Kwa zaka zoposa 25, zakudya zonse za parenteral (TPN) zakhala zikuthandiza kwambiri pamankhwala amakono. Poyambirira adapangidwa ndi Dudrick ndi gulu lake, chithandizo chochirikiza moyochi chathandizira kwambiri kupulumuka kwa odwala omwe ali ndi vuto la matumbo, makamaka omwe ali ndi matenda am'mimba. Kusintha kosalekeza kwaukadaulo wa catheter ndi kachitidwe ka kulowetsedwa, kuphatikizidwa ndi chidziwitso chozama pazofunikira za kagayidwe kachakudya, kwalola kuti pakhale zakudya zopatsa thanzi zogwirizana ndi zosowa za wodwala aliyense. Masiku ano, TPN imayima ngati njira yochiritsira yofunikira, yodziwika bwino yachipatala komanso mbiri yachitetezo yolembedwa bwino. Mwa iwo,TPN matumbazopangidwa ndi zinthu za EVA zakhala njira yabwino yosungiramo chithandizo chachipatala komanso chapanyumba chifukwa cha kukhazikika kwawo kwachilengedwe, kukhazikika kwamankhwala komanso chitetezo chanthawi yayitali. Kusintha kwa kayendetsedwe ka kayendetsedwe ka nyumba kwathandizanso kuti ntchito zake zitheke, kuchepetsa ndalama zogulira zipatala pamene zikugwira ntchito bwino. Ochita kafukufuku tsopano akufufuza zomwe zingagwiritsidwe ntchito zatsopano za TPN, kuphatikizapo ntchito yake yosamalira matenda aakulu monga atherosclerosis.
Musanayambe TPN, kuunika koyenera kwa zakudya ndikofunikira kuti mukwaniritse zotsatira za chithandizo. Zigawo zazikulu zowunikira zimaphatikizapo kuwunika mbiri yachipatala ya wodwalayo kuti achepetse thupi (10% kapena kupitilira apo), kufooka kwa minofu, ndi edema. Kuwunika kwakuthupi kuyenera kuyang'ana pamiyezo ya anthropometric, makamaka makulidwe a triceps skinfold, omwe amapereka chidziwitso chofunikira pakusungidwa kwamafuta. Kuyesa kwa labotale nthawi zambiri kumaphatikizapo kuchuluka kwa serum albumin ndi transferrin, zomwe zimagwiritsidwa ntchito kwambiri zozindikiritsa momwe mapuloteni alili, ngakhale kuyesa kwapadera monga mapuloteni omangira retinol kungapereke zambiri zikapezeka. Kugwira ntchito kwa chitetezo chamthupi kumatha kuyesedwa kudzera mu kuchuluka kwa ma lymphocyte ndikuchedwa kuyezetsa khungu la hypersensitivity ndi ma antigen wamba monga PPD kapena Candida.
Chida cholosera chofunikira kwambiri ndi Prognostic Nutritional Index (PNI), yomwe imaphatikiza magawo angapo kukhala pachiwopsezo chimodzi:
PNI(%) = 158 - 16.6(serum albumin mu g/dL) - 0.78(triceps skinfold in mm) - 0.20(transferrin mu mg/dL) - 5.8(hypersensitivity score).
Odwala omwe ali ndi PNI pansi pa 40% nthawi zambiri amakhala ndi chiwopsezo chochepa chokumana ndi zovuta, pomwe omwe apeza 50% kapena kupitilira apo amakhala pachiwopsezo chachikulu cha kufa pafupifupi 33%. Njira yowunikirayi imathandizira madokotala kupanga zisankho zodziwika bwino za nthawi yoyambira TPN ndi momwe angayang'anire momwe imathandizira, potsirizira pake kupititsa patsogolo chisamaliro cha odwala pazochitika zovuta komanso zosatha. Kuphatikizika kwa chithandizo chamankhwala chotsogola ndi njira zowunika zowunikira kumakhalabe maziko azachipatala zamakono.
Monga chithandizo chofunikira cha chithandizo cha TPN, kampani yathu imapereka matumba apamwamba a EVA a TPN. Zogulitsazo zimatsatira mosamalitsa miyezo yapadziko lonse lapansi, zadutsa chiphaso cha FDA ndi CE, ndipo zadziwika kwambiri m'misika yambiri padziko lonse lapansi, kupereka mayankho otetezeka komanso odalirika a chithandizo chamankhwala ndi zakudya zakunyumba.
Nthawi yotumiza: Aug-04-2025