Mena he mate huka tōu, kua rongo pea koe i te kupu "huka toto tiketike". Kua rongo pea koe kua pā tēnei ki tētahi hoa, ki tētahi whanaunga rānei o tō hoa. He māmā noa iho, koinei te mea e kiia nei e te pūtaiao hauora he hyperglycemia. Ko tōna tikanga ka nui rawa te pikinga o te huka (glucose) i roto i tō toto. Ka puta tēnei nā te mea kāore tō tinana e whakaputa tika i te homoni insulin, kāore rānei e taea te whakamahi tika i te insulin e whakaputaina ana e ia. Nō reira, i tēnei rā, me kōrero tātou mō tēnei mea i roto i te hohonutanga ake, i roto i te huarahi e mārama ai te katoa.
He aha rawa te hyperglycemia?
Whakaarohia, he rite ngā pūtau o roto i tō tātou tinana ki ngā miihini iti. Me whai pūngao, he wahie rānei ēnei miihini kia mahi ai. Ko te hukahuka tēnei wahie, e whiwhi ana tātou mai i ngā kai e kainga ana e tātou, inā koa mai i ngā kai kei roto he warowaihā. Engari kāore e taea e tēnei hukahuka te haere tika ki roto i ngā pūtau. Me āwhina e te homoni e kiia nei ko te insulin. He rite te insulin ki te kī e whakatuwhera ana i te tatau ki te pūtau.
He raruraru tēnei kī (insulin) mō te tangata mate huka. Kāore i te rawaka ngā kī (mate huka momo 1), ahakoa he kī, kāore e uru tika ki te raka o te tatau (te ātete ki te insulin, e pā ana ki te mate huka momo 2). Ka ahatia? Kāore e taea e te huka e kohia ana i roto i te toto te uru ki ngā pūtau, ā, ka kohia ki roto i te toto. Ko te pikinga o ngā taumata huka toto e kiia ana ko te hyperglycemia.
E rua ngā huarahi matua hei mahi i tēnei:
| Momo o te hyperglycemia | Hei whakarāpopototanga... |
|---|---|
| Te nohopuku nui o te huka toto | Ko te tikanga tēnei he nui ake te taumata huka o tō toto i te 130 mg/dL i muri i te korenga o te kai, te inu rānei i tetahi mea mō te iti rawa o te 8 hāora. (Mēnā kei waenga i te 100-125 mg/dL tō uara, ka kiia he prediabetes.) |
| Te Hiperukarukeemia i muri i te kai | Ina tirohia ngā taumata huka toto i muri i ngā haora e rua i te kai, ka teitei ake i te 180 mg/dL . Ahakoa i muri i te kai nui, kāore i te maha ngā wā ka piki ake tēnei uara i runga ake i te 140 mg/dL i roto i te tangata kāore he mate huka. |
Ko te mea nui, ki te mea he maha tonu, he roa rānei tēnei āhuatanga, ka taea e ia te kino i ō io, i ō uaua toto, me ō whekau o roto. Nō reira, he mea tino nui kia tere te tautuhi me te rongoā.
He aha ngā take o te huka toto tiketike?
He maha ngā take e teitei ai te taumata huka toto o te tangata mate huka.
- Te wareware, te kore rānei e kai i ō pire insulin, pire mate huka rānei kua tohua i te wā tika .
- Te kai i ngā kai he nui ake ngā warowaihā (māngaro) i te nui o te insulin e hiahiatia ana e koe. Hei tauira, te kai nui rawa i te raihi, te taro, te rīwai rānei.
- He mate pāwera i roto i te tinana.
- Tetahi atu mate, āhuatanga rānei (hei tauira, te makariri, te rewharewha).
- Te pikinga o te ahotea .
- Te kore o te korikori tinana , te kore rānei e whakakorikori tinana i ia wā.
- I ētahi wā, ko te nui rawa o te whakakori tinana (ina koa kua teitei kē te huka toto, ā, kua iti hoki ngā taumata insulin) tētahi atu take.
Ka taea e te hunga kāore he mate huka te nui o te huka toto?
Ae, ahakoa te hunga kāore he mate huka, ka pāngia pea rātou e te hyperglycemia i ētahi wā.
- Te mate a Cushing: He mate onge tēnei ka puta ina roa te wā e nui ana ngā taumata o te homoni cortisol i roto i te tinana.
- Ngā mate o te repe taiaki: Mena he mate kei te repe taiaki e whakaputa ana i te insulin (pancreatitis, mate pukupuku repe taiaki rānei), tera pea ka kore e puta te hanga insulin.
- Te Mate Pūkahukahu Polycystic (PCOS): Ko tēnei āhuatanga, he mea noa i roto i ngā wāhine, e tohuhia ana e te ātete ki te insulin.
- Ētahi rongoā: Ka taea hoki e ētahi rongoā, pērā i ngā steroids, te whakanui ake i ngā taumata huka toto mō te wā poto.
He aha ngā tohu o te huka toto tiketike?
Ka rerekē pea ngā tohu o te hyperglycemia i ngā wāhanga tōmua me te haere tonu o te mate. He mea nui kia mōhio ki ēnei.
| Ngā tohu tōmua | Ngā tohu e puta ana mō te wā roa |
|---|---|
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Āhuatanga ohorere: Ketoacidosis mate huka (DKA)
He mea tēnei hei tino tūpato. Mēnā ka haere tonu te pikinga o te huka toto, inā koa mō te hunga mate huka momo 1, ka arahi pea ki tētahi mate morearea, e kiia nei ko te Diabetic Ketoacidosis (DKA).
Hei whakarāpopototanga, ina kore e taea e ngā pūtau te tiki i te hukahuka, ka tīmata te tinana ki te tahu ngako hei pūngao. Ka puta mai i tēnei tukanga ngā matū e kiia nei ko ngā "ketones." Ina kohia ēnei ketones ki roto i te toto, ka waikawa te toto. He tino morearea tēnei.
Ngā tohu o te mate DKA:
- Whakapairuaki me te ruaki
- Te matewai nui
- Mamae puku
- Te uaua ki te manawa
- He kakara hua i te manawa
- Ngā tere o te ngakau
- Te pōhēhē me te ngaronga o te māramatanga (coma)
Mena kei a koe, kei tētahi rānei e mōhio ana koe, ēnei tohu, me haere tonu koe ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera. He āhuatanga ohorere hauora tēnei.
Me pēhea tātou e whakahaere ai, e ārai ai hoki i tēnei āhuatanga?
Mena he mate huka tōu, ā, kei te pāngia koe e ngā tohu tōmua kua whakahuatia ake nei, tirohia tuatahitia ō taumata huka toto. Kātahi ka kōrero ki tō tākuta. Tērā pea ka hoatu e ia he tohutohu pēnei ki a koe:
1. Inuhia he nui te wai: Mā te inu wai ka taea te tango i te huka nui mai i te tinana mā te mimi. Ka taea hoki e ia te ārai i te matewai.
2. Whakakorikori Tinana: Ka āwhina te whakakorikori tinana ki te whakaheke i te taumata huka toto. Engari he mea nui tēnei hei maumahara. Mena kua teitei kē ō taumata huka toto, ā, kei roto i tō mimi ngā ketone (ina koa i te mate huka momo 1), ka kino ake pea te āhua o te tinana i te whakakorikori tinana.Nō reira, me rapu tohutohu koe i tō tākuta mō te āhua o te whakakori tinana.
3. Hurihia ō tikanga kai: Me huri pea te nui me te momo warowaihā i roto i tō kai. Ka taea e koe te rapu tohutohu mai i tētahi tohunga kai mō tēnei.
4. Te Huri i ngā Rongoā: Kaua rawa e whakarerekē i te momo, te horopeta, te wā rānei o ō rongoā me te kore e kōrero tuatahi ki tō tākuta. Mēnā e tika ana, mā tō tākuta tonu e whakarerekē.
Ko te mea pai rawa atu ko te ārai i tēnei mate. Me whai tika koe i tāu mahere whakahaere mate huka.
- Tangohia ngā rongoā i tohua e te tākuta i te wā tika.
- Whāia te mahere kai kua whakaritea.
- Whakakorikori tinana i ia wā, i ia wā.
- Tirohia ō taumata huka toto i ia wā.
- He mea tino nui te mau i tētahi tuakiri hauora kia mōhio ai ētahi atu kei te mate huka koe mēnā ka puta he āhuatanga ohorere.
Karere Tangohia ki te Kāinga
- Ko te hyperglycemia he taumata huka toto teitei rawa atu. He āhuatanga tēnei e pā ana ki te hunga mate huka.
- Kia tūpato ki ngā tohu tōmua pērā i te matewai pinepine, te mimi pinepine, te ngenge, me te tirohanga pōuri.
- Ka taea e koe te whakahaere i tēnei āhuatanga mā te whai i ngā kai, te whakakori tinana, me te mahere rongoā i whakaratohia e tō tākuta.
- Ki te puta he tohu kino pēnei i te ruaki, te mamae o te puku, me te kakara hua ki tō manawa, haere tonu ki te Tari Ohotata (ETU) o te hōhipera, nā te mea he āhuatanga ohorere pea tēnei e kiia nei ko te (DKA) .
- Kaua rawa e whakarerekē i tō rongoā me te kore he tohutohu a te taote. Mena he āwangawanga āu, kōrero ki tō tākuta.
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