Hanyar lissafi na iyawar abinci mai gina jiki na parenteral

Abinci mai gina jiki na iyaye - yana nufin samar da sinadirai daga wajen hanji, kamar su ciki, intramuscular, subcutaneous, intra-abdominal, da dai sauransu. Babban hanya ita ce ta cikin jini, don haka abincin mahaifa kuma ana iya kiransa abinci mai gina jiki a cikin kunkuntar hankali.
Cin abinci mai gina jiki-yana nufin hanyar magani da ke ba da abinci mai gina jiki ga marasa lafiya ta hanyoyin cikin jijiya.
Abun da ke cikin abubuwan gina jiki na mahaifa-yafi yawan sukari, mai, amino acid, electrolytes, bitamin, da abubuwan ganowa.
Samar da abinci mai gina jiki na mahaifa-ya bambanta da marasa lafiya da jihohin cututtuka. Babban abin da ake buƙata na kalori na manya shine 24-32 kcal/kg·d, kuma ya kamata a ƙididdige tsarin abinci mai gina jiki bisa nauyin majiyyaci.
Glucose, mai, amino acid da adadin kuzari-1g glucose yana samar da adadin kuzari 4kcal, mai 1g yana samar da adadin kuzari 9kcal, 1g nitrogen kuma yana samar da adadin kuzari 4kcal.
Ratio na sukari, mai da amino acid:
Mafi kyawun tushen makamashi a cikin abinci mai gina jiki na mahaifa yakamata ya zama tsarin makamashi biyu wanda ya ƙunshi sukari da mai, wato, adadin kuzari marasa furotin (NPC).

(1) Rabon nitrogen mai zafi:
Gabaɗaya 150kcal: 1g N;
Lokacin da damuwa mai tsanani ya yi tsanani, ya kamata a ƙara yawan samar da nitrogen, kuma ana iya daidaita yanayin zafi-nitrogen zuwa 100kcal: 1g N don biyan bukatun tallafin rayuwa.

(2) Sugar zuwa rabon lipid:
Gabaɗaya, 70% na NPC ana ba da shi ta glucose kuma 30% ana ba da shi ta hanyar emulsion mai.
Lokacin da damuwa kamar rauni, ana iya ƙara samar da emulsion mai mai da kyau kuma ana iya rage yawan amfani da glucose. Dukansu suna iya ba da 50% na makamashi.
Misali: marasa lafiya 70kg, rabon maganin gina jiki na ciki.

1. Jimlar adadin kuzari: 70kg × (24——32) kcal/kg·d=2100 kcal

2. Dangane da rabon sukari zuwa lipid: sukari don makamashi-2100 × 70% = 1470 kcal.
Fat don makamashi-2100 × 30% = 630 kcal

3. A cewar 1g glucose yana samar da adadin kuzari 4kcal, mai 1g yana samar da calories 9kcal, 1g nitrogen kuma yana samar da calories 4kcal:
Yawan sukari = 1470 ÷ 4 = 367.5g
Kiba = 630 ÷ 9 = 70g

4. Dangane da rabon zafi zuwa nitrogen: (2100 ÷ 150) × 1g N = 14g (N)
14×6.25 = 87.5g (gina jiki)