Mmoa ma wɔn a wɔwɔ asikreyare: Hena ne Asikreyare Ho Ɔbenfo a Wɔagye Din (CDCES)?

So wowɔ asikreyare? Anaasɛ wowɔ asiane mu sɛ wubenya asikreyare? Sɛ saa a, saa nsɛm yi bɛyɛ nea ɛho hia wo paa. Asikreyare yɛ tebea a emu yɛ den, nanso sɛ wodi ho dwuma yiye a, ɛnyɛ akwanside a ɛmma wontumi ntra ase yiye. Ɛnnɛ yɛreka obi a wɔatete no titire a ɔbɛtumi aboa wo wɔ akwantuo yi mu ho asɛm. Ɛno ne Asikreyare Ho Ɔhwɛ ne Nhomasua Ho Ɔbenfo a Wɔagye Din (CDCES) , anaasɛ Asikreyare Ho Ɔhwɛ ne Nhomasua Ho Ɔbenfo a Wɔagye Di.

Hena ne CDCES yi? Sɛ yɛbɛka no tiawa a...

Wo de susuw ho hwɛ, hwɛ sɛnea ɛbɛyɛ kɛse sɛ wubenya obi a obetumi abua wo nsɛmmisa a ɛfa asikreyare ho nyinaa, akyerɛ wo sɛnea wubedi wo yare no ho dwuma wɔ ɔkwan a ɛfata wo so, na wayɛ w’ahoɔden? Ɛno ne nea CDCES yɛ.

Sɛ yɛbɛka no tiawa a, CDCES yɛ akwahosan ho ɔbenfo a ɔwɔ nimdeɛ pii ne ntetee titiriw wɔ asikreyare ano aduru, asikreyare a edi kan, ne asikreyare ano a wosiw ho. Eyi yɛ adansedi krataa titiriw bi. Kane no, na wɔfrɛ wɔn Certified Diabetes Educator (CDE). Afei, saa din no asesa ayɛ no CDCES.

Enti hena na obetumi ayɛ onimdefo a ɔte saa? Hwɛ:

• Registered Nurses (RNs): Wunim, ayarehwɛfo a wɔboa yɛn kɛse wɔ ayaresabea ne ayaresabea ahorow.
• Nurse Practitioners (NPs): Eyinom yɛ ayarehwɛfo a wɔfata yiye.
• Registered Dietitian Nutritionists (RDNs): Eyinom ne nnipa a wɔkyerɛkyerɛ yɛn aduan ne aduannuru a ɛfata ho ade. Wunim sɛnea aduan a wodi so ho hia ma asikreyare.
• Clinical Nurse Specialists (CNSs): Ayarehwɛfo a wɔwɔ nimdeɛ pii wɔ nyarewa pɔtee bi ho.
• Oduruyɛfo Aboafo (PAs): Nnipa a wɔboa nnuruyɛfo na ɛtɔ mmere bi a wɔsa ayarefo nso yare.
• Doctors of Pharmacy (PharmDs): Nnipa a wɔwɔ nimdeɛ a emu dɔ wɔ nnuru ho. Sɛnea wɔyɛ adwuma, nea efi mu ba, ne nea ɛkeka ho.
• Doctors of Medicine (MDs): Enti yɛn nnuruyɛfo nso betumi abɛyɛ CDCES'' bere a wɔanya saa ntetee yi akyi.

Eyinom nyinaa botae titiriw ne sɛ wɔbɛhyɛ wo nkuran na wɔaboa wo ma woadi wo asikreyare no ho dwuma . Wɔboa wo ma wode botae pɔtee bi a wubetumi ayɛ ama wo ho sisi w’ani so. Ɛdenam saa botae ahorow yi so no, wubetumi atew asiane a ɛwɔ hɔ sɛ asikreyare mu nsɛnnennen no so na ama w’akwahosan nyinaa atu mpɔn.

Dɛn ankasa na CDCES yɛ?

CDCES yɛ obi a ɔne wo yɛ adwuma, ɔma wo nwomasua, mmoa, ne akwankyerɛ a ɛhia na ama woadu wo dwumadie botaeɛ ho. Wɔte sɛ adamfo ma wo. Wɔboa wo:

• Wɔn a wɔwɔ asikreyare a ɛto so 1 no fam no: Wɔ eyi mu no, nipadua no ntumi nyɛ insulin kakraa bi pɛ anaasɛ ɛnyɛ saa koraa.
• Wɔn a wɔwɔ asikreyare a ɛto so abien no fam no: Eyi ne asikreyare a abu so sen biara. Ɛba bere a nipadua no ntumi nyɛ insulin a ɛdɔɔso anaasɛ entumi mfa insulin a ɛyɛ no nni dwuma yiye no.
• Wɔ wɔn a wɔwɔ Latent Autoimmune Diabetes of Adults (LADA) fam no: Eyi te sɛ asikreyare a ɛto so 1 no kakra, nanso ɛda adi wɔ mpanyin afe so.
• Wɔn a wɔwɔ nyinsɛn mu asikreyare no fam no: Asikreyare a ɛba bere tiaa mu a ɛnanom binom nya bere a wɔyem no.
• Wɔ nnipa a wɔwɔ asikreyare ahorow pɔtee afoforo fam no: Sɛ nhwɛso no, (Asikreyare a Ɛto so 3c) ne (MODY - Maturity-Onset Diabetes of the Young).

Wɔboa nnipa a wɔwɔ asikreyare a edi kan nso ma wɔasiw ano sɛ ankɔyɛ asikreyare a ɛto so abien. CDCES betumi ama wo ankorankoro afotu anaa kuw afotu.

Sɛnea edin no kyerɛ no, CDCES yɛ asikreyare hwɛ ne nhomasua ho abenfo . Wɔbɛkyerɛkyerɛ wo fa:

• Nea ɛde asikreyare ba ne ne ho sɛnkyerɛnne: Ɛho hia dɛn sɛ wubehu eyinom? Sɛnea ɛbɛyɛ a sɛ biribi sesa a, wobɛte ase ntɛm.
• Akwan a wɔfa so siw asikreyare a edi kan, asikreyare a ɛto so abien, ne asikreyare a ɛba wɔ nyinsɛn mu ano: "Ɛyɛ papa sɛ wubesiw yare no ano ansa na ayɛ kɛse sen sɛ wubehu amane bere a anya nkɔso akyi, ɛnte saa?"
• Sɛnea wodi asikre dodow a ɛkɔ soro wɔ mogya mu (hyperglycemia) ne asikre a ɛba fam wɔ mogya mu (hypoglycemia) ho dwuma: Eyinom betumi asi bere biara wɔ obi a ɔwɔ asikreyare so. Ɛho hia sɛ wuhu nea ɛsɛ sɛ woyɛ a wommɔ hu.
• Asikreyare ho nsɛnnennen ne ne sɛnkyerɛnne: Akwaa te sɛ aniwa, asaabo, ntini, ne koma betumi aka. Sɛ wunim wɔn a, wubetumi ahu wɔn ntɛm na woanya ayaresa.
• Sɛnea aduan ne apɔw-mu-teɛteɛ ka asikre dodow a ɛwɔ mogya mu: "Ɔkwan bɛn so na nea yedi ne apɔw-mu-teɛteɛ a yɛyɛ no ka yɛn asikre dodow?" Sɛ wɔte eyi ase yiye a, ɛyɛ mmerɛw sɛ wɔbɛhwɛ so.
• Sɛnea wobɛsɔ asikre a ɛwɔ mogya mu ahwɛ ne akwan a wobɛfa so ahwɛ so: Sɛnea wobɛhwɛ asikre a wowɔ wɔ fie, ne nea wobɛte ase afi saa akenkan ahorow no mu.
• Asikreyare ayaresa ahorow: asikreyare nnuru a wɔnom, nnuru a wɔde twitwiw nipadua mu (e.g. GLP-1 agonists).
• Sɛnea wɔde insulin di dwuma: sɛnea wɔde bɛhyɛ nipadua no mu yiye, bere tenten a ɛtra nipadua no mu, ne nea ɛkeka ho.
• Asikreyare ho nhwehwɛmu: Sɛ nhwɛso no, (A1C) sɔhwɛ no. Eyinom ka nea wɔreka afa wo asikreyare ho dwumadie ho kyerɛ wo.
• Mprempren asikreyare ano aduru ho mfiridwuma: Nneɛma te sɛ Continuous Glucose Monitoring (CGM) ne Insulin pɔmpɛ.

Ɛnyɛ ɛno nko, wɔboa wo nso ma wobɔ wo nnuruyɛfo afoforo amanneɛ wɔ nsɛm a ɛwɔ w’ayaresa nhyehyɛe no mu ne akwanside ahorow a wowɔ sɛ wubedi wo asikreyare ho dwuma yiye (e.g., mmoa a wonnya, asikreyare ho nnwinnade a wunni).

"CDCES te sɛ obi a okura wo nsa, kyerɛ wo ɔkwan pa, na ɔma wo ahoɔden wɔ w'akwantu a asikreyare retu no mu."

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Ɛhe na CDCES yɛ adwuma?

Saa animdefo yi betumi ayɛ adwuma wɔ mmeae ahorow:

• Wɔ ayaresabea ahorow mu
• Ankorankoro oduruyɛfo nneyɛe
• Ɔmanfo akwahosan ho adwumayɛbea
• Ofie akwahosan ho adwumayɛbea ahorow
• Akwahosan ho nhyehyɛe ahorow
• Mpɔtam hɔ ayaresabea ahorow

Wɔne akwahosan ho adwumayɛfoɔ foforɔ, te sɛ w’abusua oduruyɛfoɔ (Primary Care Physicians - PCPs) ne asikreyareɛ ho abenfoɔ (Endocrinologists) yɛ adwuma yie, de ma wo ɔhwɛ a ɛyɛ papa.

Bere bɛn na ɛsɛ sɛ me ne CDCES bi hyia?

Sɛ́ ebia woahu asikreyare foforo anaasɛ woanya asikreyare mfe pii , CDCES bɛboa wo ma woafi ase wɔ baabi a wowɔ. Ɛno kyerɛ sɛ wubetumi ne wɔn ahyia bere biara.

Asikreyare yɛ tebea a emu yɛ den yiye a ɛka w’asetra mu nneɛma pii. Sɛ wobɛduru wo botaeɛ a ɛfa adwuma sohwɛ ho na woakura mu a, ɛhia nimdeɛ ne osuahu wɔ nsɛmti ahodoɔ ho. Susuw nneɛma yi ho hwɛ:

• Nnuannuru titire a ɛwɔ aduane mu ((Carbohydrates), (Protein), (Fat)) – ne sɛdeɛ ɛka bom – ka wo mogya mu asikre dodoɔ.
• Sɛnea apɔw-mu-teɛteɛ ahorow ka asikre dodow a ɛwɔ wo mogya mu no.
• Sɛnea asikreyare nnuru ahorow yɛ adwuma.
• Sɛnea wobɛhwɛ w’akwahosan so ahu nsɛnnennen a efi asikreyare mu .
• Sɛnea wosiesie ɔhaw ahorow a ɛsɔre wɔ asikreyare ho dwumadie mu.
• Sɛnea asikreyare ka akwahosan tebea afoforo a wowɔ – ne ɔkwan foforo so.
• Nkɔso foforo a aba wɔ asikreyare ano aduru mfiridwuma mu .
• Sɛnea wode asikreyare ano aduru bɛka wo da biara da asetra ho .

Ɛyɛ den sɛ w’ankasa wubesua na woayɛ nsakrae wɔ eyinom nyinaa mu, ɛnte saa? Ɛhɔ na CDCES bi ba bɛboa wo. Bere a w’asetra sakra no, ɛsɛ sɛ wo asikreyare ho nhyehyɛe sesa. Sɛ wo ne CDCES bi hyia wɔ bere a wɔahu yareɛ no ne w'asetena nyinaa mu a , ɛbɛyɛ mmoa kɛseɛ wɔ w'akwantuo no mu.

Ɔkwan bɛn so na wobɛyɛ CDCES? Momma yɛnhwehwɛ ɛno nso ho nsɛm kakra.

Sɛ eyi mfa wo ho tẽẽ mpo a, eye sɛ wubehu ahwehwɛde ahorow a CDCES wɔ. Saa kwan no so no wubenya wɔn mu ahotoso kɛse.

Ɔkwan baako biara nni hɔ a wobɛfa so abɛyɛ CDCES. Akwahosan ho adwumayɛfo binom paw wɔn adwuma a wɔn botae ne sɛ wobenya saa adansedi krataa yi. Afoforo nso nya saa adansedi krataa yi bere a wɔde mfe pii asom akyi.

Adansedie Boayikuo a ɛhwɛ asikreyareɛ ne nwomasua ho animdefoɔ so (CBDCES) na ɛde CDCES adansedie krataa no ma na ɛhwɛ so. Wɔn nso na wɔkyerɛ nneɛma a ɛsɛ sɛ obi fata.

Sɛ wopɛ sɛ wobisa CDCES sɔhwɛ no na woanya adansedie krataa no a, ɛsɛ sɛ wowie deɛ ɛdidi soɔ yi:

• Ɛsɛ sɛ ɔwɔ akwahosan ho adwumayɛfo tumi krataa a ɛwɔ hɔ mprempren . Sɛ nhwɛso no, wubetumi ayɛ ɔyarehwɛfo a wɔakyerɛw ne din, aduan ho ɔbenfo a wɔakyerɛw ne din, anaa oduruyɛfo boafo. CBDCES wɛbsaet no kyerɛw saa nnwuma a ɛfata yi nyinaa din.
• Ɛsɛ sɛ onya mfeɛ mmienu osuahu a ɛfa adwumayɛfoɔ nteteeɛ a ɛfa adwumayɛ nyinaa ho – ɛnam adwuma anaa atuhoama so.
• nnɔnhwerew 1000 osuahu wɔ asikreyare ho nkyerɛkyerɛ mu wɔ mfe anan a ɛboro so mu .
• Ɛsɛ sɛ owie nnɔnhwerew 15 adesua a ɛkɔ so wɔ asikreyare ho (CE) wɔ mfe abien a atwam no mu .

Sɛ wɔtwam wɔ CDCES sɔhwɛ no mu a, wɔnya CDCES adansedie krataa no wɔ aban kwan so. Ɛsɛ sɛ wɔyɛ saa adansedi krataa yi foforo mfe anum biara. Eyi kyerɛ sɛ wɔde nimdeɛ foforo ma wɔn bere nyinaa.

So wubetumi abɛyɛ asikreyare ho ɔkyerɛkyerɛfo a wonyɛ ɔyarehwɛfo? CBDCES nso de ɔkwan soronko bi a wɔfrɛ no Unique Qualifications Pathway (UQP) aba. Eyi yɛ soronko kakra, nanso ɛyɛ ɔkwan a wɔfa so yɛ CDCES. Sɛ wo nni akwahosan ho adwumayɛfoɔ tumi krataa a ɛfata te sɛ ɔyarehwɛfoɔ a wɔakyerɛw ne din a, ebia wobɛtumi de UQP kwan no adi dwuma. Eyi nti, anyɛ yiye koraa no, ɛsɛ sɛ wunya master’s degree wɔ akwahosan ho adwuma bi mu (e.g., Clinical Social Work) fi kɔlege anaa sukuupɔn bi mu wɔ United States. Sɛ wobɛyɛ CDCES wɔ saa kwan yi ase a, ɛsɛ sɛ wodi kan CBDCES no pene so.

Nanso kae sɛ ɛnyɛ wo nkutoo na wowɔ. CDCES,'' Asikreyare Ho Ɔhwɛ ne Nhomasua ho Ɔbenfo a Wɔagye Din no betumi aboa wo ma woasua asikreyare ho nsɛnnennen ho ade na ama wo tumi ma woadi ho dwuma yiye.

Wo ne wo duruyɛfoɔ nkasa na bisa fa nhyiamu a wo ne CDCES bɛyɛ ho. Wɔasiesie wɔn ho na wɔwɔ ɔpɛ sɛ wɔbɛboa wo. W’akwahosan wɔ wo nsam. Mma ntwentwɛn wo nan ase da sɛ wubenya nimdeɛ ne mmoa a wuhia no.