Me ako atu tātou mō te pene insulin e whakamahia ana mō te mate huka.

Mena kei te noho koe me te Mate Huka Mellitus, he uaua pea te werohanga i a koe ki te insulin i ia rā i ētahi wā. Ehara i te mea ngāwari te tango i te rongoā mai i te ipu insulin ki roto i te ngira me te werohanga i te horopeta tika. Engari he taputapu kei reira he rite ki te pene hei whakangawari ake i tēnei mahi. I tēnei rā, e kōrero ana tātou mō te Pene Insulin .

Nā, he aha tēnei pene insulin?

He māmā noa iho, he taputapu werohanga kua whakakīia te pene insulin hei tuku i a koe ki te werohanga i te insulin ki roto i te kiko o raro i raro i tō kiri. He huarahi tēnei hei rongoā i te mate huka. He kōwhiringa motuhake tēnei kei raro i te tikanga Werohanga Maha o ia Rā (MDI).

Whakaarohia he pene kei roto te insulin hei utu mō te mangumangu, me te ngira iti, ka taea te whakamahi hei utu mō te pito pene. Koinei te āhua o tēnei.

He aha ngā wāhanga o te pene insulin?

Ahakoa he maha ngā momo pene insulin, he rite tonu ngā wāhanga matua o ēnei katoa. Me titiro tātou ki ēnei.

He aha ngā momo pene insulin?

He maha ngā momo pene insulin. He rerekē ēnei i ngā āhuatanga e whai ake nei:

• Ka taea te whakamahi anō me te mea ka taea te whakakore: Ko ētahi pene ka taea te whakakore, ā, ka taea te maka atu ina pau te insulin, ina pau rānei. Ko tētahi atu momo ka taea te whakamahi anō. Ina pau te kātere insulin, ka taea e koe te tango atu ka whakauru i tētahi mea hou hei whakamahi anō i te pene.
• Momo insulin e whakamahia ana:He maha ngā momo insulin. He rerekē te roa o te mahi a te tinana me te roa o te noho pukumahi (hei tauira, he roa te mahi, he tere te mahi). Ko ētahi pene he mea hanga mō te momo insulin kotahi anake. Ko ētahi pene he ranunga o ngā momo insulin.
• He taputapu matihiko kei reira: Kei ētahi pene inihua he taupānga matihiko. Mā tēnei taupānga koe e āwhina ki te maumahara ki ngā mea pēnei i te wā whakamutunga i werohia ai te inihua me te nui. Ka karangatia hoki ēnei e mātou he pene inihua 'Atamai', he 'Hononga' rānei. Ko tētahi atu momo ko te pene noa (ā-ringa). Ā, me tuhi e koe te horopeta i werohia e koe ki roto i tētahi pukapuka.

Me kōrero tātou mō ngā pene insulin 'Atamai'

He pene matihiko tēnei pene inihurini 'atamai' e tuku aunoa ana i ngā mōhiohio pēnei i te wā me te horopeta o tō werohanga ki tētahi taupānga i runga i tō waea. Ka taea hoki e tēnei taupānga te mahi i ētahi atu mea.

• Puritia he rēkoata mō te nui o te insulin e mahi ana i roto i tō tinana i taua wā.
• Ka āwhina i te tatau i te nui o te insulin e hiahiatia ana e koe i runga i te taumata huka toto me te nui o ngā warowaihā ka tata koe ki te kai. Ka mahi ētahi pūnaha pene 'atamai' i tēnei mā te hono atu ki tētahi taputapu e ine tonu ana i ngā taumata huka toto (Continuous Glucose Monitor - CGM).
• Ki te whakaaro koe ka wareware pea koe ki te tango i tō inihurini i te wā kai, ka whakamōhiotia koe (kia mataara).
• Puritia ngā kōrero mō te pāmahana me te rā paunga o te insulin.

Ki te hiahia koe ki tētahi pene 'atamai' pēnei, kōrero ki tō tākuta.

Me pēhea te whakamahi i te pene insulin?

I mua i te werohanga i te kano ārai mate, whakaritea he wāhi ma, maroke hoki. Ko ngā mea e whai ake nei ka hiahiatia e koe:

• Ko te pene inihuani i tohua e tō tākuta. (Mēnā he maha ngā momo pene e whakamahia ana e koe, kia tika te whiriwhiri .)
• He ngira hou me te tauera waipiro.
• He ipu e tika ana mō ngā ngira kua whakamahia. He pounamu kirihou matotoru me te taupoki piripono, he ipu "koi" rānei.

Me pēhea te whakarite i te pene i te taahiraa i te taahiraa:

1. Horoia ō ringaringa: Tuatahi, horoia ō ringaringa ki te hopi.

2. Whakatuwheratia te taupoki: Tangohia te taupoki mai i te pene inihurini.

3. Whakaranua te pene: Ki te āhua pōuri te āhua o te inihuani i roto i te pene, hurihia te pene ki waenganui i ō ringaringa mō te meneti pea. Ki te mārama rawa te inihuani, kāore koe e hiahia ki te mahi i tēnei. Kaua rawa e rūrū i te pene.

4. Horoia te hiri rapa: Horoia te hiri rapa ki te wai horoi waipiro.

5. Tāutahia he ngira hou:Tangohia te rīpene pepa mai i te ngira, tāpirihia te ngira hou ki te pene, ka takai. Kātahi ka tangohia te taupoki o waho o te ngira. Ka hiahiatia anō tēnei taupoki o waho hei tango i te ngira i muri i te werohanga. Tangohia hoki te taupoki o roto.

6. Whakakīia te pene ki te hinu para: Ko te whakakīia te tikanga o te tango i ngā mirumiru hau mai i te ngira, me te whakarite kei te mahi tika te ngira. Me mahi tēnei i mua i ia werohanga. Hei mahi i tēnei, hurihia te porowhita horopeta ki te 2 waeine. Me te pene e anga ake ana, pēhia te pātene werohanga ki raro katoa. Me puta kia kotahi te pata o te insulin i te pito o te ngira. Me mahi anō tēnei mahi kia puta rā anō he pata.

7. Kōwhiria te horopeta: Tīpakohia te horopeta insulin i tohua e tō tākuta mā te huri i te porowhita horopeta.

8. Tirohia te horopeta: Tirohia te matapihi horopeta kia tika ai te horopeta i whiriwhiria. Kātahi ka waiho te pene ki tahaki kia kore ai te ngira e piri ki hea.

Me pēhea te werohanga i te kano ārai mate i te taahiraa i te taahiraa:

1. Puritia te pene inihurini ki te ringa e tuhituhi ana koe, me te pupuri i tō koromatua kia wātea hei pēhi i te pātene weronga.

2. Whakauruhia te ngira ki roto i tō kiri me te nekehanga tere i te koki 90-tohu. Me whakauru katoa te ngira ki roto i te kiri.

3. Pēhia mārire te pātene werohanga kia uru katoa te horopeta. Puritia te pene ki tēnei tūranga mō te 6 ki te 10 hēkona, kātahi ka tangohia te ngira.

4. Āta whakahokia te taupoki o waho o te ngira, takahurihia te ngira ka tangohia. Kātahi ka maka te ngira ki roto i te ipu ngira kua whakamahia.

5. Whakahokia te taupoki o te pene ka rongoa ki te pāmahana rūma.

Ko ēhea ngā wāhi pai rawa atu hei werohanga i te insulin?

Koinei ngā wāhi pai rawa atu hei werohanga i te insulin:

• Puku: Kei raro me te taha o te pito.
• Huha: Te taha o mua me ngā taha o ngā huha.
• Ringaringa: Te wāhanga o runga me waho o ngā ringa.
• Rohe papa:

Kaua e werohia ki ēnei wāhi:

• I roto i te 2 inihi te tawhiti huri noa i te pito.
• Kei waenganui tonu o te puku.
• Kei runga, kei tata rānei ki ngā wāhi he kiko koha, he tohu totoro rānei.
• Tata ki ngā hononga.
• I roto i te rohe o te puku.

He mea tino nui hoki kia hurihia te wāhi e werohia ana, kaua e werohia tonutia ki te wāhi kotahi . Mēnā ka werohia tonutia ki te wāhi kotahi, ka pāngia pea koe e te lipohypertrophy (te matotoru o te paparanga ngako i raro i te kiri).) ka puta pea. Ka kore pea te insulin e mimiti tika ki roto i te tinana. Nō reira, mā te whakamahi i ngā wāhi werohanga tauutuutu ka māmā ake, ka haumaru ake, ka whakamarie ake hoki tō tukanga werohanga.

Ngā painga me ngā ngoikoretanga o ngā pene insulin

He maha ngā tāngata e kite ana he māmā ake te whakamahi i te pene insulin i te whakamahi i te pounamu insulin me te ngira. Kua whakaatuhia hoki e ngā rangahau he tika ake, he ōrite ake hoki te horopeta o te whakamahi i te pene.

He pānga taha anō kei reira?

Pērā i ngā werohanga insulin katoa, ko te pānga taha tino kitea o ngā pene insulin ko te iti o te huka toto ( hypoglycemia ) . Ka puta tēnei āhuatanga ina heke te taumata huka toto ki raro iho i te 70 mg/dL.

Āhea ahau me kite i te tākuta?

Mena kei te whakamahi koe i te pene insulin mō te wā tuatahi, mā tō tākuta, mā te kaiako mate huka rānei koe e ārahi ki te whakamahi. Kaua e mangere ki te pātai atu ki a koe mō ngā pātai katoa.

I a koe e whakamahi ana i te insulin, me toro atu koe ki tō tākuta i ia wā, kia mōhio ai koe kei te whai hua tō mahere maimoatanga. Mena he maha tonu ō huka toto tiketike, iti rānei, me kōrero tonu atu ki tō tākuta. Ko te tikanga pea tēnei me whakarerekē te horopeta o tō insulin kia rite ki ō hiahia.

Me rongoa ngā pene insulin ki roto i te pouaka whakamātao?

Ka taea e koe te penapena i tētahi pene insulin kua tīmata kē koe te whakamahi (kua whakatuwheratia) i te pāmahana rūma (tata ki te 20-22 nekehanga Celsius). Heoi, kaua e penapena ki ngā wāhi tino wera, tino makariri rānei. Ka taea e tēnei te whakarerekē i te mahi a te insulin.

Me rongoa ngā pene hou ki roto i te pouaka whakamātao mēnā kāore anō kia whakatuwheratia. Ka pai tonu tae noa ki te rā paunga kua tāia ki runga i te pouaka. Tuhia te rā tuatahi i whakamahia ai e koe te pene ki runga i te pouaka. Ko te nuinga o ngā pene ka pai mō te 28 rā i muri i te whakamahinga tuatahi. Pānuihia te pepa tāpiri e haere tahi mai ana me te pene mō ngā tohutohu tino tika.