Usizo kulabo abaphila nesifo sikashukela: Ngubani onguchwepheshe we-Certified Diabetes Care and Education (CDCES)?

Unesifo sikashukela? Noma usengozini yokuthola isifo sikashukela? Uma kunjalo, lolu lwazi luzoba lubaluleke kakhulu kuwe. Isifo sikashukela siyisimo esiyinkimbinkimbi, kodwa uma siphathwa kahle, asiyona isithiyo ekuphileni impilo enempilo. Namuhla sikhuluma ngomuntu oqeqeshwe ngokukhethekile ongakusiza kulolu hambo. Lowo nguChwepheshe Wokunakekelwa Nokufundiswa Kwesifo Sikashukela Oqinisekisiwe (CDCES) , noma uChwepheshe Wokunakekelwa Nokufundiswa Kwesifo Sikashukela Oqinisekisiwe.

Ubani lo CDCES? Kalula nje...

Cabanga nje, bekuyoba kuhle kangakanani ukuba nomuntu ongaphendula yonke imibuzo yakho mayelana nesifo sikashukela, akufundise indlela yokuphatha isifo sakho ngendlela ekufanele, futhi abe yisandla sakho? Yilokho okushiwo yi-CDCES .

Kalula nje, i -CDCES inguchwepheshe wezempilo onolwazi olubanzi kanye nokuqeqeshwa okukhethekile ekuphathweni kwesifo sikashukela, isifo sikashukela esingakafiki, kanye nokuvimbela isifo sikashukela. Lesi yisitifiketi esikhethekile. Ngaphambilini, babebizwa ngokuthi ``Certified Diabetes Educator (CDE)``. Manje, lelo gama selishintshe laba ``CDCES```.

Ngakho-ke ubani ongaba uchwepheshe onjalo? Bheka:

• Abahlengikazi Ababhalisiwe (ama-RN): Uyazi, abahlengikazi abasisiza kakhulu ezibhedlela nasemakliniki.
• Abahlengikazi Abangochwepheshe (ama-NP): Laba ngochwepheshe abangochwepheshe abangochwepheshe abaphezulu.
• Ochwepheshe Bezokudla Ababhalisiwe (ama-RDN): Laba ngabantu abasifundisa ngokudla kanye nokudla okufanele. Uyazi ukuthi ukulawula ukudla kubaluleke kangakanani ngesifo sikashukela.
• Ochwepheshe Bezinhloli Zezokwelapha (ama-CNS): Abahlengikazi abanolwazi olwengeziwe ngezifo ezithile.
• Abasizi Bodokotela (ama-PA): Abantu abasiza odokotela futhi ngezinye izikhathi belapha neziguli.
• Odokotela Bekhemisi (PharmDs): Abantu abanolwazi olujulile ngemithi. Indlela esebenza ngayo, imiphumela emibi iyini, njll.
• Odokotela Bezokwelapha (MDs): Ngakho odokotela bethu bangaba "yi-CDCES" ngemva kokuthola lolu qeqesho.

Umgomo oyinhloko wakho konke lokhu ukukukhuthaza nokukusekela ekulawuleni isifo sakho sikashukela ngokwakho . Bakusiza ukuthi uzibekele imigomo eqondile nefinyelelekayo. Ngale migomo, unganciphisa ingozi yakho yezinkinga ezibangelwa isifo sikashukela futhi uthuthukise impilo yakho iyonke.

Yini ngempela eyenziwa yi-CDCES?

I-'CDCES' ngumuntu osebenza nawe, ekunikeza imfundo, ukwesekwa, kanye nesiqondiso osidingayo ukuze ufeze imigomo yakho yokuphatha. Banjengomngane kuwe. Bakusiza:

• Kulabo abanesifo sikashukela sohlobo 1: Kulesi simo, umzimba ukhiqiza i-insulin encane kakhulu noma awukhiqizi nhlobo.
• Kulabo abanesifo sikashukela sohlobo lwesibili: Lolu uhlobo lwesifo sikashukela oluvame kakhulu. Luvela lapho umzimba ungakhiqizi i-insulin eyanele noma ungakwazi ukusebenzisa kahle i-insulin oyikhiqizayo.
• Kulabo abanesifo sikashukela esibizwa ngokuthi i-Latent Autoimmune Diabetes of Adults (LADA): Lokhu kufana kancane nesifo sikashukela sohlobo 1, kodwa kubonakala lapho umuntu ekhula.
• Kulabo abanesifo sikashukela sokukhulelwa: Isimo sesikhashana sesifo sikashukela esiba khona kwabanye omama ngesikhathi sokukhulelwa.
• Kubantu abanezinye izinhlobo ezithile zesifo sikashukela: Isibonelo, `(Isifo sikashukela sohlobo 3c)` kanye `(Isifo sikashukela sokuvuthwa-ukuqala kwentsha)`.

Ziphinde zisize abantu abanesifo sikashukela sangaphambi kwesikhathi ukuba basivimbele ukuthi singabi yisifo sikashukela sohlobo 2. I-CDCES ingakunikeza ukwelulekwa komuntu ngamunye noma ukwelulekwa kweqembu.

Njengoba igama lisho, i-'CDCES' ingochwepheshe ekunakekelweni nasekufundiseni isifo sikashukela . Bazokufundisa ngalokhu:

• Izimbangela nezimpawu zesifo sikashukela: Kubaluleke kangakanani ukwazi lokhu? Ukuze ukwazi ukuqonda ngokushesha uma kukhona okushintshayo.
• Amasu okuvimbela isifo sikashukela esingakazalwa, isifo sikashukela sohlobo 2, kanye nesifo sikashukela sokukhulelwa: "Kungcono ukuvimbela lesi sifo ngaphambi kokuba siqale kunokuhlupheka ngemva kokuba siqalile, akunjalo?"
• Indlela yokuphatha amazinga aphezulu kashukela egazini (i-hyperglycemia) kanye namazinga aphansi kashukela egazini (i-hypoglycemia): Lokhu kungenzeka nganoma yisiphi isikhathi kumuntu onesifo sikashukela. Kubalulekile ukwazi ukuthi yini okufanele uyenze ngaphandle kokwethuka.
• Izinkinga zesifo sikashukela kanye nezimpawu zazo: Izitho zomzimba ezifana namehlo, izinso, imizwa, kanye nenhliziyo zingathinteka. Uma uzazi, ungazibona kusenesikhathi futhi uthole ukwelashwa.
• Indlela ukudla kanye nomsebenzi womzimba othinta ngayo amazinga kashukela egazini: "Lokho esikudlayo kanye nokuzivocavoca esikwenzayo kuthinta kanjani amazinga ethu kashukela?" Uma lokhu sekuqondwe kahle, ukuphatha kuba lula.
• Indlela yokuhlola ushukela egazini kanye nezindlela zokuwuhlola: Indlela yokuhlola ushukela wakho ekhaya, kanye nokuthi yini okufanele uyiqonde kulokho kufundwa.
• Izindlela zokwelapha isifo sikashukela ezahlukahlukene: imithi yesifo sikashukela ephuzwa ngomlomo, imithi ejovwayo (isib. ama-agonist e-GLP-1).
• Indlela yokusebenzisa i-insulin: indlela yokuyijova kahle, ukuthi ihlala isikhathi esingakanani emzimbeni, njll.
• Ukuhlolwa kwesifo sikashukela: Isibonelo, ukuhlolwa kwe-``(A1C)``. Lokhu kukutshela okushiwoyo ngokuphathwa kwesifo sikashukela sakho.
• Ubuchwepheshe bamanje bokuphathwa kwesifo sikashukela: Izinto ezifana nokuqapha okuqhubekayo kwe-glucose (CGM) kanye namaphampu e-insulin.

Akukhona lokho kuphela, futhi bayakusiza ukuthi wazise abanye odokotela bakho ngezinkinga ngohlelo lwakho lokwelashwa kanye nezithiyo zokuphatha isifo sakho sikashukela ngendlela efanele (isib. ukuntuleka kokusekelwa, ukuntuleka kwemishini yesifo sikashukela).

"I-CDCES ifana nomuntu obamba isandla sakho, akubonise indlela efanele, futhi akunike amandla ohambweni lwakho nesifo sikashukela."

Isebenza kuphi i-CDCES?

Laba ochwepheshe bangasebenza ezindaweni ezahlukene:

• Ezibhedlela
• Izikhungo zodokotela ezizimele
• Izinsizakalo zezempilo zomphakathi
• Izinsizakalo zezempilo zasekhaya
• Izinhlelo zempilo enhle
• Imitholampilo yomphakathi

Basebenzisana eduze nabanye abahlinzeki bezempilo, njengodokotela womndeni wakho (odokotela bokunakekelwa okuyinhloko - ama-PCP) kanye nochwepheshe besifo sikashukela (odokotela be-Endocrinologists), ukuze bakunikeze ukunakekelwa okungcono kakhulu.

Kufanele ngihlangane nini ne-CDCES?

Kungakhathaliseki ukuthi usanda kutholakala unesifo sikashukela noma usuneminyaka eminingi unesifo sikashukela , i-'CDCES' izokusiza ukuthi uqale lapho ukhona. Lokho kusho ukuthi ungahlangana nabo noma nini.

Isifo sikashukela siyisimo esiyinkimbinkimbi kakhulu esithinta izici eziningi zempilo yakho. Ukufinyelela nokugcina imigomo yakho yokuphatha kudinga ulwazi nolwazi ngezihloko ezahlukahlukene. Cabanga ngalezi zinto:

• Izakhi eziyinhloko zezakhamzimba ekudleni (`(Ama-carbohydrate)`, `(Amaprotheni)`, `(Amafutha)`) - nokuthi zihlangana kanjani ndawonye - zithinta amazinga kashukela egazini lakho.
• Indlela izinhlobo ezahlukene zomsebenzi womzimba ezithinta ngayo amazinga kashukela egazini lakho.
• Indlela imithi yesifo sikashukela ehlukene esebenza ngayo.
• Indlela yokuqapha impilo yakho ukuze uthole izinkinga ezihlobene nesifo sikashukela .
• Indlela yokuxazulula izinkinga ezivela ekuphathweni kwesifo sikashukela.
• Indlela isifo sikashukela esithinta ngayo ezinye izifo onazo – kanye nokunye.
• Intuthuko entsha kwezobuchwepheshe bokuphatha isifo sikashukela .
• Indlela yokufaka ukuphathwa kwesifo sikashukela empilweni yakho yansuku zonke .

Kunzima ukufunda nokuzivumelanisa nakho konke lokhu wedwa, akunjalo? Yilapho i-'CDCES' ingena khona ukuzokusiza. Njengoba impilo yakho ishintsha, ukuphathwa kwakho kwesifo sikashukela kudingeka kushintshe ngakho. Ukuhlangana ne-'CDCES' ngesikhathi sokuxilongwa naphakathi nempilo yakho kuyoba usizo olukhulu ekwenzeni uhambo lwakho lube yimpumelelo.

Ungaba kanjani yi-CDCES? Ake sithole okuncane ngalokho futhi.

Ngisho noma lokhu kungakusebenzi ngqo kuwe, kuhle ukwazi ukuthi hlobo luni lweziqu i-'CDCES' enazo. Ngaleyo ndlela uzoba nokuzethemba okwengeziwe kuzo.

Ayikho indlela eyodwa yokuba yi-'CDCES'. Abanye ochwepheshe bezempilo bakhetha umsebenzi wabo ngenhloso yokuthola lesi sitifiketi. Abanye bathola lesi sitifiketi ngemva kweminyaka eminingi besebenza.

I-Certification Board for Diabetes Care and Education Specialists (CBDCES) ikhipha futhi igcine isitifiketi se-CDCES. Iphinde inqume izindlela zokufaneleka.

Ukuze ufake isicelo sokuhlolwa kwe-'CDCES' futhi uthole isitifiketi, kumele ube usuqedile okulandelayo:

• Kumelwe ube nelayisensi yochwepheshe bezempilo yamanje . Isibonelo, ungaba ngumhlengikazi obhalisiwe, isazi sokudla esibhalisiwe, noma umsizi kadokotela. Iwebhusayithi ye-CBDCES ibala yonke le misebenzi efanelekayo.
• Kumelwe ube neminyaka emibili yokuqeqeshwa okujwayelekile kobungcweti - kungaba ngomsebenzi noma ngokuzithandela.
• Amahora ayi-1000 esipiliyoni emfundweni yesifo sikashukela kungakapheli iminyaka emine .
• Kumelwe ukuthi ngiqede amahora angu-15 emfundo eqhubekayo ehlobene nesifo sikashukela (CE) eminyakeni emibili edlule .

Uma bephumelela ukuhlolwa kwe-'CDCES', bathola ngokusemthethweni isitifiketi se-'CDCES'. Lesi sitifiketi kumele sivuselelwe njalo eminyakeni emihlanu. Lokhu kusho ukuthi bavuselelwa njalo ngolwazi olusha.

Ungakwazi yini ukuba umfundisi wesifo sikashukela ngaphandle kokuba ngumhlengikazi? I-CBDCES iphinde yethula indlela ekhethekile ebizwa ngokuthi i-Unique Qualifications Pathway (UQP). Lokhu kuyinto engavamile kancane, kodwa kuyindlela yokuba yi-CDCES. Uma ungenayo ilayisensi yobungcweti bezempilo efanelekile njengomhlengikazi obhalisiwe, ungase ukwazi ukusebenzisa indlela ye-UQP. Kulokhu, kumele okungenani ube neziqu ze-master emkhakheni ohlobene nezempilo (isb., Clinical Social Work) ezivela ekolishi noma eyunivesithi e-United States. Ukuze ube yi-CDCES ngaphansi kwale ndlela, kumele uqale uvunyelwe yi-CBDCES.

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

Ukuphatha isifo sikashukela kungaba nzima ngezinye izikhathi. Kuningi okufanele ukufunde futhi ukuqonde. Njengoba impilo yakho ishintsha, uhlelo lwakho lokuphatha nalo ludinga ukushintsha.

Kodwa khumbula, awuwedwa. I-"CDCES," uchwepheshe we-Certified Diabetes Care and Education, angakusiza ufunde ngobunzima besifo sikashukela futhi akunike amandla okusiphatha ngempumelelo.

Khuluma nodokotela wakho bese ubuza ngokuhlangana ne-'CDCES'. Bakulungele futhi bazimisele ukukusiza. Impilo yakho isezandleni zakho. Ungalokothi unqikaze ukuthola ulwazi nokusekelwa okudingayo.

Isifo Sikashukela, i-CDCES, Imfundo Yesifo Sikashukela, Ukunakekelwa Kwesifo Sikashukela, Ushukela Egazini, i-Insulin, Amathiphu Ezempilo