Ni nde muhanga mu mirire? Bashobora bate kugufasha gukira indwara yawe binyuze mu mirire yawe?

Ese wigeze wibaza uburyo ubuzima bwacu bushobora guhinduka bitewe n'ibyo turya n'ibyo tunywa buri munsi? Hari igihe ushobora kwibaza uti "Ni iki nkwiye kurya kuri iyi ndwara, n'iki nkwiye kurya?" Cyangwa uti "Ni ubuhe bwoko bw'ibiribwa bukwiriye kugabanya ibinure bike cyangwa kugira umubiri mwiza?" Mu bihe nk'ibi, ni byiza kubaza umuntu uzi ukuri kuri ibi aho gusaba inama umuntu ubaza gusa. Uyu munsi tugiye kuvuga ku muntu wemewe mu mirire , cyangwa nk'uko twese tumuzi, inzobere mu mirire , wihariye mu mirire n'imirire.

Ni nde muganga w’imirire wemewe?

Mu magambo make, inzobere mu mirire (RD cyangwa RDN) ni inzobere mu by'ubuzima inzobere mu mirire. Nk'uko umuganga azi indwara, ni ko inzobere mu mirire izi ingaruka z'ibiribwa ku mibiri yacu. Icyo bakora ni ugufasha abantu kunoza ubuzima bwabo binyuze mu biribwa. Ibyo bivuze ko bashobora gukora gahunda y'amafunguro ajyanye n'ibyo ukeneye kandi bakakwigisha uburyo bwo kurya neza.

Umuganga wemewe w’imirire si umuntu uzi gusa ibijyanye n’imirire, ahubwo ni umuntu wahawe amahugurwa yihariye, amahugurwa, ndetse no kwiyandikisha kugira ngo akore akazi. Niba izina rye rifite inyuguti `RD` (Umuganga w’imirire wiyandikishije) cyangwa `RDN` (Umuganga w’imirire wiyandikishije), rishobora gukoreshwa mu kugaragaza ubushobozi bwe. Mu bihugu bimwe na bimwe, uruhushya rwitwa `LD` (Umuganga w’imirire wiyandikishije) narwo rurakenewe.

Ni gute inzobere mu mirire yagufasha?

Ushobora gukenera ubufasha bw'inzobere mu mirire mu bihe bitandukanye.

Tekereza uri mu bitaro kugira ngo uvurwe. Wenda ni igihe cyo gukira nyuma yo kubagwa, cyangwa se ni igihe cy'uburwayi bukomeye . Muri ibyo bihe, ni ngombwa cyane guha umubiri wawe intungamubiri zikwiye. Inzobere mu mirire izasuzuma imimerere yawe kandi ifate icyemezo cy'intungamubiri ukeneye n'uko uzihabwa (mu kanwa, mu konsa mu miyoboro y'amazi, cyangwa mu mitsi).

Si ibyo gusa, ushobora no guhura n'inzobere mu mirire imbonankubone mugakora gahunda y'imirire.

• Wenda ufite ikibazo cy'ubuzima (urugero: diyabete, indwara z'umutima, cholesterol nyinshi) kigusaba guhindura uburyo urya, ariko ushobora kuba utazi aho wahera.
• Cyangwa wenda ushaka kugabanya ibiro cyangwa kongera ibiro .
• Niba uri umukinnyi, inzobere mu mirire ishobora no kugufasha kongera imbaraga zawe mu mubiri .

Tekereza ibi: Mama wawe yafashwe na Diyabete Mellitus. Muganga avuga ko agomba kugenzura indyo ye. Ariko se wabikora ute? Ni uwuhe muceri mwiza kurusha iyindi? Ni imbuto zingana iki ushobora kurya? Ni iki ushobora gukoresha aho gukoresha isukari? Mu bihe nk'ibi, inzobere mu mirire izategura gahunda y'ifunguro ikubereye wowe na mama wawe kandi izagufasha kurwanya iyo ndwara.

Ese hari ubwoko butandukanye bw'abahanga mu mirire?

Yego, hari abahanga mu mirire bihariye mu nzego zitandukanye. Dore zimwe mu bwoko bw'ingenzi:

• Abaganga b'imirire mibi: Aba ni abantu bakora mu bigo nderabuzima nko mu bitaro no mu bigo byita ku bageze mu za bukuru. Bareba ibyo abarwayi bavurirwa muri ibyo bigo bakeneye mu mirire.
• Abaganga b’imirire myiza mu baturage: Aba bakora ku rwego rwo kunoza ubuzima n’imirire y’abaturage muri rusange. Bashobora kuba bakorana n’ibigo bya leta, imiryango idaharanira inyungu, cyangwa gahunda z’imibereho myiza y’abakozi mu bigo binini. Ushobora kuba warababonye bayobora gahunda zo kwigisha imirire mu mashuri no mu bigo by’abaturage.
• Abahanga mu by'imirire: Aba bantu bagenzura serivisi zo guteka, amafunguro, na gahunda yo gutanga amafunguro mu bigo binini (urugero: amashuri, amacumbi ya kaminuza, gereza, amahoteli manini).
• Abajyanama mu by'imirire: Aba bantu batanga serivisi zabo ku giti cyabo, bivuze ko bakora gahunda y'amafunguro ajyanye n'ibyo abakiriya babo bakeneye n'intego zabo.
• Abahanga mu mirire: Bamwe mu bahanga mu mirire bakora mu rwego rw'ubushakashatsi. Biga ibintu nk'uburyo ibiryo bigira ingaruka ku matsinda atandukanye y'abantu, ndetse n'ubwivumbure ku biribwa.

Ni ibihe bice inzobere mu mirire ishobora kwibandaho?

Umuganga wemewe w’imirire ashobora kubona ubumenyi mu bindi bice bitandukanye. Ibi bivuze kwiga byimbitse muri buri gice no kuba inzobere muri icyo gice. Dore ingero nke:

• Indyo y'abageze mu zabukuru: Inzobere mu bijyanye n'imirire ikenewe ku bantu bakuze. Bakora gahunda y'amafunguro afasha mu gukumira no gucunga indwara nka osteoporosis (gutakaza amagufwa) zishobora kubaho uko umuntu agenda akura.
• Imirire y'abana: Ifite impungenge ku ndyo ikenewe mu mikurire n'iterambere ry'abana. Itanga inama ku bintu nk'ubwoko bw'ibiribwa byo kugaburira umwana muto n'imyaka yo gutangira ibiryo bikomeye.
• Indyo y’abana barembye: Umwe mu bagize itsinda ry’inzobere rishinzwe kwita ku ndyo ikenewe ku bana barembye cyane bari mu byumba byita ku barwayi barembye cyane mu bitaro (ICU).
• Umubyibuho ukabije no kugabanya ibiro: Bifasha mu kwirinda, kuvura, cyangwa gucunga umubyibuho ukabije mu buryo bwiza.
• Indyo ya siporo:Dufite ubumenyi mu mirire ikenewe n'abakinnyi, ndetse n'abakora imyuga ikora siporo nk'iya polisi n'igisirikare.
• Indyo y'impyiko: Gahunda zihariye zo kurya (indyo y'impyiko) zigenewe abantu bafite indwara zidakira z'impyiko (CKD) n'abafite ikibazo cy'impyiko.
• Indyo ya kanseri: Hitawe cyane ku byo abarwayi barimo kuvurwa cyangwa gukira kanseri bakeneye mu mirire.
• Indwara zo kurya: Hari abantu bafite ibibazo byo mu mutwe bifitanye isano no kurya (urugero: Anorexia Nervosa - kutarya, Bulimia Nervosa - kuruka nyuma yo kurya). Aba bantu bakora kugira ngo basubize imirire yabo kuri abo bantu.
• Indyo n'ubuvuzi bwa diyabete: Inzobere mu kwita ku barwayi ba diyabete (CDCES) ni inzobere ifasha mu gukumira no kuvura diyabete.

Ni gute waba inzobere mu mirire yanditswe?

Uru rugendo si urworoshye. Kugira ngo ube inzobere mu mirire wiyandikishije, ugomba kubona impamyabumenyi y’icyiciro cya kabiri cya kaminuza n’impamyabumenyi y’icyiciro cya kabiri cya kaminuza muri kaminuza yemewe. Byongeye kandi, ugomba kurangiza nibura amasaha 1.000 y’imyitozo ikurikiranwa n’inzobere mu mirire. Nyuma yo kurangiza ibi byose ni bwo ushobora gukora ikizamini cy’igihugu ukaba inzobere mu mirire wiyandikishije. Mu bihugu bimwe na bimwe, uretse iyi mpamyabumenyi, ugomba no kubona uruhushya rwihariye rwo gukorera muri icyo gihugu.

Ni nde muhanga mu by'imirire (NDTR) wanditse?

Inzobere mu mirire cyangwa NDTR ni undi muhanga ushyigikira abahanga mu mirire biyandikishije. Bafite kandi impamyabumenyi zitangwa na Komisiyo ishinzwe kwiyandikisha mu mirire (CDR). Bafasha abahanga mu mirire gusuzuma ibyo abarwayi bakeneye mu mirire, kubigisha amahitamo y'ibiribwa, no gukurikirana iterambere ryabo.

Ni nde ufite impamyabumenyi y’ikirenga mu bijyanye n’imirire (CNS)?

Inzobere mu mirire (CNS) ni umuntu ufite impamyabumenyi y’ikirenga (Master's cyangwa Doctorate) mu mirire. Kimwe n’inzobere mu mirire, kuba CNS bisaba amasomo, amahugurwa akurikiranwa, no gutsinda ikizamini cy’impamyabushobozi.

Nubwo CNS ifite ubumenyi n'ubuhanga nk'ubw'inzobere mu mirire, izina CNS ntiryemerwa cyane mu bice bimwe na bimwe nka RD/RDN. Mu bihugu bimwe, CNS zemerewe gutanga ubuvuzi bw'imirire, mu gihe mu bindi, ntabwo zemerewe.

None se ni nde "umuhanga mu by'imirire"? Ese bitandukanye n'umuhanga mu by'imirire?

Aha ni ahantu hateye urujijo ku bantu benshi. Akenshi twumva amagambo "Inzobere mu mirire" cyangwa "Inzobere mu mirire". "Inzobere mu mirire" ubusanzwe ni ijambo rinini. Ndetse n'umuntu ushishikajwe n'imirire kandi akaba yaragiye mu masomo ashobora kwiyita "Inzobere mu mirire".

Ariko, inzobere mu mirire (RD/RDN) ni umuntu ufite ubumenyi bwimbitse kandi bwemewe, amahugurwa akomeye, no kwiyandikisha mu byemewe n'amategeko mu bihugu byinshi. Nibo bafite ububasha n'amahugurwa yemewe n'amategeko yo gukora no gutanga inama ku mirire yihariye, izwi kandi nka Medical Nutrition Therapy (MNT) , cyane cyane ku bantu bafite indwara zikomeye nka diyabete, indwara z'umutima n'indwara z'impyiko.

Nubwo ijambo "inzobere mu mirire" rikunze gukoreshwa muri Sri Lanka, niba ugiye gushaka inama ku mirire ku ndwara cyangwa intego runaka y'ubuzima, ni ngombwa cyane gukora ubushakashatsi ku bushobozi bw'umuntu utanga inama. Kumenya niba ari 'inzobere mu mirire' cyangwa niba yarahuguwe n'ikigo cyemewe bizagufasha gufata icyemezo kigufitiye akamaro.

Bite se niba nkeneye kubonana n'inzobere mu mirire?

Niba wumva ukeneye ubufasha bw'inzobere mu mirire, ushobora:

• Baza muganga wawe w’umuryango (Dogiteri w’umuryango/Dogiteri w’umuryango) . Arashobora kukwerekeza ku muganga w’imirire ukubereye.
• Abahanga mu by'imirire bakunze gukora mu bitaro binini bya leta cyangwa iby'abikorera ku giti cyabo . Reba uko bameze.
• Amwe mu mavuriro yihariye (urugero: amavuriro ya diyabete, amavuriro y’indwara z’umutima) afite n’inzobere mu mirire.

Amaherezo, ikintu cy'ingenzi cyane (Ubutumwa bwo kujyana mu rugo)

Imirire ni ingenzi ku buzima bwacu no ku buzima bwacu. Imirire ni ingenzi kuri twese, aho turi hose. Abahanga mu by'imirire ni abanyamwuga bahawe amahugurwa yihariye mu mirire kandi bafasha abantu kurya neza. Hari igihe bavugana nawe mu buryo butaziguye bakagufasha, ubundi bakaba bari inyuma y'ibikorwa, bategura amafunguro yawe. Ariko, serivisi batanga kugira ngo ubone intungamubiri ukeneye kugira ngo ubeho ubuzima bwiza ni nyinshi cyane.

Kubwibyo, niba ufite ikibazo icyo ari cyo cyose kijyanye n'ibiribwa, ushaka kumenya indyo ikwiriye indwara runaka, cyangwa ushaka gusa kugira gahunda nziza yo kurya, ntutindiganye gushaka inama z'inzobere mu mirire. Ni cyo kizaba ari cyo cyemezo cyiza ushobora gufata ku buzima bwawe!

Inzobere mu mirire, Inzobere mu mirire, Ibiribwa, Ubuzima, Indyo Ikwiye, Gutegura Ifunguro, Kurwanya Indwara