Eminyakeni engaphezu kwengu-25, umsoco ophelele wabazali (TPN) ubambe iqhaza elibalulekile emithini yesimanje. Ekuqaleni kwasungulwa u-Dudrick nethimba lakhe, lokhu kwelashwa okusekela ukuphila kuye kwawathuthukisa ngokuphawulekayo amazinga okusinda ezigulini ezinokwehluleka kwamathumbu, ikakhulukazi lezo ezinesifo samathumbu amafushane. Ukuthuthukiswa okuqhubekayo kobuchwepheshe be-catheter kanye nezinhlelo zokumnika, kuhlanganiswe nemininingwane ejulile ezidingweni ze-metabolic, kuvumele ukwakheka ngokwezifiso zokudla okunomsoco okuklanyelwe izidingo zesiguli ngasinye. Namuhla, i-TPN ime njengendlela yokwelapha ebalulekile, enezinhlelo zokusebenza zomtholampilo ezichazwe ngokucacile kanye nephrofayili yokuphepha ebhalwe kahle. Phakathi kwazo,Izikhwama ze-TPNezenziwe ngezinto ze-EVA seziphenduke isixazululo esithandwayo sokupakisha sokusekelwa komtholampilo kanye nokudla kwasekhaya ngenxa ye-biocompatibility yabo enhle kakhulu, ukuzinza kwamakhemikhali kanye nokuphepha kokugcina isikhathi eside. Ukushintshela ekuphathweni okusekelwe ezindlini kuye kwathuthukisa ukusebenza kwawo, kwehlisa izindleko zokulaliswa esibhedlela kuyilapho kugcinwa ukusebenza kahle. Abacwaningi manje baphenya ukusetshenziswa okusha okungenzeka kwe-TPN, kuhlanganise nendima yayo ekulawuleni izimo ezingapheli ezifana ne-atherosclerosis.
Ngaphambi kokuqala i-TPN, ukuhlolwa okuphelele kokudla okunomsoco kubalulekile ukuze kuthuthukiswe imiphumela yokwelashwa. Izingxenye ezibalulekile zokuhlola zihlanganisa ukubukeza umlando wezokwelapha wesiguli ngokulahlekelwa okukhulu kwesisindo (10% noma ngaphezulu), ubuthakathaka bemisipha, kanye ne-edema. Ukuhlola ngokomzimba kufanele kugxile ezilinganisweni ze-anthropometric, ikakhulukazi ukujiya kwe-triceps skinfold, okunikeza ukuqonda okubalulekile kumithombo yamafutha. Ukuhlolwa kwaselabhorethri ngokuvamile kuhilela i-serum albumin namazinga e-transferrin, izimpawu ezisetshenziswa kakhulu zesimo samaprotheni, nakuba ukuhlola okukhethekile okufana neprotheni ebopha i-retinol kungase kunikeze ulwazi olwengeziwe uma lutholakala. Ukusebenza kwamasosha omzimba kungahlolwa ngenani eliphelele le-lymphocyte kanye nokulibaziseka kokuhlolwa kwesikhumba se-hypersensitivity ngama-antigen avamile afana ne-PPD noma i-Candida.
Ithuluzi lokubikezela eliwusizo ngokukhethekile yi-Prognostic Nutritional Index (PNI), ehlanganisa imingcele eminingana ibe amaphuzu engozini eyodwa:
I-PNI(%) = 158 - 16.6(serum albumin in g/dL) - 0.78(triceps skinfold in mm) - 0.20(transferrin in mg/dL) - 5.8(hypersensitivity score).
Iziguli ezine-PNI engaphansi kuka-40% ngokuvamile zinengozi ephansi yezinkinga, kuyilapho lezo ezithola u-50% noma ngaphezulu zibhekene nengozi yokufa ephakeme kakhulu ecishe ibe ngu-33%. Le ndlela yokuhlola ephelele isiza odokotela ukuba benze izinqumo ezinolwazi mayelana nokuthi bangayiqala nini i-TPN nendlela yokuqapha ukusebenza kwayo, ekugcineni ithuthukise ukunakekelwa kwesiguli kuzo zombili izilungiselelo ezibucayi nezingapheli. Ukuhlanganiswa kokwesekwa okuthuthukisiwe kokudla okunomsoco nezinqubo zokuhlola eziqinile kusalokhu kuyinsika yezokwelapha zesimanje.
Njengokwesekwa okubalulekile kokwelashwa kwe-TPN, inkampani yethu inikeza izikhwama ze-TPN zezinto ze-EVA eziphezulu. Imikhiqizo ilandela ngokuqinile izindinganiso zamazwe ngamazwe, isidlulise isitifiketi se-FDA ne-CE, futhi iye yaqashelwa kabanzi ezimakethe eziningi emhlabeni jikelele, ihlinzeka ngezixazululo eziphephile nezithembekile zokwelashwa kokudla okunomsoco emitholampilo nasemakhaya.
Isikhathi sokuthumela: Aug-04-2025