Yini i-Fat Emulsion Intravenous Route: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Fat emulsion intravenous route iyisondlo esikhethekile esinamanzi esinikezwa ngqo emgudwini wakho wegazi ngomugqa we-IV. Le ndlela enokhilimu, efana nobisi inikeza amafutha abalulekile namakhalori lapho umzimba wakho ungenakuthola ukudla okufanele ngokudla noma lapho uhlelo lwakho lokugaya ukudla ludinga ukuphumula okuphelele.

Abahlinzeki bezempilo basebenzisa lokhu kwelashwa ezibhedlela nasezindaweni zokwelapha njengengxenye yesondlo esiphelele se-parenteral (TPN) noma njengokwelashwa okuzimele kwezimo ezithile zezokwelapha. Cabanga ngayo njengendlela yokuletha izakhamzimba ezibalulekile ngqo emangqamuzaneni akho lapho indlela ejwayelekile esiswini sakho nasemathunjini ingasebenzi kahle.

Yini i-Fat Emulsion Esetshenziselwa Yona?

I-Fat emulsion isebenza njengomthombo obalulekile wamakhalori nama-fatty acids abalulekile lapho umzimba wakho ungenakukwazi ukucubungula ukudla ngendlela ejwayelekile. Ithimba lakho lezempilo lizokuncoma lokhu kwelashwa lapho uhlelo lwakho lokugaya ukudla ludinga ukuphumula okuphelele noma lapho ungenakukwazi ukumunca izakhamzimba kahle emathunjini akho.

Isizathu esivame kakhulu sokuthi odokotela banikeze i-fat emulsion njengengxenye yesondlo esiphelele se-parenteral kubantu abangakwazi ukudla isikhathi eside. Lokhu kungenzeka ngemva kokuhlinzwa okukhulu, ngesikhathi sokugula okukhulu, noma lapho umgudu wakho wokugaya ukudla ululama ekulimaleni noma esifweni.

Ngezinye izikhathi, i-fat emulsion isetshenziswa njenge-antidote ethile yezinhlobo ezithile zobuthi, ikakhulukazi ezivela kuma-anesthetics endawo afana ne-lidocaine noma i-bupivacaine. Kulezi zimo eziphuthumayo, amafutha asiza ukubopha ezintweni ezinobuthi futhi azisuse ohlelweni lwakho.

Isebenza Kanjani I-Fat Emulsion?

I-Fat emulsion isebenza ngokunikeza umzimba wakho ama-fatty acids abalulekile namakhalori agxilile ngqo emgudwini wakho wegazi. Lokhu kudlula uhlelo lwakho lokugaya ukudla ngokuphelele, okuvumela amangqamuzana akho ukuthi athole izakhamzimba ezibalulekile ngisho nalapho isisu sakho namathumbu kungasebenzi kahle.

I-emulsion iqukethe izinhlayiyana ezincane zamafutha ezixhunywe emanzini, okufana nendlela ubisi olubukeka ngayo lukhilimu. Lezi zinhlayiyana zincane ngokwanele ukuthi zihambe ngokuphepha emithanjeni yakho yegazi futhi zimuncwe ngamaseli akho ukuze zithole amandla nemisebenzi ebalulekile.

Uma isetshenziswa njenge-antidote yobuthi bezidakamizwa, i-fat emulsion idala umphumela we- "lipid sink". Ama-molecule amafutha adonsa futhi abophele ezintweni ezinobuthi ezithile, esiza ukuzikhipha enhliziyweni yakho nakwezinye izitho ezibalulekile lapho zingase zilimaze khona.

Kufanele Ngiyithole Kanjani I-Fat Emulsion?

I-fat emulsion inikezwa njalo ochwepheshe bezempilo abaqeqeshiwe ngomugqa okhethekile we-IV, ngokuvamile esibhedlela noma endaweni yezokwelapha. Awukwazi ukuthatha lo muthi ngomlomo, futhi udinga ukuqapha ngokucophelela ngesikhathi senqubo yokufaka.

Umgqa we-IV uvame ukufakwa emthanjeni omkhulu, ngokuvamile engalweni yakho noma esifubeni, kuye ngokuthi uzodinga isikhathi esingakanani ukwelashwa. Umhlengikazi wakho uzoqala ukufaka kancane kancane futhi andise izinga kancane kancane njengoba umzimba wakho ujwayela ukuthola i-fat emulsion.

Ngesikhathi sokufaka, uzoqashwa nganoma yiziphi izimpawu zokuphendula noma izinkinga. Le nqubo ivame ukuthatha amahora amaningana, futhi ungase uthole imithamo eminingi ezinsukwini ezimbalwa noma emasontweni, kuye ngesimo sakho sezokwelapha nezidingo zokudla okunempilo.

Kufanele Ngiyithole Isikhathi Esingakanani I-Fat Emulsion?

Ubude bokwelashwa nge-fat emulsion buqondene ngokuphelele nesimo sakho sezokwelapha nezidingo zokudla okunempilo. Ezinye iziguli zingase zidinge kuphela izinsuku ezimbalwa, kanti ezinye zingase zidinge amasonto noma izinyanga zokwelashwa.

Uma uthola i-fat emulsion njengengxenye yokudla okunomsoco okuphelele, ukwelashwa kuvame ukuqhubeka kuze kube yilapho uhlelo lwakho lokugaya ukudla lungakwazi ukuphatha ukudla okuvamile futhi. Lokhu kungase kube ngemva kokululama kokuhlinzwa, lapho isifo siphela, noma lapho udokotela wakho enquma ukuthi amathumbu akho alungele ukucubungula izakhamzimba ngokujwayelekile.

Kubantu abathola i-fat emulsion njenge-antidote yokubulala ubuthi, ukwelashwa kuvame ukuba kufushane kakhulu, ngokuvamile umthamo owodwa nje noma imithamo embalwa emahoreni ambalwa. Ithimba lakho lezempilo lizobheka ukuthi usabela kanjani futhi lilungise uhlelo lokwelapha ngokufanele.

Yiziphi Izimo Ezingezinhle ze-Fat Emulsion?

Iziguli eziningi zikuthola kahle i-fat emulsion, kodwa njenganoma yikuphi ukwelashwa kwezokwelapha, kungabangela imiphumela engemihle. Ukuqonda ukuthi okulindelekile kungakusiza ukuthi uzizwe ulungiselelwe kangcono futhi wazi ukuthi nini okufanele uxwayise ithimba lakho lezempilo.

Imiphumela engemihle evamile abantu abaningi abayitholayo ihlanganisa isicanucanu esincane, ikhanda elibuhlungu, noma umuzwa wokugcwala ngisho noma ungadlanga. Ungase futhi uqaphele ukukhanya okuthile noma ukufudumala ebusweni bakho nasesifubeni, okuvame ukulungiswa njengoba umzimba wakho ujwayela ukwelashwa.

Nawa amanye imiphumela engemihle ongase uyithole:

• Isicanucanu esincane noma ukuqaqamba kwesisu
• Ikhanda elibuhlungu noma isiyezi
• Ukukhanya noma ukuzwa ukufudumala
• Ushintsho oluncane ekunambitheni
• Ukukhathala noma ukozela
• Ukuvuvukala okuncane endaweni ye-IV

Lezi zimpawu zivame ukuba zesikhashana futhi ziyathuthuka njengoba umzimba wakho ujwayela ukwelashwa. Ithimba lakho lezempilo lizokubheka eduze futhi lingalungisa izinga lokufakwa uma kudingeka.

Imiphumela engemihle engathi sína ayivamile kodwa idinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu kungabandakanya ukusabela okukhulu komzimba, ubunzima bokuphefumula, noma izinguquko ezinkulu ekushayeni kwenhliziyo yakho noma umfutho wegazi.

Imiphumela engemihle engavamile kodwa engathi sína edinga ukunakekelwa ngokushesha ihlanganisa:

• Ukusabela okukhulu komzimba okunezinduna, ukuvuvukala, noma ubunzima bokuphefumula
• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile
• Isicanucanu esikhulu nokuhlanza
• Izimpawu zokutheleleka endaweni ye-IV
• Ukuphuma kwegazi okungajwayelekile noma ukulimala
• Ikhanda elibuhlungu elikhulu noma ukudideka

Iqembu lakho lezempilo liqeqeshwe ukubona nokuphatha lezi zinkinga ngokushesha. Bazoqapha izimpawu zakho ezibalulekile kanye nomsebenzi wegazi njalo ukuze babambe noma yiziphi izinkinga zisasekuqaleni.

Ubani Ongafanele Athole I-Fat Emulsion?

Ezinye izimo zezokwelapha zenza i-fat emulsion ingaphephile noma ingasebenzi kahle kwabanye abantu. Ithimba lakho lezempilo lizobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuncoma lokhu kwelashwa.

Abantu abanezifo ezinzima zamaqanda akufanele bathole i-fat emulsion, njengoba amafomula amaningi aqukethe ama-phospholipids eqanda. Ngaphezu kwalokho, iziguli ezinemithombo ethile yesifo sesibindi noma izifo ezinzima zokuphuma kwegazi zingase zidinge ezinye izindlela zokwelashwa.

Izimo ezingakuvimbela ekutholeni i-fat emulsion zihlanganisa:

• Ukungezwani okukhulu namaqanda noma usoya
• Ukwehluleka kwesibindi okukhulu noma isifo sesibindi esinzima
• Izifo ezinzima zokuphuma kwegazi
• Ezinye izinhlobo zezifo ezinzima
• Isifo sezinso esinzima esidinga i-dialysis
• Ezinye izimo zenhliziyo

Udokotela wakho uzobheka nemithi yakho yamanje kanye nezinye izindlela zokwelapha ukuze aqinisekise ukuthi i-fat emulsion ngeke iphazamise uhlelo lwakho lokunakekelwa. Bazohlola izinzuzo ngokumelene nanoma yiziphi izingozi ezingase zibe khona ezihlobene nesimo sakho.

Amagama Omkhiqizo We-Fat Emulsion

Izinkampani eziningana zemithi zikhiqiza imikhiqizo ye-fat emulsion, ngalinye linamafomula ahlukile kanye nokugxila. Ithimba lakho lezempilo lizokhetha inketho efanele kakhulu ngokusekelwe ezidingweni zakho ezithile.

Amagama ajwayelekile omkhiqizo ahlanganisa i-Intralipid, i-Liposyn, kanye ne-ClinOleic. Le mikhiqizo ingaqukatha izinhlobo ezahlukene zamafutha, njengamafutha kasoya, amafutha e-safflower, noma amafutha omnqumo, kodwa wonke asebenza ngenjongo eyodwa yokuhlinzeka ngamafutha abalulekile namakhalori.

Umkhiqizo othile kanye nefomula udokotela wakho akhethayo kuncike ezintweni ezinjengokungezwani kwakho, ubude bokwelashwa obudingekayo, kanye nesimo sakho sezokwelapha esiphelele. Yonke imikhiqizo ye-fat emulsion evunyelwe ihlangabezana nezindinganiso eziqinile zokuphepha nekhwalithi.

Ezinye Izindlela Zokusebenzisa Amafutha

Lapho ukusebenzisa amafutha kungafaneleki esimweni sakho, ithimba lakho lezempilo linokukhetha okuningi okunikeza ukudla okunomsoco namakhalori. Enye indlela engcono kakhulu incike ezidingweni zakho ezithile zezokwelapha nokuthi umzimba wakho ungakwazi ukukuthwala kanjani.

Uma uhlelo lwakho lokugaya ukudla lusebenza, ukudla okunomsoco nge-enteral ngeshubhu lokudla kungase kube enye indlela. Lokhu kuhilela ukuletha ukudla okunomsoco oketshezi ngqo esiswini sakho noma emathunjini amancane, okuvame ukuba ngcono futhi kungokwemvelo kunokudla okunomsoco nge-IV.

Ezinye izindlela zihlanganisa izinhlobo ezahlukene zokudla okunomsoco nge-parenteral ngaphandle kokusebenzisa amafutha, kugxilwe emaphrotheni, ama-carbohydrate, amavithamini, kanye namaminerali. Udokotela wakho angase futhi acabangele imikhiqizo ekhethekile yokudla okunomsoco eyenzelwe isimo sakho esithile sezokwelapha.

Ingabe Ukusebenzisa Amafutha Kungcono Kunezinye Izindlela Zokudla Okunomsoco Nge-IV?

Ukusebenzisa amafutha akudingeki ukuthi kungcono noma kubi kunezinye izindlela zokudla okunomsoco nge-IV, kodwa kunalokho kusebenzela injongo ethile ohlelweni lwakho lokwelashwa olujwayelekile. Kunikeza ama-fatty acids abalulekile namakhalori agxilile angakwazi ukulethwa ngempumelelo ngamanye amalungu okudla okunomsoco nge-IV kuphela.

Uma kuqhathaniswa nezixazululo ze-glucose-only IV, ukusebenzisa amafutha kunikeza amakhalori amaningi ngevolumu encane futhi kusiza ekuvikeleni ukuntuleka kwama-fatty acids abalulekile. Futhi kubeka ingcindezi encane esibindini sakho futhi kusiza ekugcineni amazinga kashukela egazi azinzile.

Ithimba lakho lezempilo lizovame ukusebenzisa amafutha njengengxenye yohlelo oluphelele lokudla okunomsoco kunokuba kube ukwelashwa okuzimele. Le ndlela ebanzi iqinisekisa ukuthi uthola zonke izakhamzimba umzimba wakho ozidingayo ukuze ululame futhi ugcine ukusebenza okufanele.

Imibuzo Evame Ukubuzwa Mayelana Nokusebenzisa Amafutha

Ingabe Ukusebenzisa Amafutha Kuphephile Kubantu Abanesifo Sikashukela?

Yebo, i-fat emulsion ingasetshenziswa ngokuphepha kubantu abanesifo sikashukela, futhi empeleni ingasiza ekuphathweni kukashukela wegazi uma kuqhathaniswa nezixazululo ze-IV ezinoshukela kuphela. Njengoba i-fat emulsion ingakhuphuli ngokuqondile amazinga kashukela egazini njengoba kwenza ushukela, ingaba yingxenye ebalulekile yokwelashwa kokudla okunomsoco ezigulini ezinomdlavuza.

Ithimba lakho lokunakekelwa kwezempilo lizobheka eduze amazinga kashukela wegazi lakho futhi lilungise imithi yakho yesifo sikashukela njengoba kudingeka. Bazophinda bahlele nodokotela wakho we-endocrinologist noma onguchwepheshe wesifo sikashukela ukuze baqinisekise ukuthi uhlelo lwakho lokwelapha lusebenza kahle nokuphathwa kwesifo sikashukela sakho.

Kufanele ngenzeni uma ngizwa imiphumela emibi ngesikhathi sokufakwa kwe-Fat Emulsion?

Uma uqaphela noma yiziphi izimpawu ezingavamile ngesikhathi sokufakwa kwakho kwe-fat emulsion, yazisa umhlengikazi wakho noma umhlinzeki wezempilo ngokushesha. Bangakwazi ukuhlola ngokushesha izimpawu zakho futhi banqume ukuthi ngabe kukhona yini okudingeka kulungiswe ekwelashweni kwakho.

Imiphumela emibi ejwayelekile emnene efana nesicanucanu esincane noma ikhanda elibuhlungu ingavame ukuphathwa ngokunciphisa izinga lokufakwa noma ukuhlinzeka ngokunakekelwa okusekelayo. Izimpawu ezingathi sína njengobunzima bokuphefumula, ubuhlungu besifuba, noma ukusabela okukhulu komzimba kudinga ukunakekelwa kwezempilo ngokushesha futhi kungasho ukumisa ukufakwa.

Kwenziwani uma ngiphuthelwa umthamo we-Fat Emulsion ohleliwe?

Njengoba i-fat emulsion inikezwa endaweni elawulwayo yesibhedlela noma yomtholampilo, imithamo ephuthelwe ngokuvamile iphathwa yithimba lakho lokunakekelwa kwezempilo. Bazohlola izidingo zakho zokudla okunomsoco futhi banqume ukuthi ngabe bazonikeza yini umthamo ophuthelwe, balungise isikhathi, noma balungise uhlelo lwakho lokwelapha.

Ukuphuthelwa umthamo ngokuvamile akuyona ingozi ngesikhathi esifushane, kodwa kungathinta ukudla kwakho okunomsoco nokululama kwakho konke. Ithimba lakho lokunakekelwa kwezempilo lizosebenza ukunciphisa noma yikuphi ukuphazamiseka esimisweni sakho sokwelashwa futhi liqinisekise ukuthi uthola ukudla okunomsoco umzimba wakho owudingayo.

Ngingayeka nini ukuthola i-Fat Emulsion?

Isinqumo sokuyeka ukwelashwa nge-fat emulsion sincike esimweni sakho sezempilo kanye nesimo sakho sokudla. Ithimba lakho lezempilo lizohlola njalo ukuthi usadinga yini ukudla nge-IV noma ngabe umzimba wakho usulungele ukushintshela ekudleni ngomlomo noma ekudleni nge-enteral.

Eziningi iziguli, i-fat emulsion iyekwa lapho uhlelo lwazo lokugaya ukudla lungakwazi ukubhekana nokudla okuvamile noma lapho isimo sazo sezempilo singasadingi ukusekelwa kokudla nge-IV. Lokhu kushintsha kuvame ukuba kancane ukuqinisekisa ukuthi umzimba wakho uqhubeka nokuthola ukudla okwanele.

Ingabe i-Fat Emulsion ingabangela Izinkinga Zezempilo Zesikhathi Eside?

Uma isetshenziswa ngendlela efanele ngaphansi kokuqashwa kwezokwelapha, i-fat emulsion ngokuvamile iphephile ekusetshenzisweni kwesikhashana nesikhathi eside. Kodwa-ke, njenganoma yikuphi ukwelashwa kwezokwelapha, ukusetshenziswa isikhathi eside kudinga ukuqapha okucophelelayo ukuvimbela izinkinga ezingaba khona.

Ithimba lakho lezempilo lizohlola njalo umsebenzi wegazi lakho, umsebenzi wesibindi, kanye nesimo sakho sokudla esiphelele ukuqinisekisa ukuthi ukwelashwa kuhlala kuphephile futhi kuphumelela. Bazophinda baqaphele noma yiziphi izimpawu zezinkinga futhi balungise uhlelo lwakho lokwelashwa njengoba kudingeka ukunciphisa izingozi ngenkathi kwandiswa izinzuzo.