Zakudya zonse za makolo

Zakudya zonse za makolo (TPN) ndi njira yodyetsera yomwe imadutsa m'mimba. Njira yapadera yoperekedwa kudzera mumitsempha imapereka zakudya zambiri zomwe thupi limafunikira. Njirayi imagwiritsidwa ntchito ngati wina sangathe kapena sayenera kulandira chakudya kapena madzi pakamwa.

Muyenera kuphunzira momwe mungapangire chakudya cha TPN kunyumba. Muyeneranso kudziwa momwe mungasamalire chubu (catheter) ndi khungu lomwe catheter amalowa mthupi.

Tsatirani malangizo aliwonse omwe namwino amakupatsani. Gwiritsani ntchito zomwe zili pansipa ngati chikumbutso cha zoyenera kuchita.

Dokotala wanu amasankha kuchuluka kwa ma calories ndi yankho la TPN. Nthawi zina, mutha kudya komanso kumwa mukalandira zakudya kuchokera ku TPN.

Namwino wanu akuphunzitsani momwe:

• Samalani catheter ndi khungu
• Gwiritsani ntchito mpope
• Sambani catheter
• Tumizani chilinganizo cha TPN ndi mankhwala aliwonse kudzera mu catheter

Ndikofunika kusamba m'manja ndikusamalira zofunikira monga namwino wanu adakuwuzani, kupewa matenda.

Muyeneranso kuyezetsa magazi pafupipafupi kuti muwonetsetse kuti TPN ikupatsirani chakudya choyenera.

Kusunga manja ndi mawonekedwe opanda ma virus ndi mabakiteriya kumateteza matenda. Musanayambe TPN, onetsetsani kuti matebulo ndi malo omwe mudzaikepo katundu wanu atsukidwa ndikuumitsidwa. Kapena, ikani chopukutira choyera pamwamba. Mufunika malo oyerawa pazinthu zonse.

Sungani ziweto komanso anthu omwe akudwala. Yesetsani kutsokomola kapena kuyetsemula pantchito yanu.

Sambani m'manja mwanu ndi sopo ya antibacterial pamaso pa kulowetsedwa kwa TPN. Tsegulani madzi, inyowetsani manja anu ndi manja anu ndikutulutsa sopo wochuluka kwa masekondi 15. Kenako muzimutsuka m'manja ndi kulozera chala musanaume ndi chopukutira chaukhondo.

Sungani yankho lanu la TPN mufiriji ndikuyang'ana tsiku lomaliza ntchito musanagwiritse ntchito. Ponyani kutali ngati yadutsa tsikulo.

Musagwiritse ntchito thumba ngati latuluka, kusintha mtundu, kapena zidutswa zoyandama. Itanani kampani yogulitsa kuti muwadziwitse ngati pali vuto ndi yankho.

Kutenthetsa yankho, tulutsani m'firiji maola 2 kapena 4 musanagwiritse ntchito. Muthanso kutentha madzi otentha (osati otentha) pachikwama. Osatenthetsa mu microwave.

Musanagwiritse ntchito chikwamacho, muwonjeza mankhwala apadera kapena mavitamini. Mutatha kusamba m'manja ndi kuyeretsa malo anu:

• Pukutani pamwamba pa kapu kapena botolo ndi pedi yama antibacterial.
• Chotsani chivundikirocho mu singano. Bweretsani plunger kuti mulowetse mpweya mu syringe kuchuluka kwa zomwe namwino adakuwuzani kuti mugwiritse ntchito.
• Ikani singano mu botolo ndikulowetsa mpweya mu botolo pokankhira pa plunger.
• Bweretsani plunger mpaka mutakhala ndi syringe yoyenera.
• Pukutani doko la thumba la TPN ndi pad wina wama antibacterial. Ikani singano ndikukankhira pang'onopang'ono. Chotsani.
• Pepani thumba kuti musakanize mankhwala kapena vitamini mu yankho.
• Ponyani singano mu chidebe chapadera.

Namwino wanu akuwonetsani momwe mungagwiritsire ntchito mpope. Muyeneranso kutsatira malangizo omwe amabwera ndi pampu yanu. Mukapereka mankhwala kapena mavitamini:

• Muyenera kusambanso m'manja ndikutsuka malo anu antchito.
• Sonkhanitsani zinthu zanu zonse kuti muwone ngati zili zolondola.
• Chotsani pampu ndikukonzekeretsani ndikusunga malekezero ake oyera.
• Tsegulani cholumikizacho ndikutulutsa chubu ndi madzimadzi. Onetsetsani kuti palibe mpweya.
• Onetsetsani chikwama cha TPN pampu molingana ndi malangizo a wogulitsa.
• Asanalowetsedwe, tulutsani mzere ndikutsuka ndi mchere.
• Sakanizani tubing mu kapu ya jekeseni ndikutsegula zomangira zonse.
• Pampu ikuwonetsani zosintha kuti mupitilize.
• Mutha kulamulidwa kuti muzitsuka catheter ndi saline kapena heparin mukamaliza.

Imbani wothandizira zaumoyo wanu ngati:

• Mukhale ndi vuto ndi mpope kapena kulowetsedwa
• Khalani ndi malungo kapena kusintha thanzi lanu

Kutengeka; TPN; Kusowa zakudya m'thupi - TPN; Kusowa kwa zakudya m'thupi - TPN

Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold M. kasamalidwe kabwino ka zakudya ndi kulowetsa mkati. Mu: Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold M, olemba. Luso la Unamwino Wachipatala: Zofunikira ku Luso Lapamwamba. 9th ed. New York, NY: Pearson; 2016: chap 16.

Ziegler TR. Kuperewera kwa zakudya m'thupi: kuwunika ndi kuthandizira. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 204.

• Thandizo Labwino