Kusagwirizana kwa chisamaliro chaumoyo kumatchulidwa makamaka m'makonzedwe azinthu zochepa (RLSs), kumene matenda okhudzana ndi kusowa kwa zakudya m'thupi (DRM) akadali nkhani yonyalanyazidwa. Ngakhale kuyesetsa kwapadziko lonse lapansi monga UN Sustainable Development Goals, DRM-makamaka mzipatala-alibe chisamaliro chokwanira. Pofuna kuthana ndi izi, bungwe la International Working Group for Patients' Right to Nutrition Care (WG) linaitanitsa akatswiri kuti apereke malingaliro otheka.
Kafukufuku wa anthu 58 omwe adafunsidwa kuchokera kumayiko opeza ndalama zochepa komanso apakati adawonetsa zopinga zazikulu: kuzindikira kochepa kwa DRM, kuwunika kosakwanira, kusowa kwa kubweza ndalama, komanso kusapeza njira zochiritsira zopatsa thanzi. Mipatayi idakambidwanso ndi akatswiri a 30 ku 2024 ESPEN Congress, zomwe zidapangitsa kuti agwirizane pazosowa zitatu zofunika: (1) chidziwitso chabwino cha miliri, (2) maphunziro opititsa patsogolo, ndi (3) machitidwe amphamvu azaumoyo.
WG imalimbikitsa njira zitatu: Choyamba, yesani kugwiritsa ntchito malangizo omwe alipo monga ESPEN's mu RLSs kudzera mu kafukufuku wowunikira. Chachiwiri, pangani Resource-Sensitive Guidelines (RSGs) ogwirizana ndi magawo anayi azinthu-zofunikira, zochepa, zowonjezera, komanso zapamwamba. Pomaliza, limbikitsani ndikugwiritsa ntchito ma RSG awa mogwirizana ndi mabungwe azachipatala.
Kulankhula ndi DRM mu RLSs kumafuna kuchitapo kanthu kosasunthika, kozikidwa paufulu. Poika patsogolo chisamaliro cha odwala ndi udindo wa ogwira nawo ntchito, njira iyi ikufuna kuchepetsa kusiyana kwa chisamaliro cha zakudya ndikuwongolera zotsatira za anthu omwe ali pachiopsezo.
Kuperewera kwa zakudya m'thupi mwa odwala omwe ali m'chipatala kwakhala kunyalanyazidwa kwa nthawi yayitali ku China. Zaka makumi awiri zapitazo, chidziwitso chamankhwala chachipatala chinali chochepa, komanso kudyetsa kwamatumbo-mbali yofunikira ya chithandizo chamankhwala chamankhwala-sizinali kuchitidwa mofala. Pozindikira kusiyana kumeneku, Beijing Lingze idakhazikitsidwa mu 2001 kuti ayambitse ndikulimbikitsa zakudya zopatsa thanzi ku China.
Kwa zaka zambiri, akatswiri azachipatala aku China adazindikira kwambiri kufunika kwa zakudya pakusamalira odwala. Kuzindikira kumeneku kudapangitsa kukhazikitsidwa kwa Chinese Society for Parenteral and Enteral Nutrition (CSPEN), yomwe yathandiza kwambiri kupititsa patsogolo machitidwe azachipatala. Masiku ano, zipatala zambiri zimaphatikiza njira zowunika zakudya komanso njira zothandizira, zomwe zikuwonetsa kupita patsogolo kwakukulu pakuphatikiza zakudya m'zachipatala.
Ngakhale mavuto akadalipo-makamaka m'madera omwe alibe zida-China'Njira yosinthira pazakudya zachipatala ikuwonetsa kudzipereka pakuwongolera zotsatira za odwala kudzera muzochita zozikidwa paumboni. Kupitiliza kulimbikira pamaphunziro, mfundo, ndi zatsopano zidzalimbitsanso kasamalidwe kakuperewera kwa zakudya m'malo azachipatala.
Nthawi yotumiza: Jul-15-2025