Tag nrho cov khoom noj khoom haus parenteral (TPN) yog koom nrog cov teeb meem metabolic suav nrog metabolic acidosis (MA), ib qho ntawm cov teeb meem tseem ceeb ntawm cov kua qaub-puag.
Qhov teeb meem ntawm TPN yog dab tsi?
TPN yuav tsum muaj kev nkag mus rau IV mus ntev rau txoj kev daws teeb meem, thiab qhov teeb meem feem ntau yog kab mob ntawm no catheter. Kev kis kab mob yog ib qho ua rau tuag rau cov neeg mob no, nrog rau kev tuag ntawm kwv yees li 15% ntawm ib tus kab mob, thiab kev tuag feem ntau tshwm sim los ntawm kev poob siab septic.
TPN cov kev mob tshwm sim dab tsi?
Muaj teeb meem cuam tshuam nrog TPN suav nrog:
- Lub cev qhuav dej thiab electrolyte Imbalances.
- thrombosis (ntshav txhaws)
- Hyperglycemia (cov ntshav qab zib siab)
- Hypoglycemia (cov ntshav qab zib qis)
- Kev mob.
- siab tsis zoo.
- Micronutrient deficiencies (vitamin thiab minerals)
Dab tsi ua rau metabolic acidosis?
Metabolic acidosis tshwm sim thaum cov kua qaub hauv lub cev nce ntxiv los ntawm nojntawm cov khoom uas yog, lossis tuaj yeem tawg (metabolized) rau, cov kua qaub-xws li. raws li cov cawv ntoo (methanol), tshuaj tiv thaiv kab mob (ethylene glycol), lossis tshuaj aspirin ntau (acetylsalicylic acid).
Cov tshuaj dab tsi tuaj yeem ua rau metabolic acidosis?
Cov tshuaj thiab tshuaj uas siv ntau tshaj plaws uas ua rau muaj qhov sib txawv ntawm anion ntawm acidosis yog biguanides, cawv,polyhydric qab zib, salicylates, cyanide thiab carbon monoxide.
