Ina kī mai tō tākuta kei a koe te mate huka momo 2, he maha ngā huarahi hei whakahaere i tēnei mate. Ka taea e ngā mea pēnei i te kai pai me te whakakori tinana auau te whai hua nui. Engari i ētahi wā, me whakamahi pea koe i te insulin me ētahi atu rongoā hei whakahaere tika i ō taumata huka toto. Nō reira, e rua ngā huarahi matua hei tango i te insulin. Ko tētahi ko te insulin bolus, ko tētahi ko te insulin basal, koinei tā tātou e kōrero nei i tēnei rā.
Nā, he aha te insulin taketake?
Ki te whakarapopoto, ka kiia hoki tēnei ko te "insulin papamuri." Whakaarohia, ka whakaputa pakupaku te repeure i roto i te tinana o te tangata hauora i te insulin puta noa i te rā, 24 hāora ia rā. Ahakoa kāore tātou e kai ana, e hiahiatia ana tēnei nui o te insulin mō ngā tukanga nui o roto i tō tātou tinana. Koinei te mea e kiia nei e tātou ko te insulin taketake.
Kāore tēnei tukanga taiao e puta tika ana i roto i te tinana o te tangata he mate huka momo 2. Koinei te wā ka tūtohu tō tākuta kia tangohia e koe he "Inulin Tuturu" o waho. Ina werohia tēnei iniulin, ka tere te mimiti ki roto i te tinana, ā, ka āwhina ki te pupuri i te pumau o ngā taumata huka toto puta noa i te rā.
I te nuinga o te wā, ki te tīmata koe i te werohanga insulin mō te mate huka, ka tīmata tō tākuta ki te whakamahi i tēnei 'insulin taketake'. Ka taea e koe te tīmata me te werohanga kotahi i te rā. Ki te kore e ranea, ka tūtohu pea tō tākuta kia tāpirihia he insulin tere-mahi hei tango i mua atu i te kai, i muri rānei i te kai.
He aha ngā momo insulin taketake e wātea ana?
He maha ngā wā ka werohia te insulin taketake ki roto i te paparanga ngako i raro i te kiri. Ka taea e koe te whakamahi i te ngira me te pūwero mō tēnei. Kei reira anō ngā pene whakakorekore kua whakakīia, he tino ngāwari ki te whakamahi mō ētahi tāngata.
E toru ngā momo matua o te insulin taketake. He rerekē ēnei i te tere o te tīmatanga o te mahi i roto i te tinana (te tīmatanga), te wā e tae atu ai ki tōna taumata teitei (te tihi), me te roa o te noho ki roto i te tinana (te roa). Mā tō tākuta e whiriwhiri te momo e pai ana māu i runga i ngā āhuatanga pēnei i ō taumata huka toto me tō momo noho.
| Momo inihurini | Whakaahuatanga me ngā tauira |
|---|---|
| Mahi-waenga | Ka tīmata ēnei mahi i roto i te haora, e rua rānei, ka eke ki tōna taumata teitei i waenga i te 4-12 haora, ā, ka roa mō te 24 haora. Ex: NPH (Humulin N, Novolin N) |
| Mahi roa | E rua hāora te roa o te urunga o ēnei ki te toto. Engari e 24 hāora te roa o tā rātou mahi. Kāore he "tihi" nui o ēnei momo, arā, kāore he wā ki te eke ki tō rātou taumata teitei i te wā kotahi. Nō reira, ka whakaputa noa rātou i te insulin, ā, he rite tonu te pānga. Ex: Detemir (Levemir), Glargine (Basaglar, Lantus) |
| He tino roa te mahi | E 1-6 hāora te roa o te mahi a ēnei, engari ka roa pea mō te 36 hāora, neke atu rānei. Kāore hoki he "tihi" o ēnei momo, nō reira ka rite tonu te whai huatanga. Ex: Degludec (Tresiba), Glargine u-300 (Toujeo) |
He aha ngā painga o te whakamahi i te insulin taketake?
Ko tētahi o ngā painga nui o tēnei ko te werohanga kotahi, e rua rānei ngā werohanga i te rā, he tino whai hua tēnei ki te whakataurite ki te werohanga insulin me te kai.
Waihoki, ka nui tō herekoretanga me tō ngāwari . Kāore koe e hiahia ki te piri ki ngā wā kai, ki te werohanga rānei i a koe anō. Ka taea e koe te neke haere noa ki te kai, ki te mahi, ki te haereere rānei.
He tino āwhina ēnei insulin roa te mahi ki te aukati i te iti rawa o te huka toto (hypoglycemia), inā koa i te wā nohopuku i te pō.
He mea nui kia tūpato tātou ki te hypoglycemia i roto i te rongoā insulin. Ka taea e tēnei āhuatanga te whakararu i te ngākau, ā, i ētahi wā ka mate. Nō reira, ko te whakaiti i tēnei mōrearea he painga nui o te 'Basal Insulin'.
Nā reira, kāore ianei he ngoikoretanga? Me ako anō hoki tātou mō ngā pānga taha.
He rongoā tino haumaru te insulin, engari i ētahi wā ka puta pea ngā pānga taha iti noa iho.
Ko te mea tuatahi ko te utu . Tērā pea he nui ake te utu o ētahi insulin roa-mahi i ētahi atu momo insulin poto-mahi. Nō reira, he mea tēnā me whai whakaaro tātou.
Ngā pānga taha matua
- Te iti o te huka toto (Hypoglycemia):Ko te take matua mō tēnei, he nui ake te insulin e whiwhihia ana e te tinana i te nui o te huka i roto i te tinana i taua wā tonu. Ina tupu tēnei, ka pāngia pea koe e ngā tohu pēnei i te ngoikore, te wiri, te pukuriri, te werawera, me te pāorooro o te ngakau . Mēnā ka pāngia koe e tētahi mea pēnei, kai wawe i tētahi mea he iti te huka (hei tauira, he inu reka, he tōffee) ka whakamōhio atu ki tō tākuta.
- Te pikinga taumaha: He raruraru anō hoki tēnei mō te tini o te tangata. Mā te insulin ka āwhina ngā pūtau ki te whakamahi ngāwari i te huka i roto i ngā kai e kainga ana e tātou hei pūngao. Heoi, ki te nui ake ngā kaora e kainga ana e tātou i te mea e hiahiatia ana e tō tātou tinana, ka taea te penapena i taua huka tāpiri hei ngako i roto i ngā pūtau, ā, ka piki ake te taumaha. Koia te mea nui kia pai te kai me te whakakori tinana .
- Mate pāwera ki te wāhi i werohia ai: I ētahi wā ka whero, ka pupuhi, ka mākūkū rānei te wāhi i werohia ai. Ka taea te whakaiti i tēnei mā te huri i te wāhi i werohia ai, kaua e werohia ki te wāhi kotahi.
Me pēhea te whakatau i te horopeta o te insulin e hiahiatia ana?
He pātai tino nui tēnei. Kia maumahara, ko tō tākuta anake te hunga ka whakatau i te horopeta o te insulin e hiahiatia ana e koe. Kaua rawa e whakarerekē i te horopeta o tō insulin i runga i ō ake kare ā-roto, i ngā kōrero rānei a tētahi atu ki a koe.
I te nuinga o te wā ka tīmata tō tākuta i tētahi horopeta tīmatanga i runga i tō taumaha . Kātahi ka aroturukihia ō taumata huka toto mō ētahi rā, ā, ka whakatikatika haere i te horopeta (hei tauira, mā te 2-4 waeine) kia kitea ai te horopeta tika māu. He rite tēnei ki te whakamātau i tētahi kākahu. Ka roa te wā ki te kimi i te horopeta tika māu. Nō reira , kia manawanui, ā, kia tika te whai i ngā tohutohu a tō tākuta .
Karere Tangohia ki te Kāinga
- Ko te insulin taketake he maimoatanga e whai ana i te insulin "papamuri" e hangaia noatia ana e te tinana puta noa i te rā.
- He nui tō herekoretanga ina whakamahia ana tēnei nā te mea kua whakaitihia te maha o ngā werohanga ia rā, ā, kāore e herea ki te kai.
- Ko te painga matua ko te whakahaere pumau i te huka toto me te whakaiti i te mōrearea o te hypoglycemia, inā koa i te pō.
- Me mahi anake e tō tākuta te whakatau me te whakarerekē i te horopeta o tō insulin. Kaua rawa e ngana ki te whakarerekē i a koe anō.
- Kia tūpato ki ngā pānga taha pēnei i te iti o te huka toto me te pikinga o te taumaha. Mena he āwangawanga āu, kōrero ki tō tākuta mō ēnei.
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