Hoʻonui i ka meaʻai makua no nā pēpē Nanopreterm

ʻO ka piʻi ʻana o ke ola o nā pēpē nanopreterm—ka poʻe i hānau ma lalo o 750 grams a i ʻole ma mua o 25 pule o ka hāpai ʻana—e hōʻike i nā pilikia hou i ka mālama ʻana i nā neonatal, ʻoi aku ka maikaʻi o ka hāʻawi ʻana i ka meaʻai makua (PN). ʻO kēia mau pēpē palupalu loa ua hoʻomohala ʻia nā ʻōnaehana metabolic, no laila e koʻikoʻi ka lawe ʻana i nā meaʻai kūpono. Eia nō naʻe, ʻaʻole hiki i nā alakaʻi PN i loaʻa no nā pēpē haʻahaʻa haʻahaʻa haʻahaʻa (ELBW) i ko lākou mau pono kūʻokoʻa, e hana ana i kahi koi no nā hoʻonā kūikawā.

Pono nā kamaliʻi Nanopreterm i ke kākoʻo PN kaulike pono ma muli o kā lākou mau hale kūʻai glycogen liʻiliʻi, ka metabolism glucose i oʻo ʻole, a me ke kiʻekiʻe o ka naʻau i nā mea ʻai ʻole. He mea nui ka hoʻohana ʻana i ka dextrose i ka wā e pale aku ai i ka hyperglycemia, ʻoiai e nānā pono ʻia ka lawe ʻana o ka lipid i mea e pale ai i ka overload metabolic. Hoʻohui ʻia, pono e hoʻomaikaʻi ʻia ka hāʻawi ʻana i ka protein e kākoʻo i ka ulu ʻana me ka ʻole o ka hoʻoulu ʻana i kā lākou ʻōnaehana underdeveloped.

Hāʻawi nā ʻeke PN i hoʻokumu ʻia EVA i kahi hopena hilinaʻi no ka hālāwai ʻana i kēia mau pilikia. ʻO ka mea ethylene-vinyl acetate (EVA) e hōʻoia i ka hoʻohālikelike ʻana me nā mea PN koʻikoʻi, mālama i ka paʻa no nā lipids, amino acids, a me nā micronutrients. ʻAʻole like me nā mea kuʻuna, hoʻemi ʻo EVA i ka leaching a me ka hoʻohaumia ʻana, he mea koʻikoʻi ia no nā neonates immunocompromised. ʻO ka maʻalahi a me ka lōʻihi o nā ʻeke EVA e kūpono iā lākou no ka hoʻokele PN lōʻihi i nā neonatal intensive care units (NICUs), kahi mea nui ka sterility a me ka pololei.

Lingze Medical'sʻeke TPNhana ʻia me ka hoʻohana ʻana i nā mea EVA premium a loaʻa i nā ʻano nui a me nā kikoʻī e hoʻokō i nā pono lapaʻau like ʻole. No ka palekana i hoʻonui ʻia, hiki ke hāʻawi ʻia nā ʻeke pale pale koho ma ke noi o ka mea kūʻai aku e pale i ka leaching. Hoʻokō kā mākou huahana i nā kūlana kiʻekiʻe o ka honua, e paʻa ana i nā palapala hōʻoia CFDA, FDA, a me CE. Ua hui maikaʻi mākou me nā keʻena mālama olakino ma nā ʻāina he nui, e hāʻawi ana i nā hoʻonā meaʻai pono makua.