{"id":26652,"date":"2024-10-12T18:52:27","date_gmt":"2024-10-13T01:52:27","guid":{"rendered":"https:\/\/ameripharmaspecialty.com\/uncategorized\/how-to-wean-from-tpn-in-adults\/"},"modified":"2026-03-24T09:26:33","modified_gmt":"2026-03-24T16:26:33","slug":"how-to-wean-from-tpn-in-adults","status":"publish","type":"post","link":"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/how-to-wean-from-tpn-in-adults\/","title":{"rendered":"C\u00e1ch cai thu\u1ed1c TPN \u1edf ng\u01b0\u1eddi l\u1edbn"},"content":{"rendered":"<p><a href=\"https:\/\/ameripharmaspecialty.com\/vi\/conditions-treatments\/total-parenteral-nutrition-tpn\/\">Dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch to\u00e0n ph\u1ea7n<\/a> (TPN) l\u00e0 gi\u1ea3i ph\u00e1p c\u1ee9u s\u1ed1ng nhi\u1ec1u ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh. Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng TPN l\u00e2u d\u00e0i c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng t\u00e1c \u0111\u1ed9ng ti\u00eau c\u1ef1c \u0111\u1ebfn c\u01a1 th\u1ec3. Tin t\u1ed1t l\u00e0 vi\u1ec7c cai nghi\u1ec7n TPN l\u00e0 ho\u00e0n to\u00e0n kh\u1ea3 thi.<\/p>\n\n\n\n<div  id=\"call-to-action-c4ac895e2c8b591ea7a0ed42f45b9600\" 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\tLu\u00f4n 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\tKho \u0111\u1ea7y \u0111\u1ee7 c\u00e1c lo\u1ea1i d\u1ecbch truy\u1ec1n t\u0129nh m\u1ea1ch, s\u1eb5n s\u00e0ng ph\u1ee5c v\u1ee5 b\u1ea1n\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<p>Tho\u1ea1t \u0111\u1ea7u c\u00f3 v\u1ebb h\u01a1i kh\u00f3 kh\u0103n. Tuy nhi\u00ean, v\u1edbi s\u1ef1 chu\u1ea9n b\u1ecb k\u1ef9 l\u01b0\u1ee1ng v\u00e0 h\u01b0\u1edbng d\u1eabn chuy\u00ean m\u00f4n t\u1eeb chuy\u00ean gia ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe, ng\u01b0\u1eddi l\u1edbn c\u00f3 th\u1ec3 chuy\u1ec3n \u0111\u1ed5i t\u1eeb TPN sang dinh d\u01b0\u1ee1ng \u0111\u01b0\u1eddng u\u1ed1ng m\u1ed9t c\u00e1ch an to\u00e0n.<\/p>\n\n\n\n<p>D\u01b0\u1edbi \u0111\u00e2y, ch\u00fang t\u00f4i s\u1ebd t\u00ecm hi\u1ec3u c\u00e1c b\u01b0\u1edbc v\u00e0 l\u01b0u \u00fd li\u00ean quan \u0111\u1ebfn vi\u1ec7c cai thu\u1ed1c TPN \u1edf ng\u01b0\u1eddi l\u1edbn. T\u1eeb vi\u1ec7c \u0111\u1eb7t m\u1ee5c ti\u00eau \u0111\u1ebfn th\u1ef1c hi\u1ec7n k\u1ebf ho\u1ea1ch v\u00e0 gi\u1ea3i quy\u1ebft c\u00e1c th\u00e1ch th\u1ee9c, ch\u00fang t\u00f4i s\u1ebd cung c\u1ea5p th\u00f4ng tin c\u1ea7n thi\u1ebft cho m\u1ed9t qu\u00e1 tr\u00ecnh chuy\u1ec3n \u0111\u1ed5i th\u00e0nh c\u00f4ng.<\/p>\n\n\n\n<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\/how-to-wean-from-tpn-in-adults\/#Step_1_Assess_Readiness\" >B\u01b0\u1edbc 1: \u0110\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 s\u1eb5n s\u00e0ng<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/how-to-wean-from-tpn-in-adults\/#11_Monitor_Nutritional_Status\" >1.1. Theo d\u00f5i t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/how-to-wean-from-tpn-in-adults\/#12_Evaluate_the_Gastrointestinal_Function\" >1.2. \u0110\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng ti\u00eau h\u00f3a<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/how-to-wean-from-tpn-in-adults\/#13_Consider_Overall_Health\" >1.3. Xem x\u00e9t s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3<\/a><\/li><\/ul><\/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\/how-to-wean-from-tpn-in-adults\/#Step_2_Set_Goals_for_Weaning_From_TPN\" >B\u01b0\u1edbc 2: \u0110\u1eb7t m\u1ee5c ti\u00eau cai s\u1eefa t\u1eeb TPN<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/how-to-wean-from-tpn-in-adults\/#21_Establish_Realistic_Goals_for_Nutrition_and_Hydration\" >2.1. \u0110\u1eb7t ra m\u1ee5c ti\u00eau th\u1ef1c t\u1ebf v\u1ec1 dinh d\u01b0\u1ee1ng v\u00e0 n\u01b0\u1edbc<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/how-to-wean-from-tpn-in-adults\/#22_Create_a_Timeline_for_Weaning_Off_TPN\" >2.2. T\u1ea1o m\u1ed1c th\u1eddi gian cai nghi\u1ec7n TPN<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/how-to-wean-from-tpn-in-adults\/#23_Involve_the_Individual_in_the_Decision-Making_Process\" >2.3. Thu h\u00fat c\u00e1 nh\u00e2n v\u00e0o qu\u00e1 tr\u00ecnh ra quy\u1ebft \u0111\u1ecbnh<\/a><\/li><\/ul><\/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\/how-to-wean-from-tpn-in-adults\/#Step_3_Implement_a_Transition_Plan\" >B\u01b0\u1edbc 3: Th\u1ef1c hi\u1ec7n K\u1ebf ho\u1ea1ch Chuy\u1ec3n \u0111\u1ed5i<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/how-to-wean-from-tpn-in-adults\/#31_Introduce_Enteral_Nutrition_Options\" >3.1. Gi\u1edbi thi\u1ec7u c\u00e1c l\u1ef1a ch\u1ecdn dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/how-to-wean-from-tpn-in-adults\/#32_Monitor_for_Signs_of_Malnutrition_or_Dehydration\" >3.2. Theo d\u00f5i c\u00e1c d\u1ea5u hi\u1ec7u suy dinh d\u01b0\u1ee1ng ho\u1eb7c m\u1ea5t n\u01b0\u1edbc<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/how-to-wean-from-tpn-in-adults\/#33_Adjust_the_Plan_Based_on_the_Patients_Response\" >3.3. \u0110i\u1ec1u ch\u1ec9nh k\u1ebf ho\u1ea1ch d\u1ef1a tr\u00ean ph\u1ea3n \u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n<\/a><\/li><\/ul><\/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\/how-to-wean-from-tpn-in-adults\/#Step_4_Evaluate_Progress\" >B\u01b0\u1edbc 4: \u0110\u00e1nh gi\u00e1 ti\u1ebfn \u0111\u1ed9<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/how-to-wean-from-tpn-in-adults\/#41_Regularly_Assess_the_Patients_Nutritional_Intake_and_Absorption\" >4.1. \u0110\u00e1nh gi\u00e1 th\u01b0\u1eddng xuy\u00ean l\u01b0\u1ee3ng dinh d\u01b0\u1ee1ng h\u1ea5p th\u1ee5 v\u00e0 ti\u00eau th\u1ee5 c\u1ee7a b\u1ec7nh nh\u00e2n<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/how-to-wean-from-tpn-in-adults\/#42_Monitor_for_Complications_and_Side_Effects\" >4.2. Theo d\u00f5i c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/how-to-wean-from-tpn-in-adults\/#Step_5_Address_Challenges_and_Barriers\" >B\u01b0\u1edbc 5: Gi\u1ea3i quy\u1ebft c\u00e1c th\u00e1ch th\u1ee9c v\u00e0 r\u00e0o c\u1ea3n<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/how-to-wean-from-tpn-in-adults\/#51_Deal_With_Resistance_From_the_Patient\" >5.1. \u0110\u1ed1i ph\u00f3 v\u1edbi s\u1ef1 ph\u1ea3n kh\u00e1ng t\u1eeb b\u1ec7nh nh\u00e2n<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/how-to-wean-from-tpn-in-adults\/#52_Manage_Gastrointestinal_Issues\" >5.2. Qu\u1ea3n l\u00fd c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/how-to-wean-from-tpn-in-adults\/#53_Provide_Resources_for_Managing_Enteral_Nutrition_at_Home\" >5.3. Cung c\u1ea5p c\u00e1c ngu\u1ed3n l\u1ef1c \u0111\u1ec3 qu\u1ea3n l\u00fd dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a t\u1ea1i nh\u00e0<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/how-to-wean-from-tpn-in-adults\/#Receive_At-Home_TPN_Therapy_With_AmeriPharma%C2%AE_Specialty_Pharmacy\" >Nh\u1eadn li\u1ec7u ph\u00e1p TPN t\u1ea1i nh\u00e0 v\u1edbi Nh\u00e0 thu\u1ed1c chuy\u00ean khoa AmeriPharma\u00ae<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\" id=\"h-step-1-assess-readiness\"><span class=\"ez-toc-section\" id=\"Step_1_Assess_Readiness\"><\/span>B\u01b0\u1edbc 1: \u0110\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 s\u1eb5n s\u00e0ng<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Khi <a href=\"https:\/\/ameripharmaspecialty.com\/vi\/living-with-tpn-at-home\/\">s\u1ed1ng chung v\u1edbi TPN<\/a>, vi\u1ec7c truy\u1ec1n d\u1ecbch tr\u1edf th\u00e0nh m\u1ed9t ph\u1ea7n trong th\u00f3i quen h\u00e0ng ng\u00e0y c\u1ee7a b\u1ea1n. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 khi\u1ebfn vi\u1ec7c cai thu\u1ed1c TPN tr\u1edf n\u00ean kh\u00f3 kh\u0103n \u0111\u1ed1i v\u1edbi nhi\u1ec1u ng\u01b0\u1eddi. V\u00ec v\u1eady, tr\u01b0\u1edbc khi l\u00e0m b\u1ea5t c\u1ee9 \u0111i\u1ec1u g\u00ec, nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe ph\u1ea3i \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 s\u1eb5n s\u00e0ng chuy\u1ec3n sang ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng th\u00f4ng th\u01b0\u1eddng c\u1ee7a ng\u01b0\u1eddi nh\u1eadn TPN.<\/p>\n\n\n\n<p>Sau \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 m\u00e0 nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe s\u1ebd xem x\u00e9t:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-1-1-monitor-nutritional-status\"><span class=\"ez-toc-section\" id=\"11_Monitor_Nutritional_Status\"><\/span>1.1. Theo d\u00f5i t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>B\u01b0\u1edbc \u0111\u1ea7u ti\u00ean trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng b\u1ec7nh nh\u00e2n quay tr\u1edf l\u1ea1i ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng b\u1eb1ng \u0111\u01b0\u1eddng mi\u1ec7ng l\u00e0 theo d\u00f5i t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng c\u1ee7a h\u1ecd.<\/p>\n\n\n\n<p>B\u01b0\u1edbc n\u00e0y bao g\u1ed3m vi\u1ec7c \u0111\u00e1nh gi\u00e1 c\u00e1 nh\u00e2n:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>C\u00e2n n\u1eb7ng<\/li>\n\n\n\n<li>M\u1ee9c vitamin v\u00e0 kho\u00e1ng ch\u1ea5t<\/li>\n\n\n\n<li>Ch\u1ec9 s\u1ed1 kh\u1ed1i c\u01a1 th\u1ec3 (BMI)<\/li>\n<\/ul>\n\n\n\n<p>B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 s\u1eb5n s\u00e0ng cai thu\u1ed1c TPN n\u1ebfu h\u1ecd ch\u1ee9ng minh \u0111\u01b0\u1ee3c:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tr\u1ecdng l\u01b0\u1ee3ng \u1ed5n \u0111\u1ecbnh<\/li>\n\n\n\n<li>\u0110\u00e3 c\u1ea3i thi\u1ec7n <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6616535\/\">d\u1ea5u hi\u1ec7u dinh d\u01b0\u1ee1ng<\/a><\/li>\n\n\n\n<li>Ch\u1eefa l\u00e0nh v\u1ebft th\u01b0\u01a1ng \u0111\u1ea7y \u0111\u1ee7&nbsp;<\/li>\n\n\n\n<li>S\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a \u00e2m thanh ru\u1ed9t<\/li>\n\n\n\n<li>Kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng nhu c\u1ea7u dinh d\u01b0\u1ee1ng c\u1ee7a ch\u00fang th\u00f4ng qua vi\u1ec7c nu\u00f4i \u0103n qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-1-2-evaluate-the-gastrointestinal-function\"><span class=\"ez-toc-section\" id=\"12_Evaluate_the_Gastrointestinal_Function\"><\/span>1.2. \u0110\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng ti\u00eau h\u00f3a<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Vi\u1ec7c \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft khi c\u00e2n nh\u1eafc c\u00e1ch cai thu\u1ed1c TPN cho ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh. B\u00e1c s\u0129 ph\u1ea3i \u0111\u1ea3m b\u1ea3o \u0111\u01b0\u1eddng ti\u00eau h\u00f3a c\u1ee7a b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 h\u1ea5p th\u1ee5 ch\u1ea5t dinh d\u01b0\u1ee1ng v\u00e0 ch\u1ea5t l\u1ecfng tr\u01b0\u1edbc khi chuy\u1ec3n sang nu\u00f4i d\u01b0\u1ee1ng b\u1eb1ng \u0111\u01b0\u1eddng ru\u1ed9t.<\/p>\n\n\n\n<p>B\u01b0\u1edbc n\u00e0y bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng ti\u00eau h\u00f3a v\u00e0 h\u1ea5p th\u1ee5 ch\u1ea5t dinh d\u01b0\u1ee1ng c\u1ee7a c\u00e1 nh\u00e2n<\/li>\n\n\n\n<li>\u0110\u00e1nh gi\u00e1 c\u00e1c d\u1ea5u hi\u1ec7u kh\u00f4ng dung n\u1ea1p \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, ch\u1eb3ng h\u1ea1n nh\u01b0:\n<ul class=\"wp-block-list\">\n<li>\u0110\u1ea7y h\u01a1i<\/li>\n\n\n\n<li>N\u00f4n m\u1eeda<\/li>\n\n\n\n<li>Ti\u00eau ch\u1ea3y<\/li>\n\n\n\n<li>T\u00e1o b\u00f3n<\/li>\n\n\n\n<li>k\u00e9m h\u1ea5p thu<\/li>\n\n\n\n<li>\u0110au b\u1ee5ng<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><\/li>\n<\/ul>\n\n\n\n<p>B\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u n\u00e0o c\u1ee7a bi\u1ebfn ch\u1ee9ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a c\u0169ng c\u00f3 th\u1ec3 ch\u1ec9 ra nhu c\u1ea7u \u0111\u00e1nh gi\u00e1 th\u00eam ho\u1eb7c \u0111i\u1ec1u ch\u1ec9nh k\u1ebf ho\u1ea1ch nu\u00f4i \u0103n qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u01b0\u1edbc khi cai thu\u1ed1c TPN cho ai \u0111\u00f3.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-1-3-consider-overall-health\"><span class=\"ez-toc-section\" id=\"13_Consider_Overall_Health\"><\/span>1.3. Xem x\u00e9t s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>B\u00ean c\u1ea1nh t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng v\u00e0 ch\u1ee9c n\u0103ng ti\u00eau h\u00f3a, b\u00e1c s\u0129 c\u0169ng ph\u1ea3i xem x\u00e9t t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n. M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c chuy\u1ec3n \u0111\u1ed5i th\u00e0nh c\u00f4ng sang nu\u00f4i \u0103n qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ti\u1ec1n s\u1eed ph\u1eabu thu\u1eadt<\/li>\n\n\n\n<li>Thu\u1ed1c hi\u1ec7n t\u1ea1i<\/li>\n\n\n\n<li>T\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd ti\u1ec1m \u1ea9n<\/li>\n<\/ul>\n\n\n\n<p>C\u00e1c nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe ph\u1ea3i \u0111\u00e1nh gi\u00e1 c\u00e1c y\u1ebfu t\u1ed1 n\u00e0y b\u1eb1ng c\u00e1ch theo d\u00f5i ch\u1eb7t ch\u1ebd t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>C\u00e1c d\u1ea5u hi\u1ec7u sinh t\u1ed3n<\/li>\n\n\n\n<li>Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/li>\n\n\n\n<li>L\u01b0\u1ee3ng ch\u1ea5t l\u1ecfng n\u1ea1p v\u00e0o v\u00e0 th\u1ea3i ra<\/li>\n<\/ul>\n\n\n\n<p>N\u1ebfu c\u00e1 nh\u00e2n \u0111\u00f3 c\u00f3 s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 t\u1ed1t, h\u1ecd c\u00f3 th\u1ec3 s\u1eb5n s\u00e0ng ng\u1eebng ph\u1ee5 thu\u1ed9c v\u00e0o TPN \u0111\u1ec3 \u0111\u00e1p \u1ee9ng nhu c\u1ea7u dinh d\u01b0\u1ee1ng c\u1ee7a m\u00ecnh.<\/p>\n\n\n\n<div  id=\"call-to-action-b12eb849f49db14cde7c086859ed17e9\" 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\tAmeriPharma Specialty Care\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=\"#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-step-2-set-goals-for-weaning-from-tpn\"><span class=\"ez-toc-section\" id=\"Step_2_Set_Goals_for_Weaning_From_TPN\"><\/span>B\u01b0\u1edbc 2: \u0110\u1eb7t m\u1ee5c ti\u00eau cai s\u1eefa t\u1eeb TPN<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/10\/wean-tpn-doctor-patient-1024x683-1.jpg\" alt=\"A doctor talking to a patient\" class=\"wp-image-27289\" srcset=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/10\/wean-tpn-doctor-patient-1024x683-1.jpg 1024w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/10\/wean-tpn-doctor-patient-1024x683-1-300x200.jpg 300w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/10\/wean-tpn-doctor-patient-1024x683-1-768x512.jpg 768w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/10\/wean-tpn-doctor-patient-1024x683-1-600x400.jpg 600w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/10\/wean-tpn-doctor-patient-1024x683-1-330x220.jpg 330w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/10\/wean-tpn-doctor-patient-1024x683-1-86x57.jpg 86w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/10\/wean-tpn-doctor-patient-1024x683-1-167x111.jpg 167w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/10\/wean-tpn-doctor-patient-1024x683-1-280x187.jpg 280w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/10\/wean-tpn-doctor-patient-1024x683-1-370x247.jpg 370w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/10\/wean-tpn-doctor-patient-1024x683-1-960x640.jpg 960w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>B\u01b0\u1edbc ti\u1ebfp theo trong qu\u00e1 tr\u00ecnh cai nghi\u1ec7n TPN \u1edf ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh l\u00e0 \u0111\u1eb7t ra c\u00e1c m\u1ee5c ti\u00eau th\u1ef1c t\u1ebf v\u00e0 l\u1eadp k\u1ebf ho\u1ea1ch. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 c\u00e1c b\u01b0\u1edbc ti\u1ebfp theo trong giai \u0111o\u1ea1n n\u00e0y.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-2-1-establish-realistic-goals-for-nutrition-and-hydration\"><span class=\"ez-toc-section\" id=\"21_Establish_Realistic_Goals_for_Nutrition_and_Hydration\"><\/span>2.1. \u0110\u1eb7t ra m\u1ee5c ti\u00eau th\u1ef1c t\u1ebf v\u1ec1 dinh d\u01b0\u1ee1ng v\u00e0 n\u01b0\u1edbc<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>\u0110\u1ea7u ti\u00ean v\u00e0 quan tr\u1ecdng nh\u1ea5t, nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe ph\u1ea3i x\u00e1c \u0111\u1ecbnh l\u01b0\u1ee3ng calo v\u00e0 ch\u1ea5t l\u1ecfng ph\u00f9 h\u1ee3p c\u1ea7n thi\u1ebft \u0111\u1ec3 b\u1ec7nh nh\u00e2n duy tr\u00ec s\u1ee9c kh\u1ecfe.<\/p>\n\n\n\n<p>C\u00e1c nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u00f3 th\u1ec3 tham kh\u1ea3o \u00fd ki\u1ebfn chuy\u00ean gia dinh d\u01b0\u1ee1ng v\u00e0 c\u00e1c chuy\u00ean gia kh\u00e1c \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nhu c\u1ea7u dinh d\u01b0\u1ee1ng c\u1ee7a t\u1eebng c\u00e1 nh\u00e2n. Nh\u1eefng nhu c\u1ea7u n\u00e0y s\u1ebd kh\u00e1c nhau t\u00f9y thu\u1ed9c v\u00e0o:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tu\u1ed5i<\/li>\n\n\n\n<li>Chi\u1ec1u cao<\/li>\n\n\n\n<li>C\u00e2n n\u1eb7ng<\/li>\n\n\n\n<li>M\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng<\/li>\n\n\n\n<li>T\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd ti\u1ec1m \u1ea9n<\/li>\n<\/ul>\n\n\n\n<p>B\u1eb1ng c\u00e1ch \u0111\u00e1nh gi\u00e1 c\u00e1c y\u1ebfu t\u1ed1 n\u00e0y, nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u00f3 th\u1ec3 \u0111\u1eb7t ra c\u00e1c m\u1ee5c ti\u00eau c\u1ee5 th\u1ec3, th\u1ef1c t\u1ebf v\u1ec1 l\u01b0\u1ee3ng calo v\u00e0 ch\u1ea5t l\u1ecfng n\u1ea1p v\u00e0o c\u1ee7a m\u1ed7i c\u00e1 nh\u00e2n \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o h\u1ecd nh\u1eadn \u0111\u01b0\u1ee3c \u0111\u1ee7 dinh d\u01b0\u1ee1ng v\u00e0 n\u01b0\u1edbc.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-2-2-create-a-timeline-for-weaning-off-tpn\"><span class=\"ez-toc-section\" id=\"22_Create_a_Timeline_for_Weaning_Off_TPN\"><\/span>2.2. T\u1ea1o m\u1ed1c th\u1eddi gian cai nghi\u1ec7n TPN<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Ngo\u00e0i vi\u1ec7c \u0111\u1eb7t ra c\u00e1c m\u1ee5c ti\u00eau c\u1ee5 th\u1ec3, c\u00e1c nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe ph\u1ea3i l\u1eadp k\u1ebf ho\u1ea1ch th\u1eddi gian th\u1ef1c t\u1ebf v\u00e0 quy\u1ebft \u0111\u1ecbnh c\u00e1ch h\u1ecd mu\u1ed1n cai thu\u1ed1c TPN cho ng\u01b0\u1eddi l\u1edbn. Cai thu\u1ed1c TPN l\u00e0 m\u1ed9t qu\u00e1 tr\u00ecnh d\u1ea7n d\u1ea7n. Ng\u1eebng s\u1eed d\u1ee5ng TPN \u0111\u1ed9t ng\u1ed9t c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c h\u1eadu qu\u1ea3 v\u1ec1 dinh d\u01b0\u1ee1ng v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng chuy\u1ec3n h\u00f3a nh\u01b0 thi\u1ebfu h\u1ee5t ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i ho\u1eb7c vi ch\u1ea5t dinh d\u01b0\u1ee1ng c\u0169ng nh\u01b0 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft t\u00e1i ph\u00e1t (l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u th\u1ea5p).<\/p>\n\n\n\n<p>D\u00f2ng th\u1eddi gian n\u00e0y ph\u1ea3i \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh theo nhu c\u1ea7u c\u1ee7a t\u1eebng c\u00e1 nh\u00e2n v\u00e0 c\u00f3 th\u1ec3 thay \u0111\u1ed5i t\u00f9y thu\u1ed9c v\u00e0o:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>L\u01b0\u1ee3ng dinh d\u01b0\u1ee1ng h\u1ea5p th\u1ee5<\/li>\n\n\n\n<li>T\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe hi\u1ec7n t\u1ea1i<\/li>\n\n\n\n<li>Kh\u1ea3 n\u0103ng dung n\u1ea1p dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng mi\u1ec7ng<\/li>\n<\/ul>\n\n\n\n<p>Vi\u1ec7c chuy\u1ec3n \u0111\u1ed5i th\u00e0nh c\u00f4ng t\u1eeb ch\u1ebf \u0111\u1ed9 \u0103n TPN sang \u0103n u\u1ed1ng qua \u0111\u01b0\u1eddng mi\u1ec7ng ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ed9t k\u1ebf ho\u1ea1ch kh\u1ea3 thi, \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 \u0111\u00e1p \u1ee9ng nhu c\u1ea7u ri\u00eang c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n. M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea7n qu\u00e1 tr\u00ecnh chuy\u1ec3n \u0111\u1ed5i n\u00e0y di\u1ec5n ra d\u1ea7n d\u1ea7n \u0111\u1ec3 tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng ti\u1ec1m \u1ea9n.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-2-3-involve-the-individual-in-the-decision-making-process\"><span class=\"ez-toc-section\" id=\"23_Involve_the_Individual_in_the_Decision-Making_Process\"><\/span>2.3. Thu h\u00fat c\u00e1 nh\u00e2n v\u00e0o qu\u00e1 tr\u00ecnh ra quy\u1ebft \u0111\u1ecbnh<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Vi\u1ec7c khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n tr\u01b0\u1edfng th\u00e0nh tham gia v\u00e0o qu\u00e1 tr\u00ecnh ra quy\u1ebft \u0111\u1ecbnh khi \u0111\u1eb7t m\u1ee5c ti\u00eau cai thu\u1ed1c TPN c\u0169ng r\u1ea5t quan tr\u1ecdng. B\u1ec7nh nh\u00e2n n\u00ean t\u00edch c\u1ef1c tham gia v\u00e0o c\u00e1c quy\u1ebft \u0111\u1ecbnh ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ee7a m\u00ecnh v\u00e0 c\u00f3 ti\u1ebfng n\u00f3i trong k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n<p>S\u1ef1 tham gia t\u00edch c\u1ef1c c\u1ee7a m\u1ed9t c\u00e1 nh\u00e2n v\u00e0o qu\u00e1 tr\u00ecnh n\u00e0y c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Th\u1ea3o lu\u1eadn v\u1ec1 s\u1edf th\u00edch c\u1ee7a h\u1ecd \u0111\u1ed1i v\u1edbi dinh d\u01b0\u1ee1ng \u0111\u01b0\u1eddng u\u1ed1ng<\/li>\n\n\n\n<li>Gi\u1ea3i quy\u1ebft m\u1ecdi m\u1ed1i quan t\u00e2m ho\u1eb7c h\u1ea1n ch\u1ebf m\u00e0 h\u1ecd c\u00f3 th\u1ec3 c\u00f3<\/li>\n\n\n\n<li>Cung c\u1ea5p gi\u00e1o d\u1ee5c v\u00e0 h\u1ed7 tr\u1ee3 trong su\u1ed1t qu\u00e1 tr\u00ecnh cai s\u1eefa<\/li>\n<\/ul>\n\n\n\n<p>C\u00e1ch ti\u1ebfp c\u1eadn n\u00e0y trao quy\u1ec1n cho c\u00e1 nh\u00e2n v\u00e0 t\u0103ng kh\u1ea3 n\u0103ng th\u00e0nh c\u00f4ng chung c\u1ee7a qu\u00e1 tr\u00ecnh cai s\u1eefa.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-step-3-implement-a-transition-plan\"><span class=\"ez-toc-section\" id=\"Step_3_Implement_a_Transition_Plan\"><\/span>B\u01b0\u1edbc 3: Th\u1ef1c hi\u1ec7n K\u1ebf ho\u1ea1ch Chuy\u1ec3n \u0111\u1ed5i<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Cai s\u1eefa cho ng\u01b0\u1eddi l\u1edbn t\u1eeb <a href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-solution\/home-tpn-therapy-guide\/\">li\u1ec7u ph\u00e1p TPN t\u1ea1i nh\u00e0<\/a> \u0111\u00f2i h\u1ecfi m\u1ed9t chi\u1ebfn l\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ed5i c\u1ea9n th\u1eadn v\u00e0 c\u00f3 h\u1ec7 th\u1ed1ng. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 c\u1ea7n c\u00e2n nh\u1eafc cho m\u1ed9t k\u1ebf ho\u1ea1ch chuy\u1ec3n \u0111\u1ed5i th\u00e0nh c\u00f4ng.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-3-1-introduce-enteral-nutrition-options\"><span class=\"ez-toc-section\" id=\"31_Introduce_Enteral_Nutrition_Options\"><\/span>3.1. Gi\u1edbi thi\u1ec7u c\u00e1c l\u1ef1a ch\u1ecdn dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Khi th\u1ef1c hi\u1ec7n k\u1ebf ho\u1ea1ch chuy\u1ec3n \u0111\u1ed5i, \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i hi\u1ec3u c\u00e1ch cai s\u1eefa cho ng\u01b0\u1eddi l\u1edbn kh\u1ecfi TPN \u0111\u00fang c\u00e1ch b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p t\u1ed1t nh\u1ea5t <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9183034\/\">c\u00e1c l\u1ef1a ch\u1ecdn dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a<\/a>. C\u00e1c l\u1ef1a ch\u1ecdn ph\u1ed5 bi\u1ebfn nh\u1ea5t \u0111\u1ec3 b\u1eaft \u0111\u1ea7u bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Nu\u00f4i \u0103n qua \u1ed1ng<\/li>\n\n\n\n<li>Th\u1ef1c ph\u1ea9m h\u1ed7n h\u1ee3p<\/li>\n\n\n\n<li>Th\u1ef1c ph\u1ea9m b\u1ed5 sung \u0111\u01b0\u1eddng u\u1ed1ng<\/li>\n<\/ul>\n\n\n\n<p>Khi l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng \u00e1n t\u1ed1t nh\u1ea5t cho b\u1ec7nh nh\u00e2n, c\u00e1c nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe ph\u1ea3i c\u00e2n nh\u1eafc:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>S\u1edf th\u00edch<\/li>\n\n\n\n<li>Ti\u1ec1n s\u1eed b\u1ec7nh l\u00fd<\/li>\n\n\n\n<li>Nhu c\u1ea7u dinh d\u01b0\u1ee1ng<\/li>\n<\/ul>\n\n\n\n<p>\u0110i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i c\u00f3 s\u1ef1 tham gia c\u1ee7a chuy\u00ean gia dinh d\u01b0\u1ee1ng trong qu\u00e1 tr\u00ecnh ra quy\u1ebft \u0111\u1ecbnh v\u00e0 b\u1eaft \u0111\u1ea7u v\u1edbi kh\u1ed1i l\u01b0\u1ee3ng ch\u1eadm \u0111\u1ec3 ru\u1ed9t c\u00f3 th\u1ec3 th\u00edch nghi v\u1edbi ch\u1ebf \u0111\u1ed9 \u0103n m\u1edbi.<\/p>\n\n\n\n<div  id=\"call-to-action-b7ff64d2c848134db2332d7f564e8a6b\" 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 m\u00e1y truy\u1ec1n d\u1ecbch 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=\"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-3-2-monitor-for-signs-of-malnutrition-or-dehydration\"><span class=\"ez-toc-section\" id=\"32_Monitor_for_Signs_of_Malnutrition_or_Dehydration\"><\/span>3.2. Theo d\u00f5i c\u00e1c d\u1ea5u hi\u1ec7u suy dinh d\u01b0\u1ee1ng ho\u1eb7c m\u1ea5t n\u01b0\u1edbc<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>M\u1ed9t b\u01b0\u1edbc kh\u00e1c trong vi\u1ec7c th\u1ef1c hi\u1ec7n k\u1ebf ho\u1ea1ch chuy\u1ec3n \u0111\u1ed5i v\u00e0 cai th\u00e0nh c\u00f4ng TPN cho ng\u01b0\u1eddi l\u1edbn l\u00e0 theo d\u00f5i c\u00e1c d\u1ea5u hi\u1ec7u suy dinh d\u01b0\u1ee1ng v\u00e0 m\u1ea5t n\u01b0\u1edbc.<\/p>\n\n\n\n<p>Suy dinh d\u01b0\u1ee1ng x\u1ea3y ra n\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng nh\u1eadn \u0111\u1ee7 calo v\u00e0 ch\u1ea5t dinh d\u01b0\u1ee1ng thi\u1ebft y\u1ebfu. <a href=\"https:\/\/www.nhs.uk\/conditions\/malnutrition\/symptoms\/\">C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a suy dinh d\u01b0\u1ee1ng<\/a> bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>M\u1ec7t m\u1ecfi<\/li>\n\n\n\n<li>M\u1ea5t c\u01a1<\/li>\n\n\n\n<li>Gi\u1ea3m c\u00e2n kh\u00f4ng mong mu\u1ed1n<\/li>\n\n\n\n<li>Gi\u1ea3m c\u1ea3m gi\u00e1c th\u00e8m \u0103n<\/li>\n\n\n\n<li>V\u1ebft th\u01b0\u01a1ng ch\u1eadm l\u00e0nh<\/li>\n<\/ul>\n\n\n\n<p>T\u00ecnh tr\u1ea1ng m\u1ea5t n\u01b0\u1edbc x\u1ea3y ra n\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng u\u1ed1ng \u0111\u1ee7 ch\u1ea5t l\u1ecfng. <a href=\"https:\/\/www.nhs.uk\/conditions\/dehydration\/\">C\u00e1c tri\u1ec7u ch\u1ee9ng m\u1ea5t n\u01b0\u1edbc<\/a> bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kh\u00f4 mi\u1ec7ng<\/li>\n\n\n\n<li>N\u01b0\u1edbc ti\u1ec3u s\u1eabm m\u00e0u<\/li>\n\n\n\n<li>Gi\u1ea3m l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u<\/li>\n\n\n\n<li>Ch\u00f3ng m\u1eb7t<\/li>\n\n\n\n<li>M\u00f4i ho\u1eb7c l\u01b0\u1ee1i kh\u00f4<\/li>\n<\/ul>\n\n\n\n<p>Vi\u1ec7c theo d\u00f5i th\u01b0\u1eddng xuy\u00ean c\u00e2n n\u1eb7ng, k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m, m\u1ee9c d\u1ecbch v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh nh\u00e2n l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 ph\u00e1t hi\u1ec7n b\u1ea5t k\u1ef3 s\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng n\u00e0o v\u00e0 \u0111\u1ea3m b\u1ea3o qu\u00e1 tr\u00ecnh chuy\u1ec3n \u0111\u1ed5i su\u00f4n s\u1ebb t\u1eeb TPN.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-3-3-adjust-the-plan-based-on-the-patient-s-response\"><span class=\"ez-toc-section\" id=\"33_Adjust_the_Plan_Based_on_the_Patients_Response\"><\/span>3.3. \u0110i\u1ec1u ch\u1ec9nh k\u1ebf ho\u1ea1ch d\u1ef1a tr\u00ean ph\u1ea3n \u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Cu\u1ed1i c\u00f9ng, vi\u1ec7c cai s\u1eefa TPN cho ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh \u0111\u00f2i h\u1ecfi ph\u1ea3i \u0111i\u1ec1u ch\u1ec9nh k\u1ebf ho\u1ea1ch chuy\u1ec3n \u0111\u1ed5i d\u1ef1a tr\u00ean ph\u1ea3n \u1ee9ng c\u1ee7a t\u1eebng c\u00e1 nh\u00e2n. M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c v\u1ea5n \u0111\u1ec1 ti\u00eau h\u00f3a sau \u0111\u00e2y khi b\u1eaft \u0111\u1ea7u ch\u1ebf \u0111\u1ed9 \u0103n thay th\u1ebf:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110\u1ea7y h\u01a1i<\/li>\n\n\n\n<li>Bu\u1ed3n n\u00f4n<\/li>\n\n\n\n<li>Ti\u00eau ch\u1ea3y<\/li>\n\n\n\n<li>T\u00e1o b\u00f3n<\/li>\n<\/ul>\n\n\n\n<p>Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y, c\u00e1c nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe ph\u1ea3i \u0111i\u1ec1u ch\u1ec9nh c\u00e1ch cai thu\u1ed1c TPN cho ng\u01b0\u1eddi l\u1edbn \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o qu\u00e1 tr\u00ecnh chuy\u1ec3n \u0111\u1ed5i th\u00e0nh c\u00f4ng. V\u00ed d\u1ee5, h\u1ecd c\u00f3 th\u1ec3 c\u1ea7n:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110i\u1ec1u ch\u1ec9nh t\u1ed1c \u0111\u1ed9 c\u1ea5p li\u1ec7u TPN<\/li>\n\n\n\n<li>Thay \u0111\u1ed5i lo\u1ea1i c\u00f4ng th\u1ee9c dinh d\u01b0\u1ee1ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng<\/li>\n\n\n\n<li>Thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng \u0111\u1ec3 \u0111\u00e1p \u1ee9ng t\u1ed1t h\u01a1n nhu c\u1ea7u c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh<\/li>\n<\/ul>\n\n\n\n<p>Vi\u1ec7c t\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3 v\u1edbi b\u00e1c s\u0129 l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft. Trong nh\u1eefng l\u1ea7n t\u00e1i kh\u00e1m n\u00e0y, h\u1ecd c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 \u0111i\u1ec1u ch\u1ec9nh k\u1ebf ho\u1ea1ch chuy\u1ec3n ti\u1ebfp n\u1ebfu c\u1ea7n.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-step-4-evaluate-progress\"><span class=\"ez-toc-section\" id=\"Step_4_Evaluate_Progress\"><\/span>B\u01b0\u1edbc 4: \u0110\u00e1nh gi\u00e1 ti\u1ebfn \u0111\u1ed9<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Sau khi tri\u1ec3n khai k\u1ebf ho\u1ea1ch cai thu\u1ed1c TPN cho ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh, c\u00e1c nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe ph\u1ea3i \u0111\u00e1nh gi\u00e1 ti\u1ebfn \u0111\u1ed9 c\u1ee7a h\u1ecd \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o qu\u00e1 tr\u00ecnh chuy\u1ec3n \u0111\u1ed5i di\u1ec5n ra su\u00f4n s\u1ebb. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 c\u00e1c b\u01b0\u1edbc trong giai \u0111o\u1ea1n n\u00e0y c\u1ee7a quy tr\u00ecnh:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-4-1-regularly-assess-the-patient-s-nutritional-intake-and-absorption\"><span class=\"ez-toc-section\" id=\"41_Regularly_Assess_the_Patients_Nutritional_Intake_and_Absorption\"><\/span>4.1. \u0110\u00e1nh gi\u00e1 th\u01b0\u1eddng xuy\u00ean l\u01b0\u1ee3ng dinh d\u01b0\u1ee1ng h\u1ea5p th\u1ee5 v\u00e0 ti\u00eau th\u1ee5 c\u1ee7a b\u1ec7nh nh\u00e2n<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Vi\u1ec7c \u0111\u00e1nh gi\u00e1 th\u01b0\u1eddng xuy\u00ean l\u01b0\u1ee3ng dinh d\u01b0\u1ee1ng n\u1ea1p v\u00e0o v\u00e0 kh\u1ea3 n\u0103ng h\u1ea5p th\u1ee5 c\u1ee7a b\u1ec7nh nh\u00e2n l\u00e0 c\u00e1ch c\u00e1c nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u00f3 th\u1ec3 cai thu\u1ed1c TPN cho ng\u01b0\u1eddi l\u1edbn \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o qu\u00e1 tr\u00ecnh chuy\u1ec3n \u0111\u1ed5i di\u1ec5n ra su\u00f4n s\u1ebb. \u0110\u00e1nh gi\u00e1 n\u00e0y c\u00f3 th\u1ec3 bao g\u1ed3m vi\u1ec7c \u0111\u00e1nh gi\u00e1:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>L\u01b0\u1ee3ng ch\u1ea5t l\u1ecfng n\u1ea1p v\u00e0o<\/li>\n\n\n\n<li>L\u01b0\u1ee3ng calo n\u1ea1p v\u00e0o<\/li>\n\n\n\n<li>L\u01b0\u1ee3ng protein n\u1ea1p v\u00e0o<\/li>\n<\/ul>\n\n\n\n<p>C\u00e1c nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u00f3 th\u1ec3 theo d\u00f5i l\u01b0\u1ee3ng th\u1ee9c \u0103n n\u1ea1p v\u00e0o c\u01a1 th\u1ec3 b\u1ec7nh nh\u00e2n b\u1eb1ng c\u00e1ch:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ki\u1ec3m tra nh\u1eadt k\u00fd th\u1ef1c ph\u1ea9m c\u1ee7a h\u1ecd<\/li>\n\n\n\n<li>Theo d\u00f5i s\u1ef1 thay \u0111\u1ed5i c\u00e2n n\u1eb7ng c\u1ee7a h\u1ecd<\/li>\n\n\n\n<li>\u0110\u00e1nh gi\u00e1 b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u n\u00e0o c\u1ee7a t\u00ecnh tr\u1ea1ng thi\u1ebfu h\u1ee5t ch\u1ea5t dinh d\u01b0\u1ee1ng ho\u1eb7c v\u1ea5n \u0111\u1ec1 k\u00e9m h\u1ea5p thu<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-4-2-monitor-for-complications-and-side-effects\"><span class=\"ez-toc-section\" id=\"42_Monitor_for_Complications_and_Side_Effects\"><\/span>4.2. Theo d\u00f5i c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Trong khi <a href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/top-6-risks-of-tpn-you-need-to-know\/\">TPN c\u00f3 m\u1ed9t s\u1ed1 r\u1ee7i ro<\/a>Vi\u1ec7c cai thu\u1ed1c c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5. Nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y th\u1eadm ch\u00ed c\u00f2n r\u00f5 r\u1ec7t h\u01a1n \u1edf nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 s\u1eed d\u1ee5ng TPN trong th\u1eddi gian d\u00e0i.<\/p>\n\n\n\n<p>M\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng m\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>M\u1ea5t n\u01b0\u1edbc<\/li>\n\n\n\n<li>\u0110\u01b0\u1eddng huy\u1ebft th\u1ea5p<\/li>\n\n\n\n<li>M\u1ea5t c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i<\/li>\n<\/ul>\n\n\n\n<p>B\u00e1c s\u0129 c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t m\u1ecdi bi\u1ebfn ch\u1ee9ng ho\u1eb7c t\u00e1c d\u1ee5ng ph\u1ee5 b\u1eb1ng c\u00e1ch th\u01b0\u1eddng xuy\u00ean ki\u1ec3m tra m\u1ee9c \u0111\u1ed9 dinh d\u01b0\u1ee1ng thi\u1ebft y\u1ebfu trong m\u1eabu m\u00e1u c\u1ee7a m\u1ed7i ng\u01b0\u1eddi v\u00e0 \u0111\u00e1nh gi\u00e1 c\u00e1c d\u1ea5u hi\u1ec7u sinh t\u1ed3n c\u1ee7a h\u1ecd.<\/p>\n\n\n\n<div  id=\"call-to-action-ec979c4292d3923925c0c968f0783313\" 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\tNh\u1eadn h\u1ed7 tr\u1ee3 t\u00e0i ch\u00ednh cho 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-step-5-address-challenges-and-barriers\"><span class=\"ez-toc-section\" id=\"Step_5_Address_Challenges_and_Barriers\"><\/span>B\u01b0\u1edbc 5: Gi\u1ea3i quy\u1ebft c\u00e1c th\u00e1ch th\u1ee9c v\u00e0 r\u00e0o c\u1ea3n<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/10\/wean-tpn-complications-1024x683-1.jpg\" alt=\"A man holding his bloated belly\" class=\"wp-image-27287\" srcset=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/10\/wean-tpn-complications-1024x683-1.jpg 1024w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/10\/wean-tpn-complications-1024x683-1-300x200.jpg 300w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/10\/wean-tpn-complications-1024x683-1-768x512.jpg 768w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/10\/wean-tpn-complications-1024x683-1-600x400.jpg 600w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/10\/wean-tpn-complications-1024x683-1-330x220.jpg 330w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/10\/wean-tpn-complications-1024x683-1-86x57.jpg 86w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/10\/wean-tpn-complications-1024x683-1-167x111.jpg 167w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/10\/wean-tpn-complications-1024x683-1-280x187.jpg 280w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/10\/wean-tpn-complications-1024x683-1-370x247.jpg 370w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/10\/wean-tpn-complications-1024x683-1-960x640.jpg 960w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>B\u01b0\u1edbc cu\u1ed1i c\u00f9ng li\u00ean quan \u0111\u1ebfn c\u00e1ch cai nghi\u1ec7n TPN \u1edf ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh l\u00e0 gi\u1ea3i quy\u1ebft nh\u1eefng th\u00e1ch th\u1ee9c v\u1ec1 th\u1ec3 ch\u1ea5t v\u00e0 tinh th\u1ea7n.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-5-1-deal-with-resistance-from-the-patient\"><span class=\"ez-toc-section\" id=\"51_Deal_With_Resistance_From_the_Patient\"><\/span><strong>5.1. \u0110\u1ed1i ph\u00f3 v\u1edbi s\u1ef1 ph\u1ea3n kh\u00e1ng t\u1eeb b\u1ec7nh nh\u00e2n<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Vi\u1ec7c cai thu\u1ed1c TPN c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t kh\u00e1i ni\u1ec7m \u0111\u00e1ng s\u1ee3 \u0111\u1ed1i v\u1edbi nhi\u1ec1u b\u1ec7nh nh\u00e2n v\u00ec h\u1ecd \u0111\u00e3 tr\u1edf n\u00ean l\u1ec7 thu\u1ed9c v\u00e0o n\u00f3. H\u1ecd c\u00f3 th\u1ec3 lo l\u1eafng v\u1ec1 vi\u1ec7c chuy\u1ec3n sang dinh d\u01b0\u1ee1ng \u0111\u01b0\u1eddng u\u1ed1ng.<\/p>\n\n\n\n<p>Do \u0111\u00f3, c\u00e1c nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe ph\u1ea3i c\u00f3 k\u1ebf ho\u1ea1ch \u1ee9ng ph\u00f3 v\u1edbi t\u00ecnh tr\u1ea1ng kh\u00e1ng thu\u1ed1c n\u00e0y. H\u1ecd ph\u1ea3i:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Cung c\u1ea5p h\u1ed7 tr\u1ee3 v\u1ec1 m\u1eb7t c\u1ea3m x\u00fac<\/li>\n\n\n\n<li>H\u00e3y d\u00e0nh th\u1eddi gian v\u00e0 l\u1eafng nghe nh\u1eefng lo l\u1eafng c\u1ee7a b\u1ec7nh nh\u00e2n<\/li>\n\n\n\n<li>Gi\u00e1o d\u1ee5c m\u1ecdi ng\u01b0\u1eddi v\u1ec1 qu\u00e1 tr\u00ecnh cai s\u1eefa v\u00e0 nh\u1eefng l\u1ee3i \u00edch ti\u1ec1m n\u0103ng c\u1ee7a n\u00f3<\/li>\n<\/ul>\n\n\n\n<p>Khi\u1ebfn b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y \u0111\u01b0\u1ee3c l\u1eafng nghe c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m b\u1edbt n\u1ed7i lo l\u1eafng c\u1ee7a h\u1ecd v\u00e0 gi\u00fap qu\u00e1 tr\u00ecnh chuy\u1ec3n \u0111\u1ed5i d\u1ec5 d\u00e0ng h\u01a1n.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"52_Manage_Gastrointestinal_Issues\"><\/span><strong>5.2. Qu\u1ea3n l\u00fd c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>M\u1ed9t th\u00e1ch th\u1ee9c kh\u00e1c khi cai TPN \u1edf ng\u01b0\u1eddi l\u1edbn l\u00e0 ki\u1ec3m so\u00e1t c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. Nh\u1eefng ng\u01b0\u1eddi chuy\u1ec3n t\u1eeb TPN sang ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng th\u00f4ng th\u01b0\u1eddng c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i nh\u1eefng v\u1ea5n \u0111\u1ec1 sau:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bu\u1ed3n n\u00f4n<\/li>\n\n\n\n<li>\u0110\u1ea7y h\u01a1i<\/li>\n\n\n\n<li>Ti\u00eau ch\u1ea3y<\/li>\n\n\n\n<li>N\u00f4n m\u1eeda<\/li>\n\n\n\n<li>T\u00e1o b\u00f3n<\/li>\n<\/ul>\n\n\n\n<p>B\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb d\u00f9ng thu\u1ed1c v\u00e0 th\u1ef1c ph\u1ea9m b\u1ed5 sung \u0111\u1ec3 l\u00e0m gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y v\u00e0 gi\u00fap qu\u00e1 tr\u00ecnh chuy\u1ec3n \u0111\u1ed5i d\u1ec5 d\u00e0ng h\u01a1n.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"53_Provide_Resources_for_Managing_Enteral_Nutrition_at_Home\"><\/span><strong>5.3. Cung c\u1ea5p c\u00e1c ngu\u1ed3n l\u1ef1c \u0111\u1ec3 qu\u1ea3n l\u00fd dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a t\u1ea1i nh\u00e0<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Cu\u1ed1i c\u00f9ng, b\u00e1c s\u0129 ph\u1ea3i cung c\u1ea5p cho b\u1ec7nh nh\u00e2n c\u00e1c ngu\u1ed3n l\u1ef1c v\u00e0 s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o qu\u00e1 tr\u00ecnh chuy\u1ec3n \u0111\u1ed5i di\u1ec5n ra su\u00f4n s\u1ebb.<\/p>\n\n\n\n<p>C\u0169ng gi\u1ed1ng nh\u01b0 h\u1ecd n\u00ean h\u01b0\u1edbng d\u1eabn b\u1ec7nh nh\u00e2n th\u00f4ng qua <a href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-troubleshooting-guide\/\">x\u1eed l\u00fd s\u1ef1 c\u1ed1 TPN<\/a> v\u00e0 nh\u1eadn bi\u1ebft c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb, h\u1ecd ph\u1ea3i gi\u00fap b\u1ec7nh nh\u00e2n \u0111i\u1ec1u h\u01b0\u1edbng qu\u00e1 tr\u00ecnh chuy\u1ec3n \u0111\u1ed5i.<\/p>\n\n\n\n<p>C\u00e1c nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u00f3 th\u1ec3 gi\u00fap b\u1ec7nh nh\u00e2n b\u1eb1ng c\u00e1ch l\u1eadp k\u1ebf ho\u1ea1ch b\u1eefa \u0103n c\u00e1 nh\u00e2n h\u00f3a v\u00e0 gi\u1ea3i quy\u1ebft c\u00e1c v\u1ea5n \u0111\u1ec1 c\u1ee7a h\u1ecd.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-receive-at-home-tpn-therapy-with-ameripharma-specialty-pharmacy\"><span class=\"ez-toc-section\" id=\"Receive_At-Home_TPN_Therapy_With_AmeriPharma%C2%AE_Specialty_Pharmacy\"><\/span>Nh\u1eadn li\u1ec7u ph\u00e1p TPN t\u1ea1i nh\u00e0 v\u1edbi Nh\u00e0 thu\u1ed1c chuy\u00ean khoa AmeriPharma\u00ae<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>B\u00e2y gi\u1edd b\u1ea1n \u0111\u00e3 bi\u1ebft c\u00e1ch cai thu\u1ed1c TPN, b\u1ea1n \u0111\u00e3 s\u1eb5n s\u00e0ng \u0111\u1ec3 chuy\u1ec3n \u0111\u1ed5i. N\u1ebfu b\u1ea1n kh\u00f4ng cai thu\u1ed1c TPN m\u00e0 ch\u1ec9 m\u1edbi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb, <a href=\"https:\/\/ameripharmaspecialty.com\/vi\/about-us\/\">Nh\u00e0 thu\u1ed1c chuy\u00ean khoa AmeriPharma\u00ae<\/a> c\u00f3 th\u1ec3 gi\u00fap.<\/p>\n\n\n\n<p>Ch\u00fang t\u00f4i giao v\u1eadt li\u1ec7u truy\u1ec1n d\u1ecbch t\u1ea1i nh\u00e0 TPN \u0111\u1ebfn t\u1eadn nh\u00e0 b\u1ea1n trong bao b\u00ec k\u00edn \u0111\u00e1o v\u00e0 gi\u00fap b\u1ea1n kh\u1eafc ph\u1ee5c m\u1ecdi s\u1ef1 c\u1ed1.<\/p>\n\n\n\n<p>C\u1ee7a ch\u00fang t\u00f4i <a href=\"https:\/\/ameripharmaspecialty.com\/vi\/\">hi\u1ec7u thu\u1ed1c chuy\u00ean khoa<\/a> Ch\u00fang t\u00f4i c\u0169ng c\u00f3 th\u1ec3 c\u1eed c\u00e1c y t\u00e1 truy\u1ec1n d\u1ecbch chuy\u00ean khoa \u0111\u1ebfn t\u1eadn nh\u00e0 \u0111\u1ec3 th\u1ef1c hi\u1ec7n li\u1ec7u tr\u00ecnh. B\u1ea1n c\u00f3 th\u1ec3 \u0111\u00e1p \u1ee9ng nhu c\u1ea7u dinh d\u01b0\u1ee1ng c\u1ee7a m\u00ecnh v\u1edbi d\u1ecbch v\u1ee5 \u0111i\u1ec1u ph\u1ed1i tr\u1ecdn g\u00f3i, h\u1ed7 tr\u1ee3 24\/7\/365 v\u00e0 <a href=\"https:\/\/ameripharmaspecialty.com\/vi\/financial-assistance\/\">h\u1ed7 tr\u1ee3 \u0111\u1ed3ng thanh to\u00e1n<\/a>.<\/p>\n\n\n\n<p><a href=\"https:\/\/ameripharmaspecialty.com\/vi\/get-started\/\">Li\u00ean h\u1ec7 v\u1edbi ch\u00fang t\u00f4i<\/a> b\u00e2y gi\u1edd c\u00f3 th\u1ec3 n\u00f3i chuy\u1ec7n v\u1edbi chuy\u00ean vi\u00ean h\u01b0\u1edbng d\u1eabn b\u1ec7nh nh\u00e2n v\u00e0 nh\u1eadn d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t t\u1ea1i nh\u00e0.<\/p>\n\n\n\n<div class=\"wp-block-uagb-image uagb-block-5d220841 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><\/figure><\/div>","protected":false},"excerpt":{"rendered":"<p>Dinh d\u01b0\u1ee1ng ngo\u00e0i \u0111\u01b0\u1eddng ti\u00eau h\u00f3a ho\u00e0n to\u00e0n (TPN) l\u00e0 m\u1ed9t gi\u1ea3i ph\u00e1p c\u1ee9u s\u1ed1ng nhi\u1ec1u ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh. Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng TPN l\u00e2u d\u00e0i c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng t\u00e1c \u0111\u1ed9ng ti\u00eau c\u1ef1c \u0111\u1ebfn c\u01a1 th\u1ec3. Tin t\u1ed1t l\u00e0 vi\u1ec7c cai nghi\u1ec7n TPN l\u00e0 ho\u00e0n to\u00e0n kh\u1ea3 thi.<\/p>","protected":false},"author":36,"featured_media":26658,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"om_disable_all_campaigns":false,"_uag_custom_page_level_css":"","footnotes":""},"categories":[12],"tags":[55],"class_list":["post-26652","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tpn","tag-neil-marshall"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>How to Wean off TPN in Adults | AmeriPharma<\/title>\n<meta name=\"description\" content=\"Are you ready to wean off TPN? Our comprehensive blog offers a step-by-step guide to effectively transition from TPN. Learn how to wean off TPN safely.\" \/>\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\/how-to-wean-from-tpn-in-adults\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How to Wean off TPN in Adults | AmeriPharma\" \/>\n<meta property=\"og:description\" content=\"Are you ready to wean off TPN? Our comprehensive blog offers a step-by-step guide to effectively transition from TPN. Learn how to wean off TPN safely.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/how-to-wean-from-tpn-in-adults\/\" \/>\n<meta property=\"og:site_name\" content=\"AmeriPharma\u00ae Specialty Care\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ameripharma\/\" \/>\n<meta property=\"article:published_time\" content=\"2024-10-13T01:52:27+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-24T16:26:33+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/10\/wean-tpn-man-eating.jpg.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1280\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Neil Marshall, DACM, BSN, LAc, RN, CRNI, NCCAOM\u00ae\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Neil Marshall, DACM, BSN, LAc, RN, CRNI, NCCAOM\u00ae\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 ph\u00fat\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/ameripharmaspecialty.com\\\/tpn\\\/how-to-wean-from-tpn-in-adults\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/ameripharmaspecialty.com\\\/tpn\\\/how-to-wean-from-tpn-in-adults\\\/\"},\"author\":{\"name\":\"Neil Marshall, DACM, BSN, LAc, RN, CRNI, NCCAOM\u00ae\",\"@id\":\"https:\\\/\\\/ameripharmaspecialty.com\\\/es\\\/#\\\/schema\\\/person\\\/500d47a07e7d2dc3a954dae65910bc69\"},\"headline\":\"How To Wean off TPN in Adults\",\"datePublished\":\"2024-10-13T01:52:27+00:00\",\"dateModified\":\"2026-03-24T16:26:33+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/ameripharmaspecialty.com\\\/tpn\\\/how-to-wean-from-tpn-in-adults\\\/\"},\"wordCount\":1584,\"publisher\":{\"@id\":\"https:\\\/\\\/ameripharmaspecialty.com\\\/es\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/ameripharmaspecialty.com\\\/tpn\\\/how-to-wean-from-tpn-in-adults\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/ameripharmaspecialty.com\\\/wp-content\\\/uploads\\\/2024\\\/10\\\/wean-tpn-man-eating.jpg.jpg\",\"keywords\":[\"Neil Marshall\"],\"articleSection\":[\"TPN\"],\"inLanguage\":\"vi\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/ameripharmaspecialty.com\\\/tpn\\\/how-to-wean-from-tpn-in-adults\\\/\",\"url\":\"https:\\\/\\\/ameripharmaspecialty.com\\\/tpn\\\/how-to-wean-from-tpn-in-adults\\\/\",\"name\":\"How to Wean off TPN in Adults | AmeriPharma\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/ameripharmaspecialty.com\\\/es\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/ameripharmaspecialty.com\\\/tpn\\\/how-to-wean-from-tpn-in-adults\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/ameripharmaspecialty.com\\\/tpn\\\/how-to-wean-from-tpn-in-adults\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/ameripharmaspecialty.com\\\/wp-content\\\/uploads\\\/2024\\\/10\\\/wean-tpn-man-eating.jpg.jpg\",\"datePublished\":\"2024-10-13T01:52:27+00:00\",\"dateModified\":\"2026-03-24T16:26:33+00:00\",\"description\":\"Are you ready to wean off TPN? 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He is board-certified in infusion care through the Infusion Nurses Society and specializes in intravenous treatments, including nutrition therapy, immunotherapy, and biologics. He is skilled in managing central lines, PICC lines, and implanted ports, with a strong focus on patient safety and education. Patients and students refer to him as Dr. Neil, as he is dual-licensed as a licensed acupuncturist with a Doctorate in Acupuncture and Chinese Medicine. He currently teaches upcoming practitioners at a Chinese Medical University in Los Angeles. As a PCP in California, he offers guidance on nutrition and diet-related concerns. Dr. Neil is a former member of the ASPEN Safety Committee for the development of standards\\\/guidelines for parenteral nutrition. Originally from the Midwest, Dr. Neil now resides in California. 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