Ka heke ohorere te huka o tō toto? Me kōrero tātou mō te hypoglycemia!

He mate huka tōu? Mena koinā, ka pāngia koe e te werawera, ka wiriwiri, ka pōuriuri? Tērā pea kei te hiakai koe, kei te pōuri, kei te tere rānei te tere o tō ngakau. Koinei te mea e kiia nei e tātou i roto i te rongoā ko te 'hypoglycemia'. He kupu ngāwari noa iho, ko te nui o te huka ka taea e te tinana te whakamahi i te pūngao ka heke ohorere.

He aha te hypoglycemia?

Whakaarohia tō tātou tinana he motuka. Pērā i te motuka e hiahia ana ki te penehīni hei whakahaere, me hiahia hoki tō tātou tinana ki te pūngao hei mahi i ngā mahi o ia rā, pērā i te whakaaro, te manawa, te hikoi, me te oma. Ko te pūtake matua o te pūngao i roto i tō tātou tinana ko te hukahuka, arā, ko te 'huka' noa iho. Ina heke ohorere te taumata huka i roto i te tinana o te tangata mate huka, ka ngaro te 'wahie' e hiahiatia ana e te tinana hei mahi. I te nuinga o te wā, ka tīmata te puta mai o ēnei tohu ina heke te taumata huka toto ki raro i te 70 mg/dL (miramira ia teririta).

He aha ngā tohu e puta ana i tēnei wā?

Kāore ngā tohu o te hypoglycemia e ōrite mō te katoa. Mēnā he mate huka tōu, ka āta mōhio koe ki te urupare a tō tinana ki tēnei āhuatanga. Ka taea te wehewehe i ēnei tohu ki ngā wāhanga e rua: ngā tohu tōmua me ngā tohu kino ake.

He aha te take e heke ai te huka toto penei?

He maha ngā take mō tēnei. Ko ngā mea matua ko ngā rongoā e tangohia ana e tātou mō te mate huka me ā tātou momo kai.

Ko ētahi rongoā mō te mate huka

He mea tino nui kia pātai atu koe ki tō tākuta mēnā ka taea e te rongoā mate huka e tangohia ana e koe te whakaheke i te huka toto.

• Maimoatanga Inirini: Ko te inirini te homoni matua e whakahaere ana i ngā taumata huka toto. Ina tangohia te inirini ki waho, i ētahi wā mēnā he nui ake te horopeta i tangohia i te mea e hiahiatia ana e te tinana, ka heke pea ngā taumata huka toto.
• Ngā Sulfonylurea: He momo rongoā noa ēnei e whakamahia ana hei rongoā i te mate huka. Ka mahi rātou mā te whakaoho i te repe taiaki kia nui ake te insulin. I ētahi wā ka iti te taumata huka toto. Ko ētahi tauira ko:
• Glimepiride (Amaryl)
• Glipizide (Glucotrol)
• Glibenclamide (Glyburide, Micronase)

Hei tāpiritanga, ki te inu waipiro koe me tō rongoā mate huka, ki te tango rānei koe i ētahi atu rongoā pēnei i te allopurinol, te aspirin, te warfarin rānei, ka taea e ēnei te taunekeneke me te whakaheke i te taumata huka toto. Nō reira, whakamōhio atu ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe.

Te pānga o te kai me te inu

Ki te tango koe i te insulin, i ngā pire mate huka rānei, kāore e rite ki te nui o ngā warowaihā (māngaro/huka) e kainga ana e koe, ka heke pea tō huka toto.

• Te peke, te whakaroa rānei i te kai: Ki te kore koe e kai i te wā tika i muri i te tango i tō rongoā, ka heke te taumata huka i roto i tō toto nā te mea he iti ake te huka e mimitihia ana e tō tinana.
• Te kai i ngā kai he nui te huka māmā: Ki te kai koe i te nui o ngā kai he nui te huka (hei tauira, ngā inu reka, ngā keke) i te wā kotahi, ka puta whakarere mai he nui o te insulin i roto i tō tinana. Ka taea e tēnei te heke ohorere o ngā taumata huka toto.
• Te inu waipiro i runga i te puku kau: Mā te inu waipiro me te kore kai ka aukati i te tukanga whakaputa huka o te ate, ka pāngia hoki te ate e te hypoglycemia.
• Whakakorikori Tinana: Ina whakakorikori tinana koe, ka whakamahia te huka hei pūngao. Nō reira me tūpato koe ki ngā taumata huka i mua atu, ā, i muri mai hoki i te whakakorikori tinana.

He aha tāu e mahi ai ina iti te huka o tō toto?

Ki te whakaaro koe kei te pāngia koe e ngā tohu o te hypoglycemia, kaua e mataku, engari me whai i ēnei mahi.

1. Tirohia tonutia tō taumata huka toto: Ki te taea, tirohia tō taumata huka toto ki tō mita huka toto. Ki te mea kei raro iho i te 70 mg/dL, me mahi tonu.

2. Whāia te ture '15-15':

• Hipanga 1: Kainga, inu rānei kia 15 karamu o ngā warowaihā tere te mahi.
• 3-4 papa hukahuka
• 4-6 tōfi reka (kāore i te kore huka)
• 1/2 kapu wai hua (kāore he huka)
• 1 kapu miraka reka
• 1/2 kapu inu reka
• He punetēpu honi (ka tere te mimiti ki roto i te toto ina whakatakotoria ki raro i te arero)
• Hipanga 2: Taria mō te 15 meneti.
• Hipanga 3: Tirohia anō tō huka toto. Mena kei raro tonu i te 70 mg/dL, kainga anō te 15 karamu o tētahi o ngā kai kua whakarārangihia i runga ake nei.

3. Kia hoki anō te taumata o te huka toto ki te āhua noa: Kia hoki anō te taumata o te huka toto ki te āhua noa, kai i tētahi kai iti kei roto ko te pūmua me ngā warowaihā matatini (hei tauira, he pihikete kirīmi me te tiihi) hei pupuri i te pumau o te taumata o te huka toto.

A, mēnā ka ngaro te mārama o te tangata?

I ētahi wā tino kino, ka ngaro pea te māramatanga i te wā e pāngia ana koe e te hypoglycemia. He āhuatanga ohorere tēnei.

• Kaua rawa e hoatu he kai, he inu rānei mā te waha ki tētahi tangata kua kore e mōhio. Mēnā ka pēnā, ka noho pea ki roto i te ara manawa, ā, ka kino ake te āhua.
• Waea atu ki te waka tūroro tonu atu, kawe rānei i te tangata ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera tata.
• Mena kua tūtohutia e tō tākuta kia whakamahia e koe he werohanga e kiia nei ko te glucagon, he mea tino nui kia whakaakona e koe tō whānau me ō hoa ki te tuku i tēnei werohanga i roto i te āhuatanga ohorere. Ko te glucagon he homoni e tere ana te whakapiki i ngā taumata huka toto.

Kia tūpato i te wā e taraiwa ana!

He tino morearea te taraiwa me te huka toto iti. Ki te pāngia koe e ngā tohu o te hypoglycemia i a koe e taraiwa ana, mutu tonu te waka ki tētahi wāhi haumaru i te rori. Kātahi ka tirohia tō huka toto, kai i tētahi mea reka, tatari mō te 15 meneti, tirohia anō, ā, me taraiwa anō ina hoki anō tō huka toto ki te āhua noa. Me pupuri tonu he mea reka (tōfei, kūhuka) i roto i tō waka mō ngā āhuatanga ohorere.

Me pēhea te aukati i te hypoglycemia?

• Whāia kia tika te mahere kai kua hoatu e tō tākuta , e tō tohunga kai rānei .
• Kai i ō kai matua e toru i ngā wā ōrite. Kaua e neke atu i te 4-5 hāora te tawhiti i waenga i ngā kai.
• Ki te whakakori tinana koe, me mahi i te hawhe haora, i te haora rānei i muri i te kai. Tirohia ō taumata huka toto i mua atu, ā, i muri mai hoki i te whakakori tinana.
• I mua i te tango i te rongoā, tirohia anō mēnā kei te tangohia e koe te rongoā tika me te horopeta tika .
• Ki te inu waipiro koe, whakawhāitihia. Kaua e inu waipiro i te wā e takoto kau ana te puku.
• Pātai atu ki tō tākuta mō ngā taumata tino teitei o ngā rongoā e tangohia ana e koe.
• Tirohia ō taumata huka toto i ia wā, i ia wā, kia rite ki ngā tohutohu a tō tākuta .
• He mea tino nui te mau i tētahi kāri tuakiri, i tētahi poroporo rānei e kī ana he mate huka tōu i roto i tētahi āhuatanga ohorere.

Mena he iti te taumata o tō huka toto i ētahi wā i roto i te wiki, kāore he take e kitea ana, kōrero ki tō tākuta mō tēnā. Puritia he tuhinga mō te wā, te rā, me ngā mahi i mahia e koe i taua wā. Mā tēnei ka āwhina i tō tākuta ki te tautuhi i tētahi tauira me te mahi i ngā huringa e tika ana ki tō maimoatanga.