I tō kitenga he mate huka tōu, tera pea i kī atu tō tākuta kia tangohia e koe te insulin. He mea noa te mataku me te manukanuka, "Āe, me werowero ahau i ēnei rā?" Kaua e manukanuka. He mea tēnei ka tino āwhina i tō tinana. I tēnei rā, ka kōrero tātou mō te Insulin Lispro, he momo insulin motuhake e whakamahia ana mō te mate huka e tere ana te mahi.
Tuatahi, he aha te insulin?
Ki te whakarapopoto, he homoni te insulin e hangaia ana i roto i ō tātou tinana. Whakaarohia koinei te "kaiwhakahaere huka" atamai o tō tātou tinana. E rua āna mahi matua:
- Te huri i te huka (glucose) i roto i te kai e kainga ana e tātou hei pūngao, pērā i te penehīni mō ngā motuka o ō tātou tinana.
- Ki te nui ake te huka e kohia ana i roto i te toto i tērā e hiahiatia ana e te tinana, ka rongoatia te toenga ki te ate.
Mā tēnei, he nui te āwhina a te insulin ki te pupuri i te taumata huka toto ki te taumata hauora.
He aha rā te Insulin Lispro?
Ko te Insulin Lispro he momo insulin tangata e hangaia ana i roto i te taiwhanga. Ka kiia ko te insulin tere-mahi . Ko te tikanga tēnei:
- He tino rite tēnei ki te insulin tūturu i roto i ō tātou tinana.
- Heoi, kua hangaia tēnei kia pā i roto i ētahi meneti torutoru o te werohanga.
Kei raro i ngā ingoa waitohu rerekē tēnei rongoā, pērā i te `Admelog®` me te `Humalog®`. Tērā pea ka tohua e tō tākuta tētahi o ēnei māu.
Mā wai e whakamahia ai te Insulin Lispro?
Tērā pea ka hiahiatia tēnei kano ārai mate mēnā he mate huka tōu. E rua ngā momo matua o te mate huka, tika?
- Mate huka momo 1: He maha ngā wā ka tīmata tēnei i te tamarikitanga. Ko te mea ka tupu i konei ko te whakaekenga a te pūnaha ārai mate o te tinana, ā, ka whakangaro i ngā pūtau e hanga ana i te insulin. Nō reira, kāore e taea e te tinana te whakaputa i te insulin.
- Mate huka momo 2: He mate tēnei e āta whanake haere ana i roto i te wā. Tērā pea nā ngā āhuatanga pēnei i te kai kino me te taumaha rawa/momona. Ko te mea e tupu ana i konei ko te hanga insulin e te tinana, engari kāore e ranea hei whakahaere i te huka toto, kāore rānei te insulin e mahi tika.
E whakamahia ana te Insulin Lispro hei rongoā mō ēnei momo e rua.
He pēhea te mahi a tēnei kano ārai mate i roto i te tinana?
Whakaarohia, ina kai te tangata hauora i te kai, ina oti te nakunaku o te kai, ā, ka tīmata te kohi o te huka ki roto i te toto, ka tukuna ohoreretia e te tinana te nui o te insulin me te mea nei kei te whakarite ia mōna. Engari kāore tēnei e tupu tika i roto i te tinana o te tangata mate huka.
Koinei te mahi a te werohanga insulin lispro. Ina tangohia i mua i te kai, ka tukuna wawetia te nui o te insulin e hiahiatia ana hei whakahaere i te nui o te huka e tāpirihia ana ki te toto i muri i te kai.
Me whakamahi anō ahau i ētahi atu momo insulin?
Ae, he maha ngā wā, inā koa ko te hunga mate huka momo 1 me whakamahi i ngā momo insulin e rua. Ko te take o tēnei he rerekē ngā mahi a ngā momo insulin rerekē. Kia kite tātou me pēhea te mahi.
| Momo inihurini | Te wā i pau ki te mahi | Te roa o te pānga |
|---|---|---|
| Tere te mahi (Hei tauira: Insulin Lispro) | 5 - 15 meneti | 2 - 4 hāora |
| Auau/Pōpoto te mahi | 30 meneti | 3 - 6 hāora |
| Mahi roa | He torutoru hāora | 24 hāora, neke atu rānei |
Ka whakamahia ngā insulin tere-mahi, pērā i te Insulin Lispro, i mua i te kai hei whakahaere i ngā pikinga huka toto e puta ana i taua wā. Ka āwhina ngā insulin roa-mahi ki te pupuri i ngā taumata huka toto kia mau tonu i te roanga o te rā. Mā tō tākuta e whakatau te momo me te horopeta o te insulin e hiahiatia ana e koe.
Ngā mea hei kōrero ki tō tākuta i mua i te whakamahinga o tēnei rongoā
He mea tino nui kia tukuna atu e koe he kōrero katoa mō tō hauora ki tō tākuta. Kia mahara kia whakahuatia ngā mea e whai ake nei:
- Mena kei te hapu koe, kei te ngana rānei kia hapu, kei te whāngai u rānei.
- Mena he mate pāwera koe ki te insulin, ki te metacresol, ki ētahi atu rongoā, ki ngā kai, ki ngā tae, ki ngā mea tiaki rānei.
- Mena he pōuri tō tirohanga, he mate retinopathy mate huka rānei.
- Mena he mate tākihi, he mate ate rānei tōu.
- Mena ka heke pinepine te huka toto (hypoglycemia).
Me pēhea te whakamahi tika i tēnei kano ārai mate?
Mā tō tākuta koe e tohutohu tika ki te horopeta e hiahiatia ana e koe. He mea nui kia whai tika koe i aua tohutohu. Ko te tikanga noa mō te whiwhi i te kano ārai mate koia tēnei:
1. Tikina ngā ipu, ngā kātere, ngā pene rānei o te inihurini e ai ki te whakahaunga a tō tākuta.
2. Ki te mea kei te whakamahi koe i tētahi pene, tāpirihia he ngira hou ki mua.
3. Tangohia te taupoki tiaki i te tihi o te ipu.
4. Whakakīia te pene ki te hinu i mua i te werohanga (arā, whakatikatikahia te ngira kia puta mai rā anō he pata iti o te insulin i te ngira). Mā tēnei ka tangohia ngā mirumiru hau e mau ana i roto i te ngira.
5. Werohia te Insulin Lispro 5-15 meneti i mua i te kai matua .
He mea tino nui: He mea nui kia rite te kai i mua i te werohanga. Kaua e whakaroa i te kai i muri i te werohanga. Mā te mahi pēnei ka tino heke te huka toto.
Ka aha mēnā ka nui rawa te horopeta o te Insulin Lispro ka tangohia e koe?
Āe, ki te nui rawa te werohanga o tēnei kano kano, ka tūpono he mōrearea. Ki te pērā, ka tino iti te huka o tō toto (hypoglycemia). Me whakamārama tātou i ngā tohu o tēnei, me te aha hoki hei mahi.
| Tūnga | Ngā tohu | Me aha? |
|---|---|---|
| Taumata huka noa | • Manukanuka • Manukanuka • Pōuriuri • Whakapairuaki • Te werawera nui, te hiakai rānei | Kai tonu, inu rānei i tētahi mea huka (2-3 tīpune huka, kūhuka, he inu reka). |
| Te nui rawa o te horopeta (te huka toto nui) | • Te uaua ki te manawa • Te ngaronga o te māramatanga (syncope) • Te hopuhopu | Kawea tonutia te tangata ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera. He āhuatanga ohorere hauora tēnei. Ka taea hoki e koe te waea atu ki te Pokapū Mōhiohio Paitini ā-Motu i te Hōhipera ā-Motu o Colombo mō ētahi tohutohu. |
A, mehemea ka wareware ahau ki te werohanga i mua i te kai?
- Mena kāore anō kia roa rawa tō kai, ka taea e koe te werohanga ina mahara koe.
- Engari ki te mea kua roa te wā, tatari kia tae ki te horopeta e whai ake nei. Kaua rawa e tango i ngā horopeta e rua hei whakakapi i te horopeta i ngaro.
- Ki te kore koe e tino mōhio me aha koe, waea atu ki tō tākuta mō ētahi tohutohu.
Karere Tangohia ki te Kāinga
- He insulin tere te mahi a te Insulin Lispro e tangohia ana i mua tata i te kai.
- Me taka kai i mua i te werohanga. Kaua e whakaroa i te kai i muri i te werohanga.
- Kia tūpato ki ngā tohu o te huka toto iti (hypoglycemia) (te whanoke, te werawera, te hiakai nui). Mēnā ka puta tēnei, kai tonu i tētahi mea he huka.
- Kaua rawa e whakarerekē i te horopeta o tō insulin me te kore he tohutohu a tō tākuta.
- Kaua e maka ngā ngira kua whakamahia ki roto i te para. Kohia marietia ki roto i tētahi ipu werowero, ā, maka atu ki te wāhi tika.
- Mena he pātai, he āwangawanga, he wehi rānei āu mō tēnei rongoā, kōrerohia ki tō tākuta.
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