Ina kōrero koe mō te mate huka, kua rongo pea koe i ngā momo e rua, arā, te Momo 1 me te Momo 2, tika? Ko te nuinga o tātou e whakaaro ana ko te mate huka Momo 1 ka pā ki ngā tamariki me ngā taiohi anake, ā, ko te Momo 2 ka pā ki ngā pakeke anake. Engari ehara i te mea pono rawa tēnā. Ka taea hoki te whanake te mate huka Momo 1 i te pakeketanga. Tērā pea ka ngaro tēnei i ngā tākuta i ētahi wā, ā, ka roa pea te tautuhi tika i te mate. Nō reira, i tēnei rā ka kōrero tātou mō tēnei kaupapa nui.
He aha te mate huka momo 1 e pā mai ana ki te pakeke?
He rite tonu tēnei ki te mate huka momo 1. Engari ka tīmata i te pakeketanga. Ko te repe taiaki he okana i roto i tō tātou tinana e whakaputa ana i te homoni e kiia nei ko te insulin. Ka āwhina tēnei insulin i ngā pūtau o te tinana ki te mimiti i te huka (glucose) i roto i te kai e kainga ana e tātou hei pūngao.
Ka puta te mate huka momo 1 ina whakaekea hētia e te pūnaha ārai mate o te tinana ngā pūtau e whakaputa ana i te insulin, ā, ka whakangaromia. He mate pūnaha ārai mate tēnei. Ina puta i roto i ngā pakeke, e mōhiotia ana i roto i te rongoā ko te Latent Autoimmune Diabetes in Adults (LADA) .
Ka tīmata tēnei mate i muri i te 30 tau te pakeke. Nā te mea he rite tonu ōna tohu ki te mate huka momo 2, he maha ngā tāngata ka hē te tautuhi i a rātou he mate huka momo 2. Engari he mea nui kia mārama koe ki te rerekētanga i waenga i ngā mate e rua, kia whiwhi ai koe i te maimoatanga tika māu.
He rerekē tēnei i te Momo 1 e pā ana ki ngā tamariki?
Whakaarohia pēnei: Ko te mate huka momo 1 me te mate huka LADA i roto i te tamarikitanga he rite ki ngā kiripuaki e rua i roto i te pūrākau kotahi. E rua ngā mea e pā ana ki te pūnaha ārai mate e whakaeke ana i te repe taiaki. Engari ko te rerekētanga matua ko te tere o te whanaketanga o te mate.
- Te mate huka momo 1 i roto i ngā tamariki: Ka tere te whanake o tēnei. Ka tere te whakangaromanga o ngā pūtau o te repe taiaki, ā, ka mutu te hanga o te insulin. Nō reira, ka tere te puta o ngā tohu, ā, me tīmata tonu te werohanga insulin.
- LADA e pā ana ki te pakeketanga: He tino puhoi te whanaketanga o tēnei. Ka āta whakangaromia ngā pūtau o te repeure. Nō reira, ka whakaputa te tinana i ētahi insulin i ngā wāhanga tōmua. Nā tēnei take, he maha ngā wā ka pohehetia ai ko te momo mate huka 2. Ka karangatia hoki e ētahi tākuta ko te "mate huka momo 1.5".
He aha ngā take mō tēnei āhuatanga?
Kāore anō kia mōhiotia te tino take e whakaeke ai tō tātou ake pūnaha ārai mate i te repe taiaki, engari e whakaponohia ana tera pea ētahi āhuatanga e whai wāhi ana ki tēnei.
- Te awe ira: Mena he mate huka momo 1 ō mātua, he nui ake te tūponotanga ka pāngia koe e te mate.
- Ngā huaketo, ngā āhuatanga taiao rānei:Ka taea e ētahi mate huaketo, ētahi paitini rānei i te taiao te whakaoho i tēnei tukanga ārai mate.
- Te Āhua Noho: Kāore i rite ki te mate huka momo 1 i roto i ngā tamariki, ka pāngia hoki ngā pakeke e ētahi āhuatanga noho. Hei tauira, ko te momona, te kore whakakori tinana, te momi hikareti, me te inu waipiro ka piki ake te mōrearea.
He aha ngā tohu ka taea te tautuhi?
I ētahi wā ka kitea tēnei āhuatanga, kāore he tohu. Heoi, ko ngā tohu tino kitea he rite ki ngā tohu o te mate huka momo 2. Tērā pea ka puta mārire ēnei i roto i ētahi marama.
| Tohu | Whakaahuatanga |
|---|---|
| Te matewai nui me te hiakai | Kāore i te makona ahakoa te nui o te wai e inuhia ana e koe, te nui rānei o te kai e kainga ana e koe. |
| Te mimi pinepine | Te hiahia kia mimi pinepine, ina koa i te pō. |
| Ngenge rerekē | Te ngenge me te ngoikore i ngā wā katoa, kāore he take. |
| Te whakahekenga taumaha ohorere | Te whakaiti taumaha me te kore he whakarerekētanga o te kai, o te korikori tinana rānei. |
| Te tirohanga pōuri | Ngā panonitanga o te tirohanga, te kore e taea te kite mārama. |
| Ngā mate pāwera auau | Ngā mate rewena maha o te kiri, te ara mimi, te tara rānei i roto i ngā wāhine. |
| Ētahi atu āhuatanga | He manawa hua, he ngoikore ngā peka, he kiri maroke, he kiri mākūkū. |
He pēhea rawa te kitenga a te tākuta i tēnei?
He uaua pea i ētahi wā te tautuhi i te mate huka momo 1 i roto i te pakeke. Nā te mea ka āta puta ngā tohu, ā, nā te mea ka taea te whanake i roto i te hunga taumaha noa engari kāore i te momona, pērā i te nuinga o te hunga e pāngia ana e te mate huka momo 2, ahakoa te tākuta, kāore pea e tino whakapae i te tuatahi.
Ko te mea nui, ki te puta ngā tohu o te mate huka ki a koe, me toro atu ki te tākuta tonu, me te whakahaere i ngā whakamātautau e tika ana.
He maha ngā whakamātautau e whakamahia whānuitia ana hei tirotiro i te mate huka:
- Whakamātautau hemoglobin glycated (A1c): Mā tēnei ka tirohia te taumata huka toto toharite mō ngā marama 2-3 kua hipa.
- Whakamātautau huka toto nohopuku: He whakamātautau e mahia ana i te ata i mua i te kai, i te inu rānei i tetahi mea.
- Whakamātautau huka toto matapōkere: He whakamātautau ka mahia i ngā wā katoa o te rā.
Kia whakaūtia te mate huka e ēnei whakamātautau, ka whakahaerehia ētahi atu whakamātautau motuhake hei whakatau mēnā he Momo 1 (LADA) he Momo 2 rānei.
- Whakamātautau Paturopi: Ka whakamātauhia te toto mō te aroaro o ngā paturopi motuhake (autoantibodies) e kitea ana i te mate huka Momo 1. Kāore ēnei e kitea i te mate huka Momo 2.
- Whakamātautau C-peptide: Ko te C-peptide tētahi atu matū ka hangaia e tō tātou tinana ina hanga ana i te insulin. Ko te iti o ngā taumata o tēnei matū he tohu kāore e ranea te insulin e hangaia ana. He iti ngā taumata C-peptide i te LADA, engari i te Momo 2, ka taea te noho noa, te teitei rānei.
Me pēhea te rongoā?
Mena kua tāpaetia koe kei te mate LADA, ko te whāinga matua o te maimoatanga he whakahaere i ō taumata huka toto me te whakaroa i te kino haere o te mate.
I ngā wāhanga tōmua, kāore pea e hiahiatia he werohanga insulin. Ka taea te whakahaere i te mate mā te kai hauora, te whakakori tinana auau , me ngā rongoā mate huka pea (hei tauira, `Metformin`, `Dipeptidyl peptidase (DPP)`).
Heoi, i te mea ka ngoikore haere te mahi a te repe taiaki i roto i te wā, tera pea e hiahiatia te rongoā insulin. Me kōrero koe ki tō tākuta mō te mahere maimoatanga e pai ana mōu.
Ngā huringa āhua noho
- Ki te kai paipa koe, kati.
- Ki te taumaha rawa koe, whakaitihia tō taumaha.
- Te whakakori tinana mō te iti rawa 150 meneti i te wiki.(Heoi, he mea nui kia kōrero koe ki tō tākuta i mua i te tīmatanga o te whakakori tinana, kia whiwhi tohutohu ai koe mō te whakahaere i ō taumata huka toto i a koe e whakakori tinana ana).
- Kōrero ki tō tākuta, ki tō tohunga kai rānei mō tētahi mahere kai e pai ana mō te mate huka.
He aha ngā raruraru ka puta mai mēnā kāore e taea te whakahaere?
Pērā i ngā mate huka katoa, ka taea e te LADA te arahi ki ngā raruraru nui mō te wā roa mēnā kāore e tika te whakahaere. Engari kia maumahara, mā te pupuri i te taumata huka toto kia pai te whakahaere ka tino whakaiti i te tūponotanga o ēnei raruraru.
- Ngā raruraru kanohi (hei tauira, te glaucoma)
- mate whatukuhu
- Te mate manawa, te toto toto tiketike me te whiu
- Te pakaru o te io
- Ngā whara me ngā mate pāwera o te waewae
Nō reira, he mea tino nui kia kite i te tākuta i te wā tika, kia tangohia te rongoā e ai ki te whakahaunga, ā, kia tirohia tonutia hoki ō taumata huka toto.
Karere Tangohia ki te Kāinga
- Ka taea hoki te whakawhanake i te mate huka momo 1 i roto i ngā pakeke. Ko tōna ingoa motuhake ko te LADA (Latent Autoimmune Diabetes in Adults).
- Ka puta tēnei i tētahi raruraru o te pūnaha ārai mate, ā, ka puhoi ake te whanaketanga i tērā Momo 1, e pā ana ki ngā tamariki.
- Nā te mea he rite ngā tohu ki te mate huka momo 2, he maha ngā wā ka hē te tautuhi i tōna mate.
- Ka taea e ngā whakamātautau toto te tirotiro i ngā taumata huka me ngā paturopi motuhake hei whakarato i te tautuhi tika.
- Tērā pea ka uru atu ki te maimoatanga ngā whakarerekētanga o te āhua noho, ngā rongoā, me te werohanga insulin i roto i te wā. Me whai tonu i ngā tohutohu a tō tākuta.
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