{"id":15985,"date":"2023-09-07T00:13:17","date_gmt":"2023-09-07T07:13:17","guid":{"rendered":"https:\/\/ameripharmaspe.wpengine.com\/?p=15985"},"modified":"2026-02-24T17:32:01","modified_gmt":"2026-02-25T00:32:01","slug":"tpn-solution","status":"publish","type":"post","link":"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-solution\/","title":{"rendered":"PPN so v\u1edbi TPN: S\u1ef1 kh\u00e1c bi\u1ec7t l\u00e0 g\u00ec?"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Chuy\u1ec3n \u0111\u1ed5i m\u1ee5c l\u1ee5c\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Chuy\u1ec3n \u0111\u1ed5i<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-solution\/#What_Is_Parenteral%E2%80%8C_%E2%80%8CNutrition%E2%80%8C_PN\" >Dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch (PN) l\u00e0 g\u00ec?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-solution\/#Total_Parenteral_Nutrition_TPN\" >Dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch to\u00e0n ph\u1ea7n (TPN)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-solution\/#Peripheral_Parenteral_Nutrition_PPN\" >Dinh d\u01b0\u1ee1ng ngo\u00e0i \u0111\u01b0\u1eddng ti\u00eau h\u00f3a (PPN)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-solution\/#PPN_vs_TPN\" >PPN so v\u1edbi TPN<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-solution\/#Composition\" >Th\u00e0nh ph\u1ea7n<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-solution\/#TPN_Administration\" >Qu\u1ea3n tr\u1ecb TPN<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-solution\/#Indications\" >Ch\u1ec9 \u0111\u1ecbnh<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-solution\/#TPN_and_PPN_in_Pregnancy\" >TPN v\u00e0 PPN trong thai k\u1ef3<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-solution\/#Contraindications\" >Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-solution\/#TPN_Monitoring\" >Gi\u00e1m s\u00e1t TPN<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-solution\/#Complications\" >Bi\u1ebfn ch\u1ee9ng<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-solution\/#TPN_Healthcare_Team\" >\u0110\u1ed9i ng\u0169 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe TPN<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-solution\/#What_is_the_Prognosis_for_Those_on_PN\" >Ti\u00ean l\u01b0\u1ee3ng cho nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh PN l\u00e0 g\u00ec?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-solution\/#Can_You_Eat_While_Receiving_TPN\" >B\u1ea1n c\u00f3 th\u1ec3 \u0103n khi \u0111ang d\u00f9ng TPN kh\u00f4ng?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-solution\/#TPN_Price\" >Gi\u00e1 TPN<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\" id=\"h-what-is-parenteral-nutrition-pn\"><span class=\"ez-toc-section\" id=\"What_Is_Parenteral%E2%80%8C_%E2%80%8CNutrition%E2%80%8C_PN\"><\/span>Dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch (PN) l\u00e0 g\u00ec?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><b>PN<\/b><span style=\"font-weight: 400;\"> l\u00e0 t\u1eeb vi\u1ebft t\u1eaft y khoa c\u1ee7a <\/span><b>dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng ti\u00eam truy\u1ec1n<\/b><span style=\"font-weight: 400;\">, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 dinh d\u01b0\u1ee1ng t\u0129nh m\u1ea1ch. Dinh d\u01b0\u1ee1ng t\u0129nh m\u1ea1ch \u0111\u01b0\u1ee3c truy\u1ec1n tr\u1ef1c ti\u1ebfp v\u00e0o c\u01a1 th\u1ec3 qua t\u0129nh m\u1ea1ch khi m\u1ed9t ng\u01b0\u1eddi kh\u00f4ng th\u1ec3 h\u1ea5p th\u1ee5 \u0111\u1ee7 dinh d\u01b0\u1ee1ng qua h\u1ec7 ti\u00eau h\u00f3a. N\u1ebfu \u0111\u01b0\u1ee3c qu\u1ea3n l\u00fd \u0111\u00fang c\u00e1ch, vi\u1ec7c n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n an to\u00e0n t\u1ea1i nh\u00e0. C\u00f3 hai lo\u1ea1i dinh d\u01b0\u1ee1ng t\u0129nh m\u1ea1ch: <\/span><b>dinh d\u01b0\u1ee1ng ngo\u00e0i \u0111\u01b0\u1eddng ti\u00eau h\u00f3a ngo\u1ea1i vi (PPN) <\/b><span style=\"font-weight: 400;\">V\u00e0<\/span> <b>dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch ho\u00e0n to\u00e0n (TPN)<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n\n\n\n<div  id=\"call-to-action-b89014fa754d567d1dbfd47cdee22478\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tD\u1ecbch truy\u1ec1n t\u0129nh m\u1ea1ch c\u1ee7a b\u1ea1n, lu\u00f4n c\u00f3 s\u1eb5n\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"cta__sub__heading\">\n\t\t\t\t\t\t\tH\u00e0ng t\u1ed3n kho \u0111\u1ea7y \u0111\u1ee7, truy c\u1eadp d\u1ec5 d\u00e0ng\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"#form\">T\u00ecm hi\u1ec3u th\u00eam<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-total-parenteral-nutrition-tpn\"><span class=\"ez-toc-section\" id=\"Total_Parenteral_Nutrition_TPN\"><\/span>Dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch to\u00e0n ph\u1ea7n (TPN)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-23291\" src=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2023\/09\/nurse-iv-tpn-vs-ppn.jpg\" alt=\"Nurse with IV\" width=\"415\" height=\"558\" srcset=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2023\/09\/nurse-iv-tpn-vs-ppn.jpg 223w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2023\/09\/nurse-iv-tpn-vs-ppn-64x86.jpg 64w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2023\/09\/nurse-iv-tpn-vs-ppn-124x167.jpg 124w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2023\/09\/nurse-iv-tpn-vs-ppn-208x280.jpg 208w\" sizes=\"auto, (max-width: 415px) 100vw, 415px\" \/><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng th\u1ec3 h\u1ea5p th\u1ee5 dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng u\u1ed1ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n <\/span><a href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-solution\/total-parenteral-nutrition-tpn-faq\/\"><span style=\"font-weight: 400;\">TPN<\/span><\/a><span style=\"font-weight: 400;\">. TPN th\u01b0\u1eddng bao g\u1ed3m m\u1ed9t s\u1ed1 ho\u1eb7c t\u1ea5t c\u1ea3 c\u00e1c th\u00e0nh ph\u1ea7n sau: carbohydrate, protein, lipid,<\/span><span style=\"font-weight: 400;\"> ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i, nguy\u00ean t\u1ed1 vi l\u01b0\u1ee3ng v\u00e0 insulin. C\u00f3 th\u1ec3 b\u1ed5 sung th\u00eam c\u00e1c nguy\u00ean t\u1ed1 vi l\u01b0\u1ee3ng (\u0111\u1ed3ng, mangan, k\u1ebdm v\u00e0 selen) v\u00e0 vitamin t\u1ed5ng h\u1ee3p \u0111\u1ec3 b\u1ed5 sung dinh d\u01b0\u1ee1ng.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">C\u00e1c t\u00ecnh tr\u1ea1ng ph\u1ed5 bi\u1ebfn m\u00e0 TPN \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 qu\u1ea3n l\u00fd l\u00e0:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">B\u1ec7nh thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 ru\u1ed9t<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">H\u1ed9i ch\u1ee9ng ru\u1ed9t ng\u1eafn<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\"><a href=\"https:\/\/ameripharmaspecialty.com\/vi\/conditions-treatments\/cancer\/\">B\u1ec7nh ung th\u01b0<\/a><\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">B\u1ec7nh vi\u00eam ru\u1ed9t<\/span><\/li>\n<\/ul>\n\n\n\n<p><span style=\"font-weight: 400;\">Nh\u00ecn chung, nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc c\u00e1c b\u1ec7nh l\u00fd kh\u00f4ng cho ph\u00e9p \u0111\u01b0\u1eddng ti\u00eau h\u00f3a ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c h\u01b0\u1edfng l\u1ee3i t\u1eeb li\u1ec7u ph\u00e1p TPN. \u0110i\u1ec1u n\u00e0y c\u0169ng bao g\u1ed3m nh\u1eefng ng\u01b0\u1eddi c\u00f3 l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn ru\u1ed9t k\u00e9m.&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">TPN th\u01b0\u1eddng \u0111\u01b0\u1ee3c b\u00e0o ch\u1ebf \u0111\u1ec3 \u0111\u00e1p \u1ee9ng v\u00e0 thay th\u1ebf to\u00e0n b\u1ed9 nhu c\u1ea7u dinh d\u01b0\u1ee1ng h\u00e0ng ng\u00e0y. B\u1edfi v\u00ec<\/span><span style=\"font-weight: 400;\"> C\u00e1c gi\u1ea3i ph\u00e1p TPN c\u00f3 th\u1ec3 r\u1ea5t c\u00f4 \u0111\u1eb7c \u0111\u1ec3 cung c\u1ea5p \u0111\u1ee7 ch\u1ea5t dinh d\u01b0\u1ee1ng, m\u1ed9t \u0111\u01b0\u1eddng truy\u1ec1n trung t\u00e2m,<\/span><span style=\"font-weight: 400;\">h l\u00e0 \u1ed1ng th\u00f4ng t\u0129nh m\u1ea1ch ti\u1ebfp c\u1eadn m\u1ed9t trong nh\u1eefng t\u0129nh m\u1ea1ch l\u1edbn nh\u1ea5t trong c\u01a1 th\u1ec3, th\u01b0\u1eddng c\u1ea7n thi\u1ebft \u0111\u1ec3 truy\u1ec1n d\u1ecbch.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-peripheral-parenteral-nutrition-ppn\"><span class=\"ez-toc-section\" id=\"Peripheral_Parenteral_Nutrition_PPN\"><\/span>Dinh d\u01b0\u1ee1ng ngo\u00e0i \u0111\u01b0\u1eddng ti\u00eau h\u00f3a (PPN)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">PPN l\u00e0 dinh d\u01b0\u1ee1ng ngo\u00e0i \u0111\u01b0\u1eddng ti\u00eau h\u00f3a <\/span><span style=\"font-weight: 400;\">\u0111\u01b0\u1ee3c truy\u1ec1n qua \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch ngo\u1ea1i vi \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o c\u1ed5 ho\u1eb7c m\u1ed9t trong c\u00e1c chi. V\u00ec thu\u1ed1c \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o c\u00e1c t\u0129nh m\u1ea1ch nh\u1ecf h\u01a1n, <\/span><span style=\"font-weight: 400;\">PPN<\/span><span style=\"font-weight: 400;\"> V\u00ec th\u1ebf<\/span><span style=\"font-weight: 400;\">dung d\u1ecbch lo\u00e3ng h\u01a1n nhi\u1ec1u <\/span><span style=\"font-weight: 400;\">so v\u1edbi TPN<\/span><span style=\"font-weight: 400;\"> c\u00e1c gi\u1ea3i ph\u00e1p ng\u0103n ng\u1eeba tho\u00e1t m\u1ea1ch (thu\u1ed1c r\u00f2 r\u1ec9 t\u1eeb t\u0129nh m\u1ea1ch v\u00e0o m\u00f4 xung quanh) v\u00e0 vi\u00eam t\u1eafc t\u0129nh m\u1ea1ch (m\u1ed9t qu\u00e1 tr\u00ecnh vi\u00eam g\u00e2y ra c\u1ee5c m\u00e1u \u0111\u00f4ng h\u00ecnh th\u00e0nh v\u00e0 l\u00e0m t\u1eafc t\u0129nh m\u1ea1ch).&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Do \u0111\u00f3, dung d\u1ecbch PPN th\u01b0\u1eddng cung c\u1ea5p \u00edt calo h\u01a1n \u0111\u00e1ng k\u1ec3 so v\u1edbi dung d\u1ecbch TPN. PPN \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n \u0111\u1ec3 h\u1ed7 tr\u1ee3 dinh d\u01b0\u1ee1ng ng\u1eafn h\u1ea1n, th\u01b0\u1eddng trong 2 tu\u1ea7n ho\u1eb7c \u00edt h\u01a1n.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-ppn-vs-tpn\"><span class=\"ez-toc-section\" id=\"PPN_vs_TPN\"><\/span>PPN so v\u1edbi TPN<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">TPN v\u00e0 PPN<\/span><span style=\"font-weight: 400;\"> bot<\/span><span style=\"font-weight: 400;\">\u0111\u1ec1u c\u00f3 c\u00f9ng m\u1ee5c \u0111\u00edch chung l\u00e0 cung c\u1ea5p dinh d\u01b0\u1ee1ng cho c\u01a1 th\u1ec3 th\u00f4ng qua c\u00e1c ph\u01b0\u01a1ng ph\u00e1p thay th\u1ebf. S\u1ef1 kh\u00e1c bi\u1ec7t ch\u00ednh<\/span><span style=\"font-weight: 400;\">truy\u1ec1n d\u1ecbch gi\u1eefa PPN v\u00e0 TPN<\/span><span style=\"font-weight: 400;\"> c\u00f3 li\u00ean quan \u0111\u1ebfn h\u00e0m l\u01b0\u1ee3ng calo v\u00e0 th\u1eddi gian \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">PPN \u0111\u01b0\u1ee3c d\u00e0nh cho m\u1ee5c \u0111\u00edch ng\u1eafn h\u1ea1n khi th\u1eddi gian \u0111i\u1ec1u tr\u1ecb d\u1ef1 ki\u1ebfn kh\u00f4ng qu\u00e1 2 tu\u1ea7n, th\u01b0\u1eddng l\u00e0 trong ho\u1eb7c sau m\u1ed9t bi\u1ebfn c\u1ed1 c\u1ea5p t\u00ednh. Dung d\u1ecbch pha lo\u00e3ng h\u01a1n nhi\u1ec1u v\u00e0 th\u01b0\u1eddng d\u00f9ng \u0111\u1ec3 b\u1ed5 sung nhu c\u1ea7u dinh d\u01b0\u1ee1ng h\u01a1n l\u00e0 thay th\u1ebf nhu c\u1ea7u h\u00e0ng ng\u00e0y.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Ng\u01b0\u1ee3c l\u1ea1i, TPN to\u00e0n di\u1ec7n h\u01a1n nhi\u1ec1u. M\u1ed7i c\u00f4ng th\u1ee9c \u0111\u1ec1u gi\u00e0u calo v\u00e0 c\u00f3 th\u1ec3 thay th\u1ebf ho\u00e0n to\u00e0n nhu c\u1ea7u h\u00e0ng ng\u00e0y. Thu\u1ed1c n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n thay th\u1ebf PPN khi t\u00ecnh tr\u1ea1ng b\u1ec7nh \u0111\u01b0\u1ee3c d\u1ef1 \u0111o\u00e1n l\u00e0 m\u00e3n t\u00ednh v\u00e0 kh\u00f4ng c\u00f3 th\u1eddi gian ph\u1ee5c h\u1ed3i r\u00f5 r\u00e0ng. Khi \u0111i\u1ec1u tr\u1ecb PPN k\u00e9o d\u00e0i h\u01a1n 2 tu\u1ea7n, thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c chuy\u1ec3n sang TPN.<\/span><\/p>\n\n\n\n<div  id=\"call-to-action-6ed54ad359a27e9607f5b531e634a712\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tN\u00f3i chuy\u1ec7n v\u1edbi m\u1ed9t chuy\u00ean gia\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"cta__sub__heading\">\n\t\t\t\t\t\t\tV\u1ec1 Tr\u1ee3 c\u1ea5p \u0111\u1ed3ng thanh to\u00e1n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"tel:8777780318\">(877) 778-0318<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-composition\"><span class=\"ez-toc-section\" id=\"Composition\"><\/span>Th\u00e0nh ph\u1ea7n<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch ho\u00e0n to\u00e0n th\u01b0\u1eddng bao g\u1ed3m s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a nh\u1eefng th\u00e0nh ph\u1ea7n sau:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Kho\u00e1ng ch\u1ea5t<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">C\u00e1c nguy\u00ean t\u1ed1 vi l\u01b0\u1ee3ng<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Nh\u0169 t\u01b0\u01a1ng lipid<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Protein\/axit amin<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Carbohydrate\/dextrose<\/span><\/li>\n<\/ul>\n\n\n\n<p><span style=\"font-weight: 400;\">Th\u00e0nh ph\u1ea7n dinh d\u01b0\u1ee1ng TPN ph\u1ea3i \u0111\u01b0\u1ee3c c\u00e1 nh\u00e2n h\u00f3a \u0111\u1ec3 \u0111\u00e1p \u1ee9ng nhu c\u1ea7u c\u1ee5 th\u1ec3 c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n.&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Nh\u0169 t\u01b0\u01a1ng lipid, axit amin v\u00e0 dextrose l\u00e0 ba ch\u1ea5t dinh d\u01b0\u1ee1ng \u0111a l\u01b0\u1ee3ng ch\u00ednh cung c\u1ea5p nhu c\u1ea7u calo h\u00e0ng ng\u00e0y.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-carbohydrates\"><b>Carbohydrate:<\/b><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">H\u00e0m l\u01b0\u1ee3ng dextrose trong dung d\u1ecbch TPN c\u00f3 th\u1ec3 dao \u0111\u1ed9ng t\u1eeb 10% \u0111\u1ebfn 25% (wt\/vol). \u0110\u00e2y th\u01b0\u1eddng l\u00e0 ngu\u1ed3n cung c\u1ea5p calo l\u1edbn nh\u1ea5t.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">\u0110\u1ed1i v\u1edbi h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n, t\u1ed1c \u0111\u1ed9 s\u1eed d\u1ee5ng glucose t\u1ed1i \u0111a c\u1ee7a c\u01a1 th\u1ec3 l\u00e0 t\u1eeb 4 \u0111\u1ebfn 5 mg\/kg\/ph\u00fat. \u1ede c\u1ea3 hai <\/span><span style=\"font-weight: 400;\">TPN v\u00e0 PPN<\/span><span style=\"font-weight: 400;\"> c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb, c\u00e1c<\/span><span style=\"font-weight: 400;\"> T\u1ed1c \u0111\u1ed9 truy\u1ec1n dextrose t\u1ed1t nh\u1ea5t n\u00ean duy tr\u00ec \u1edf m\u1ee9c th\u1ea5p h\u01a1n ho\u1eb7c trong ph\u1ea1m vi n\u00e0y, t\u00f9y thu\u1ed9c v\u00e0o nhu c\u1ea7u calo.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Vi\u1ec7c b\u1ed5 sung qu\u00e1 nhi\u1ec1u carbohydrate c\u00f3 th\u1ec3 g\u00e2y m\u1ea5t c\u00e2n b\u1eb1ng l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u v\u00e0 lipid nguy hi\u1ec3m.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Vi\u1ec7c b\u1ed5 sung carbohydrate nhanh ch\u00f3ng trong th\u1eddi gian d\u00e0i c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng gan nhi\u1ec5m m\u1ee1.<\/span><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-proteins\"><b>Protein:<\/b><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">M\u1ed9t ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh kh\u1ecfe m\u1ea1nh th\u01b0\u1eddng c\u1ea7n t\u1eeb 0,8 \u0111\u1ebfn 1 gam protein cho m\u1ed7i kg tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 m\u1ed7i ng\u00e0y.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">B\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh n\u00e3o gan c\u1ea5p t\u00ednh c\u1ea7n h\u1ea1n ch\u1ebf t\u1ea1m th\u1eddi l\u01b0\u1ee3ng protein l\u00e0 0,8 gam\/kg\/ng\u00e0y.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">B\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh hi\u1ec3m ngh\u00e8o \u0111\u00f4i khi c\u00f3 th\u1ec3 c\u1ea7n t\u1edbi 2 gam\/kg\/ng\u00e0y.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">B\u1ec7nh nh\u00e2n ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o th\u01b0\u1eddng c\u1ea7n 1,2 \u2013 1,3 gm\/kg\/ng\u00e0y.<\/span><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-lipid-emulsions\"><b>Nh\u0169 t\u01b0\u01a1ng Lipid<\/b><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Lipid cung c\u1ea5p calo l\u00e0nh m\u1ea1nh v\u00e0 c\u00e1c axit b\u00e9o thi\u1ebft y\u1ebfu. Thi\u1ebfu ch\u00fang, t\u00ecnh tr\u1ea1ng thi\u1ebfu h\u1ee5t c\u00f3 th\u1ec3 x\u1ea3y ra sau 3 tu\u1ea7n. <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2900762\/\"><span style=\"font-weight: 400;\">dinh d\u01b0\u1ee1ng TPN kh\u00f4ng b\u00e9o<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Cholesterol v\u00e0 lipid th\u01b0\u1eddng chi\u1ebfm t\u1eeb 20% \u0111\u1ebfn 30% t\u1ed5ng l\u01b0\u1ee3ng calo ti\u00eau th\u1ee5.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Lipid c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c truy\u1ec1n ri\u00eang l\u1ebb ho\u1eb7c \u0111\u01b0\u1ee3c th\u00eam v\u00e0o dung d\u1ecbch t\u1ed5ng th\u1ec3. Khi \u0111\u01b0\u1ee3c k\u1ebft h\u1ee3p, s\u1ea3n ph\u1ea9m thu \u0111\u01b0\u1ee3c \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 &quot;h\u1ed7n h\u1ee3p dinh d\u01b0\u1ee1ng t\u1ed5ng th\u1ec3 (TNA)&quot; ho\u1eb7c &quot;<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25606645\/\"><span style=\"font-weight: 400;\">3 trong 1<\/span><\/a><span style=\"font-weight: 400;\">\u201d TPN (so v\u1edbi \u201c<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25606645\/\"><span style=\"font-weight: 400;\">2 trong 1<\/span><\/a><span style=\"font-weight: 400;\">\u201d TPN, ch\u1ec9 ch\u1ee9a axit amin v\u00e0 dextrose). Lipid \u0111\u00f4i khi l\u00e0 th\u00e0nh ph\u1ea7n t\u1ea1o n\u00ean m\u00e0u \u201cs\u1eefa\u201d cho c\u00e1c dung d\u1ecbch n\u00e0y.<\/span><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-micronutrients-electrolytes-vitamins-and-trace-elements\"><b>Vi ch\u1ea5t dinh d\u01b0\u1ee1ng: Ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i, Vitamin v\u00e0 Nguy\u00ean t\u1ed1 vi l\u01b0\u1ee3ng<\/b><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">C\u00e1c vitamin thi\u1ebft y\u1ebfu \u0111\u01b0\u1ee3c b\u1ed5 sung v\u00e0o TPN d\u01b0\u1edbi d\u1ea1ng dung d\u1ecbch \u0111a vitamin \u0111\u01b0\u1ee3c pha ch\u1ebf \u0111\u1ec3 ti\u00eam t\u0129nh m\u1ea1ch.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">D\u1ea5u v\u1ebft ele<\/span><span style=\"font-weight: 400;\">C\u00e1c ch\u1ea5t dinh d\u01b0\u1ee1ng (k\u1ebdm, \u0111\u1ed3ng, mangan v\u00e0 selen) \u0111\u01b0\u1ee3c b\u1ed5 sung d\u1ef1a tr\u00ean nhu c\u1ea7u h\u00e0ng ng\u00e0y.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p, m\u1ed7i t\u00fai TPN d\u00f9ng h\u00e0ng ng\u00e0y s\u1ebd ch\u1ee9a l\u01b0\u1ee3ng ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i sau tr\u00ean m\u1ed9t l\u00edt dung d\u1ecbch:<\/span>\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Canxi (Ca): 5 \u2013 15 mEq\/ng\u00e0y<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Natri (Na): 1 \u2013 2 mEq\/kg\/ng\u00e0y<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Kali (K): 1 \u2013 2 mEq\/kg\/ng\u00e0y<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Magi\u00ea (Mg): 8 \u2013 20 mEq\/ng\u00e0y<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Ph\u1ed1t pho (Phos): 15 \u2013 30 mM\/ng\u00e0y<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p><span style=\"font-weight: 400;\">*L\u01b0\u1ee3ng ch\u00ednh x\u00e1c s\u1ebd kh\u00e1c nhau t\u00f9y theo t\u1eebng b\u1ec7nh nh\u00e2n d\u1ef1a tr\u00ean ph\u1ea3n \u1ee9ng c\u1ee7a x\u00e9t nghi\u1ec7m.<\/span><\/p>\n\n\n\n<div  id=\"call-to-action-28c8e9914f04d632c2daed462436f8b8\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tH\u1ecfi v\u1ec1 d\u1ecbch truy\u1ec1n t\u1ea1i nh\u00e0 TPN\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"#form\">B\u1eaft \u0111\u1ea7u<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-tpn-administration\"><span class=\"ez-toc-section\" id=\"TPN_Administration\"><\/span>Qu\u1ea3n tr\u1ecb TPN<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Do n\u1ed3ng \u0111\u1ed9 ch\u1ea5t dinh d\u01b0\u1ee1ng kh\u00e1c nhau c\u1ee7a ch\u00fang, <\/span><span style=\"font-weight: 400;\">PPN so v\u1edbi TPN<\/span><span style=\"font-weight: 400;\"> gi\u1ea3i ph\u00e1p s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p qu\u1ea3n l\u00fd kh\u00e1c nhau. <\/span><a href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-solution\/total-parenteral-nutrition-tpn-faq\/\"><span style=\"font-weight: 400;\">Dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch to\u00e0n ph\u1ea7n<\/span><\/a><span style=\"font-weight: 400;\"> th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o c\u01a1 th\u1ec3 qua \u1ed1ng th\u00f4ng t\u0129nh m\u1ea1ch trung t\u00e2m (CVC). C\u00e1c lo\u1ea1i CVC ph\u1ed5 bi\u1ebfn l\u00e0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30339287\/\"><span style=\"font-weight: 400;\"> \u1ed1ng th\u00f4ng trung t\u00e2m \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o ngo\u1ea1i vi (\u0111\u01b0\u1eddng PICC), CVC \u0111\u01b0\u1ee3c \u0111\u00e0o h\u1ea7m v\u00e0 c\u1ed5ng c\u1ea5y gh\u00e9p<\/span><\/a><span style=\"font-weight: 400;\">. Ch\u00fang \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ti\u1ebfp c\u1eadn h\u1ec7 th\u1ed1ng tu\u1ea7n ho\u00e0n trung t\u00e2m, n\u01a1i c\u00f3 th\u1ec3 truy\u1ec1n c\u00e1c ch\u1ea5t tan c\u00f4 \u0111\u1eb7c h\u01a1n.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-picc-lines\">D\u00f2ng PICC<\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">\u1ed0ng th\u00f4ng PICC c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o t\u0129nh m\u1ea1ch khu\u1ef7u gi\u1eefa (c\u00e1nh tay, \u0111\u1ea7u ho\u1eb7c n\u1ec1n), t\u00f9y thu\u1ed9c v\u00e0o k\u00edch th\u01b0\u1edbc v\u00e0 v\u1ecb tr\u00ed mong mu\u1ed1n. \u1ed0ng th\u00f4ng \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o ngo\u1ea1i vi. N\u00f3 \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn b\u1eb1ng h\u00ecnh \u1ea3nh X-quang cho \u0111\u1ebfn khi \u0111\u1ea7u \u1ed1ng th\u00f4ng \u0111\u01b0\u1ee3c \u0111\u1eb7t g\u1ea7n t\u0129nh m\u1ea1ch ch\u1ee7 tr\u00ean c\u1ee7a tim.&nbsp;<\/span><\/p>\n\n\n\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29083596\/\"><span style=\"font-weight: 400;\">D\u00f2ng PICC<\/span><\/a><span style=\"font-weight: 400;\"> c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng<\/span><span style=\"font-weight: 400;\"> cho TPN i<\/span><span style=\"font-weight: 400;\">Truy\u1ec1n d\u1ecbch trong t\u1ed1i \u0111a 6 th\u00e1ng mi\u1ec5n l\u00e0 \u1ed1ng th\u00f4ng v\u00e0 v\u1ecb tr\u00ed \u0111\u1eb7t v\u1eabn \u1ed5n \u0111\u1ecbnh v\u00e0 kh\u00f4ng b\u1ecb nhi\u1ec5m tr\u00f9ng. Sau 6 th\u00e1ng, c\u00e1c \u1ed1ng th\u00f4ng n\u00e0y s\u1ebd c\u1ea7n \u0111\u01b0\u1ee3c thay th\u1ebf b\u1eb1ng \u1ed1ng th\u00f4ng m\u1edbi. Sau khi ho\u00e0n t\u1ea5t \u0111i\u1ec1u tr\u1ecb, c\u00e1c \u0111\u01b0\u1eddng truy\u1ec1n PICC c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u00e1o ra an to\u00e0n b\u1edfi \u0111i\u1ec1u d\u01b0\u1ee1ng \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o \u1edf h\u1ea7u h\u1ebft m\u1ecdi n\u01a1i.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-tunneled-cvcs\">CVC \u0111\u01b0\u1eddng h\u1ea7m<\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">CVC \u0111\u01b0\u1eddng h\u1ea7m \u0111\u01b0\u1ee3c \u0111\u1eb7t b\u1eb1ng ph\u1eabu thu\u1eadt \u0111\u1ec3 \u0111i v\u00e0o h\u1ec7 tu\u1ea7n ho\u00e0n trung t\u00e2m qua t\u0129nh m\u1ea1ch c\u1ea3nh trong, t\u0129nh m\u1ea1ch d\u01b0\u1edbi \u0111\u00f2n ho\u1eb7c t\u0129nh m\u1ea1ch \u0111\u00f9i. Ch\u00fang ho\u1ea1t \u0111\u1ed9ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 PICC, ngo\u1ea1i tr\u1eeb vi\u1ec7c \u0111\u01b0\u1ee3c kh\u00e2u v\u00e0o da. \u0110\u1ec3 lo\u1ea1i b\u1ecf, b\u1ec7nh nh\u00e2n ph\u1ea3i \u0111\u01b0\u1ee3c chuy\u1ec3n l\u1ea1i khoa X-quang can thi\u1ec7p.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-implanted-ports\">C\u1ed5ng c\u1ea5y gh\u00e9p<\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">M\u1ed8T<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30137796\/\"> <span style=\"font-weight: 400;\">c\u1ed5ng c\u1ea5y gh\u00e9p<\/span><\/a><span style=\"font-weight: 400;\">\u1ed0ng th\u00f4ng t\u0129nh m\u1ea1ch trung t\u00e2m (medi-port) th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 medi-port ho\u1eb7c port-a-cath, l\u00e0 lo\u1ea1i \u1ed1ng th\u00f4ng t\u0129nh m\u1ea1ch trung t\u00e2m l\u00e2u d\u00e0i nh\u1ea5t. N\u00f3 c\u0169ng \u0111\u01b0\u1ee3c \u0111\u1eb7t b\u1eb1ng ph\u1eabu thu\u1eadt, nh\u01b0ng \u0111i\u1ec3m v\u00e0o n\u1eb1m d\u01b0\u1edbi da. M\u1ed7i l\u1ea7n \u0111\u1eb7t s\u1ebd c\u1ea7n m\u1ed9t lo\u1ea1i kim ri\u00eang g\u1ecdi l\u00e0 kim Huber, c\u00f3 s\u1eb5n trong <\/span><span style=\"font-weight: 400;\">nhi\u1ec1u k\u00edch c\u1ee1 kh\u00e1c nhau t\u00f9y theo s\u1edf th\u00edch v\u00e0 c\u00e1ch \u0111\u1eb7t c\u1ed5ng.&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">TPN t\u1eeb l\u00e2u \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o c\u01a1 th\u1ec3 qua c\u00e1c c\u1ed5ng c\u1ea5y gh\u00e9p, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n c\u1ea7n dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch m\u00e3n t\u00ednh. C\u1ed5ng<\/span><span style=\"font-weight: 400;\">C\u00f3 th\u1ec3 \u0111\u1eb7t \u1ed1ng th\u00f4ng v\u00f4 th\u1eddi h\u1ea1n mi\u1ec5n l\u00e0 \u1ed1ng th\u00f4ng v\u1eabn \u1ed5n \u0111\u1ecbnh v\u00e0 kh\u00f4ng b\u1ecb nhi\u1ec5m tr\u00f9ng. Vi\u1ec7c th\u00e1o b\u1ecf \u1ed1ng th\u00f4ng c\u0169ng c\u1ea7n ph\u1ea3i chuy\u1ec3n \u0111\u1ebfn khoa X-quang can thi\u1ec7p.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-ppn-administration\">Qu\u1ea3n tr\u1ecb PPN<\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">TPN kh\u00f4ng th\u1ec3 \u0111\u01b0\u1ee3c truy\u1ec1n qua catheter t\u0129nh m\u1ea1ch ngo\u1ea1i vi do \u0111\u1ed9 th\u1ea9m th\u1ea5u cao. \u0110\u1ed1i v\u1edbi truy\u1ec1n t\u0129nh m\u1ea1ch ngo\u1ea1i vi (PPN), dung d\u1ecbch PN ph\u1ea3i \u0111\u01b0\u1ee3c pha ch\u1ebf d\u01b0\u1edbi 900 mOsm. \u0110i\u1ec1u n\u00e0y l\u00e0m gi\u1ea3m t\u00ednh linh ho\u1ea1t trong vi\u1ec7c b\u1ed5 sung l\u01b0\u1ee3ng calo v\u00e0o m\u1ed7i t\u00fai. Do \u0111\u00f3, PPN th\u01b0\u1eddng kh\u00f4ng cung c\u1ea5p \u0111\u1ee7 nhu c\u1ea7u dinh d\u01b0\u1ee1ng h\u00e0ng ng\u00e0y.&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Dung d\u1ecbch PPN so v\u1edbi TPN \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ebf cho c\u00e1c nhu c\u1ea7u y t\u1ebf kh\u00e1c nhau. PPN th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 h\u1ed7 tr\u1ee3 dinh d\u01b0\u1ee1ng h\u01a1n l\u00e0 thay th\u1ebf dinh d\u01b0\u1ee1ng. PPN \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ng\u1eafn h\u1ea1n khi nhu c\u1ea7u d\u1ef1 ki\u1ebfn kh\u00f4ng qu\u00e1 2 tu\u1ea7n. Ngo\u00e0i ra, v\u00ec \u1ed1ng th\u00f4ng ngo\u1ea1i vi ti\u1ebfp c\u1eadn h\u1ec7 tu\u1ea7n ho\u00e0n qua c\u00e1c t\u0129nh m\u1ea1ch nh\u1ecf h\u01a1n, c\u00e1c thi\u1ebft b\u1ecb n\u00e0y kh\u00f4ng th\u1ec3 duy tr\u00ec \u1ed5n \u0111\u1ecbnh l\u00e2u d\u00e0i sau khi ti\u1ebfp c\u1eadn.<\/span><\/p>\n\n\n\n<div  id=\"call-to-action-6895c5e1df98d891d27c900e154327ba\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tCh\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t AmeriPharma\u00ae\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"cta__sub__heading\">\n\t\t\t\t\t\t\tD\u1eabn \u0111\u1ea7u trong h\u1ed7 tr\u1ee3 TPN\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"tel:8777780318\">(877) 778-0318<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-indications\"><span class=\"ez-toc-section\" id=\"Indications\"><\/span>Ch\u1ec9 \u0111\u1ecbnh<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">TPN so v\u1edbi PPN<\/span><span style=\"font-weight: 400;\"> m\u1ed7i ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u00f3 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p s\u1eed d\u1ee5ng kh\u00e1c nhau. <\/span><a href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-solution\/10-tips-for-adjusting-to-your-life-with-tpn-total-parenteral-nutrition\/\"><span style=\"font-weight: 400;\">Li\u1ec7u ph\u00e1p TPN<\/span><\/a><span style=\"font-weight: 400;\"> \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc khi ch\u1ee9c n\u0103ng ti\u00eau h\u00f3a c\u1ee7a b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u1ea7y \u0111\u1ee7 v\u00e0 dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a b\u1ecb ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh. Ch\u1ebf \u0111\u1ed9 \u0103n qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a \u0111\u01b0\u1ee3c \u01b0u ti\u00ean h\u01a1n ch\u1ebf \u0111\u1ed9 \u0103n ngo\u00e0i \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00ec ch\u00fang \u00edt t\u1ed1n k\u00e9m h\u01a1n v\u00e0 \u00edt bi\u1ebfn ch\u1ee9ng ti\u1ec1m \u1ea9n h\u01a1n. Tuy nhi\u00ean, ch\u1ebf \u0111\u1ed9 \u0103n n\u00e0y ch\u1ec9 kh\u1ea3 thi n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 h\u1ec7 ti\u00eau h\u00f3a ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng.&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">T\u00ecnh tr\u1ea1ng v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n s\u1ebd quy\u1ebft \u0111\u1ecbnh xem h\u1ecd c\u00f3 c\u1ea7n <\/span><span style=\"font-weight: 400;\">PPN so v\u1edbi TPN<\/span><span style=\"font-weight: 400;\">. C\u00e1c ch\u1ec9 \u0111\u1ecbnh sau \u0111\u00e2y \u0111\u00f2i h\u1ecfi ph\u1ea3i cung c\u1ea5p TPN:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Ung th\u01b0 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a: Kh\u1ed1i u c\u00f3 th\u1ec3 g\u00e2y t\u1eafc ru\u1ed9t v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c ti\u00eau th\u1ee5 \u0111\u1ee7 calo. H\u00f3a tr\u1ecb v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 kh\u00e1c c\u0169ng c\u00f3 th\u1ec3 khi\u1ebfn c\u01a1 th\u1ec3 b\u1ea1n kh\u00f3 h\u1ea5p th\u1ee5 ch\u1ea5t dinh d\u01b0\u1ee1ng.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Kh\u00f4ng dung n\u1ea1p th\u1ee9c \u0103n k\u1ebft h\u1ee3p v\u1edbi t\u00ecnh tr\u1ea1ng t\u1eafc ru\u1ed9t gi\u1ea3.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">R\u00f2 GI c\u00f3 l\u01b0u l\u01b0\u1ee3ng cao<\/span><span style=\"font-weight: 400;\">w: TPN <\/span><span style=\"font-weight: 400;\">dinh d\u01b0\u1ee1ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u00fap ru\u1ed9t \u0111\u01b0\u1ee3c ngh\u1ec9 ng\u01a1i v\u00e0 thay th\u1ebf ch\u1ea5t l\u1ecfng b\u1ecb m\u1ea5t qua \u1ed1ng d\u1eabn l\u01b0u.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Nhi khoa: Tr\u1ebb em v\u00e0 tr\u1ebb s\u01a1 sinh c\u00f3 th\u1ec3 c\u00f3 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a ch\u01b0a tr\u01b0\u1edfng th\u00e0nh ho\u1eb7c d\u1ecb t\u1eadt \u0111\u01b0\u1eddng ti\u00eau h\u00f3a b\u1ea9m sinh.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">R\u00f2 r\u1ec9 t\u1eeb v\u1ebft n\u1ed1i ru\u1ed9t sau ph\u1eabu thu\u1eadt.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">N\u00f4n m\u1eeda ho\u1eb7c ti\u00eau ch\u1ea3y nghi\u00eam tr\u1ecdng khi\u1ebfn c\u01a1 th\u1ec3 kh\u00f4ng h\u1ea5p th\u1ee5 \u0111\u1ee7 ch\u1ea5t dinh d\u01b0\u1ee1ng.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">T\u1eafc ru\u1ed9t non.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">C\u00e1c t\u00ecnh tr\u1ea1ng t\u0103ng d\u1ecb h\u00f3a nh\u01b0 nhi\u1ec5m tr\u00f9ng huy\u1ebft, ch\u1ea5n th\u01b0\u01a1ng \u0111a c\u01a1 quan, g\u00e3y x\u01b0\u01a1ng nghi\u00eam tr\u1ecdng v\u00e0 b\u1ecfng.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">S\u1ef1 tr\u1ea7m tr\u1ecdng c\u1ee7a <a href=\"https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/inflammatory-bowel-disease\">b\u1ec7nh vi\u00eam ru\u1ed9t<\/a>.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">B\u1ec7nh nh\u00e2n b\u1ec7nh n\u1eb7ng.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">C\u00e1c t\u00ecnh tr\u1ea1ng kh\u00e1c c\u00f3 th\u1eddi gian d\u1ef1 ki\u1ebfn NPO (kh\u00f4ng \u0103n u\u1ed1ng g\u00ec) d\u00e0i h\u01a1n 7 ng\u00e0y.<\/span><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-other-reasons-for-tpn\">Nh\u1eefng l\u00fd do kh\u00e1c cho TPN<\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">C\u00e1c \u0111i\u1ec1u ki\u1ec7n sau \u0111\u00e2y c\u00f3 th\u1ec3 y\u00eau c\u1ea7u u<\/span><span style=\"font-weight: 400;\">se c\u1ee7a TPN ph\u1ee5 thu\u1ed9c<\/span><span style=\"font-weight: 400;\">v\u1ec1 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a ch\u00fang:<\/span><\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-crohn-s-disease\"><a href=\"https:\/\/medlineplus.gov\/crohnsdisease.html\"><span style=\"font-weight: 400;\">B\u1ec7nh Crohn<\/span><\/a><\/h4>\n\n\n\n<p><span style=\"font-weight: 400;\">B\u1ec7nh Crohn l\u00e0 m\u1ed9t b\u1ec7nh vi\u00eam ru\u1ed9t c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n b\u1eb1ng \u0111au b\u1ee5ng, h\u1eb9p ru\u1ed9t v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng h\u1ea5p th\u1ee5 th\u1ee9c \u0103n, ti\u00eau h\u00f3a v\u00e0 h\u1ea5p th\u1ee5 th\u1ee9c \u0103n.<\/span><\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-short-bowel-syndrome\"><span style=\"font-weight: 400;\">H\u1ed9i ch\u1ee9ng ru\u1ed9t ng\u1eafn<\/span><\/h4>\n\n\n\n<p><span style=\"font-weight: 400;\">M\u1ed9t ng\u01b0\u1eddi c\u00f3 th\u1ec3 sinh ra \u0111\u00e3 m\u1eafc b\u1ec7nh n\u00e0y ho\u1eb7c ph\u00e1t tri\u1ec3n b\u1ec7nh do ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf m\u1ed9t ph\u1ea7n \u0111\u00e1ng k\u1ec3 ru\u1ed9t non. B\u1ec7nh nh\u00e2n m\u1eafc h\u1ed9i ch\u1ee9ng ru\u1ed9t ng\u1eafn kh\u00f4ng c\u00f3 \u0111\u1ee7 ru\u1ed9t \u0111\u1ec3 h\u1ea5p th\u1ee5 \u0111\u1ee7 ch\u1ea5t dinh d\u01b0\u1ee1ng t\u1eeb \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.<\/span><\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-ischemic-bowel-disease\"><span style=\"font-weight: 400;\">B\u1ec7nh thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 ru\u1ed9t<\/span><\/h4>\n\n\n\n<p><span style=\"font-weight: 400;\">Trong b\u1ec7nh thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 ru\u1ed9t, t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n nhu \u0111\u1ed9ng ru\u1ed9t v\u00e0 k\u00e9m h\u1ea5p thu l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a vi\u1ec7c gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn ru\u1ed9t do nguy\u00ean nh\u00e2n tim m\u1ea1ch.<\/span><\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-other-abnormal-bowel-function\"><span style=\"font-weight: 400;\">Ch\u1ee9c n\u0103ng ru\u1ed9t b\u1ea5t th\u01b0\u1eddng kh\u00e1c<\/span><\/h4>\n\n\n\n<p><span style=\"font-weight: 400;\">R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng ru\u1ed9t v\u00f4 c\u0103n l\u00e0 t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n nhu \u0111\u1ed9ng ru\u1ed9t do c\u00e1c y\u1ebfu t\u1ed1 b\u00ean ngo\u00e0i. M\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n bao g\u1ed3m d\u00ednh ru\u1ed9t do ph\u1eabu thu\u1eadt, vi\u00eam ru\u1ed9t do x\u1ea1 tr\u1ecb v\u00e0 <\/span><a href=\"https:\/\/medlineplus.gov\/genetics\/condition\/small-fiber-neuropathy\/\"><span style=\"font-weight: 400;\">b\u1ec7nh l\u00fd th\u1ea7n kinh s\u1ee3i nh\u1ecf<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n\n\n\n<div  id=\"call-to-action-6ed54ad359a27e9607f5b531e634a712\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tN\u00f3i chuy\u1ec7n v\u1edbi m\u1ed9t chuy\u00ean gia\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"cta__sub__heading\">\n\t\t\t\t\t\t\tV\u1ec1 Tr\u1ee3 c\u1ea5p \u0111\u1ed3ng thanh to\u00e1n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"tel:8777780318\">(877) 778-0318<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-tpn-and-ppn-in-pregnancy\"><span class=\"ez-toc-section\" id=\"TPN_and_PPN_in_Pregnancy\"><\/span>TPN v\u00e0 PPN trong thai k\u1ef3<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3649700\/\"><span style=\"font-weight: 400;\">Bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n<\/span><\/a><span style=\"font-weight: 400;\"> l\u00e0 nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ed5 bi\u1ebfn c\u1ee7a thai k\u1ef3, v\u00e0 ch\u00fang c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn c\u00e1c ho\u1ea1t \u0111\u1ed9ng sinh ho\u1ea1t h\u00e0ng ng\u00e0y, bao g\u1ed3m c\u1ea3 dinh d\u01b0\u1ee1ng. Kho\u1ea3ng 85% ph\u1ee5 n\u1eef mang thai b\u1ecb bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n trong 3 th\u00e1ng \u0111\u1ea7u thai k\u1ef3. 20% c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c b\u1ecb trong su\u1ed1t th\u1eddi gian c\u00f2n l\u1ea1i c\u1ee7a thai k\u1ef3.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Kho\u1ea3ng 2% ph\u1ee5 n\u1eef mang thai b\u1ecb <\/span><a href=\"https:\/\/medlineplus.gov\/ency\/article\/001499.htm#:~:text=Hyperemesis%20gravidarum%20is%20extreme%2C%20persistent,that%20occurs%20in%20early%20pregnancy.\"><span style=\"font-weight: 400;\">ch\u1ee9ng n\u00f4n ngh\u00e9n<\/span><\/a><span style=\"font-weight: 400;\">, m\u1ed9t d\u1ea1ng bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n nghi\u00eam tr\u1ecdng c\u00f3 th\u1ec3 k\u00e9o d\u00e0i v\u00e0i ng\u00e0y, th\u1eadm ch\u00ed v\u00e0i tu\u1ea7n. T\u00ecnh tr\u1ea1ng nguy c\u01a1 cao n\u00e0y c\u00f3 th\u1ec3 g\u00e2y nguy hi\u1ec3m cho c\u1ea3 m\u1eb9 v\u00e0 thai nhi. Theo H\u1ed9i S\u1ea3n ph\u1ee5 khoa Hoa K\u1ef3 (ACOG), dinh d\u01b0\u1ee1ng ngo\u00e0i \u0111\u01b0\u1eddng ti\u00eau h\u00f3a c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc cho nh\u1eefng thai ph\u1ee5 \u0111\u00e3 s\u1ee5t 10% ho\u1eb7c h\u01a1n so v\u1edbi c\u00e2n n\u1eb7ng tr\u01b0\u1edbc khi mang thai.&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Cho d\u00f9 b\u1ec7nh nh\u00e2n c\u00f3 c\u1ea7n <\/span><span style=\"font-weight: 400;\">PPN so v\u1edbi TPN<\/span><span style=\"font-weight: 400;\"> vi\u1ec7c \u0111i\u1ec1u tr\u1ecb s\u1ebd ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a t\u00ecnh tr\u1ea1ng b\u1ec7nh.<\/span><span style=\"font-weight: 400;\"> C\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c cho \u0111\u1ebfn khi sinh n\u1ebfu ng\u01b0\u1eddi m\u1eb9 v\u1eabn g\u1eb7p kh\u00f3 kh\u0103n khi \u0103n u\u1ed1ng m\u1eb7c d\u00f9 \u0111\u00e3 d\u00f9ng thu\u1ed1c ch\u1ed1ng n\u00f4n. C\u00e1c bi\u1ebfn ch\u1ee9ng do n\u00f4n ngh\u00e9n n\u1eb7ng, ch\u1eb3ng h\u1ea1n nh\u01b0 ceton ni\u1ec7u, m\u1ea5t n\u01b0\u1edbc nghi\u00eam tr\u1ecdng v\u00e0 d\u1ecb h\u00f3a, l\u00e0 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u1ea5p c\u1ee9u. Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i nh\u1eadp vi\u1ec7n.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-contraindications\"><span class=\"ez-toc-section\" id=\"Contraindications\"><\/span>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Theo <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5529889\/\"><span style=\"font-weight: 400;\">Maudar (1995)<\/span><\/a><span style=\"font-weight: 400;\">, dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch ho\u00e0n to\u00e0n th\u01b0\u1eddng ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p sau:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Tr\u1ebb s\u01a1 sinh c\u00f3 ru\u1ed9t non d\u00e0i d\u01b0\u1edbi 8 cm.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb m\u1ea5t n\u00e3o kh\u00f4ng th\u1ec3 ph\u1ee5c h\u1ed3i.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">B\u1ec7nh nh\u00e2n b\u1ecb r\u1ed1i lo\u1ea1n tim m\u1ea1ch ho\u1eb7c r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a nghi\u00eam tr\u1ecdng. Tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u nu\u00f4i d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch, c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh c\u00e1c b\u1ea5t \u1ed5n n\u00e0y.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">\u0110\u01b0\u1eddng ti\u00eau h\u00f3a c\u1ee7a b\u1ec7nh nh\u00e2n v\u1eabn ho\u1ea1t \u0111\u1ed9ng v\u00e0 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng \u0111\u01b0\u1ee3c.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">T\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng c\u1ee7a b\u1ec7nh nh\u00e2n thu\u1eadn l\u1ee3i v\u1edbi nh\u1eefng l\u1ee3i \u00edch d\u1ef1 ki\u1ebfn ch\u1ec9 trong th\u1eddi gian ng\u1eafn <\/span><span style=\"font-weight: 400;\">TPN.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">T\u1eed vong l\u00e0 \u0111i\u1ec1u kh\u00f4ng th\u1ec3 tr\u00e1nh kh\u1ecfi b\u1ea5t k\u1ec3 t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng. Kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng dinh d\u01b0\u1ee1ng ngo\u00e0i \u0111\u01b0\u1eddng ti\u00eau h\u00f3a \u0111\u1ec3 k\u00e9o d\u00e0i s\u1ef1 s\u1ed1ng trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nh\u01b0 v\u1eady.<\/span><\/li>\n<\/ul>\n\n\n\n<div  id=\"call-to-action-747a13c24e1d4791d08e5ac709cdda1d\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tH\u1ecfi v\u1ec1 d\u1ecbch truy\u1ec1n t\u1ea1i nh\u00e0 TPN\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"#form\">B\u1eaft \u0111\u1ea7u\u201d<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-tpn-monitoring\"><span class=\"ez-toc-section\" id=\"TPN_Monitoring\"><\/span>Gi\u00e1m s\u00e1t TPN<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Cung c\u1ea5p dinh d\u01b0\u1ee1ng \u0111\u1ea7y \u0111\u1ee7 l\u00e0m cho <\/span><span style=\"font-weight: 400;\">TPN <\/span><span style=\"font-weight: 400;\">ng\u01b0\u1eddi m\u1ea1o hi\u1ec3m<\/span><span style=\"font-weight: 400;\"> so v\u1edbi PPN<\/span><span style=\"font-weight: 400;\"> \u0111i\u1ec1u tr\u1ecb. Do \u0111\u00f3, c\u00e1c th\u00f4ng s\u1ed1 sau \u0111\u00e2y \u0111\u01b0\u1ee3c theo d\u00f5i th\u01b0\u1eddng xuy\u00ean trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1eb1ng TPN:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Ch\u1ee9c n\u0103ng gan<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Protein huy\u1ebft thanh<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">L\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong n\u01b0\u1edbc ti\u1ec3u (th\u01b0\u1eddng \u1edf b\u1ec7nh vi\u1ec7n)<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Bi\u1ec3u \u0111\u1ed3 \u0111\u1ea7u v\u00e0o v\u00e0 \u0111\u1ea7u ra (th\u01b0\u1eddng \u1edf b\u1ec7nh vi\u1ec7n)<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Nit\u01a1 ur\u00ea m\u00e1u (BUN) v\u00e0 creatinin huy\u1ebft thanh<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i trong huy\u1ebft thanh: natri, kali, clorua, bicarbonate, canxi, magi\u00ea<\/span><\/li>\n<\/ul>\n\n\n\n<p><span style=\"font-weight: 400;\">Khi b\u1eaft \u0111\u1ea7u PN, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i ch\u1eb7t ch\u1ebd c\u00e1c d\u1ea5u hi\u1ec7u ho\u1eb7c tri\u1ec7u ch\u1ee9ng c\u1ee7a h\u1ed9i ch\u1ee9ng t\u00e1i nu\u00f4i \u0103n, bi\u1ec3u hi\u1ec7n l\u00e0 t\u00ecnh tr\u1ea1ng m\u1ea5t c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i nghi\u00eam tr\u1ecdng, ch\u1ee7 y\u1ebfu l\u00e0 kali, magie v\u00e0 phosphat.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Nguy c\u01a1 cao nh\u1ea5t \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecb suy dinh d\u01b0\u1ee1ng n\u1eb7ng v\u00e0 suy m\u00f2n (nh\u1eefng ng\u01b0\u1eddi m\u1eafc h\u1ed9i ch\u1ee9ng suy m\u00f2n). B\u1ec7nh nh\u00e2n b\u1ecb h\u1ed9i ch\u1ee9ng t\u00e1i nu\u00f4i d\u01b0\u1ee1ng c\u0169ng c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n suy h\u00f4 h\u1ea5p, t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p t\u00ednh, v\u00e0 th\u1eadm ch\u00ed l\u00e0 ti\u00eau c\u01a1 v\u00e2n (l\u00e0 t\u00ecnh tr\u1ea1ng ph\u00e2n h\u1ee7y m\u00f4 c\u01a1, gi\u1ea3i ph\u00f3ng m\u1ed9t lo\u1ea1i protein g\u00e2y h\u1ea1i v\u00e0o m\u00e1u). Truy\u1ec1n d\u1ecbch v\u00e0 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u TPN ban \u0111\u1ea7u ch\u1eadm, \u0111\u1eb7c bi\u1ec7t l\u00e0 v\u1edbi dextrose v\u00e0 lipid, s\u1ebd gi\u00fap ng\u0103n ng\u1eeba <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2440847\/#:~:text=Refeeding%20syndrome%20can%20be%20defined,may%20cause%20serious%20clinical%20complications.\"><span style=\"font-weight: 400;\">h\u1ed9i ch\u1ee9ng t\u00e1i nu\u00f4i d\u01b0\u1ee1ng<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-complications\"><span class=\"ez-toc-section\" id=\"Complications\"><\/span>Bi\u1ebfn ch\u1ee9ng<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"532\" src=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2021\/09\/ppn-vs-tpn-complications.jpg\" alt=\"Human anatomy\" class=\"wp-image-22160\" srcset=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2021\/09\/ppn-vs-tpn-complications.jpg 768w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2021\/09\/ppn-vs-tpn-complications-300x208.jpg 300w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2021\/09\/ppn-vs-tpn-complications-86x60.jpg 86w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2021\/09\/ppn-vs-tpn-complications-167x116.jpg 167w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2021\/09\/ppn-vs-tpn-complications-280x194.jpg 280w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2021\/09\/ppn-vs-tpn-complications-370x256.jpg 370w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/figure>\n\n\n\n<p><br><span style=\"font-weight: 400;\">Li\u1ec7u ph\u00e1p TPN kh\u00f4ng ph\u1ea3i l\u00e0 kh\u00f4ng c\u00f3 r\u1ee7i ro. M\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng c\u00f3 th\u1ec3 x\u1ea3y ra c\u1ea7n c\u00e2n nh\u1eafc l\u00e0:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Ph\u00f9 n\u1ec1<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">S\u1ef1 nhi\u1ec5m tr\u00f9ng<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Ch\u1ea3y m\u00e1u<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Thuy\u00ean t\u1eafc kh\u00ed<\/span><\/li>\n\n\n\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26398070\/\"><span style=\"font-weight: 400;\">T\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u<\/span><\/a><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i (ph\u1ed5i b\u1ecb x\u1eb9p)<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng gan<\/span><\/li>\n\n\n\n<li><a href=\"https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/thrombosis\"><span style=\"font-weight: 400;\">Huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch<\/span><\/a><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">B\u1ea5t th\u01b0\u1eddng v\u1ec1 chuy\u1ec3n h\u00f3a do h\u00f3a ch\u1ea5t g\u00e2y ra<\/span><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-catheter-related-infections\">Nhi\u1ec5m tr\u00f9ng li\u00ean quan \u0111\u1ebfn \u1ed1ng th\u00f4ng<\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Kh\u00f4ng may thay, <\/span><span style=\"font-weight: 400;\">TPN v\u00e0 PPN<\/span><span style=\"font-weight: 400;\"> C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u0169ng khuy\u1ebfn kh\u00edch s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a c\u00e1c sinh v\u1eadt kh\u00f4ng mong mu\u1ed1n kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 vi khu\u1ea9n v\u00e0 n\u1ea5m. B\u1ec7nh nh\u00e2n \u0111ang \u0111i\u1ec1u tr\u1ecb l\u00e2u d\u00e0i<\/span><span style=\"font-weight: 400;\">ic TPN<\/span><span style=\"font-weight: 400;\">nh\u1eefng ng\u01b0\u1eddi n\u00e0y c\u00f3 nguy c\u01a1 cao g\u1eb7p ph\u1ea3i c\u00e1c bi\u1ebfn ch\u1ee9ng sau \u0111\u00e2y li\u00ean quan \u0111\u1ebfn \u1ed1ng th\u00f4ng t\u0129nh m\u1ea1ch:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Nhi\u1ec5m tr\u00f9ng da t\u1ea1i v\u1ecb tr\u00ed \u0111\u1eb7t \u1ed1ng th\u00f4ng<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Nhi\u1ec5m tr\u00f9ng m\u00e1u, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 nhi\u1ec5m tr\u00f9ng huy\u1ebft ho\u1eb7c nhi\u1ec5m tr\u00f9ng huy\u1ebft<\/span><\/li>\n<\/ul>\n\n\n\n<p><span style=\"font-weight: 400;\">V\u1edbi c\u00e1c k\u1ef9 thu\u1eadt v\u00f4 tr\u00f9ng v\u00e0 ti\u1ec7t tr\u00f9ng \u0111\u00fang c\u00e1ch, nh\u1eefng r\u1ee7i ro n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c gi\u1ea3m thi\u1ec3u \u0111\u00e1ng k\u1ec3. H\u00e3y tham kh\u1ea3o \u00fd ki\u1ebfn y t\u00e1 v\u1ec1 c\u00e1ch ch\u0103m s\u00f3c t\u1ed1t nh\u1ea5t cho \u1ed1ng th\u00f4ng t\u0129nh m\u1ea1ch.<\/span><\/p>\n\n\n\n<div  id=\"call-to-action-22fc4009fa5dacc4603a28edc861fc4f\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tCh\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t AmeriPharma\u00ae\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"cta__sub__heading\">\n\t\t\t\t\t\t\tDinh d\u01b0\u1ee1ng to\u00e0n ph\u1ea7n qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"tel:8777780318\">(877) 778-0318<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-metabolic-abnormalities\">B\u1ea5t th\u01b0\u1eddng v\u1ec1 chuy\u1ec3n h\u00f3a:<\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">B\u1edfi v\u00ec dinh d\u01b0\u1ee1ng \u0111\u1ea7y \u0111\u1ee7 v\u00e0 ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i \u0111\u01b0\u1ee3c \u0111\u01b0a tr\u1ef1c ti\u1ebfp v\u00e0o t\u0129nh m\u1ea1ch, b\u1ec7nh nh\u00e2n tr\u00ean <\/span><span style=\"font-weight: 400;\">TPN<\/span> <span style=\"font-weight: 400;\">d\u1ec5 b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi nh\u1eefng bi\u1ebfn \u0111\u1ed9ng trao \u0111\u1ed5i ch\u1ea5t h\u01a1n <\/span><span style=\"font-weight: 400;\">so v\u1edbi PPN<\/span><span style=\"font-weight: 400;\"> li\u1ec7u ph\u00e1p, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi c\u00e1c gi\u1ea3i ph\u00e1p \u0111\u01b0\u1ee3c \u0111\u01b0a ra qu\u00e1 nhanh. C\u00e1c bi\u1ebfn ch\u1ee9ng chuy\u1ec3n h\u00f3a th\u01b0\u1eddng g\u1eb7p<\/span><span style=\"font-weight: 400;\">v\u1edbi TPN th<\/span><span style=\"font-weight: 400;\">erapy bao g\u1ed3m:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2440847\/#:~:text=Refeeding%20syndrome%20can%20be%20defined,may%20cause%20serious%20clinical%20complications.\"><span style=\"font-weight: 400;\">H\u1ed9i ch\u1ee9ng \u0103n l\u1ea1i<\/span><\/a><span style=\"font-weight: 400;\">: M\u1ed1i lo ng\u1ea1i l\u1edbn nh\u1ea5t li\u00ean quan \u0111\u1ebfn v\u1ea5n \u0111\u1ec1 n\u00e0y l\u00e0 \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a li\u1ec7u ph\u00e1p TPN, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb suy dinh d\u01b0\u1ee1ng n\u1eb7ng. Nguy c\u01a1 n\u00e0y \u0111\u01b0\u1ee3c gi\u1ea3m thi\u1ec3u b\u1eb1ng c\u00e1ch \u0111i\u1ec1u ch\u1ec9nh l\u01b0\u1ee3ng calo t\u1eeb t\u1eeb \u0111\u1ebfn m\u1ee5c ti\u00eau mong mu\u1ed1n.<\/span><\/li>\n\n\n\n<li><a href=\"https:\/\/medlineplus.gov\/hyperglycemia.html\"><span style=\"font-weight: 400;\">T\u0103ng \u0111\u01b0\u1eddng huy\u1ebft<\/span><\/a><span style=\"font-weight: 400;\">:\u0110i\u1ec1u n\u00e0y \u0111\u00e1ng lo ng\u1ea1i nh\u1ea5t \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng.<\/span><\/li>\n\n\n\n<li><a href=\"https:\/\/medlineplus.gov\/hypoglycemia.html\"><span style=\"font-weight: 400;\">H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft<\/span><\/a><span style=\"font-weight: 400;\">: Nguy c\u01a1 n\u00e0y t\u0103ng l\u00ean khi ng\u1eebng truy\u1ec1n d\u1ecbch \u0111\u1ed9t ng\u1ed9t. \u0110\u1ec3 gi\u1ea3m thi\u1ec3u, <\/span><span style=\"font-weight: 400;\">TPN v\u00e0 PPN<\/span><span style=\"font-weight: 400;\"> n\u00ean truy\u1ec1n d\u1ecbch ch\u1eadm d\u1ea7n khi b\u1eaft \u0111\u1ea7u v\u00e0 ch\u1eadm d\u1ea7n khi k\u1ebft th\u00fac.&nbsp;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">B\u1ea5t th\u01b0\u1eddng \u0111i\u1ec7n gi\u1ea3i: Th\u01b0\u1eddng xuy\u00ean ki\u1ec3m tra th\u00f4ng qua x\u00e9t nghi\u1ec7m. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i x\u00e9t nghi\u1ec7m m\u00e1u \u00edt nh\u1ea5t m\u1ed9t l\u1ea7n m\u1ed7i tu\u1ea7n trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1eb1ng TPN \u0111\u1ec3 ng\u0103n ng\u1eeba m\u1ea5t c\u00e2n b\u1eb1ng.<\/span><\/li>\n\n\n\n<li><a href=\"https:\/\/medlineplus.gov\/ency\/article\/000215.htm\">\u1ee8 m\u1eadt<\/a>: \u0110\u00e2y l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a vi\u1ec7c ru\u1ed9t ngh\u1ec9 ng\u01a1i k\u00e9o d\u00e0i. N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng, n\u00ean khuy\u1ebfn kh\u00edch h\u1ecd \u0103n u\u1ed1ng qua \u0111\u01b0\u1eddng mi\u1ec7ng, d\u00f9 \u00edt hay nhi\u1ec1u. N\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng \u0103n u\u1ed1ng g\u00ec qua \u0111\u01b0\u1eddng mi\u1ec7ng (NPO), c\u1ea7n \u0111\u00e1nh gi\u00e1 th\u01b0\u1eddng xuy\u00ean kh\u1ea3 n\u0103ng n\u00e0y.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-metabolic-bone-disease\">B\u1ec7nh x\u01b0\u01a1ng chuy\u1ec3n h\u00f3a<\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng TPN trong h\u01a1n 3 th\u00e1ng s\u1ebd m\u1eafc b\u1ec7nh x\u01b0\u01a1ng chuy\u1ec3n h\u00f3a, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh m\u1ea5t kho\u00e1ng x\u01b0\u01a1ng (<a href=\"https:\/\/www.medicalnewstoday.com\/articles\/osteoporosis-vs-osteomalacia\">lo\u00e3ng x\u01b0\u01a1ng ho\u1eb7c nhuy\u1ec5n x\u01b0\u01a1ng<\/a>). Nguy\u00ean nh\u00e2n g\u00e2y ra t\u00ecnh tr\u1ea1ng n\u00e0y v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh r\u00f5 r\u00e0ng. C\u00e1c d\u1ea1ng ti\u1ebfn tri\u1ec3n n\u1eb7ng c\u1ee7a b\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 g\u00e2y \u0111au l\u01b0ng, \u0111au chi d\u01b0\u1edbi, \u0111au quanh kh\u1edbp, s\u01b0ng v\u00e0 vi\u00eam nghi\u00eam tr\u1ecdng.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-tpn-induced-liver-toxicity\">\u0110\u1ed9c t\u00ednh gan do TPN g\u00e2y ra<\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">L\u01b0\u1ee3ng calo d\u01b0 th\u1eeba c\u00f9ng v\u1edbi glucose v\u00e0 lipid c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn gan nhi\u1ec5m m\u1ee1. Nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn \u1edf h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n l\u00e0 t\u1ed1c \u0111\u1ed9 truy\u1ec1n glucose tr\u00ean 5 mg\/kg\/ph\u00fat. N\u1ed3ng \u0111\u1ed9 glucose v\u00e0 insulin trong m\u00e1u cao k\u00edch ho\u1ea1t qu\u00e1 tr\u00ecnh t\u1ed5ng h\u1ee3p lipid \u1edf gan. \u0110\u1ec3 tr\u00e1nh t\u00ecnh tr\u1ea1ng n\u00e0y, n\u00ean gi\u1ea3m li\u1ec1u dextrose xu\u1ed1ng d\u01b0\u1edbi 5 g\/kg m\u1ed7i ng\u00e0y v\u1edbi t\u1ed1c \u0111\u1ed9 truy\u1ec1n d\u01b0\u1edbi 5 mg\/kg\/ph\u00fat.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng gan c\u00f3 th\u1ec3 x\u1ea3y ra b\u1ea5t k\u1ec3 l\u01b0\u1ee3ng calo n\u1ea1p v\u00e0o. Nguy c\u01a1 n\u00e0y c\u00e0ng t\u0103ng cao khi b\u1ec7nh nh\u00e2n d\u00f9ng thu\u1ed1c c\u00e0ng l\u00e2u. <\/span><span style=\"font-weight: 400;\">TPN so v\u1edbi PPN<\/span> <span style=\"font-weight: 400;\">li\u1ec7u ph\u00e1p. X\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng gan, bao g\u1ed3m transaminase, bilirubin v\u00e0 phosphatase ki\u1ec1m, \u0111\u01b0\u1ee3c theo d\u00f5i \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng gan.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-volume-overload\">Qu\u00e1 t\u1ea3i kh\u1ed1i l\u01b0\u1ee3ng<\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Nh\u1eefng b\u1ec7nh nh\u00e2n c\u1ea7n l\u01b0\u1ee3ng calo cao th\u01b0\u1eddng c\u0169ng c\u1ea7n m\u1ed9t l\u01b0\u1ee3ng l\u1edbn ch\u1ea5t l\u1ecfng. Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y, h\u1ecd d\u1ec5 b\u1ecb qu\u00e1 t\u1ea3i th\u1ec3 t\u00edch, bi\u1ec3u hi\u1ec7n b\u1eb1ng vi\u1ec7c t\u0103ng c\u00e2n h\u01a1n <\/span><a href=\"https:\/\/www.msdmanuals.com\/professional\/nutritional-disorders\/nutritional-support\/total-parenteral-nutrition-tpn\"><span style=\"font-weight: 400;\">1 kg\/ng\u00e0y<\/span><\/a><span style=\"font-weight: 400;\">C\u00e1c tri\u1ec7u ch\u1ee9ng bao g\u1ed3m ph\u00f9 n\u1ec1, kh\u00f3 th\u1edf v\u00e0 \u0111i ti\u1ec3u th\u01b0\u1eddng xuy\u00ean. Nguy c\u01a1 n\u00e0y \u00edt x\u1ea3y ra h\u01a1n \u1edf nh\u00f3m \u0111i\u1ec1u tr\u1ecb PPN so v\u1edbi nh\u00f3m TPN.<\/span><\/p>\n\n\n\n<div  id=\"call-to-action-b09dd7a186417c1985b9846614bda67e\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tN\u00f3i chuy\u1ec7n v\u1edbi m\u1ed9t chuy\u00ean gia\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"cta__sub__heading\">\n\t\t\t\t\t\t\tV\u1ec1 Tr\u1ee3 c\u1ea5p \u0111\u1ed3ng thanh to\u00e1n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"#form\">L\u00ean l\u1ecbch t\u01b0 v\u1ea5n<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-tpn-healthcare-team\"><span class=\"ez-toc-section\" id=\"TPN_Healthcare_Team\"><\/span>\u0110\u1ed9i ng\u0169 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe TPN<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">C\u1ea7n c\u00f3 m\u1ed9t nh\u00f3m ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe ph\u1ed1i h\u1ee3p t\u1ed1t s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn li\u00ean ng\u00e0nh \u0111\u1ec3 qu\u1ea3n l\u00fd li\u1ec7u ph\u00e1p TPN.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">C\u00e1c \u0111\u1ed9i th\u01b0\u1eddng bao g\u1ed3m:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Chuy\u00ean gia dinh d\u01b0\u1ee1ng (RD)<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Y t\u00e1 truy\u1ec1n d\u1ecbch (RN)<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">D\u01b0\u1ee3c s\u0129 (PharmD\/RPh)<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Ng\u01b0\u1eddi k\u00ea \u0111\u01a1n (MD, DO, NP ho\u1eb7c PA)<\/span><\/li>\n<\/ul>\n\n\n\n<p><span style=\"font-weight: 400;\">Ng\u01b0\u1eddi k\u00ea \u0111\u01a1n quy\u1ebft \u0111\u1ecbnh li\u1ec7u tr\u00ecnh \u0111i\u1ec1u tr\u1ecb v\u00e0 lo\u1ea1i dinh d\u01b0\u1ee1ng ph\u00f9 h\u1ee3p. Ph\u1ed1i h\u1ee3p v\u1edbi nh\u00f3m ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe ban \u0111\u1ea7u c\u1ee7a b\u1ec7nh nh\u00e2n, b\u00e1c s\u0129 l\u00e2m s\u00e0ng \u0111\u1ea3m b\u1ea3o vi\u1ec7c ch\u0103m s\u00f3c \u0111\u01b0\u1ee3c ph\u1ed1i h\u1ee3p ph\u00f9 h\u1ee3p.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">D\u01b0\u1ee3c s\u0129 cung c\u1ea5p d\u1ecbch v\u1ee5 dinh d\u01b0\u1ee1ng ngo\u00e0i \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00f4 tr\u00f9ng. Vui l\u00f2ng tham kh\u1ea3o \u00fd ki\u1ebfn d\u01b0\u1ee3c s\u0129 v\u1ec1 \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh c\u1ee7a h\u1ee3p ch\u1ea5t v\u00e0 b\u1ea5t k\u1ef3 t\u01b0\u01a1ng t\u00e1c thu\u1ed1c\/dinh d\u01b0\u1ee1ng n\u00e0o c\u00f3 th\u1ec3 x\u1ea3y ra. Theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129 k\u00ea \u0111\u01a1n, d\u01b0\u1ee3c s\u0129 c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh h\u1ee3p l\u00fd c\u00f4ng th\u1ee9c TPN d\u1ef1a tr\u00ean \u0111\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng v\u00e0 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Chuy\u00ean gia dinh d\u01b0\u1ee1ng \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng c\u1ee7a b\u1ec7nh nh\u00e2n, t\u00ednh to\u00e1n nhu c\u1ea7u h\u00e0ng ng\u00e0y v\u00e0 thi\u1ebft k\u1ebf ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng ph\u00f9 h\u1ee3p.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Chuy\u00ean gia \u0111i\u1ec1u d\u01b0\u1ee1ng TPN gi\u00e1m s\u00e1t vi\u1ec7c ch\u0103m s\u00f3c \u1ed1ng th\u00f4ng v\u00e0 \u1ed1ng th\u00f4ng TPN. H\u1ecd gi\u00e1o d\u1ee5c v\u00e0 \u0111\u00e0o t\u1ea1o b\u1ec7nh nh\u00e2n v\u00e0 ng\u01b0\u1eddi ch\u0103m s\u00f3c v\u1ec1 c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/span><span style=\"font-weight: 400;\">\u0111i\u1ec1u khi\u1ec3n TPN t<\/span><span style=\"font-weight: 400;\">ubes trong nh\u00e0 c\u1ee7a h\u1ecd. C\u00e1c <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5517177\/\"><span style=\"font-weight: 400;\">\u0111\u1ed9i ng\u0169 chuy\u00ean gia m\u1edf r\u1ed9ng<\/span><\/a><span style=\"font-weight: 400;\"> c\u0169ng c\u00f3 th\u1ec3 bao g\u1ed3m y t\u00e1 qu\u1ea3n l\u00fd v\u1ebft th\u01b0\u01a1ng, chuy\u00ean gia tr\u1ecb li\u1ec7u ngh\u1ec1 nghi\u1ec7p v\u00e0 nh\u00e2n vi\u00ean x\u00e3 h\u1ed9i.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-what-is-the-prognosis-for-those-on-pn\"><span class=\"ez-toc-section\" id=\"What_is_the_Prognosis_for_Those_on_PN\"><\/span>Ti\u00ean l\u01b0\u1ee3ng cho nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh PN l\u00e0 g\u00ec?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Theo <a href=\"https:\/\/www.nutritioncare.org\/about_clinical_nutrition\/pn_fact_sheet_april_2012\/#:~:text=For%20What%20Diseases%20or%20Conditions,at%20home%20for%20a%20lifetime.\">B\u1ea3ng th\u00f4ng tin dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng ti\u00eam c\u1ee7a ASPEN<\/a>Tr\u1ebb em v\u00e0 ng\u01b0\u1eddi l\u1edbn c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n t\u1ed1t nh\u1edd dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch n\u1ebfu kh\u00f4ng c\u00f3 bi\u1ebfn ch\u1ee9ng n\u00e0o ph\u00e1t sinh. Nh\u00ecn chung, m\u1ee5c ti\u00eau c\u1ee7a vi\u1ec7c truy\u1ec1n TPN v\u00e0 PPN l\u00e0 ti\u1ebfp t\u1ee5c cho \u0111\u1ebfn khi b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 duy tr\u00ec c\u00e2n n\u1eb7ng v\u00e0 n\u0103ng l\u01b0\u1ee3ng ch\u1ec9 b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng. B\u00e1c s\u0129 c\u00f3 th\u1ec3 th\u1eed ng\u1eebng li\u1ec7u ph\u00e1p PN trong v\u00e0i ng\u00e0y tr\u01b0\u1edbc khi ng\u1eebng. T\u00f9y thu\u1ed9c v\u00e0o ch\u1ec9 \u0111\u1ecbnh, t\u1ed5ng th\u1eddi gian c\u00f3 th\u1ec3 t\u1eeb v\u00e0i tu\u1ea7n \u0111\u1ebfn v\u00e0i n\u0103m.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-can-you-eat-while-receiving-tpn\"><span class=\"ez-toc-section\" id=\"Can_You_Eat_While_Receiving_TPN\"><\/span><span style=\"font-weight: 400;\">B\u1ea1n c\u00f3 th\u1ec3 \u0103n khi \u0111ang d\u00f9ng TPN kh\u00f4ng?<\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">T\u00f9y thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng v\u00e0 l\u00fd do nh\u1eadn <\/span><a href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-solution\/10-tips-for-adjusting-to-your-life-with-tpn-total-parenteral-nutrition\/\"><span style=\"font-weight: 400;\">TPN<\/span><\/a><span style=\"font-weight: 400;\">B\u1ea1n c\u00f3 th\u1ec3 \u0103n u\u1ed1ng trong khi \u0111i\u1ec1u tr\u1ecb. N\u1ebfu c\u00f3 th\u1ec3, vi\u1ec7c u\u1ed1ng thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch \u0111\u1ec3 gi\u00fap \u0111\u1ea9y nhanh qu\u00e1 tr\u00ecnh ng\u1eebng thu\u1ed1c. Tuy nhi\u00ean, vi\u1ec7c n\u00e0y v\u1eabn n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n th\u1eadn tr\u1ecdng theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129 k\u00ea \u0111\u01a1n v\u00e0\/ho\u1eb7c chuy\u00ean gia dinh d\u01b0\u1ee1ng v\u00ec vi\u1ec7c u\u1ed1ng thu\u1ed1c s\u1edbm \u0111\u00f4i khi c\u00f3 th\u1ec3 l\u00e0m t\u00ecnh tr\u1ea1ng b\u1ec7nh tr\u1edf n\u00ean tr\u1ea7m tr\u1ecdng h\u01a1n.<\/span><\/p>\n\n\n\n<div  id=\"call-to-action-28c8e9914f04d632c2daed462436f8b8\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tH\u1ecfi v\u1ec1 d\u1ecbch truy\u1ec1n t\u1ea1i nh\u00e0 TPN\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"#form\">B\u1eaft \u0111\u1ea7u<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-tpn-price\"><span class=\"ez-toc-section\" id=\"TPN_Price\"><\/span>Gi\u00e1 TPN<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">N\u1ebfu kh\u00f4ng c\u00f3 b\u1ea5t k\u1ef3 lo\u1ea1i b\u1ea3o hi\u1ec3m n\u00e0o, gi\u00e1 ti\u1ec1n m\u1eb7t cho 500 ml TPN ch\u1ee9a h\u1ed7n h\u1ee3p c\u01a1 b\u1ea3n g\u1ed3m axit amin, dextrose v\u00e0 ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i l\u00e0 kho\u1ea3ng <\/span><a href=\"https:\/\/www.drugs.com\/price-guide\/tpn-electrolytes\"><span style=\"font-weight: 400;\">$176<\/span><\/a><span style=\"font-weight: 400;\"> m\u1ed7i ng\u00e0y. Gi\u00e1 c\u00f3 th\u1ec3 thay \u0111\u1ed5i t\u00f9y theo hi\u1ec7u thu\u1ed1c. C\u00e1c ch\u1ea5t ph\u1ee5 gia b\u1ed5 sung c\u00f3 th\u1ec3 l\u00e0m thay \u0111\u1ed5i \u01b0\u1edbc t\u00ednh n\u00e0y.<\/span> T\u1ed1t.<\/p>\n\n\n\n<table id=\"tablepress-6\" class=\"tablepress tablepress-id-6\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\">S\u1ed1 l\u01b0\u1ee3ng<\/th><th class=\"column-2\">M\u1ed7i \u0111\u01a1n v\u1ecb\t<\/th><th class=\"column-3\">Gi\u00e1<\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-striping row-hover\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\">500 (25 x 20 ml)\t<\/td><td class=\"column-2\">$0.35\t<\/td><td class=\"column-3\">$176.33<br \/>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-6 from cache -->","protected":false},"excerpt":{"rendered":"<p>PN l\u00e0 vi\u1ebft t\u1eaft y khoa c\u1ee7a dinh d\u01b0\u1ee1ng ngo\u00e0i \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 dinh d\u01b0\u1ee1ng t\u0129nh m\u1ea1ch. Dinh d\u01b0\u1ee1ng \u0111\u01b0\u1ee3c \u0111\u01b0a tr\u1ef1c ti\u1ebfp v\u00e0o c\u01a1 th\u1ec3 qua t\u0129nh m\u1ea1ch khi m\u1ed9t ng\u01b0\u1eddi kh\u00f4ng th\u1ec3 h\u1ea5p th\u1ee5 \u0111\u1ee7 dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.<\/p>","protected":false},"author":10,"featured_media":22157,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":true,"om_disable_all_campaigns":false,"_uag_custom_page_level_css":"","footnotes":""},"categories":[12],"tags":[14],"class_list":["post-15985","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tpn","tag-dr-james-lee"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>PPN vs. TPN: What is the Difference? | AmeriPharma\u2122 Specialty<\/title>\n<meta name=\"description\" content=\"Compare PPN versus TPN, including indications, duration of use, administration methods, and key differences in parenteral nutrition therapy.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-solution\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"PPN vs. TPN: What is the Difference? 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He attended the University of the Pacific, Thomas J. Long School of Pharmacy and has been a practicing pharmacist for 5 years and is a Board Certified Pharmacotherapy Specialist. The most rewarding part of his job is solving problems. 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