ʻO wai ke kauka meaʻai? Pehea lā e hiki ai iā lākou ke kōkua iā ʻoe e ho'ōla i kou maʻi ma o kāu papaʻai?

Ua noʻonoʻo paha ʻoe i ka nui o ka loli o ko kākou olakino e nā mea a kākou e ʻai ai a inu ai i kēlā me kēia lā? I kekahi manawa e noʻonoʻo paha ʻoe, "He aha kaʻu e ʻai ai no kēia maʻi, a he aha kaʻu e ʻai ʻole ai?" A i ʻole, "He aha ke ʻano o ka meaʻai e kūpono no ka lilo ʻana o ka momona a i ʻole ke kino maikaʻi?" I nā manawa e like me kēia, ʻoi aku ka maikaʻi o ke nīnau ʻana i kahi mea i ʻike i ka ʻoiaʻiʻo e pili ana i kēia ma mua o ke noi wale ʻana i ka ʻōlelo aʻo mai kahi mea e nīnau wale mai ana. I kēia lā e kamaʻilio mākou e pili ana i kahi meaʻai i hoʻopaʻa inoa ʻia , a i ʻole e like me kā mākou ʻike āpau iā ia, he meaʻai , nona ka loea i ka meaʻai a me ka meaʻai.

ʻO wai kahi Kauka ʻAi i hoʻopaʻa inoa ʻia?

I ka ʻōlelo maʻalahi, he loea olakino ka Registered Dietitian (RD a i ʻole RDN) i loea i ka meaʻai. E like me ka ʻike ʻana o ke kauka e pili ana i nā maʻi, ʻike ka meaʻai i nā hopena o ka meaʻai i ko mākou kino. ʻO kā lākou hana, ʻo ia ke kōkua i nā kānaka e hoʻomaikaʻi i ko lākou olakino ma o ka meaʻai. ʻO ia hoʻi, hiki iā lākou ke hana i nā hoʻolālā meaʻai i hoʻopilikino ʻia i kāu mau pono a aʻo iā ʻoe pehea e ʻai ai me ke olakino.

ʻAʻole wale ka mea ʻai i kākau inoa ʻia he kanaka i ʻike i ka meaʻai, akā he kanaka i hele i ka hoʻonaʻauao kūikawā, hoʻomaʻamaʻa, a me ke kākau inoa ʻana e hana. Inā loaʻa i ko lākou inoa nā leka ʻo `RD` (Registered Dietitian) a i ʻole `RDN` (Registered Dietitian Nutritionist), hiki ke hoʻohana ʻia e ʻike i ko lākou mau hōʻoia. Ma kekahi mau ʻāina, pono nō hoʻi kahi laikini i kapa ʻia ʻo `LD` (Licensed Dietitian).

Pehea e hiki ai i kahi meaʻai meaʻai ke kōkua iā ʻoe?

Pono paha ʻoe i ke kōkua o kahi meaʻai meaʻai i nā manawa like ʻole.

E noʻonoʻo ʻoe aia ʻoe i loko o ka haukapila no ka mālama ʻana. Malia paha he manawa hoʻōla ia ma hope o ke ʻoki ʻana, a i ʻole he manawa maʻi koʻikoʻi paha . I ia mau manawa, he mea nui loa ka hāʻawi ʻana i kou kino i ka meaʻai kūpono. E loiloi kahi meaʻai meaʻai i kou kūlana a hoʻoholo i nā meaʻai āu e pono ai a pehea e hāʻawi ai iā lākou (ʻai waha, hānai ʻana i ka paipu, a i ʻole intravenous).

ʻAʻole wale kēlā, hiki iā ʻoe ke hālāwai pū me kahi meaʻai meaʻai a hana i kahi hoʻolālā meaʻai.

• Malia paha he maʻi kou (e like me ka maʻi diabetes, ka maʻi puʻuwai, ke kolamu kiʻekiʻe) e koi ai iā ʻoe e hoʻololi i kāu mau ʻano ʻai, akā ʻaʻole paha ʻoe ʻike i kahi e hoʻomaka ai.
• A i ʻole makemake paha ʻoe e hoʻemi i ke kaumaha a hoʻonui paha i ke kaumaha .
• Inā he mea pāʻani ʻoe, hiki i kahi meaʻai meaʻai ke kōkua iā ʻoe e hoʻonui i kāu hana kino .

E noʻonoʻo i kēia: Ua ʻike ʻia kou makuahine me ka maʻi Diabetes Mellitus. Ua ʻōlelo ke kauka pono ʻo ia e kāohi i kāna ʻai. Akā pehea ʻoe e hana ai i kēlā? ʻO wai ka laiki maikaʻi loa? ʻEhia ka nui o nā huaʻai hiki iā ʻoe ke ʻai? He aha kāu e hoʻohana ai ma kahi o ke kō? I nā manawa e like me kēia, e hoʻolālā kahi meaʻai meaʻai i kahi papaʻai kūpono no ʻoe a me kou makuahine a e kōkua iā ʻoe e kāohi i ka maʻi.

Aia kekahi mau ʻano meaʻai like ʻole?

ʻAe, aia nā kauka meaʻai loea i nā ʻano like ʻole. Eia kekahi o nā ʻano nui:

• Nā Kauka ʻAi Lapaʻau: ʻO kēia ka poʻe e hana ana ma nā ʻoihana mālama ola e like me nā haukapila a me nā hale mālama. Nānā lākou i nā pono meaʻai o nā maʻi e loaʻa ana ka mālama ʻia ma loko o kēlā mau ʻoihana.
• Nā Kauka ʻAi Meaʻai Kaiāulu: Hana kēia mau mea e hoʻomaikaʻi i ke olakino a me ka meaʻai o ka lehulehu. Hiki iā lākou ke pili me nā keʻena aupuni, nā hui waiwai ʻole, a i ʻole nā ​​​​papahana pono o nā limahana ma nā ʻoihana nui. Ua ʻike paha ʻoe iā lākou e hana ana i nā papahana hoʻonaʻauao meaʻai ma nā kula a me nā kikowaena kaiāulu.
• Nā Kauka ʻAi Meaʻai Hoʻokele: Mālama kēia poʻe i nā lawelawe ʻai meaʻai, nā papa kuhikuhi, a me nā hoʻolālā ʻai ma nā ʻoihana nui (e.g., nā kula, nā hale moe o ke kulanui, nā hale paʻahao, nā kaulahao hōkele nui).
• Nā Kauka ʻAi Meaʻai Kūkākūkā: Hāʻawi kēia poʻe i kā lākou lawelawe ma ke ʻano pilikino, ʻo ia hoʻi ke hana nei lākou i nā hoʻolālā meaʻai i hoʻopilikino ʻia i nā pono a me nā pahuhopu kikoʻī o kā lākou mea kūʻai aku.
• Nā Kauka Noiʻi ʻAi: Hana kekahi mau kauka meaʻai ma ke kahua noiʻi. Ke aʻo nei lākou i nā mea e like me ke ʻano o ka hopena o ka meaʻai i nā hui like ʻole o ka poʻe, a me nā maʻi ʻaʻai.

He aha nā wahi e hiki ai i kahi meaʻai ke loea?

Hiki i kahi meaʻai meaʻai i kākau inoa ʻia ke loaʻa ka ʻike loea ma nā wahi ʻē aʻe he nui. ʻO ia hoʻi ke aʻo hohonu ʻana i kēlā me kēia wahi a lilo i loea ma ia wahi. Eia kekahi mau laʻana:

• ʻAi meaʻai no nā poʻe ʻelemakule: Nā loea i nā pono meaʻai o ka poʻe ʻelemakule. Hoʻokumu lākou i nā hoʻolālā meaʻai e kōkua i ka pale ʻana a me ka mālama ʻana i nā kūlana e like me ka osteoporosis (ka nalowale o ka iwi) hiki ke hana me ka ʻelemakule.
• ʻAi keiki: Pili i ka meaʻai e pono ai no ka ulu ʻana a me ka ulu ʻana o nā keiki. Ke aʻo ʻana i nā mea e like me ke ʻano o ka meaʻai e hānai ai i kahi keiki liʻiliʻi a me ka makahiki hea e hoʻomaka ai i nā meaʻai paʻa.
• ʻO ka meaʻai mālama koʻikoʻi no nā keiki: He lālā o kahi hui loea e mālama ana i nā pono meaʻai o nā keiki maʻi koʻikoʻi i nā keʻena mālama koʻikoʻi o ka haukapila (ICU).
• Ka momona a me ka hoʻokele kaumaha: Kōkua i ka pale ʻana, mālama, a i ʻole ka hoʻokele ʻana i ka momona ma ke ʻano olakino.
• ʻAi meaʻai haʻuki:Loaʻa iā mākou ka ʻike loea e pili ana i ka meaʻai e pono ai no nā mea pāʻani, a me ka poʻe e komo ana i nā ʻoihana hana kino e like me nā mākaʻi a me ka pūʻali koa.
• ʻAi ʻai puʻupaʻa: Hoʻokumu ʻia nā hoʻolālā papaʻai kūikawā (nā papaʻai puʻupaʻa) no ka poʻe me ka maʻi puʻupaʻa mau loa (CKD) a me ka poʻe me ka hāʻule ʻana o ka puʻupaʻa.
• ʻAi meaʻai oncology: Hoʻolohe nui ʻia nā pono meaʻai o nā poʻe maʻi e mālama ʻia ana a i ʻole e hoʻōla ana mai ka maʻi kanesa.
• Nā maʻi ʻai: Loaʻa i kekahi poʻe nā pilikia noʻonoʻo e pili ana i ka ʻai ʻana (e.g. Anorexia Nervosa - ʻaʻole ʻai, Bulimia Nervosa - luaʻi ma hope o ka ʻai ʻana). Hana kēia poʻe e hāʻawi i ka hoʻōla hou ʻana i ka meaʻai i kēlā poʻe.
• ʻAi a me ka mālama ʻana i ka maʻi diabetes: He loea ka Certified Diabetes Care and Education Specialist (CDCES) e kōkua ana i ka pale ʻana a me ka mālama ʻana i ka maʻi diabetes.

Pehea ʻoe e lilo ai i mea hana meaʻai i hoʻopaʻa inoa ʻia?

ʻAʻole kēia he huakaʻi maʻalahi. I mea e lilo ai i meaʻai i kākau inoa ʻia, pono ʻoe e loaʻa i ke kēkelē laepua a me ke kēkelē laeoʻo mai ke kulanui i ʻae ʻia. Eia kekahi, pono ʻoe e hoʻopau i ka liʻiliʻi he 1,000 mau hola o ka hana i mālama ʻia ma lalo o kahi meaʻai akamai. Ma hope wale nō o ka hoʻopau ʻana i kēia mau mea āpau hiki iā ʻoe ke lawe i kahi hoʻokolohua aupuni a lilo i meaʻai i kākau inoa ʻia. Ma kekahi mau ʻāina, ma waho aʻe o kēia hōʻoia, pono ʻoe e loaʻa i kahi laikini kūikawā e hana ma ia ʻāina.

ʻO wai kahi loea ʻai i hoʻopaʻa inoa ʻia (NDTR)?

ʻO ke Kauka ʻAi i Hoʻopaʻa Inoa ʻia a i ʻole NDTR kekahi loea ʻē aʻe e kākoʻo ana i nā meaʻai i hoʻopaʻa inoa ʻia. Ua kūpono pū lākou e ke Komisina ma ke Kau Inoa ʻAi (CDR). Kōkua lākou i nā meaʻai e loiloi i nā pono meaʻai o nā maʻi, e aʻo iā lākou e pili ana i nā koho meaʻai, a nānā i ko lākou holomua.

ʻO wai kahi loea meaʻai i hōʻoia ʻia (CNS)?

ʻO kahi loea meaʻai hōʻoia (CNS) he kanaka i loaʻa ke kēkelē kiʻekiʻe (Master's a Doctorate paha) i ka meaʻai. E like me nā mea loea meaʻai, ʻo ka lilo ʻana i CNS pono ka hana papa, ka hoʻomaʻamaʻa kiaʻi ʻia, a me ka hala ʻana i kahi hoʻokolohua hōʻoia.

ʻOiai he ʻike like a me nā mākau ko ka CNS me kahi meaʻai, ʻaʻole i ʻae nui ʻia ka inoa ʻo CNS ma kekahi mau wahi e like me RD/RDN. Ma kekahi mau ʻāina, ʻae ʻia nā CNS e hāʻawi i ka lāʻau lapaʻau meaʻai, aʻo nā wahi ʻē aʻe, ʻaʻole.

No laila, ʻo wai ka "meaʻai"? He ʻokoʻa anei ia mai ka meaʻai?

He wahi huikau kēia no nā kānaka he nui. Lohe pinepine mākou i nā huaʻōlelo "Nutritionist" a i ʻole "Nutritionist". ʻO ka huaʻōlelo "Nutritionist" he ʻano ākea. ʻOiai kekahi mea hoihoi i ka meaʻai a ua lawe i kahi papa ma ia kahua hiki ke kapa iā lākou iho he "nutritionist".

Eia nō naʻe, ʻo kahi Registered Dietitian (RD/RDN) he kanaka nona ka hoʻonaʻauao hohonu a ʻike ʻia, hoʻomaʻamaʻa koʻikoʻi, a me ke kākau inoa kū kānāwai ma nā ʻāina he nui. ʻO lākou ka poʻe i loaʻa ka mana kū kānāwai a me ke aʻo ʻana e hana a aʻo i nā hoʻolālā papaʻai kūikawā, i ʻike ʻia hoʻi ʻo Medical Nutrition Therapy (MNT) , ʻoi aku hoʻi no ka poʻe me nā maʻi olakino paʻakikī e like me ka maʻi diabetes, ka maʻi puʻuwai, a me ka maʻi puʻupaʻa.

ʻOiai ua hoʻohana nui ʻia ka huaʻōlelo "nutritionist" ma Sri Lanka, inā ʻoe e ʻimi nei i ka ʻōlelo aʻoaʻo meaʻai no kahi kūlana olakino a i ʻole no kahi pahuhopu olakino kikoʻī, he mea nui loa ia e hana i kekahi noiʻi e pili ana i nā mākaukau o ka mea nāna e hāʻawi i ka ʻōlelo aʻoaʻo. ʻO ka ʻike inā he 'Registered Dietitian' lākou a i ʻole ua loaʻa iā lākou ke aʻo ʻana mai kahi ʻoihana i ʻike ʻia e kōkua iā ʻoe e hoʻoholo i kahi hoʻoholo e pono ai kou olakino.

He aha inā pono iaʻu e ʻike i kahi meaʻai?

Inā manaʻo ʻoe e pono ana ʻoe i ke kōkua mai kahi meaʻai meaʻai, hiki iā ʻoe ke:

• E nīnau i kāu kauka ʻohana (Kauka ʻOhana/GP) . Hiki iā ia ke kuhikuhi iā ʻoe i kahi meaʻai kūpono.
• Hana pinepine nā kauka meaʻai ma nā haukapila aupuni nui a pilikino paha . E nānā iā lākou.
• Loaʻa i kekahi mau keʻena lapaʻau kūikawā (e like me nā keʻena lapaʻau maʻi diabetes, nā keʻena lapaʻau maʻi puʻuwai) nā kauka meaʻai.

ʻO ka mea hope loa, ʻo ka mea nui loa (Leka Lawe-Home)

He mea nui ka meaʻai no ko kākou ola a me ko kākou olakino. He mea nui ka meaʻai iā kākou a pau, ma nā wahi a pau. He poʻe loea nā meaʻai i loaʻa i ke aʻo kūikawā i ka meaʻai a kōkua i nā kānaka e ʻai olakino. I kekahi manawa kamaʻilio pololei lākou me ʻoe a kōkua iā ʻoe, i kekahi manawa aia lākou ma hope o nā hiʻohiʻona, e hoʻolālā ana i kāu mau meaʻai. Eia nō naʻe, nui loa ka lawelawe a lākou e hāʻawi ai e hōʻoia i ka loaʻa ʻana o ka meaʻai āu e pono ai e ola i kahi nohona olakino.

No laila, inā he mau nīnau kāu e pili ana i ka meaʻai, makemake ʻoe e ʻike e pili ana i kahi papaʻai kūpono no kahi maʻi, a i ʻole makemake wale ʻoe e hoʻomohala i kahi ʻano ʻai olakino, mai kānalua e ʻimi i ka ʻōlelo aʻo a kahi meaʻai loea. ʻO ia ka hoʻoholo maikaʻi loa hiki iā ʻoe ke hana no kou olakino !

ʻO ka meaʻai, ka meaʻai, ka meaʻai, ke olakino, ka meaʻai kūpono, ka hoʻolālā ʻana i ka ʻai, ka pale ʻana i nā maʻi