Ka ngenge koe i ētahi wā, ka wiriwiri, ka werawera, ka pōuri hoki i te wā kotahi? Tērā pea ka pāngia koe e te manukanuka me te hiakai. Koinei ngā tohu matua o te huka toto iti, te mea e kiia nei e tātou he hypoglycemia i roto i te rongoā. He mea noa ake tēnei i roto i te hunga mate huka, engari ka pā anō hoki ki te hunga kāore he mate huka. Me kōrero tātou mō tēnei i roto i ngā kupu māmā i tēnei rā.
He aha te hypoglycemia?
Ki te whakarapopototanga, ko te hypoglycemia te wā e heke ai te taumata o te huka toto, te hukahuka rānei, ki raro i te taumata e hiahiatia ana. Ko tēnei hukahuka te wahie matua e whakarato ana i te pūngao ki ō tātou tinana, pērā i te penehīni mō te motuka.
He maha ngā wā ka puta tēnei āhuatanga i roto i te hunga mate huka me ngā panonitanga o te rongoā, te kai, te whakakori tinana rānei. Engari ka taea hoki te puta i roto i te hunga kāore he mate huka. E rua ngā huarahi matua ka puta ai:
- Te hypoglycemia tauhohe: Ka puta tēnei i ētahi haora i muri i te kai.
- Te huka toto tiketike i te nohopuku: Ka puta tēnei ina kāore koe i kai mō tētahi wā. Tērā pea ka hono atu ki ētahi rongoā, ki ētahi atu mate hauora rānei.
Te rerekētanga i waenga i te hypoglycemia me te hyperglycemia
Ahakoa he rite te tangi o ēnei kupu e rua, he rerekē rawa ngā tikanga.
| Tūnga | Te tikanga |
|---|---|
| Te whakaheke toto | Ko te tikanga o te kupu "Hypo" he 'iti'. Ko tōna tikanga he iti te huka toto. |
| Te nui o te huka toto | Ko te tikanga o "Hyper" he 'teitei'. Ko tōna tikanga he huka toto tiketike . |
Ki tehea taumata ka whakaitihia te huka?
Ka inehia ngā taumata huka toto i roto i ngā mirikaramu ia teririta (mg/dL). I te nuinga o te wā, kei roto i tētahi awhe ngā taumata huka o te tangata hauora. Heoi, ki te heke tō taumata huka toto ki raro i te 70 mg/dL, ka kiia he hypoglycemia.
Mena ka heke iho tēnei i te 54 mg/dL,Te huka toto nui. Tērā pea ka hemo koe i tēnei wā. Tērā pea me hoatu e tētahi atu he rongoā pēnei i te glucagon hei rongoā ohorere.
He aha i heke ai te huka toto penei?
Ina kai tātou, inā koa ka kai tātou i ngā kai kei roto ngā warowaihā pēnei i te taro me te raihi, ka huri hei hukahuka i roto i tō tātou tinana, ā, ka tāpirihia ki te toto. He tangata kei reira e āwhina ana i ngā pūtau o te tinana ki te whakamahi i tēnei hukahuka hei pūngao. He homoni tēnei e kiia nei ko te insulin . Ko te insulin te mea e tango ana i te hukahuka i roto i te toto, ka tuku atu ki ngā pūtau.
Ina tīmata te heke o te huka toto, pērā i waenga i ngā kai, ka tukuna tētahi atu homoni. Ko te glucagon te ingoa. Ka hurihia e ia te hukahuka e rongoa ana i roto i tō tātou ate me ngā uaua (e kiia ana ko te glycogen) hei hukahuka, ā, ka tukuna ki roto i te toto. Koinei te huarahi e pupuri ai tātou i te pumau o ngā taumata huka toto ahakoa kāore tātou e kai ana.
Whakaarohia, ki te puta he hapa i roto i tēnei tukanga, ka heke ohorere te taumata o te huka i roto i tō toto. Koinei te hypoglycemia.
Ngā take he iti te huka toto o te hunga kāore he mate huka
Ahakoa e hono ana tēnei mate ki te mate huka, ka taea hoki te pā ki te hunga kāore he mate huka. He maha ngā take mō tēnei.
- Ngā rongoā motuhake: Ko ētahi rongoā, pērā i te quinine, e whakamahia ana mō te malaria, ka taea te whakaiti i te huka toto. Ka taea hoki tēnei te tupu mēnā ka tangohia e koe te rongoā mate huka a tētahi atu.
- Ētahi āhuatanga hauora: Ka pāngia ngā taumata huka toto e ngā āhuatanga pēnei i te mate ate kino (hepatitis kino, cirrhosis), te ngoikore o te whatukuhu, ngā mate urutā kino, me te mate manawa.
- Te kore kai pai: Ka taea e ngā āhuatanga pēnei i te anorexia te whakaiti i ngā toa glycogen o te tinana me te heke o te huka toto.
- Te inu nui rawa o te waipiro: Ina inu nui rawa koe i te waipiro me te kore e kai, kāore e taea e te ate te hanga hukahuka mai i te glycogen. Ka heke te taumata huka toto.
- Ētahi mate pukupuku: Ko ētahi mate pukupuku o te repeure ka nui rawa te insulin e whakaputaina ana e te tinana, ka tere ai te neke o te huka toto ki roto i ngā pūtau, ka iti ai te taumata huka toto.
- Ngā raruraru homoni: Ka pāngia ētahi mate o ngā repe adrenal me ngā repe pituitary e ngā homoni pēnei i te insulin me te glucagon.
Ngā take he iti te huka toto o te hunga mate huka
Mena he mate huka tōu, he uaua ki tō tinana te hanga, te whakamahi rānei i te insulin. Ka rongoatia tēnei mā te werohanga insulin, mā ētahi atu rongoā rānei. Engari ki te nui rawa te rongoā ka tangohia e koe, ka mahue te kai, ka nui ake rānei te whakakori tinana i te tikanga , ka nui ake pea tō tūponotanga ki te pāngia e te mate huka.Ka taea e ngā taumata huka toto te heke ohorere.
Ko te mea nui ko te pupuri i te taurite tika i waenga i tō kai, tō whakakori tinana, me te rongoā mēnā kei te tango rongoā koe mō te mate huka. Kōrero ki tō tākuta mō tēnei, kia mārama ai koe.
He aha ngā tohu o tēnei?
Ina heke te taumata huka o te tinana, ka rerekē pea ngā tohu o ia tangata. Ka rerekē anō hoki ēnei tohu i runga i te nui o te hekenga o te taumata huka.
| Momo āhuatanga | Ngā tohu e tohu ana |
|---|---|
| Ngā Āhuatanga Taketake/Ngāwari |
|
| Ina he kino te āhuatanga (Nui rawa atu) |
Ki te heke te huka toto i te pō (nocturnal hypoglycemia) , tera pea ka pāngia koe e ngā tohu pēnei i te hamama i a koe e moe ana, te moemoeā kino, me te oho ake i te werawera.
Te kore mōhio ki te hypoglycemia
He āhua morearea tēnei āhuatanga. Mō ētahi tāngata, inā koa ko te hunga kua pāngia e te mate huka mō ngā tau neke atu i te 5-10, ina heke pinepine te taumata huka toto, ka taunga ō rātou tinana ki tēnei. Kātahi ka mutu te whakaatu a ō rātou tinana i ngā tohu whakatūpato pērā i te wiri me te hiakai ina heke te taumata huka toto. Ka nui ake te mōrearea o te whakawhanake i tētahi mate kino nā te mea kāore rātou e mōhio he iti te huka toto.
Nō reira, he mea tino nui kia tirohia e te hunga mate huka ō rātou taumata huka i ia wā.Mō tēnei, kei reira ngā taputapu pēnei i ngā mita huka toto, e tango ana i tētahi pata toto mai i te maihao ka whakamātautau, me te 'Continuous Glucose Monitor (CGM),' e whakatōkia ana ki raro i te kiri hei aroturuki tonu i ngā taumata huka.
Me aha koe mēnā ka heke ohorere te huka o tō toto?
Ina tīmata koe ki te rongo i ngā tohu o te huka toto iti, me tere tonu tāu mahi.
1. Tuatahi, me kai i tētahi mea reka: Kai, inu rānei i tētahi mea ka tere te piki ake o te huka toto. E ranea ana te 15-20 karamu o ngā warowaihā mō tēnei.
- 3-4 papa hukahuka
- He hawhe karāhe inu reka (pērā i te kora, ehara i te mea kai)
- He hawhe karaihe wai hua
- He punetēpu huka, honi rānei
- Ko ētahi kai reka pērā i te pīni tiēre me te tōffee
He mea nui: Kaua e kai i ngā kai he nui te ngako, he nui hoki te muka, pērā i te tiakarete me te pīni, i tēnei wā, nā te mea ka whakaroa i te mimiti o te huka ki roto i te tinana.
2. Taria mō te 15 meneti: I muri i te kai i tētahi mea reka, tatari marie mō te 15 meneti.
3. Tirohia anō tō huka toto: Ki te taea, tirohia anō tō huka toto. Ki te mea kei raro tonu i te 70 mg/dL, ki te mea rānei kei te raru tonu koe, me mahi anō te taahiraa 1 kia kotahi anō te wā.
4. Ki te kore te āhuatanga e pai ake: Ki te kore tō āhuatanga e pai ake ahakoa ēnei mahi, ki te puta rānei ngā tohu kino (pēnei i te pōhēhē), waea atu ki te 1990 mō tētahi waka tūroro, haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera tata.
Ki te hemo te tangata (Te Hauātanga Nui)
Ki te hemo te tangata nā te tino hekenga o te huka toto, he āhuatanga ohorere hauora tēnā.
- Kaua rawa e hoatu he kai, he inu rānei ki te tangata kua kore e mōhio. Ka taea e ia te whakakōkō.
- Mena kei te rongoatia koe mō te mate huka, tera pea kua hoatu e tō tākuta he kete werohanga glucagon ki a koe. Whakaakona tō whānau me ō hoa ki te whakamahi i roto i te āhuatanga ohorere.
- Ki te kite koe i tētahi e kore e mōhio, waea atu ki te waka tūroro tonu. Me rapu āwhina hauora rātou.
Me pēhea te ārai i tēnei āhuatanga?
He maha ngā mea ka taea e koe te mahi hei whakahaere me te aukati i te hypoglycemia.
- Kaua e peke i ngā kai: Kia toru ngā kai matua i te rā, me ngā kai mātotoru hoki i waenganui.
- Kia tūpato ki te whakakori tinana: Whakakori tinana i te hawhe haora, i te haora rānei i muri i te kai. Tirohia ō taumata huka toto i mua atu, ā, i muri mai hoki i te whakakori tinana.
- Tangohia tō rongoā kia rite ki te mea i whakaritea: Tangohia te rongoā e tohua ana e tō tākuta, i te horopeta tika, i te wā tika. Tirohia anō te horopeta.
- Whakawhāitihia te waipiro:Ki te inu waipiro koe, whakawhāitihia. Kaua e inu waipiro i te wā e takoto kau ana te puku.
- Kia rite tonu: Ina haere koe ki waho, mauria mai he mea reka (ngā papa hukahuka, te tōfe) i roto i tō putea.
- Whakamōhio atu ki ētahi atu: Me whakamōhio atu ki tō whānau, ki ō hoa, me ō hoa mahi kei te pāngia koe e te mate huka. Ka taea e rātou te āwhina i a koe i roto i tētahi āhuatanga ohorere.
- Tirohia he tākuta: Mena he maha ngā wā ka pāngia koe e ngā tohu o te huka toto iti, ahakoa he mate huka koe, kāore rānei, me toro atu ki tō tākuta kia kitea ai te take me te whiwhi maimoatanga me ngā tohutohu tika.
Karere Tangohia ki te Kāinga
- Ko te hypoglycemia he taumata huka toto tino iti. Ko ngā tohu noa ko te wiri , te werawera, te whanoke, me te hiakai nui.
- Ahakoa he nui ake te kitea o tēnei āhuatanga i roto i te hunga mate huka, ka taea hoki te pā ki te hunga kāore he mate huka mō ngā take maha.
- Kia puta ngā tohu o te huka toto iti, tangohia he mea reka tere te mahi (papa hukahuka, wai hua, huka).
- Ki te pāngia koe e ēnei tohu i ngā wā katoa, ki te kaha rawa rānei (pēnei i te ngaronga o te mahara), rapua tonutia he awhina hauora. He mea nui kia kitea te take me te rongoā.
- Ko te tiaki pai rawa atu ko te kōrero auau ki tō tākuta mō tō kai, tō whakakori tinana, me ngā rongoā, me te pupuri tonu i te whakahaere pai.
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