He mate huka tōu? Ahakoa te kaha o tō ngana ki te tango i ngā rongoā kua tohua e tō tākuta i te wā tika, me te whakahaere i tō kai, ka piki rawa, ka heke rawa rānei ō taumata huka toto? Kāore rānei, ka heke rawa? Ka whakararuraru tēnei i tō rā katoa, ā, he maha ngā wā ka hiahiatia he wāhi noho ki te hōhipera? Kātahi pea he mate motuhake tōu e kiia nei e ngā tākuta ko te "Brittle Diabetes." Kaua e mataku ina rongo koe i tēnei. Me kōrero noa tātou mō ngā mea katoa.
He aha te Brittle Diabetes?
Ehara te "Brittle Diabetes" i te momo mate huka hou. Ehara i te mea he tātaritanga hauora mana. He kupu ngāwari noa iho, he ingoa e whakamahia ana hei whakaahua i tētahi āhua tino uaua, kāore i te pumau o te mate huka, he uaua ki te whakahaere. Ko te tikanga o te kupu "brittle" he "ngawari te pakaru." Ā, koinei tonu te āhua o tēnei āhua. Ka tino āta piki haere ngā taumata huka toto, ka ohorere.
I tēnei āhua, he maha ngā wā ka puta te huka toto iti (hypoglycemia) me te huka toto tiketike (hyperglycemia). Ka taea e tēnei te arahi ki te whakaurunga hōhipera pinepine. I ētahi wā ka kiia tēnei e ngā tākuta he "mate huka piripono".
Ko tēnei āhuatanga te mea tino noa i roto i te hunga mate huka momo 1. Heoi, ka taea hoki te pā ki te hunga mate huka momo 2, e whakawhirinaki ana ki ngā werohanga insulin. He maha ngā wā, ka puta tēnei āhuatanga "mate huka pakarukaru" i tētahi atu āhuatanga hauora, i tētahi raruraru hauora hinengaro rānei, hei tāpiri atu ki te mate huka.
He aha te uaua o te whakahaere i te mate huka? He aha ngā take?
He mahi uaua te whakahaere i ngā taumata huka toto. He maha ngā mea e pā ana ki tēnei, tae atu ki te kai e kainga ana e tātou, te whakakori tinana e mahia ana e tātou, te ahotea, me ngā huringa homoni. Ko te nuinga o te hunga mate huka ka ako ki te whakahaere i ēnei mea i roto i te wā. Engari i roto i te "mate huka pakarukaru," he mea kore e taea te matapae te āhua o te putanga mai o ēnei pānga. Koia te take ka taea e ngā taumata huka toto te huri ohorere.
Ka taea te wehewehe i ngā take ki ngā wāhanga matua e whā:
1. Ētahi atu āhuatanga hauora o te tinana.
2. Ngā raruraru hauora hinengaro.
3. Te koroheketanga me te ngaronga o te mahara.
4. Ngā take haumaru o te insulin me te kai.
Kia tirohia takitahitia ēnei e tātou.
1. Ngā āhuatanga ā-tinana e noho tahi ana
Ka taea e ētahi mate te whakaputa i ngā huringa o te urupare a te tinana ki te insulin (te ātete ki te insulin), ā, ka uaua ai te whakahaere i ngā taumata huka toto.
Ngā āhuatanga e piki pinepine ai te huka toto:
- Ngā kore taurite o ngā homoni: Ngā mate e pā ana ki ngā homoni pērā i te hyperthyroidism (thyrotoxicosis), te acromegaly, me te mate Cushing.
- Ētahi mate whānautanga onge (lipodystrophy whānau)
- Ngā mate pāwera e horapa ana puta noa i te tinana (mate pūnaha).
Ngā āhuatanga e heke pinepine ai te huka toto:
- Te Gastroparesis: He āhua tēnei e tino puhoi ana te tukunga o te kai i roto i te puku ki ngā whekau. Whakaarohia kei te kai koe i te raihi i te ata. E rua hāora te roa o te nakunaku. Engari nā tēnei āhua, ka tino puhoi te mahi a tō puku. Nō reira, ahakoa ka werohia e koe te insulin i mua i te kai, ka nakunaku te kai me te tāpiri i te huka ki te toto i muri i te 4-5 hāora. I taua wā, ka taea e te insulin te mahi, ā, ka tino iti tō huka (hypoglycemia). Ina nakunaku te kai, ka piki ohorere te huka. Kei te kite koe i te uaua o te whakahaere?
- Te mate a Addison: Ki te kore e rongoatia, ka taea hoki e tēnei mate te heke pinepine o te taumata huka toto.
- Mate Celiac: Ka ārai tēnei mate i te tinana ki te mimiti tika i ngā matūkai, ka hua ake ai he taumata huka toto kore pumau.
Ka taea hoki e ētahi rongoā, hei tauira ko ngā corticosteroids, te whakaputa i te "mate huka pakarukaru" ina whakamahia mō te wā roa.
2. Ngā āhuatanga hauora hinengaro
Ko ngā kare ā-roto o ō tātou hinengaro ka pā tika ki ō tātou tinana. Ko te noho me te mate pūmau pēnei i te mate huka tētahi o ngā taumahatanga nui rawa atu.
- Te ahotea nui, te manukanuka, me te pouri: Ka taea e ēnei āhuatanga te whakaiti i tō hihiri me tō kaha ki te whakahaere i tō mate huka. Tērā pea ka wareware koe ki te tango i tō rongoā i te wā tika, me te tirotiro i tō huka toto. Ka taea hoki e te ahotea te whakanui ake i ngā homoni e tukuna ana e tō tinana, ka taea ai te whakanui ake i ō taumata huka toto.
- Ngā mate kai: Ka uaua te whakahaere i te mate huka i ngā āhuatanga pēnei i te anorexia me te bulimia. Ko te Diabulimia, he āhuatanga e kitea ana i roto i te hunga whai mate huka momo 1, ko te karo i te horopeta insulin i te ngana ki te whakaiti i te taumaha. He tino morearea tēnei.
- Te whakamahi i ngā raau taero me te waipiro: Ka piki ake te taumata huka toto i ngā rongoā whakaohooho pēnei i te kōkaini me te opioids. He maha ngā wā ka heke te taumata huka toto i te waipiro.
3. Te koroheketanga me te ngaronga o te mahara
He uaua te whakahaere i te mate huka nā ngā āhuatanga pēnei i te mate wareware, ka puta pea tēnei i te kaumātuatanga.
- Tērā pea ka wareware koe ki te tango i tō horopeta insulin.
- Ka taea e koe te tango i te horopeta takirua mā te hē.
- Ka taea te whakapoauau i ngā momo insulin mahi poto me te insulin mahi roa.
- Kāore pea ngā taputapu pēnei i ngā papu insulin me ngā taputapu aroturuki huka tonu (CGM) e mahi tika.
4. Ngā take haumaru o te insulin me te kai
He take pāpori, he take ōhanga hoki tēnei e pāngia ana ētahi tāngata o tō tātou whenua.
- Te utu nui o te insulin: Nā te uaua o te hoko insulin, ka iti iho te horopeta e whakamahia ana e ētahi tāngata i te horopeta kua tohua. Ka taea e tēnei te arahi ki te taumata huka toto tino teitei me ngā mate morearea pēnei i te Diabetic Ketoacidosis (DKA) .
- Te korenga o te haumarutanga kai: Mā te kore kai me te kore inu i te wā tika ka kore e pumau te taumata o te huka toto.
He aha ngā tohu o tēnei mate?
Ko te tangata e pangia ana e te mate huka pakarukaru ka pāngia e ngā tohu taupatupatu o te huka toto iti (hypoglycemia) me te huka toto tiketike (hyperglycemia).
| Momo tohu | Ngā mea hei tiro |
|---|---|
| Ngā tohu o te huka toto iti (Hypoglycemia) | |
| Ngā āhuatanga iti |
|
| Ngā tohu kino (me rongoā tonu) |
|
| Ngā tohu o te huka toto tiketike (Hyperglycemia) | |
| Ngā tohu tōmua |
|
| Ngā āhuatanga mō te wā roa |
|
He aha ngā raruraru ka pā mai i tēnei?
Kāore te piki me te heke o te huka toto i te pai mō te tinana. Ka arahi pea tēnei ki ngā raruraru mō te wā poto me te wā roa.
Ngā raruraru nā te iti o te huka toto
Ki te iti tonu ō taumata huka toto i ngā wā katoa, ā, i roto i te wā, ka pāngia koe e te mate e kiia nei ko te hypoglycemia ine-kore . Koinei te wā ka taunga tō tinana ki ngā taumata huka toto iti, ā, kāore e whakaatu i ngā tohu whakatūpato o te huka toto iti, pērā i te wiri me te werawera. He tino morearea tēnei nā te mea ka ngaro ohorere tō māramatanga me te pāngia e ngā haurangi me te kore whakatūpato. Ki te kore e rongoatia, ka mate pea koe.
Ngā raruraru nā te huka toto tiketike
Ki te kore e taea te whakahaere i ngā taumata huka toto, ka puta he āhuatanga ohorere e kiia nei ko te diabetic ketoacidosis (DKA) . He mea morearea tēnei ki te ora. Ko ngā tohu o te DKA ko:
- Whakapairuaki me te ruaki
- Te maroke o te tinana
- Mamae nui o te puku
- Manawa hua
- Te manawa hohonu, te manawa tere (te manawa Kussmaul)
- Ngā tere o te ngakau
- Te ngaronga o te māramatanga me te kore mohiotanga
He āhuatanga ohorere hauora te DKA. Mēnā kei a koe ēnei tohu, me haere tonu koe ki te Tari Ohorere (ETU) o te hōhipera tata.
Hei tāpiri, ko te nui o te huka toto i roto i te wā roa ka piki ake te mōrearea o te whakawhanake i ngā raruraru nui o te mate huka.
- Te pakaru o te kanohi (Retinopathy)
- Te pakaru o te whatukuhu (Nephropathy)
- Te pakaru o te io (Neuropathy)
- Mate ngakau
- Whiu
Me pēhea te rongoā mō tēnei?
Ko te whāinga matua o te rongoā i te Brittle Diabetes ko te whakatika i te pūtake o te kore pumau o ngā taumata huka toto.Te kimi me te rongoā i te pūtake o te mate. Hei tauira, ka taea pea e te tangata whai mate celiac te whakatau i ōna taumata huka toto mā te kai kore-kutene. Mā te rongoā i te raruraru tairoi ka āwhina i te whakahaere i te mate huka.
I a koe e rongoā ana i te take matua, ka tūtohu pea tō tākuta i ngā mea penei:
- Te Whakamahi i tētahi Pūrere Aroturuki Huka Tonu (CGM): Ka aroturuki tonu tēnei pūrere i ō taumata huka toto, ā, ka whakamōhio atu mēnā he tiketike, he iti rānei ō taumata huka.
- Tirohia ō taumata huka toto i ia wā: Ka tono pea tō tākuta kia tirohia e koe ō taumata huka toto mā te tango i tētahi pata toto mai i tō maihao i ētahi wā i te rā.
- Te whakamahi i te papu insulin: Mā tēnei ka tukuna te nui o te insulin e hiahiatia ana e te tinana me te tika ake, me te auau hoki.
- Tautoko mai i tētahi tohunga hauora hinengaro: He mea tino nui kia kite i tētahi tangata pērā i te tohunga hinengaro, kia whiwhi tohutohu ai mō te whakahaere i ngā āhuatanga pēnei i te ahotea me te manukanuka.
- Āwhina mai i te whānau, i te nēhi rānei: Tērā pea ka hiahia te hunga kaumātua, te hunga rānei he ngoikore te mahara, ki te āwhina mai i tētahi mema o te whānau ki te tuku i te insulin i te wā tika, me te tirotiro i ō rātou huka toto.
- Tautoko mai i tētahi kaimahi hapori: Ka taea e te hunga kāore e taea te utu i te insulin, e kore rānei e ranea te kai te rapu āwhina mō te kimi i ngā otinga e tika ana.
I ngā take tino kino, ina kore e taea e tētahi atu maimoatanga te whakahaere i te āhua, ka tūtohutia pea he whakawhitinga repe taiaki .
Āhea koe me rapu tohutohu hauora tonu
Ehara te mate huka pakarukaru i te mea hei takaro māu. I roto i ēnei āhuatanga, he mea nui kia mahi tonu.
Mena kei a koe ngā tohu o te DKA (diabetic ketoacidosis) (mamae nui te puku, ruaki, kakara hua o te manawa, pōhēhē), haere tonu ki te Tari Whawhati Tata o te hōhipera (ETU).
Mena ka pāngia koe e ngā tohu o te hypoglycemia kino (te hemo o te ngākau, te haurangi), waea atu ki te waka tūroro ohorere tonu atu, haria rānei koe ki te hōhipera ETU i te wā e taea ai.
He uaua pea te whakahaere i tēnei āhuatanga. Koia te mea nui kia kite i tō tākuta i ia wā, kia kōrero ai mō ngā huringa o ō taumata huka toto. Kia maumahara, ehara tēnei i te he nāu. Mā te maimoatanga tika, te āwhina o te hangarau, me te tautoko a tō whānau, ka taea te whakahaere i tēnei āhuatanga.
Karere Tangohia ki te Kāinga
- Ko te 'Mate Huka Pakaru' he āhuatanga e tino uaua ai te whakahaere i te mate huka, ā, he maha ngā wā ka piki, ka heke ohorere hoki ngā taumata huka toto.
- Ehara tēnei i tōu he. He maha ngā wā ka puta mai i tētahi atu raruraru hauora tinana, hinengaro rānei.
- Mena kei te uaua koe ki te whakahaere i tō mate huka, kōrero noa ki tō tākuta mōna, me te ngana ki te kimi i te pūtake.
- Kaua rawa e warewarehia ngā tohu whakatūpato o te hypoglycemia kino, te DKA rānei. Rapua tonutia he awhina hauora.
- Kāore koe i te mokemoke i tēnei haerenga. Kaua e mangere ki te rapu tautoko mai i te whānau, i ngā hoa, me ngā tākuta.
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