1. Gutondekanya inkunga yimirire yubuvuzi
Imirire yimbere (EN) nuburyo bwo gutanga intungamubiri zikenewe muri metabolism nizindi ntungamubiri zitandukanye binyuze mu nzira ya gastrointestinal.
Imirire y'ababyeyi (imirire y'ababyeyi, PN) ni ugutanga imirire iva mumitsi nkinkunga yintungamubiri mbere na nyuma yo kubagwa nabarwayi barembye cyane. Imirire yose itangwa kubabyeyi yitwa imirire yababyeyi (TPN).
2. Itandukaniro riri hagati ya EN na PN
Itandukaniro riri hagati ya EN na PN ni:
2.1 EN yunganirwa no gufata mu kanwa cyangwa mu mazuru kugaburira mu gifu cya gastrointestinal kugirango igogwe kandi yinjire; imirire y'ababyeyi yunganirwa no gutera inshinge no gutembera kw'amaraso.
2.2 EN iragereranijwe kandi iringaniye; intungamubiri zunganirwa na PN ziroroshye.
2.3 EN irashobora gukoreshwa igihe kirekire kandi ikomeza; PN irashobora gukoreshwa gusa mugihe gito kigufi.
2.4 Gukoresha igihe kirekire EN birashobora kunoza imikorere yigifu, gushimangira ubuzima bwiza, no kunoza imikorere itandukanye; gukoresha igihe kirekire PN birashobora gutuma igabanuka ryimikorere ya gastrointestinal kandi igatera indwara zitandukanye.
2.5 Igiciro cya EN ni gito; igiciro cya PN ni kinini.
2.6 EN ifite ibibazo bike kandi bifite umutekano; PN ifite ibibazo byinshi.
3.hitamo EN na PN
Guhitamo EN, PN cyangwa guhuza byombi bigenwa ahanini nigikorwa cyumurwayi wa gastrointestinal nu rwego rwo kwihanganira intungamubiri. Ubusanzwe biterwa na miterere yindwara, uko umurwayi ameze nu rubanza rwa muganga ubishinzwe. Niba imikorere yumutima yumutima yumurwayi idahindagurika, ibikorwa byinshi byo kwinjiza gastrointestinal yatakaye cyangwa metabolisme yintungamubiri ikaringaniza kandi ikeneye byihutirwa, PN igomba guhitamo.
Niba inzira ya gastrointestinal yumurwayi ikora cyangwa ikora igice, hagomba guhitamo EN ifite umutekano kandi ikora neza. EN ni uburyo bwo kugaburira umubiri muburyo bwo kugaburira, butirinda gusa ingaruka zishobora guterwa no hagati yimitsi yo hagati, ariko kandi bufasha kugarura imikorere y amara. Ibyiza byayo biroroshye, bifite umutekano, mubukungu kandi bikora neza, bijyanye nibikorwa bya physiologique, kandi hariho ibintu byinshi bitandukanye byimirire mibi.
Muri make, ihame rikomeye kandi ryingenzi muguhitamo EN na PN ni ukugenzura byimazeyo ibyasabwe, kubara neza umubare nigihe cyigihe cyo gutera inkunga imirire, kandi ugahitamo uburyo bwo gutera inkunga imirire.
4. Kwirinda igihe kirekire PN kwimurira EN
Igihe kirekire PN irashobora gutuma igabanuka ryimikorere ya gastrointestinal. Kubwibyo, kuva mumirire yababyeyi kugera kumirire yimbere bigomba gukorwa buhoro buhoro kandi ntibishobora guhagarara gitunguranye.
Iyo abarwayi bafite PN igihe kirekire batangiye kwihanganira EN, banza ukoreshe intumbero nkeya, kwinjiza buhoro buhoro imyiteguro yimirire yimbere cyangwa ibyokurya byintungamubiri byintungamubiri, kugenzura amazi, kuringaniza electrolyte no gufata intungamubiri, hanyuma ukongera buhoro buhoro amara ingano yimirire, kandi bikagabanya ingano yimirire yababyeyi kugirango bikure byuzuye byimirire yababyeyi.
Igihe cyo kohereza: Nyakanga-16-2021