Ki te mea he mate huka tōu, e mōhio ana pea koe ki te hoha me te mamae o te werohanga i a koe ki te insulin i ngā wā maha i te rā. Ehara i te mea ngāwari te werohanga i a koe i ia rā i mua i te kai, ā, i ētahi wā anō hoki. Heoi, ka miharo koe ki te mōhio kei reira tētahi hangarau matatau hei whakangawari ake i tō oranga hei whakakapi mō tēnei tikanga werohanga. Ko taua hangarau ko tā tātou e kī nei he papu insulin. I tēnei rā, ka kōrerohia e tātou tēnei me te taipitopito me te tino māmā.
He aha te papu insulin?
He māmā noa iho, he taputapu hauora iti te papu insulin e mau ana koe, arā, e piri ana ki tō tinana. Ka mahi mā te tuku tonu i te nui o te insulin e hiahiatia ana e koe i raro i tō kiri. He taputapu rorohiko tēnei mīhini, he rite te rahi ki tētahi pouaka wai hua iti, ki tētahi kete kāri rānei.
Mō te hunga e hiahia ana ki te insulin hei whakahaere i tō rātou mate huka, he pai ake tēnei i te werohanga insulin i ngā wā maha i te rā me te whakamahi i te ngira, i te pene rānei (Werohanga Maha i ia Rā - MDI).
Kei te whakapai haere tonu te hangarau papu insulin i ia rā, i ia rā. He maha ngā papu e wātea ana i ēnei rā e mahi tahi ana me te hangarau e kiia nei ko te CGM (Continuous Glucose Monitoring) , e ine tonu ana i ō taumata huka toto. Ko te tikanga o tēnei ka taea e tēnei papu te whakarite aunoa i te nui o te insulin e hiahiatia ana e koe i runga i ō taumata huka toto. He mea whakamiharo?
He pēhea te mahi a tēnei mīhini iti i roto i te tinana?
Ko tā te papu insulin e mahi nei he whai i te huarahi e whakaputa noa ai te repeure o te tangata hauora i te insulin. Arā, ka tukuna te insulin i ngā huarahi e rua e hiahiatia ana e te tinana.
1. Te whakahaere tonu i te insulin i roto i ngā rahinga iti (Basal Insulin):
Ka huaina tēnei ko te insulin taketake . Me whai nui te insulin i roto i te tinana mō ngā mahi taketake, ahakoa kāore tātou e kai ana. Ko tā tēnei papu he tuku tonu i te insulin ki te tinana i roto i ngā rahinga iti noa i te rā, 24 hāora ia rā. He rerekē te nui o tēnei insulin taketake e hiahiatia ana e te tinana i ngā wā rerekē o te rā. Hei tauira, i te ata, nā te mea he teitei ake te homoni cortisol i roto i tō tātou tinana, ka piki ake pea ngā taumata huka toto. Nō reira, me nui ake pea te nui o te insulin taketake i te ata. Ka taea e kōrua te whakarite i ēnei nui taketake me tō tākuta kia rite ki tō āhua noho. Ko te painga o ngā papu hou ko te taea e rātou te whakanui ake, te whakaiti rānei i tēnei nui taketake i runga i ngā raraunga i whiwhi mai i te CGM.
2. Te hoatu i te nui e hiahiatia ana i te wā e kai ana, ā, ina piki ake te taumata o te huka toto (Bolus Insulin):
Ka karangatia tēnei e mātouTe Inurinihi Bolus. Ina kai tātou i te kai, inā koa ngā kai kei roto ngā warowaihā, ka piki ohorere te taumata huka toto i te wa e nakunakuhia ana, ka hurihia hei huka. I taua wā, ka hiahiatia he nui ake te inurinihi hei whakahaere i taua huka. Ina whakauru koe i te nui o ngā warowaihā i roto i te kai e kainga ana e koe me tō taumata huka toto i taua wā ki roto i te papu, ka tatau te papu, ka kī atu ki a koe te nui o te inurinihi bolus e hiahiatia ana e koe. Kātahi ka taea e koe te whakaū i taua nui ka hoatu ki tō tinana mā te pēhi i te pātene.
He māmā noa iho, he rite te basal ki te ua iti, pumau i muri. He rite te Bolus ki te ua nui e tukuna ana ina hiahiatia anake.
He rerekē ngā momo papu insulin?
Ae, e rua ngā momo papu insulin matua. Ko ērā he papu me te ngongo (cannula) me ngā papu kāore he ngongo. Kia mārama tātou ki te rerekētanga i waenganui i ēnei e rua.
| Āhuatanga | Ngā Papu Ngongo | Ngā Papu Kore-Tube/Patch |
|---|---|---|
| Te āhua me ngā wāhanga | He mīhini papu me te ngongo roa e hono ana ki reira. Kei te pito o te ngongo he 'huinga werohanga' e hono ana ki te kiri. | Kāore he ngongo. Ko te 'pu' kei roto te insulin me te wāhanga e whakaurua ana ki te kiri he mea kotahi. Ka taea tēnei te piri ki te kiri pērā i te pāreti. |
| Me pēhea te whakahaere | Ka whakahaerea te papu e tētahi mata me ngā pātene i runga i te papu tonu. Ka taea te kawe i te papu i roto i te pōke, te here rānei ki ngā kākahu. | Ka whakahaerehia ā-waea kore mā te whakamahi i tētahi 'pūmana' ringaringa motuhake. |
| Te tiaki | I te nuinga o te wā, me whakakapi te kātere insulin me te kete werohanga e hono ana ki te kiri i ia 2-3 rā. | I ia 2-3 rā, me tango e koe te pū katoa ka tāpirihia he mea hou. |
| Ātete wai | Ko ētahi he ātete wai, engari i te nuinga o te wā, ka taea e koe te momotu i te papu mai i te ngongo i a koe e kaukau ana, e kauhoe ana rānei. Ka taea e koe te hono anō i muri mai. | He tino ātete-wai ēnei, nō reira ka taea e koe te kaukau, te kaukau rānei i a koe e mau ana. |
Te wāhanga e hono ana ki te kiri (Kete Infusion/Cannula)
E rua ngā momo e whakamahi ana i tētahi ngongo kirihou iti, ngāwari e kiia nei ko te cannula hei tuku i te insulin ki raro i te kiri. Ka whakaurua tēnei ki roto i te kiri mā te āwhina o tētahi ngira iti. Whai muri i te whakauru i te ngira, ka tangohia te ngira, ka waiho ko te cannula kirihou ngohengohe anake i raro i te kiri. Koia te take kāore i te tino mamae. Ka taea te tāpiri ki ngā wāhi pēnei i te puku, te ringa o runga, te papa, me ngā huha.
Mā wai tēnei papu e tino pai?
Ka taea e te tangata mate huka e hiahia ana ki te insulin, tae atu ki ngā tamariki nohinohi me ngā pakeke he mate huka momo 1, me ētahi tāngata he mate huka momo 2, te whakamahi i tēnei papu.
He tino whai hua te papu insulin mōu i roto i ngā āhuatanga e whai ake nei:
- Mena he uaua ki a koe te whakahaere i ō taumata huka toto ahakoa kua werohia koe i ngā wā maha i te rā.
- Mena kei te hiahia koe ki te whakahaere i tō horopeta insulin kia tika ake, kia ngāwari ake hoki .
- Mena ka huri pinepine ō hāora mahi me ō wā kai .
- Mena he iti noa te nui o te insulin e hiahiatia ana e koe (he pono rawa tēnei mō ngā tamariki nohinohi).
- Mena kei a koe tētahi āhuatanga e whakaroa ana i te nakunaku, pērā i te gastroparesis .
- Mena kei a koe tētahi āhuatanga e kiia nei ko te Āhua o te Ata, arā, ka piki ake te taumata huka toto i te ata.
- Mena kei te whakarite koe mō te haputanga .
He aha ngā painga me ngā ngoikoretanga o te papu insulin?
Pērā i ngā mea katoa, he pai, he ngoikoretanga hoki tō te papu insulin. He mea nui kia mōhio ki ngā mea e rua i mua i te whakatau.
| Ngā Painga | Ngā Huakore me ngā Mōrearea |
|---|---|
| He pai ake te whakahaere: Ka taea te whakahaere pai i ngā taumata huka toto. Ka taea te whakarite i te inikini kia rite ki ngā momo kai me te whakakori tinana. | Te aukati i te tukunga o te insulin: Ka taea te whakararu i te tukunga o te insulin ki te tinana e ngā āhuatanga pēnei i te piko, te aukati, te tango rānei i te cannula. |
| He iti ake ngā werohanga: Engari ko te werohanga i ngā wā maha i te rā, ka taea e koe te whakawhiti noa i te cannula i ia 2-3 rā. | Te Mōrearea o te DKA: Mena ka motuhia te tukunga o te insulin mō ētahi haora, ka piki ake te taumata huka toto ki te tino tiketike (hyperglycemia), ka arahi ki te mate e kiia nei ko te Diabetic Ketoacidosis (DKA) , ka tūpono pea te ora. |
| Te kounga o te oranga kua pai ake: He tokomaha te hunga e kī ana kua māmā ake ō rātou oranga, ā, kua nui ake tō rātou herekoretanga i muri i te huri ki te papu. | Utu nui: Ka nui ake te utu o te papu me ngā wāhanga e hiahiatia ana i te tikanga werohanga noa. |
| Tātari raraunga: Mā te tukuake i ngā raraunga mai i te papu ki te rorohiko, ka taea e koe me tō tākuta te mārama ake ki ngā tauira taumata huka toto. | Kia mau tonu: Nā te mea me noho tonu tēnei taputapu ki te tinana, kāore pea e pai mō ētahi tāngata. |
| Hononga ki te CGM: Mā te hono ki tētahi CGM e ine tonu ana i ngā taumata huka toto, ka taea e ia te whakahaere aunoa i te insulin. | Mate pāwera kiri:Tērā pea ka pāwera ētahi tāngata ki te pāreti e piri ana te papu, te huinga werohanga rānei ki te kiri. |
He mea tino nui: Ki te whakamahi koe i te papu insulin, he mea nui kia whai mahere tārua tonu mēnā ka puta he āhuatanga ohorere . Kia tata mai he pene insulin, he ngira insulin rānei, mēnā ka mutu te mahi a te papu, ka mutu rānei te tuku insulin. Me kōrero ki tō tākuta mō tēnei.
Me pēhea taku whiriwhiri i tētahi papu e pai ana ki ahau?
He whakatau nui tēnei. Nō reira, he mea nui kia rangahau koe, kia kōrero hoki ki tō tākuta i mua i te whakatau. I mua i te whiriwhiri i tētahi papu, ka taea e koe te pātai ki a koe anō i ēnei pātai.
- Me whai ngongo rānei, me kore rānei? He aha ngā painga me ngā ngoikoretanga o ngā mea e rua?
- He aha te rahi, te taumaha, me te āhua o te papu? Ka taea e au te noho tahi me ia me te whakamarie?
- E hia te utu mō tēnei? Ka utua tēnei e taku inihua?
- Me pēhea tāu whakaako i te whakamahi i tēnei? He pai te whakangungu e whiwhi ana koe?
- Ka mahi tahi tēnei me te hangarau CGM?
- He ātete wai te papu?
- He aha ngā whakaoho kei runga i tēnei? He oro, he wiri rānei?
- Ka taea e au te kite mārama i te mata? He ngāwari ki te whakamahi?
- He aha ngā momo taputapu atamai ka taea te hono atu? (hei tauira, taupānga waea)
Kōrerohia ēnei mea katoa ki tō tākuta me te kore e whakaroa. Māna koe e āwhina ki te whiriwhiri i te papu e pai ana mō tō hauora me tō momo noho.
Hei whakamutunga, he hangarau whakamiharo te papu insulin e kawe mai ana i te whakamarie me te herekoretanga nui ki te tini o te hunga e mate huka ana. Engari kāore e pai mō te katoa. Ā, ehara i te mea pumau. Ki te whiwhi koe i te papu ā, ka kitea e koe he koretake, ka taea e koe te hoki ki te werohanga. Ko te mea nui ko te mōhio ki te tikanga maimoatanga e pai ana mōu, me te whakatau i te whakatau pai rawa atu i runga i ngā tohutohu hauora.
Karere Tangohia ki te Kāinga
- He huarahi watea, matatau hoki te papu insulin hei whakakapi i te werohanga i a koe anō i ngā wā maha i te rā.
- Ka rite te mahi a tēnei ki te repe taiaki o tō tinana, e tuku ana i te nui o te insulin e tika ana ina hiahiatia (hei insulin taketake me te insulin bolus).
- E rua ngā momo matua, ko ngā papu ngongo me ngā papu kore ngongo (pamu papaki). Ka taea e koe te whiriwhiri i tētahi e pai ana ki a koe.
- Ahakoa ka taea e te whakamahi i te papu te āwhina i te whakahaere pai ake i ngā taumata huka toto, tera pea ka motuhia te tukunga o te insulin.
- Nō reira, me pupuri tonu he pene insulin, he ngira werohanga rānei i te taha tonu mō ngā āhuatanga ohorere.
- I mua i te whiriwhiri i te papu e tika ana māu, me kōrero marie ki tō tākuta mō ōna painga, ōna ngoikoretanga, tōna utu, me tōna ngāwari ki te whakamahi.
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