He tokomaha ngā tāngata o tō tātou whenua e pāngia ana e te mate huka. Tērā pea kei a koe, he mema o te whānau, he hoa rānei tēnei mate. He wero te noho me te mate huka, engari ki te whakahaere tika koe i tēnei mate, ka taea e koe te noho i tētahi oranga noa. Heoi, ki te kore tātou e whakahaere tika, arā, ki te teitei tonu te taumata huka toto, ka taea e ia te whakararu i ngā whekau o roto i tō tātou tinana. I tēnei rā ka kōrero tātou mō ngā raruraru e pā mai ana i te mate huka. Mā te mōhio ki ēnei āhuatanga ka āwhina nui ki te tiaki i a koe anō.
Te Mate Manawa me te Whiu
Ko tētahi o ngā raruraru tino noa, tino morearea hoki o te mate huka ko te mate manawa. Ina piki ake te taumata o te huka toto, ka pakaru ngā pakitara o ō tātou uaua toto, ā, ka tīmata te kohikohi o te cholesterol me te ngako ki roto. Ka whaiti ngā uaua toto, ka whakaiti i te rere o te toto ki te manawa. Koinei te tino take o ngā whakaekenga manawa.
He rite anō hoki tēnei mō te mate e kiia nei ko te whiu . Ka puta tēnei mate ina aukatihia, ina pakaru rānei te oko toto e kawe ana i te toto ki te roro. He nui ake tēnei mōrearea mō te tangata mate huka.
Ka tirohia e tō tākuta ēnei mea:
E tata ana ki ia wā ka haere koe ki te tākuta ka mahia ēnei whakamātautau.
- Te Pēhanga Toto : Ka inehia tō pēhanga toto mā te whakamahi i tētahi poroporo e karapoti ana i tō ringa. He mea nui kia noho ki raro i te 130/80 mmHg.
- Ngā whakamātautau toto : Ka tangohia he toto iti hei tirotiro i ō taumata o te cholesterol kino ( LDL cholesterol) me ngā triglycerides .
- Whakamātautau ECG : Ka whakahaerehia he whakamātautau ECG (Electrocardiogram) i te wā tuatahi o te hui hei tirotiro i te mahi a tō ngākau , hei pupuri hoki i tētahi rekoata o taua mahi.
Ko te mea nui ko te kōrero ki tō tākuta mō ngā āhuatanga mōrearea o tō tinana, pērā i te hītori whānau o te mate ngakau me te mea he kaipaipa koe. Ka taea te whakaiti i ēnei mōrearea mā te whakaiti i te taumaha , te whakakori tinana, me te whakaiti i te ahotea .
Ki te kite koe i ngā tohu o te whiu , me haere tonu koe ki te hōhipera.Ki te pāngia koe e ngā tohu pēnei i te ngoikore ohorere i te taha kotahi o tō mata, o tō tinana rānei, te uaua ki te kōrero, te uaua ki te kite i ngā kanohi e rua, te whanoke rānei, haere tonu ki te Tari Urupare (ETU) .
Te pakaru o te whatukuhu (Diabetic Nephropathy)
Ko ngā whatukuhu ngā tātari i roto i tō tātou tinana. Ka tātarihia e rātou ngā para o te toto. Heoi, ina noho teitei tonu ngā taumata huka toto mō te wā roa, ka pakaru ngā oko toto ngawari o ngā whatukuhu. Ka kiia tēnei ko te Diabetic Nephropathy .
I ngā wāhanga tōmua, kāore he tohu, engari ka āta heke te mahi a ngā whatukuhu, ā, i te mutunga ka ngoikore rawa pea ngā whatukuhu.
Nō reira, he mea nui kia whakamātauhia ngā whatukuhu o te hunga mate huka katoa i te iti rawa kotahi i te tau .
- Whakamātautau mimi : Ka tirohia tō mimi mō tētahi pūmua e kiia nei ko te albumin. I te nuinga o te wā, kāore tēnei pūmua e tukuna ki roto i te mimi. Heoi, ina pakaru ngā whatukuhu, ka kohia tēnei pūmua ki roto i te mimi.
- Whakamātautau toto: Ka mahia he whakamātautau toto hei tirotiro i tō taumata creatinine me te GFR (Glomerular Filtration Rate). He māmā noa iho, ko te GFR he ine i te pai o te tātari a ō whatukuhu i ngā para.
Te pakaru o ngā io (Neuropathy Mate Huka)
He raruraru tino noa anō hoki tēnei o te mate huka. Ka pakaru ngā io o te tinana i te nui o te huka toto. Ka kiia tēnei ko te neuropathy mate huka . Ko te nuinga o te wā ka pā ki ngā io o ngā ringa me ngā waewae.
Kei a koe ēnei āhuatanga?
- Kei te wiriwiri ngā ringa me ngā waewae.
- E mura ana te āhua o ōku waewae.
- I ētahi wā ka puta te ngoikore.
Ko te mōrearea nui rawa atu o tēnei, kāore koe e rongo i tetahi mea i roto i ō waewae. Whakaarohia, he motu iti tō waewae, he tataramoa rānei kei roto, engari me pēhea mēnā kāore koe e rongo? Ka tupu pea taua motu iti, ka pangia, ā, ka arahi pea ki te hiahia kia tapahia tō waewae.
Nō reira, tirohia ō waewae i ia pō i mua i te moe . Tirohia mēnā he whero, he pupuhi, he mate kiri , he kiri ngatata rānei. Ki te kite koe i tētahi o ēnei, kōrero tonu atu ki tō tākuta.
Ka tirohia hoki ō waewae e tō tākuta i te iti rawa kotahi i te tau. Tērā pea ka patohia tō waewae ki tētahi mea pērā i te aho nairona, ki tētahi pine iti rānei, kia kite ai mēnā ka taea e koe te pā atu. Ki te kore e taea e koe te pā atu, he tohu pea tēnei kua pakaru ō io.
Ngā pānga ki te tirohanga (Diabetic Retinopathy)
Ka taea hoki e te mate huka te kino i ngā kanohi. Ka kino te huka toto tiketike i ngā uaua toto ngawari e tuku toto ana ki te retina i muri o te kanohi. Ka kiia tēnei ko te retinopathy mate huka . Ki te kore e rongoatia, ka arahi pea ki te matapo.
Nō reira, he mea nui kia toro atu te hunga mate huka katoa ki tētahi tākuta kanohi i te iti rawa kotahi i te tau kia tirohia ō rātou kanohi.
- Whakamātautau kanohi: Ka tāpirihia e te tākuta he pata ki roto i tō kanohi hei whakawhanui i te karu. Kātahi ka whakamahia he karāhe motuhake hei tirotiro i te tuarongo o tō kanohi, te retina , kia kitea ai mēnā he pakaru.
- Ka pōuriuri tō tirohanga, ā, ka pāngia koe e te mārama mō ētahi haora i muri i tēnei whakamātautau. Nō reira, he mea pai kia mauria mai he mōhiti kanohi, ā, me taraiwa koe e tētahi atu .
Me tīmata te tirotiro i ngā kanohi o te hunga mate huka momo 1 i roto i ngā tau 3-5 o te tautuhi mate. Me tirotiro kanohi te hunga mate huka momo 2 i te wā tonu ka tautuhia ai ō rātou mate.
Ētahi atu raruraru noa
Haunga ngā raruraru matua kua whakahuatia i runga ake nei, he maha atu anō ngā raruraru ka ara ake.
- Ngā raruraru nakunaku (Gastroparesis): Ka pōturi te takoto o te puku i te pakaru o ngā io o te puku. Ka puta ngā tohu pēnei i te pupuhi me te whakapairuaki. Hei whakaū i tēnei, me whai whakamātautau pēnei i te endoscopy .
- Te ngoikore o te ure: Ka whakanui ake te mate huka i te mōrearea o te ngoikore o te ure i roto i ngā tāne. He mea nui kia kōrero koe ki tō tākuta mō tēnei mea me te kore e whakama. Ka taea te rongoā mā te whakarerekē i te āhua noho me te rongoā.
- Ngā raruraru kiri me ngā mate pāwera: Ina piki ake te taumata huka toto, ka hangaia he taiao pai mō te tipu o ngā huakita me ngā harore. Ka whakaitihia hoki te kaha o te tinana ki te whakaora i ngā patunga. Ka arahi pea tēnei ki ngā mate kiri maha, ngā mate mimi, me ngā mate kapia.
- Ngā take hauora niho: He nui ake te mōrearea o te hunga mate huka ki te mate kapia (gingivitis), te pirau niho, me te ngaronga o te niho. Nō reira, he mea nui kia paraihe me te miro niho i ia rā, me te toro atu ki te taote niho i ia wā.
Ngā whakamātautau me mahi e koe
Hei ārai i ngā raruraru, he mea nui kia mōhio koe ki te pai o te whakahaere i tō mate huka. Mā ēnei whakamātautau ka āwhina i tēnā.
| Ingoa o te whakamātautau | He whakamārama māmā |
|---|---|
| Whakamātautau toto A1c | Mā tēnei ka hoatu he whakaaro ki a koe mō te toharite o te huka toto i ngā marama e 3 kua pahure ake nei . Me mahi koe i tēnei i te iti rawa kia rua ngā wā i te tau. |
| Whakamātautau Ketone | Ina kore e nui te hukahuka i roto i ngā pūtau o te tinana, ka tahuna e rātou te ngako hei pūngao. Ko ngā matū e puta mai ana ko ngā ketone, ā, ka tirohia i roto i te mimi. Ka taea e ngā taumata ketone teitei te arahi ki te DKA (Diabetic Ketoacidosis), he mate morearea. |
| Whakamātautau Tairoi | He hononga kei waenganui i te mate huka me te hypothyroidism, nō reira me whakahaere tēnei whakamātautau i runga i te tohutohu a te tākuta. |
He mea tika te whakahaere i te mate huka. Kaua e mataku. Ki te āta whai koe i ngā tohutohu a tō tākuta, ki te tango i tō rongoā i te wā tika, ki te whakahaere i tō kai, me te whakakori tinana, ka taea e koe te tiaki i a koe anō i ngā raruraru maha kua whakahuatia ake nei.
Karere Tangohia ki te Kāinga
- Ki te kore e whakahaeretia te mate huka, ka pā ki te nuinga o ngā okana o tō tinana, tae atu ki tō ngākau, ō whatukuhu, ō kanohi, me ō io.
- Tirohia tō tākuta i te wā tika, kia tirohia hoki tō toto toto, tō cholesterol, me ō taumata A1c.
- Kia tino toro atu koe ki tētahi tākuta kanohi i te iti rawa i te kotahi i te tau, kia tirohia hoki ō kanohi.
- Tirohia ō waewae i ia rā mō ngā patunga, ngā kapiti, ngā mea rerekē rānei.
- Kaua e kai hikareti, kai i ngā kai hauora, me te whakakori tinana i ngā wā katoa. Mā ēnei mea ka tino whakaiti i te tūponotanga o ngā raruraru.
- Ki te kite koe i ētahi tohu rerekē (hei tauira, te mamae o te uma, te ngoikore, te panoni o te tirohanga), me whakamōhio tonu atu ki tō tākuta.
Mate Huka, Ngā Pānga o te Mate Huka, Ngā Mate Manawa, Ngā Mate Tākihi, Te Pakaru o Ngā Io, Te Whakahaere Mate Huka
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