He nui te huka toto? Me kōrero tātou mō te hyperglycemia!

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:

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.

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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.

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.