Ukungalingani ekunakekelweni kwezempilo kuvezwa ikakhulukazi kuzilungiselelo ezilinganiselwe (RLSs), lapho ukungondleki okuhlobene nesifo (DRM) kusalokhu kuyindaba enganakiwe. Ngaphandle kwemizamo yomhlaba wonke efana ne-UN Sustainable Development Goals, i-DRM-ikakhulukazi ezibhedlela-ukuntula ukunakwa okwanele kwenqubomgomo. Ukuze kubhekwane nalokhu, i-International Working Group for Patients' Right to Nutrition Care (WG) yabiza ochwepheshe ukuze baphakamise amasu angenziwa.
Inhlolovo yabaphenduli abangu-58 abavela emazweni anemali engenayo ephansi naphakathi igqamise izithiyo ezibalulekile: ukuqwashisa okulinganiselwe kwe-DRM, ukuhlolwa okunganele, ukuntuleka kwembuyiselo, kanye nokufinyelela okunganele emithini yokwelapha yokudla okunomsoco. Lezi zikhala zaxoxwa futhi ngochwepheshe abangama-30 kuNgqungquthela ye-ESPEN ka-2024, okuholele ekuvumelaneni ngezidingo ezintathu ezibalulekile: (1) idatha engcono ye-epidemiological, (2) ukuqeqeshwa okuthuthukisiwe, kanye (3) nezinhlelo zezempilo eziqinile.
I-WG incoma isu lezinyathelo ezintathu: Okokuqala, hlola ukusebenza kwemihlahlandlela ekhona efana ne-ESPEN's kuma-RLS ngokusebenzisa izinhlolovo eziqondiwe. Okwesibili, thuthukisa Imihlahlandlela Ezwela Izinsiza (RSGs) ehambisana namazinga ezinsiza ezine-okuyisisekelo, okulinganiselwe, okuthuthukisiwe, nokuphezulu. Okokugcina, khuthaza futhi usebenzise lawa ma-RSG ngokubambisana nemiphakathi yokudla yasemtholampilo.
Ukubhekana ne-DRM kuma-RLS kudinga isenzo esiqhubekayo, esisekelwe kumalungelo. Ngokubeka eqhulwini ukunakekelwa okugxile esigulini kanye nokuzibophezela kwababambe iqhaza, le ndlela ihlose ukunciphisa ukuhlukana kokunakekelwa kokudla okunomsoco futhi ithuthukise imiphumela yabantu abasengozini.
Ukungondleki phakathi kweziguli ezilaliswe esibhedlela sekuyisikhathi eside kuyindaba enganakiwe eChina. Emashumini amabili eminyaka edlule, ukuqwashisa ngokudla okunempilo kwasemtholampilo kwakunomkhawulo, kanye nokuphakelwa kwe-enteral-isici esiyisisekelo sokwelashwa okunomsoco wezokwelapha-kwakungenziwa kabanzi. Ngokubona leli gebe, i-Beijing Lingze yasungulwa ngo-2001 ukuze yethule futhi ikhuthaze ukudla okunomsoco eShayina.
Ngokuhamba kweminyaka, ochwepheshe bezokunakekelwa kwempilo baseShayina baye babona kakhulu ukubaluleka kokudla okunomsoco ekunakekelweni kweziguli. Lokhu kuqwashisa okukhulayo kuholele ekusungulweni kwe-Chinese Society for Parenteral and Enteral Nutrition (CSPEN), ebambe iqhaza elibalulekile ekuthuthukiseni izinqubo zokondleka emtholampilo. Namuhla, izibhedlela eziningi zifaka phakathi ukuhlolwa komsoco kanye nezinqubo zokungenelela, okubonisa inqubekelaphambili ebalulekile ekuhlanganiseni ukudla okunomsoco ekunakekelweni kwezokwelapha.
Nakuba izinselele zisekhona-ikakhulukazi ezifundeni ezinomkhawulo wezinsiza-China's indlela eguqukayo yokudla okunempilo yomtholampilo ibonisa ukuzibophezela ekuthuthukiseni imiphumela yesiguli ngokusebenzisa imikhuba esekelwe ebufakazini. Imizamo eqhubekayo kwezemfundo, inqubomgomo, kanye nokusungula izinto ezintsha kuzoqinisa ukuphathwa kokungondleki ezindaweni zokunakekelwa kwezempilo.
Isikhathi sokuthumela: Jul-15-2025