Mlembi: Frank Hunt
Tsiku La Chilengedwe: 12 Kuguba 2021
Sinthani Tsiku: 22 Novembala 2024
Anonim
Masewera a Yesu (Chichewa)
Kanema: Masewera a Yesu (Chichewa)

Zamkati

Chakudya chamtundu uliwonse ndi mtundu wa chakudya chomwe chimalola kuyang'anira michere yonse, kapena gawo lake, kudzera m'matumbo, pomwe munthuyo sangadye chakudya choyenera, mwina chifukwa ndikofunikira kuyika ma calorie ambiri, kapena chifukwa chakuchepa michere, kapena chifukwa ndikofunikira kusiya dongosolo lakugaya chakudya likapuma.

Zakudya zamtunduwu zimaperekedwa kudzera mu chubu, chotchedwa chubu chodyetsera, chomwe chitha kuikidwa kuchokera pamphuno, kapena kuchokera mkamwa, m'mimba, kapena m'matumbo. Kutalika kwake ndi malo omwe aikidwako zimasiyanasiyana malinga ndi matenda, matenda, kutalika kwa nthawi komanso cholinga choti akwaniritse.

Njira ina yodziwika bwino yoperekera chakudya cham'matumbo ndikudutsa m'mimba, momwe chubu imayikidwa mwachindunji kuchokera pakhungu kupita m'mimba kapena m'matumbo, kuwonetsedwa pomwe mtundu uwu wodyetsa uyenera kuchitidwa kwa milungu yopitilira 4, momwe zimachitikira milandu ya anthu omwe ali ndi Alzheimer's advanced.


Ndi chiyani

Zakudya zamagulu zimagwiritsidwa ntchito pakafunika kupereka ma calorie ambiri ndipo izi sizingaperekedwe ndi zakudya wamba, kapena matenda ena samalola kumwa ma calories pakamwa. Komabe, m'matumbo muyenera kuti mukugwira bwino ntchito.

Chifukwa chake, zina zomwe zakudya zopatsa thanzi zingaperekedwe ndi izi:

  • Makanda obadwa masiku asanakwane 24;
  • Kupuma matenda;
  • Malformations thirakiti m'mimba;
  • Kusokonezeka mutu;
  • Matenda amfupi;
  • Pachimake kapamba mu kuchira gawo;
  • Matenda otsekula m'mimba komanso matenda otupa;
  • Kutentha kapena caustic esophagitis;
  • Matenda a Malabsorption;
  • Kusowa zakudya m'thupi kwakukulu;
  • Mavuto akudya, monga anorexia nervosa.

Kuphatikiza apo, zakudya zamtunduwu zitha kugwiritsidwanso ntchito ngati njira yosinthira zakudya za makolo, zomwe zimayikidwa mwachindunji mumitsempha, ndi kudyetsa mkamwa.


Mitundu ya zakudya zopatsa thanzi

Pali njira zingapo zoperekera chakudya chamagulu kudzera mu chubu, chomwe chimaphatikizapo:

MitunduNdi chiyaniUbwinoZoyipa
NasogastricNdi chubu cholowetsedwa mphuno mpaka m'mimba.Ndiyo njira yomwe imagwiritsidwa ntchito kwambiri chifukwa ndiosavuta kuyika.Zitha kuyambitsa mkangano wam'mphuno, wam'mimba kapena wamatenda; amatha kuyenda mozungulira mukatsokomola kapena kusanza ndipo amatha kuyambitsa nseru.
Orogastric ndi oroentericImaikidwa kuchokera pakamwa mpaka m'mimba kapena m'matumbo.Sizimasokoneza mphuno, pokhala yogwiritsidwa ntchito kwambiri mwa ana obadwa kumene.Zitha kubweretsa kukula kwa malovu.
NasoentericNdi kafukufuku yemwe adayikidwa kuchokera kumphuno mpaka m'matumbo, omwe amatha kuyikidwa mpaka ku duodenum kapena jejunum.Ndikosavuta kusuntha; ndibwino kulekerera; amachepetsa kuthekera kwakuti kafukufukuyu azilephera kuyambitsa m'mimba pang'ono.Amachepetsa zochita za chapamimba timadziti; Zimakhala pachiwopsezo cha kutuluka kwamatumbo; amalepheretsa kusankha njira ndi njira zodyetsera.
Kutupa kwam'mimbaNdi chubu chomwe chimayikidwa molunjika pakhungu mpaka m'mimba.Sizimasokoneza njira yapaulendo; imalola kugwiritsa ntchito ma probes akuluakulu ndikosavuta kuyendetsa.Iyenera kuyikidwa mwa opaleshoni; zingayambitse kuwonjezeka kwa reflux; zingayambitse matenda ndi khungu; Amapereka chiopsezo chotsekemera m'mimba.
Duodenostomy ndi jejunostomyKafukufukuyu amayikidwa mwachindunji kuchokera pakhungu kupita ku duodenum kapena jejunum.Kuchepetsa chiopsezo chakulakalaka timadziti ta m'mimba m'mapapu; amalola kudyetsa munthawi ya opaleshoni ya opaleshoni yam'mimba.Zovuta kwambiri kuziyika, zofuna opaleshoni; Amapereka chiopsezo chotsekereza kapena kuwonongeka kwa kafukufuku; zingayambitse kutsegula m'mimba; muyenera mpope wolowetsedwa.

Zakudya zamtunduwu zitha kutumizidwa ndi jekeseni, yotchedwa bolus, kapena kudzera mu mphamvu yokoka kapena pampu yolowetsedwa. Momwemo, imayenera kuperekedwa osachepera maola atatu kapena anayi aliwonse, koma pali zochitika zina pomwe kudyetsa kumatha kuchitika mosalekeza, mothandizidwa ndi kulowetsedwa pampu. Mpope wamtunduwu umatsanzira matumbo, ndikupangitsa kuti kudyetsa kulowerere bwino, makamaka pamene chubu chimayikidwa m'matumbo.


Momwe mungadyetsere munthu ndi zakudya zopatsa thanzi

Chakudya ndi kuchuluka komwe kudzaperekedwa kudzadalira pazinthu zina, monga zaka, thanzi, zosowa, matenda komanso magwiridwe antchito am'mimba. Komabe, chinthu chachilendo ndikuyamba kudyetsa ndi voliyumu yotsika ya 20 mL pa ola limodzi, yomwe imakula pang'onopang'ono.

Zakudya zopatsa thanzi zitha kuperekedwa kudzera muzakudya zopyapyala kapena kudzera mu njira yolowera:

1. Zakudya zoswedwa

Zimakhala ndi kayendedwe ka chakudya chophwanyika ndi chosakanizidwa kudzera pa kafukufuku. Poterepa, wazakudya ayenera kuwerengera mwatsatanetsatane zakudya, komanso kuchuluka kwa chakudya komanso nthawi yomwe ayenera kuperekera zakudya. Pazakudyazi ndizofala kuphatikiza masamba, tubers, nyama zowonda ndi zipatso.

Katswiri wazakudya amathanso kulingalira zongowonjezera chakudyacho ndi njira yowonjezeramo, kuonetsetsa kuti pali chakudya chokwanira, kupewa kuperewera kwa zakudya m'thupi.

Ngakhale ili pafupi ndi chakudya chapamwamba, mtundu uwu wa zakudya umakhala pachiwopsezo chachikulu chodetsa mabakiteriya, omwe amatha kumaliza kuyamwa kwa michere. Kuphatikiza apo, popeza ili ndi zakudya zoswedwa, zakudya izi zimaperekanso chiopsezo chachikulu chotsekereza kafukufuku.

2. Mitundu yakapangidwe

Pali njira zingapo zopangidwa kale zomwe zitha kugwiritsidwa ntchito kupondereza zosowa za anthu pazakudya zofunikira, monga:

  • Zambiri: Ndi njira zomwe zili ndi michere yonse, kuphatikiza mapuloteni, chakudya, mafuta, mavitamini ndi mchere.
  • Zoyambira Zoyamba, oligomeric kapena semi-hydrolyzed: mafomu omwe michere yawo idapukusidwa kale, kukhala kosavuta kuyamwa m'matumbo;
  • Zoyambira kapena hydrolyzed: ali ndi michere yonse yosavuta momwe amapangira, kukhala kosavuta kuyamwa pamatumbo.
  • Yodziyimira payokha: Ndi njira zomwe zimakhala ndi ma macronutrient okha monga mapuloteni, chakudya kapena mafuta. Mitunduyi imagwiritsidwa ntchito makamaka kuonjezera kuchuluka kwa macronutrient.

Kuphatikiza pa izi, palinso njira zina zapadera zomwe zimasinthidwa ndi matenda ena akulu monga matenda ashuga, mavuto a chiwindi kapena zovuta za impso.

Zovuta zotheka

Pakudya zakudya zopatsa thanzi, zovuta zina zimatha kubwera, kuchokera pamavuto amakanema, monga kutsekeka kwa chubu, kupita kumatenda, monga chifuwa cha chibayo, kapena chotupa chapamimba.

Mavuto amadzimadzi kapena kuchepa kwa madzi m'thupi, kuchepa kwa vitamini ndi mchere, kuchuluka kwa shuga wamagazi kapena kusamvana kwa ma electrolyte kumathanso kuchitika. Kuphatikiza apo, pakhoza kukhalanso ndi matenda otsekula m'mimba, kudzimbidwa, kuphulika, Reflux, nseru kapena kusanza.

Komabe, zovuta zonsezi zitha kupewedwa ngati pali kuyang'aniridwa ndikuwongoleredwa ndi adotolo, komanso kusamalira bwino chubu ndi njira zophunzitsira.

Nthawi yosagwiritsidwa ntchito

Zakudya zamkati zimatsutsana ndi odwala omwe ali pachiwopsezo chachikulu cha kuphulika kwa broncho, kutanthauza kuti, madzi ochokera mu chubu amatha kulowa m'mapapu, omwe amapezeka mwa anthu omwe amavutika kumeza kapena omwe ali ndi vuto la Reflux.

Kuphatikiza apo, munthu ayenera kupewa kugwiritsa ntchito zakudya zopatsa thanzi mwa anthu omwe ali ndi decompens kapena osakhazikika, omwe ali ndi matenda otsekula m'mimba, kutsekeka m'matumbo, kusanza pafupipafupi, kupwetekedwa m'mimba, necrotizing enterocolitis, pachimake kapamba kapenanso pakakhala m'mimba atresia. Pazochitika zonsezi, njira yabwino kwambiri ndimagwiritsidwe ntchito ka zakudya za makolo. Onani zomwe mtundu uwu wa zakudya umakhala.

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