Yɛn mu pii wɔ yare biako anaa nea ɛboro saa a ɛtra hɔ kyɛ te sɛ asikreyare, mogya mmoroso, srade a ɛwɔ nipadua mu, ɛnte saa? Enti, nnuruyɛfo tu yɛn fo bere nyinaa sɛ yɛnhwɛ yiye paa wɔ nea yedi ne nea yɛnom bere a yɛrenom nnuru ama eyinom no ho. Nokwarem no, so wunim sɛ ‘aduan ne anonne’ ade yi, sɛ wɔyɛ ho nhyehyɛe pɛpɛɛpɛ sɛnea aduruyɛ ho nyansahu kyerɛ a, ebetumi ayɛ ayaresa a tumi wom kɛse wɔ n’ankasa mu? Saa ayaresa kwan titiriw no ne nea yɛfrɛ no "Medical Nutrition Therapy" anaa Medical Nutrition Therapy (MNT) .
Dɛn ankasa ne Aduruyɛ mu Aduandi Ho Ayaresa?
Sɛ yɛbɛka no tiawa a, MNT yɛ aduruyɛ a wɔde aduan pa ne adidi di dwuma de di yare bi ho dwuma anaasɛ esiw ano. Ɛnyɛ "adidi a wobɛkɔ so ayɛ" kɛkɛ. Ɛfa Aduan Ho Ɔbenfo a Wɔakyerɛw Wɔn Din ho, wɔ wo duruyɛfo akwankyerɛ ase, a osua wo tebea, wo nipadua ahiade, w’ankasa botae ahorow, ne w’asetra kwan ho ade, na ɔyɛ aduannuru ho nhyehyɛe a ɛfa wo pɔtee ho .
Wɔbɛboa wo nso ma wode nhyehyɛe yi adi dwuma. Ɛtɔ da bi a, sɛ wɔde saa aduru yi ka nnuru a wonom no ho a, ɛbɛyɛ mmerɛw sɛ wubedi yare no so. Ɛtɔ da bi a, sɛ wudi saa kwan yi so pɛpɛɛpɛ a, ebia wubetumi akwati nnuru a wobɛnom. Afei nso, saa ayaresa kwan yi ho hia yiye ma wɔn a wontumi nmene aduan na wɔyam sɛnea ɛsɛ esiane aduruyɛ tebea pɔtee bi nti.
Nneɛma bi a ebetumi asi bere a wɔreyɛ MNT ayaresa no:
- Ebia ɛsɛ sɛ wugyae nnuan bi a wubedi anaasɛ wuto ano hye .
- Ebia wobetu wo fo sɛ akyinnye biara nni ho sɛ wubenya aduannuru ne nnuan bi a ɛdɔɔso .
- Ebia ɛho behia sɛ wonom nnuru foforo a ɛma ahoɔden.
- Wɔ tebea horow bi mu no, ebia ɛho behia sɛ wɔde aduannuru te sɛ nkyene fa ntini mu (aduan a wɔde ma wɔ awotwaa mu) anaa afiri a wɔde fa nsu mu (aduan a wɔde ma wɔ awotwaa mu) so ma.
Nyarewa bɛn na wobetumi de MNT adi dwuma?
Saa ayaresa kwan yi boa ma wodi nyarewa ahorow pii ho dwuma. Wɔabobɔ emu kakraa bi din wɔ pon a ɛwɔ ase ha no so.
| Tebea | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Asikreyare (Type 1, Type 2, nyinsɛn mu) ne asikreyare a edi kan | Aduan ho nhyehyɛe a wɔbɛyɛ de ahyɛ asikre dodow a ɛwɔ mogya mu no so. |
| Asaabo mu Yare a Enni Sabea (CKD) . | Nneɛma te sɛ nkyene ne protein a wobedi so de atew nhyɛso a ɛba asaabo so no so. |
| Mogya Nhyɛso a Ɛkɔ Anim | Tew nkyene a wodi so na ma nnuan a potassium wom no nkɔ soro. |
| Cholesterol ne triglycerides a ɛdɔɔso (Dyslipidemia) . | Aduan a ɛtew mogya mu srade a epira so a wobegye atom. |
| Koma a Ɛnyɛ Den | Nsu ne nkyene dodow a ɛwɔ nipadua no mu a wɔbɛhwɛ so na wɔatew adesoa a ɛda koma no so no so. |
| Nyarewa a ɛwɔ aduan mu (e.g. Celiac yare, Crohn yare, IBS) . | Kwati nnuan a ɛma yare no ho sɛnkyerɛnne no mu yɛ den na di nnuan a ɛnyɛ den sɛ wobɛyam. |
| Mu duru a ɛboro so ne Kɛse mmoroso | Calorie a wɔhyɛ so ne adidi a ahoɔden wom ho hia na ama obi mu duru so atew wɔ apɔwmuden mu. |
| Aduan pa a wonnya nni (e.g. wɔ kokoram ayarefo mu) . | Nipadua no a wɔbɛhyɛ no den denam ahoɔden ne aduannuru a ɛho hia a wɔde bɛma nipadua no so. |
Ɔkwan bɛn so na saa ayaresa nhyehyɛe yi ba?
Mpɛn pii no, saa ayaresa yi fa anammɔn anan ho, nanso eyi betumi ayɛ soronko wɔ onipa biara ho.
| Anamɔn | Dɛn na ɛrekɔ so wɔ ha? |
|---|---|
| 1. Aduandi Ho Nhwehwɛmu | Ɛha na wo duruyɛfo ne aduannuru ho ɔbenfo sua wo ho ade. Wɔhwɛ w’aduruyɛ ho kyerɛwtohɔ, lab amanneɛbɔ, na wɔne wo kasa de boaboa nsɛm a ɛfa nea wudi, w’asetra kwan, nneɛma a wo ho yɛ wo hyew, ne aduannoa ho haw biara a ebia wowɔ ho ano. |
| 2. Aduandi Ho Nhwehwɛmu | Eyi yɛ soronko wɔ aduruyɛ mu nhwehwɛmu ho. Nea woreyɛ wɔ ha ne sɛ wubehu aduannuru ho haw a ɛda adi no. Sɛ nhwɛso no, ebia wowɔ asikreyare (aduruyɛ mu nhwehwɛmu), enti ebia woredi carbohydrates pii dodo (aduannuru ho haw). |
| 3. Aduandi Ho Nsɛm a Wɔde Di Dwuma | Sɛ́ ɔhaw a wɔahu no ano aduru no, anammɔn yi hwehwɛ sɛ wobɛyɛ aduan pa ho nhyehyɛe a ɛfata ama wo. Nea ɛka nhyehyɛe yi ho ne biribiara fi nea ɛsɛ sɛ wudi da biara, nea ɛsɛ sɛ wokwati, ne sɛnea wusiesie w’aduan so. |
| 4. Nhwehwɛmu ne Nhwehwɛmu | Sɛ wohyɛ nhyehyɛe no ase wie a, yɛbɛkɔ so ahwɛ so ahwɛ sɛ ɛreyɛ adwuma, sɛ wo sɛnkyerɛnne ahorow no retu mpɔn, ne sɛ wo lab amanneɛbɔ ahorow renya nkɔso anaa. Yɛbɛyɛ nsakrae wɔ nhyehyɛe no mu sɛ ɛho hia a. |
Nea ɛho hia sen biara ne sɛ eyinom nyinaa si wɔ wo duruyɛfo no hwɛ ase koraa. Enti nnyɛ w’ankasa wo ho nkɔyɛ saa nneɛma yi, sɛ́ ɛyɛ Intanɛt so a wobɛhwɛ kɛkɛ anaasɛ wobɛte biribi a obi aka.
Mfaso bɛn na ɛwɔ MNT so?
Sɛ wudi saa ayaresa kwan yi akyi pɛpɛɛpɛ a, wubenya mfaso pii.
- Wo nsa bɛka aduannuru a wuhia pɛpɛɛpɛ na ama wo tebea no ho sɛnkyerɛnne ne nea efi mu ba no so atew .
- Ebetumi ama nneɛma te sɛ asikre ne srade a ɛwɔ mogya mu aba dodow a ɛfata mu .
- Ma ayaresa no nkonimdi nkɔ anim de ka nnuru hoYiw, ebetumi aba. Ebia ɛbɛtew nnuru a ehia mpo so.
- Wubesua akwan a mfaso wɔ so a wobɛfa so adi akwanside ahorow a ɛmma wontumi nsiesie aduan pa so (e.g., bere a wonnya, sikasɛm mu nsɛm).
- Wobɛyɛ obi a ɔboa denneennen ma w’ankasa akwahosan.
So asiane bi wɔ saa ayaresa yi mu?
Bere tenten a wudi wo duruyɛfo akwankyerɛ akyi no, asiane kɛse biara nni w’aduan a wobɛsakra mu. Nanso, wɔ nsɛm titiriw bi mu no, asiane ahorow bi betumi aba.
- Sɛ wɔma wo aduannuru a wɔde fa anom a: Asiane ketewaa bi wɔ hɔ sɛ mmoawa bɛkɔ mogya no mu.
- Sɛ wɔde afiri a wɔde fa nsu mu rema wo aduan a: Ebia ɔyare mmoawa bi bɛba baabi a afiri no wɔ, yafunu no bɛhohoro, na woayɛ akisikuru.
Nanso w’aduruyɛfo kuw no rehwɛ eyinom nyinaa so kɛse, enti biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho wɔ ho.
Mɛyɛ dɛn ama saa ayaresa yi ayɛ mmerɛw ama me?
Nneɛma bi wɔ hɔ a wubetumi ayɛ na ama akwantu yi ayɛ yiye.
1. Kasa pefee: Mfɛre wɔ ɔhaw anaa akwanside biara a wowɔ (te sɛ bere a wunni mfa nnoa aduan, wuntumi ntɔ nnuan bi) na wo ne wo duruyɛfo nkasa. Ɛno ansa na wubetumi anya ano aduru a eye sen biara a ɛbɛyɛ adwuma ama wo.
2. Fa aduan ho kyerɛwtohɔ sie: Kyerɛw biribiara a wudi na wonom da biara, ne mmere a wudi no to hɔ. Eyi bɛboa wo duruyɛfo no ma wate wo tebea no ase.
3. Nya abotare: Suban a wobɛsakra no gye bere. Nya abotare wɔ ho. Fa nsakrae nketenkete fi ase.
Sɛ wowɔ nsɛmmisa anaa dadwen bi wɔ w’aduan pa ho nhyehyɛe ho a, nsuro sɛ wo ne wo duruyɛfo bɛkasa bere biara. Ɔbɛma wo akwankyerɛ a wuhia.
Nkrasɛm a Wɔde Kɔ Fie
- Medical Nutrition Therapy (MNT) nyɛ aduane ara kwa, ɛyɛ aduruyɛ a ɛboa wo ma wodi w’ayaresa tebea ho dwuma.
- Saa ayaresa yi ho hia yiye ma nyarewa dodow bi a ɛtra hɔ kyɛ te sɛ asikreyare, mogya mmoroso, asaabo mu yare, ne srade a ɛwɔ nipadua mu no ano aduru.
- Ɛsɛ sɛ woyɛ saa ayaresa yi bere nyinaa wɔ wo duruyɛfo hwɛ ase, na aduannuru ho ɔbenfo nkutoo na ɔyɛ. Mma w’ankasa nsɔ nhwɛ.
- Wo ho a wode bɛhyɛ mu denneennen ne nkitahodi a ɛda adi pefee a wo ne wo duruyɛfo bɛbɔ no ho hia na ama ayaresa yi adi yiye.
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