Ukungalingani kwezempilo kubhengezwa ngokukodwa kwiindawo ezilinganiselweyo (RLSs), apho ukungondleki okunxulumene nesifo (DRM) kuhlala kungumba ongahoywayo. Ngaphandle kwemizamo yehlabathi enje ngeeNjongo zoPhuhliso oluZinzileyo ze-UN, i-DRM-ingakumbi ezibhedlele-ukusilela kuqwalaselo lomgaqo-nkqubo olwaneleyo. Ukujongana noku, iQela eliSebenzayo laMazwe ngaMazwe leLungelo leZigulana kuNonophelo lweSondlo (i-WG) libize iingcaphephe ukuze zicebise izicwangciso ezinokusetyenziswa.
Uphando lwabaphenduli be-58 abavela kumazwe anengeniso ephantsi kunye naphakathi bagxininisa imiqobo engundoqo: ulwazi olulinganiselwe lwe-DRM, ukuhlolwa okungonelanga, ukungabikho kwembuyekezo, kunye nokufikelela okwaneleyo kunyango lwezondlo. Ezi zithuba zaxoxwa ngakumbi ngeengcali ze-30 kwi-2024 ESPEN Congress, ekhokelela kwimvumelwano kwiimfuno ezintathu ezibalulekileyo: (1) idatha engcono ye-epidemiological, (2) uqeqesho oluphuculweyo, kunye (3) neenkqubo zempilo ezinamandla.
I-WG icebisa isicwangciso esinamanyathelo amathathu: Okokuqala, kuvavanya ukufaneleka kwezikhokelo ezikhoyo ezifana ne-ESPEN's kwii-RLSs ngophando ekujoliswe kulo. Okwesibini, phuhlisa iResource-Sensitive Guidelines (RSGs) elungiselelwe imigangatho emine yezibonelelo-esisiseko, esilinganiselweyo, esiphuculweyo, nesiphezulu. Okokugqibela, khuthaza kwaye usebenzise ezi RSGs ngokusebenzisana noluntu lwezondlo lweklinikhi.
Ukujongana ne-DRM kwiimfuno ze-RLSs ezizinzileyo, ezisekelwe kumalungelo. Ngokubeka phambili ukhathalelo olujoliswe kwisigulane kunye noxanduva lwabathathi-nxaxheba, le ndlela ijolise ekunciphiseni ukungafani kokhathalelo lwesondlo kunye nokuphucula iziphumo kubantu abasengozini.
Ukungondleki phakathi kwabaguli esibhedlele kudala ingumba ongahoywanga eTshayina. Kwiminyaka engamashumi amabini edlulileyo, ulwazi lwezondlo lweklinikhi lwalulinganiselwe, kunye nokutya okungenayo-inkalo esisiseko yonyango lwesondlo sonyango-kwakungenziwa ngokubanzi. Ukuqaphela lo msantsa, iBeijing Lingze yasekwa kwi-2001 ukwazisa nokukhuthaza ukutya okunomzimba e-China.
Ukutyhubela iminyaka, iingcali zezempilo zaseTshayina ziye zakuqonda ngakumbi ukubaluleka kwesondlo kukhathalelo lwesigulana. Olu lwazi lukhulayo lukhokelele ekusekweni koMbutho waseTshayina weParenteral and Enteral Nutrition (CSPEN), odlale indima ebalulekileyo ekuqhubeleni phambili iindlela zokondleka kwezonyango. Namhlanje, izibhedlele ezininzi zibandakanya ukuhlolwa kwesondlo kunye neeprothokholi zokungenelela, ezibonisa inkqubela phambili ebalulekileyo ekudibaniseni isondlo kukhathalelo lwezonyango.
Ngelixa imingeni isekho-ngakumbi kwimimandla enezixhobo ezisikelwe umda-eTshayina'Indlela yokuphucula kwisondlo seklinikhi ibonisa ukuzinikela ekuphuculeni iziphumo zesigulane ngokusebenzisa ubungqina obusekelwe kubungqina. Imizamo eqhubekayo kwimfundo, umgaqo-nkqubo, kunye nezinto ezintsha ziya kuqinisa ngakumbi ulawulo lokungondleki kwiindawo zempilo.
Ixesha lokuposa: Jul-15-2025