ʻO ka meaʻai ma ke ʻano he lāʻau lapaʻau no kou maʻi? E kamaʻilio kākou e pili ana i ka Medical Nutrition Therapy

Ua ʻōlelo aku anei kāu kauka iā ʻoe e "kāohi i kāu ʻai"? Malia paha no ka maʻi diabetes, cholesterol, ke koko kiʻekiʻe, a i ʻole kekahi maʻi ʻē aʻe. ʻOiaʻiʻo, ʻaʻole kēia "kāohi ʻana i ka ʻai" e pili ana i ka hōʻemi ʻana i ka laiki a i ʻole ka hoʻōki ʻana i ka ʻai ʻana i nā mea ʻono. He ʻano lapaʻau hohonu loa ia, i hoʻokumu ʻia e ka ʻepekema. ʻO ia ka mea a mākou e kapa nei ʻo Medical Nutrition Therapy , a i ʻole (MNT) no ka pōkole. Ua like ia me kahi papaʻai i hoʻolālā kūikawā ʻia e kōkua i ka kāohi ʻana i nā hōʻailona me ka hāʻawi ʻana i kou kino i ka meaʻai e pono ai, ma ke ʻano e kūpono i kou maʻi.

I ka ʻōlelo maʻalahi, he aha ka Medical Nutrition Therapy (MNT)?

E noʻonoʻo, e like me ke kauka e kuhikuhi ana i ka lāʻau lapaʻau no kou maʻi, ʻo ia ka mea e hana ʻia ke hoʻoponopono ʻo ia i kāu mau ʻano ʻai e kōkua iā ʻoe e hoʻōla mai kēlā maʻi. ʻAʻole kēia he papaʻai wale nō āu e ʻike ai ma ka pūnaewele. Hana ʻia kēia e kahi Dietitian i hoʻopaʻa inoa ʻia i loaʻa i ke aʻo kūikawā a ua mākaukau ma kēia kahua.

E hana pū ʻo ia me ʻoe a me kāu hui mālama ola kino, me kāu kauka lapaʻau, e hoʻoholo mua i kāu mau pono olakino a me nā pahuhopu pilikino. A laila, e hana lākou i kahi hoʻolālā meaʻai pilikino nāu. ʻO ka pahuhopu o kēia hoʻolālā, ʻo ia ka hoʻomaikaʻi ʻana i kou olakino ma ka hāʻawi ʻana i kou kino i nā pae kūpono o nā micronutrients a me nā macronutrients e pono ai. E kōkua pū ʻo ia iā ʻoe e hoʻokō i ka hoʻolālā.

Hiki i kāu kauka ke ʻōlelo aku i ka lāʻau lapaʻau MNT e kōkua i ka mālama ʻana i nā maʻi maʻi e like me ka maʻi diabetes a me nā maʻi puʻupaʻa. Hiki iā ia ke hoʻohui i kāu mau lāʻau lapaʻau. I kekahi mau hihia, hiki iā ia ke kōkua iā ʻoe e pale i ka lawe ʻana i nā lāʻau lapaʻau. He mea nui nō hoʻi ia no ka poʻe i loaʻa i kahi maʻi e pale ai iā lākou mai ka ale ʻana a i ʻole ka ʻeli ʻana i ka meaʻai me ke kūpono.

Ma muli o kāu mau pono, hiki ke nānā aku ka mālama ʻana o MNT penei:

• Ke hoʻōki a i ʻole ka palena ʻana i kekahi mau meaʻai. (Eia kekahi laʻana, ke haʻi ʻana i kahi maʻi puʻupaʻa e kaupalena i nā meaʻai waiwai i ka potassium e like me ka maiʻa a me nā ʻalani.)
• E hōʻoia i ka ʻai ʻia ʻana o kekahi mau meaʻai a me nā meaola i nā nui kūpono . (E laʻa, e haʻi aku i kahi mea me ka anemia e ʻai i nā mea kanu waiwai i ka hao, ka ʻiʻo, a me ka iʻa.)
• Ke lawe nei i nā mea hoʻohui meaʻai .
• Ka hānai ʻana ma o ka saline (Parental Nutrition) a i ʻole ka hānai ʻana ma o kahi ʻōmole (Enteral Nutrition) .

E wehewehe ana kāu hui lapaʻau i kēia iā ʻoe me nā kikoʻī hou aku.

He aha nā ʻano maʻi e kōkua ai ʻo MNT?

Hiki i ka lāʻau lapaʻau meaʻai ke kōkua i ka mālama ʻana i nā maʻi he nui. Hiki iā ʻoe ke loaʻa kahi manaʻo maikaʻi mai ka papa ma lalo nei.

ʻO wai ka mea nāna e hāʻawi i kēia lāʻau lapaʻau?

He nīnau koʻikoʻi loa kēia. Hāʻawi ʻia ka lāʻau lapaʻau meaʻai e nā Registered Dietitians (RDs) . He poʻe loea lapaʻau lākou i loaʻa ka ʻike kūikawā a me ke aʻo ʻana ma kēia kahua. No laila, hiki iā lākou ke hāʻawi iā ʻoe i ke alakaʻi hilinaʻi a palekana.

I kekahi manawa, ʻaʻole paha i loaʻa i ka poʻe e kapa wale ana iā lākou iho he "nutritionists" kēia ʻano hoʻomaʻamaʻa hohonu, no laila he mea nui e hana pū me kahi RD e hōʻoia i ka loaʻa ʻana o ka ʻōlelo aʻo pololei loa a kākoʻo ʻia e ka lāʻau lapaʻau.

E hana pū ana kāu kauka meaʻai me nā mea lawelawe mālama ola ʻē aʻe, e like me kāu kauka a me nā kahu maʻi, e hana i kāu hoʻolālā meaʻai. E kōkua pū lākou iā ʻoe i kēlā me kēia ʻanuʻu o ke ala.

Pehea e hana ʻia ai kēia kaʻina hana lapaʻau?

Aia kekahi mau ʻanuʻu e hahai ai nā mea lapaʻau meaʻai i ka wā e hāʻawi ai i kēia lāʻau. Hiki ke ʻokoʻa kēia mai kēlā kanaka a kēia kanaka. No ka laʻana, inā ua hoʻokomo ʻia ʻoe i ka haukapila me kahi maʻi koʻikoʻi, ʻaʻole paha ʻoe e hiki ke komo ikaika i kēia kaʻina hana i ka wā mua. Inā pono kāu keiki i ka MNT, ʻo ʻoe ka mea e kamaʻilio nui me ka mea lapaʻau meaʻai a hoʻonohonoho i ka hana.

Eia kēlā mau ʻanuʻu:

1. Ka Loiloi ʻAi

ʻO kēia ka hana mua. Maanei e aʻo ai kāu meaʻai meaʻai e pili ana iā ʻoe a me kāu mau pono meaʻai. Nānā lākou i nā mea e like me kāu mau moʻolelo lapaʻau, nā hōʻike lab, a pēlā aku. Akā hoʻokahi wale nō ʻaoʻao o ka moʻolelo. He mea nui loa hoʻi kāu e ʻōlelo ai.

E kamaʻilio kāu meaʻai meaʻai me ʻoe a e hoʻāʻo e aʻo hou e pili ana i kāu mau pono, nā pahuhopu, a me nā makemake. Hiki iā lākou ke nīnau i nā nīnau e like me:

• He aha kāu e ʻai mau ai i ka lā?
• Loaʻa iā ʻoe kekahi maʻi ʻaleka meaʻai?
• Pehea ka hopena o kou nohona a me kou moʻomeheu i kāu mea e ʻai ai a e inu ai?
• He aha nā pilikia āu e kū nei i ka hoʻomākaukau ʻana a me ka loaʻa ʻana o ka meaʻai? (e.g., nele i ka manawa, nā pilikia kālā)
• He aha nā meaʻai e maʻalahi ke loaʻa a ʻaʻole maʻalahi hoʻi e loaʻa ma kou wahi?

2. Ka ʻIke ʻAi

ʻAʻole like kēia me kāu hōʻailona lapaʻau (e.g. diabetes). He ʻokoʻa kēia. Maanei, ke nānā nei ka meaʻai meaʻai i kahi pilikia e pili ana i kāu meaʻai.

Eia kekahi laʻana, hiki paha iā ʻoe ke ʻai nui i kahi meaʻai, e like me nā kalapona, a ʻaʻole lawa paha. E ʻike ka meaʻai meaʻai i ke kumu o kēia pilikia, a me nā hōʻailona a me nā ʻōuli āu e ʻike nei mai nā hōʻike lab.

3. Ke komo ʻana o ka meaʻai

I kēia manawa, ma muli o ka loiloi a me ka hōʻailona i hana ʻia ma luna, e hana ka meaʻai meaʻai i kahi hoʻolālā e hoʻoponopono ai i ka pilikia. E wehewehe ʻo ia iā ʻoe i ka mea e pono ai ʻoe e hana ma kāu ʻaoʻao e hoʻokō i ka hoʻolālā. No ka laʻana, e haʻi ʻo ia iā ʻoe e pili ana i nā hoʻololi e pono ai ʻoe e hana i kou ola o kēlā me kēia lā. E haʻi pū ʻo ia iā ʻoe i ka pinepine o kou pono e ʻike i ka meaʻai meaʻai, a malia paha e pili ana i nā hālāwai hui.

4. Ka Nānā ʻana a me ka Loiloi ʻana i ka Meaʻai

Ke hoʻomaka ʻoe i ka hoʻolālā, e nānā pinepine ke kauka meaʻai me ʻoe e hōʻoia i ka holo pono ʻana o nā mea āpau. E nānā ʻo ia i kāu mau hōʻike lab, e nīnau iā ʻoe pehea ʻoe e hana nei, a kamaʻilio me kāu mau kauka ʻē aʻe.

He aha nā pōmaikaʻi o MNT?

Nui nā pono i hiki iā ʻoe ke loaʻa mai ka lāʻau lapaʻau meaʻai. ʻAʻole ia he meaʻai wale nō, he mea nui ia i kāu huakaʻi olakino.

Aia kekahi mau pilikia i kēia lāʻau lapaʻau?

Aia nā pilikia i ke ʻano o ka hānai ʻia ʻana iā ʻoe.

• ʻAi Parenteral: Aia ka pilikia o ka maʻi koko.
• Ka Hānai ʻana me ka Paipu: Aia kahi pilikia o ka maʻi ma kahi i hoʻokomo ʻia ai ka paipu, a i ʻole nā ​​​​pilikia o ka ʻōpū e like me ka paʻa ʻana o ka ʻōpū, ka nausea, a i ʻole ka maʻi pākī.
• Nā hoʻololi ʻana i ka meaʻai: He mea palekana loa kēia a he haʻahaʻa hoʻi ka pilikia inā ʻoe e hana ana i kēia ma lalo o ke alakaʻi ʻana a kekahi meaʻai loea. E hoʻomaopopo mua lākou iā ʻoe e pili ana i nā loli āu e ʻike ai ke hoʻololi ʻoe i kāu meaʻai.

E wehewehe hou aku kāu hui lapaʻau iā ʻoe e pili ana i kēlā mau pilikia a pehea e hoʻokele ai iā lākou.

Nā mea hiki iā ʻoe ke hana e maʻalahi ai kēia huakaʻi

E kōkua kāu meaʻai meaʻai iā ʻoe e hoʻokele i kēia lāʻau lapaʻau nou. E hoʻāʻo lākou e hoʻomaopopo i kāu mau makemake. Makemake pū lākou e ʻike inā he mau mea keakea i ka hoʻokō ʻana i kāu mau pahuhopu.

Eia kekahi laʻana, ʻaʻohe paha koho meaʻai olakino ma kou wahi. A i ʻole ua luhi loa ʻoe e kuke i kou hoʻi ʻana mai kahi hana lohi. ʻO ka wehe ʻana me kāu kauka meaʻai e pili ana i nā pilikia āu e kū nei e hiki ke kōkua iā ʻoe e ʻimi pū i nā hopena.

Hiki nō hoʻi ke kōkua i ka mālama ʻana i kahi puke moʻolelo o kāu meaʻai a inu i kēlā me kēia lā a me ka wā āu e ʻai ai. Eia kekahi, e mālama i kahi memo o nā mea āu e makemake ai a me nā mea āu e makemake ʻole ai e pili ana i kāu mau ʻano ʻai o kēia manawa.