Mokhoa oa ho bala oa parenteral nutrition capacity ratio

Mokhoa oa ho bala oa parenteral nutrition capacity ratio

Mokhoa oa ho bala oa parenteral nutrition capacity ratio

Phepo ea batsoali-e bua ka phepelo ea limatlafatsi tse tsoang ka ntle ho mala, joalo ka intravenous, intramuscular, subcutaneous, intra-abdominal, joalo-joalo Tsela e ka sehloohong ke ea methapo, kahoo phepo ea batsoali e ka boela ea bitsoa phepo ea methapo ka mokhoa o moqotetsane.
Phepo ea methapo-e bua ka mokhoa oa phekolo o fanang ka phepo ho bakuli ka litsela tsa methapo.
Sebopeho sa limatlafatsi tsa batsoali-haholo-holo tsoekere, mafura, amino acid, electrolyte, divithamini le trace elements.
Phepelo ea phepo ea batsoali-e fapana le bakuli le linaha tsa mafu. Tlhokahalo ea khalori ea motho e moholo ka kakaretso ke 24-32 kcal/kg·d, 'me foromo ea phepo e nepahetseng e lokela ho baloa ho latela boima ba mokuli.
Glucose, mafura, amino acid le lik'halori-1g glucose e fana ka 4kcal lik'hilojule, 1g mafura e fana ka 9kcal lik'hilojule, 'me 1g nitrogen e fana ka 4kcal lik'hilojule.
Karolelano ea tsoekere, mafura le amino acid:
Mohloli o motle ka ho fetisisa oa matla a phepo ea batsoali e lokela ho ba tsamaiso ea matla a mabeli e entsoeng ka tsoekere le mafura, ke hore, lik'halori tse se nang protheine (NPC).

(1) Karolelano ea naetrojene ea mocheso:
Ka kakaretso 150kcal: 1g N;
Ha khatello ea maikutlo e le matla, phepelo ea naetrojene e lokela ho eketseha, 'me karolelano ea mocheso-naetrojene e ka fetoloa le ho 100kcal:1g N ho fihlela litlhoko tsa ts'ehetso ea metabolism.

(2) Karolelano ea tsoekere ho lipid:
Ka kakaretso, 70% ea NPC e fanoa ke tsoekere 'me 30% e fanoa ke emulsion ea mafura.
Ha khatello ea maikutlo e kang ho sithabela maikutlo, phepelo ea emulsion ea mafura e ka eketsoa ka nepo mme tšebeliso ea tsoekere e ka fokotsoa. Ka bobeli li ka fana ka 50% ea matla.
Mohlala: bakuli ba 70kg, karolo ea tharollo ea limatlafatsi ka methapo.

1. Kakaretso ea lik'hilojule: 70kg×(24——32)kcal/kg·d=2100 kcal

2. Ho ea ka karolelano ea tsoekere ho lipid: tsoekere bakeng sa matla-2100 × 70% = 1470 kcal.
Mafura bakeng sa matla-2100 × 30% = 630 kcal

3. Ho ea ka 1g glucose e fana ka lik'hilojule tse 4kcal, mafura a 1g a fana ka lik'hilojule tsa 9kcal, 'me 1g nitrogen e fana ka 4kcal lik'hilojule:
Chelete ea tsoekere = 1470 ÷ 4 = 367.5g
Boima ba mafura = 630 ÷ 9 = 70g

4. Ho ea ka karolelano ea mocheso ho naetrojene: (2100 ÷ 150) ×1g N = 14g (N)
14×6.25 = 87.5g (protheine)


Nako ea poso: Jul-16-2021