He nui o kākou i loaʻa i hoʻokahi a ʻoi aku paha nā maʻi lōʻihi e like me ka maʻi diabetes, ke koko kiʻekiʻe, ka cholesterol, ʻeā? No laila, ke aʻo mau nei nā kauka iā kākou e makaʻala loa i kā kākou meaʻai a inu ai i ka wā e lawe ana i ka lāʻau lapaʻau no kēia mau mea. ʻOiaʻiʻo, ua ʻike anei ʻoe ʻo kēia mea 'meaʻai a me ka mea inu', inā hoʻolālā pololei ʻia e like me ka ʻepekema lapaʻau, hiki ke lilo i lāʻau lapaʻau ikaika loa iā ia iho? ʻO kēlā ʻano lapaʻau kūikawā ka mea a mākou e kapa nei ʻo "Medical Nutrition Therapy" a i ʻole Medical Nutrition Therapy (MNT) .
He aha maoli ka Medical Nutrition Therapy?
I ka ʻōlelo maʻalahi, ʻo MNT kahi lāʻau lapaʻau e hoʻohana ana i ka meaʻai a me nā ʻano ʻai e hoʻokele a pale aku paha i kahi maʻi. ʻAʻole ia e pili ana i ka "hele ʻana i kahi papaʻai." E pili ana ia i kahi Dietitian i kākau inoa ʻia, ma lalo o ke alakaʻi a kāu kauka, nāna e aʻo i kou kūlana, nā pono o ke kino, nā pahuhopu pilikino, a me ke ʻano o ka nohona, a hana i kahi hoʻolālā meaʻai e pili pono ana iā ʻoe .
E kōkua pū lākou iā ʻoe e hoʻokō i kēia hoʻolālā. I kekahi manawa, ke hui pū ʻia kēia lāʻau lapaʻau me ka lāʻau lapaʻau āu e lawe nei, e maʻalahi ka kaohi ʻana i ka maʻi. I kekahi manawa, inā ʻoe e hahai pono i kēia ʻano hana, hiki paha iā ʻoe ke pale aku i ka lawe ʻana i ka lāʻau lapaʻau. Eia kekahi, he mea nui loa kēia ʻano hana lapaʻau no ka poʻe hiki ʻole ke ale a hoʻoheheʻe i ka meaʻai ma ke ʻano maʻamau ma muli o kekahi ʻano olakino.
ʻO kekahi mau mea e hiki ke hana i ka wā o ka mālama ʻana iā MNT:
- Pono paha ʻoe e hoʻōki a kaupalena paha i ka ʻai ʻana i kekahi mau meaʻai.
- Hiki ke aʻo ʻia ʻoe e loaʻa i ka lawa ʻana o kekahi mau meaola a me nā meaʻai.
- Pono paha ʻoe e lawe i nā mea hoʻopihapiha meaʻai hou aʻe.
- I kekahi mau hihia, pono paha e hāʻawi i ka meaʻai, e like me ka saline, ma o kahi vein (parenteral nutrition) a i ʻole ma o kahi tube (enteral nutrition).
He aha nā maʻi e hiki ke hoʻomalu ʻia me MNT?
Kōkua kēia ʻano lapaʻau i ka mālama ʻana i nā ʻano maʻi like ʻole. Ua papa inoa ka papa ma lalo nei i kekahi mau mea o lākou.
| Kūlana | He wehewehe maʻalahi |
|---|---|
| ʻO ka maʻi diabetes (ʻAno 1, ʻAno 2, gestational) a me ka prediabetes | Ka hoʻolālā ʻana i ka ʻai e kaohi ai i nā pae kō koko. |
| Maʻi Puʻupaʻa Mau Loa (CKD) | Ke kaohi ʻana i nā mea e like me ka paʻakai a me ka protein e hōʻemi i ke kaomi ma luna o nā puʻupaʻa. |
| Ke koko kiʻekiʻe | E hōʻemi i ka ʻai ʻana i ka paʻakai a hoʻonui i nā meaʻai waiwai i ka potassium. |
| ʻO ke kolamu kiʻekiʻe a me nā triglycerides (Dyslipidemia) | Ke lawe ʻana i kahi papaʻai e hōʻemi ana i nā pae momona koko ʻino. |
| Ka hāʻule ʻana o ka puʻuwai | Ke kaohi nei i ka nui o ka wai a me ka paʻakai i loko o ke kino a me ka hoʻēmi ʻana i ke kaumaha ma ka puʻuwai. |
| Nā maʻi o ka ʻōnaehana hoʻoheheʻe (e like me ka maʻi Celiac, ka maʻi Crohn, IBS) | E hōʻalo i nā meaʻai e hoʻonui ai i nā hōʻailona a ʻai i nā meaʻai maʻalahi ke hoʻoheheʻe ʻia. |
| Kaumaha a me ka Momona | He mea nui ka ʻai ʻana i nā meaʻai momona a me ka kaohi ʻana i nā calorie no ka pohō kaumaha olakino. |
| ʻAʻole pono ka meaʻai (e.g. i nā poʻe maʻi kanesa) | Hoʻoikaika i ke kino ma ka hāʻawi ʻana i ke kino i ka ikehu a me ka meaʻai e pono ai. |
Pehea e hana ʻia ai kēia kaʻina hana lapaʻau?
ʻEhā mau ʻanuʻu o kēia lapaʻau, akā hiki ke ʻokoʻa kēia mai kēlā kanaka a kēia kanaka.
| Kaʻanuʻu | He aha ka mea e hana nei ma ʻaneʻi? |
|---|---|
| 1. Ka Loiloi ʻAi | ʻO kēia kahi e aʻo ai kāu kauka a me ka meaʻai meaʻai e pili ana iā ʻoe. Nānā lākou i kāu mau moʻolelo lapaʻau, nā hōʻike lab, a kamaʻilio pū me ʻoe e hōʻiliʻili i ka ʻike e pili ana i kāu mea e ʻai ai, kou nohona, nā maʻi allergies, a me nā pilikia kuke āu e loaʻa ai. |
| 2. Ka ʻIke ʻAi | He ʻokoʻa kēia mai kahi hōʻailona lapaʻau. ʻO ka mea āu e hana nei ma ʻaneʻi, ʻo ia ke ʻike i ka pilikia meaʻai ma lalo. No ka laʻana, loaʻa paha iā ʻoe ka maʻi diabetes (kahi hōʻailona lapaʻau), no laila ke ʻai nui nei ʻoe i nā kalapona (kahi pilikia meaʻai). |
| 3. Ke komo ʻana o ka meaʻai | Ma ke ʻano he hopena i ka pilikia i ʻike ʻia, pili kēia ʻanuʻu i ka hoʻokumu ʻana i kahi hoʻolālā meaʻai pilikino nāu. Aia i loko o kēia hoʻolālā nā mea āpau mai nā mea āu e ʻai ai i kēlā me kēia lā, nā mea āu e pale aku ai, a pehea e hoʻomākaukau ai i kāu mau meaʻai. |
| 4. Nānā a me ka Loiloi | Ke hoʻomaka ʻoe i ka hoʻolālā, e hoʻomau mākou i ka nānā ʻana iā ia e ʻike inā e hana ana, inā e hoʻomaikaʻi ana kāu mau hōʻailona, a inā e hoʻomaikaʻi ana kāu mau hōʻike lab. E hana mākou i nā hoʻololi i ka hoʻolālā inā pono. |
ʻO ka mea nui loa, ʻo ia ka hana ʻana o kēia mau mea a pau ma lalo o ka nānā piha ʻana a kāu kauka. No laila, mai hana ʻoe i kēia mau mea ma kāu iho, inā paha e nānā wale ana ma ka pūnaewele a i ʻole e lohe ana i kahi mea a kekahi e ʻōlelo nei.
He aha nā pōmaikaʻi o MNT?
Inā ʻoe e hahai pono i kēia ʻano lapaʻau, e loaʻa iā ʻoe nā pono he nui.
- E loaʻa iā ʻoe ka meaʻai kūpono āu e pono ai e hōʻemi i nā hōʻailona a me nā hopena o kou maʻi.
- Hiki iā ia ke lawe mai i nā mea e like me ke kō koko a me ka cholesterol i nā pae olakino .
- E hoʻonui i ka holomua o ka lāʻau lapaʻau me ka lāʻau lapaʻauʻAe, hiki nō. Hiki paha iā ia ke hōʻemi i ka pono no ka lāʻau lapaʻau.
- E aʻo ʻoe i nā ala kūpono e lanakila ai i nā pilikia i ka hoʻomākaukau ʻana i kahi pāʻina maikaʻi (e.g., ka nele o ka manawa, nā pilikia kālā).
- Lilo ʻoe i mea kōkua ikaika i kou olakino ponoʻī.
Aia kekahi mau pilikia i kēia lāʻau lapaʻau?
Inā ʻoe e hahai i nā kuhikuhi a kāu kauka, ʻaʻohe pilikia koʻikoʻi i ka hoʻololi ʻana i kāu meaʻai. Eia nō naʻe, i kekahi mau hihia kūikawā, aia paha kekahi mau pilikia.
- Inā hāʻawi ʻia ʻoe i ka meaʻai parenteral: Aia kahi pilikia liʻiliʻi o ke komo ʻana o nā germs i loko o ke koko.
- Inā e hānai ʻia ana ʻoe ma o kahi ʻōmole: Aia paha kahi maʻi ma kahi o ka ʻōmole, ka pehu ʻana o ka ʻōpū, a me ka paʻa ʻana o ka ʻōpū.
Akā ke mālama pono nei kāu hui lapaʻau i kēia mau mea a pau, no laila ʻaʻohe mea e hopohopo ai.
Pehea e maʻalahi ai kēia lāʻau lapaʻau iaʻu?
Aia kekahi mau mea hiki iā ʻoe ke hana e hoʻokō ai i kēia huakaʻi.
1. E kamaʻilio ākea: Mai hilahila i nā pilikia a i ʻole nā mea keakea āu e loaʻa ai (e like me ka loaʻa ʻole o ka manawa e kuke ai, ʻaʻole hiki ke kūʻai i kekahi mau meaʻai) a kamaʻilio me kāu kauka. A laila hiki iā ʻoe ke loaʻa i ka hopena maikaʻi loa e kūpono iā ʻoe.
2. E mālama i kahi puke moʻolelo meaʻai: E kākau i nā mea a pau āu e ʻai ai a inu ai i kēlā me kēia lā, me nā manawa āu e ʻai ai. E kōkua kēia i kāu kauka e hoʻomaopopo i kou kūlana.
3. E hoʻomanawanui: ʻO ka hoʻololi ʻana i nā ʻano maʻamau e pono ai ka manawa. E hoʻomanawanui me ia. E hoʻomaka me nā hoʻololi liʻiliʻi.
Inā he mau nīnau a hopohopo paha kāu e pili ana i kāu hoʻolālā meaʻai, mai makaʻu e kamaʻilio me kāu kauka i kēlā me kēia manawa. E hāʻawi ʻo ia iā ʻoe i ke alakaʻi āu e pono ai.
Leka Lawe-Home
- ʻAʻole wale ka Medical Nutrition Therapy (MNT) he meaʻai, he lāʻau lapaʻau ia e kōkua iā ʻoe e mālama i kou kūlana olakino.
- He mea nui loa kēia lāʻau lapaʻau no ka kaohi ʻana i kekahi mau maʻi lōʻihi e like me ka maʻi diabetes, ke koko kiʻekiʻe, nā maʻi puʻupaʻa, a me ka cholesterol.
- Pono e mālama ʻia kēia lāʻau lapaʻau ma lalo o ka nānā ʻana a kāu kauka, a na ke kauka meaʻai wale nō. Mai hoʻāʻo iā ʻoe iho.
- He mea nui kou komo ikaika ʻana a me ke kamaʻilio ākea ʻana me kāu kauka no ka holomua o kēia lāʻau lapaʻau.
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