Kia mōhio tātou ki te taumata o tō huka toto (Whakamātautau Huka Toto)? Mō te mate huka anake tēnei mahi?

Kia ora! Kei te pēhea koe? I tēnei rā ka kōrero tātou mō tētahi kaupapa he mea nui ki te tini tāngata. Arā, ko te tirotiro i ngā taumata huka toto, e kīia nei ko te "Whakamātautau Huka Toto". Kua oti pea i a koe tēnei "whakamātautau". Kua rongo rānei koe i tētahi e kōrero ana mō tēnei. Kia tirohia tātou he aha tēnei, he aha i mahia ai, me pēhea te mahi, katoa i roto i ngā kupu māmā.

He aha te Whakamātautau Huka Toto?

He whakarāpopototanga noa iho tēnei, he whakamātautau e ine ana i te nui o te huka (glucose) i roto i tō toto. Ko te nuinga o tēnei whakamātautau ka whakamahia hei whakatau mēnā he mate huka tōu, he mōrearea rānei ki te whakawhanake i te mate huka. Heoi, ehara i te mea mō te mate huka anake tēnei whakamātautau. Ka kōrerohia tēnei i muri mai.

E rua ngā momo matua o tēnei whakamātautau.

Titiro mai, e rua ngā huarahi hei mahi i tēnei whakamātautau huka toto.

• Whakamātautau huka toto kāpia: Ko te wero i tō matimati ki tētahi ngira iti, ka tangohia he pata toto. Mō ngā tamariki nohinohi, he maha ngā wā ka mahia tēnei mai i te rekereke. Kātahi ka whakatakotoria te pata toto ki runga i tētahi rīpene whakamātautau, ka whakaurua ki roto i tētahi mita huka toto, ka taea te ine i ō taumata huka toto i roto i ngā hēkona ruarua. Tērā pea kua kite koe i ngā tāngata mate huka e tirotiro ana i ō rātou huka toto i te kāinga i tēnei ara. Ka puta he hua tere.

• Whakamātautau huka toto uaua/plasma: Ko te tikanga o tēnei ko te tango i tētahi toto iti mai i tētahi uaua i roto i tō ringa mā te whakamahi i tētahi pūwero. Ka mahia tēnei e tētahi tohunga phlebotomist, he tangata kua whakangungua ki te tango toto. He maha ngā wā ka mahia tēnei me ētahi atu whakamātautau toto, pērā i te Basic Metabolic Panel (BMP). Kātahi ka tukuna te tauira toto ki tētahi taiwhanga hei whakamātautau.

Ko te tikanga, he tika ake ngā hua o te whakamātautau toto uaua i ērā i puta mai i te whakamātautau maihao.

He momo whakamātautau huka anō kei reira?

Āe, he maha atu anō ngā huarahi.

• Whakamātautau Huka Toto Nohopuku: He whakamātautau nui anō hoki tēnei hei kimi mēnā he mate huka tōu. Ka rerekē te taumata huka toto i muri i tā tātou kai. Nō reira, mā te mahi i tēnei "whakamātautau" i muri i ētahi haora (8-12 haora te nuinga) me te kore e kai, e inu rānei i tetahi mea (he wai anake ka taea e koe te inu), ka taea e koe te mārama ki tō "huka toto taketake".

• Te aroturuki i te huka toto i te kāinga: He mea tino nui tēnei mō te hunga mate huka. Ka aroturukihia e rātou ō rātou taumata huka toto i ia wā, mā te mita huka toto e werohia ai ō rātou maihao ki te ngira iti, mā te taputapu aroturuki huka toto tonu (CGM) rānei, he taputapu iti e piri ana ki te kiri. He mea nui te noho mōhio ki ō taumata huka toto i tēnei ara kia mau tonu ai te whakahaere i tō mate huka.

He aha rawa te huka (glucose) i roto i te toto?

Whakaarohia, ko te hukahuka te wahie matua e homai ana te kaha ki te tinana. Ko te nuinga o tēnei hukahuka ka puta mai i ngā warowaihā i roto i ngā kai e kainga ana e tātou, e inuhia ana hoki e tātou. Ka puta hoki i tō tātou ate ētahi hukahuka. Ka haere tēnei hukahuka mā roto i te toto ki ngā pūtau puta noa i te tinana, ki reira ka whakaratohia te kaha e hiahiatia ana e rātou.

He maha ngā tukanga i roto i tō tātou tinana e āwhina ana ki te pupuri i te taumata tika o te hukahuka i roto i te toto. He mahi nui tā te homoni insulin i roto i tēnei.

Ko te mea nui ko te pupuri i te taumata huka toto ki te taumata hauora.

Ki te mea he teitei tonu ngā taumata huka toto, ka kiia tēnei he hyperglycemia. He tohu tēnei mō te mate huka. Ka puta te mate huka ina kore e nui te insulin e whakaputaina e tō repe taiaki, ina kore rānei e taea e tō tinana te whakamahi tika i te insulin e whakaputaina ana e ia.

He aha te wā me tirotiro e koe tō huka toto?

He maha ngā take hei mahi i tēnei 'whakamātautau'. Tirohia mēnā e pā ana tētahi o ēnei ki a koe:

• Hei whakamātautau toto auau i whakahaua e tō tākuta: I ētahi wā ka whakahau tō tākuta i tētahi "Pane Pūnaha Matepukupuku Taketake (BMP)" me tētahi "Pane Pūnaha Matepukupuku Whānui (CMP)" rānei hei whakamātautau toto auau. Kei roto hoki i ēnei "pane" e rua te ine i ō taumata huka.
• Mena kei a koe ngā tohu o te huka toto tiketike, iti rānei: Ka tino matewai koe, ka mimi pinepine, ka heke te taumaha, ā, ka ngenge koe, arā, ngā tohu o te huka toto tiketike (Hypoglycemia), ki te mea rānei kei a koe ngā tohu o te huka toto iti (Hypoglycemia), pērā i te werawera, te wiri, te wiri, me te hiakai, ka tonoa e tō tākuta tēnei whakamātautau.
• I te wā e hapu ana: Ka pāngia ētahi tāngata e te mate huka wā poto e kiia nei ko te "mate huka hāputanga" i te wā e hapu ana. Koinei anō te ine i te huka toto ina mahia he "whakamātautau manawanui huka" hei kite.
• Mena ka tangohia e koe ētahi rongoā mō te wā roa: Hei tauira, ka pāngia pea ō taumata huka toto e ngā rongoā pēnei i te corticosteroids ina whakamahia mō te wā roa. I roto i ēnei āhuatanga, ka tohutohu pea tō tākuta kia tirohia tonutia ō taumata huka.

Ko te whakamātautau huka toto e tino kitea ana ko te tirotiro i te mate huka momo 2 (T2D). Mena he take mōrearea tōu mō te mate huka (hei tauira, he hītori whānau mō te mate huka, he momona, he kore whakakori tinana), ka tūtohu pea tō tākuta kia whakamātauhia tēnei whakamātautau i ia wā, ahakoa tō tau. E taunaki ana te American Diabetes Association kia whakamātauhia te hunga katoa neke atu i te 35 tau te pakeke.

Me pēhea te whakarite i mua i tēnei whakamātautau?

Mena kei te whakamātautau huka toto koe i te nohopuku,Kaua e kai, kaua e inu i tetahi mea (haunga te wai) mō ngā haora 8 ki te 12 i mua i te whakamātautau.

Mena ka whakamātauhia tō huka toto hei wāhanga o te "Basic Metabolic Panel (BMP)" me te "Comprehensive Metabolic Panel (CMP)" rānei, me nohopuku pea koe mō ētahi haora. Heoi, ki te hiahia koe ki te whai i ētahi tohutohu motuhake, ka whakamōhio atu tō tākuta i mua i te wā. Nō reira, kāore he mea hei manukanuka.

He aha ngā mea ka tupu i te wā o te whakamātautau?

Ka rerekē paku anō hoki tēnei i runga i te momo whakamātautau e mahia ana e koe.

I roto i tētahi whakamātautau e tangohia ai te toto mai i tētahi uaua (whakamātautau huka toto):

• Ka whakanohoia koe ki runga i tētahi tūru.
• Kātahi ka tīpakohia e te tākuta toto tētahi uaua ngāwari i roto i tō ringa hei tango toto. I te nuinga o te wā, kei te tuke.
• Kia kitea te uaua, ka horoia pai te wāhi, ka patua hoki.
• Kātahi ka werohia he ngira iti ki roto i te uaua, ā, ka tangohia he tauira toto.
• Kia werohia te ngira, ka kohia he iti o te toto ki roto i tētahi ngongo whakamātautau iti.
• I muri i te tango toto, ka tangohia te ngira, ā, ka whakatakotoria he miro, he kākahu rānei ki te wāhi i werohia ai hei whakamutu i te toto.
• Hei whakamutunga, tāpirihia he takai iti ki te wāhi kua oti. He tino māmā noa iho.

I roto i te whakamātautau matimati (whakamātautau huka toto capillary):

• Ka pātai atu tētahi kaimahi hauora ki a koe ko tēhea maihao hei tango toto māu.
• Kātahi ka horoia ō matimati ki te waikura waipiro.
• Muri iho, ka whakamahia he ngira iti e kiia nei ko te "lancet" (kei roto i tētahi taputapu kirihou iti tēnei i te nuinga o te wā) hei wero i te pito o te maihao. Kāore tēnei i te tino mamae.
• Kātahi ka pēhia mārire te pito o tō matihao kia puta he pata toto.
• Ka whakatakotoria taua pata toto ki runga i tētahi rīpene whakamātautau e hono ana ki tētahi mita huka toto.
• Kia oti te tango toto e ranea ana mō te whakamātautau, ka hoatu e rātou he miro, he tauera rānei ki a koe hei whakamutu i te toto, ā, ka tono atu kia puritia pūmau ō matimati.
• I roto i ētahi hēkona ruarua, ka whakaatuhia e te mita huka te taumata o tō huka toto ki runga i te mata.

Titiro mai, he tino māmā hoki tēnei.

Kia pēhea te roa ka mōhiotia ai ngā hua?

Mena he whakamātautau huka toto uaua tāu, ka kitea pea ngā hua i roto i te rā kotahi, e rua rānei.

Ka taea te tiro i ngā hua o te whakamātautau huka toto capillary i roto i ētahi hēkona mā te whakamahi i te mita huka.

He aha te taumata huka toto e tika ana kia noa?

Ko te taumata huka toto hauora mō te tangata kāore he mate huka me noho i waenga i te 70 me te 99 mirikaramu ia teririta (mg/dL) . Ara, i roto i ngā mirimiora ia rita (mmol/L), i waenga i te 3.9 me te 5.5 (3.9-5.5 mmol/L) .

I ētahi wā, ko ngā uara i waenga i te 50 mg/dL (2.8 mmol/L) me te 70 mg/dL (3.9 mmol/L) ka "noa" pea mō te hunga kāore he mate huka.

He aha te tikanga o te huka toto tiketike?

Mena kei waenga i te 100 mg/dL me te 125 mg/dL (5.6 mmol/L me te 6.9 mmol/L) te taumata o tō huka toto, he tohu tēnei kei a koe te mate huka tuatahi . E 50% te tūponotanga o te hunga whai mate huka tuatahi ki te whakawhanake i te mate huka momo 2 i roto i ngā tau 5 ki te 10 e whai ake nei. Engari ko te mea pai rawa atu, ka taea e koe te mahi i ngā mahi hei whakakore i te mate huka tuatahi.

Mena he 126 mg/dL (7.0 mmol/L) te taumata huka toto, neke atu rānei i ngā whakamātautau huka toto nohopuku maha, ko te tikanga he mate huka koe. Tērā pea he tino tiketike ngā taumata huka toto o te hunga whai mate huka momo 1 (200 mg/dL, 11.1 mmol/L rānei, neke atu rānei).

Ahakoa pēhea, tera pea ka tonoa e tō tākuta he whakamātautau A1c i mua i te tautuhi i te mate. Ka whakaatuhia e te whakamātautau A1c ō taumata huka toto toharite mō ētahi marama.

He aha atu anō ngā take e piki ai te huka toto?

Āe, i tua atu i te mate huka, ka piki ake ngā taumata huka toto nā ētahi atu take:

• Ngā raruraru ki ō repe adrenal, hei tauira, te mate Cushing.
• Ngā raruraru ki te pancreas, hei tauira, te pancreatitis.
• Te mate taiaki nui.
• Te pāngia e te ahotea hinengaro nui, hei tauira i muri i te pokanga, i tētahi aituā kino rānei (ngā whara).
• Ko ētahi rongoā, inā koa ko ngā corticosteroids.

He aha te tikanga o te huka toto iti?

He tino iti te taumata huka toto o te 70 mg/dL, iti iho rānei (Hypoglycemia) mō te pakeke e mate huka ana.

He mea noa te pāngia e te hypoglycemia i roto i te hunga mate huka momo 1. Ka pāngia hoki te hunga mate huka momo 2 e tango ana i ētahi rongoā. Heoi, he onge ēnei āhuatanga i roto i te hunga kāore he mate huka.

Ahakoa kāore koe i te mate huka, ko te iti o te huka toto he tohu pea mō:

• Mate ate
• mate whatukuhu
• Te mate pūkahukahu
• Te mate a Addison (te ngoikore o te adrenal)
• Te Mate Whakamahi Waipiro (AUD)
• Insulinoma (He pukupuku tino onge tēnei)

Ko te tikanga he maha ngā wā ka puta te iti o te huka toto i ēnei āhuatanga. Kaua te tangata kāore he mate huka e wehi i te iti o te huka toto.

He mea noa te mataku ina kite koe i tētahi hua whakamātautau rerekē. Engari kia maumahara, ko te taumata huka toto kotahi te teitei, te iti rānei, ehara i te mea he mate hauora tōu, he hiahia rānei koe ki te maimoatanga. Ehara i te whakamātautau toto anake te whakamahinga a ngā tākuta hei tātaritanga i ngā mate pēnei i te mate huka. Kaua e wehi ki te pātai ki tō tākuta. Kei reira rātou hei āwhina i a koe.

Āe, he aha ngā mea hei maumahara mā tātou i ēnei mea katoa? (Karere hei tango mā te kāinga)

Āe, kua maha ā tātou kōrero mō tēnei "Whakamātautau Huka Toto". Anei ētahi mea hei maumahara poto:

• Ahakoa te whakamahinga matua o te whakamātautau huka toto hei tautuhi i te mate huka, ka taea hoki e ia te whakarato tohu mō ētahi atu āhuatanga hauora.
• Haunga ngā whakamātautau tere o ngā maihao, tera atu anō ngā whakamātautau tika ake e mahia ana i roto i te taiwhanga mā te tango toto mai i te uaua.
• Mā te whakamātautau huka toto nohopuku koe e mōhio ai ki ō taumata huka toto taketake.
• I mua i tō mataku mō ngā hua, me kōrero koe ki tō tākuta. Kaua e whakatakoto i tētahi tātaritanga i runga i ngā hua o te whakamātautau kotahi.
• Mena kei te mōrearea koe ki te pāngia e te mate huka, kei te pāngia rānei koe e ngā tohumate, he mea tino nui kia mahia tēnei whakamātautau i ngā wā katoa e ai ki ngā tohutohu a tō tākuta.
• He mea nui te pupuri i ngā taumata huka toto ki roto i te awhe noa mō te oranga hauora.

Nō reira, ki te tono atu tō tākuta kia mahia e koe tēnei "(Whakamātautau Huka Toto)", kāore he mea e wehi ai, e whakapae ai rānei. He mea nui noa iho tēnei hei tirotiro i tō hauora. Kei te mārama koe?

Huka toto, whakamātautau huka toto, mate huka, taumata huka, whakamātautau nohopuku, hyperglycemia, hypoglycemia