Tag nrho cov khoom noj rau niam txiv - cov menyuam mos

Tag nrho cov khoom noj niam txiv (TPN) yog ib txoj kev pub mis uas hla txoj hnyuv thiab cov plab zom mov. Cov kua dej yog muab rau hauv txoj leeg txhawm rau txhawm rau muab kev xav tau zoo ntawm lub cev. Cov txheej txheem raug siv thaum tus neeg tsis tuaj yeem lossis tsis tau txais khoom noj lossis dej haus ntawm qhov ncauj.

Mob lossis nyuam qhuav pib yug me nyuam tuaj yeem muab TPN ua ntej pib tso lwm yam kev pub noj. Lawv kuj tseem yuav muaj qhov pub mis no thaum lawv tsis tuaj yeem nqus cov zaub mov hauv plab hnyuv tau ntev. TPN muab cov kua, electrolytes, suab thaj, amino acids (protein), cov vitamins, minerals, thiab ntau ntau lipids (rog) rau hauv cov leeg ntshav. TPN tuaj yeem cawm kev txom nyem rau menyuam mos lossis mob nyav. Nws tuaj yeem muab cov khoom noj kom zoo dua li cov khoom noj pub rau leeg (IV), uas tsuas yog muab cov suab thaj thiab ntsev.

Cov menyuam mos uas tau txais hom kev pub mis no yuav tsum tau saib xyuas kom zoo kom lawv tau txais cov khoom noj zoo. Kuaj ntshav thiab tso zis rau pab neeg saib xyuas kev noj qab haus huv paub dab tsi hloov uas yuav tsum tau ua.

YUAV UA LI CAS RAU TPN?

Qhov xiam IV feem ntau tso rau hauv cov hlab ntsha hauv tus me nyuam txhais tes, ko taw, lossis tawv taub hau. Siv txoj hlab ntshav loj hauv lub plab khawm (txoj hlab ntaws) yuav siv tau. Qee lub sij hawm ntev dua IV, hu ua kab hauv nruab nrab lossis peripherally-central central catheter (PICC) kab, yog siv rau cov khoom noj pub mis ntev IV.

QHOV TSEEM CEEB?

TPN yog qhov txiaj ntsig zoo rau cov menyuam yaus uas tsis tuaj yeem tau txais lwm yam kev noj haus. Txawm li cas los xij, kev pub mis zoo li no tuaj yeem ua rau cov ntshav qab zib, rog lossis roj ntsha tsis zoo.

Cov teeb meem tuaj yeem tsim tsim vim kev siv TPN lossis IV kab. Cov kab ntawv tuaj yeem txav tawm ntawm qhov chaw los sis cov txhaws yuav ua. Ib qho kev kis mob hnyav hu ua sepsis yog ib qho tshwm sim tsis yooj yim ntawm cov kab central IV. Cov menyuam mos uas tau txais TPN yuav raug saib xyuas los ntawm pab neeg saib xyuas kev noj qab haus huv.

Kev siv TPN ntev ntev tuaj yeem ua rau daim siab mob.

Koob tshuaj IV - menyuam mos liab; TPN - cov menyuam mos liab; Cov dej khov rau hauv plab - cov menyuam mos liab; Hyperalimentation - cov menyuam mos

• Tso dej rau ntawm qhov chaw

American Academy of Pediatrics (AAP) Pawg Neeg ntawm Khoom Noj Khoom Haus. Niam txiv kev noj haus zoo. Hauv: Kleinman RE, Greer FR, eds. Phau Ntawv Qhia Txog Kev Noj Qab Haus Huv Phau NtawvCov. 8 tus ed. Lub Zos Elk Grove, IL: Asmeskas Academy of Pediatrics; 2019: chap 22.

Maqbool A, Bales C, Liacouras CA. Mob hnyuv atresia, mob plab, thiab malrotation. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm PediatricsCov. 21st ed. Philadelphia, PA: Elsevier; 2020: cha 356.

Poindexter BB, Martin CR. Cov khoom noj muaj txiaj ntsig zoo / kev pab kom noj qab haus huv nyob rau lub sij hawm tsis ntev neonate. Hauv: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff thiab Martin's Neonatal-Perinatal TshuajCov. 11th ed. Philadelphia, PA: Elsevier Saunders; 2020: chaaj 41.