So woyɛ obi a ɔka kar kɛse te sɛ lɔre, bɔs, anaa ade a wɔde gu mu? Afei wunim sɛnea w’adwuma no yɛ nea asɛyɛde wom. Wo ahobammɔ ne afoforo a wɔwɔ kwan so ahobammɔ nso wɔ wo nsam. Enti, sɛ wubedi asɛyɛde yi ho dwuma yiye a, ɛho hia sɛ wunya nipadua ne adwene mu apɔwmuden. Ɛnnɛ, yɛreka aduruyɛ mu sɔhwɛ titiriw bi a wɔyɛ de si saa ahwehwɛde no so dua ho asɛm.
Dɛn ne nea wɔfrɛ no aduruyɛ mu nhwehwɛmu (DOT Physical) yi?
Sɛ yɛbɛka no tiawa a, eyi yɛ aduruyɛ mu sɔhwɛ titiriw bi a wɔyɛ de hwɛ sɛ wɔn a wɔka kar a emu yɛ duru (Commercial Motor Vehicles) nipadua ne adwene mu ahoɔden te. Ɛhwɛ sɛ ebia wowɔ akwahosan a ɛho hia a wode bɛka kar a emu yɛ duru dwoodwoo anaa.
Ɛwom sɛ edin "DOT Physical" no fi U.S. Department of Transportation de, nanso ɛkame ayɛ sɛ wɔyɛ aduruyɛ mu nhwehwɛmu a ɛte saa ma wɔn a wɔka kar a emu yɛ duru wɔ ɔman biara mu wɔ wiase. Wɔ Sri Lanka no, wɔhwehwɛ sɛ wonya aduruyɛ mu ahoɔden ho adansedi krataa a ɛte saa nso bere a wɔrenya kar a emu yɛ duru ka ho tumi krataa anaasɛ wɔreyɛ foforo no.
Fa no sɛ, ɛsɛ sɛ wutumi te kar ahorow a ɛwɔ kwan so no nnyigyei yiye, wuhu akwan ho nsɛnkyerɛnne pefee, na wutumi ma w’ani da hɔ a wommrɛ. Nyarewa bi anaa nnuru bi a wonom betumi aka saa nneɛma yi. Afei nso, aduruyɛ mu tebea horow bi a ebetumi aba mpofirim (sɛ nhwɛso no, komayare anaa akisikuru a ɛba mpofirim) betumi de nnipa pii a wɔn ho nni asɛm te sɛ wo nkwa ato asiane mu sɛ ɛba bere a wɔreka kar a. Aduruyɛ mu sɔhwɛ yi atirimpɔw titiriw ne sɛ wobesiw tebea horow a asiane wom a ɛte saa ano.
Mpɛn pii no ɛsɛ sɛ woyɛ sɔhwɛ yi mfe abien biara de si so dua sɛ wo ho atɔ wo. Nanso, egyina w’ayaresa tebea so no, wo duruyɛfo betumi akamfo akyerɛ sɛ wɔnsan nyɛ nhwehwɛmu wɔ bere tiaa bi mu. Sɛ wo twa sɔhwɛ yi mu wie a, wobɛnya Aduruyɛ ho Adansedie krataa.
Wobɛyɛ dɛn asiesie wo ho ama sɔhwɛ yi?
Sɛ wusiesie wo ho kakra ansa na woakɔyɛ aduruyɛ mu nhwehwɛmu yi a, wubetumi akwati sɛ wobɛkyɛ a ɛho nhia na woayɛ w’adwuma no ntɛm. Ebia w’adwumawura anaa adwumakuw a ɛde wo karka tumi krataa no bɛkyerɛ wo baabi a ɛsɛ sɛ woyɛ sɔhwɛ yi. Ɛyɛ papa sɛ wobɛfrɛ saa beae no na woahu nea wɔhwehwɛ no pɛpɛɛpɛ.
Mpɛn pii no, ɛsɛ sɛ wusiesie nneɛma a edidi so yi:
| Nneɛma a ɛsɛ sɛ wode ba | Dɛn nti na ɛho hia? |
|---|---|
| Wo aduruyɛ ho abakɔsɛm a edi mũ | Wo nyarewa a atwam, oprehyɛn ahorow, ne mprempren ayaresa tebea horow ho nsɛm a ɛkɔ akyiri. Sɛ wuhu saa nsɛm yi a, ɛbɛboa wo duruyɛfo ma wanya w’akwahosan ho ntease pa. |
| Nnuru a wɔde di dwuma mprempren no din | Kyerɛw nnuru a wonom nyinaa (vitamin mpo) ka dodow a wode di dwuma no ho. Eyi ho hia yiye efisɛ nnuru bi betumi aka sɛnea wubetumi aka kar. |
| Ahwehwɛ anaa ahwehwɛ a wɔde hwɛ ade | Sɛ wohyɛ ahwehwɛ anaa ahwehwɛ a wɔde hwɛ ade a, hwɛ hu sɛ wode bɛba. Wɔne wɔn bɛsɔ w’anisoadehu ahwɛ. |
| Aduruyɛ ho amanneɛbɔ ahorow a ɛyɛ animdefo | Sɛ wowɔ tebea horow a enni sabea te sɛ asikreyare, komayare, anaa mogya mmoroso a, ɛho hia yiye sɛ wode amanneɛbɔ a aba foforo a efi oduruyɛfo titiriw a ɔresa wo no hɔ ba. |
Nneɛma a ehia ma ayaresa tebea titiriw bi:
- Sɛ wowɔ asikreyare a: Fa wo HbA1c mogya mu nhwehwɛmu amanneɛbɔ a ɛyɛ nnansa yi ara no bra.
- Sɛ wowɔ ahurututu ne nna mu ahomegye a: Sɛ wode CPAP afiri di dwuma ma eyi a, ebia wubehia Compliance Report na ama woahu sɛnea wode redi dwuma yiye.
- Sɛ worenom nnuru a ɛma mogya yɛ mmerɛw (e.g. Warfarin): Fa wo INR nhwehwɛmu amanneɛbɔ a woayɛ nnansa yi no bra.
Sɛ wudi kan siesie nneɛma yi a, ebetumi aboa ma wɔasiw bere a ebetumi akyɛ wɔ w’aduruyɛ ho adansedi krataa a wubenya mu no ano.
Dɛn na wɔyɛ bere a wɔreyɛ aduruyɛ mu nhwehwɛmu?
Eyi yɛ aduruyɛ mu nhwehwɛmu a edi mũ a ɛbɛhwɛ w’akwahosan nyinaa. Wunni biribiara a ɛsɛ sɛ wohaw wo ho wɔ ho. Oduruyɛfo no bɛkyerɛkyerɛ biribiara mu akyerɛ wo.
Nea edi kan no, wɔbɛka w’aduruyɛ ho abakɔsɛm ho asɛm. Wobebisa w’ayaresa tebea ne nnuru a wonom ho asɛm. Afei wɔbɛyɛ sɔhwɛ ahorow a edidi so yi:
- Wɔhwɛ wo mogya mmoroso ne wo koma a ɛbɔ denneennen.
- Wɔsusu ne tenten ne ne mu duru.
- Wɔfa nsuo bi na wɔsɔ hwɛ (urinalysis). Eyi hwehwɛ nneɛma te sɛ asikre anaa protein a ɛwɔ nsu mu titiriw.
- Wo deɛWɔhwɛ sɛnea aniwa hu ne sɛnea wɔte asɛm .
- Wɔde afiri a wɔde tie asɛm di dwuma de tie wo koma ne w'ahurututu mu nnyigyei .
- Wɔhwɛ nneɛma te sɛ ɔkwan a wofa so nantew, wo nantew ne sɛnea wokari pɛ.
- Wɔsɔ nneɛma a ɛma obi tumi yɛ ade no hwɛ.
Ɛdenam eyinom nyinaa so no, oduruyɛfo no rebɔ mmɔden sɛ obehu sɛ ebia akwahosan ho haw bi wɔ hɔ a ebetumi aka wo karka adwuma anaa.
Dɛn na ɛba wɔ sɔhwɛ no akyi?
Sɛ wowie sɔhwɛ no a, oduruyɛfo no bɛkyerɛkyerɛ nea ebefi mu aba ne nea ɛsɛ sɛ woyɛ akyi no mu pefee. Nneɛma ahorow pii wɔ hɔ a wubetumi anya afi mu aba.
| Nsunsuansoɔ | Dɛn na ɛno kyerɛ? |
|---|---|
| Aduruyɛ mu Fata | Yɛma wo akwaaba! Wo nni ɔhaw biara. Mpɛn pii no, wubenya aduruyɛ ho adansedi krataa a ɛwɔ hɔ mfe abien. |
| Fata tebea horow | Wubetumi aka kar, nanso wɔ tebea horow bi mu. Sɛ nhwɛso no, "ɛsɛ sɛ wohyɛ ahwehwɛ bere a woreka kar no." Afei nso, sɛ wowɔ tebea bi a ɛsɛ sɛ wodi so, te sɛ mogya mmoroso a, wobetumi ama wo adansedi krataa bere tiaa bi, te sɛ asram 3-6, na afei wɔaka akyerɛ wo sɛ san bra bɛsan ayɛ nhwehwɛmu bio. |
| Bere tiaa bi a Ɛnyɛ Nea Ɛfata | Wei kyerɛ sɛ worentumi nnya adansedie saa berɛ yi ɛfiri sɛ wowɔ bere tiaa mu akwahosan ho haw a ɛhia sɛ wɔsa na wɔsa (e.g., oprehyɛn a wɔayɛ no nnansa yi ara). Sɛ wodi saa ɔhaw no ho dwuma wie a, wobetumi asan ahwehwɛ wo mu denam oduruyɛfo a ɔfata no nyansahyɛ so. |
| Wɔn a Wɔmfata wɔ Aduruyɛ mu | Sɛ wowɔ ayaresa tebea bi a emu yɛ den a wuntumi nni so a ɛmma wuntumi nka kar a, ebia worentumi nnya adansedi krataa. Sɛ saa a, wo duruyɛfo bɛkyerɛkyerɛ nea enti a ɛte saa. |
Dɛn nti na aduruyɛ mu nhwehwɛmu yi ho hia saa?
Adwuma a obi a ɔka kar a emu yɛ duru yɛ no nyɛ mmerɛw sɛnea ebia wususuw no. Ɛyɛ ɔbrɛ paa, wɔ honam ne adwene mu nyinaa.
- Nnɔnhwerew a wɔde yɛ adwuma betumi ayɛ nea ɛnkɔ so daa.
- Ɛtɔ mmere bi a, mintumi nna sɛnea ɛsɛ.
- Ɛtɔ mmere bi a, wɔ tebea horow a emu yɛ den yiye mu no, ɛsɛ sɛ wosisi gyinae ntɛm ara.
- Sɛ obi di kar kɛse bi so a, egye honam fam ahoɔden.
- Ɛsɛ sɛ woyɛ nneɛma te sɛ nneɛma a wobɛyi afi mu, kar a wɔde fa nnipa a wode bɛbata ho, ne antweri a wobɛforo.
- Ɛsɛ sɛ wɔtwe wɔn ho fi fie ne abusua ho nna pii.
Aduruyɛ mu nhwehwɛmu yi atirimpɔw ne sɛ ɛbɛkyerɛ sɛ ebia woasiesie wo ho ama eyinom nyinaa ne sɛ ebia w’akwahosan ma ho kwan anaa. Ɛnyɛ sɛ eyi si so dua sɛ wofata ma adwuma no nko, na mmom ɛma wunya w’akwahosan ho ntease pa nso.
Nkrasɛm a Wɔde Kɔ Fie
- Ɛnyɛ sɛ wɔde aduruyɛ mu nhwehwɛmu yi bɛto ɔhaw mu, na mmom sɛnea ɛbɛyɛ a wobɛhwɛ ahu sɛ wo ho bɛtɔ wo na obiara a ɔwɔ kwan so no anya ahobammɔ .
- Sɛ wokɔ kɔhwɛ wo , mfa w’akwahosan ho biribiara nsie . Ka biribiara kyerɛ oduruyɛfo no nokwarem.
- Di kan siesie aduruyɛ ho kyerɛwtohɔ a ɛho hia, nnuru a wɔakyerɛw, ne nea ɛkeka ho . Eyi bɛma woanya bere pii.
- Sɛ wowɔ yare bi a enni sabea te sɛ asikreyare anaa mogya mmoroso a, ɛho hia yiye sɛ wudi so yiye .
- Sɛ wowɔ nhwehwɛmu bi a ɛhaw wo anaa w’adwene mu yɛ wo naa a, yɛsrɛ wo ne wo duruyɛfo a woyɛ wo daa no nkasa na ama woanya afotu ansa na woayɛ no.
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