He tangata koe e tango ana i ngā rongoā mō te mate huka? He mema whānau, he hoa rānei tōu? Kāti, kua rongo pea koe i ngā wā ka pāngia koe e te ngoikore, te werawera, te wiri, me te pā mai o tētahi kare ā-roto rerekē i roto i tō ngākau. Tērā pea kua pāngia koe e tēnei. He mea tēnei e kore e tika kia māmā noa iho, ā, ka taea te noho hei āhuatanga ohorere. I tēnei rā ka kōrero tātou mō tēnei āhuatanga morearea ka pā ki te hunga mate huka, e kiia nei ko te 'Insulin Shock', arā, ko te 'Hypoglycemia'.
He kupu ngāwari noa iho, he aha te hypoglycemia?
He tino māmā noa iho. Ko te tikanga o tēnei ka heke te taumata huka toto i raro iho i te mea e tika ana. Inaianei, me whai pūngao ia pūtau o tō tātou tinana kia mahi ai. Pērā i te motuka e hiahia ana ki te penehīni hei whakahaere. Ka whiwhi ō tātou pūtau i tēnei pūngao mai i te huka, te hukahuka rānei, i roto i ngā kai e kainga ana e tātou.
Heoi, kāore e taea e tēnei huka te uru ki roto i ngā pūtau. Me whai kī motuhake. Ko taua kī ko te homoni insulin . Ko te tangata mate huka kāore e nui te insulin e hangaia ana e tōna tinana, kāore rānei e mahi tika te insulin e hangaia ana e ia. Koia te take me werohanga insulin, me ētahi atu rongoā rānei mai i waho.
Nō reira, ko te tikanga o te hypoglycemia, mō tētahi take, ka piki te nui o te insulin e hiahiatia ana hei whakahaere i tō huka toto, ka heke kino rawa atu ngā taumata huka toto.
He aha tātou ka pāngia ai e te Insulin Shock? He aha ngā take?
Ko te take matua mō tēnei he kore taurite. Arā, ka whakararuraruhia te taurite i waenga i te nui o te insulin, te rongoā mate huka rānei e tangohia ana e koe, te nui o te kai e kainga ana e koe, me tō korikori tinana.
Anei ētahi take noa:
- Te whakakori tinana nui atu i te tikanga: Whakaarohia kua tangohia e koe tō horopeta insulin o ia rā, ā, kua kaha ake tō mahi i te tikanga ki te horoi i te māra. Nā te mea he nui ake te huka e whakamahia ana e ō tātou pūtau i a tātou e whakakori tinana ana, ka tere te heke o te huka toto.
- Te peke, te whakaroa rānei i te kai: Ki te werohia koe ki te insulin i te ata, ā, kāore e taea e koe te kai i te wā tika nā te mahi, tērā pea kāore e nui te huka e whiwhihia ana e tō tinana hei taurite i te nui o te insulin kua tangohia e koe, ka heke ai te taumata huka i roto i tō toto.
- Te whakarerekē i te nui o te kai, te wā rānei e kai ai: Ko te kai iti iho i te wā noa tētahi atu take.
- Te nui rawa o te rongoā: Te nui o te insulin, te rongoā rānei e tangohia ana i te nui atu i te mea i whakaritea e te tākuta.
- Te inu waipiro i runga i te puku kau: Mā te inu waipiro me te kore kai ka heke ohorere te taumata o te huka toto.
He aha ngā tohu o tēnei? Me pēhea tātou e mōhio ai?
Ahakoa he ngawari noa iho ēnei tohu i te tīmatanga, ki te kore e arohia, ka kino rawa atu. Koia te mea nui kia mōhio koe me tō whānau ki ēnei tohu.
| Kāwai āhuatanga | Ngā kare ā-roto me ngā tohu e kitea ana |
|---|---|
| Ngā āhuatanga taketake/ngāwari (ngā tohu whakatūpato wawe) | |
| Te whanoke me te wiri | Te whanoke ohorere, te wiri o ngā peka. |
| Te werawera | Te werawera makariri, kāore he take. |
| Hiakai nui | Te tīmatanga ohorere o te hiakai nui. |
| Ngā tere o te ngakau | Te āhua nei kei te tere te pao o tō ngākau me te mea kei roto i tō ngākau tētahi tauhou. |
| Te riri/manukanuka | Ka hohoro te riri, ka pōuri hoki, kāore he take. |
| Ngā tohu kino/mōrearea (me rongoā tonu) | |
| Te pōhēhē me te uaua ki te kōrero | Te kore e taea te whakaaro, te kore e mārama te kupu, te kore e taea te mahi i tāu e mahi tika ana. |
| Te ānini nui | Te ānini ohorere, te mamae nui. |
| Te hemo | Ka ngaro pea tō māramatanga mēnā ka pōuri koe. |
| Ngā mate hopuhopu | He āhua o te tinana e wiri ana, e rite ana ki te taupatupatu. |
| Ngā tohu o te pō | |
| Te tangi i te moe/moemoeā kino | E hamama ana i a koe e moe ana, e moemoeā ana. |
| Te mākū o ngā kākahu me ngā moenga | Te nui o te werawera i te pō, ka mākū ai ngā kākahu me ngā whāriki moenga. |
| Ina ara ake koe i te ata | Te tino ngenge, te riri, te pōuri rānei ina oho ake i te ata. |
Āe, me aha tātou mēnā ka puta he mea pēnei?
Ina puta ngā tohu matua:
Ki te taea e koe, tirohia tuatahitia tō taumata huka toto ki tō mita huka. Pērā ai ka taea e koe te tino mōhio. Heoi, ki te kore he huarahi hei tirotiro i taua wā, engari kei a koe ngā tohu, kaua e whakaroa ki te tiki maimoatanga. Whakaarohia he iti te huka, ā, me mahi i ngā mea e tika ana.
He ture māmā tā mātou e whakamahi ana mō tēnei. Ko te 'ture 15-15' tēnā.
1. Ngā 15 tuatahi: Kai, inu rānei i tētahi mea he 15-20 karamu te huka kei roto, ka tere te mimiti e te tinana.
- 3-4 papa hukahuka
- He hawhe karaihe wai hua (karaka, aporo)
- He hawhe karāhe inu huka noa (ehara i te inu kai iti)
- Whakarewahia he punetēpu huka ki roto i te wai ka inu.
- He punetēpu honi, he nekita rānei
- He torutoru ngā tōfi
2. Tiuteronomi 15:Taria mō te 15 meneti. Kātahi ka tirohia anō tō taumata huka toto.
Mena kei te iti tonu tō huka toto (kei raro iho i te 70 mg/dL te nuinga), kainga tētahi o ngā kai kua whakarārangihia i runga ake nei, ā, tirohia anō i roto i ngā meneti 15. Kia hoki anō tō huka toto ki te āhua noa, ki te mea kua neke atu i te haora mai i tō kai matua e whai ake nei, kai i tētahi kai reka pēnei i te hawhe taro, he tiihi, me ngā pihikete e 4-5.
Mena he kino te āhua (mehemea kua ngaro te mahara):
He mea tino nui: Ki te kore e mōhio te tangata, ki te pāngia rānei e te mate haurangi, kaua rawa e ngana ki te hoatu kai, ki te inu rānei mā te waha. Ka taea e tēnei te ārai i te kai, i te wai rānei ki te ara manawa.
Ko te mea tuatahi me mahi ko te waea atu ki te 1990 me te tiki i tētahi waka tūroro, me te kawe rānei i te tangata ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera tata rawa atu i te wā e taea ai. I te hōhipera, ka whakahaerea te āhua mā ngā maimoatanga pēnei i te hoatu huka mā roto i te uaua.
Ka taea e koe te kōrero ki tō tākuta mō te tiki i tētahi kete whakaora glucagon . Ko te glucagon he homoni e hangaia ana e ō tātou tinana e tere ai te whakapiki i ngā taumata huka toto. Mā te werohanga i tēnei ki roto i te tangata kore mohio ka āwhina i te ārai i te kino haere o te āhuatanga kia tae mai rā anō te waka tūroro, kia haria rānei rātou ki te hōhipera. Mā te whakaako i tō whānau me te hunga e mahi tahi ana me koe ki te whakamahi i tēnei mea ka taea te whakaora i te ora.
Karere Tangohia ki te Kāinga
- Mena he mate huka tōu, kia tūpato ki ngā tohu matua o te ru insulin (te werawera, te wiri, te whanoke, te hiakai).
- Me pupuri tonu tētahi mea i te taha o te whare ka tere te piki ake o te huka toto (ngā papa hukahuka, te tōfi, tētahi inu reka).
- Kōrerotia tēnei āhuatanga ki tō whānau me ō hoa tata, me ngā mea hei mahi mēnā he āhuatanga ohorere.
- Ki te ngaro te mārama o te tangata, kaua e hoatu he kai, he inu rānei mā te waha, ahakoa te take. Kawea tonutia ia ki te hōhipera.
- Kōrero tonu ki tō tākuta mō ō rongoā me te horopeta o te insulin, ngā kai, me te whakakori tinana kia taurite ai.
- Pātai atu ki tō tākuta mō tētahi kete whakaora glucagon. He mea whakaora ora pea tēnei.
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