Kusaenzana kwehutano hwehutano kunonyanya kutaurwa mune resource-limited settings (RLSs), apo chirwere-chine kushaya zvokudya zvinovaka muviri (DRM) inoramba iri nyaya isina hanya. Zvisinei nekuedza kwepasi rose seUN Sustainable Development Goals, DRM-kunyanya muzvipatara-haina kutariswa kwakakwana kwemitemo. Kugadzirisa izvi, International Working Group for Patients' Right to Nutrition Care (WG) yakaunganidza nyanzvi kuti dzipe mazano ekuita.
Ongororo yevakapindura makumi mashanu nevasere kubva kunyika dzine mari yakaderera uye yepakati yakaratidza zvipingamupinyi zvakakosha: kuziva kushoma kweDRM, kusatariswa kwakakwana, kushaikwa kwekubhadhara, uye kusakwana kwekuwana mishonga yekudya. Aya mapundu akakurukurwazve nenyanzvi makumi matatu pa2024 ESPEN Congress, zvichitungamira kubvumirana pane zvitatu zvakakosha zvinodiwa: (1) zvirinani epidemiological data, (2) kudzidziswa kwakawedzera, uye (3) yakasimba hutano masisitimu.
Iyo WG inokurudzira nhanho-nhanho nhatu: Chekutanga, ongorora kushanda kwemirairo iripo senge ESPEN.'s muRLSs kuburikidza neongororo dzakanangwa. Chechipiri, gadzira Resource-Sensitive Guidelines (RSGs) yakarongedzerwa kune mana zviwanikwa nhanho-basic, limited, enhanced, uye maximal. Chekupedzisira, simudzira uye shandisa aya maRSG mukubatana nevekiriniki chikafu nzanga.
Kugadzirisa DRM muRLS inoda kuchengetedzwa, kodzero-yakavakirwa chiito. Nekukoshesa kutarisirwa kwemurwere uye mutoro wevanobatanidzwa, nzira iyi ine chinangwa chekudzikisa kusaenzana kwekudya kunovaka muviri uye kuvandudza mhedzisiro kune vanhu vanotambura.
Kushaikwa kwezvokudya zvinovaka muviri pakati pevarwere vari muchipatara yagara iri nyaya isingatarisirwi muChina. Makumi maviri emakore apfuura, ruzivo rwekudya kwekiriniki rwakanga rushoma, uye kudya kwemukati-chinhu chakakosha chekurapa chikafu chekurapa-yakanga isingashandiswi nevakawanda. Nekuona gaka iri, Beijing Lingze yakavambwa muna 2001 kuunza nekusimudzira kudya kunovaka muviri muChina.
Kwemakore, vashandi vehutano veChinese vakawedzera kuziva kukosha kwekudya mukutarisira kwevarwere. Uku kukura kwekuziva kwakakonzera kugadzwa kweChinese Society for Parenteral and Enteral Nutrition (CSPEN), iyo yakaita basa rakakosha mukusimudzira maitiro ekudya kwekiriniki. Nhasi, zvipatara zvakawanda zvinosanganisira kuongororwa kwekudya uye kupindira mapuroteni, zvichiratidza kufambira mberi kukuru mukubatanidza chikafu mukurapa.
Nepo matambudziko achiripo-kunyanya munzvimbo dzisina zviwanikwa-China's nzira yekuvandudza yekudya kwekiriniki inoratidza kuzvipira mukuvandudza mhedzisiro yevarwere kuburikidza neuchapupu-hwakavakirwa maitiro. Kuenderera mberi nekuedza mudzidzo, mutemo, uye hunyanzvi huchawedzera kusimbisa manejimendi ekushaya chikafu munzvimbo dzehutano.
Nguva yekutumira: Jul-15-2025