Mena kei te noho koe me te mate huka, e mōhio ana pea koe ki te uaua o te tango i te insulin i ia rā, me te tirotiro i ō taumata huka toto i ngā wā rerekē o te rā. I ētahi wā, ka hoha katoa ēnei. Kaua e manukanuka, nā te mea kei te tere haere te whanaketanga o te mara o te maimoatanga mate huka i tā tātou e whakaaro nei. Kei te mahi ngā kaipūtaiao inaianei ki te hanga i tētahi repe taiaki horihori ka taea te rongo i ngā taumata huka o ō tātou tinana, ā, ka tukuna aunoa te insulin. I tēnei wā, kua tae mai ngā rongoā hou me ngā taputapu insulin hei āwhina i a tātou. Nā ēnei kua ngāwari ake, kua haumaru ake hoki te noho me te mate huka.
Ko te mea nui, ehara i te mea he rite tonu te katoa o te hunga mate huka. Ko te mea e pai ana mō tētahi tangata, kāore pea e pai mō tētahi atu. Koia te mea pai kia whai i ngā momo maimoatanga. Kātahi ka taea e tō tākuta te whiriwhiri i te maimoatanga pai rawa atu māu.
Ngā whanaketanga hou o te maimoatanga mate huka
Kia tirohia ētahi o ngā maimoatanga me ngā taputapu hou e whakamahia ana puta noa i te ao, he tino āwhina ki te whakahaere i te mate huka. Kāore pea ētahi o ēnei e wātea whānuitia ana i Sri Lanka, engari he mea nui kia mōhio koe ki ēnei whanaketanga.
| Tikanga/taputapu maimoatanga | I te kīanga māmā noa iho, he aha te mea ka tupu ki tēnei? | Ngā mea motuhake hei mōhio |
|---|---|---|
| Afrezza (whakapūngao insulin) | He rite tēnei ki te mea whakapūngao e whakamahia ana e te hunga mate huango. Engari ko te werohanga i te insulin, he taputapu e āhei ai koe ki te manawa i te horopeta insulin. Ko te nuinga o te wā ka whakamahia hei whakarato i te tinana ki te horopeta insulin tere-mahi i te tīmatanga o te kai . | He taputapu iti rawa tēnei, he mea kawe. Heoi, kāore e tika ana mō ngā kaipaipa , mō te hunga rānei he mate pūkahukahu pērā i te mate huango, te mate pūkahukahu rānei. |
| Medtronic MiniMed 640G (Papu Inihurini Atamai) | He taputapu 'atamai' tēnei e hono ana i tētahi papu insulin me tētahi aroturuki huka toto tonu. Ka mutu aunoa te tuku insulin ina tīmata te heke o tō huka toto. Ka tīmata te tuku insulin ina hoki anō tō taumata huka ki te āhua noa. | He taahiraa nui tēnei i roto i te haerenga ki te hanga i tētahi repe taiaki horihori. He raruraru nui te iti o te huka toto, te hypoglycemia rānei, inā koa mō te hunga mate huka momo 1. Tērā pea ka taea e tēnei taputapu te whakaora i te hunga he iti te huka toto, ā, kāore i te mōhio. |
| Lucentis (rongoā kanohi) | He rongoā motuhake tēnei kua whakaaetia hei rongoā i tētahi mate kino e kiia nei ko te diabetic retinopathy, arā, he kino ki ngā kanohi i puta mai i te mate huka. Ka taea e tēnei mate te arahi ki te matapo i te mutunga. | I mua, i whakamahia tēnei rongoā mō tētahi atu mate kanohi (macular edema) i roto i te hunga kāore he mate huka. Ināianei kei te whakamahia hoki hei tiaki i ngā kanohi o te hunga mate huka. E whakaatu ana tēnei kei te puta mai ngā huarahi hou hei ārai i ngā raruraru o te mate huka. |
He aha te repe taiaki horihori?
Tērā pea ka whakaaro te tangata e raru ana ki te tango i te insulin me te tirotiro i ōna taumata huka toto i ētahi wā i te rā, he mea pai rawa atu mēnā he taputapu hei mahi i ēnei mea katoa māna. Kua tata te tutuki o taua moemoeā me te Artificial Pancreas .
He kupu māmā noa iho, he taputapu iti tēnei e mahi ana pērā i te repe taiaki tūturu i roto i tō tātou tinana.
- Ka ine tonu i te taumata huka toto (glucose).
- I runga i taua taumata, ka whakatauhia te nui o te insulin e hiahiatia ana e te tinana.
- Kātahi ka tukuna te nui o te insulin e hiahiatia ana ki roto i te tinana i te wā tika.
Ko te tikanga o tēnei, kāore te tangata mate huka e manukanuka tonu mō ōna taumata huka toto. Kei ētahi repe taiaki horihori matatau he papu tuarua kei a ia e pupuhi ana i te homoni e kiia nei ko te glucagon, e whakamahia ana hei whakapiki i ngā taumata huka toto mēnā ka tino iti rawa (te hypoglycemia nui).
Engari he wero nui tēnei. Arā, i te ao tūturu, arā, te aro tika ki ngā huringa o te taumata huka ina kai tātou, ina whakakori tinana, ina pāngia rānei e te mate, me te whakahaere i ngā taumata huka me te kore e tino heke iho.
Whakaarohia he rite ki te taraiwa i tētahi waka reihi tere, kaua ki tētahi waka noa. Ahakoa he hapa iti noa iho, ka taea e ia te arahi ki tētahi raruraru nui. Koia te take e aro nui ai ngā kaipūtaiao ki te ārai i te hekenga nui o te huka toto i te wā e whakawhanake ana i ēnei taputapu.
Ka tumanakohia ētahi atu whanaketanga ā muri ake nei
Kāore te rangahau e mutu i reira. He maha atu anō ngā mea e rangahauhia ana e ngā kaipūtaiao.
He pai ake te insulin, he roa ake te mahi
He nui ngā rangahau e mahia ana hei whakawhanake i ngā insulin e mahi pūmau ana, e taea ai te matapae i ngā insulin roa e mahi ana i ēnei rā.
Kei te ngana anō hoki rātou ki te hanga i te insulin kia kukū ake . Arā, he iti ake te nui o te insulin i roto i te wai. He aha te painga o tēnei? Whakaarohia, ko ētahi tāngata, inā koa ko te hunga mate huka momo 2, e hiahia ana ki te neke atu i te 100 waeine o te insulin ia rā. Ka taea e te werohanga te pupuri i te 100 waeine. Kātahi ka werohangahia e rātou anō kia rua ngā wā. Mena ka taea te whakaiti i tēnei ki te werohanga kotahi, he aha te watea o tēnā?
Rangahau Pūtau Taketake
Koinei pea te tumanako nui rawa atu mō te mate huka. Kei te ngana ngā kaipūtaiao ki te whakamahi i ngā pūtau take , he momo pūtau motuhake ka taea te huri hei momo pūtau katoa i roto i tō tātou tinana, hei hanga i ngā pūtau repe taiaki (pūtau beta) e whakaputa ana i te insulin.
Mena he tino angitu tēnei, arā, ka taea e ngā pūtau e hanga ana i tēnei mahi te rongo i ngā taumata huka o te tinana, ā, ka taea hoki te whakaputa i te insulin i roto i te tinana, ehara i te mea he rongoā noa iho tēnei mō te mate huka, engari he rongoā katoa hoki. Ahakoa kei roto tonu i te wāhanga rangahau tēnei, e kite ana ngā kaipūtaiao i tēnei ehara i te moemoeā noa iho, engari he mea ka taea te whakatutuki.
Karere Tangohia ki te Kāinga
- Kei te pai haere te pūtaiao o te rongoā i te mate huka i ia rā, nō reira kaua e ngoikore te tumanako.
- Kua tino māmā ake te noho tahi me te mate huka nā ngā hua hou pēnei i ngā mīhini whakangote insulin me ngā papu atamai.
- He rerekē te katoa o te tangata e pāngia ana e te mate huka. Ko tō tākuta anake te mea hei whakatau ko tēhea te maimoatanga pai mōu. Nō reira, kōrero ki tō tākuta mō ngā maimoatanga hou.
- Tērā pea ka taea e ngā mea pēnei i te repe taikaha me te rangahau pūtau take te whakaora i te mate huka ā muri ake nei. Nō reira, kia hihiri mō te heke mai.
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