Mu myaka irenga 25, imirire yababyeyi yose (TPN) yagize uruhare runini mubuvuzi bwa kijyambere. Ku ikubitiro ryakozwe na Dudrick hamwe nitsinda rye, ubu buvuzi bukomeza ubuzima bwazamuye cyane imibereho yo kubaho ku barwayi bafite ikibazo cyo mu mara, cyane cyane abafite syndrome de mara. Gukomeza kunonosorwa muburyo bwa tekinoroji ya catheter hamwe na sisitemu yo kwinjiza, hamwe nubushishozi bwimbitse kubisabwa na metabolike, byatumye habaho imirire yihariye ijyanye nibyifuzo byumurwayi ku giti cye. Uyu munsi, TPN ihagaze nkibyingenzi byingenzi byo kuvura, hamwe nibisobanuro byubuvuzi bisobanuwe neza hamwe numwirondoro wumutekano wanditse neza. Muri bo,Imifuka ya TPNbikozwe mubikoresho bya EVA byahindutse igisubizo cyo gupakira kubufasha bwamavuriro no murugo bitewe nubuzima bwiza bwa biocompatibilité, stabilite chimique n'umutekano wo kubika igihe kirekire. Guhindukira ku buyobozi bushingiye ku rugo byongereye imbaraga mu bikorwa, kugabanya amafaranga yo mu bitaro no gukomeza gukora neza. Abashakashatsi ubu barimo gukora iperereza ku mikoreshereze mishya ya TPN, harimo n'uruhare rwayo mu gucunga ibihe bidakira nka aterosklerose.
Mbere yo gutangiza TPN, gusuzuma neza imirire nibyingenzi kugirango hongerwe ibisubizo byubuvuzi. Ibyingenzi byingenzi byo gusuzuma birimo gusuzuma amateka yubuvuzi bwumurwayi kugirango agabanye ibiro (10% cyangwa birenga), intege nke z imitsi, hamwe no kuribwa. Isuzuma ry'umubiri rigomba kwibanda ku bipimo bya antropometrike, cyane cyane umubyimba wa triceps uruhu, rutanga ubushishozi bwimbitse. Kwipimisha muri laboratoire mubisanzwe birimo serumu albumin hamwe na transferi ya urwego, ikoreshwa cyane mubimenyetso bya poroteyine, nubwo ibizamini byihariye nka retinol-binding proteine bishobora gutanga amakuru yinyongera mugihe ahari. Imikorere yubudahangarwa irashobora gusuzumwa hifashishijwe ibara rya lymphocyte hamwe no gutinda kwipimisha uruhu rwinshi hamwe na antigene zisanzwe nka PPD cyangwa Candida.
Igikoresho cyingirakamaro cyane cyo guhanura nigipimo cyerekana imirire (PNI), gihuza ibipimo byinshi mumanota umwe yingaruka:
PNI (%) = 158 - 16.6 (serumu albumin muri g / dL) - 0,78 (triceps uruhu rwa mm) - 0,20 (transferrin muri mg / dL) - 5.8 (amanota ya hypersensitivite).
Abarwayi bafite PNI iri munsi ya 40% muri rusange bafite ibyago bike byo guhura nibibazo, mugihe abatsinze 50% cyangwa barenga bahura nimpanuka zipfa zingana na 33%. Ubu buryo bunoze bwo gusuzuma bufasha abaganga gufata ibyemezo byuzuye bijyanye nigihe cyo gutangiza TPN nuburyo bwo gukurikirana imikorere yayo, amaherezo bikazamura ubuvuzi bw’abarwayi haba mubihe bikomeye kandi bidakira. Kwinjizamo inkunga yimirire igezweho hamwe na protocole ikomeye yo gusuzuma bikomeje kuba urufatiro rwubuvuzi bugezweho.
Ninkunga ikomeye yo kuvura TPN, isosiyete yacu itanga ibikoresho byiza bya EVA ibikoresho bya TPN. Ibicuruzwa bikurikiza byimazeyo amahame mpuzamahanga, byatsinze icyemezo cya FDA na CE, kandi byamenyekanye cyane ku masoko menshi ku isi, bitanga ibisubizo byizewe kandi byizewe byo kuvura imirire n’amavuriro.
Igihe cyo kohereza: Kanama-04-2025