Kei te wiriwiri koe i te wā ohorere? Kei te werawera koe, kei te pōuri, kei te tino hiakai koe? He tohu pea ēnei kei raro iho tō taumata huka toto i te taumata hauora. I roto i ngā kupu hauora, ka kiia tēnei āhuatanga ko te hypoglycemia . He mea tino noa tēnei i waenga i te hunga mate huka. Engari i ētahi wā ka pā anō hoki ki te hunga kāore he mate huka. Nō reira, kaua e mataku. Me kōrero ngāwari, me mārama hoki mō tēnei.
He kupu ngāwari noa iho, he aha te hypoglycemia?
Ko te hypoglycemia te wā e heke ai te nui o te hukahuka, te huka rānei e kīia nei e tātou, i roto i tō toto ki raro iho i te taumata hauora e hiahiatia ana e te tinana.
- Mō te nuinga o te hunga mate huka, ko te taumata huka toto i raro i te 70 mg/dL (mirakaramu ia te teririta) me te 3.9 mmol/L (miramira ia rita) e kiia ana he hypoglycemia.
- Mō te tangata kāore he mate huka, ko te hypoglycemia te tikanga he taumata huka toto kei raro iho i te 55 mg/dL (3.1 mmol/L).
Ina puta tēnei āhuatanga, me rongoā tonu mā te kai, te inu rānei i tētahi mea kei roto he huka, he warowaihā rānei. I ētahi wā ka arahi pea tēnei ki tētahi āhuatanga kino (te hypoglycemia nui). Ki te puta tēnei, ka tūpono pea te ora, ā, me rapu tonu te awhina hauora.
He aha te hiranga o te hukahuka ki ō tātou tinana?
Ka whiwhi te tinana i te huka (glucose) mai i ngā warowaihā e kainga ana e tātou. Koinei te puna matua o te pūngao o tō tātou tinana. He rite ki te penehīni mō te motuka. Ina koa, he mea nui te huka kia mahi ai tō tātou roro. Me whai huka tonu te roro.
Ki te kore koe e pāngia e te mate huka, ka pupuri tonu ō tātou tinana i ngā taumata huka toto i roto i tētahi awhe mā roto i ētahi tukanga taiao. Ko te homoni matua e āwhina ana i tēnei ko te insulin, e hangaia ana e te repeure. He mea nui anō hoki tētahi homoni e kiia nei ko te glucagon mō tēnei.
Heoi, mō te hunga mate huka, kāore tēnei tukanga e mahi tika. Nō reira, me whakahaere e rātou ō rātou taumata huka toto mā te rongoā (hei tauira, te werohanga insulin) me ngā huringa āhua noho. Ko te take matua o te iti o te huka toto ko te pikinga o ngā taumata insulin i roto i te tinana.
He aha ngā tohu o te huka toto iti?
Ka tīmata ohorere pea ngā tohu o te hypoglycemia. Ā, ka rerekē i ia tangata, i ia tangata. Ahakoa he ahua whakararuraru ēnei tohu, he whakatūpato pai ēnei e kī ana, "He iti tō huka, me tere te mahi."
| Ngā Āhuatanga Taketake/Whānui | Ngā tohu kino (me rapu awhina hauora tonu) |
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He tino mōrearea ngā tohu kino ki te ora. He mea nui te rapu awhina hauora tonu i roto i ēnei āhuatanga. Ki te kore e rongoatia, ka pā mai pea te koma, te mate rānei.
Te iti o te huka toto i te wā e moe ana (Nocturnal Hypoglycemia)
I ētahi wā, ka heke te taumata huka toto ahakoa e moe ana tātou. Anei ētahi o ngā tohu:
- Te uaua ki te moe
- Nui rawa te werawera, ā, mākū ana ngā whāriki
- E tangi ana i roto i tō moe
- Ngā moemoeā kino
- Ka tino ngenge, ka pōhēhē hoki i te oho ake i te ata
Ka taea te heke o te huka toto me te kore e whakaatu i ngā tohu? (Te Kore Mōhio ki te Hypoglycemia)
Ae, he āhua morearea tēnei āhuatanga. Mō ētahi tāngata, inā koa ko te hunga mate huka he iti tonu te huka toto, i roto i te wā, ka heke te taumata huka toto me te kore e whakaatu i ngā tohu. Ka taunga te tinana ki te iti o te huka toto, ā, ka mutu te tuku tohu whakatūpato. Ka kiia tēnei ko te kore mōhio ki te hypoglycemia .
Ko te hunga whai mate pēnei ka nui ake te tūponotanga ka pāngia e te mate kino ohorere. Mēnā ka pā tēnei ki a koe, he mea nui kia kōrerotia tēnei ki tō whānau me ō hoa. Kia taea ai e rātou te āwhina i a koe i roto i tētahi āhuatanga ohorere. Waihoki,
- Mā te whakamahi i tētahi taputapu e ine tonu ana i ngā taumata huka toto (Continuous Glucose Monitoring - CGM) ka āwhina i a koe ki te mōhio kei te iti tō huka toto.
- He mea pai anō hoki kia tirohia tō huka toto i ngā wā maha i te rā mā te whakamahi i tētahi mita huka toto noa.
He aha ngā take o te huka toto iti?
Ka taea te wehewehe i ngā take ki ngā rōpū e rua: ko te hunga he mate huka me te hunga kāore he mate huka.
Ngā take e iti ai te huka toto o te tangata mate huka
Ka puta tēnei ina kore e taurite te kai, te whakakori tinana, me ngā rongoā mate huka.
- Te nui rawa o te insulin: Te werohanga i te insulin i te mea e tika ana.
- Ngā hapa rongoā me te wā kai: Te tango i te insulin me te kore kai mō te wā roa.
- Te tango i ngā pire mate huka hē: Mā te tango nui rawa i ētahi pire mate huka (hei tauira, te sulfonylureas) ka heke te huka toto.
- Te whakakori tinana nui atu i te tikanga: Te whakakori tinana nui atu, engari kāore e nui te kai hei whakaea.
- Te inu waipiro i te puku kau: Te inu waipiro me te kore e kai.
- Te peke i ngā kai: Te kore kai i te wā tika.
He aha te take e iti ai te huka toto o te tangata kāore he mate huka?
He mea onge tēnei. E rua ngā momo matua.
1. Te Tauhohenga o te Hukapapa Huka: Ka puta tēnei i ngā haora e rua ki te whā i muri i te kai . Ina koa ka kai koe i ngā kai he nui ngā warowaihā māmā pēnei i te raihi, te taro, me te rīwai, ka puta whakarere mai te nui o te insulin i te tinana, ka heke te taumata huka toto.
2. Te iti o te huka toto i te wā e nohopuku ana (Fasting Hypoglycemia): He maha ngā āhuatanga ka puta ai tēnei.
- Te inu nui rawa i te waipiro: Te inu nui rawa i te waipiro me te kore e kai tika mō ngā rā maha.
- Ngā mate kino: Ngā āhuatanga pēnei i te ngoikore o te ate, o te whatukuhu rānei.
- Ngā raruraru homoni: Ngā āhuatanga pēnei i te koretake o te adrenal.
- Ngā pukupuku: Ko ngā pukupuku onge i roto i te repe taiaki, pērā i te insulinoma, ka nui ake te hanga insulin.
Mena kei a koe ēnei tohu, engari kāore he mate huka, me toro atu koe ki te tākuta kia kitea ai te take.
Me aha koe ina iti te huka? Ngā tikanga maimoatanga
Ko tā mātou mahi matua i konei he whakarato wawe i te huka (warowaihā) ki te tinana.
I ngā āhuatanga noa, ko te "Ture 15-15"
He tikanga tino māmā tēnei, he ngāwari hoki ki te maumahara.
1. Hipanga 1: Kai, inu rānei i te 15 karamu o ngā warowaihā tere te mahi .
2. Hipanga 2: Taria mō te 15 meneti .
3. Hipanga 3: Inehia anō tō taumata huka toto ki tō mita huka toto.
4. Hipanga 4: Mena kei raro tonu te taumata huka i te 70 mg/dL, whakahokia ngā taahiraa 1, 2, 3.Me mahi tēnei kia hoki rā anō ō taumata huka ki te āhua noa.
Ko ēhea ngā kai kei roto he 15 karamu o ngā warowaihā?
- 3-4 papa hukahuka
- He hawhe karāhe (1/2 kapu) o te wai hua reka, o te inu ngohengohe rānei
- He punetēpu huka, honi, tirikara māpere rānei
- Te haurua o te panana iti
Te rongoā i ngā wā tino kino (Te Hauātanga Nui)
Ki te iti te huka toto o te tangata, ā, e pōhēhē ana, e kore e taea te kōrero, e kore rānei e mōhio , kaua rawa e hoatu he kai, he inu rānei mā te waha! Mā te pēnei ka noho pupū ake rātou ki roto i te ara manawa.
1. Werohanga Glucagon: Mō te hunga mate huka, kua tohua pea e tō tākuta he werohanga glucagon mō ngā āhuatanga ohorere. Kia mōhio tō whānau ki te whakamahi.
2. Haere tonu ki te hōhipera!: Ki te kore koe e whiwhi i te glucagon, ki te kore rānei koe e mōhio me pēhea te whakamahi, waea atu tonu ki te ratonga waka tūroro 1990, kawe rānei i te tangata ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera tata.
3. Tahurihia te tūroro ki te taha: Tērā pea ka ruaki te tūroro i muri i te hokinga mai o te māramatanga. Nō reira, tahurihia te tūroro ki te taha kia kore ai e kōrohia.
He aha ngā mea ka taea te mahi hei ārai i tēnei āhuatanga?
He uaua pea ki te tangata mate huka te ārai katoa i tēnei, engari ka taea te whakaiti i te auau o tēnei mate.
- Whāia ngā tohutohu a te taote: Tangohia te rongoā e tohua ana e tō tākuta i te wā tika, me te tika hoki.
- Kia tūpato ki te kai me te whakakori tinana: Kaua e peke i ngā kai. Ki te whakakori tinana koe, kōrero ki tō tākuta mō tēnei mea, ā, me whakarerekē tō kai mēnā e tika ana.
- Tirohia ō taumata huka toto i ia wā: He mea nui rawa kia tirohia ō taumata huka toto i mua atu me muri i te kai, i mua atu me muri i te whakakori tinana, me mua i te haere ki te moe.
- Puritia he rārangi mahi: I ia wā ka iti tō huka toto, tuhia te wā, tō taumata huka toto, ngā mea i kainga e koe i mua, me te mea i whakakorikori tinana koe. Mā tēnei ka āwhina i tō tākuta ki te whakawhanake i tētahi mahere maimoatanga māu.
Ko te mea nui ko te aro ki tō tinana. Kia tere te mahi ina kite koe i ngā tohu tuatahi o te iti o te huka toto.
Karere Tangohia ki te Kāinga
- Ko te hypoglycemia he āhuatanga e tino heke ai te taumata huka toto. Ka tino morearea tēnei mēnā kāore e rongoatia.
- Kia tūpato ki ngā tohu pēnei i te wiri, te werawera, te pōhēhē, me te hiakai nui.
- Me pupuri tonu tētahi mea māu, pērā i ngā papa kurukose, he putea huka, he kātene iti rānei o te wai hua.
- I ngā āhuatanga noa, whakamahia te "ture 15-15": tangohia te 15 karamu o te hukahuka, tatari mō te 15 meneti, ka tirotiro anō i tō huka toto.
- Ki te kore e mōhio te tangata, kaua e hoatu tetahi mea mā te waha. Waea atu ki te waka tūroro tonu atu, kawe rānei ki te Tari Whawhati Tata (ETU) o te hōhipera.
- Mena he maha ngā wā ka iti te huka toto i a koe, ka kitea rānei ngā tohu o te iti o te huka toto, engari kāore he mate huka, me toro atu ki tō tākuta.
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