Mena kei a koe te mate huka momo 1, pērā i ētahi tāngata e mate huka momo 2 ana, e mōhio ana koe ki te uaua o te whakahaere i ō taumata huka toto. Ko ngā huarahi matua e rua o nāianei ko te werohanga i te insulin ki te ngira, ki te pene rānei, te whakamahi rānei i te papu insulin. I tēnei rā ka kōrero tātou mō tēnei papu insulin, he mea hou pea ki te tini tāngata.
Nā, he aha te papu insulin?
He māmā noa iho, he taputapu rorohiko iti te papu insulin e tuku ana i te insulin ki tō tinana i tētahi tere kua whakaritea. Tata ki te rahi o tō waea atamai, ka tukuna e tēnei papu te insulin ki roto i tō tinana mā tētahi ngongo angiangi rawa e whakatakotoria ana ki raro i tō kiri.
Ka honoa e koe te papu ki tō tinana mā te mea e kiia nei ko te 'huinga werohanga'. He ngongo angiangi tēnei i hangaia ki te kirihou, me te ngira iti, te cannula rānei e piri ana ki reira. I te nuinga o te wā ka whakaurua tēnei ki raro i te kiri i roto i tō puku, i tō papa, me ētahi wā i ngā huha. Ka kiia tēnei ko te 'wāhi werohanga'. Kei ētahi papu he taputapu hei whakangāwari i te whakapiri atu ki ngā wāhi uaua ki te tae atu o tō tinana.
Me pēhea te mahi a tēnei mīhini iti?
Whakaarohia te āhua o te tukunga ā-taiao a ō tātou tinana i te insulin. He rite tonu te mahi a tēnei papu ki taua tukanga. E rua ngā huarahi e tukuna ai te insulin:
1. Te Inirini Tūāpapa: Ka tukuna mārire, ka haere tonu hoki te inirini i te awatea, arā, i te ao me te pō, kia mau tonu ai te taumata o te huka toto.
2. Bolus: Whai muri i te kai, ka tukuna he horopeta anō o te insulin hei whakahaere i te pikinga o te huka toto i puta mai i taua kai.
Ka taea e koe te whakarite i te papu kia tukuna te insulin e hiahiatia ana e koe mō ēnei tikanga e rua. Whakaarohia kua kai koe i te nui atu i tō tikanga. Kātahi ka taea e koe te hoatu i tētahi horopeta nui ake hei taurite i te nui o ngā warowaihā i roto i taua kai. Ka taea hoki e koe te hoatu i tēnei horopeta hei whakahaere i ngā taumata huka toto tiketike i ētahi atu wā.
Ka whakamahia anake e ēnei papu te insulin mahi poto me te insulin mahi tere. Nā te mea ka tukuna tonutia te insulin e te papu, kāore e hiahiatia te insulin mahi roa.
He aha ngā painga me ngā ngoikoretanga o te papu insulin?
Pērā i tētahi atu, he pai, he kino hoki ōna āhuatanga. Kia tirohia tātou ngā mea e rua.
| Ngā Painga | Ngā ngoikoretanga |
|---|---|
| Kāore he take ki te wero i te ngira i ia rā. Me wero noa koe i te ngira kotahi i ia torutoru rā ina whakawhitia te kete werohanga. | Me whakauru e koe ngā mōhiohio ki roto i te papu i te roanga o te rā. Me whakarerekē hoki e koe te huinga werohanga i ia torutoru rā. |
| He tika ake tēnei i ngā werohanga, nō reira ka taea e koe te whakahaere pai ake i ō taumata huka. | Me tirotiro tonu e koe tō huka toto kia mōhio ai kei te tika te mahi a tō papu. Ki te kore e pērā, ka pā mai he mate morearea e kiia nei ko te Diabetic Ketoacidosis (DKA) . |
| Ka whakaitihia te tūponotanga o te iti o te huka toto (hypoglycemia). He painga nui tēnei mō te tangata he iti tonu te huka toto. | Me whiwhi whakangungu koe kia mōhio ai koe ki te whakamahi. Tērā pea me toro atu koe ki tō tākuta i ngā wā maha, me haere rānei koe ki tētahi kaupapa whakangungu kotahi te rā. |
| Tērā pea ka pai ake tō taumata A1c. | Ka nui te utu mō te papu me ōna taonga. |
| He tino māmā te ine i te insulin mō ngā kai me ngā paramanawa. | |
| He māmā noa te whakarite i te insulin mō ngā wā whakakori tinana. | |
| Ka āwhina i te whakahaere i te āhuatanga o te atatu, arā, te pikinga o ngā taumata huka toto i te atatu. |
He mea nui: Ahakoa he papu tāu e whakamahi ana, me mau tonu he werohanga insulin auau ki a koe mēnā ka mutu te mahi a te papu mō tētahi take. Ki te whakapae koe he mate pēnei i te DKA, haere tonu ki te Tari Ohotata o te hōhipera tata (ETU).
He pai te papu insulin mō te katoa?
Ehara tēnei i te otinga kotahi mō te katoa. Whakaarohia ēnei āhuatanga i mua i te whakatau mēnā he pai te papu mōu.
- Kāore koe e hiahia ki te mau i tētahi taputapu hei whakamōhio atu ki ētahi atu kei te mate huka koe?
- Kāore koe i te pai ki te āhua o te piri tonu o tetahi mea ki tō tinana?
- He uaua, he uaua rānei ki a koe te whakahaere i tētahi taputapu pēnei?
- Kei te rite koe ki te tirotiro i tō taumata huka toto i te iti rawa kia whā ngā wā i te rā ?
- Ka taea e koe te whakapau kaha ki te whakahaere i tō horopeta insulin, te kai warowaihā, me te korikori tinana?
Mā āu whakautu ki ēnei pātai, ka taea e koe te whakaaro me pēhea te pai o tēnei ki a koe.
He aha ngā momo papu insulin e wātea ana i tēnei wā?
He maha ngā momo papu matua.
Ngā papu here
Ka honoa tēnei momo papu ki te tinana mā roto i tētahi ngongo angiangi. Ka taea e koe te kawe i te papu i roto i tō pēke, te here ki tō whitiki, te here rānei ki ō kākahu. Ka taea e koe te tiro i ngā mōhiohio me te whakarerekē i ngā tautuhinga i runga i te mata whakaatu o te papu. Ko te kātere inihurini i roto i ēnei papu ka roa mō te 2-3 rā. Ko ētahi he ātete wai, nō reira ka taea e koe te tango atu i a koe e kaukau ana, e kaukau ana rānei.
Ngā papu kore ngongo
Kāore he ngongo mō tēnei. He tino iti ēnei, he mea mau. Ina pania tika te ngongo ki te kiri, ka tukuna te insulin mā te ngira angiangi. Ka taea e koe te whakahaere mā te whakamahi i tētahi mana mamao motuhake, i tētahi taupānga waea atamai rānei. Me whakawhiti e koe te ngongo i ia 2-3 rā. He ātete wai katoa ēnei, nō reira kāore koe e hiahia ki te tango atu i a rātou i te kaukau, i te kaukau rānei.
Ngā Papu Pātaki
He momo papu kore-tube ēnei. Ka kiia ēnei he papu papaki nā te mea ka taea te tāpiri ki te tinana. He tino iti, ā, kāore e kitea nuitia. Ko te EOPatch tētahi tauira o tēnei momo papu papaki.
Me pēhea te whiriwhiri i te papu insulin pai rawa atu māu?
Ka rerekē te papu pai rawa atu i ia tangata, i ia tangata. Kei runga i tō āhua noho, ō hiahia, me ō manakohanga. Kōrero ki tō tākuta mō ēnei mea i mua i te whakatau.
- Ko tēhea te mea e pai ana ki tō āhua noho? He ngongo me te ngongo, he ngongo kore rānei?
- E hia te nui o te insulin ka taea te tāpiri ki te papu? Tērā pea ka hiahiatia he papu iti e ngā tamariki nohinohi, engari tērā pea ka hiahiatia he papu nunui e ngā pakeke.
- Ka taea te hoatu i te iti rawa o te horomanga o te insulin? He mea nui tēnei mō te hunga e pāngia ana e te tairongo nui ki te insulin, me ngā tamariki nohinohi hoki.
- Ka taea te hono i te papu ki tētahi mita huka toto, ki tētahi mita huka tonu rānei (CGM)?
- Kei te hototahi te pūmanawa o te papu ki tō waea pūkoro, ki tō pona rānei?
Mā tō tākuta koe e āwhina ki te whiriwhiri i te mea e tino pai ana, e tino whakamarie ana hoki māu, me te whakaaro ki ēnei mea katoa.
Karere Tangohia ki te Kāinga
- He pai te papu insulin hei whakakapi i ngā werohanga o ia rā. Ka tukuna te insulin i te ara kotahi e tukuna ai te insulin e te tinana.
- Ahakoa he maha ngā painga o tēnei, pērā i te whakaiti i te werohanga ngira me te whakahaere pai ake i ngā taumata huka toto, me nui te whakapau kaha, te whakangungu, me te aro tonu mai i a koe.
- He rerekē ngā momo, pērā i te kore ngongo me te kore ngongo. Me whiriwhiri e koe te mea e pai ana ki a koe, i runga i tō momo noho me ō hiahia.
- Ehara tēnei i te taputapu "whakauru-ā-kore". Me tirotiro tonu e koe ō taumata huka toto kia tika ai te mahi a te papu.
- Hei whakamutunga, me kōrero koe ki tō tākuta kia whakatau ai mēnā he tika tēnei māu, ā, mēnā hoki e uru ana ki roto i tō mahere whakahaere mate huka.
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