Ziyini Ama-Amino Acids ku-Dextrose (Indlela Yemithambo): Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

Ama-amino acids ku-dextrose yisixazululo esikhethekile sokudla okunomsoco ngemithambo esihlanganisa izakhi eziyisisekelo zamaprotheni noshukela. Lesi sixazululo sezokwelapha sinikeza ukwesekwa okuphelele kokudla okunomsoco uma ungenakudla noma ukugaya ukudla ngokujwayelekile ngesisu sakho namathumbu.

Abahlinzeki bezempilo basebenzisa lesi sixazululo se-IV ezibhedlela lapho iziguli zidinga ukudla okunomsoco okuphelele okulethwa ngqo emjondolo wazo wegazi. Kuyingxube eqapheleke kahle esekela izinqubo zomzimba wakho zokuphulukisa nokulondoloza ngesikhathi lapho ukudla okuvamile kungenzeki.

Ziyini Ama-Amino Acids ku-Dextrose?

Ama-amino acids ku-dextrose yisixazululo esiwuketshezi esingenazo izinto ezingcolile esiqukethe izingxenye zamaprotheni (ama-amino acids) exutshwe noshukela we-glucose. Le nhlanganisela inikeza zombili izakhi zomzimba wakho ozidingayo ukuze ulondoloze imisipha nezicubu, kanye namandla adingekayo emisebenzini eyisisekelo yomzimba.

Isixazululo siza ngezinhlobo ezahlukene zokugxilisa kanye nokwakheka, kuye ngezidingo zakho ezithile zokudla okunomsoco. Ithimba lakho lezempilo lizothola ingxube eqondile ngokusekelwe esimweni sakho sezokwelapha, isisindo, kanye nezidingo zokudla okunomsoco.

Lolu hlobo lokwesekwa kokudla okunomsoco lubizwa ngokuthi ukudla okunomsoco okuphelele ngemithambo (TPN) noma ukudla okunomsoco okuyingxenye ngemithambo (PPN). Kudlula ngqo uhlelo lwakho lokugaya ukudla, liletha izakhamzimba ngqo ngemithambo yakho lapho isisu sakho noma amathumbu akwazi ukucubungula ukudla ngempumelelo.

Zisetshenziselwani Ama-Amino Acids ku-Dextrose?

Lesi sixazululo sokudla okunomsoco se-IV sisiza iziguli ezingakwazi ukuthola ukudla okunomsoco okwanele ngokudla noma ukondliwa ngepayipi. Ngokuvamile isetshenziswa lapho uhlelo lwakho lokugaya ukudla ludinga ukuphumula noma lungakwazi ukumunca izakhamzimba kahle.

Abahlinzeki bezempilo bavame ukuncoma lokhu kwelashwa ngezimo eziningana zezokwelapha ezenza ukudla okuvamile kube nzima noma kungenzeki:

• Isifo samathumbu esivuvukalayo esibi ngesikhathi sokusha
• Ukwelashwa okukhulu kokuhlinzwa lapho uhlelo lwakho lokugaya ukudla ludinga isikhathi sokuphola
• Ukugula okubucayi lapho izidingo zomzimba wakho zokudla okunomsoco ziphezulu kakhulu
• Ukungondleki okukhulu okudinga ukwesekwa okunomsoco okukhulu
• Ukungakwazi ukudla isikhathi eside ngenxa yokwelashwa kwezokwelapha
• Ezinye izifo zokugaya ukudla ezivimbela ukumuncwa kwezakhamzimba

Ithimba lakho lezokwelapha lizohlola ngokucophelela ukuthi lolu hlobo lokwesekwa kokudla okunomsoco lilungile yini esimweni sakho esithile. Bazocabangela impilo yakho yonke, ubude bokwelashwa obulindelekile, nezinye izinto zezokwelapha.

Isebenza Kanjani Ama-Amino Acids ku-Dextrose?

Le ndlela yokwelapha nge-IV isebenza ngokuletha izakhamzimba ezibalulekile ngqo emgudwini wakho wegazi, idlula ngokuphelele uhlelo lwakho lokugaya ukudla. Ama-amino acids ahlinzeka ngezakhiwo zamaprotheni umzimba wakho ozidingayo ukuze ugcine izicubu zemisipha futhi usekele izinqubo zokuphulukisa.

Ingxenye ye-dextrose isebenza njengomthombo wamandla osheshayo wamaseli akho, njengoba ukudla kunikeza amandla ngemva kokugaya ukudla. Umzimba wakho ungasebenzisa le glucose ngokushesha ukuze unike amandla izitho ezibalulekile njengobuchopho bakho, inhliziyo, nezinso.

Lokhu kuthathwa njengokungenelela okunomsoco okuqinile nokubanzi. Kungahlangabezana nezidingo zakho eziningi noma zonke zokudla okunomsoco kwansuku zonke uma kufanele kulungiswe futhi kuqashwe ochwepheshe bezempilo.

Isixazululo ngokuvamile sihlanganisa amavithamini engeziwe, amaminerali, nama-electrolyte ukuze kwakhiwe iphakheji yokudla okunomsoco ephelele. Ithimba lakho lezokwelapha liqapha amazinga egazi lakho njalo ukuze liqinisekise ukuthi ingxube ihlangabezana nezidingo zomzimba wakho ezishintshayo.

Kufanele Ngithathe Kanjani Ama-Amino Acids ku-Dextrose?

Lo muthi unikezwa kuphela nge-intravenously ochwepheshe bezempilo abaqeqeshiwe esibhedlela noma endaweni yezokwelapha. Awukwazi ukuthatha lo muthi ngomlomo, futhi udinga ukugadwa kwezokwelapha ngokucophelela ngesikhathi sokwelashwa.

Umgqa we-IV uvame ukubekwa emthanjeni omkhulu, ngokuvamile esifubeni sakho noma engalweni, kuye ngokuthi uzodinga isikhathi esingakanani ukwelashwa. I-catheter ye-venous ephakathi ingasetshenziswa ekusekeleni ukudla isikhathi eside ukuvikela imithambo yakho emincane.

Ithimba lakho lezempilo lizoqala ukufaka kancane futhi liqaphe impendulo yomzimba wakho ngokucophelela. Izinga lokuphathwa lincike esimweni sakho sezokwelapha, izidingo zokudla okunempilo, nokuthi umzimba wakho ukubekezelela kanjani ikhambi.

Akudingeki ukuthi udle noma uphuze noma yini ekhethekile ngaphambi kokuthola lokhu kwelashwa. Eqinisweni, ungaqondiswa ukuthi ugweme ukudla ngomlomo ngenkathi uthola lokhu kudla kwe-IV ukunika uhlelo lwakho lokugaya isikhathi sokuphumula nokuphola.

Kufanele Ngithathe Isikhathi Esingakanani Ama-Amino Acids ku-Dextrose?

Ubude bokwelashwa buhlukahluka kakhulu ngokuya ngesimo sakho sezokwelapha nokuqhubeka kokululama. Ezinye iziguli zingase zidinge lokhu kusekelwa kokudla okunempilo izinsuku ezimbalwa nje, kanti ezinye zingase zidinge amasonto noma izinyanga zokwelashwa.

Ithimba lakho lezempilo lizohlola njalo isimo sakho ukuze linqume ukuthi ungasuka nini ngokuphepha ubuyele ekudleni ukudla okuvamile. Bazoqapha ikhono lakho lokugaya nokumunca izakhamzimba ngohlelo lwakho lokugaya.

Ushintsho olusuka ekudleni kwe-IV ngokuvamile lwenzeka kancane kancane. Ithimba lakho lezokwelapha lingase liqale ngokwethula amanani amancane oketshezi olucacile noma ukudla okulula ukugayeka ngenkathi kunciphisa kancane ukusekelwa kokudla kwe-IV.

Odokotela bakho abasoze bayeke lokhu kwelashwa ngokuzumayo, njengoba umzimba wakho udinga isikhathi sokuzivumelanisa nemithombo ehlukene yokudla okunempilo. Inqubo yokuyeka iqinisekisa ukuthi izidingo zakho zokudla okunempilo ziyaqhubeka nokuhlangatshezwa ngesikhathi sokushintsha.

Yiziphi Imiphumela Eceleni Yama-Amino Acids ku-Dextrose?

Iziguli eziningi zikubekezelela kahle lokhu kudla kwe-IV, kodwa njenganoma yikuphi ukwelashwa kwezokwelapha, kungabangela imiphumela emibi. Ithimba lakho lezempilo likuqapha eduze ukuze libambe futhi libhekane nanoma yiziphi izinkinga ekuqaleni.

Imiphumela ejwayelekile ongase uhlangabezane nayo ihlanganisa ukungakhululeki okuncane endaweni ye-IV kanye nezinguquko zesikhashana emazingeni kashukela wegazi lakho. Lezi zivame ukulawuleka ngokuqapha okufanele nokulungiswa kokwelashwa kwakho:

• Ububomvu noma ukuzwela ngase site sokufaka i-IV
• Ukuguquguquka kukashukela wegazi okwesikhashana
• Isicanucanu esincane noma ukungakhululeki kwesisu
• Ushintsho ezinqubweni zokuchama
• Ushintsho lokunambitheka okwesikhashana
• Ikhanda elincane njengoba umzimba wakho uzivumela

Imiphumela engavamile kodwa ebucayi idinga ukunakekelwa kwezempilo ngokushesha. Lezi zinkinga azivamile kodwa zingabandakanya ukutheleleka endaweni ye-IV, ukusabela okukhulu komzimba, noma ukungalingani okukhulu kwe-metabolic.

Ezinye iziguli zingase zibe nezinkinga ezingavamile njengoshintsho lomsebenzi wesibindi ngokusebenzisa isikhathi eside, ukungalingani kwe-electrolyte, noma amahlule egazi ahlobene ne-catheter. Ithimba lakho lezokwelapha liqapha lezi zinto ezingenzeka ngokuhlolwa kwegazi okuvamile nokuqapha komtholampilo.

Abahlinzeki bakho bezempilo bazoxoxa ngazo zonke izingozi ezingaba khona nezinzuzo nawe ngaphambi kokuqala ukwelashwa. Bazochaza ukuthi yiziphi izimpawu okufanele uziqaphele futhi baqinisekise ukuthi uyaqonda ukuthi kufanele ufune nini ukunakekelwa kwezempilo ngokushesha.

Ubani Ongafanele Athole Ama-Amino Acids ku-Dextrose?

Lokhu kudla okunomsoco kwe-IV akulungelwe wonke umuntu, futhi ithimba lakho lezempilo lizohlola ngokucophelela umlando wakho wezokwelapha ngaphambi kokuncoma ukwelashwa. Izimo ezithile zenza lokhu kwelashwa kungafaneleki noma zidinga izinyathelo zokuphepha ezikhethekile.

Akufanele uthole lo muthi uma unesifo sikashukela esingalawuleki esibi noma uma izinso zakho zingakwazi ukucubungula kahle izingxenye zamaprotheni. Abantu abanezifo ezithile ze-metabolic bangase badinge izindlela zokusekela ukudla okunomsoco.

Izimo eziningi zezokwelapha zidinga ukucatshangelwa ngokucophelela ngaphambi kokuqala lokhu kwelashwa:

• Isifo esibi sezinso noma ukuhluleka kwezinso
• Isifo sikashukela esingalawuleki esinamazinga kashukela aphezulu kakhulu egazini
• Isifo esibi sesibindi esithinta ukucutshungulwa kwamaprotheni
• Ezinye izifo zemvelo ezithinta ukusebenza kwama-amino acid
• Izifo ezisebenzayo, ezingalawuleki
• Ukuhluleka kwenhliziyo okukhulu nokuvinjelwa kwamanzi

Iqembu lakho lezokwelapha lizobuye licabange ngokuqagela kwakho konke kanye nemigomo yekhwalithi yempilo lapho linquma ukuthi lo mthamo omkhulu wokusekela ukudla okunomsoco ulungele isimo sakho.

Ama-Amino Acids Emagameni Omkhiqizo we-Dextrose

Le ndlela yokudla okunomsoco ye-IV iyatholakala ngaphansi kwamagama amaningi omkhiqizo, nakuba umkhiqizo othile iqembu lakho lezokunakekelwa kwezempilo elikhethayo lincike ezidingweni zakho zomuntu ngamunye zokudla okunomsoco kanye nesimo sezokwelapha.

Amagama ajwayelekile omkhiqizo afaka i-Clinimix, i-Kabiven, nezixazululo ezihlukahlukene ezihlanganiswe esibhedlela. Ezinye izindawo zilungisa izingxube ezenziwe ngendlela ekhethekile ekhemisi labo ukuze zihlangabezane nezidingo ezithile zesiguli.

Umkhiqizo noma uhlobo lwesixazululo ositholayo lubaluleke kancane kunokuqinisekisa ukuthi luhlangabezana nezidingo zakho ezithile zokudla okunomsoco. Ithimba lakho lezokunakekelwa kwezempilo lizokhetha ukwakheka okufanele kakhulu ngokusekelwe esimweni sakho sezokwelapha kanye nezidingo zokudla okunomsoco.

Ezinye Izindlela Zama-Amino Acids ku-Dextrose

Kunezindlela eziningana ezingenye zeziguli ezingakwazi ukuthola ama-amino acid ajwayelekile ezixazululweni ze-dextrose. Ithimba lakho lezokunakekelwa kwezempilo lizohlola lezi zinketho uma ukwakheka okujwayelekile kungalungelwe isimo sakho.

Ukudla okunomsoco nge-enteral ngamashubhu okuphakela kunikeza enye indlela lapho uhlelo lwakho lokugaya ukudla lungasebenza ngokwengxenye. Le ndlela isebenzisa izinqubo zakho zemvelo zokugaya ukudla ngenkathi idlula isidingo sokudla ngomlomo.

Ezinye izindlela zokudla okunomsoco ze-IV zingase zisebenze kangcono ezidingweni zakho ezithile. Lokhu kufaka phakathi izixazululo ezikhethekile zeziguli ezinokugula kwezinso, izinkinga zesibindi, noma izimo ezithile ze-metabolic ezidinga amaprotheni aguquliwe noma okuqukethwe ushukela.

Kwabanye iziguli, ukudla okuyingxenye ye-parenteral okuhlanganiswe namanani amancane okudla nge-enteral kunikeza indlela engcono kakhulu. Le ndlela exubile isekela izidingo zakho zokudla okunomsoco ngenkathi ikhuthaza uhlelo lwakho lokugaya ukudla ukuthi lugcine umsebenzi othile.

Ingabe ama-Amino Acids ku-Dextrose angcono kune-IV Fluids ejwayelekile?

Ama-amino acids ku-dextrose anikeza ukudla okunomsoco okuphelele, kuyilapho ama-IV fluids ajwayelekile ngokuyinhloko egcina ukugcwala kwamanzi kanye nokulinganisela kwe-electrolyte. Lezi zisebenzela izinjongo ezihlukene futhi azihambisani ngqo nokwelashwa.

Ama-IV fluids ajwayelekile njenge-normal saline noma i-lactated Ringer's solution asiza ukugcina ukulinganisela kwamanzi emzimbeni wakho futhi anikeze ama-electrolyte athile. Kodwa-ke, awaqukethe amaprotheni, amakhalori, kanye nezakhamzimba eziphelele umzimba wakho ozidingayo ukuze ululame nokugcinwa.

Uma udinga kuphela ukusekelwa kwe-IV yesikhathi esifushane sokugcwala kwamanzi, ama-IV fluids ajwayelekile ngokuvamile aneza futhi kulula kakhulu ukuphatha. Ama-amino acids ku-dextrose aba ngadingekayo uma udinga ukusekelwa okuphelele kokudla okunomsoco isikhathi eside.

Ithimba lakho lezempilo lizokhetha isixazululo se-IV esifanele kakhulu esekelwe ezidingweni zakho ezithile zezokwelapha, ubude bokwelashwa obulindelekile, kanye nesimo sempilo esiphelele. Ngezikhathi ezithile ungase uthole zombili izinhlobo zokusekelwa kwe-IV ngasikhathi sinye.

Imibuzo Evame Ukubuzwa Mayelana Nama-Amino Acids ku-Dextrose

Ingabe ama-Amino Acids ku-Dextrose aphephile kubantu abanesifo sikashukela?

Abantu abanesifo sikashukela bangathola ama-amino acids ku-dextrose, kodwa badinga ukuqapha ngokucophelela amazinga kashukela egazini labo. Ingxenye ye-dextrose ingakhuphula i-glucose yegazi, ngakho imithi yakho yesifo sikashukela ingase idinge ukulungiswa ngesikhathi sokwelashwa.

Ithimba lakho lezempilo lizohlola ushukela wakho wegazi njalo futhi lilungise i-insulin yakho noma eminye imithi yesifo sikashukela njengoba kudingeka. Bangase futhi bashintshe ukugxila kwe-dextrose kusixazululo sakho se-IV ukuze sihambisane kangcono nekhono lomzimba wakho lokucubungula ushukela.

Ngokuqapha okufanele nokulungiswa kwemithi, abantu abaningi abanesifo sikashukela bangathola ngempumelelo lo mthombo wokudla uma kudingeka ngokwelashwa. Ithimba lakho lezokwelapha lizohlola izinzuzo ngokumelene nezingozi zesimo sakho esithile.

Kufanele Ngenzeni Uma Ngithola Imiphumela Emibi Engathi Sína?

Xhumana nethimba lakho lezempilo ngokushesha uma uhlangabezana nemiphumela emibi engathi sína njengobunzima bokuphefumula, ubuhlungu besifuba, ukuvuvukala okukhulu, noma izimpawu zokutheleleka okukhulu endaweni ye-IV. Lezi zimpawu zidinga ukunakekelwa kwezokwelapha ngokushesha.

Njengoba uthola lokhu kwelashwa endaweni yezokwelapha, ochwepheshe abaqeqeshiwe bahlala bekhona ukuze babhekane nezinkinga ngokushesha. Unganqikazi ukwazisa abahlengikazi bakho noma odokotela mayelana nanoma yiziphi izimpawu ezikhathazayo, ngisho noma zibonakala zincane.

Ithimba lakho lezokwelapha lingathanda ukuhlola izinkathazo ezingadingekile kunokuthi liphuthelwe izimpawu ezibalulekile zokuxwayisa. Banolwazi ekuboneni nasekwelapheni izinkinga ezihlobene nokusekelwa kokudla kwe-IV.

Ngingakwazi Ukudla Ukudla Okujwayelekile Ngenkathi Ngithola Lokhu Kudla Nge-IV?

Ukuthi ungakwazi yini ukudla ukudla okuvamile kuncike esimweni sakho sezokwelapha kanye nezincomo zikadokotela wakho. Ezinye iziguli zidinga ukugwema ukudla ngomlomo ukuvumela uhlelo lwazo lokugaya ukudla ukuphumula nokuphola.

Ithimba lakho lezempilo lizokunikeza imiyalelo ethile mayelana nokudla nokusela ngesikhathi sokwelashwa kwakho. Bangase bafake ukudla kancane kancane njengoba isimo sakho sithuthuka futhi uhlelo lwakho lokugaya ukudla selulungele ukusingatha ukudla okuvamile.

Ukulandela isiqondiso sethimba lakho lezokwelapha mayelana nokudla kubalulekile ekululameni kwakho. Bazogada inqubekela phambili yakho futhi balungise kokubili ukudla kwakho kwe-IV nohlelo lokudla njengoba isimo sakho sishintsha.

Ngizokwazi Kanjani Ukuthi Ngingayeka Nini Lolu Kwelashwa?

Ithimba lakho lezempilo lizohlola njalo ikhono lakho lokudla nokugaya ukudla ngokujwayelekile ngaphambi kokucabangela ukuyeka ukudla kwe-IV. Bazohlola ukusebenza kwakho kokugaya ukudla, isimo sokudla okunomsoco, kanye nokuqhubeka kokululama konke.

Ushintsho olusuka ekudleni nge-IV ngokuvamile lwenzeka kancane kancane, nethimba lakho lezokwelapha linciphisa kancane ukusekelwa kwe-IV ngenkathi likhuphula ukudla kwakho okuvamile. Lokhu kuqinisekisa ukuthi izidingo zakho zokudla ziyaqhubeka nokuhlangatshezwa ngesikhathi soshintsho.

Odokotela bakho bazosebenzisa izinkomba ezihlukahlukene njengokukwazi kwakho ukubekezelela ukudla, ukugcina isisindo sakho, kanye nokuthuthuka kwakho konke komtholampilo ukuze baqondise lesi sinqumo. Bazokugcina unolwazi mayelana nesikhathi kanye nokulindela kokubuyela ekudleni okuvamile.

Ingabe Zikhona Izingozi Zesikhathi Eside Ngokusebenzisa Isikhathi Eside?

Ukusetshenziswa isikhathi eside kokudla nge-IV ngezinye izikhathi kungaholela ezinkingeni ezinjengokushintsha komsebenzi wesibindi, izinkinga zokuqina kwamathambo, noma ukwanda kwengozi yokutheleleka. Kodwa-ke, ithimba lakho lezempilo liqapha lezi zinto ezingenzeka ngokuhlolwa kwegazi okuvamile kanye nokuhlolwa komtholampilo.

Izinzuzo zokugcina ukudla okunempilo ngokuvamile zidlula lezi zingozi ezingaba khona, ikakhulu uma ungenakudla ngokujwayelekile. Ithimba lakho lezokwelapha lizosebenza ukunciphisa izingozi ngenkathi liqinisekisa ukuthi uthola ukudla okudingwa umzimba wakho ukuze uphole.

Uma ukudla nge-IV kwesikhathi eside kuba ngesidingo, ithimba lakho lezempilo lingase lincomende izithasiselo ezengeziwe noma imithi ukuze kuvinjelwe izinkinga. Bazophinde bahlole wonke amathuba okukushintsha ubuyele ekudleni okuvamile ngokushesha nje lapho kufaneleka ngokwezokwelapha.