Aofai o meaʻai matua - pepe

Aofaʻiga matua meaʻai (TPN) o se metotia o le fafagaina e bypass le gastrointestinal tract. Fluids e tuʻuina atu i totonu o se uaua e maua ai le tele o mea aoga o le tino e manaʻomia. O le metotia e faʻaaogaina pe a le mafai pe le tatau foi i se tagata ona maua ni fafagaina poʻo ni vai i le gutu.

Maʻi pe vave fanau pepe e mafai ona tuʻuina ile TPN ae le i amataina isi fafagaina. E mafai foi ona latou mauaina lenei ituaiga fafagaina pe a le mafai ona latou taliaina ni meaʻai i totonu o le gastrointestinal tract mo se taimi umi. TPN aveina se paluga o suavai, electrolytes, suka, amino acids (protein), vitamini, minerals, ma masani lipids (gaʻo) i totonu o le tamaʻi pepe alatoto. TPN mafai ona laveaʻiina tamaiti laiti pe matua mamaʻi foʻi. E mafai ona maua ai se sili atu le lelei o meaʻai nai lo masani fafagaina (IV) fafagaina, e maua ai naʻo suka ma masima.

Tamaiti e maua lenei ituaiga o fafagaina e tatau ona vaʻaia ma le faʻaeteete ia mautinoa o loʻo latou mauaina le tatau lelei meaʻai. Toto ma miaga faʻataʻitaʻiga fesoasoani le soifua maloloina 'au fesoasoani iloa pe o a suiga e manaʻomia.

E FAAPEFEA ONA FETALAI TPN?

O le laina IV e masani ona tuʻu i totonu o se uaua i lima o le pepe, vae, poʻo le ulu. O le lapoʻa uaua i le manava faamau (umbilical alatoto) mafai ona faʻaaogaina. O nisi taimi o le umi IV, e taʻua o le laina tutotonu poʻo le peripherally-insert centhe catheter (PICC) laina, e faʻaaoga mo taimi umi IV fafaga.

O LE A LE AʻAFIAGA?

TPN o se sili aoga mo pepe e le mafai ona maua meaai paleni i isi auala. Ae ui i lea, o lenei ituaiga o fafagaina e mafai ona faʻaiʻu ai i le le masani ai tulaga o suka toto, gaʻo, po o electrolytes.

Faʻafitauli e mafai ona tupu aʻe ona o le faʻaaogaina o le TPN poʻo le IV laina. O le laina e ono alu ese mai le nofoaga pe faʻapipiʻi mafai ona fausia. O se faʻamaʻi ogaoga e taʻua o le sepsis o se faʻalavelave faigata o le ogatotonu laina IV. Tamaiti e mauaina TPN o le a vaʻavaʻaia totoʻa e le vaega o le soifua maloloina.

Le umi ole faʻaaogaina ole TPN e ono aʻafia ai ile faʻafitauli ole ate.

IV vai - pepe; TPN - pepe; Vailaau fula - pepe; Hyperalimentation - pepe

• Nofoaga suavai faʻaola

American Academy of Pediatrics (AAP) Komiti mo Mea Taumafa. Meaai a matua. I: Kleinman RE, Greer FR, eds. Pediatric Meaʻai Taumafa Tusitaulima. 8th ed. Elk Grove Village, IL: American Academy of Pediatrics; 2019: chap 22.

Maqbool A, Bales C, Liacouras CA. Totogi o le manava, stenosis, ma malrotation. I le: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Tusitusiga o Pediatrics. 21 ed. Filatelefia, PA: Elsevier; 2020: chap 356.

Poindexter BB, Martin CR. Meaʻai manaʻomia / lagolago i meaʻai i le taimi vave. I le: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff ma Martin's Neonatal-Perinatal Faʻafomaʻi. 11th lomiga. Filatelefaia, PA: Elsevier Saunders; 2020: chap 41.