Imajin se yu ɔ pɔsin we yu sabi dɔn gɛt fɔ du big ɔpreshɔn pan yu intestinal. Ɔ se yu gɛt siriɔs intestinal disorder we dɔn mek yu nɔ ebul fɔ it ɔ drink ɛnitin bay mɔt. Aw yu kin gi di bɔdi di it ɛn ɛnaji we i nid? Na da tɛm de wi de yuz dis spɛshal we we dɛn kɔl ‘intravenous nutrition’. Dis na sɔntin we rili difrɛn ɛn kɔmpleks pas di ɔspitul salin sɔlvushɔn. Mek wi tek wan luk pan di ditel dem.
Wetin na parenteral nutrition?
Pan ɔl we di nem tan lɛk se i strenj smɔl, di minin rili simpul. di wכd "parenteral" min "ausayd di dijestiv sistεm." dat min se, Parenteral Nutrition na we di it we wi de it tru wi mכt de go insay di bεlε, di intestin dεm de tek am, εn i de chenj na di liva bifo i go insay di bכdi. Dɛn kɔl am Parenteral Nutrition , ɛn ɔl di tin dɛn we di bɔdi nid, dɛn kin gi am dairekt insay wan blɔd vesel.
Fɔ tɔk am simpul wan, dis na fɔ baypas wi ɔl intestinal sistɛm, bigin frɔm di mɔt ɛn dɔn na di anus, ɛn kɛr ɔl di nyutriɛnt dɛn go dairekt insay wan blɔd vesel.
Sɔm pipul dɛn kin jɔs nid fɔ tek dis fɔ sɔm dez, ɛn ɔda pipul dɛn kin nid fɔ tek am fɔ sɔm wik, mɔnt, ɔ ivin fɔ ɔl dɛn layf.
Wetin na di men kayn we fɔ du dis?
Dɛn kin sheb dis insay tu men we dɛn. Wan de bay di kayn it we dɛn gi am, ɛn di ɔda wan de bay di vein we de gi di it.
| Klasifikɛshɔn akɔdin to di amɔnt ɔf nyutrishɔn we dɛn gi | |
|---|---|
| Kayn | Fɔ tɔk am simpul wan... |
| Tכtal Parenteral Nutrishכn (TPN) . | Dɛn kin gi dis to di wan dɛn we nɔ ebul fɔ yuz dɛn intestinal sistɛm atɔl . I de gi 100 pasɛnt pan di it we di bɔdi nid. |
| Patɛl Parenteral Nutrishɔn (PPN) . | Dɛn kin gi dis to di wan dɛn we kin it smɔl wit dɛn mɔt, bɔt i nɔ kin du fɔ di bɔdi, ɛn to di wan dɛn we nɔ gɛt bɛtɛ it. Dɛn kin gi dis as ɔda tin fɔ it. |
| Klasifikɛshɔn akɔdin to di vein we de it | |
| Sɛntral Parenteral Nutrishɔn (CPN) . | dis dεn kin gi am insay wan big vein na di nεk כ chεst we de go dayrekt to di at. Dis kin mek yu gɛt mɔ kalori ɛn mɔ kɔnsɛntret it. Dis na di we aw dɛn kin yuz fɔ gi TPN. |
| Pɛriferal Parenteral Nutrishɔn (PPN) . | Dɛn kin gi dis to smɔl vein na di an, leg, ɔ nɛk. Dɛn kin yuz am fɔ gi shɔt tɛm, pat pan it (PPN). I izi fɔ gi am, bɔt i nɔ de gi bɔku kalori. |
Wetin dis wata we de mek pɔsin gɛt fayn fayn tin dɛn gɛt?
Dis nɔto jɔs wan bɔtul we gɛt salin. Dis tan lɛk ‘kɔktɛl’ we gɛt nyutrishɔn we dɛn mek spɛshal fɔ di pɔsin. Dɛn kin mek dis wata bay we dɛn kin kɔl di rayt tin we yu bɔdi nid, ɛn dɛn kin tink bɔt bɔku tin dɛn lɛk yu ej, yu wet, yu mɛrɛsin, ɛn blɔd ripɔt.
Dɛn tin ya mɔ na:
- Wata
- Kabohaydrɛt (fɔ ɛnaji) .
- di protin dεm (fכ di bכdi gro εn fכ mek di sεl dεm rεpa) .
- Fat/Lipid (fɔ gɛt mɔ ɛnaji) .
- Vitamin dɛn we dɛn kin yuz
- Minral sɔl dɛn (Ilektrolayt dɛn) .
Dis sɔlvishɔn so kɔmplit dat pɔrsin kin liv pan dis wan fɔ in layf ɛn nɔ it ɛnitin wit mɔt.
Us kes dεm dεn kin gi intravenous nutrition?
Dɛn kin yuz dis nɔmɔ pan tin dɛn we rili bad we dɛn nɔ kin ebul fɔ gi di pɔsin tin fɔ it ɛni ɔda we.
Situeshכn dεm we dεn nid tכtal parenteral nyutrishכn (TPN).
- Afta dɛn du ɔpreshɔn fɔ pul wan big pat pan di insay
- Di bad bad sayd ɛfɛkt dɛn we kemotɛrapi kin gɛt fɔ kansa
- Intestinal ɔbstrukshɔn
- di bכdi we de fכm na di intestinal dεm dεn dכn dכn (Intestinal ischemia) .
- Inflammatory bowel diseases, lɛk wan bad bad sik we dɛn kɔl Crohn’s disease
- Bebi dεm we dεn bכn kwik kwik wan εn we dεn intestכn dεm nכ de divεlכp
- Sivɛri, dayarɛa we kin de fɔ lɔng tɛm
- Ɔda siriɔs mɛdikal kɔndishɔn dɛn we nid fɔ rɛst kɔmplit wan fɔ di intestinal sistɛm
Situeshɔn dɛn usay dɛn nid fɔ gɛt pat pan it (PPN).
Dɛn kin gi PPN fɔ gi ɛkstra trɛnk to di wan dɛn we nɔ gɛt bɛtɛ it bikɔs dɛn de na ɔspitul fɔ lɔng tɛm ɛn dɛn nɔ de it bɛtɛ tin na dɛn mɔt.
Kateta insay ɛn tritmɛnt
Dis nɔto jɔs kanula we yu put na yu an. Dis kin mek dɛn put wan spɛshal tiub we dɛn kɔl kateta insay wan big vein na yu bɔdi. Dis tan lɛk smɔl ɔpreshɔn. Bɔt nɔ wɔri, dɛn go anestez yu (numb) ɛn dɛn dɔn du dis. Di dɔktɔ go klin yu skin ɛn put di kateshɔn dairekt insay di vein wit di ɛp fɔ ɔltra saund ɔ ɛkstrem rayt.
Tri men kayn kateshɔn dɛn de:
- External “tunneled” catheter: Dis na tyub we dɛn kin put ɔnda di skin fɔ shɔt tɛm ɛn afta dat i kin kɔmɔt na difrɛn say.
- Kateta we dɛn put ful wan: Dis kin ayd ɔlsay ɔnda di skin. Na wan smɔl pɔt nɔmɔ de ɔnda di skin we dɛn kin yuz fɔ injɛkt di mɛrɛsin.
- PICC layn: dis na tכb we dεn de put tru wan vein na di כp an εn insay wan big vein na di chεst. Dɛn kin yuse am fɔ tritmɛnt fɔ shɔt tɛm (lɛs dan 6 wik).
dis nyutriεnt sכlushכn de tek lεk 10-12 awa fכ rich di bכdi. So, bɔku pipul dɛn kin put am na nɛt we dɛn de slip. Dɛn kin du dis tritmɛnt na ɔspitul, ɔr na os wit di trenin we dɛn nid. Bɔt dɛn nid fɔ de kia fɔ dɛn tin ya rili klin fɔ mek dɛn nɔ gɛt di sik .
Wetin na di prɔblɛm dɛn we kin apin ɛn di prɔblɛm dɛn we kin apin?
Pan ɔl we dis we aw dɛn kin du tin kin sev pɔsin in layf, i kin gɛt sɔm prɔblɛm dɛn ɛn sɔm prɔblɛm dɛn. Na dat mek dɔktɔ dɛn kin jɔs yuz am pan tin dɛn we rili bad ɛn dɛn kin kɔntinyu fɔ wach di pɔsin.
| Kɔmplikɛshɔn | Simpul ɛksplen |
|---|---|
| Sik we de prɛd | Baktri kin go insay di blɔd tru di kateshɔn. Dis kin skata ɛn mek wan sik we de mek pɔsin in layf de pan denja we dɛn kɔl sɛpsis . Dis na di men ɛn siriɔs risk . |
| Blɔd we De Klɔt | di bכdi kin fכm usay di kateshכn kכnekt to di vein. |
| Liva prɔblɛm dɛn | If yu tek TPN fɔ lɔng tɛm, dat kin mek di liva pwɛl. Dɛn kin kɔl dis bak Parenteral nutrition-associated liver disease (PNALD). |
| Blɔd shuga nɔ balans | di shuga lεvεl kin inkrεs wan wan (Hyperglycemia) כ dכn (Hypoglycemia). Dɛn kin kɔntrol dis bay we dɛn gi insulin. |
| Fɔ mek bon dɛn tan | כva lכng tεm, chenj dεm na tin dεm lεk kalsiכm εn vaytam in D kin mek di bon dεm wik (Osteoporosis). |
| Prɔblɛm dɛn we de na di gal blad | Bikɔs di dijestiv sistɛm nɔ de wok fayn, di bayl we de na di gal blad kin gɛda ɛn mek ston. |
Aw yu kin yus fɔ it wit mɔt bak?
we di intestinal sistεm bigin fכ wok bak, dכkta dεn kin tray fכ mek di sikman bak pan כral it kwik kwik wan, biכs di intestinal kin bi "les" if dεn nכ de yuz am כltεm.
Dɛn kin du dis fayn fayn wan.
Dɛn nɔ kin bigin fɔ it rays wantɛm wantɛm. Dɛn kin bigin wit ‘klia likwid it’. Fɔ ɛgzampul, tin dɛn lɛk wata we dɛn dɔn bɔy, pɔrit we gɛt sɔl, ɛn wata. If di bɔdi ebul fɔ bia wit am, den dɛn kin muf go fɔ it ful wata. Na da tɛm de nɔmɔ dɛn kin introduks dɛn to sɔlid it dɛn.
Insay dis tɛm, di mɛdikal tim de wach gud gud wan aw yu bɔdi de it.
Mɛsej we dɛn kin kɛr go na os
- Parenteral nutrition na rili impɔtant tritmɛnt fɔ sev layf fɔ di wan dɛn we nɔ ebul fɔ it wit dɛn mɔt.
- insay dis, כl di nyutriεnt dεm we di bכdi nid de kכmכt dairekt insay wan blכd vesel.
- tu men tכp dεm de: TPN (tכtal parenteral nyutrishכn) εn PPN (patral parenteral nyutrishכn).
- Bikɔs dis we ya kin gɛt prɔblɛm dɛn lɛk infekshɔn, blɔd we kin rɔtin, ɛn liva prɔblɛm, na ɔnda di strikt sɔpɔtishɔn nɔmɔ we dɔktɔ dɛn kin du am.
- If dɛn dɔn gi yu ɔ pɔsin we yu sabi dis tritmɛnt, nɔ fred. Aks yu dɔktɔ bɔt am ɛn ɔndastand am gud gud wan. Fɔ fala in instrɔkshɔn dɛn di rayt we.
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