I te wā e noho ana me te Mate Huka Mellitus, kua noho ngā werohanga insulin hei wāhanga o te oranga o ia rā mō ētahi tāngata. He tino raruraru te werohanga ngira i ia rā i mua i te kai me te whakarite mōna. Mō ētahi, ko te kitenga atu i ēnei ngira ka mataku rātou. Kua whakaaro koe, "Aue te pai me i whai huarahi ngāwari ake ki te whakamahi i te insulin me te kore e manukanuka i ia rā?" Āe, i tēnei rā kei te kōrero tātou mō tētahi mea ka taea te waiho hei otinga. Ko te insulin manawa, te Insulin Manawa rānei.
He aha te Insulin e Manawahia ana?
Ki te kī māmā noa, ko te insulin kotahi tonu tēnei. Engari ehara i te mea he werohanga, engari he paura . Mā te whakamahi i tētahi taputapu rite ki te inhaler e whakamahia ana e te hunga mate huango, ka hongia tēnei paura insulin ki roto i te tinana me te mea kei te manawa tātou.
Whakaarohia, ina werohia koe, ka uru te insulin ki roto i te paparanga ngako i raro i te kiri, ā, mai i reira ka āta tomo ki roto i te toto. E 90 ki te 120 meneti te roa. Engari ka haere tika tēnei insulin e manawahia ana ki ngā pukahukahu. He wāhi kei roto i ō tātou pukahukahu he maha ngā oko toto iti, ka taea te mimiti tere i ngā mea. Nō reira , ka tere te tomo o tēnei paura insulin ki roto i te toto, ā, ka tīmata te mahi. I te nuinga o te wā ka tīmata te mahi i tōna taumata teitei i roto i te 45 meneti.
Ko tētahi o ngā painga nui o tēnei ko tana tere mahi he rite tonu ki te tere o te mahi a te insulin i roto i te tinana o te tangata kāore he mate huka. Nō reira, ka tere ake te whakahaere i te huka toto.
Me pēhea te whakamahi i tēnei, ā, me pēhea te rokiroki?
Ina tīmata koe i tēnei maimoatanga, ka tohutohu atu tō tākuta ki a koe me pēhea te whakamahi i te inhaler me te horopeta e hiahiatia ana e koe. I te nuinga o te wā ka tangohia i mua i ngā kai matua.
Me pēhea te whakamahi:
1. Tuatahi, tukuna te hau kia nui rawa atu i roto i ō pukahukahu.
2. Kātahi, whakatakotoria te waha o te taputapu whakapūngao ki roto i tō waha, ka manawa hōhonu .
3. I muri i te manawa, ngana ki te pupuri i tō manawa mō te roa e taea ana.
4. Kātahi ka manawa noa.
Ko te mea nui ko te whakamahi i te rongoā kia rite ki te whakahaunga a tō tākuta, i te horopeta kua tohua. Mena he pātai āu, kōrero ki tō tākuta mō tēnei.
Me pēhea te penapena:
- Ka taea te penapena i ngā kātere me ngā inhaler kāore i whakamahia, kua hiritia ki roto i te pouaka whakamātao, i te pāmahana rūma rānei.
- Ki te tīmata koe ki te whakamahi i tētahi inhaler , me whakarērea atu i muri i ngā rā 15.
- Mena ka waiho te kātereti i te pāmahana rūma, Whakamahia i roto i ngā rā 10. Mena ka rongoatia ki roto i te pouaka whakamātao, ka taea te whakamahi tae noa ki te rā paunga.
He aha ngā painga o tēnei tikanga?
He maha ngā painga o tēnei tikanga i ngā werohanga insulin. Kia titiro tātou he aha ēnei.
| Painga | Whakaahuatanga |
|---|---|
| Kāore he take ki te poka. | Koinei te painga nui rawa atu. He tino whakamarie tēnei mō te hunga e wehi ana i ngā ngira, ā, e uaua ana ki te wero i aua ngira i ia rā. |
| Te whakatinanatanga tere | Ina tangohia i mua i te kai, ka tere tonu te whakahaere i ngā taumata huka toto. |
| Ngāwari ki te whakamahi | He iti te mea whakapūngao, nō reira he māmā noa te kawe ki ngā wāhi katoa. Kāore e hiahiatia he nui o ngā whakaritenga pērā i te whakarite i te kano kano. Ka taea te whakamahi me te kore e kitea e tetahi. |
| He iti te mōrearea o te hypo | Kua whakaatuhia he iti iho te mōrearea o te hypoglycemia i ētahi momo kano kano. |
| Tērā pea ka āwhina i te whakahaere taumaha | Kua whakaatuhia e ētahi rangahau ka āwhina pea tēnei ki te whakahaere i te pikinga taumaha kāore e hiahiatia. |
He pānga taha kei reira? Kia tūpato tātou!
Pērā i ngā rongoā katoa, ka pāngia pea tēnei e ngā pānga taha iti, me ētahi atu āhuatanga kino e hiahia ana kia aro nui atu.
| Momo pānga taha | Ngā tohu pea |
|---|---|
| Ngā pānga taha noa | Maremare, ānini, whakapairuaki (pōuri puku), hiakai nui atu i te tikanga, ngenge, wiri, werawera. |
| Ngā pānga kino nui hei mōhio | |
| Ngā āhuatanga e hiahia ana kia tohutohu hauora tonu | Te uaua ki te manawa, te uaua ki te horomi, te mākūkū o te kiri, te tere o te ngakau, te pupuhi o ngā peka me ngā waewae, te tere o te piki o te taumaha, te tino ngenge, me te pōhēhē. Ki te pāngia koe e tētahi mea pēnei, me toro atu ki tō tākuta tonu atu, me haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera tata. |
Kāore ianei tēnei e pai mō te katoa?
Āe, ehara tēnei i te mea mā te katoa. Tērā ētahi mea hei maumahara māu.
- Kāore tēnei e tika ana mō te hunga whai mate huango.
- Kāore hoki tēnei e tika ana mō te hunga e pāngia ana e ētahi atu mate pūkahukahu mau tonu pērā i te COPD (Mate Pūkahukahu Ārai Mau Tonu) .
Ko te take, ka taea e tēnei paura insulin te whakawhāiti ohorere i ngā ara manawa i roto i ngā pukahukahu (bronchospasm). He tino morearea tēnei mō te hunga whai mate pēnei i te mate huango. Nō reira, i mua i te tīmatanga o tēnei maimoatanga, ka whakahaerehia pea e tō tākuta he whakamātautau hei tirotiro i te mahi a ō pukahukahu (spirometry).
Ngā momo kei te mākete me ngā mea e hiahia ana koe ki te mōhio
I mua, i whakamahia he insulin manawa i huaina ko `(Exubera)`, engari i tangohia mai i te mākete nā te nui o te inhaler me ētahi atu raruraru. Ko te momo e whakamahia ana i te ao i tēnei wā ko `(Afrezza)`.
Heoi anō, e rua ngā mea nui me mōhio koe mō tēnei:
1. Ehara mō ngā āhuatanga ohorere:Kāore e taea te whakamahi i roto i tētahi āhuatanga ohorere, āhua kino pērā i te ketoacidosis mate huka (DKA), ina hiahiatia he werohanga insulin tere te mahi.
2. Kāore e taea te whakamahi hei whakakapi mō te insulin roa-mahi (insulin taketake): Me werohanga insulin roa-mahi (insulin taketake) te hunga mate huka momo 1, ētahi rānei tāngata mate huka momo 2 e mahi ana puta noa i te rā. Ka kapi noa i tēnei insulin manawa ngā taumata huka e haere mai ana me ngā kai. Nō reira, kāore e taea te whakamutu i tō werohanga insulin roa-mahi nā tēnei.
Hei whakamutunga, kei tō tākuta te whakatau mēnā he tika tēnei māu. Māna koe e āwhina ki te whakatau i te whakatau pai rawa atu i runga i tō hauora, tō momo noho, me te pai o te whakahaere i tō mate huka.
Karere Tangohia ki te Kāinga
- Ko te insulin manawa he momo insulin tere te mahi, e wātea ana i te ahua paura, ā, ka taea te whakamahi hei utu mō ngā werohanga mō te mate huka.
- Ko te painga nui o tēnei ko te kore e hiahiatia he pine, ā, he ngāwari hoki te whakamahi.
- Kāore rawa tēnei i te pai mō te hunga e pāngia ana e ngā mate pūkahukahu pērā i te huango, te COPD rānei.
- Ka kapi noa iho i tēnei ngā hiahiatanga insulin e pā ana ki te kai. Me whiwhi tonu koe i ō werohanga insulin mō te wā roa (tūturu).
- Pērā i ngā maimoatanga hou katoa, he mea tino nui kia kōrero noa koe ki tō tākuta mō ō āwangawanga i mua i te tīmatanga me te wā e whakamahia ana.
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