Uphononongo lwezonyango lugxininisa ukubaluleka koLawulo lweSondlo oluCwangcisiweyo
Uphononongo lweklinikhi olusandula ukupapashwa lubonise indlela olucwangciswe ngayoulawulo lwesondlo samathumbuinokuphucula ukhuseleko lokutya kunye neziphumo zexesha elifutshane kwizigulane ezine-hemorrhage ngaphakathi kobuchopho.
Olu phononongo, olupapashwe kwiImida kwiZondlongoJuni 2026, ababandakanyekayoIzigulane ezingama-60 ezinegazi elingaphezulu kwegazi eliphuma emithanjeni yobuchophoababefuna ukutya okunesondlo ngexesha lokulaliswa esibhedlele. Abaphandi bathelekisa ukhathalelo lwesondlo oluqhelekileyo nendlela yokutya ecwangcisiweyo yeklinikhi esekelwe kuvavanyo olucwangcisiweyo, ukungenelela komntu ngamnye kunye nolawulo olunezifundo ezininzi.
Iingxaki Ezincinci Ezinxulumene Nesondlo Sokungena Kweentliziyo
Iziphumo zibonise umahluko obonakalayo phakathi kwala maqela mabini.
Phakathi kwezigulane ezifumana indlela yokutya ecwangcisiweyo, izinga leengxaki ezinxulumene nesondlo sangaphakathi laliphakathi30.0%, xa kuthelekiswa56.7%kwiqela lezonyango oluqhelekileyo.
Umahluko wawubalulekile ngokwezibalo, kunye nengxelopixabiso le-0.037.
Abaphandi baphinde babona umahluko ekuhlaleni esibhedlele. Izigulana ezikwiqela lezondlo ezicwangcisiweyo bezinomyinge wokuhlala esibhedlele omalunga ne-100.Iintsuku ezili-15.5, xa kuthelekiswaIintsuku ezingama-23.4kwiqela lezonyango oluqhelekileyo.
Nangona olu phononongo lungazange lucwangciswe ngokungacwangciswanga kwaye ngenxa yoko alunakufumanisa imbangela ngokwalo, iziphumo zibonelela ngomzekelo onomdla wendlela ulawulo lwesondlo olucwangcisiweyo olunokuchaphazela ngayo iziphumo zesigulana.
Kutheni Ulawulo Lokutya Kwangaphakathi Lubalulekile?
Kwizigulane ezigula kakhulu nezinengxaki yemithambo-luvo, ukutya okunesondlo kunokuba nzima kunokunika nje ubisi olumiselweyo.
Izigulana zinokuba nengxaki yokunganyamezelani nokutya, umngcipheko wokufunxwa, iingxaki zesisu okanye ukuphazamiseka kokunikezelwa kokutya. Ezi ngxaki zinokwenza kube nzima ukufikelela kwiinjongo zesondlo.
Oku kubaluleke kakhulu kwizigulane ezine-intracerebral blood coating, stroke kunye nezinye iimeko ze-neurological, apho umsebenzi wokuginya unokuphazamiseka kwaye isondlo sangaphakathi sinokufuneka ixesha elide.
Ngoko ke, indlela ecwangcisiweyo ayifanele iqwalaselwe kuphelazeziphi izondlo ezibonelelwayo, kodwa kwakhonanjani, nini kwaye ngesantya esingakanani ihanjiswa.
Olunye uPhononongo luka-2026 lubonelela ngomzekelo osebenzayo
Uphononongo olwahlukileyo olwapapashwa ngoJulayi 2026 luhlolisise indlela yokondla enolwazi oluchanekileyo ngesondlo samathumbu e-nasogastric enteral kwi-neurosurgical critical care.
Abaphandi baxele ukuba izigulana eziphathwe phantsi kwendlela zifikelele kwinqanaba lokuqala lokunyamezela ukutya okunesondlo malungaIintsuku eziyi-1.3 ngaphambilikunezigulane ezifumana unyango oluqhelekileyo.
Ukuthobela ukutya iintsuku ezisixhenxe nako bekuphezulu:92.86% xa kuthelekiswa ne-69.64%.
Ngaphezu koko, izinga lokunganyamezelani nokutya ngexesha leentsuku ezili-14 zokujonga laliphezulu.I-10.71% kwiqela lendlela xa ithelekiswa ne-28.57% kwiqela lezonyango eziqhelekileyo.
Ezi ziphumo zinomdla kakhulu kuba zidibanisa ulawulo lwesondlo kunye nokusebenza kokutya okusebenzayo.
Zingena phi ii-Enteral feeding pumps?
Le mizekelo yeklinikhi ikwabonisa isizathu sokuba izixhobo zokutya ziyinxalenye ebalulekileyo yenkqubo yokutya kwamathumbu.
Impompo yokondla engaphakathi inokubonelela ngokuhanjiswa kwefomyula yesondlo elawulwayo nehambelanayo ngokwesantya sokuhamba esimiselweyo. Kwizigulane ezifuna ukondla okuqhubekayo okanye inkxaso yesondlo elawulwa ngononophelo, ukulawulwa kokuhamba ngokuchanekileyo kunokuba yinxalenye ebalulekileyo yesicwangciso sokondla ngokubanzi.
Umzekelo, isigulana sinokufuna isantya sokutya esiphantsi nesihambelanayo endaweni yokufumana umthamo omkhulu kwixesha elifutshane. Kwiimeko ezinjalo, ipompo yokondla ivumela iingcali zezempilo ukuba zibeke kwaye zigcine isantya sokuhamba esifunekayo ngokuchanekileyo.
Iimpawu ezifanaulawulo oluchanekileyo lokuhamba komoya, ii-alamu zokuvaleka, ukufunyanwa komoya ngaphakathi komgca, i-backup yebhetri kunye ne-interface yomsebenzisi ecacileyoinokuxhasa ngakumbi ukuhamba komsebenzi weklinikhi.
Nangona kunjalo, ipompo ngokwayo yinxalenye enye kuphela yenkqubo.
Izixhobo Zokondla Nezokusebenza Kwezonyango Kufuneka Zisebenzisane
Ingcebiso kaJuni 2026 evela kwi-ASPEN ijongane nokunqongophala kweeseti zomxhuzulane womlomo kunye nezokuphampa.
Olu xwebhu luphawula ukuba xa iiseti zokutya ezipompo zingafumaneki, ezinye izigulana ezifanelekileyo ngokwezonyango zinokufuna ukutshintshela okwethutyana kwi-bolus okanye kwi-gravity feeding, ukuba iqela lezonyango livavanya imeko kwaye lihlaziya umyalelo wokutya kwamathumbu kunye nemfundo ngokufanelekileyo.
Lo mzekelo ubonisa ingongoma ebalulekileyo:Isondlo samathumbu sixhomekeke kwinkqubo yonke.
Ipompo, iseti yokondla, ityhubhu yomlomo, ifomula, iprotokholi yeklinikhi kunye neengcali zempilo eziqeqeshiweyo zonke zinegalelo kwisiphumo sokugqibela.
Kwiibhedlele kunye nabasasazi bezonyango, ukukhetha ipompo yokutya ye-enteral kufuneka kubandakanye okungaphezulu kokuthelekisa amaxabiso okanye iinkcukacha ezisisiseko zesantya sokuhamba kwamanzi. Ukuhambelana, imisebenzi ye-alamu, ukulula kokusebenza, ukufumaneka okunokusetyenziswa kunye nenkxaso yobugcisa zonke ezi zinto zinokuchaphazela ukusetyenziswa kwexesha elide kwenkqubo.
Oku kuthetha ukuthini ngophuhliso lwepompo yokutya ye-Enteral
Ubungqina bezonyango bakutshanje abuthethi ukuba ipompo ethile yokondla inokunciphisa ngokuthe ngqo iingxaki okanye inciphise ixesha lokuhlala esibhedlele. Endaweni yoko, ibonisa ukubalulekaulawulo lwesondlo samathumbu olucwangcisiweyo, oluhambelanayo nolulawulwa kakuhle.
Kubavelisi bezixhobo zonyango, oku kudala iindawo ezininzi ekufuneka kugxilwe kuzo:
- · Ulawulo lokutya oluchanekileyo noluzinzileyo
- · Iinkqubo ze-alamu ezicacileyo nezisebenzayo
- · Ii-interfaces ezilula ukuzisebenzisa zeengcali zezempilo
- · Ukusebenza kwebhetri okuthembekileyo kokondla ngaphandle kokuphazamiseka
- · Ukuhambelana neeseti zokutya ezifanelekileyo ze-enteritis
- · Ukugcinwa nokucoca kulula
- · Inkxaso yobugcisa ethembekileyo kunye nokufumaneka kwezixhobo ezingasetyenziswanga
Njengoko isondlo se-enteritis siqhubeka sidityaniswa nonyango lwe-neurological, unyango olunzulu, unyango lwexesha elide kunye nokhathalelo lwempilo lwasekhaya, iteknoloji yokondla iya kuqhubeka nokudlala indima ebalulekileyo yokuxhasa.
Ukujonga Phambili
Izifundo zeklinikhi zango-2026 zibonelela ngesikhumbuzo esiluncedo sokuba ukondla okuphumelelayo kwamathumbu akuthethi nje ukubonelela ngeekhalori. Kufuna uvavanyo olufanelekileyo lwesigulana, amaqhinga okutya acwangcisiweyo, ukubekwa esweni okuqhubekayo kunye nezixhobo ezinokuthenjwa.
Kubavelisi beepompo zokutya ezingaphakathi, ithuba licacile: phuhlisa izixhobo ezinceda iingcali zempilo ukuba zinike ukutya okunesondlongokuchanekileyo, ngokungaguquguqukiyo nangokukhuselekileyonjengenxalenye yenkqubo yokutya okupheleleyo kwamathumbu.
Ikamva lokondla izisu lisenokungabi malunga nesici esinye "esikrelekrele" kodwa linokuba malunga nendlela esebenza ngayoIinkqubo zonyango, izixhobo zokutya kunye neemfuno zesigulana ziyasebenzisana.
Kwisondlo sangaphakathi, ukunikezelwa okungcono ekugqibeleni kuxhomekeke ekunyamekelweni okungcono kwesigulana.
Ixesha lokuthumela: Agasti-17-2026