Wadarta nafaqada waalidnimada - dhallaanka

Wadarta guud ee nafaqada waalidnimada (TPN) waa qaab quudin oo ka gudubta marinka caloosha iyo caloosha. Dheecaannada waxaa la siiyaa xididka si ay u siiso inta badan nafaqooyinka jirku u baahan yahay. Qaabka waxaa loo isticmaalaa marka qofku uusan heli karin ama uusan qaadan karin quudinta ama dareeraha afka.

Dhallaanka jirada ah ee jiran ama dhiciska ah ayaa la siin karaa TPN ka hor inta aysan bilaabin quudinta kale. Waxay sidoo kale yeelan karaan quudinta noocan ah markii ay qaadan kari waayaan nafaqeynta marinka caloosha muddo dheer. TPN waxay gaarsiisaa isku dar ah dareere, elektaroolitooyin, sonkor, amino acids (protein), fiitamiino, macdano, iyo badiyaa dufanka (dufanka) xididka xididka. TPN waxay badbaadin kartaa ilmaha aadka u yar ama aad u jiran. Waxay bixin kartaa heer nafaqo oo kafiican quudinta xididka (IV) ee caadiga ah, oo bixisa kaliya sonkorta iyo cusbada.

Dhallaanka hela quudinta noocan ah waa in si taxaddar leh loo fiiriyaa si loo hubiyo inay helayaan nafaqada habboon. Tijaabooyinka dhiigga iyo kaadi waxay ka caawinayaan kooxda daryeelka caafimaadka inay ogaadaan isbeddelada loo baahan yahay.

SIDEE LOO SIIYAA TPN?

Khadadka IV ayaa badanaa la geliyaa xididka gacanta ilmaha, cagtiisa, ama madaxiisa. Xidid weyn oo kujira badhanka caloosha (xididka xudunta) ayaa la isticmaali karaa. Mararka qaarkood IV dheer, oo loo yaqaan xariiq dhexe ama khad catheter dhexe (PICC) oo si shaqeysan loo geliyay, ayaa loo isticmaalaa quudinta IV ee muddada-dheer.

WAA MAXAY HALISAHA?

TPN waxay faa'iido weyn u tahay carruurta aan nafaqada ku heli karin siyaabo kale. Si kastaba ha noqotee, quudinta noocan ah waxay sababi kartaa heerar aan caadi ahayn oo ah sonkorta dhiigga, dufanka, ama elektrolytes.

Dhibaatooyinka ayaa soo bixi kara sababo la xiriira isticmaalka khadadka TPN ama IV. Qadka ayaa laga yaabaa inuu ka guuro meesha ama xinjirooyinka ayaa soo bixi kara. Infekshan daran oo la yiraahdo sepsis waa dhibaato ka imaan karta khadka dhexe ee IV. Dhallaanka qaata TPN waxaa si dhow ula socon doona kooxda daryeelka caafimaadka.

Isticmaalka muddada dheer ee TPN wuxuu u horseedi karaa dhibaatooyin beerka ah.

Dareeraha IV - dhallaanka; TPN - dhallaanka; Dareeraha xididka - dhallaanka; Hyperalimentation - dhallaanka

• Goobaha dareeraha xididka

Guddiga Akadeemiyada Caafimaadka Carruurta (AAP) ee nafaqada. Nafaqada waalidka. Gudaha: Kleinman RE, Greer FR, eds. Buug-gacmeedka nafaqada carruurta. 8aad ed. Tuulada Elk Grove, IL: Akadamiyada Maraykanka ee Cudurada caruurta; 2019: cutubka 22.

Maqbool A, Bales C, Liacouras CA. Xiidmaha xiidmaha, stenosis, iyo malrotation. Gudaha: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Buugga Buugga Caafimaadka Caruurta. 21aad ed. Philadelphia, PA: Elsevier; 2020: cutubka 356.

Poindexter BB, Martin CR. Shuruudaha nafaqada / taageerada nafaqada ee xilliga dhalashada ee dhiciska ah. Gudaha: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff iyo Martin ee Neonatal-Perinatal Medicine. 11aad. Philadelphia, PA: Elsevier Saunders; 2020: baab 41.