I haere mai a Ruwan (45 tau te pakeke), he miihini pūmanawa, ki taku whare hauora i te ata o te Wenerei kua taha ake nei. I noho ia i roto i tōna tūru, me te āhua manukanuka me te kore āwhina.
"E Tākuta Priya, kua tino matewai ahau i ēnei rā. Ahakoa e inu ana ahau i te 5-6 rita wai i te rā, kāore tonu taku matewai e tineia. Me haere hoki ahau ki te wharepaku i ia 30-45 meneti. Me ara ake ahau i te pō i ngā wā 5-6 ki te haere ki te wharepaku. Hei tāpiri, ahakoa te nui o taku kai, kāore tonu taku hiakai e ngaro. Kei te tino hiakai ahau. Engari ahakoa ēnei mea katoa, kua heke taku taumaha mā te 4 kirokaramu i te marama kua hipa," te whakamārama a Ruwan i tōna mamae.
I tirohia e au te pūrongo whakamātautau huka toto a Ruwan, ā, i whakamārama atu ahau: "E Ruwan, kua piki ake tō huka toto nohopuku ki te 280 mg/dL. Ko ngā tohu e whakaahuahia ana e koe ko ngā tohu e kiia nei e te pūtaiao hauora ko ngā 3 P o te Mate Huka . Ko ēnei:
1. Polyuria: Te mimi pinepine.
2. Polydipsia: Te nui rawa o te matewai.
3. Polyphagia: Te hiakai nui rawa.
"I tēnei rā, me kōrero noa tātou mō te take e puta ai ēnei tohu e toru nā te nui o te huka i roto i te tinana, me pēhea hoki te karo i aua tohu."
🚨 Ngā tohu whero e hiahia ana kia rapu awhina hauora tonu
Ina kitea ngā āhuatanga matua e 3 o te mate huka, inā koa mō ngā tūroro e pāngia ana e te mate huka momo 1, ka taea e ngā taumata huka toto tiketike kāore e taea te whakahaere te arahi ki tētahi mate morearea e kiia nei ko te Diabetic Ketoacidosis (DKA) . Mena ka pāngia koe e ēnei tohu, me haere tonu koe ki te wāhanga ohorere o tō hōhipera tata:
- He kakara hua, he kakara ā-acetone rānei kei te manawa (he kakara manawa hua).
- Te manawa tere me te manawa hohonu tonu (te manawa Kussmaul).
- Whakapairuaki me te ruaki me te mamae nui o te puku.
- Te hiamoe nui, te hiamoe, te pōhēhē, te ngaro rānei o te māramatanga.
- Te nui ake o te huka toto i te 250 mg/dL, me te kitea hoki o ngā ketone i roto i te mimi.
Ko te papamuri pūtaiao kei muri i ngā 3 P o te mate huka
Ko ēnei tohu e toru ka puta mai i ngā mahi tahi a te tinana:
1. Polyuria - te mimi pinepine
Ina neke atu te taumata huka toto i te 180 mg/dL (Renal Threshold), kāore e taea e ngā whatukuhu te mimiti anō i te huka katoa ki roto i te toto. Kātahi ka tukuna te huka nui ki roto i te mimi. Ina tukuna te huka, ka kukumehia hoki he nui te wai mai i te tinana ki a ia anō nā te pēhanga osmotic. Ka kiia tēnei tukanga ko te Osmotic Diuresis . Nō reira, ka mimi pinepine te tūroro, ā, ka nui hoki.
2. Polydipsia - Te nui o te matewai
Ina ngaro te nui o te wai i te tinana nā te polyuria, ka maroke ngā pūtau o te tinana. Kātahi ka whakaohokia te pokapū matewai i roto i te roro (Hypothalamus), ka nui te matewai hei pupuri i te taurite wai o te tinana. Ahakoa te nui o te wai e inuhia ana e koe, kāore tēnei matewai e ngaro kia heke rā anō te taumata huka toto.
3. Polyphagia - Te hiakai nui rawa
I roto i te tinana hauora, he mea nui te homoni insulin kia uru ai te huka ki roto i ngā pūtau me te whakaputa pūngao. Heoi, i roto i te mate huka, nā te kore o te insulin, te ātete rānei ki te insulin, kāore e taea e te huka te uru ki roto i ngā pūtau. Nō reira, ahakoa he nui te huka i roto i te toto, ka noho hiakai tonu ngā pūtau. Ka whiwhi tonu te roro i te karere "kāore i te nui te pūngao", nō reira ka tino hiakai te tūroro. Nā te mea kāore ngā pūtau e whiwhi pūngao, ka tīmata te tinana ki te wawahi i te ngako me te uaua, ka heke te taumaha.
Ētahi atu āhuatanga hauora e pā ana ki te 3Ps
| Tohu | Ngā take ehara i te mate huka |
|---|---|
| Polyuria | Te Mate Huka Insipidus (tētahi atu raruraru homoni e kore ai e taea e ngā whatukuhu te whakahaere i te wai), te whakamahi i ngā rongoā diuretic, te nui rawa o te kawheine, te inu waipiro rānei. |
| Polydipsia | Ko te polydipsia hinengaro-whakakotahi, e hua mai ana i te ahotea, he āhuatanga e nui ai te konupūmā o te tinana. |
| Te maha o ngā pākia | Te hyperthyroidism, te pouri, me ētahi rongoā steroids. |
Ngā Mea Me Mahi, Ngā Mea Kaua e Mahi
| ✔️ Ngā mea hei mahi (Mahi) | ❌ Ngā mea kāore e tika ana |
|---|---|
| Mena kei te kitea ēnei tohu e toru, me whakahaere tonu he whakamātautau toto mō te Huka Toto Nohopuku (FBS) me te HbA1c. | Kaua rawa e inu wai huarākau huka, inu waikore, inu reka rānei hei whakamāmā i tō matewai. Ka taea e tēnei te whakanui ake i te taumata huka o tō toto, ā, ka mate pea. |
| Inumia he wai ma anake ina matewai koe. | Kaua e tīmata te tango i ngā pire mate huka (hei tauira, te metformin) ko koe anake, me te kore he tohutohu a te tākuta. |
| Tāpirihia ngā huawhenua matomato whai muka me ngā pata parai ki tō kai o ia rā. | Kaua e mataku, kaua hoki e mutu te kai ina puta mai ngā tohu. Ka taea e tēnei te heke kino rawa atu o te huka toto (hypoglycemia). |
❓ Ētahi atu pātai pea āu (FAQ)
He aha te rerekētanga o ēnei tohu i waenga i te mate huka momo 1 me te mate huka momo 2? ▼
I te mate huka momo 1, ka mutu katoa te hanga insulin e te tinana, nō reira ka tino kino ngā tohu 3P i roto i ētahi wiki. Heoi, nā te mea ka puhoi te whanaketanga o te mate huka momo 2 i roto i ngā tau maha, kāore pea ēnei tohu e kitea i ngā wāhanga tōmua.
Ka puta ēnei tohu i te wā o te prediabetes? ▼
Kāo, i te nuinga o te wā, kāore he tohu i te wā o te prediabetes, nā te mea kāore ngā taumata huka toto e piki ki te wāhi e puta ai ngā tohu 3Ps (kei runga ake i te Renal Threshold). Ka taea anake te tautuhi mā te whakamātautau toto.
Ka ngaro atu rānei ngā tohumate 3P ina whakahaeretia te mate huka? ▼
Ae, ina mau tonu ngā taumata huka toto i roto i te awhe noa (iti iho i te 140 mg/dL) mā te maimoatanga me ngā huringa momo noho, ka mutu te tuku huka a ngā whatukuhu, ā, ka mutu te tukanga o te osmotic diuresis. Ka ora katoa te matewai, te mimi pinepine, me te hiakai nui.
Ka taea te puta ēnei tohu i roto i te mate huka hāputanga? ▼
Ae, ka pā mai te mate huka i ngā huringa homoni i te wā e hapu ana (gestational diabetes), ka puta ai hoki te mimi pinepine me te matewai nui. Me whakamātautau OGTT te whaea e hapu ana i waenga i te 24-28 wiki.
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