E mōhio ana koe ki te Diabulimia, he mate morearea e haere tahi ana me te mate huka?

Mena kei te noho koe me te mate huka momo 1, e mōhio ana koe ki te uaua o tēnei mahi. Tērā pea he rite ki te pakanga tonu ki te kai, te insulin, me ngā taumata huka toto. Engari i tua atu i ēnei wero, kei reira tētahi atu mate kino ka pā mai ki a koe, ā, ka mōrearea te ora. I tēnei rā, ka kōrero tātou mō tētahi o aua mate, arā, te diabulimia.

He aha rawa te Diabulimia?

Ki te kī māmā noa, ko te Diabulimia he āhuatanga e kore ai e nui te insulin e tangohia e te tangata mate huka momo 1, e iti rānei te insulin e tangohia ana hei whakaiti i tōna taumaha. E kiia ana tēnei e ngā tākuta he mate kai.

Ina rongo koe i te ingoa "diabulimia," tera pea ētahi e whakaaro he rite tēnei ki te "bulimia nervosa." Arā, he rite ki te kai nui, kātahi ka ruaki anō. Engari kāore te katoa e pāngia ana e te diabulimia e mahi pēnei. Ko ētahi tāngata ka whakawhāiti noa i tā rātou whakamahinga insulin, ā, ka taea e rātou te pupuri i ētahi atu momo kai kia rite ki te tikanga. Nō reira, i ētahi wā ka kiia ko "Te Mate Kai i roto i te Mate Huka Momo 1 (ED-DMT1)."

Kia whakaitihia tō insulin, kia ngaro hoki tō taumaha, tērā pea ka whakaaro koe, "Kua taea e au te whakahaere i tōku tinana." Engari ko te pono, he tino morearea tēnei mate, ā, he mate morearea hoki. Mena kei a koe, kei tētahi rānei e mōhio ana koe, he mea nui kia rapu tohutohu hauora tonu.

He aha te take e heke ai te taumaha ina ngaro te insulin? He mea morearea?

E hiahia ana ō tātou tinana ki tētahi homoni e kīia nei ko te insulin hei whiwhi pūngao mai i ngā kai e kainga ana e tātou. Ko te insulin te mea e kawe ana i te kurukose, te huka rānei, i roto i ō tātou toto ki roto i ngā pūtau o te tinana, ka huri hei pūngao.

Whakaarohia, kāore te tangata e pangia ana e te mate huka momo 1 e whakaputa ana i te nui o te insulin i roto i tōna tinana. Kātahi ka tangohia e taua tangata te insulin mai i waho. He aha te mea ka puta mēnā ka whakaitihia e koe te nui o te insulin e tangohia ana e koe? Kāore e taea e ngā pūtau o te tinana te whakamahi i te hukahuka. Kātahi ka tīmata te tinana ki te whakamahi i ētahi atu huarahi hei rapu pūngao. Arā, ka ngana ki te kohi pūngao mā te tahu ngako me te uaua.

Ahakoa te nui o tāu kai, kāore e taea e tō tinana te whiwhi pūngao mai i taua kai, nō reira ko te mea e tupu ana ko te "matekai" o tō tinana. Koinei te take o te whakahekenga taumaha.

Engari he tino morearea te whakaiti i te taumaha i tēnei ara.Ko tētahi, ka taea e ngā matū kino e kiia nei ko ngā ketone te kohikohi i roto i te toto, ka arahi atu ki tētahi mate ka mate pea e kiia nei ko te "Diabetic Ketoacidosis (DKA). Ko tētahi atu, ki te kore e ranea te insulin, ka ngaro pea te nui o te wai mai i te tinana, ka matewai nui. Ahakoa te āhua nei ka āwhina tēnei matewai i a koe ki te whakaiti i tō taumaha, he tino kino hoki ki te tinana.

He aha ngā tohu o te Diabulimia?

I roto i tēnei āhua, ka kitea ētahi tohu ā-tinana, ā-hinengaro, me ā-hinengaro hoki.

Ngā tohu ā-tinana

• He uara HbA1c 9.0%, neke atu rānei: E tohu ana tēnei he tino teitei te taumata huka toto toharite i roto i ngā marama e toru kua pahure.
• Te ngaronga taumaha mō te kore take.
• Pōuriuri me te hemo o te tinana.
• Te kore taurite o ngā irahiko i roto i ngā irahiko o te tinana (konutai, pāhare pāporo).
• Te ngenge tonu me te ngenge.
• Whakapairuaki me te ruaki.
• Te matewai nui me te mimi pinepine.
• Ngā huringa paheketanga koretake i roto i ngā wāhine.
• Ka rerekē te tirohanga, ka pōuri te tirohanga.

Ngā tohu kare ā-roto me ngā tohu whanonga

• Te ngaro i ngā wā tirotiro hauora e pā ana ki te mate huka.
• Te wehi kei iti te huka toto (hypoglycemia) nā te mea me kai koe.
• Te wehi kei "momona koe ina tango koe i te insulin."
• He rite te whakahaere i te mate huka ki tētahi kawenga nui me te pēhanga (te mamae o te mate huka me te ngenge nui).
• Te kore e tango i ngā rongoā insulin i ngā wā katoa, te kore rānei e tango i aua rongoā i te wā roa.
• Te riri ohorere, te hurihanga pinepine o te wairua.
• Te pupuri i ngā mea ngaro mai i ētahi atu mō te whakahaere i tō mate huka.
• Te putanga pinepine mai o te ketoacidosis mate huka (DKA), te tata rānei ki te puta.
• Te kore e hoatu i te nui o te insulin (bolus) e hiahiatia ana mō ngā kai, te iti rawa rānei e hoatu ana.

Mena kei a koe, kei tētahi atu rānei o ēnei tohu, he mea nui kia rapu tohutohu hauora tonu. I kitea i roto i tētahi rangahau, kotahi i roto i te 11 ngā pakeke e pāngia ana e te diabulimia, he mate huka momo 1. Ko te tikanga, he nui ake pea tōna noa i tā tātou e whakaaro nei.

He aha ngā take o te Diabulimia?

Kāore he take kotahi mō te diabulimia. He tino uaua ngā mate kai pēnei i ēnei. Ka taea te hua mai i te huinga o ngā raruraru hauora tinana, pāpori, me te hinengaro.

Tērā pea ko te taumahatanga hinengaro o te whakahaere i te mate huka tētahi take anō hoki. Whakaarohia:

• Me whakaaro tonu ki te kai, inā koa te tatau i ngā warowaihā.
• He mea nui kia pānuihia marietia ngā tapanga kai.
• He mea nui kia tuhia me te aroturukitia i ia wā ngā mea pēnei i te taumata huka toto, ngā taumata HbA1c, me te taumaha tinana.

Haunga ēnei mea, he maha atu anō ngā āhuatanga ka whai wāhi ki te whanaketanga o te diabulimia:

• He hiahia nui ki te whakaiti i te taumaha.
• Ngā raruraru o te ahua o te tinana.
• Te mamae o te mate huka.
• I ētahi ahurea, ko te tinana "kikokore" e whakaarohia ana he ataahua.
• Te whakaaro kāore he tautoko i a rātou.
• Ngā raruraru hauora hinengaro, inā koa te pouri haumanu me te manukanuka.
• Ina heke te huka toto, me kai tonu.
• Te pēhanga a ngā hoa.
• Mena kua pāngia koe e te mate kai i mua.
• Ngā āhuatanga pōuri o te ao.
• Te hiahia ki te whakahaere i tetahi mea i roto i te ao.
• Ka piki te taumaha i muri i te tautuhi tuatahi i te mate huka, ā, ka tīmata te maimoatanga.

Mena kei a koe, kei tētahi rānei e tata ana ki a koe ēnei tohu, he mea tino nui kia rapu awhina koe.

He aha ngā raruraru ka puta mai i tēnei?

Ka taea e te diabulimia te whakararu i te hauora i roto i te wā poto me te wā roa.

Ngā raruraru poto

Ko te nuinga o ēnei ka puta mai i te taumata huka toto tiketike tonu.

• Ketoacidosis Mate Huka (DKA): Ka mate pea tēnei.
• Te matewai nui.
• Te whakaroa i te whakaora o te patunga.
• Ngā mate pukupuku pērā i te Staph.
• Ngā mate rewena me ngā mate mimi (UTI).
• Te memeha o te uaua.

Ngā raruraru roa

He raruraru noa ēnei o te mate huka, engari ka tere ake te puta, ka kino ake hoki i roto i te hunga e pāngia ana e te diabulimia.

• Te mate ngākau.
• Te kino ki ngā io o ngā kanohi (Retinopathy) - Ka taea e tēnei te arahi ki te matapo.
• Te kino ki ngā io o ngā peka (Neuropathy) - Ka pā te ngoikore, te mamae, me te ngaro o te rongo ahakoa kua whara.
• Gastroparesis - Te whakaroa o te nakunaku kai.
• Mate whatukuhu - Ka arahi pea tēnei ki te ngoikore o te whatukuhu, tae atu ki te hiahiatanga ki te dialysis.
• Mate ate.

Ka taea e ēnei raruraru te arahi ki te whakaurunga maha ki te hōhipera, tae atu ki te mate wawe.

Me pēhea te tautuhi a ngā tākuta i tēnei mate?

He uaua te tautuhi i ngā mate kai nā te mea he maha ngā wā e huna ana. He maha ngā tāngata e pāngia ana e ēnei āhuatanga kāore e haere mai ki te rapu maimoatanga. Tērā pea he pono tēnei mō te hunga e pāngia ana e te diabulimia. He maha ngā wā e wehi ana te hunga e pāngia ana e te mate huka kei whakapaehia rātou e ō rātou tākuta, e te whānau rānei mō te kore e whakahaere tika i tā rātou mate huka.

Nā tēnei, he tokomaha te hunga e pāngia ana e te diabulimia kāore i te tautuhia.

Mena he 9.0%, he teitei ake rānei te taumata HbA1c o tētahi e tata ana ki a koe, ki te mea rānei he maha tonu ā rātou pānga ki te DKA, engari kāore he whakamārama kē atu, tera pea ka whakapae koe he diabulimia tōna.

I te mea he uaua ki te tohu i te tino pūtake o te huka toto tiketike tonu, i te nuinga o te wā, kia mōhio ai ētahi atu ki tēnei āhuatanga, me whakaae te tangata tonu kei te āta whakawhāitihia e ia tana whakamahinga insulin.

Me pēhea te rongoā i te Diabulimia? (Te maimoatanga)

Ko ngā whāinga matua o te maimoatanga o te diabulimia ko:

• Te whakamahi tika i te insulin.
• Te whakahaere i ngā taumata huka toto me te taumaha tinana i roto i te huarahi hauora.
• Te ārai i ngā raruraru mate huka mō te wā poto me te wā roa.
• Te rongoā i ngā raruraru hinengaro e whai wāhi ana ki te diabulimia.

Ko te tikanga ka whakamahia he huinga o ngā maimoatanga e whai ake nei mō tēnei:

• Aromatawai hauora me/ranei te whakaurunga ki te hōhipera: Mena he mate pēnei i a koe te DKA, me whakauru koe ki te hōhipera me te rongoatia. I ngā wā tino kino, me whakauru pea koe ki te hōhipera kia kore ai e herea te insulin, kia aroturukihia ai hoki ētahi atu mate kai. Ka tūtohu pea ngā tākuta i ngā whakamātautau hei tirotiro i ngā raruraru.
• Hinengaro Whakaora (whakaora kōrero): Mā tēnei ka āwhina i a koe ki te whakarerekē i ngā tauira whakaaro me ngā whanonga raruraru. Ko te hunga mate huka e rua, e toru rānei ngā wā ka nui ake te tūponotanga ka pāngia rātou e te pouri, ā, tata ki te 20% te tūponotanga ka pāngia rātou e te manukanuka. Ka taea e te hinengaro whakaora te rongoā i ēnei āhuatanga. Waihoki, mā te kōrero mō ō kare ā-roto mō te mate huka ka āwhina i te whakaiti i te ngenge o te mate huka.
• Mātauranga kai me/ranei te whakahaere mate huka: Mā te mārama pai ki te mate huka ka taea e koe te māia ki te whakahaere. Ka taea e koe te mahi tahi me tētahi Tohunga Tiaki me te Mātauranga Mate Huka Whaimana (CDCES) ki te ako mō te koiora o te mate huka me ngā rautaki whakahaere. Ka taea e te mātauranga kai te āwhina i a koe ki te whakarerekē i ngā whakapono kino mō ētahi kai (pēnei i te "he kino ngā warowaihā") me ētahi atu tauira kai kino.
• Rongoā hei whakahaere i te pouri me te manukanuka: Mena e tika ana, ka tohua pea e te tākuta he rongoā mō tēnei.

Nā te mea he āhuatanga tinana, hinengaro hoki te diabulimia, me āwhina te tini o ngā kaiwhakarato hauora ki te rongoā. Hei tauira:

• Ngā Tohunga Tiaki me te Mātauranga Mate Huka Whaimana (CDCES).
• Ngā tohunga endocrine - he tākuta e tohunga ana ki ngā homoni.
• Ngā tohunga hinengaro.
• Ngā Kaitohutohu Kai kua Rēhitatia.

He aha ngā tūponotanga ka ora mai i tēnei mate? (Te matapae)

Ko te tirohanga mō te tangata whai diabulimia e whakawhirinaki ana ki ētahi āhuatanga:

• Kia pēhea te roa o te noho o te mate diabulimia.
• Te nui me te auau o te whakawhāititanga o te insulin.
• Mehemea kei reira ētahi atu whanonga kai pōrearea.
• Te momo maimoatanga e whakawhiwhia ana ki a koe me te nui o tō whakapau kaha ki taua maimoatanga.

Ka kino haere pea te mate diabulimia mēnā kāore e rongoatia. Ko te tere o te whiwhi āwhina, ko te pai ake o te hua. Engari he maha ngā wā, kāore te hunga e pangia ana e te diabulimia e whakaatu ana kei te āta whakaitihia e rātou tā rātou insulin. Tērā pea ka whakakahoretia e rātou te maimoatanga, kāore rānei e whai i te mahere maimoatanga.

He mate kai te Diabulimia, ā, ka tino kino pea, ka mate pea mēnā kāore e rongoatia. Ahakoa he poto ake te roanga o te oranga o te hunga mate huka i te taupori whānui, he nui ake te mōrearea o te hunga mate diabulimia ki te mate wawe atu i te hunga mate huka anake.

Engari ko te rongo pai , he mate ka taea te rongoā i te diabulimia. He tino āwhina te tautoko a te hunga e arohaina ana hei pupuri i te tangata e pāngia ana e tēnei mate kia piri tonu ki te maimoatanga.

Mena kei a koe te Diabulimia, me pēhea koe e tiaki ai i a koe anō? / Me pēhea koe e whiwhi āwhina ai?

He mea uaua pea tēnei, he mea whakamataku hoki te kōrero, engari ki te mea he diabulimia tōu, he mea tino nui kia kōrerotia ki tētahi.

Mena kua kitea kētia tō mate diabulimia, me piri tonu ki tō mahere maimoatanga:

• Tangohia te horopeta insulin kua tohua e koe i te wā tika.
• Mena kei a koe ētahi atu rongoā kua tohua, me tango tika.
• Mena kei te whiwhi koe i te rongoā kōrero, me toro atu ki tō kaiwhakaora i ia wā, i ia wā.
• Tonoa te tautoko a te whānau me ngā hoa.
• Whakaarohia te whakauru atu ki ngā rōpū tautoko mō te hunga mate huka me/ranei te hunga mate diabulimia.
• Me matara atu i ngā mea ka taea te whakaoho i ngā whanonga diabulimia (pērā i te pāpāho pāpori).
• Tirohia tō tākuta i ia wā, i ia wā.
• Kia atawhai ki a koe anō. Whakaarohia koe anō.

He mate uaua, he uaua ki te whakahaere, ā, he mate taumaha hoki te mate huka momo 1. Engari kia mōhio koe ehara i te mea ko koe anake – he pikinga, he hekenga hoki ō te oranga mō te hunga katoa e pāngia ana e te mate huka. Engari he mate kino te diabulimia ka pā he pānga kino ki te hauora. Ko te taahiraa tuatahi ki te wawahi i tēnei huringa kino me te noho ora ake ko te tono āwhina. Kei konei ō tākuta me ō whanaunga hei āwhina i a koe.

Ngā kōrero poto hei maumahara

Āe, anei ētahi o ngā mea tino nui hei maumahara mā tātou i roto i ngā kōrero kua kōrerotia nei:

• He mate kino te Diabulimia e te tangata mate huka momo 1 e whakawhāiti ana i te whakamahinga o te insulin hei whakaiti i tōna taumaha.
• Ka taea e tēnei te whakararu i te hauora nui, tae atu ki te mate, i roto i te wā poto me te wā roa.
• He mea tino nui kia kitea wawetia, kia whiwhi ai i te maimoatanga whānui e kapi ana i ngā āhuatanga hauora, hinengaro, me te kai.
• He mea nui te tautoko a te whānau me ngā hoa i tēnei haerenga.
• Ki te pā mai tēnei momo raruraru ki a koe, kaua e wehi ki te tono āwhina. Kāore koe i te mokemoke.

` Diabulimia, Mate Huka, Mate Huka Momo 1, Insulin, Mate Kai, Mate Kai, Te Whakaiti Taumaha, Hauora Hinengaro