeni njengokwesekwa komsoco ngaphambi nangemuva kokuhlinzwa kanye neziguli ezigula kakhulu. Konke ukudla okunomsoco okunikezwa ku-parenteral kubizwa ngokuthi i-total parenteral nutrition (TPN).
2. Umehluko phakathi kwe-EN ne-PN
Umehluko phakathi kwe-EN ne-PN ngu:
2.1 I-EN yengezelelwa ngokuthatha ukuphakelwa ngomlomo noma ngamakhala emgudwini wamathumbu ukuze kugaywe ukudla kanye nokumuncwa; umsoco we-parenteral wengezwa ngomjovo we-intravenous kanye nokujikeleza kwegazi.
2.2 I-EN iphelele futhi ilinganisela; imisoco ehambisana ne-PN ilula.
2.3 EN ingasetshenziswa isikhathi eside futhi ngokuqhubekayo; I-PN ingasetshenziswa kuphela esikhathini esifushane esithile.
2.4 Ukusetshenziswa kwesikhathi eside kwe-EN kungathuthukisa ukusebenza kwamathumbu, kuqinise ukuqina komzimba, futhi kuthuthukise imisebenzi ehlukahlukene yomzimba; ukusetshenziswa isikhathi eside kwe-PN kungabangela ukwehla komsebenzi wamathumbu futhi kubangele ukuphazamiseka okuhlukahlukene komzimba.
2.5 Izindleko ze-EN ziphansi; izindleko ze-PN ziphakeme kakhulu.
2.6 I-EN inezinkinga ezimbalwa futhi iphephile uma kuqhathaniswa; I-PN inezinkinga eziningi uma kuqhathaniswa.
3.ukukhethwa kwe-EN kanye ne-PN
Ukukhethwa kwe-EN, i-PN noma inhlanganisela yakho kokubili kunqunywa kakhulu umsebenzi wesiguli wamathumbu kanye nezinga lokubekezelela ukuhlinzekwa kwezakhi. Ngokuvamile kuncike esimweni sesifo, isimo sesiguli kanye nokwahlulela kukadokotela ophethe. Uma umsebenzi we-cardiopulmonary wesiguli uzinzile, umsebenzi omningi wokumuncwa emathunjini uyalahleka noma i-metabolism yokudla okunomsoco ayilingani futhi idinga isinxephezelo ngokuphuthumayo, i-PN kufanele ikhethwe.
Uma ipheshana lesiguli lamathumbu lisebenza noma lisebenza ngokwengxenye, kufanele kukhethwe i-EN ephephile nephumelelayo. I-EN iyindlela yokudla ehambisana ne-physiologically, engagcini nje ngokugwema izingozi ezingaba khona ze-central intubation, kodwa futhi esiza ukubuyisela ukusebenza kwamathumbu. Izinzuzo zayo zilula, ziphephile, ziyonga futhi zisebenza kahle, ngokuhambisana nemisebenzi yomzimba, futhi kunezinhlobo eziningi ze-enteral nutrition ezihlukene.
Ngamafuphi, isimiso esibucayi nesibaluleke kakhulu sokukhetha i-EN ne-PN ukulawula ngokuqinile izinkomba zohlelo lokusebenza, ukubala ngokunembile inani kanye nobude besikhathi sokusekelwa okunomsoco, futhi ukhethe ngokunengqondo indlela yokusekelwa kokudla okunomsoco.
4. Izinyathelo zokuphepha zokudluliselwa kwe-PN yesikhathi eside ku-EN
I-PN yesikhathi eside ingaholela ekwehleni komsebenzi wamathumbu. Ngakho-ke, uguquko olusuka ekondlekeni komzali uye ekudleni okunomsoco kufanele lwenziwe kancane kancane futhi alukwazi ukumiswa kungazelelwe.
Lapho iziguli ezine-PN yesikhathi eside ziqala ukubekezelela i-EN, okokuqala sebenzisa ukugxila okuphansi, ukumnika kancane kancane kwamalungiselelo okudla okunomsoco we-enteral noma amalungiselelo okungezona okuyisisekelo, ukuqapha amanzi, ibhalansi ye-electrolyte kanye nokudla okunomsoco, bese kancane kancane ukwandisa amathumbu inani lokumnika ukudla okunomsoco, futhi unciphise inani lokumnika umsoco womzali ngezinga elifanayo, kuze kube yilapho umsoco womzali ungakwazi ukuhlangabezana ngokugcwele nezidingo zomzali. ukushintshela ekuqedeni ukudla okunomsoco.
Isikhathi sokuthumela: Jul-16-2021