He mate huka koe? Tērā pea kua mōhio koe ki te tango i tētahi pata toto mai i tō maihao i ētahi wā i te rā, me te tirotiro i tō taumata huka. Engari, kāore ianei koe e whakaaro he mea whakarihariha, he mea mamae hoki tēnei? Kua tae mai tēnei hangarau hou hei āwhina i a rātou. Ka karangatia tēnei e mātou ko te CGM, arā, ko te Continuous Glucose Monitoring. Kia kite tātou he aha tēnei mea, me pēhea tana mahi, me ngā painga ka puta mai ki a koe.
He aha te CGM?
He taputapu iti te CGM e mau ana i ō tātou tinana. Ka ine, ka whakaatu tonu i ō taumata huka toto, arā, 24 hāora ia rā. Ina tangohia he toto mai i ō tātou maihao, ka taea e tātou te mōhio ki te taumata huka i taua wā tonu. Engari ina mau koe i tēnei CGM, ka taea e koe te kite i te huringa o tō taumata huka i ngā wā katoa, pērā i te wā e moe ana koe, e kai ana, e whakakori tinana ana hoki.
He taputapu tino āwhina tēnei mō te whakahaere i te mate huka . Nā te mea ka rerekē ngā taumata huka o tō tātou tinana nā ngā āhuatanga maha. I ētahi wā, ka piki, ka heke ngā taumata huka mō ngā take kāore e taea te whakaaro. Nō reira, ka taea e tēnei CGM te aroturuki i ēnā mea katoa i te wā tonu.
Ka ine tēnei i te huka toto?
He rerekētanga iti tēnei. Ka whakamahia e tātou ō tātou maihao hei ine tika i ngā taumata huka toto. Engari kei raro noa i tō tātou kiri te pūoko iti i roto i te CGM. Nō reira, kāore e ine i te huka i roto i te uaua toto. Engari, ka ine i ngā taumata huka i roto i te wai ngawari e kiia nei ko te wai interstitial e karapoti ana i ō tātou pūtau.
Whakaarohia, ina kai tātou i tētahi kai, ka uru tuatahi te huka ki roto i te toto. Kātahi, mai i taua toto, ka āta kohikohi te huka ki roto i tēnei wai i waenganui i te toto. Nō reira, ka roa pea te wā i waenganui i te taumata huka i roto i te toto me te taumata huka i roto i tēnei wai. He mea noa tēnā.
Me pēhea te mahi a tēnei taputapu CGM?
He maha ngā momo CGM kei te mākete i ēnei rā. He rite tonu te mahi a rātou katoa. Heoi, tera pea he rerekētanga iti i te āhua me ngā āhuatanga tāpiri. Heoi, e toru ngā wāhanga matua o ia CGM.
| Wāhanga o te taputapu | Ka aha te mea ka tupu? |
|---|---|
| Pūoko | Koinei te wāhanga iti rawa e whakatakotoria ana i raro i te kiri. Koinei te mea e ine ana i te taumata huka i roto i te wai i waenganui i te kiri. I te nuinga o te wā, ka taea te whakamahi i tēnei pūoko mō ngā rā e 7 ki te 15. Whai muri i tēnā, me whakauru he mea hou. |
| Kaiwhakawhiti | Koinei te wāhanga e hono ana ki te pūoko. Ka tukuna ahokore ngā raraunga huka e inehia ana e te pūoko ki tō waea, ki tētahi atu taputapu rānei mā tēnei tuku. Ka taea te whakamahi anō i ētahi momo. Me tango atu ētahi me te pūoko. |
| Kaiwhiwhi raraunga | He taupānga pea tēnei i runga i tō waea atamai, he taputapu pupuri ringa motuhake, he papu insulin rānei. Mā tēnei ka taea e koe te kite i tētahi kauwhata o ō taumata huka toto, ahakoa kei te piki, kei te heke rānei. |
Me pēhea te whakamahi i te CGM, taahiraa i te taahiraa
1. Te whakauru i te pūoko: Ko tēnei pūoko iti ka whakaurua ki raro i te kiri i te puku, i te ringa rānei. Kei roto he taputapu tāpiri, kia tere ai, kia māmā ai hoki te mahi. Kātahi ka whakapirihia ki te kiri mā te rīpene piri.
2. Te Hononga i te Tuku: Muri iho, me hono e koe te tuku ki te pūoko.
3. Wā "Whakamahana": Whai muri i te whakaurunga o te pūoko, ka roa te wā ka tīmata te whakaatu i ngā raraunga. Ka kiia tēnei ko te wā "whakamahana". Ka roa pea mai i te 30 meneti ki te rua hāora.
4. Tirohia ngā raraunga: Kia mutu te wā whakamahana, ka taea tonu e koe te aroturuki i ō taumata huka toto i runga i tō waea pūkoro, i tō pūoro rānei. Ka taea hoki e koe te whakatakoto i ngā whakaoho hei whakamōhio atu mēnā ka iti rawa, ka teitei rawa rānei ō taumata huka toto.
5. Te whakakapi i te pūoko: Ina pau te kaha o te pūoko (hei tauira, i muri i ngā rā 14), me tango e koe, ka tāpiri i tētahi mea hou. Me mahi anō i ēnei mahi mai i te tīmatanga.
Whakaarohia, e tirohia ana tō huka toto ki tō maihao. He rite ki te pānui i tētahi whārangi o te pukapuka. Ka kite noa koe i taua wā. Engari he rite te CGM ki te mātakitaki i te pukapuka katoa, i te kiriata katoa rānei, i te wā kotahi. Ka whiwhi koe i tētahi pikitia katoa o te whanonga o ō taumata huka toto puta noa i te rā.
He uaua te whakamahi i te CGM?
He pono, he uaua rawa ēnei taputapu iti. Nō reira, he iti te wā me te hiahia kia mārama ai ki te taha hangarau o tēnei taputapu i te tuatahi. Hei tauira:
- Me ako koe me pēhea te whakauru tika i te pūoko.
- I ētahi wā me whakatikatika e koe te taputapu mā te tango toto mai i tō maihao, te tirotiro i tō taumata huka, me ētahi atu mea anō.
- Me whakarite e koe te whakaoho kia rite ki tāu e hiahia ana.
- Me ako koe ki te whakauru raraunga ki roto i te rorohiko, i te waea rānei.
- Me titiro koe ki ngā raraunga ka riro mai i a koe, ā, me mahi i ngā huringa e tika ana ki tō mahere maimoatanga.
He roa te wā e pau ana ki te ako i ēnei mea. Engari kāore koe e hiahia ki te mahi ko koe anake. Ina whakatau koe ki te whakamahi i te CGM, ka tukuna koe e tō tākuta ki tētahi hei whakangungu i a koe ki te whakamahi haumaru.
Me tirotiro tonu taku huka toto ki tōku maihao ahakoa he CGM tāku?
Ae, i ētahi wā he mea tika. Mā te whakamahi i te CGM ka tino whakaiti i te maha o ngā wā e whakamātautau ai koe i tō huka toto ki tō maihao. Engari he mea nui tonu kia tata mai he mita huka toto me ngā rīpene whakamātautau.
Mehemea ka momotu ohorere tō pūoko CGM, ka mutu rānei te mahi, me whakamahi koe i tētahi mita noa hei tirotiro i tō huka kia whiwhi rā anō koe i tētahi mea hou.
Waihoki, ki te kore koe e tino mōhio ki te uara e whakaaturia ana e te CGM (hei tauira, he iti te huka e whakaatuhia ana engari kāore koe e rongo), he pai ake te tango i te whakamātautau toto mai i tō maihao hei whakaū.
Ka taea e te hunga kāore he mate huka te whakamahi i te CGM?
Ko te nuinga o ēnei he mea hanga mō te hunga mate huka, engari ka tūtohu pea ngā tākuta i ēnei mō ētahi atu mate hauora.
- Te mate huka i mua i te mate.
- Te momonatanga.
- Ko ētahi āhuatanga hauora e hua ai te iti o te huka toto (hei tauira, ngā mate rokiroki glycogen).
- He pukupuku onge te Insulinoma e huna ana i te insulin nui rawa.
Ki te whakaaro koe he pai te CGM mō tō hauora, kōrero ki tō tākuta.
He aha ngā painga me ngā ngoikoretanga o te whakamahi i te CGM?
Pērā i ngā taputapu hangarau katoa, he painga, he ngoikoretanga hoki tō te CGM.
| Ngā Painga | Ngā Huakore me ngā Wero |
|---|---|
| Te tiki i tētahi pikitia katoa:Mā te kite i te panonitanga o ngā taumata huka i roto i tō toto puta noa i te rā ka mārama ake koe ki te pānga o ngā mea pēnei i te kai, te korikori tinana, me te ahotea ki tō huka toto. | Te utu nui: He nui ake te utu o ngā taputapu CGM me ngā pūoko e hiahiatia ana i te mita huka toto noa. |
| Maimoatanga Whaiaro: Ka taea e kōrua ko tō tākuta te tātari i ō raraunga me te whakarite i tētahi mahere maimoatanga e tika ana māu. | Te nui rawa o ngā mōhiohio: Ka taea e ētahi tāngata te whakararuraru i te rerenga tonu mai o ngā raraunga. |
| Whakatūpato wawe: Ka taea e koe te whiwhi whakaoho i mua i te tino tiketike, i te tino iti rānei o ō taumata huka, kia taea ai e koe te mahi i mua i te puta mai o tētahi āhuatanga morearea. | Ngenge o te whakaoho: Ki te tangi pinepine tō whakaoho, ka raru pea, ka whakararuraru hoki i tō moe. |
| Te whakaiti i ngā werohanga o ngā maihao: Ka taea te whakaiti i ngā werohanga o ngā maihao i ētahi wā i te rā. | Kei te mau tonu: Nā te mea me mau tonu tēnei, ka roa pea te wā mō ētahi tāngata kia taunga ki tēnei. |
| A1C iti iho: Kua whakaatuhia e ngā rangahau he iti ake te A1C o te hunga e whakamahi ana i te CGM, ā, he iti ake hoki ngā reiti o te hypoglycemia. | Mate pāwera kiri: Tērā pea ka pāwera ētahi tāngata ki te piripiri kei runga i te pūoko. |
Ngā mea e pā ana ki te tika o ngā CGM
Ahakoa he tika te nuinga o ēnei taputapu, ka taea e ētahi rongoā me ngā huaora te whakaputa i ngā rerekētanga iti i roto i ō rātou uara. Hei tauira:
- Acetaminophen (Acetaminophen - Panadol®)
- Hydroxyurea
- Huaora C (Waikawa Ascorbic)
Ka taea e ēnei te mea kia nui ake, kia iti iho rānei te taumata huka toto o te CGM i tōna āhua tūturu. Nō reira, he mea nui kia pātai atu koe ki te kaihanga, ki tō tākuta rānei mō ngā āhuatanga e pā ana ki te momo CGM e whakamahia ana e koe.
Āhea ahau me kite i te tākuta?
Mena he pātai āu mō te whakamahi haumaru i te CGM, kōrero ki tō tākuta mate huka. Waihoki, he mea morearea te nui rawa, te iti rawa rānei o te huka toto. Mena he tohu e āwangawanga ana koe, rapua tonutia he tohutohu hauora.
Hei whakamutunga, ko te whakahaere i te mate huka he rite ki te pupuhi i tētahi ūnga e neke ana. Ina titiro noa koe ki tō huka toto me tō maihao, he rite tonu ki te pupuhi koe i tētahi ūnga me ō kanohi e katia ana. Engari ki te CGM, ka taea e koe te kite i te wāhi e haere ana te ūnga me te tere o tōna nekehanga. Ko te tikanga he taputapu tino kaha te CGM hei whakahaere i tō mate huka. Ki te hiahia koe ki tēnei, me kōrero ki tō tākuta.
Karere Tangohia ki te Kāinga
- He taputapu mau te CGM (Continuous Glucose Monitoring) e ine ana, e whakaatu ana hoki i ngā taumata huka o tō tinana mō ngā hāora 24 o te rā.
- Ka ine tēnei i te taumata huka i roto i te wai o waho o te kiri, ehara i te toto.
- Ka taea e te CGM te āwhina i a koe ki te whakahaere pai ake i tō mate huka nā te mea ka hoatu he tirohanga whānui mō te huringa o ō taumata huka puta noa i te rā.
- Kei a ia te kaha ki te whakatūpato i a koe mā te whakaoho i mua i te tino tiketike, te tino iti rānei o ō taumata huka.
- Ahakoa he CGM tāu, i ētahi wā he mea nui pea kia whakamātauria tō matihao ki tētahi mita huka toto noa hei whakaū.
- Kōrero ki tō tākuta kia mōhio ai koe ki tēnei hangarau, me te mea hoki he tika mōu.
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