ʻO ka meaʻai makua-e pili ana i ka hāʻawi ʻana i nā meaʻai mai waho mai o ka ʻōpū, e like me ka intravenous, intramuscular, subcutaneous, intra-abdominal, etc.
Intravenous nutrition-e pili ana i kahi ala lapaʻau e hāʻawi ai i ka meaʻai i nā maʻi ma o nā ala intravenous.
ʻO ka hoʻohui ʻana o nā meaʻai makua-ʻoi aku ka nui o ke kō, ka momona, nā amino acids, nā electrolytes, nā huaora, a me nā mea ʻala.
ʻO ka hoʻolako ʻana i ka meaʻai makua-ʻokoʻa me nā maʻi a me nā kūlana maʻi. He 24-32 kcal/kg·d ka nui o ka calorie o ke kanaka makua, a e helu ʻia ke ʻano meaʻai ma muli o ke kaumaha o ka mea maʻi.
ʻO Glucose, momona, amino acids a me nā calorie-1g glucose hāʻawi i 4kcal calories, 1g fat hāʻawi i 9kcal calories, a me 1g nitrogen hāʻawi i 4kcal calories.
ʻO ka ratio o ke kō, ka momona a me ka amino acid:
ʻO ke kumu ikehu maikaʻi loa i ka meaʻai makua ʻo ia ka ʻōnaehana ikehu ʻelua i haku ʻia me ke kō a me ka momona, ʻo ia hoʻi, nā calorie non-protein (NPC).
(1) Lakiō naikokene wela:
ʻO ka maʻamau 150kcal: 1g N;
Ke koʻikoʻi ke koʻikoʻi traumatic, pono e hoʻonui ʻia ka hāʻawi ʻana o ka nitrogen, a hiki ke hoʻololi ʻia ka ratio wela-nitrogen i 100kcal: 1g N e hoʻokō i nā pono o ke kākoʻo metabolic.
(2) Lakiō o ke kō i ka lipid:
Ma keʻano laulā, hāʻawiʻia ka 70% o ka NPC e ka glucose a me ka 30% i hāʻawiʻia e ka momona emulsion.
Ke pilikia e like me ka trauma, hiki ke hoʻonui pono i ka hāʻawi ʻana i ka emulsion momona a hiki ke hoʻemi ʻia ka ʻai ʻana o ka glucose. Hiki i nā mea ʻelua ke hāʻawi i 50% o ka ikehu.
No ka laʻana: 70kg nā mea maʻi, ka hapa o ka hoʻonā meaʻai intravenous.
1. Huina calorie: 70kg×(24——32)kcal/kg·d=2100 kcal
2. E like me ka lakio o ke kō i ka lipid: ke kō no ka ikehu-2100 × 70% = 1470 kcal
Ka momona no ka ikehu-2100 × 30% = 630 kcal
3. E like me ka 1g glucose e hāʻawi ai i nā calorie 4kcal, 1g momona ka hāʻawi ʻana i nā calorie 9kcal, a ʻo 1g nitrogen e hāʻawi ai i 4kcal calories:
Ka nui o ke kō = 1470 ÷ 4 = 367.5g
Nuipa momona = 630 ÷ 9 = 70g
4. E like me ka ratio o ka wela me ka nitrogen: (2100 ÷ 150) ×1g N = 14g (N)
14×6.25 = 87.5g (palaoa)
Ka manawa hoʻouna: Iulai-16-2021