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Ucwaningo Lwezokwelapha Luqokomisa Ukubaluleka Kokuphathwa Kokudla Okunomsoco Okuhlelekile

Ucwaningo lwezokwelapha olusanda kushicilelwa luveze indlela oluhlelwe ngayoukuphathwa kokudla okunempilokungathuthukisa ukuphepha kokudla kanye nemiphumela yesikhashana ezigulini ezinesifo sokopha ngaphakathi kobuchopho.

Ucwaningo, olushicilelwe ku-Imingcele Yokudla OkunomsocongoJuni 2026, bahilelekileIziguli ezingama-60 ezinesifo somfutho wegazi ophakeme ngaphakathi kobuchophoababedinga ukudla okunempilo ngesikhathi sokulaliswa esibhedlela. Abacwaningi baqhathanisa ukunakekelwa kokudla okuvamile nendlela yokudla ehlelekile esekwe ekuhlolweni okuhlelekile, ukungenelela komuntu siqu kanye nokuphathwa kwemikhakha eminingi.

Izinkinga Ezincane Ezihlobene Nokudla Okunomsoco Kwangaphakathi

Imiphumela ibonise umehluko ophawulekayo phakathi kwamaqembu amabili.

Phakathi kweziguli ezithola indlela yokudla ehlelekile, izinga lezinkinga ezihlobene nokudla okunempilo kwangaphakathi laliyi30.0%, uma kuqhathaniswa56.7%eqenjini lokunakekelwa okuvamile.

Umehluko wawubalulekile ngokwezibalo, njengoba kubikwepinani elingu-0.037.

Abacwaningi baphinde babona umehluko ekuhlaleni esibhedlela. Iziguli eqenjini lokudla okunempilo elihlelekile zazinesilinganiso sokuhlala esibhedlela esingaba ngu-10%.Izinsuku eziyi-15.5, uma kuqhathaniswaIzinsuku ezingama-23.4eqenjini lokunakekelwa okuvamile.

Nakuba lolu cwaningo aluzange luhlelwe ngokungahleliwe futhi ngenxa yalokho alukwazi ukuthola imbangela ngokwalo, imiphumela inikeza isibonelo esithakazelisayo sendlela ukuphathwa kokudla okuhlelekile okungathinta ngayo imiphumela yesiguli.

Kungani Ukuphathwa Kokudla Kwangaphakathi Kubalulekile?

Ezigulini ezigula kakhulu nezinezinkinga zemizwa, ukudla okunomsoco kungaba nzima kakhulu kunokumane ulethe inani elibekiwe lefomula.

Iziguli zingase zibhekane nokungabekezelelani kokudla, ingozi yokufisa ukudla, izinkinga zesisu noma ukuphazamiseka kokulethwa kokudla okunempilo. Lezi zinkinga zingenza kube nzima ukufeza imigomo yokudla okunempilo.

Lokhu kubaluleke kakhulu ezigulini ezine-hemorrhage yangaphakathi kobuchopho, isifo sohlangothi kanye nezinye izimo zezinzwa, lapho ukusebenza kokugwinya kungase kuphazamiseke khona futhi ukudla okunomsoco kungadingeka isikhathi eside.

Ngakho-ke indlela ehlelekile idinga ukucabangela hhayi nje kuphelayikuphi ukudla okunomsoco okunikezwayo, kodwa futhikanjani, nini futhi ngasiphi isivinini ihanjiswa ngaso.

Olunye Ucwaningo lwango-2026 Lunikeza Isibonelo Esiwusizo

Ucwaningo oluhlukile olwanyatheliswa ngoJulayi 2026 luhlole indlela yokunakekela ukudla okunempilo kwamathumbu e-nasogastric enolwazi olusekelwe ebufakazini ekunakekelweni okubucayi kwe-neurosurgical.

Abacwaningi babike ukuthi iziguli eziphathwe ngaphansi kwendlela zathola ukubekezelela ukudla okunempilo kwasekuqaleni cisheIzinsuku ezingu-1.3 ngaphambilikuneziguli ezithola ukunakekelwa okuvamile.

Ukuthobela ukudla izinsuku eziyisikhombisa nakho bekuphakeme kakhulu:92.86% uma kuqhathaniswa no-69.64%.

Ngaphezu kwalokho, izinga lokungabekezelelani kokudla phakathi nesikhathi sokubuka sezinsuku eziyi-14 laliphansi kakhulu.10.71% eqenjini labanakekelwayo uma kuqhathaniswa no-28.57% eqenjini labanakekelwayo abavamile.

Lokhu okutholakele kuyathakazelisa kakhulu ngoba kuxhumanisa ukuphathwa kokudla okunempilo nokusebenza kokudla okusebenzayo.

Amaphampu Okuphakelayo E-Enteral Angena Kuphi?

Lezi zibonelo zezokwelapha zibonisa nokuthi kungani imishini yokondla iyingxenye ebalulekile yenqubo yokudla kwamathumbu.

Iphampu yokondla yamathumbu ingahlinzeka ngokulethwa okulawulwayo nokuqhubekayo kwamafomula okunomsoco ngokwesilinganiso sokugeleza esinqunyiwe. Ezigulini ezidinga ukondla okuqhubekayo noma ukwesekwa kokudla okunomsoco okulawulwa ngokucophelela, ukulawulwa kokugeleza okunembile kungaba yingxenye ebalulekile yesu lokudla lonke.

Isibonelo, isiguli singadinga izinga lokuphakelwa eliphansi nelihlala njalo kunokuthola umthamo omkhulu esikhathini esifushane. Ezimweni ezinjalo, iphampu yokondla ivumela ochwepheshe bezempilo ukuthi babeke futhi balondoloze izinga lokugeleza elidingekayo ngokunembe kakhudlwana.

Izici ezifana nokuthiukulawula ukugeleza okunembile, ama-alamu okuvaleka, ukutholwa komoya emgqeni, isipele sebhethri kanye nokuxhumana okucacile komsebenzisiingaqhubeka nokusekela ukuhamba komsebenzi kwezokwelapha.

Kodwa-ke, iphampu ngokwayo iyinxenye eyodwa kuphela yenqubo.

Imishini Yokudla Nokusebenza Kwezokwelapha Kumelwe Kusebenzisane

Isincomo sikaJuni 2026 esivela ku-ASPEN sabhekana nokuntuleka kwamasethi okudonsa amandla angaphakathi kanye nawokuphampa.

Lo mbhalo uphawula ukuthi uma amasethi okuphampa engatholakali, ezinye iziguli ezifanele ngokwezokwelapha zingadinga ukushintshela okwesikhashana ekudleni kwe-bolus noma kwe-gravity, uma nje ithimba lezokwelapha lihlola isimo futhi libuyekeza i-oda lokuphakelwa kwamathumbu kanye nemfundo ngokufanele.

Lesi sibonelo sibonisa iphuzu elibalulekile:Ukudla okunempilo kuncike ohlelweni lonke.

Iphampu, isethi yokondla, ithubhu lokugaya, ifomula, inqubo yezokwelapha kanye nochwepheshe bezempilo abaqeqeshiwe konke kunegalelo emphumeleni wokugcina.

Ezibhedlela nakubasabalalisi bezokwelapha, ukukhetha iphampu yokudla engaphakathi kufanele kuhilele okungaphezu kokuqhathanisa amanani noma izincazelo eziyisisekelo zesilinganiso sokugeleza. Ukuhambisana, imisebenzi ye-alamu, ukulula kokusebenza, ukutholakala okudliwayo kanye nokusekelwa kobuchwepheshe konke kungathonya ukusetshenziswa kwesikhathi eside kohlelo.

Lokhu Kusho Ukuthini Ekuthuthukisweni Kwepompo Lokuphakelayo Langaphakathi

Ubufakazi bamuva nje bezokwelapha akusho ukuthi iphampu ethile yokondla inganciphisa ngqo izinkinga noma ifinyeze ukuhlala esibhedlela. Kunalokho, ikhombisa ukubaluleka kokuthiukuphathwa kokudla okunempilo okuhlelekile, okuhlala njalo nokulawulwa kahle.

Kubakhiqizi bemishini yezokwelapha, lokhu kudala izindawo eziningana okugxilwe kuzo:

• · Ukulawula ukudla okunembe kakhudlwana nokuzinzile
• · Izinhlelo ze-alamu ezicacile nezisebenzayo
• · Izixhumi ezisebenziseka kalula zochwepheshe bezempilo
• · Ukusebenza kwebhethri okuthembekile kokudla okungaphazanyiswa
• · Ukuhambisana namasethi okudla afanele
• · Ukunakekelwa okulula nokuhlanza
• · Usekelo lobuchwepheshe oluthembekile kanye nokutholakala kwezingxenye ezisele

Njengoba ukudla okunomsoco kwangaphakathi kuhlanganiswa kakhulu nokunakekelwa kwezinzwa, ukunakekelwa okujulile, ukunakekelwa kwesikhathi eside kanye nokunakekelwa kwempilo ekhaya, ubuchwepheshe bokudla buzoqhubeka nokudlala indima ebalulekile yokusekela.

Ukubheka Phambili

Izifundo zezokwelapha zango-2026 zinikeza isikhumbuzo esiwusizo sokuthi ukudla okunempilo kwamathumbu akukhona nje ukuletha amakhalori. Kudinga ukuhlolwa okufanele kwesiguli, amasu okondla aqondene nomuntu ngamunye, ukuqapha okuqhubekayo kanye nemishini ethembekile.

Kubakhiqizi bephampu yokudla ye-enteral, ithuba licacile: thuthukisa amadivayisi asiza ochwepheshe bezempilo ukuthi banikeze ukudla okunempilongokunembile, ngokuqhubekayo nangokuphephilenjengengxenye yesistimu yokudla okuphelele kwamathumbu.

Ngakho-ke ikusasa lokudla okungaphakathi lingase lingabi ngesici esisodwa "esihlakaniphile" kodwa libe ngesilinganiso esisebenza kahleizinqubo zokwelapha, imishini yokondla kanye nezidingo zesiguli kusebenzisana.

Ekudleni okunempilo kwangaphakathi, ukubeletha okungcono kumayelana nokunakekelwa okungcono kwesiguli.