Ki te mea he mate huka tōu, e mōhio ana pea koe ki te whakarihariha me te mamae o te wero i tō maihao ki te ngira iti i ētahi wā i te rā, te tango i tētahi pata toto, ka pania ki tētahi rīpene whakamātautau hei tirotiro i tō taumata huka toto. Ka tino hoha koe ina mahi koe i tēnei i ia rā, e toru, e whā rānei ngā wā i te rā, kāore? He mea tino nui te tirotiro auau i ō taumata huka toto pēnei kia mōhio ai koe mēnā kei te pai te mahi a tō maimoatanga, mēnā me whakahaere e koe tō kai, mēnā rānei me whakarerekē e koe te horopeta o tō insulin.
Engari he rongo pai tēnei māu! Tekau tau ki muri, ko te wero noa i tō maihao anake te mea i hiahiatia, engari kua tino whanake te hangarau. Ināianei kei reira ngā huarahi hei aroturuki i ō taumata huka toto me te kore e mamae, me te kore e nui te kaha. I tēnei rā, ka kōrero tātou mō ēnei tikanga hou, hangarau teitei. Koinei ngā mea kei te heke mai mō te whakahaere mate huka.
He huarahi hei tirotiro i tō huka me te kore e werohia tō maihao? Ae, ko te CGM tēnā! (Continuous Glucose Monitoring)
He tino māmā noa iho. Ka whakatōkia he pūoko iti rawa ki raro i tō kiri, i runga i tō puku, i tō ringa rānei. Ka ine tonu tēnei pūoko i te taumata huka i roto i te wai i waenga i ngā pūtau o tō tinana, i ia meneti torutoru. Kātahi ka tukuna ngā raraunga mā te ahokore ki tētahi taputapu iti pēnei i te waea, i tētahi taupānga i runga i tō waea atamai, i tētahi papu insulin rānei. Whakaarohia, kāore he mahi māu, ka taea e koe te aroturuki i ō taumata huka i runga i tō waea.
Ka kiia tēnei ko te Aroturukitanga Hukapapa Tonu , ko te CGM rānei te whakarapopototanga.
Ko te painga nui o te CGM ko te taea e koe te whakatau i ngā whakatau mō tō maimoatanga me te kore e werohia anō tō maihao hei tirotiro i tō huka toto. Hei tauira, ki te kite koe kei te piki haere tō taumata huka, ka taea tonu e koe te mahi i ētahi mahi whakakori tinana, te mahi rānei i tētahi atu mea e ai ki ngā tohutohu a tō tākuta.
Ka taea e koe te tohatoha i ngā raraunga mai i tō CGM ki tō tākuta, ā, māna e whakarite tō mahere maimoatanga kia pai ake ai te whakahaere i ō taumata huka toto. Engari kia maumahara i ētahi wā, i a koe e whakamahi ana i tō CGM, ka tono pea tō tākuta kia tangohia e koe he tauira toto mai i tō maihao hei whakarite (whakatikatika) i te tika o ngā panuitanga.
Ahakoa ko te CGM te mea e whakamahia nuitia ana e te hunga mate huka momo 1, kei te haere tonu ngā rangahau kia kitea ai tōna painga mō te hunga mate huka momo 2 anō hoki.
Te Repeure Horihori - He hangarau whakamiharo tēnei!
Hei whakarāpopototanga, ka whakaputa te repe taiaki tūturu i roto i tō tātou tinana i tētahi homoni e kiia nei ko te insulin hei whakaheke i te huka toto ina kai tātou, me tētahi homoni e kiia nei ko te glucagon hei whakapiki i te huka toto ina kai tātou. Kei te ngana tēnei hangarau e kiia nei ko te "repe taiaki hangai" ki te mahi i taua mea anō. Ahakoa kāore anō kia 100% te hangarau i reira, he tino tata tonu.
Ko ēnei pūnaha o nāianei e kiia ana he pūnaha porowhita kati ranu . Ko te nuinga o te wā ka whakamahia e te hunga mate huka momo 1.
Koinei te āhua o tana mahi:
1. Ka aroturukihia e te CGM ō taumata huka toto i te ao me te pō.
2. Ka tatau aunoa te pūnaha i te nui o te insulin e hiahiatia ana e koe i runga i taua taumata huka.
3. Ka tukuna aunoatia te nui ki te tinana mā te papu insulin.
Engari he iti noa te wero. Me tatau tonu e koe te nui o ngā warowaihā e kainga ana e koe i ia kai, ka whakauru ki roto i te pūnaha. Waihoki, kāore anō kia taea e ēnei pūnaha te tuku i te homoni glucagon mēnā ka iti rawa tō taumata huka. Kei te ngana ngā kairangahau ki te waihanga i tētahi pūnaha ka taea te tuku i ēnei homoni e rua. Tērā pea ka kite tātou i tēnā ā muri ake nei.
Kāore e tawhiti te rā ka taea e koe te whakamātau i te huka me te kore e whakamahi i te pūnu!
Ahakoa ngā tikanga CGM kua kōrerohia e tātou tae noa mai ki tēnei wā, me whakamahi he ngira iti hei whakauru i te pūoko ki raro i te kiri. Engari whakaarohia, he aha te rawe o te taea te ine i ngā taumata huka toto me te kore he wero, he motu, he mamae rānei?
Koinei te whāinga o ētahi o ngā hangarau hou e whakawhanakehia ana i nāianei. Ka kiia ēnei ko te aroturuki kore-whakaeke . Arā, ka mahia ngā tirotiro me te kore e whakauru i tetahi mea ki roto i te tinana.
Me titiro tātou ki ētahi o ēnei tikanga:
- Iahiko Hiko: Ko te taputapu, e kiia nei ko te 'sugarBEAT', he taputapu rite ki te papaki, ina pania ki te kiri, ka tukuna he iahiko tino angiangi, tata kore e kitea mā roto i te kiri, hei ine i te taumata huka i roto i te wai i raro i te kiri.
- Ngā Ngira Maeneene: He taputapu mau te `K'Watch` he rite ki te mātaaratanga. Ka whakamahia e ia ngā ngira maeneene iti, kāore he mamae hei ine i ngā taumata huka toto i roto i te wai i raro noa i te mata o te kiri.
- Ngā ngaru mārama, ngā ngaru reo irirangi rānei: Ko ētahi atu tikanga ka ine i ngā taumata huka toto mā te tuku i ngā ngaru mārama, ngā ngaru reo irirangi rānei mā te kiri, pērā i tō maihao, tō puku, tō ringaringa rānei. Engari ko te wero nui o ēnei ko te tika . Nā te mea he uaua ki te wehewehe i te tohu mai i ngā ngota huka mai i ngā tohu mai i ētahi atu matū i roto i te wai me te toto.
I tēnei wā, kei te whakahaerehia hoki ngā rangahau hei ine i te huka mā te whakamahi i ngā wai o te tinana e ngāwari ana te uru atu pērā i te werawera, te roimata, me te huware. Mā te wā e whakaatu mēnā ka taea e ēnei tikanga te whakarato i ngā hua tika hei whai hua mō te hunga mate huka.
| Hangarau | Te āhua o tana mahi | Painga matua |
|---|---|---|
| CGM (Aroturukitanga Huka Tonu) | Te ine tonu i ngā taumata huka mā te whakamahi i tētahi pūoko kua whakauruhia ki raro i te kiri. | Te mōhio ki tō taumata huka toto i ngā hāora 24 o te rā, me te kore e werohia tō matihao i ngā wā katoa. |
| Pancreas Horihori | Te ine i te huka me te CGM, ā, ka tukuna aunoatia te nui o te insulin e hiahiatia ana. | He māmā ake te whakahaere i te horopeta o te insulin, me te kore e manukanuka ki te nui o te insulin. |
| Aroturuki Kore-Whakaekenga (Hangarau ā-Mārama) | Te ine i te huka me te kore e pā kino ki te kiri (hei tauira, mā te mārama, te iahiko rānei). | Kāore he mamae, he ngāwari hoki ki te whakamahi. |
Karere Tangohia ki te Kāinga
- Kua tino pai ake ngā taumata huka toto, ā, kāore e taea e tātou te wero i ō tātou maihao kia maha ngā wā i te rā.
- He tikanga tino pai, he tikanga watea hoki te CGM (Continuous Glucose Monitoring). Mā tēnei ka taea e koe te tiki mōhiohio mō ō taumata huka i ngā hāora 24 o te rā.
- Mā ngā hangarau pēnei i te repe taiaki ka aunoa te tuku insulin, ka māmā ake te whakahaere i te mate huka.
- He tohu pai anō hoki kei te wātea mai ngā tikanga kore-whakaeke ā muri ake nei, kāore he mamae, ā, kāore e kino te kiri.
- Ko te mea nui, ahakoa te hangarau e whakamahia ana e koe, ko tēhea tikanga e pai ana mōu, me te āhua o tāu whakamahinga.Kia tino kōrero koe ki tō tākuta. He mea tino nui kia whai i āna tohutohu.
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