Kua tino matewai koe i ēnei rā ? Me haere tonu koe ki te wharepaku? Kei te ngaro tō taumaha i te kore e tūmanakohia? Kei te pāngia rānei koe e te ngoikore o ō ringaringa me ō waewae? Mena kei a koe ēnei tohu, ka hiahia pea tō tākuta kia whakamātauria koe kia kitea ai mēnā he mate huka tōu. Inaa, ka pāngia ētahi tāngata e te mate huka me te kore he tohu. Nō reira, i tēnei rā, me kōrero tātou mō ngā whakamātautau toto e whakamahia ana hei tātaritanga i te mate huka.
He aha te Huka Toto?
He whakarāpopototanga noa iho, ko te Huka Toto, te Huka Toto rānei, te wahie matua e homai ana he pūngao ki tō tātou tinana. He rite ki te penehīni mō te motuka. Ka hurihia e tō tātou tinana ngā warowaihā i roto i te kai e kainga ana e tātou hei huka (glucose), koinei te mea e homai ana he pūngao ki ia pūtau o te tinana. Ka hangaia hoki e tō tātou ate tēnei huka, ā, ka rongoatia hoki. Ina kore tātou e kai mō tētahi wā, ka ngana te tinana ki te pupuri i ngā taumata huka toto noa mā te whakamahi i te huka kua rongoatia ki roto i te ate.
Ināianei, he tino hira te mahi a te homoni insulin . Whakaarohia he rite ngā pūtau o roto i tō tātou tinana ki ngā whare, ā, he rite te hukahuka ki tētahi kete kai e hiahiatia ana e aua whare. He rite te insulin ki te kī e whakatuwhera ana i te tatau hei tuku i taua kete kai ki roto i te whare.
Nā, he aha te mea ka tupu mēnā kāore e nui te insulin e whakaputaina ana e tō tinana, mēnā rānei kāore te insulin kei a koe e mahi tika (kāore e taea e ngā tatau te whakatuwhera)? Kāore e taea e aua kete kai (te hukahuka) te uru ki roto i ngā pūtau, ā, ka kohia ki roto i ngā uaua toto. Koinei te mea e kiia nei e tātou ko te huka toto tiketike (Hyperglycemia) .
Ki te noho teitei tonu ngā taumata huka toto mō te wā roa, me te kore e rongoatia, ka kino pea ō tātou io, ngā uaua toto, ngā kanohi, ngā whatukuhu, me te ngākau. Koia te mea nui kia kitea wawetia.
He aha ngā whakamātautau toto matua e whakamahia ana hei tautuhi i te mate huka?
He maha ngā momo whakamātautau e whakamahia ana e ngā tākuta hei whakatau mēnā he mate huka tōu. Ko ētahi e hiahia ana kia nohopuku koe i te pō i mua atu, ko ētahi kāore. Mā tō tākuta e whiriwhiri te whakamātautau tino tika i runga i ō tohu me tō āhua.
1. Whakamātautau Huka Plasma Nohopuku (FPG)
Koinei te whakamātautau e tino mahia ana.
- Te mahi: Kaua e kai, kaua hoki e inu i tetahi mea mō te iti rawa i te 8 hāora i mua i te whakamātautau (he pai te wai iti). Nō reira, ko te tikanga ka mahia tēnei whakamātautau i te ata. Ka tangohia he tauira toto iti mai i te uaua i tō ringa, ā, ka whakamatautauria i roto i te taiwhanga.
- Kia mārama tātou ki ngā hua:
- 99 mg/dL, iti iho rānei: Taumata noa
- Mena kei waenganui i te 100 mg/dL me te 125 mg/dL:Te mate huka i mua i te mate. Ko te tikanga he āhuatanga morearea.
- Mena he 126 mg/dL, neke atu rānei (i ngā rā e rua): Kua tautuhia he mate huka.
2. Whakamātautau Huka Plasma Tūpono, Matapōkere rānei
He whakamātautau tere tēnei e mahia ana i roto i te āhuatanga ohorere, i te tangata rānei he nui ngā tohumate e pāngia ana e te mate.
- Te mahi: Kāore koe e hiahia ki te nohopuku mō tēnei. Ka tangohia he tauira toto i ngā wā katoa o te rā, ā, ka whakamatautauria.
- Kia mārama tātou ki ngā hua: Mena he 200 mg/dL, neke atu rānei te taumata huka toto , ā, kei a koe ngā tohumate o te mate huka, he tino tūponotanga kei a koe te mate huka. Ka whakahaerehia e tō tākuta tētahi atu whakamātautau hei whakaū.
3. Whakamātautau Manawanui Huka Waha (OGTT)
Ka ine tēnei whakamātautau i te pai o te whakahaere a tō tinana i te huka toto. Ka whakamahia hoki hei kite i te mate huka hapūtanga i te wā e hapu ana.
- Te mahi: Tuatahi, ka tangohia he tauira toto i te nohopuku. Kātahi ka hoatu he inu huka ki a koe. Kātahi ka tangohia anō he tauira toto i muri i te kotahi hāora me te rua hāora.
- Kia mārama tātou ki ngā hua: Mena he 200 mg/dL, he teitei ake rānei tō taumata huka i muri i ngā hāora e rua, kua tautuhia he mate huka.
4. Whakamātautau Hemoglobin A1c (HbA1c)
He whakamātautau tino nui tēnei.
- Te mahi: Kāore tēnei e titiro noa ki ō taumata huka toto i te rā kotahi. Ka titiro ki ō taumata huka toto toharite i ngā marama 2-3 kua hipa . Kāore koe e hiahia ki te nohopuku mō tēnei.
- Kia mārama tātou ki ngā hua:
- Ki te iti iho i te 5.7%: Taumata noa
- Mena kei waenganui i te 5.7% me te 6.4%: Te mate huka
- Mena he 6.5%, he nui ake rānei (i ngā rā rerekē e rua): Te mate huka
Mā te ripanga i raro nei ka mārama ake ai koe ki ēnei whakamātautau.
| Ingoa o te whakamātautau | Noa | Te mate huka i mua i te mate huka | Mate huka |
|---|---|---|---|
| Te Huka Plasma Nohopuku (FPG) | 99 mg/dL, iti iho rānei | 100 – 125 mg/dL | 126 mg/dL, neke atu rānei |
| Whakamātautau Manawanui Huka Waha (OGTT) - I muri i ngā haora e 2 | 139 mg/dL, iti iho rānei | 140 – 199 mg/dL | 200 mg/dL, neke atu rānei |
| Te Hemoglobin A1c (HbA1c) | I raro iho i te 5.7% | 5.7% – 6.4% | 6.5% neke atu rānei |
Ka pāngia hoki ngā tamariki e te mate huka?
Ae, ka pāngia hoki ngā tamariki e te mate huka. E rua ngā momo matua.
- Mate Huka Momo 1: Koinei te wā ka mutu katoa te hanga insulin e te tinana. Ka taea te whakawhanake i ngā tau katoa, engari he mea noa i roto i ngā tamariki me ngā taiohi. Me werohia te insulin i ia rā kia ora ai rātou. Ka puta ohorere mai ngā tohu (pēnei i te matewai nui, te mimi pinepine, te whakaheke taumaha, me te ngenge nui).
- Mate Huka Momo 2: Koinei te wā e whakaputa ai te tinana i te insulin, engari kāore e taea te whakamahi tika. He maha ngā wā ka honoa tēnei āhuatanga ki te taumaha rawa, ki te momona rānei . Tērā pea ka pāngia ētahi tamariki e te mate huka, kāore he tohu. I ētahi wā ka kitea noa iho i roto i te whakamātautau toto, mimi rānei mō tētahi atu take.
Ki te whakaaro koe kei te mōrearea tō tamaiti ki te mate huka, kōrero ki tō tākuta mōna. Ki te kitea wawetia, ka taea te ārai i te mate huka mā te whakarerekē i tō kai me tō mahi whakakori tinana.
Me aha koe i muri i te tātaritanga kua pāngia koe e te mate huka? Me wehi koe?
Kaua e mataku. He mate te mate huka ka taea e koe te whakahaere pai me te noho ora. Ko te mea nui ko te whakahaere i ō taumata huka toto. Anei ētahi mea hei āwhina:
1. Kai: Kai i te kai taurite. Āta karohia ngā inu huka (ki te kore koe e kai i te kai iti-warowaihā). Akohia te tatau i ngā warowaihā, me te kai i te mea e tika ana.
2. Whakakorikori tinana:Mā te whakakori tinana auau ka pai ake te whakamahinga o te insulin e tō tinana. Kōrero ki tō tākuta mō tētahi mahere whakakori tinana e tika ana māu.
3. Rongoā: Tangohia te rongoā i tohua e te tākuta kia tika, kia tika hoki te wā. Mēnā he raruraru, me kōrero ki te tākuta.
4. Te ahotea: Ka taea hoki e te ahotea te piki ake o te huka toto. Nō reira, kia marino tō hinengaro, kia whai wāhi atu hoki ki tētahi mahi whakangahau e pai ana ki a koe.
5. Tirohia ō taumata huka toto i ia wā: Mā tō tākuta koe e ako ki te tirotiro i ō taumata huka toto i te kāinga. Ka taea e koe te whakamahi i tētahi mita huka toto hei tango i tētahi pata toto iti mai i tō maihao, hei tirotiro i tō huka toto. Mā tēnei koe e āwhina ki te mōhio mēnā he tiketike, he iti rānei ō taumata huka toto (hyperglycemia) ā, ka āwhina i a koe ki te whakahaere i tō kai me ō rongoā i runga i tēnā.
Karere Tangohia ki te Kāinga
- Kia tūpato ki ngā tohu matua o te mate huka (te matewai nui, te mimi pinepine, te whakaheke taumaha).
- Kaua e wehi i ngā whakamātautau toto. Mā ngā whakamātautau pēnei i te FPG, OGTT, me te HbA1c ka mārama ake koe ki tō āhua.
- Ki te mea kua tāpaetia kei a koe te mate huka, ehara i te mea hei wehi, engari he mate ka taea te whakahaere tika.
- Ka taea e koe te noho ora mā te tiaki i tō kai, te whakakori tinana, te rongoā, me te oranga hinengaro.
- Mēnā he raruraru, he ruarua rānei, tēnā whakapā atu ki tō tākuta .
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