Mena he mate huka tōu, kua mōhio pea koe ki te kupu 'insulin'. Tērā pea he kaiwhakamahi werohanga insulin koe i ia rā. Engari he aha rawa te insulin? He aha tāna mahi i roto i ō tātou tinana? Me kōrero māmā noa iho, me mārama hoki. Ka kitea e koe ngā whakautu ki ō pātai katoa i roto i tēnei tuhinga.
He aha te Insulin, ā, me pēhea tana mahi?
He kupu ngāwari noa iho, he homoni te insulin e hangaia ana e ō tātou tinana. Ka hangaia e tētahi okana e kiia nei ko te repeure, kei roto i tō tātou puku, i muri i te puku. Nō reira, ko te mahi matua o tēnei insulin he āwhina i te huri i te kai e kainga ana e tātou hei pūngao, me te whakahaere anō hoki i ngā taumata huka i roto i ō tātou toto.
Whakaarohia kei te kai koe i tētahi mea kei roto he warowaihā, pērā i tētahi poro raihi, i tētahi poro taro rānei. Ka nakunakuhia ēnei warowaihā i roto i ō tātou whekau, ka huri hei huka māmā e kiia nei ko te 'kurukō'. Kātahi ka uru tēnei kurukō ki roto i ō tātou toto. Kātahi ka piki ake ngā taumata huka toto.
Koinei te wā e puta mai ai te insulin 'toa' a tā tātou. Ina kitea te pikinga o te taumata huka toto, ka tukuna e te repe taiaki te homoni insulin ki roto i te toto. He rite ki te hauhautanga i roto i tō tātou whare. Ina piki te pāmahana o te rūma, ka tahuri te hauhautanga ka whakamatao i te rūma, ā, ina heke te pāmahana, ka mate.
Nō reira, ka tangohia e tēnei insulin te hukahuka i roto i te toto ka tukuna ki ngā pūtau o tō tātou tinana. Ka whakamahia e ngā pūtau taua hukahuka hei hanga i te pūngao e hiahiatia ana e tātou mō te roanga o te rā. Ka tohutohu anō hoki te insulin kia rongoatia te hukahuka tāpiri ki roto i tō tātou ate me ngā uaua mō te whakamahinga ā muri ake nei. Ina uru te hukahuka ki roto i ngā pūtau i tēnei ara, ka hoki te taumata huka toto ki te āhua noa.
Engari i ētahi tāngata, kāore e taea e te repe taiaki te whakaputa i te nui o te insulin, kāore rānei e taea e te tinana te whakamahi tika i te insulin e whakaputaina ana e ia. Ka kiia hoki tēnei ko te 'ātete insulin'. I tēnei wā, ka nui haere te huka i roto i te toto, ā, ka teitei tonu te taumata huka. Ka kiia tēnei āhuatanga ko te hyperglycemia . Ko te nui rawa o te huka i roto i te toto mō te wā roa te take o te mate huka.
Te Inihurini me te Kurukākona: Ngā Hoa e Rua e Whakahaere ana i te Huka
Ko te glucagon , tētahi atu homoni nui e hangaia ana e te repe taiaki, me te insulin, e mahi rerekē ana tetahi ki tetahi, engari kia mau tonu te taurite o ngā taumata huka o te tinana.
- Insulin: Ka whakaiti i ngā taumata huka toto.
- Glucagon: Ka whakanui ake i te taumata huka toto.
Whakaarohia kāore koe i kai i te wā tika, i nui rānei tō whakakori tinana. Kātahi ka heke te taumata huka o tō toto. I tēnei wā, ka tukuna e te repeure te glucagon. Ka kī atu te glucagon ki te ate kia tāpirihia te huka kua rongoatia i mua (glycogen) ki roto i te toto. Kātahi ka hoki te taumata huka toto ki te noho noa.
Mā tēnei, ka mahi tahi ngā homoni e rua, arā, te insulin me te glucagon, puta noa i te rā, kia mau tonu ai te taumata huka toto i roto i tētahi awhe kua whakaritea.
He aha ngā momo insulin e hoatu ana mō te mate huka?
Nā te mea kāore e taea e te tangata mate huka te whakahaere i tana ake insulin, me werohanga te insulin ki a ia. He maha ngā momo insulin. E toru ngā momo matua.
1. Te tīmatanga: Te tere o te mahi a te kano kano whai muri i te hoatutanga.
2. Te Tihi: Te wā e pau ana kia eke te kaha o te kano kano ki tōna taumata teitei.
3. Te roa (te roa e noho ana i roto i te tinana): Te roa o te wā e whakahaeretia ai te huka toto e te werohanga kotahi.
Tērā pea ka rerekē te momo insulin e tohua ana e tō tākuta māu i runga i ēnei āhuatanga.
| Momo insulin (Momo) | Te wā tīmatanga | Te tino mahi | Roanga |
|---|---|---|---|
| Tere te mahi Hei tauira: Insulin aspart, Insulin lispro | Tata ki te 15 meneti | Tata ki te 1 hāora | 2-4 hāora |
| He poto te mahi Hei tauira: Te inihurini noa (Humulin R, Novolin R) | Tata ki te 30 meneti | 2-3 hāora | 3-6 hāora |
| Mahi-waenga Hei tauira: NPH insulin (Humulin N, Novolin N) | 2-4 hāora | 4-12 hāora | 12-18 hāora |
| Mahi roa Hei tauira: Insulin glargine (Lantus), Insulin detemir (Levemir) | Tata ki te 2 hāora | Kāore he tihi | Tae atu ki te 24 hāora |
| Tino roa te mahi Hei tauira: Insulin degludec (Tresiba) | Tata ki te 6 hāora | Kāore he tihi | 36 hāora, neke atu rānei |
Me pēhea te whiriwhiri i te insulin tika mōu?
Ehara tēnei i te mea ka taea e koe te whakatau takitahi. Mā tō tākuta e whakatau te momo, te horopeta, me te wā e hoatu ai te insulin e pai ana mōu i runga i tō āhua. He maha ngā āhuatanga e pā ana ki tēnei:
- Ngā momo me te nui o ngā kai e kainga ana e koe
- tō tau
- Tō taumata korikori tinana (kei te whakakori tinana koe, kāore rānei)
- Me pēhea te whakahaere i ō taumata huka toto
- Te roa o te wā e mimiti ai te insulin e te tinana
Ngā huarahi hei whiwhi i te insulin:
- Ngā werohanga: Ko te tikanga e whakamahia whānuitia ana. Ka tangohia te horopeta insulin kua whakaritea mai i te ipu ki roto i te werohanga ka werohia ki raro i te kiri.
- Ngā Pene: He tino māmā te whakamahi. He rite ki te pene te taputapu kei roto he kātere kua whakakiia ki te insulin. Ka taea e koe te whakarite i te horopeta tika mā te whakamahi i te pātene, kātahi ka werohia mā te pēhi i te pātene.
- Papu Inirini: He taputapu iti tēnei e tuku mārire ana i te inirini ki roto i te tinana mō te wā 24-hāora. I te nuinga o te wā ka whakatōkia ki raro i te kiri o te puku.
He pānga taha anō kei te werohanga insulin?
Ae, ko te pānga taha matua me te pānga tino kitea o te whakamahi i te insulin ko te hekenga o te taumata huka toto ki raro rawa. E mōhiotia ana tēnei i roto i te rongoā ko te hypoglycemia . Ka puta tēnei āhuatanga mēnā ka heke te taumata huka toto ki raro iho i te 70 mg/dL.
Ngā tohu noa o te hypoglycemia:
- Te āwangawanga, te kore okiokinga
- Te werawera nui
- Te wiri o te tinana
- Tino hiakai te tinana
- Pōuriuri , kanohi kikorangi
- Pōhēhē, riri
He mea nui: Ki te pāngia koe e tētahi o ēnei tohu, he āhuatanga ohorere pea tēnei. Kaua e warewaretia. Ina whakaaro koe he iti te huka toto, inuhia he mea reka (he pūnetēpu huka, he hukahuka, he inu reka) ka waea atu ki tō tākuta tonu. I ētahi wā kino rawa atu, me haere pea koe ki te Tari Ohorere o te hōhipera (ETU).
He tino onge pea te puta o ngā mate pāwera pēnei i te whero, te mākūkū, me te pupuhi i te wāhi i werohia ai. Mēnā ka puta tēnei, kōrero ki tō tākuta mō tēnei.
Kei hea tonu koe e werohia ai te insulin?
Me werohia te insulin ki roto i te paparanga ngako i raro i te kiri. Koinei te wāhi e mimiti ai ki roto i te toto, ā, e mahi tika ana. Ko ngā wāhi pai rawa atu mō tēnei ko:
- Puku: Kei ngā wāhi katoa o te puku, e toe ana kia 2 inihi te āputa huri noa i te pito.
- Tua o te ringa: Te tua o te ringa o runga.
- Huha: Te taha, te mua rānei o te huha.
- Te wāhanga o runga o te papa.
Ko te mea nui, kaua e werohia ki te wāhi kotahi i ia rā. Ki te werohia e koe ki te ringa matau i tēnei rā, werohia ki te ringa maui āpōpō. Ki te werohia e koe ki te taha matau o te puku i tēnei rā, werohia ki te taha maui āpōpō. He mea whakahau tēnei momo hurihanga o te wāhi. Ki te kore, ki te werohia tonutia e koe ki te wāhi kotahi, ka puta pea he puku iti (lipohypertrophy) i raro i te kiri i aua wāhi. Nā aua puku, kāore pea te tinana e mimiti tika i te insulin i muri mai.
Karere Tangohia ki te Kāinga
- Ko te insulin he homoni nui e whakaputaina ana i roto i tō tātou tinana e whakahaere ana i te huka toto.
- Ina pāngia koe e te mate huka, ka ngoikore te mahi a tēnei pūnaha insulin, nō reira me tango e koe te insulin mai i waho.
- He maha ngā momo insulin. Mā tō tākuta e whakatau te momo me te horopeta e pai ana mō tō āhua.
- Ko te mōrearea matua o te whakamahi i te insulin ko te iti o te huka toto (hypoglycemia). Kia tūpato tonu ki ōna tohu.
- Mena he pātai, he āwangawanga, he ruarua rānei āu mō te insulin, kaua e wehi ki te kōrero tuwhera ki tō tākuta mō tēnei mea.
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