Hena ne aduan ho ɔbenfo? Ɔkwan bɛn so na wobetumi aboa wo ma woasa wo yare no denam w’aduan so?

So woasusuw sɛnea nneɛma a yedi na yɛnom da biara no betumi asakra yɛn akwahosan ho pɛn? Ɛtɔ da bi a ebia wubebisa sɛ, "Dɛn na ɛsɛ sɛ midi ma yare yi, na dɛn na ɛnsɛ sɛ midi?" Anaasɛ, "Aduan bɛn na ɛfata ma srade kakra a ɛbɛtew anaasɛ ɛbɛma ne nipadua ayɛ yiye?" Wɔ mmere a ɛte sɛ eyinom mu no, ɛyɛ papa sɛ wubebisa obi a onim nokware wɔ eyi ho sen sɛ wubebisa afotu afi obi a obisa kɛkɛ hɔ kɛkɛ. Ɛnnɛ yɛbɛka aduan ho ɔbenfo a wɔakyerɛw ne din ho asɛm , anaasɛ sɛnea yɛn nyinaa nim no no, aduan ho ɔbenfo , a ne ho akokwaw wɔ aduan ne aduannuru mu.

Hena ne Aduan Ho Ɔbenfo a Wɔakyerɛw Wɔn Din?

Sɛ yɛbɛka no tiawa a, Registered Dietitian (RD anaa RDN) yɛ akwahosan ho ɔbenfo a ne ho akokwaw wɔ aduan pa ho. Sɛnea oduruyɛfo nim nyarewa ho asɛm no, saa ara na aduan ho ɔbenfo nim nkɛntɛnso a aduan nya wɔ yɛn nipadua so no. Nea wɔyɛ ne sɛ wɔboa nkurɔfo ma wɔn akwahosan tu mpɔn denam aduan so. Ɛno kyerɛ sɛ wobetumi ayɛ aduan ho nhyehyɛe a ɛfata w’ahiade na wɔakyerɛ wo sɛnea wubedidi a ahoɔden wom.

Aduan ho ɔbenfo a wɔakyerɛw ne din nyɛ obi a onim aduan pa ho asɛm kɛkɛ, na mmom obi a wakɔ nhomasua titiriw, ntetee, ne ne din sɛ ɔbɛyɛ adwuma. Sɛ wɔn din wɔ nkyerɛwde `RD` (Registered Dietitian) anaa `RDN` (Registered Dietitian Nutritionist) a, wobetumi de akyerɛ wɔn ahwehwɛde. Wɔ aman bi mu no, wɔhwehwɛ tumi krataa a wɔfrɛ no `LD` (Licensed Dietitian) nso.

Ɔkwan bɛn so na aduan ho ɔbenfo betumi aboa wo?

Ebia wubehia mmoa a efi aduan ho ɔbenfo hɔ wɔ mmere ahorow mu.

Fa no sɛ wowɔ ayaresabea hɔ rekɔhwɛ wo yare. Ebia ɛyɛ bere a obi ho tɔ no wɔ oprehyɛn akyi, anaasɛ ebetumi ayɛ bere a ɔyare a emu yɛ den . Wɔ mmere a ɛtete saa mu no, ɛho hia paa sɛ woma wo nipadua no nya aduan pa. Aduan ho ɔbenfo bɛhwɛ wo tebea no na wasi aduannuru a wuhia ne ɔkwan a wobɛfa so de ama (anom, nsu a wɔde fa nsu mu, anaasɛ wɔde fa ntini mu) ho gyinae.

Ɛnyɛ ɛno nko, na mmom wubetumi ne aduan ho ɔbenfo bi ahyia ankasa na woayɛ aduannuru ho nhyehyɛe.

• Ebia wowɔ akwahosan tebea bi (sɛ nhwɛso no, asikreyare, komayare, srade a ɛdɔɔso) a ɛhwehwɛ sɛ wosakra w’adidi, nanso ebia wunnim baabi a wubefi ase.
• Anaasɛ ebia wopɛ sɛ wo mu duru so tew anaasɛ wo mu duru yɛ kɛse .
• Sɛ woyɛ ogumadifo a, aduan ho ɔbenfo nso betumi aboa wo ma wo nipadua mu ahoɔden akɔ soro .

Wo de susuw eyi ho hwɛ: Wɔahu sɛ wo maame anya Asikreyare. Oduruyɛfo no ka sɛ ɛsɛ sɛ odi n’aduan so. Nanso wobɛyɛ dɛn ayɛ saa? Aburow bɛn na eye sen biara? Nnuaba dodow ahe na wubetumi adi? Dɛn na wubetumi de adi dwuma sen asikre? Wɔ mmere a ɛte sɛɛ mu no, aduan ho ɔbenfo bɛyɛ aduan ho nhyehyɛe a ɛfata wo ne wo maame na waboa wo ma woadi yare no so.

So aduan ho animdefo ahorow wɔ hɔ?

Yiw, aduan ho abenfo bi wɔ hɔ a wɔn ho akokwaw wɔ nnwuma ahorow mu. Ahorow atitiriw no bi ni:

• Clinical Dietitians: Eyinom ne nnipa a wɔyɛ adwuma wɔ akwahosan ho adwumayɛbea ahorow te sɛ ayaresabea ne nkwakoraa ne mmerewa afie. Wɔhwɛ ayarefo a wɔrenya ayaresa wɔ ayaresabea wɔ saa asoɛe ahorow no mu no aduannuru ahiade mu.
• Mpɔtam Hɔ Aduan Ho Nimdefo: Eyinom yɛ adwuma de ma ɔmanfo nyinaa akwahosan ne aduannuru tu mpɔn. Ebia wɔde wɔn ho bɛhyɛ aban nnwumakuw, ahyehyɛde ahorow a wɔnyɛ adwuma a wɔde hwehwɛ mfaso, anaa adwumayɛfo yiyedi nhyehyɛe ahorow mu wɔ nnwumakuw akɛse mu. Ebia woahu wɔn sɛ wɔreyɛ aduan pa ho nkyerɛkyerɛ nhyehyɛe ahorow wɔ sukuu ahorow ne mpɔtam hɔ mmeae ahorow.
• Adwumayɛfoɔ Aduane Ho Nimdefoɔ: Saa nkurɔfoɔ yi hwɛ aduane a wɔde ma, aduane a wɔde ma, ne aduane nhyehyɛeɛ so wɔ asoɛeɛ akɛseɛ mu (sɛ nhwɛsoɔ, sukuu, sukuupɔn mu adan a wɔda mu, afiase, ahɔhodan akɛseɛ).
• Aduandi Ho Afotufo: Saa nnipa yi de wɔn nnwuma ma wɔ wɔn ankasa kwan so, a ɛkyerɛ sɛ wɔyɛ adidi ho nhyehyɛe a wɔayɛ ama wɔn a wɔrehwehwɛ mmoa no ahiade ne wɔn botae pɔtee.
• Nhwehwɛmu a Wɔyɛ wɔ Aduandi Ho: Aduan ho animdefo binom yɛ adwuma wɔ nhwehwɛmu adwuma no mu. Wosua nneɛma te sɛ sɛnea aduan ka nnipa akuw ahorow, ne aduan ho akisikuru.

Mmeae bɛn na aduan ho ɔbenfo betumi ayɛ ne ho akokwaw wɔ mu?

Aduan ho ɔbenfo a wɔakyerɛw ne din betumi anya nimdeɛ wɔ nneɛma afoforo pii mu. Eyi kyerɛ sɛ wubesua ade akɔ akyiri wɔ beae biara na woabɛyɛ saa beae no ho ɔbenfo. Nhwɛso kakraa bi ni:

• Nkwakoraa ne mmerewa aduannuru: Wɔn a wɔyɛ mpanyimfo a wɔn mfe akɔ anim aduannuru ahiade ho abenfo. Wɔyɛ aduan ho nhyehyɛe ahorow a ɛboa ma wosiw tebea horow te sɛ nnompe mu yare (nnompe a ɛyera) a ebetumi aba bere a obi nyin no ano na wodi ho dwuma.
• Mmofra aduan pa: Ɛdwen aduannuru a ehia ma mmofra nyin ne wɔn nkɔso ho. Afotu a wɔde ma wɔ nneɛma te sɛ aduan ko a ɛsɛ sɛ ɔma abofra kumaa ne mfe a ɛsɛ sɛ wofi ase di nnuan a ɛyɛ den ho.
• Mmofra ayarehwɛ mu aduan pa: Kuw bi a wɔyɛ animdefo a wɔhwɛ mmofra a wɔn yare mu yɛ den a wɔwɔ ayaresabea a wɔhwɛ wɔn a emu yɛ den (ICU) no aduannuru ahiade so no muni.
• Kɛse mmoroso ne mu duru a wɔde di dwuma: Ɛboa ma wosiw kɛseyɛ mmoroso ano, sa, anaa wodi ho dwuma wɔ ɔkwan a ɛfata so.
• Agumadi mu aduannuru:Yɛwɔ nimdeɛ a ɛfa aduannuru a agumadifo hia ho, ne wɔn a wɔde wɔn ho hyɛ apɔw-mu-teɛteɛ adwuma te sɛ polisifo ne asraafo mu nso.
• Adwene mu aduannuru: Wɔyɛ aduan ho nhyehyɛe titiriw (adwene mu aduan) ma nnipa a wɔwɔ asaabo mu yare a enni sabea (CKD) ne wɔn a wɔn asaabo ntumi nyɛ adwuma yiye.
• Oncology aduannuru: Wɔde adwene si ayarefo a wɔresa wɔn yare anaasɛ wɔrenya ahoɔden afi kokoram mu no aduannuru ahiade so titiriw.
• Adidi mu haw: Nnipa binom wɔ adwene mu haw ahorow a ɛfa adidi ho (e.g. Anorexia Nervosa - a wonnidi, Bulimia Nervosa - ɔfe bere a wɔadi akyi). Saa nkurɔfo yi yɛ adwuma de aduannuru a ɛma wonya ahoɔden ma nnipa a wɔte saa.
• Asikreyare aduannuru ne ɔhwɛ: Asikreyare Ho Ɔhwɛ ne Nhomasua ho Ɔbenfo a Wɔagye Din (CDCES) yɛ oduruyɛfo titiriw a ɔboa ma wosiw asikreyare ano na odi ho dwuma.

Wobɛyɛ dɛn abɛyɛ aduan ho ɔbenfo a wɔakyerɛw ne din?

Eyi nyɛ akwantu a ɛyɛ mmerɛw. Sɛ wobɛyɛ aduan ho ɔbenfo a wɔakyerɛw ne din a, ɛsɛ sɛ wunya bachelor’s degree ne master’s degree fi sukuupɔn a wɔagye atom mu. Nea ɛka ho no, anyɛ yiye koraa no, ɛsɛ sɛ wuwie nnɔnhwerew 1,000 a wɔde hwɛ wo so wɔ aduan ho ɔbenfo a ne ho akokwaw ase. Bere a woawie eyinom nyinaa akyi nkutoo na wubetumi ayɛ ɔman no mu sɔhwɛ na woabɛyɛ aduan ho ɔbenfo a wɔakyerɛw ne din. Wɔ aman bi so no, wɔ saa ahwehwɛde yi akyi no, ɛsɛ sɛ wunya tumi krataa soronko nso na ama woatumi ayɛ adwuma wɔ saa ɔman no mu.

Hena ne Aduan Ho Ɔbenfo a Wɔakyerɛw Wɔn Din (NDTR)?

Registered Dietitian anaa NDTR yɛ adwumayɛfo foforo a ɔboa aduan ho ɔbenfo a wɔakyerɛw wɔn din. Wɔn a wɔfata nso wɔ Commission on Dietetic Registration (CDR) hɔ. Wɔboa aduan ho animdefo ma wɔhwɛ ayarefo aduannuru ahiade, kyerɛkyerɛ wɔn aduan a wɔpaw, na wɔhwɛ wɔn nkɔso.

Hena ne Aduandi Ho Ɔbenfo a Wɔagye Din (CNS)?

Certified Nutrition Specialist (CNS) yɛ obi a ɔwɔ abodin krataa a ɛkɔ akyiri (Master’s anaa Doctorate) wɔ aduannuru ho. Te sɛ aduan ho abenfo no, sɛ obi bɛyɛ CNS a, ɛhwehwɛ sɛ ɔyɛ adesua, ntetee a wɔhwɛ so, na otwa adansedi sɔhwɛ mu.

Ɛwom sɛ CNS wɔ nimdeɛ ne ahokokwaw a ɛte sɛ aduan ho ɔbenfo de, nanso wonnye din CNS no ntom kɛse wɔ mmeae bi te sɛ RD/RDN. Wɔ aman bi mu no, wɔma CNS ahorow kwan ma wɔde aduruyɛ mu aduannuru ho ayaresa ma, bere a wɔ aman foforo so no, wɔmma wɔn kwan.

Enti hena ne "aduan ho nimdefo"? So ɛyɛ soronko wɔ aduan ho ɔbenfo ho?

Eyi yɛ beae a nnipa pii adwene tu fra. Yɛtaa te nsɛmfua "Nutritionist" anaa "Nutritionist". "Nutritionist" taa yɛ asɛmfua a ɛtrɛw kakra. Obi a n'ani gye aduannuru ho na wayɛ adesua wɔ adwuma no mu mpo betumi afrɛ ne ho "aduan ho nimdefo".

Nanso, Registered Dietitian (RD/RDN) yɛ obi a ɔwɔ nhomasua a emu dɔ kɛse, wogye tom, ntetee a emu yɛ den, ne mmara kwan so dinkyerɛw wɔ aman pii so. Wɔn na wɔwɔ mmara kwan so tumi ne ntetee a wɔde bɛyɛ aduan ho nhyehyɛe titiriw, a wɔsan frɛ no Medical Nutrition Therapy (MNT) , na wɔde afotu ma, titiriw ma nnipa a wɔwɔ ayaresa mu tebea horow a emu yɛ den te sɛ asikreyare, komayare, ne asaabo mu yare.

Ɛwom sɛ wɔde asɛmfua "aduan pa ho ɔbenfo" di dwuma kɛse wɔ Sri Lanka de, nanso sɛ worekɔhwehwɛ aduannuru ho afotu ama aduruyɛ tebea bi anaasɛ akwahosan botae pɔtee bi a, ɛho hia yiye sɛ woyɛ nhwehwɛmu bi wɔ onipa a ɔde afotu no ma no ahwehwɛde ho. Sɛ wunim sɛ wɔyɛ ‘Registered Dietitian’ anaasɛ wɔanya ntetee afi asoɛe bi a wogye tom hɔ a, ɛbɛboa wo ma woasi gyinae a mfaso wɔ so ama w’akwahosan.

Na sɛ ɛho hia sɛ mekɔ oduruyɛfo a ɔhwɛ aduan so nso ɛ?

Sɛ wote nka sɛ wuhia mmoa fi aduan ho ɔbenfo hɔ a, wubetumi:

• Bisa w’abusua oduruyɛfo (Abusua Oduruyɛfo/GP) . Obetumi de wo akɔma aduan ho ɔbenfo a ɔfata.
• Aduan ho abenfo taa yɛ adwuma wɔ aban anaa ankorankoro ayaresabea akɛse mu . Hwɛ wɔn.
• Ayaresabea ahorow bi a wɔyɛ adwuma titiriw (e.g. asikreyare ayaresabea ahorow, komayare ayaresabea ahorow) nso wɔ aduan ho abenfo.

Awiei koraa no, ade a ɛho hia sen biara (Take-Home Message) .

Aduan pa ho hia ma yɛn asetra ne yɛn akwahosan. Aduan pa ho hia yɛn nyinaa, wɔ baabiara. Aduan ho abenfo yɛ adwumayɛfo a wɔanya ntetee titiriw wɔ aduan pa ho na wɔboa nkurɔfo ma wodi aduan pa. Ɛtɔ da bi a wɔne wo kasa tẽẽ na wɔboa wo, mmere foforo nso wɔ akyi, reyɛ w’aduan ho nhyehyɛe. Nanso, ɔsom adwuma a wɔde ma de hwɛ hu sɛ wubenya aduannuru a wuhia na ama woanya asetra pa no sõ.

Enti, sɛ wowɔ nsɛmmisa bi fa aduan ho, wopɛ sɛ wuhu aduan a ɛfata yare bi ho asɛm, anaasɛ wopɛ sɛ wunya adidi pa ara kwa a, ntwentwɛn wo nan ase sɛ wobɛhwehwɛ afotu afi aduan ho ɔbenfo a ɔfata hɔ. Ɛbɛyɛ gyinaesi a eye sen biara a wubetumi asi ama w'akwahosan !

` Aduandi ho ɔbenfo, Aduan ho ɔbenfo, Aduan, Akwahosan, Aduandi a ɛfata, Aduan ho nhyehyɛe, Nyarewa ano aduru