He mate huka koe, he pakeke ake rānei? He mate huka rānei tō whaea, tō pāpā, tō kuia, tō koroua rānei? E mōhio ana tātou katoa ki te hiranga o te pupuri i ngā taumata huka toto i roto i te awhe tika. Engari i mōhio koe i ētahi wā, ina ngana rawa tātou ki te whakahaere i ō tātou taumata huka, ka nui ake te kino i te pai? Koinei tā tātou e kōrero nei i tēnei rā.
Ka mate pea te tangata i te nui rawa o te maimoatanga
E taunaki ana ngā tākuta kia mau tonu te nuinga o te hunga mate huka i tētahi whakamātautau HbA1c (Hemoglobin A1c) hauora, e ine ana i ngā taumata huka toto toharite i roto i ngā marama kua taha ake nei. Nā te mea he tino kino te taumata huka toto teitei i roto i te wā roa, e mōhiotia ana ko te hyperglycemia , ki te tinana. Ka taea e tēnei te arahi ki ngā raruraru nui mō te wā roa pērā i te ngoikore o te mahi roro, te kino o ngā whekau o roto, me te mate ngakau.
Engari ko te mea nui i konei, ko te roanga o te whanaketanga o ēnei raruraru roa mō te 10 tau, neke atu rānei. Tērā pea ka roa ake tēnei wā i te toenga o te oranga o te tūroro kaumātua, inā koa me ētahi atu mate.
Heoi, ko te āhua e kiia nei ko te hypoglycemia , e heke ai te taumata huka toto ki raro rawa, ka nui ake ngā pānga wawe. Ka piki ake tēnei mōrearea i te kaumātuatanga. Ka taea e te hypoglycemia kino te arahi ki ngā hinganga morearea, te whakaurunga ki te hōhipera, tae atu ki te mate .
I kitea i roto i tētahi rangahau tata nei, kotahi hautoru o ngā pakeke i pāngia e te wā o te hypoglycemia nui i mate i roto i ngā tau e toru i muri i te huihuinga. Ko te tikanga o tēnei, he tino morearea ake te hypoglycemia i tā tātou e whakaaro nei.
He aha te take ka piki ake ai te mōrearea o te huka toto iti i te pakeketanga?
I te whakarapopototanga, nā ngā panonitanga o ō tātou tinana. I a tātou e pakeke haere ana, ka rerekē te pākia o te tinana. Ka piki ake te ātete ki te insulin. Waihoki, kāore pea ngā pūtau o te repe taiaki e whakaputa ana i te insulin e tere te aro atu ki ngā panonitanga o ngā taumata huka toto.
Kia arotahi tātou ki te aukati i te hekenga o te huka
He maha ngā tāngata mate huka e tohutohuhia ana kia pupuri i ō rātou taumata A1c i raro i te 7%. I ētahi wā, kāore tēnei whāinga e rerekē ahakoa te pakeketanga, te momo noho, me ngā āhuatanga hauora.
Kia whakaarohia a Whaea Kamala. E 71 tau te pakeke o ia ināianei. He mate huka ia mai i te 40 o ōna tau. He whāinga pakari anō hoki āna. He maha ngā wā ka pāngia ia e te hypoglycemia, inā koa i waenganui pō, i te ata rānei. I tōna mōhiotanga, kua tino heke te taumata huka toto.
"He wheako tino whakamataku," te kī a Whaea Kamala. " I tere te pao o tōku ngākau, i werawera ahau, ā, i pōuri ahau.""
Ko ngā kaumātua te hunga e kore e kite i ēnei tohu o te huka toto iti, nā te mea ko ētahi o ngā tohu, pērā i te ngenge, te riri, te kiri mā, me te ānini, ka ngāwari te pohehe hei mate kē atu, hei koroheketanga noa rānei.
Me pēhea te whakahaere i ngā taumata huka me te kore e whakanui i te rongoā?
Ahakoa i kitea e Kamala tētahi mahere rongoā e tika ana mōna, i tīmata tonu te whakahaere i ngā taumata huka toto i mua atu i tērā. Ko te mea ngaro ko te kai me te whakakori tinana .
Nā te mahere kai whaiaro i ahu mai i tētahi tohunga kai me te whakakori tinana auau i āwhina i a ia ki te whakaiti i te nui o tōna taumaha.
Kāore he mahere kai kotahi e pai ana mō te katoa. Ka whakaarohia e te tohunga kai tō āhua noho, ō pūrongo taiwhanga, me ō mea e pai ana, e kore hoki e pai ana ki a koe, kia puta ai he mahere e tika ana māu.
Ina whakakorikori tinana tātou, ka kaha ake ō tātou uaua. Ka nui ake ō tātou uaua, ka tere ake te tere o te pākia o te tinana, ā, ka āwhina tēnei i a tātou ki te whakahaere i ngā taumata huka toto. Nō reira, ahakoa kua kaumātuatia tātou, ka taea tonu e tātou te pupuri i tētahi momo noho hauora me te whakahaere i ō tātou tinana.
Te whakahē i te huarahi 'kotahi te rahi e pai ana mō te katoa'
Nā ēnei āhuatanga, tae noa ki ngā whakahaere hauora nui pērā i te American Diabetes Association kua whakahoutia ā rātou taunakitanga mō ngā pakeke. Nō reira, ko ā rātou taunakitanga e whai ake nei:
| Te āhua hauora o te tūroro kaumātua | Whāinga A1c kua tūtohutia |
|---|---|
| Ngā pakeke hauora, hihiko | I raro iho i te 7.5% |
| Ngā tāngata whai mate kē atu, ā, he hauora āhua pai | I raro iho i te 8.0% |
| Ngā tāngata he maha ngā mate, he ngoikore te hauora, he poto rānei te roa o te oranga | Kaua ngā whāinga A1c e whakawhirinakihia ki a rātou anake. Ko te whāinga matua o te maimoatanga he whakaiti i ngā tohu me te whakapai ake i te kounga o te oranga o te tūroro. |
Hei tauira, whakaarohia tētahi tangata 86-tau te pakeke ko Siripala tōna ingoa. Neke atu i te 7 tana A1c. Ahakoa i hiahia te tākuta ki te hoatu rongoā ki a ia, i whakatau ōna kaitiaki ki te whakarerekē i tana kai me te kawe i a ia ki te hikoi poto i ia rā. He mea miharo, i hoki noa ōna taumata huka toto ki te noho noa, kāore he nui o ngā huringa.
I a tātou e pakeke haere ana, i te wā e whakamahere ana tātou i te maimoatanga, he mea nui kia whakatairangahia te whakamarie o te tūroro i te mana whakahaere tino kaha.
Kōrero mai mōu ake.
Hei whakamutunga, ko te mea nui ko te noho hei pairati mō tō ake hauora. Kia mahara tātou ki te kōrero mō Kamala Aunty. I ētahi tau kua pahure ake nei, i pātai ia ki tana tākuta mō te `Continuous Glucose Monitor (CGM)` , e āhei ai ia ki te tirotiro i ōna taumata huka i te wā tonu me te kore e werohia tōna maihao. Engari i whakahē te tākuta.
"Nō reira i whakawhiti tākuta ahau," te kī a Kamala. Nā te mea kua whiwhi ia i te CGM, ka taea e ia te hanga i ngā panoni e tika ana, ā, kua pumau ake ōna taumata huka inaianei.
"Rapua he tākuta e mārama ana ki ngā kare ā-roto o tō tinana."
Ki te mea kei te whakaaro koe kāore tō tākuta e whakarongo ana ki a koe, kaua e wehi ki te toro atu ki tētahi atu tākuta. Ko te mea e pai ana mō tētahi tangata, kāore pea e pai mō te katoa. Me kōrero te katoa ki tā rātou tākuta, me te whakawhanake i tētahi mahere maimoatanga e pai ana mō rātou, mō ō rātou momo noho, me ā rātou whāinga hauora.
Karere Tangohia ki te Kāinga
- Mō ngā pakeke mate huka, ka tere ake te heke o te huka toto (hypoglycemia) me te mōrearea atu i te huka toto tiketike (hyperglycemia).
- Ehara i te mea me pupuri tonu e ngā pakeke katoa he mate huka ā rātou whāinga A1c tino pakari (<7%). Tērā pea he mea morearea.
- Kaua te mahere maimoatanga e "kotahi te rahi e pai ana mō te katoa." Me whakarite kia rite ki a koe, i runga i tō tau, tō hauora whānui, me tō momo noho.
- He taputapu whai mana te kai me te whakakori tinana, kāore he rite mō te rongoā.
- Kōrerohia mā te mahorahora ki tō tākuta mō ō whāinga hauora, ō āwangawanga, me ō whakaaro. Tautokohia koe anō.
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