Hei tangata mate huka, tera pea ka tirohia e koe tō taumata huka toto i te oho ake i te ata. Ki te whakaarohia e koe, ahakoa kua whakahaeretia e koe tō kai me te tango i tō rongoā i te pō, me āwangawanga anō hoki koe ina kite koe he teitei tō taumata huka i te ata, tika? "I tika taku mahi i ngā mea katoa, he aha i piki noa ai taku huka i te ata?" Tērā pea ka whakaaro anō koe. E rua ngā take matua mō tēnei. Ko tētahi ko te Āhuatanga o te Ata, ko tētahi ko te Pānga Somogyi. Ahakoa he ahua rerekē ngā ingoa e rua, kaua e mataku. Me kōrero noa tātou mō tēnei.
Te Hononga i waenga i te Insulin, te Huka Toto, me te Moe
Tuatahi, kia mōhio tātou ki ngā kiripuaki matua o tēnei pūrākau. Ko te pūtake matua o te pūngao o tō tātou tinana he momo huka e kiia nei ko te kurukose. He rite ki te penehīni mō te motuka. Ko te homoni e āwhina ana ki te tango i tēnei kurukose mai i ō tātou toto ki roto i ō tātou pūtau me te hanga pūngao ko te insulin. Ki te kī māmā, he rite te insulin ki te kī e whakatuwhera ana i ngā tatau o ō tātou pūtau me te tuku i te kurukose ki roto.
I a tātou e moe ana, kāore e nui te kaha e hiahiatia ana e tō tātou tinana. He rite ki tētahi motuka kua tīmatahia. Heoi, ina tae ki te wā mo te ara ake i te ata, kei te whakarite tō tātou tinana mo te mahi o te rā. Kātahi ka tukuna e te tinana he tohu ki tō tātou ate, e mea ana, "Āe, kua tae ki te wā hei tīmata mahi, tukuna atu he hukahuka ki roto i te toto." Pēnei, ina kohia te hukahuka ki roto i te toto i te ata, ka nui ake te insulin e hangaia ana e te tinana o te tangata hauora hei whakahaere i ngā taumata huka.
Heoi, i roto i te tinana o te tangata mate huka, kāore tēnei tukanga e tupu tika. Nā te mea kāore te nui o te insulin e hangaia ana, ka piki ake te taumata huka toto i te ata. Ka kiia tēnei ko te hyperglycemia. Ki te haere tonu tēnei, ka kino pea ki te hauora.
He aha tēnei āhuatanga o te ata?
He whakarāpopototanga noa iho, ko te Āhuatanga o te Ata he tukanga homoni taiao e piki ai te taumata huka toto i te atatu, i waenganui i te 3 i te ata me te 8 i te ata. He rerekē tēnei mō te katoa. Engari ki te mea he mate huka koe, kāore i te nui te insulin i roto i tō tinana hei whakahaere i te pikinga o te huka, nō reira ka ara ake koe me te taumata huka toto tiketike. He mea noa tēnei i roto i te haurua o te hunga he mate huka Momo 1 me te Momo 2.
Ehara tēnei i te mate, engari he urupare noa iho ki tētahi tukanga taiao i roto i te tinana i puta mai i te mate huka. Nō reira kaua e manukanuka.
Engari ka taea e koe te kōrero ki tō tākuta me te mahi i ētahi mea hei whakahaere i tēnei.
- Āta karohia te kai i ngā kai he nui te warowaihā i mua i te moe.
- Te whakarerekē i te horopeta me te wā o tō rongoā insulin, rongoā mate huka rānei (hei tauira, te tango i mua i te moe kaua i te ahiahi).Kaua rawa e mahi i ēnei whakarerekētanga i a koe anō. Me kōrero tonu ki tō tākuta.
- Ki te whakamahi koe i te papu insulin, hurihia ōna tautuhinga.
Nā, he aha tēnei Pānga Somogyi?
Ko te Pānga Somogyi he rite tonu ki te mea ka puta ina piki ake te taumata o te huka toto i te ata. Engari he rerekē rawa te take. Ka puta mai nā te mea he nui rawa te insulin e tangohia ana e koe i te pō, he iti rawa te insulin e tangohia ana e koe, he kore rānei e kai i te pō .
Whakaarohia tēnei. I nui rawa te insulin i tangohia e koe i te pō. Kātahi ka heke te taumata huka toto i waenganui pō ki raro rawa. Ka kiia tēnei ko te hypoglycemia. Ka tauhohe te tinana ki tēnei hekenga mā te mataku. Me te whakaaro, "Āe, kua iti taku huka, me whakapiki wawe taku taumata huka," ka tukuna ohoreretia e te tinana he maha ngā homoni e mahi ana ki te insulin (hei tauira, te cortisol, te homoni tipu). Nō reira, ka piki ohorere te taumata huka iti. Arā, ka tino heke te taumata huka, kātahi ka piki anō ki runga rawa. Ka kiia tēnei ko te 'Rebound Hyperglycemia'. He nui ake te kitea o tēnei āhuatanga i roto i te hunga mate huka Momo 1.
Engari kua kitea e ngā rangahau hou, inā koa ngā rangahau e whakamahi ana i ngā Aroturuki Hukapapa Tonu (CGM) , kāore te Pānga Somogyi i te tino noa pērā i te whakaaro o mua. E whakapono ana ētahi tohunga inaianei ko te Āhuatanga o te Ata, te kore pumau o te horopeta insulin rānei, te take pea o ngā pikinga o te ata, kaua ko te Pānga Somogyi.
Me pēhea koe e mōhio ai ki te rerekētanga tika i waenganui i ēnei mea e rua?
Ka nui te huka toto i te ata i roto i ēnei āhuatanga e rua, engari he rerekē ngā maimoatanga nā te mea he rerekē ngā take. Nō reira, me whakatau e tō tākuta ko tēhea o ngā āhuatanga e rua kei a koe. Hei āwhina i tēnā, ka tono pea tō tākuta kia tirohia e koe ō taumata huka toto i waenganui pō (tata ki te 2-3 i te ata) mō ētahi rā. Ki te whakamahi koe i te CGM, ka whiwhi aunoa ia i ēnei raraunga.
E whakamārama ana te ripanga i raro nei i ngā rerekētanga matua i waenganui i ngā mea e rua.
| Āhuatanga | Te Āhua o te Ata | Pānga Somogyi |
|---|---|---|
| Take matua | He tukanga homoni taiao i roto i te tinana. | Ka heke ngā taumata huka i waenganui pō, ā, muri iho ka piki anō ngā taumata huka. |
| Te taumata huka toto i waenganui pō (2-3 i te ata) | Noa, teitei rānei. | Te huka toto iti. |
| Tikanga maimoatanga | Kaua e kai warowaihā i mua i te moe, kaua e whakarerekē i te wā rongoā/insulin, te horopeta rānei. | Te whakaiti i te horopeta o te insulin, te kai i tetahi kai iti i mua i te moe. |
He aha ngā tohu o ēnei āhuatanga e rua?
Ko te tohu matua ko te nui o te huka toto ina ara ake koe i te ata. Hei tāpiri, i runga i te nui o te huka toto, ka pāngia pea koe e ēnei tohu pēnei i:
- Te nui ake o te matewai i tō te tikanga
- Te hiakai nui atu i te tikanga
- Te hiahia tonu ki te mimi
- Ānini
- Te āhua kore whakamarie me te riri
Ahakoa tētahi o ēnei tohu, he mea pai kia tuhia ō taumata huka, ā, kia kite i tō tākuta.
Karere Tangohia ki te Kāinga
- Ko te take pea o te pikinga o te huka i te ata ko te Āhuatanga o te Ata, he tukanga taiao i roto i te tinana, ko te Pānga Somogyi rānei, e puta mai ana i te hekenga o ngā taumata huka i waenganui pō.
- Ko te huarahi pai ki te mōhio ko tēhea o ēnei e rua kei a koe ko te tirotiro i ō taumata huka toto i waenganui pō (2-3 i te ata) mō ētahi rā, e ai ki ngā tohutohu a tō tākuta.
- Kaua rawa e whakarerekē i te horopeta o tō insulin, o tō rongoā mate huka rānei, me te kore he whakaaetanga a tō tākuta. He mea morearea pea tēnei.
- Mena he teitei tonu ō taumata huka i te ata, kōrero ki tō tākuta mō tēnā. Māna koe e tohutohu ki te rongoā tika rawa atu.
- Mā te pupuri i tētahi rātaka o ō taumata huka toto, ō kai e kainga ana, me ngā rongoā ka āwhina i tō tākuta ki te whakatau tika.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero