He aha nā waikawa amino i loko o ka dextrose (ala intravenous): Nā hoʻohana, ka nui, nā hopena ʻaoʻao a me nā mea hou aku

ʻO nā waikawa amino i loko o ka dextrose he meaʻai intravenous kūikawā e hui pū ana i nā poloka kūkulu nui o ka protein me ke kō. Hāʻawi kēia lāʻau lapaʻau i ke kākoʻo meaʻai piha ke hiki ʻole iā ʻoe ke ʻai a i ʻole e ʻeli i ka meaʻai maʻamau ma kou ʻōpū a me nā ʻōpū.

Hoʻohana nā mea mālama ola i kēia hopena IV i nā haukapila ke pono nā maʻi i ka meaʻai piha i hāʻawi pololei ʻia i loko o ko lākou kahe koko. He hui kaulike ia e kākoʻo ana i nā hana hoʻōla a me ka mālama ʻana o kou kino i nā manawa hiki ʻole ke ʻai maʻamau.

He aha nā waikawa amino i loko o ka Dextrose?

ʻO nā waikawa amino i loko o ka dextrose he hopena wai maʻemaʻe i loaʻa nā mea protein (amino acids) i hui pū ʻia me ke kō glucose. Hāʻawi kēia hui i nā poloka kūkulu e pono ai kou kino e mālama i ka ʻiʻo a me ka ʻiʻo, a me ka ikehu e pono ai no nā hana kino maʻamau.

Loaʻa ka hopena i nā ʻano like ʻole a me nā formulations, ma muli o kāu pono meaʻai. E hoʻoholo kāu hui mālama ola i ka hui pololei e pili ana i kou kūlana olakino, ke kaumaha, a me nā koi meaʻai.

Kapa ʻia kēia ʻano kākoʻo meaʻai he meaʻai parenteral total (TPN) a i ʻole meaʻai parenteral hapa (PPN). Hoʻopau loa ia i kāu ʻōnaehana digestive, e hāʻawi ana i nā meaʻai pololei ma kou mau veins ke hiki ʻole i kou ʻōpū a i ʻole nā ʻōpū ke hana pono i ka meaʻai.

No ke aha e hoʻohana ʻia ai nā waikawa amino i loko o ka Dextrose?

Kōkua kēia hopena meaʻai IV i nā maʻi i hiki ʻole ke loaʻa ka meaʻai kūpono ma ka ʻai ʻana a i ʻole ka hānai ʻana i ka paipu. Hoʻohana pinepine ʻia ke pono ka hoʻomaha ʻana o kāu ʻōnaehana digestive a i ʻole hiki ʻole ke komo pono i nā meaʻai.

Hoʻomaopopo pinepine nā mea mālama ola i kēia lapaʻau no nā kūlana olakino he nui e paʻakikī ai a i ʻole hiki ʻole ke ʻai maʻamau:

• Ka maʻi ʻāʻī nui i ka wā e puka mai ai
• Hoʻōla ʻana mai ke ʻoki nui ʻana i ka wā e pono ai kāu ʻōnaehana hoʻoemi i ka manawa hoʻōla
• Maʻi koʻikoʻi i ka wā e kiʻekiʻe loa ai nā pono meaʻai o kou kino
• Ka maʻi ʻai nui e koi ana i ke kākoʻo meaʻai ikaika
• Ka hiki ʻole ke ʻai no ka manawa lōʻihi ma muli o nā lāʻau lapaʻau
• Nā maʻi hoʻoemi nhất e pale ai i ka lawe ʻana i nā meaʻai

E loiloi pono kāu hui lapaʻau inā kūpono kēia ʻano kākoʻo meaʻai no kou kūlana kikoʻī. E noʻonoʻo lākou i kou olakino holoʻokoʻa, ka lōʻihi o ka mālama ʻana, a me nā mea lapaʻau ʻē aʻe.

Pehea e Hana ai nā Amino Acids i loko o Dextrose?

Hana kēia hoʻonā IV ma ka hāʻawi ʻana i nā meaʻai pono pololei i loko o kou kahe koko, me ka hele ʻole ʻana i kāu ʻōnaehana hoʻoemi. Hāʻawi nā amino acids i nā poloka kūkulu protein e pono ai kou kino e mālama i ka ʻiʻo ʻiʻo a kākoʻo i nā hana hoʻōla.

Hana ka mea dextrose ma ke ʻano he kumu ikehu koke no kāu mau cell, e like me ke ʻano o ka meaʻai e hāʻawi ai i ka ikehu ma hope o ka ʻai ʻana. Hiki i kou kino ke hoʻohana i kēia glucose i kēia manawa e hoʻoulu i nā ʻōkana koʻikoʻi e like me kou lolo, ka puʻuwai, a me nā puʻupaʻa.

Ua manaʻo ʻia he hana meaʻai ikaika a piha. Hiki iā ia ke hoʻokō i ka hapa nui a i ʻole nā mea a pau o kāu mau pono meaʻai i kēlā me kēia lā ke hoʻomākaukau pono ʻia a nānā ʻia e nā poʻe loea mālama ola.

Hoʻopili maʻamau ka hoʻonā i nā huaora, nā minerala, a me nā electrolytes e hana i kahi pūʻolo meaʻai piha. Nānā kāu hui mālama ola i kāu pae koko i nā manawa maʻamau e hōʻoia i ka hui ʻana e kū ana i nā pono loli o kou kino.

Pehea wau e Lawe ai i nā Amino Acids i loko o Dextrose?

Hāʻawi ʻia kēia lāʻau lapaʻau e nā poʻe loea mālama ola i hoʻomaʻamaʻa ʻia i loko o ka haukapila a i ʻole ke keʻena lapaʻau. ʻAʻole hiki iā ʻoe ke lawe i kēia lāʻau lapaʻau ma ka waha, a pono ia i ka mālama lapaʻau pono i ka wā o ka mālama ʻana.

Hoʻokomo ʻia ka laina IV i loko o ke aʻa nui, ma kou umauma a i ʻole kou lima, ma muli o ka lōʻihi o kou pono i ka lapaʻau. Hiki ke hoʻohana ʻia ke catheter venous waena no ke kākoʻo meaʻai lōʻihi e pale ai i kou mau aʻa liʻiliʻi.

E hoʻomaka mālie kāu hui mālama ola i ka hoʻokomo ʻana a e nānā pono i ka pane ʻana o kou kino. Aia ka wikiwiki o ka lawelawe ʻana ma ke ʻano o kou maʻi, nā pono meaʻai, a me ka maikaʻi o ka ʻae ʻana o kou kino i ka hopena.

ʻAʻole pono ʻoe e ʻai a inu i kekahi mea kūikawā ma mua o ka loaʻa ʻana o kēia lapaʻau. ʻO ka ʻoiaʻiʻo, hiki ke kuhikuhi ʻia ʻoe e pale i ka ʻai ʻana ma ka waha i ka wā e loaʻa ana kēia meaʻai IV e hāʻawi i kou ʻōnaehana digestive i ka manawa e hoʻomaha a hoʻōla.

Pehea ka lōʻihi e lawe ai au i nā Amino Acids i Dextrose?

He ʻokoʻa nui ka lōʻihi o ka lapaʻau ma muli o kou maʻi a me ka holomua o ka hoʻōla. Pono paha kekahi poʻe maʻi i kēia kākoʻo meaʻai no kekahi mau lā wale nō, aʻo nā mea ʻē aʻe e pono paha i nā pule a i ʻole nā mahina o ka lapaʻau.

E loiloi mau kāu hui mālama ola i kou kūlana e hoʻoholo ai i ka manawa e hiki ai iā ʻoe ke hoʻi palekana i ka ʻai ʻana i ka meaʻai maʻamau. E nānā lākou i kou hiki ke ʻeli a komo i nā meaʻai ma o kou ʻōnaehana digestive.

Hana ʻia ka hoʻololi ʻana mai ka meaʻai IV i ka manawa. Hiki i kāu hui lapaʻau ke hoʻomaka ma ka hoʻolauna ʻana i nā mea liʻiliʻi o nā wai maʻemaʻe a i ʻole nā meaʻai maʻalahi i ka wā e hōʻemi mālie ana i ke kākoʻo meaʻai IV.

ʻAʻole e hoʻōki kāu mau kauka i kēia lapaʻau me ka wikiwiki, no ka mea, pono i kou kino ka manawa e hoʻoponopono ai i nā kumu meaʻai like ʻole. E hōʻoia ana ke kaʻina hana weaning i ka hoʻomau ʻana o kāu mau pono meaʻai i ka wā o ka hoʻololi ʻana.

He aha nā hopena ʻaoʻao o nā Amino Acids i Dextrose?

ʻAe ka hapa nui o nā maʻi i kēia meaʻai IV, akā e like me nā lapaʻau lapaʻau, hiki iā ia ke hana i nā hopena ʻaoʻao. Nānā pono kāu hui mālama ola iā ʻoe e hopu a hoʻoponopono i nā pilikia i ka wā mua.

ʻO nā hopena ʻaoʻao maʻamau āu e ʻike ai, ʻo ia ka ʻoluʻolu maʻalahi ma kahi o ka IV a me nā loli manawa pōkole i nā pae kōpaʻa koko. Hiki ke mālama ʻia kēia mau mea me ka nānā pono ʻana a me nā hoʻoponopono i kāu lapaʻau:

• ʻUlaʻula a i ʻole ke aloha a puni ka pūnaewele hoʻokomo IV
• Nā loli kōpaʻa koko manawa pōkole
• ʻO ka nausea maʻalahi a i ʻole ka ʻoluʻolu o ka ʻōpū
• Nā loli i nā ʻano mimi
• Nā loli ʻono manawa pōkole
• Nā ʻeha poʻo maʻalahi i ka wā e hoʻoponopono ai kou kino

ʻO nā hopena ʻaoʻao maʻamau ʻole akā ʻoi aku ka koʻikoʻi e koi i ka lāʻau lapaʻau koke. He kakaikahi kēia mau pilikia akā hiki ke komo i ka maʻi ma ka pūnaewele IV, nā hopena maʻi maʻi koʻikoʻi, a i ʻole nā ​​hana metabolic koʻikoʻi.

Hiki i kekahi poʻe maʻi ke ʻike i nā pilikia kakaikahi e like me nā loli hana ate me ka hoʻohana ʻana i ka wā lōʻihi, nā kaulike electrolyte, a i ʻole nā ​​pilikia koko e pili ana i ka catheter. Nānā kāu hui lapaʻau i kēia mau mea ma o nā hoʻokolohua koko maʻamau a me ka nānā ʻana i ka lāʻau lapaʻau.

E kūkākūkā kāu poʻe mālama ola i nā pilikia a me nā pōmaikaʻi me ʻoe ma mua o ka hoʻomaka ʻana i ka lapaʻau. E wehewehe lākou i nā hōʻailona e nānā ai a hōʻoia e maopopo iā ʻoe i ka wā e ʻimi ai i ka lāʻau lapaʻau koke.

ʻO wai ka mea pono ʻole e lawe i nā Amino Acids i ka Dextrose?

ʻAʻole kūpono kēia meaʻai IV no nā mea a pau, a e loiloi pono kāu hui mālama ola i kāu mōʻaukala olakino ma mua o ka ʻōlelo ʻana i ka lāʻau lapaʻau. ʻO kekahi mau maʻi e hana i kēia lapaʻau kūpono ʻole a i ʻole e koi i nā hana kūikawā.

ʻAʻole pono ʻoe e loaʻa i kēia lāʻau lapaʻau inā loaʻa iā ʻoe ka maʻi diabetes koʻikoʻi, ʻaʻole i mālama ʻia a i ʻole inā ʻaʻole hiki i kou mau puʻupaʻa ke hana pono i nā mea protein. Pono paha ka poʻe me kekahi mau maʻi metabolic i nā ala kākoʻo meaʻai ʻē aʻe.

Pono kekahi mau maʻi lapaʻau i ka noʻonoʻo pono ma mua o ka hoʻomaka ʻana i kēia lapaʻau:

• Ka maʻi kīkī nui a i ʻole ka hāʻule ʻana o ke kīkī
• Ka maʻi diabetes i mālama ʻole ʻia me nā pae kō koko kiʻekiʻe loa
• Ka maʻi ate nui e pili ana i ka hana ʻana o ka protein
• Nā maʻi genetic kekahi e pili ana i ka metabolism amino acid
• Nā maʻi maʻi ikaika, mālama ʻole ʻia
• Ka hāʻule ʻana o ka naʻau nui me nā palena wai

E noʻonoʻo pū kāu hui lapaʻau i kāu prognosis holoʻokoʻa a me nā pahuhopu maikaʻi o ke ola i ka wā e hoʻoholo ai inā kūpono kēia kākoʻo meaʻai ikaika no kou kūlana.

Amino Acids i nā inoa inoa Dextrose

Loaʻa kēia hopena meaʻai IV ma lalo o nā inoa inoa like ʻole, ʻoiai ʻo ka huahana kikoʻī a kāu hui mālama ola e koho ai e hilinaʻi ana i kāu pono meaʻai pilikino a me ke kūlana olakino.

ʻO nā inoa inoa maʻamau e komo pū ana me Clinimix, Kabiven, a me nā hopena i hana ʻia e ka haukapila. Hoʻomākaukau kekahi mau keʻena i nā hui i hana ʻia i kā lākou hale kūʻai lāʻau lapaʻau e hoʻokō i nā koi maʻi kikoʻī.

ʻAʻole pili ka inoa inoa a i ʻole ke ʻano o ka hopena āu e loaʻa ai ma mua o ka hōʻoia ʻana e hoʻokō i kāu pono meaʻai kikoʻī. E koho kāu hui mālama ola i ka formulation kūpono loa e pili ana i kou kūlana olakino a me nā koi meaʻai.

Amino Acids i nā koho ʻē aʻe Dextrose

Nui nā koho ʻē aʻe no nā maʻi i hiki ʻole ke loaʻa i nā amino acid maʻamau i nā hopena dextrose. E ʻimi kāu hui mālama ola i kēia mau koho inā ʻaʻole kūpono ka formulation maʻamau no kou kūlana.

Hāʻawi ka meaʻai Enteral ma o nā paipu hānai i kahi koho ʻē aʻe ke hiki ke hana hapa kāu ʻōnaehana digestive. Hoʻohana kēia ala i kāu mau hana digestive maoli i ka wā e pale ai i ka pono e ʻai ma ka waha.

Hiki i nā formulations meaʻai IV ʻē aʻe ke hana maikaʻi no kāu pono kikoʻī. Aia kēia mau mea i nā hopena kūikawā no nā maʻi me ka maʻi kīkī, nā pilikia ate, a i ʻole nā ​​kūlana metabolic kikoʻī e koi ai i ka protein i hoʻololi ʻia a i ʻole ka ʻike kō.

No kekahi poʻe maʻi, ʻo ka meaʻai parenteral hapa i hui pū ʻia me nā meaʻai enteral liʻiliʻi e hāʻawi ana i ke ala maikaʻi loa. Kākoʻo kēia ʻano hui i kāu mau pono meaʻai i ka wā e paipai ana i kāu ʻōnaehana digestive e mālama i kekahi hana.

Ua ʻOi aku ka maikaʻi o nā Amino Acids i loko o ka Dextrose ma mua o nā Wai IV maʻamau?

Hāʻawi nā amino acids i loko o ka dextrose i ka meaʻai piha, ʻoiai ʻo nā wai IV maʻamau e mālama mua i ka hydration a me ke kaulike electrolyte. He mau hana like ʻole kēia mau mea a ʻaʻole hiki ke hoʻohālikelike pololei ʻia nā lāʻau lapaʻau.

ʻO nā wai IV maʻamau e like me ka saline maʻamau a i ʻole ka hopena Ringer's lactated e kōkua i ka mālama ʻana i ke kaulike wai o kou kino a hāʻawi i kekahi mau electrolytes. Eia naʻe, ʻaʻole lākou i loko o ka protein, nā calorie, a me nā meaʻai piha e pono ai kou kino no ka hoʻōla a me ka mālama.

Inā pono ʻoe i ke kākoʻo IV no ka manawa pōkole no ka hydration, ua lawa nā wai IV maʻamau a maʻalahi hoʻi e mālama. Pono nā amino acids i loko o ka dextrose ke pono ʻoe i ke kākoʻo meaʻai piha no nā manawa lōʻihi.

E koho kāu hui mālama ola i ka hopena IV kūpono loa e pili ana i kāu mau pono olakino kikoʻī, ka lōʻihi o ka lāʻau lapaʻau i manaʻo ʻia, a me ke kūlana olakino holoʻokoʻa. I kekahi manawa hiki iā ʻoe ke loaʻa nā ʻano kākoʻo IV ʻelua i ka manawa like.

Nā Nīnau i Nīnau pinepine ʻia e pili ana i nā Amino Acids i loko o ka Dextrose

He palekana nā Amino Acids i loko o ka Dextrose no ka poʻe me ka maʻi diabetes?

Hiki i ka poʻe me ka maʻi diabetes ke loaʻa nā amino acids i loko o ka dextrose, akā pono lākou e nānā pono i kā lākou pae kō koko. Hiki i ka mea dextrose ke hoʻonui i ka glucose koko, no laila pono e hoʻoponopono ʻia kāu mau lāʻau lapaʻau diabetes i ka wā o ka lāʻau lapaʻau.

E nānā kāu hui mālama ola i kou kō koko i nā manawa pinepine a hoʻoponopono i kāu insulin a i ʻole nā lāʻau lapaʻau diabetes ʻē aʻe e like me ka mea e pono ai. Hiki iā lākou ke hoʻololi i ka nui o ka dextrose i kāu hopena IV e kūpono i ka hiki o kou kino ke hana i ke kō.

Ma ka nānā pono ʻana a me ka hoʻoponopono ʻana i nā lāʻau lapaʻau, hiki i ka hapa nui o nā kānaka me ka maʻi diabetes ke loaʻa palekana i kēia kākoʻo meaʻai ke pono i ka lāʻau lapaʻau. E ana kāu hui lapaʻau i nā pōmaikaʻi e kūʻē i nā pilikia no kou kūlana.

He aha kaʻu e hana ai inā loaʻa iaʻu nā hopena ʻaoʻao koʻikoʻi?

E hoʻokaʻaʻike koke i kāu hui mālama ola inā loaʻa iā ʻoe nā hopena ʻaoʻao koʻikoʻi e like me ka pilikia o ka hanu ʻana, ka ʻeha o ka umauma, ka pehu nui, a i ʻole nā hōʻailona o ka maʻi koʻikoʻi ma ke kahua IV. Pono kēia mau hōʻailona i ka nānā ʻana i ka lāʻau lapaʻau.

Mai ka wā e loaʻa ana iā ʻoe kēia lapaʻau ma kahi keʻena lapaʻau, aia nā poʻe loea i hoʻomaʻamaʻa ʻia e pane koke i nā pilikia. Mai kānalua e makaʻala i kāu mau kahu hānai a i ʻole nā kauka e pili ana i nā hōʻailona e pili ana, ʻoiai inā he mea liʻiliʻi lākou.

Makemake kāu hui lapaʻau e loiloi i nā hopohopo pono ʻole ma mua o ka nalo ʻana i nā hōʻailona hōʻailona nui. Ua ʻike lākou i ka ʻike ʻana a me ka mālama ʻana i nā pilikia e pili ana i ke kākoʻo meaʻai IV.

Hiki iaʻu ke ʻai i ka meaʻai maʻamau i ka wā e loaʻa ana kēia meaʻai IV?

Aia inā hiki iā ʻoe ke ʻai i ka meaʻai maʻamau ma muli o kou kūlana olakino a me nā ʻōlelo aʻoaʻo a kāu kauka. Pono kekahi poʻe maʻi e pale i ka ʻai ʻana ma ka waha e ʻae i kā lākou ʻōnaehana digestive e hoʻomaha a hoʻōla.

E hāʻawi kāu hui mālama ola iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka ʻai a me ka inu ʻana i ka wā o kāu lapaʻau. Hiki iā lākou ke hoʻolauna mālie i nā meaʻai i ka wā e hoʻomaikaʻi ai kou kūlana a mākaukau kāu ʻōnaehana digestive e mālama i ka meaʻai maʻamau.

ʻO ka hahai ʻana i ke alakaʻi a kāu hui lapaʻau e pili ana i ka ʻai ʻana he mea nui ia no kou ola hou ʻana. E nānā lākou i kāu holomua a hoʻoponopono i kāu meaʻai IV a me ka hoʻolālā ʻai i ka wā e loli ai kou kūlana.

Pehea wau e ʻike ai i ka wā e hiki ai iaʻu ke hooki i kēia lapaʻau?

E loiloi mau kāu hui mālama ola i kou hiki ke ʻai a ʻeli i ka meaʻai maʻamau ma mua o ka noʻonoʻo ʻana i ka hooki ʻana i ka meaʻai IV. E loiloi lākou i kāu hana digestive, ke kūlana meaʻai, a me ka holomua o ka hoʻōla.

Hele mālie ka hoʻololi ʻana mai ka meaʻai IV, me ka hoʻemi mālie ʻana o kāu hui lapaʻau i ke kākoʻo IV i ka wā e hoʻonui ana i kāu ʻai maʻamau. E hōʻoia ana kēia i ka hoʻomau ʻana o kāu mau pono meaʻai i ka wā o ka hoʻololi.

E hoʻohana kāu mau kauka i nā hōʻailona like ʻole e like me kou hiki ke ʻae i ka meaʻai, e mālama i kou kaumaha, a me kou hoʻomaikaʻi ʻana i ke olakino e alakaʻi i kēia hoʻoholo. E mālama lākou iā ʻoe i ka ʻike e pili ana i ka manawa a me nā mea e manaʻo ʻia no ka hoʻololi ʻana i ka ʻai maʻamau.

He mau pilikia lōʻihi paha me ka hoʻohana lōʻihi?

Hiki i ka hoʻohana lōʻihi ʻana i ka meaʻai IV ke alakaʻi i nā pilikia e like me nā loli o ka hana ate, nā pilikia o ka iwi, a i ʻole ka piʻi ʻana o ka pilikia o ka maʻi. Eia naʻe, e nānā ana kāu hui mālama ola i kēia mau mea ma o nā hoʻokolohua koko maʻamau a me nā loiloi lapaʻau.

ʻO nā pōmaikaʻi o ka mālama ʻana i ka meaʻai kūpono e ʻoi aku ka nui o kēia mau pilikia, ʻoiai inā ʻaʻole hiki iā ʻoe ke ʻai maʻamau. E hana kāu hui lapaʻau e hōʻemi i nā pilikia i ka wā e hōʻoiaʻiʻo ana ʻoe e loaʻa i ka meaʻai e pono ai kou kino no ka hoʻōla.

Inā pono ka meaʻai IV lōʻihi, hiki i kāu hui mālama ola ke ʻōlelo aku i nā mea hoʻohui a i ʻole nā lāʻau lapaʻau e pale ai i nā pilikia. E ʻimi pū lākou i nā manawa kūpono e hoʻololi iā ʻoe i ka ʻai maʻamau i ka wā e kūpono ai i ka lāʻau lapaʻau.