Early Days of Enteral Nutrition in Premature Infants

Year 2017, Volume: 9 Issue: 4, 64 - 70, 20.07.2017

Prof. Dr. Mehmet Vural

Abstract

Abstract

Birth of a premature infant is a nutritional emergency. Total parenteral nutrition(TPN) is of paramount importance to provide energy, protein and lipid when enteral nutrition is absent or inadequate. It has been shown that early and ‘’agressive’’nutritional approach reduces postnatal growth retardation, negative nitrogen balance, essential fatty acid and trace element deficiency, and promote growth. Enteralnutrition should be started as soon as possible when the clinical condition allows while simaultaenously decreasing the amount of TPN. It is important to provide adequate nutrients for optimal growth of the preterm infant.

Keywords

Parenteral nutrition, enteralnutrition, agressive nutrition

Prematüre Bebeğin Beslenmesinde İlk Günler

Abstract

Öz

Prematüre bebeğin doğumu bir beslenme acili olarak ele alınmalıdır. Total parenteral beslenme (TPB), enteral beslenme yeterli veya mümkün olmadığında gereklienerji, protein ve yağ desteğini sağlamak açısından büyük önem taşır. Erken ve ‘’agresif’’ beslenme yaklaşımının postnatal büyüme geriliğini azalttığı, negatif nitrojen dengesini, esansiyel yağ asidi ve eser element eksikliğini engellediği ve büyümeyi desteklediği gösterilmiştir.  Enteral beslenme klinik olarak mümkün olan en kısa za-manda başlanmalı ve TPB eş zamanlı olarak azaltılmalıdır. Prematüre bebeğin büyümesinin en iyi şekilde devam edebilmesi için yeterli miktarda besin öğelerinin verilmesine dikkat edilmelidir.

Keywords

Parenteral beslenme, enteral beslenme, agresif beslenme

References

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