Kia ako tātou mō ngā werohanga insulin. He mea tino nui tēnei hei whakahaere i tō mate huka!

Mena kei te noho koe me te Mate Huka Mellitus, kua rongo pea koe mō te werohanga insulin. Tērā pea kua kī atu tō tākuta kia whakamahia e koe. He aha te insulin? He aha te mea ka pā ki a ia? He momo rerekē? Tērā pea he pātai pēnei āu. Me kōrero tātou mō ēnei mea katoa i tēnei rā, kia mārama, kia māmā hoki? Kāore he mea hei wehi, ina mōhio koe ki ēnei mea, ka nui ake tō marino.

He aha te insulin? He aha tātou e hiahia ai ki tēnei?

He kupu ngāwari noa iho, he tino hira te homoni o te insulin e hangaia ana i roto i ō tātou tinana. He okana iti kei roto i tō tātou puku e kiia nei ko te repeure? Koinei te wāhi e hangaia ai tēnei homoni e kiia nei ko te insulin.

Nā, he aha te mahi a tēnei insulin? Ko te mahi matua a te insulin he tango i te huka (glucose) mai i te kai e kainga ana e tātou, mai i te toto, ka tukuna ki roto i ngā pūtau iti o te tinana, hei āwhina i a tātou ki te hanga i te pūngao e hiahiatia ana e tātou hei mahi i ā tātou mahi o ia rā. Whakaarohia me te mea me whai kī koe hei whakatuwhera i te tatau o te whare, me whai kī koe e kīia nei ko te insulin hei tuku huka ki roto i ō tātou pūtau.

Nā, he aha te take me tango te tangata mate huka i te insulin mai i waho? Mēnā he mate huka koe, he iti rawa te insulin e hangaia ana e te repe taiaki, he iti rānei te nui o te insulin e hangaia ana mō te tinana, kāore rānei e taea e te insulin e hangaia ana te mahi tika. Ahakoa he aha te take, kāore e taea e te huka i roto i te toto te uru ki ngā pūtau, ā, ka kohia ki roto i te toto, ka piki ake te taumata huka toto. Koinei te wā me hoatu te insulin mai i waho hei werohanga hei whakahaere i te taumata huka toto. He rite tēnei ki te whakarato i tētahi mea e ngaro ana i roto i tō tātou tinana.

Kia mārama tātou ki te mahi a te werohanga insulin? (Tīmatanga, Teitei, Te Roanga)

Ina tohua e tō tākuta he insulin māu, tera pea kua rongo koe i ētahi atu kupu e toru kua whakahuatia me tōna ingoa: 'Onset', 'Peak', me 'Duration'. Ahakoa he kupu Pākehā ēnei, he mea nui te mōhio ki te tikanga o aua kupu mō te whakahaere i tō mate huka. Kia tirohia te tikanga o ia kupu.

'Tīmatanga' (te wā tīmatanga)

Ko te 'Tīmatatanga' ko te roa o te wā e tīmata ai te mahi a te insulin i roto i tō tinana i muri i tō werohanga, arā, ka tīmata te whakaheke i tō huka toto. Pērā i te roa o te wā e tīmata ai tātou ki te eke pahikara, ka roa te wā e tīmata ai te mahi a ētahi insulin. Ka tere te mahi a ētahi, ko ētahi ka roa ake te wā.

'Pikitanga' (te wā tino nui o te mahi)

Ko te 'Pikitanga' te wā e werohia ai te insulin, ā, ko te wā tino kaha ki te whakaheke i te huka toto. Koinei te wā e tino whai hua ai te insulin. I tēnei 'Pikitanga', ka taea e ngā taumata huka toto te heke ohorere ki raro rawa (he āhuatanga e kiia nei ko te 'Hypoglycemia'). Nō reira, he mea nui kia mōhio ki ēnei 'Pikitanga' me te tūpato ki ngā mea pēnei i te kai i aua wā.

'Roanga' (wā hohe katoa)

Ko te 'Roanga' e pā ana ki te roa o te pānga o te insulin ki tō tinana. Ko te tikanga, i muri i te werohanga kotahi, ka āwhina i te whakahaere i tō huka toto mō ngā hāora. Ko ētahi insulin he torutoru noa ngā hāora e mahi ana, ko ētahi he 24 hāora, neke atu rānei.

He rerekē rawa ngā āhuatanga pēnei i te 'Onset', te 'Peak', me te 'Duration' i ia momo insulin ki tētahi momo insulin. Koia te take ka whiriwhiri tō tākuta i te insulin e tika ana māu, i runga i ngā āhuatanga maha, pēnei i ō tikanga kai, te āhua o tō whakakori tinana, me ō mahi o ia rā.

Kia titiro tātou he aha ēnei momo insulin.

He maha ngā momo insulin. Ko te nuinga o ēnei ka whakarōpūtia i runga i te tere o te tīmatanga o te mahi (Tīmatanga), te wā e tino kitea ai te pānga (Pikitanga), me te roa o te noho ki te tinana (Roanga).

Insulin tere mahi

E ai ki te ingoa, ka tīmata tere te mahi a tēnei momo insulin. I te nuinga o te wā ka tīmata te mahi i roto i te 5-20 meneti i muri i te werohanga. Ko tōna 'tino kaha', ko tōna pānga mōrahi rānei, ka puta i roto i te 1-3 hāora , ā, ko tōna pānga katoa e 3-5 hāora te roa. He maha ngā wā ka tangohia i mua atu i te kai, i te wā kai rānei.

• Hei tauira: `Insulin glulisine (Apidra®)`, `Insulin aspart (Novolog®)`, `Insulin lispro (Humalog®)` (U-100/U-200).

Whakaarohia kei te whakarite koe ki te kai raihi ināianei. Kātahi, mā te tango i tēnei momo insulin koe e āwhina ki te whakahaere tere i te nui o te huka e tāpirihia ana ki tō toto mai i te kai e kainga ana e koe.

Insulin mahi poto

Ka kiia hoki tēnei ko te 'insulin auau'. Kāore ēnei i te tere rite ki te insulin tere-mahi i whakahuatia i mua ake nei, engari he tere tonu tā rātou mahi. E 30-60 meneti pea te roa hei tīmata mahi. Ka puta te 'Pikitanga' i waenga i te 2-4 hāora , ā, e 5-8 hāora te roa o te pānga. I te nuinga o te wā ka tangohia tēnei i te 30 meneti i mua i te kai.

• Tauira: `Inulin noa (Novolin R, Humulin R)`.

Inirini mahi-waenga

E 1-2 hāora te roa o te mahi a tēnei momo inihua. He tōmuri te 'tino kaha', i waenganui i te 4-12 hāora . Nā te mea he 14-24 hāora te roa o te mahi a ēnei, me werohanga kia rua ngā wā i te rā.

• Tauira: `NPH insulin (Novolin N, Humulin N)`.

Insulin mahi roa

Ka kiia hoki tēnei ko te insulin 'basal'. Ka āwhina ēnei ki te whakahaere i ngā taumata huka toto, pērā i te insulin tūturu o tō tātou tinana, puta noa i te rā. Ko ētahi o ēnei kāore i te tino 'tihi', nō reira he iti ake te tūponotanga o te hekenga o te huka toto ki raro rawa. Ka roa pea te pānga mō ngā haora 24, neke atu rānei.

• Ngā tauira:
• Insulin detemir (Levemir®): E tata ana ki te haora te roa hei tīmata mahi. Ko te roanga o te pānga tino kaha ko te 3-14 haora.Ka taea te noho i waenganui. Ka roa te pānga tae atu ki te 24 hāora .
• `Insulin glargine U-100 (Lantus®, Basaglar®)`: E 3-4 hāora te roa hei tīmata i te mahi. Kāore he 'tihi' mārama . Ka roa te pānga tae atu ki te 24 hāora .
• `Insulin glargine U-300 (Toujeo®): E ono hāora te roa hei tīmata i te mahi. Kāore hoki he 'tihi' o tēnei. Ka roa pea te pānga tae atu ki te 36 hāora .
• `Insulin degludec U-100/U-200 (Tresiba®): E tata ana ki te haora te roa hei tīmata i te mahi. Kāore hoki he 'tihi' o tēnei. Ka roa pea te pānga tae atu ki te 42 haora .

Ina tangohia kotahi (e rua rānei pea) i te rā, ka āwhina tēnei momo insulin ki te pupuri i te taumata huka toto kia pumau puta noa i te rā, pērā i te whiwhi o te tinana i te iti o te insulin puta noa i te rā.

Insulin kua whakaranua i mua

E ai ki te ingoa, he huinga ēnei o ngā momo insulin e rua, te insulin tere-mahi me te insulin waenga-mahi, ngā momo matū rite rānei. Ko te tikanga ka taea e te werohanga kotahi te mahi i ngā mea e rua. He maha ngā wā ka tangohia ēnei i mua i te kai.

• Ngā tauira:
• `Inurinī kua whakaranua 70/30 (70% NPH me te 30% Noa)`: E hawhe haora ki te haora te roa hei tīmatanga o te mahi. Ko te tihi kei waenganui i te 2-12 haora . Ko te roa o te pānga he 10-16 haora .
• `Inurinī kua whakaranua 50/50 (50% NPH me te 50% Noa)`: E hawhe haora ki te haora te roa hei tīmatanga mahi. Ko te wā tino pai kei waenganui i te 2-12 haora . Ko te roa o te pānga he 10-16 haora .
• Humalog® Ranunga 75/25 (75% insulin lispro protamine me te 25% insulin lispro): Ka tīmata te mahi i roto i te 5-20 meneti . Ko te wā tino kaha ko te 1-2 hāora . Ko te roa o ngā pānga he 10-16 hāora .
• Humalog® Mix 50/50 (50% insulin lispro protamine me te 50% insulin lispro): Ka tīmata te mahi i roto i te 5-20 meneti . Ko te pānga tino kaha ko te 1-2 hāora . Ko te roanga o te mahi ko te 10-16 hāora .
• `NovoLog® Ranunga 70/30 (70% insulin aspart protamine me te 30% insulin aspart)`: Ka tīmata te mahi i roto i te 5-20 meneti . Ko te wā tino pai ko te 1-2 hāora . Ko te roa o te pānga he 10-16 hāora .

Mā te whakamahi i te insulin whakaranu pēnei, ka taea te whakaiti i te maha o ngā werohanga ia rā, he mea tino whai hua tēnei mō ētahi tāngata.

Me pēhea te werohanga i te insulin? Me werohanga ki hea?

He maha ngā wāhi o ō tātou tinana e tika ana mō ngā werohanga insulin.

• Puku: Tata ki te rua inihi te roa huri noa i te pito (pito), me taua wāhi anō hoki.
• Te huha o ngā waewae: Te tihi me te tuara o te huha.
• Te tuara o te ringa o runga.
• Te rohe o te papa.

He mea tino nui kia kaua e werohia te insulin ki te wāhi kotahi i ia rā.Ki te tupu tēnei, ka matotoru te kiko ngako i raro i te kiri i taua wāhi, ka hanga he puku. Ka kiia tēnei ko te 'Lipohypertrophy'. Ina tupu tēnei, ka iti ake te mimiti o te insulin i taua wāhi e te tinana, ā, kāore te insulin e mahi tika. Nō reira, me whakarerekē te wāhi werohanga i ia rā. Ka kiia tēnei ko te 'hurihuri' . Hei tauira, ki te werohanga koe i te taha maui o te puku i tēnei rā, me werohanga koe i te taha matau āpōpō, ā, i te rā i muri mai i tērā ki te huha maui.

Mā tō tākuta, mā te Kaiwhakaako Mate Huka rānei koe e ako ki te wero i te insulin, me pēhea te whakamahi i te pūwero, me pēhea hoki te whakamahi i te pene insulin mēnā kei a koe. He mea tino nui kia whai tika koe i ēnei tohutohu.

He aha ngā pānga taha ka puta mai i te whakamahinga o te insulin?

Pērā i ngā rongoā katoa, he iti noa ngā pānga taha o te insulin. Engari kāore he mea hei manukanuka, nā te mea mā te mōhio ki ēnei ka taea te whakahaere me te ārai i aua pānga.

Te huka toto iti - te hypoglycemia

Koinei te mea tino nui hei tūpato mā tātou katoa ina tango ana i te insulin. He māmā noa iho, ka puta tēnei āhuatanga e kiia nei ko te 'Hypoglycemia' ina tino heke te taumata huka toto.

• He aha ngā tohu?
• Te werawera ohorere
• Te ahua kei te wiri tō tinana
• Ngā tere o te ngakau
• Te āwangawanga, te kore okiokinga
• Tino hiakai te tinana
• Pōuriuri, māuiui
• Ka rerekē te reo, ka pōturi te kōrero
• Te tirohanga pōuri
• Ki te tino kino rawa atu tēnei āhuatanga, ka taea e ia te arahi ki te ngaronga o te māramatanga. Nō reira, he mea tino nui kia mōhio ki ēnei tohu.

• He aha tēnei e tupu nei?
• Te kai tomuri, te wareware rānei i te kai.
• Te tango nui rawa i te insulin.
• Te whakakori tinana nui atu i te tikanga, te kore kai e ranea hei whakaea te taumaha, te kore rānei e whakaiti i te insulin.

• Me aha koe? Ina pā mai ēnei tohu, me kai wawe tonu koe i te huka. Hei tauira, ka taea e koe te inu i ētahi papa huka, 2-3 tīpune huka kua rewa ki te wai iti, te inu i te wai hua (me te huka), te inu rānei i te inu reka. Kātahi, i muri i tētahi wā, kai i tētahi kai iti kei roto ngā warowaihā matatini (hei tauira, he poro taro, he pihikete). He mea tino nui kia kōrero koe ki tō tākuta mō tēnei, kia mōhio ai koe ki te aha me mahi i roto i te āhuatanga ohorere.

Tauhohenga Mate Pāwera ā-Rohe

He tino onge tēnei āhuatanga. Tērā pea ka whero te wāhi i werohia ai te insulin, ka pupuhi paku, ka mākūkū hoki. I te nuinga o te wā ka memeha noa iho tēnei i roto i ētahi rā. Heoi, ki te mau tonu, ki te kino haere rānei, me kōrero koe ki tō tākuta.

Te pikinga o te taumaha

Tērā pea ka piki ake te taumaha o ētahi tāngata ina tīmata rātou ki te tango i te insulin. Nā te mea i mua, kāore i te tika te urunga o te huka ki roto i ngā pūtau nā te mate huka, engari i nāianei, nā te insulin, ka tīmata te whakamahi i taua huka hei pūngao. Waihoki, ka rongoa te pūngao nui ki roto i te tinana, ka piki ake te taumaha. Kaua e manukanuka, ka taea e koe te whakahaere i tēnei pikinga taumaha mā te kai i tētahi kai hauora, taurite, me te whakakori tinana i ia rā.

Kia maumahara ki ēnei mea i te wā e whakamahi ana koe i te insulin:

• Te tango i te inikini i mua i te kai: Ko ngā inikini tere-mahi pēnei i a Humalog®, Novolog®, me Apidra® me tango i te nuinga o te wā i te 15 meneti i mua i te kai. Me tango te inikini auau i te 30 meneti i mua i te kai. He mea tino nui te piri ki ēnei wā hei whakahaere i ngā taumata huka toto i muri i te kai.
• Te whakaranu i te inihurini: Ka taea te whakaranu i ētahi momo inihurini (hei tauira, te inihurini tere-mahi, te inihurini auau rānei me te inihurini NPH) ki roto i te weronga kotahi. Engari mēnā ka tohutohu atu tō tākuta kia pērā koe. Heoi, kaua rawa e whakaranu i te inihurini mai i tētahi kamupene ki te inihurini mai i tētahi atu. Hei tauira, kaua a Humulin-R® (mai i a Eli Lilly) e whakaranua ki a Novolin-N® (mai i Novo-Nordisk). Nā te mea he rerekē pea ngā tikanga e whakamahia ana hei hanga i ēnei inihurini me ngā mea tiaki kei roto, nō reira kāore anō kia rangahaua ngā pānga o te whakaranu i a rātou.
• Mā tō tākuta e whakatau te momo insulin e tika ana māu, te nui (ineine) me tango e koe, te maha o ngā wā me tango e koe i te rā, me te wā me tango e koe. He mea nui kia whai i ngā tohutohu a tō tākuta. Kaua e whakarerekē i te inenga, i te wā rānei e pai ana ki a koe.
• Ki te whakamahi koe i ngā pene insulin, whakamahia ngā ngira anake e taunakitia ana kia uru ki tō pene. He pai ake te whakamahi i tētahi ngira hou i ia wā e werohia ai e koe te insulin. Mā te whakamahi anō i te ngira kotahi ka mamae, ka pangia, ka pōturi te ngira, ka kore ai e tukuna tika te insulin.
• He mea nui anō hoki kia mau tonu te pāmahana o te insulin. Ko ngā ipu insulin kua hiritia, ngā pene rānei kāore e whakamahia ana, me pupuri ki roto i te pouaka whakamātao (kaua ki te wāhanga pouaka tio). Ka taea te pupuri i te ipu, i te pene rānei kua whakamahia i te pāmahana rūma (kia kore e pāngia e te rā tika me te wera nui). Ka rerekē te roa o te wā i runga i te momo insulin. Tirohia te pepa tāpiri e haere tahi mai ana me tō insulin, pātai atu rānei ki tō tākuta, ki tō kaiwhakahaere rongoā rānei.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He uaua pea te noho me te mate huka i ētahi wā. Heoi, he rongoā whai hua te insulin hei āwhina i a koe ki te whakahaere i ō taumata huka toto, hei tiaki i a koe mai i ngā raruraru ka puta mai i te mate huka, ā, hei āwhina i a koe kia ora hauora, kia harikoa hoki.

Kaua e wehi i te insulin, kaua hoki e whakaaro he raruraru nui. Whakaarohia he hoa, he tangata kei reira hei āwhina i a koe, hei manaaki i a koe.

Mena he pātai āu, he ruarua rānei mō te insulin, te mate huka rānei, kaua e whakamā, kaua e whakama ki te pātai ki tō tākuta, ki tō nēhi mate huka, ki tō kaiwhakahaere rongoā rānei. Kei te rite katoa rātou ki te āwhina i a koe me te whakautu i ō pātai.

Mā te whakamahi tika i te insulin, te whai i ngā tohutohu a tō tākuta, te kai i tētahi kai hauora, me te whakakori tinana i ia rā, ka taea e koe te whakahaere pai i tō mate huka me te noho harikoa. Kei te hiahia ahau kia pai tō oranga!

` Inulin, Mate Huka, Ngā Momo Inulin, Te Hauātanga o te Huka, Ngā Werohanga Inulin, Apidra, Novolog, Humalog, Lantus, Levemir, Tresiba, NPH