He aha te waikawa Amino i roto i te Dextrose (Ara Intravenous): Ngā Whakamahinga, Inenga, Ngā Pānga Taha me Ētahi Atu

Ko te waikawa amino i roto i te dextrose he otinga kai intravenous motuhake e whakakotahi ana i nga poraka hanga matua o te pūmua me te huka. E whakarato ana tēnei otinga rongoā i te tautoko kai katoa ina kore e taea e koe te kai, te keri rānei i te kai noa mā tō puku me ngā whekau.

E whakamahi ana ngā kaiwhakarato hauora i tēnei otinga IV i roto i ngā hōhipera ina hiahia ngā tūroro ki te kai whānui e tukuna tika ana ki roto i ō rātou toto. He ranunga tōtika tēnei e tautoko ana i ngā tukanga whakaora me te tiaki o tō tinana i ngā wā e kore e taea te kai noa.

He aha te waikawa Amino i roto i te Dextrose?

Ko te waikawa amino i roto i te dextrose he otinga wai pūnoa e mau ana i ngā wāhanga pūmua (waikawa amino) i konatunatua ki te huka kūhuka. E whakarato ana tēnei huinga i ngā poraka hanga e hiahia ana tō tinana ki te tiaki i te uaua me te kiko, me te pūngao e hiahiatia ana mō ngā mahi tinana taketake.

Ka puta mai te otinga i roto i ngā momo kukū me ngā hanganga, i runga i ō hiahia kai motuhake. Ka whakatau tō rōpū hauora i te ranunga tika i runga i tō āhuatanga rongoā, te taumaha, me ngā whakaritenga kai.

Ko tēnei momo tautoko kai e kiia ana ko te kai parenteral katoa (TPN) rānei, te kai parenteral wāhanga (PPN). Ka karo katoa i tō pūnaha keri, ka tukuna ngā matūkai tika mā ō uaua ina kore e taea e tō puku, whekau rānei te tukatuka kai i te pai.

He aha te waikawa Amino i roto i te Dextrose e whakamahia ana mō?

E āwhina ana tēnei otinga kai IV i ngā tūroro e kore e taea te whiwhi kai tika mā te kai, te whāngai rānei i te ngongo. E whakamahia ana i te nuinga o te wā ina hiahia tō pūnaha keri ki te okioki, e kore rānei e taea te tango matūkai tika.

He maha ngā wā e tūtohu ana ngā kaiwhakarato hauora i tēnei maimoatanga mō ētahi āhuatanga rongoā e uaua ai, e kore rānei e taea te kai noa:

• Te mate mumura nui o te puku i ngā wā o te mura
• Te whakaora i muri i te pokanga nui i te wā e hiahia ana tō punaha kūnatu ki te wā whakaora
• Te mate nui i te wā e tino nui ana ngā hiahia kai o tō tinana
• Te ngoikore kai nui e hiahia ana ki te tautoko kai kaha
• Te kore e kaha ki te kai mō te wā roa nā te rongoā
• Ētahi mate kūnatu e aukati ana i te urunga o ngā matūkai

Ka āta arotake tō rōpū hauora mēnā he tika tēnei momo tautoko kai mō tō āhuatanga motuhake. Ka whakaarohia e rātou tō hauora whānui, te roa e tūmanakohia ana o te rongoā, me ētahi atu āhuatanga hauora.

Me pēhea te mahi a ngā waikawa amino i roto i te dextrose?

E mahi ana tēnei otinga IV mā te tuku matūkai nui ki roto i ō toto, mā te karo katoa i tō punaha kūnatu. E whakarato ana ngā waikawa amino i ngā poraka hanga pūmua e hiahia ana tō tinana ki te pupuri i te kiko uaua me te tautoko i ngā hātepe whakaora.

E mahi ana te wāhanga dextrose hei pūtake pūngao tonu mō ō pūtau, he rite ki te āhua e whakarato ana te kai i te pūngao i muri i te kūnatu. Ka taea e tō tinana te whakamahi i tēnei kūkōhi i te wā tonu ki te whāngai i ngā okana nui pēnei i tō roro, tō ngākau, me ō whatukuhu.

E whakaarohia ana tēnei he wawaotanga kai kaha me te whānui. Ka taea e ia te whakatutuki i te nuinga, i ngā mea katoa rānei o ō hiahia kai o ia rā ina tika te hanga me te aroturukihia e ngā tohunga hauora.

Ko te tikanga kei roto i te otinga ngā huaora, ngā kohuke, me ngā hiko hei hanga i tētahi pōkai kai oti. E aroturuki ana tō rōpū hauora i ō taumata toto i ngā wā katoa kia mōhio ai e tutuki ana te ranunga i ngā hiahia huri o tō tinana.

Me pēhea taku tango i ngā waikawa amino i roto i te dextrose?

Ka hoatu anake tēnei rongoā mā te uaua e ngā tohunga hauora whakangungu i roto i te hōhipera, i tētahi wāhi haumanu rānei. Kāore e taea e koe te tango i tēnei rongoā mā te waha, ā, e hiahia ana ki te tirotiro hauora i te wā katoa o te rongoā.

Ka whakanohoia te raina IV ki roto i te uaua nui, i te nuinga o te wā kei tō uma, tō ringa rānei, i runga i te roa o te wā e hiahia ana koe ki te rongoā. Ka whakamahia pea he katita uaua pokapū mō te tautoko kai mō te wā roa hei tiaki i ō uaua iti.

Ka tīmata te rōpū hauora i te whakaurunga i te pōturi, ā, ka āta aroturuki i te urupare a tō tinana. Kei runga i tō āhuatanga hauora, ngā hiahia kai, me te pai o te tinana ki te rongoā te tere o te whakahaere.

Kāore koe e hiahia ki te kai, ki te inu rānei i tētahi mea motuhake i mua i te whiwhi i tēnei rongoā. Inaha, ka tohutohutia pea koe kia kaua e kai mā te waha i te wā e whiwhi ana koe i tēnei kai IV kia whai wā te pūnaha kūnatu ki te okioki me te whakaora.

Kia Pēhea te Roa e Tango Ana Ahau i ngā Waikawa Amino i roto i te Dextrose?

He rerekē te roa o te rongoā i runga i tō āhuatanga hauora me te ahunga whakamua o te whakaora. Ko ētahi tūroro ka hiahia i tēnei tautoko kai mō ētahi rā noa iho, engari ko ētahi atu ka hiahia wiki, marama rānei o te rongoā.

Ka arotakehia e tō rōpū hauora tō āhuatanga i ngā wā katoa hei whakatau i te wā ka taea e koe te hoki marie ki te kai i ngā kai auau. Ka aroturukihia e rātou tō kaha ki te kūnatu me te tango i ngā matūkai mā tō pūnaha kūnatu.

Ko te whakawhiti atu i te kai IV ka puta i te pōturi. Ka tīmata pea tō rōpū hauora mā te whakauru i ngā rahinga iti o ngā wai mārama, i ngā kai ngāwari rānei ki te kūnatu i te wā e whakaiti ana i te tautoko kai IV.

Kāore rawa ō tākuta e whakamutu ohorere i tēnei rongoā, nā te mea e hiahia ana tō tinana i te wā ki te urutau ki ngā momo pūtake kai rerekē. E whakarite ana te tukanga whakamutu i te tutuki tonu o ō hiahia kai i te wā o te whakawhiti.

He Aha ngā Pānga Taha o ngā Waikawa Amino i roto i te Dextrose?

He pai te whakamanawanui a te nuinga o ngā tūroro ki tēnei kai IV, engari pērā i ētahi atu rongoā, ka puta pea ngā pānga taha. Ka āta aroturukihia koe e tō rōpū hauora kia kitea, kia whakatikahia hoki ngā raruraru i te wā wawe.

Ko ngā pānga taha noa ka pā ki a koe ko te kore pārekareka iti i te wāhi IV me ngā huringa rangitahi i ngā taumata huka toto. He mea whakahaere ēnei i te nuinga o te wā mā te aroturuki tika me te whakatikatika i tō maimoatanga:

• Te whero, te ngawari rānei i te wāhi whakauru IV
• Ngā rereketanga huka toto rangitahi
• Te whakapairuaki iti, te kore pārekareka rānei o te puku
• Ngā huringa i ngā tauira mimi
• Ngā huringa reka rangitahi
• Ngā mamae mahunga iti i te wā e urutau ana tō tinana

Ko ngā pānga taha kāore i te pōturi engari he nui ake te kino e hiahia ana kia āta tirohia e te tākuta. He mea pāwhara ēnei raruraru engari ka uru pea te mate i te wāhi IV, ngā tauhohenga pānga nui, ngā tauritenga pākia nui rānei.

Ka pā pea ki ētahi tāngata ngā raruraru pāwhara pēnei i ngā huringa mahi ate i te whakamahinga wā-roa, ngā tauritenga hiko, ngā toto toto rānei e pā ana ki te kātera. Ka mātakitaki tō rōpū hauora i ēnei mea mā ngā whakamātautau toto i ngā wā katoa me te aroturuki haumanu.

Ka kōrero tō hunga manaaki hauora i ngā tūponotanga me ngā painga katoa ki a koe i mua i te tīmatanga o te maimoatanga. Ka whakamāramahia e rātou ngā tohumate hei mātakitaki me te whakarite kia mārama koe ki te wā hei rapu āta tirotiro hauora.

Ko wai kāore e tika kia tango waikawa Amino i roto i te Dextrose?

Kāore tēnei kai totika IV e tika ana mō te katoa, ā, ka āta arotakehia e tō rōpū hauora tō hītori hauora i mua i te tūtohu i te maimoatanga. Ko ētahi āhuatanga ka kore e tika tēnei maimoatanga, ka hiahia rānei kia tūpato.

Kāore koe e tika kia whiwhi i tēnei rongoā mēnā he nui, kāore i te whakahaerehia te mate huka, mēnā rānei kāore e taea e ō tākihi te tukatuka tika i ngā wāhanga pūmua. Ka hiahia pea ngā tāngata whai raruraru pākia ētahi atu huarahi tautoko kai.

He maha ngā āhuatanga hauora e hiahia ana kia āta whakaarohia i mua i te tīmatanga o tēnei maimoatanga:

• Te mate pūkahukahu nui, te kore rānei o te pūkahukahu
• Te mate huka kāore i te whakahaeretia me ngā taumata huka toto tino tiketike
• Te mate ate nui e pā ana ki te tukatuka pūmua
• Ētahi mate ira e pā ana ki te whakawhitiwhiti waikawa amino
• Ngā mate kaha, kāore i te whakahaeretia
• Te ngoikore o te ngākau nui me ngā here wai

Ka whakaaro hoki tō rōpū hauora ki tō matapae whānui me ngā whāinga kounga o te oranga i te wā e whakatau ana mēnā e tika ana tēnei tautoko kai kaha mō tō āhuatanga.

Ngā Waikawa Amino i roto i ngā Ingoa Waitohu Dextrose

E wātea ana tēnei otinga kai IV i raro i ētahi ingoa waitohu, ahakoa te hua motuhake e whiriwhiria ana e tō rōpū hauora e whakawhirinaki ana ki ō hiahia kai takitahi me te āhuatanga hauora.

Ngā ingoa waitohu noa ko Clinimix, Kabiven, me ngā otinga i tito i te hōhipera. Ka whakarite ētahi whare i ngā ranunga whakarite i roto i tā rātou whare rongoā hei whakatutuki i ngā whakaritenga motuhake o te tūroro.

Ko te waitohu, te momo rānei o te otinga ka riro i a koe he iti iho te mea nui i te whakarite kia tutuki i ō hiahia kai motuhake. Ka whiriwhiria e tō rōpū hauora te hanganga tino tika i runga i tō āhuatanga hauora me ngā whakaritenga kai.

Ngā Kōwhiringa kē o ngā Waikawa Amino i roto i te Dextrose

He maha ngā kōwhiringa kē mō ngā tūroro kāore e taea te whiwhi waikawa amino paerewa i roto i ngā otinga dextrose. Ka tūhura tō rōpū hauora i ēnei kōwhiringa mēnā kāore te hanganga paerewa e tika ana mō tō āhuatanga.

Ko te kai enteral mā ngā ngongo whāngai he kōwhiringa kē i te wā e taea ana e tō pūnaha kūnatu te mahi wāhanga. E whakamahi ana tēnei huarahi i ō tukanga kūnatu tūturu i te wā e karo ana i te hiahia ki te kai mā te waha.

Ētahi atu hanganga kai IV ka pai ake mō ō hiahia motuhake. Kei roto i ēnei ngā otinga motuhake mō ngā tūroro e mate pūkahukahu ana, ngā raruraru ate, ngā āhuatanga whakawhitiwhiti motuhake rānei e hiahia ana i te pūmua rānei, te huka rānei kua whakarerekētia.

Mō ētahi tūroro, ko te kai ā-waha wāhanga me te iti o te kai ā-waha te huarahi pai rawa atu. E tautoko ana tēnei tikanga whakauru i ō hiahia kai i te wā e whakatairanga ana i tō pūnaha kūnatu kia mau tonu ētahi mahi.

He Pai Anei te Waikawa Amino i roto i te Dextrose i te Wai IV Auau?

Ko te waikawa amino i roto i te dextrose e whakarato ana i te kai whānui, i te wā e pupuri ana te wai IV auau i te wai me te taurite hiko. He rerekē ngā kaupapa o ēnei, ā, kāore i te rite ngā maimoatanga.

Ko ngā wai IV auau pēnei i te tote noa, i te otinga Ringer's lactated rānei, e āwhina ana ki te pupuri i te taurite wai o tō tinana me te whakarato i ētahi hiko. Heoi, kāore i roto i a rātou te pūmua, te kārore, me ngā matūkai whānui e hiahiatia ana e tō tinana mō te whakaora me te tiaki.

Mēnā e hiahia ana koe i te tautoko IV wā-poto mō te whakamakuku, he nui te wai IV auau, ā, he māmā ake te whakahaere. Ka whai mana te waikawa amino i roto i te dextrose ina hiahia koe i te tautoko kai katoa mō ngā wā roa.

Ka whiriwhiria e tō rōpū hauora te otinga IV e tika ana i runga i ō hiahia rongoā motuhake, te wā e tūmanakohia ana o te maimoatanga, me te āhua o te hauora whānui. I ētahi wā ka whiwhi koe i ngā momo tautoko IV e rua i te wā kotahi.

Ngā Pātai Auau mō te Waikawa Amino i roto i te Dextrose

He Haumaru Anei te Waikawa Amino i roto i te Dextrose mō te Tāngata e mate huka ana?

Ka taea e te tāngata e mate huka ana te whiwhi waikawa amino i roto i te dextrose, engari me tino āta tirotiro i ō rātou taumata huka toto. Ka taea e te wāhanga dextrose te whakanui i te kūhuka toto, nō reira me whakatika pea ō rongoā mate huka i te wā o te maimoatanga.

Ka tirohia e tō rōpū hauora tō huka toto i ngā wā katoa, ā, ka whakatika i tō insulin, i ētahi atu rongoā mate huka rānei, i te mea e tika ana. Ka taea hoki e rātou te whakarereke i te kukume dextrose i roto i tō otinga IV kia pai ake te rite ki te kaha o tō tinana ki te tukatuka huka.

Mā te aroturuki tika me te whakatikatika rongoā, ka taea e te nuinga o te hunga mate huka te whiwhi i tēnei tautoko kai i te wā e tika ana i te rongoā. Ka whakatauritehia e tō rōpū hauora ngā painga ki ngā tūponotanga mō tō āhuatanga motuhake.

Me pēhea taku mahi mēnā ka pā mai ngā pānga taha nui?

Whakapā atu ki tō rōpū hauora tonu mēnā ka pā mai ngā pānga taha nui pēnei i te uaua ki te hā, te mamae o te uma, te pūhi nui, ngā tohu rānei o te mate kino i te wāhi IV. E hiahia ana ēnei tohumate ki te aro rongoā tere.

I te mea kei te whiwhi koe i tēnei maimoatanga i roto i te whare rongoā, kei te wātea tonu ngā tāngata whai mātauranga ki te whakatika i ngā raruraru i te tere. Kaua e whakaroa ki te whakamōhio i ō nēhi, i ō tākuta rānei mō ngā tohumate e pā ana, ahakoa he iti noa iho te āhua.

He pai ake te aromātai a tō rōpū hauora i ngā āwangawanga kōtahi i te ngaro i ngā tohu whakatūpato nui. He nui tō rātou wheako ki te mōhio me te rongoā i ngā raruraru e pā ana ki te tautoko kai IV.

Ka taea e au te kai i te kai auau i te wā e whiwhi ana i tēnei kai IV?

E whakawhirinaki ana te āhei ki te kai i te kai auau ki tō āhuatanga hauora me ngā tohutohu a tō tākuta. Me karo ētahi tūroro ki te kai mā te waha kia okioki ai tō rātou pūnaha kūnatu me te whakaora.

Ka hoatu e tō rōpū hauora ki a koe ngā tohutohu motuhake mō te kai me te inu i te wā o tō maimoatanga. Ka āta whakaurua pea e rātou ngā kai i te wā e pai ake ana tō āhuatanga me te rite o tō pūnaha kūnatu ki te whakahaere i te kai auau.

He mea nui te whai i ngā aratohu a tō rōpū hauora mō te kai mō tō whakaora. Ka aroturukihia e rātou tō ahunga whakamua me te whakatika i tō kai IV me te mahere kai i te wā e huri ana tō āhuatanga.

Me pēhea taku mōhio ka mutu taku maimoatanga?

Ka aromātaihia e tō rōpū hauora tō āhei ki te kai me te kūnatu i te kai i te tikanga i mua i te whakaaro ki te whakamutu i te kai IV. Ka arotakehia e rātou tō mahi kūnatu, tō tūnga kai, me te ahunga whakamua o te whakaora whānui.

Ko te whakawhiti atu i te kai totika IV ka puta haere, ka whakaheke haere te rōpū hauora i te tautoko IV i te wa e whakanui ana i te kai totika. Mā tēnei ka tutuki tonu ō hiahia kai i te wā o te huringa.

Ka whakamahi ō tākuta i ngā tohu rerekē pēnei i tō kaha ki te aro ki te kai, ki te pupuri i tō taumaha, me tō whakapai ake i te rongoā hei ārahi i tēnei whakatau. Ka whakamōhio rātou i a koe mō te wā me ngā tūmanako mō te hoki ki te kai totika.

He Pānga Wā-roa Ānei i te Whakamahi Roa?

Ko te whakamahi roa i te kai totika IV i ētahi wā ka puta he raruraru pēnei i te huringa o te mahi ate, ngā raruraru o te kiato wheua, te piki rānei o te tūponotanga o te mate. Heoi, ka aroturuki tō rōpū hauora i ēnei tūponotanga mā ngā whakamātautau toto me ngā aromatawai rongoā.

Ko ngā painga o te pupuri i te kai totika e nui ake ana i ēnei tūponotanga, ina koa kāore e taea e koe te kai noa. Ka mahi tō rōpū hauora ki te whakaiti i ngā tūponotanga i te wā e whakarite ana kia whiwhi koe i te kai e hiahiatia ana e tō tinana mō te whakaora.

Mēnā ka hiahiatia te kai totika IV wā-roa, ka tūtohu pea tō rōpū hauora i ētahi atu tāpiringa, rongoā rānei hei ārai i ngā raruraru. Ka tūhura hoki rātou i ngā whai wāhitanga katoa ki te whakawhiti i a koe ki te kai totika i te wā e tika ana i te rongoā.