Te tohu whakatūpato puku o te mate huka: Akohia te ātete ki te insulin

Kei te mataku koe i te kupu mate huka? Kua kōrerotia rānei koe e tō tākuta he ātete tōu ki te insulin, ā, kei te pōhēhē koe he aha te mea? Kaua e manukanuka. I tēnei rā, ka kōrero tātou mō tēnei āhuatanga e kiia nei ko te ātete ki te insulin i roto i tētahi huarahi tino māmā, he huarahi hoa hoki. He rite ki tētahi whakatūpato puku e tukuna mai ana e tō tātou tinana i mua i te tīmatanga o te mate huka.

He aha te tikanga o te ātete ki te insulin?

Whakaarohia, he rite ngā pūtau o tō tātou tinana ki ngā whare iti. Me whai pūngao ēnei whare hei mahi. I ahu mai taua pūngao i te huka e kiia nei ko te kurukose, e hangaia ana i te kai e kainga ana e tātou. Kia taea ai e tēnei kurukose te haere mai i te toto ki roto i ngā whare e kiia nei ko ngā pūtau, me whai kī hei whakatuwhera i te tatau. Ko taua kī ko te homoni e kiia nei ko te insulin . Ko tēnei kī insulin ka hangaia e tō tātou repeure.

Ina kai koe, ka uru te huka ki roto i te toto. I taua wā anō, ka tukuna e te repe taiaki he kī e kīia nei ko te insulin ki roto i te toto. Ina huakina e te insulin ngā tatau o ngā pūtau, ka uru te huka ki roto i ngā pūtau ka huri hei pūngao.

Tirohia te mea ka pā ki te tangata he ātete ki te insulin.

Kāore ō pūtau e aro tika ana ki tēnei kī insulin. He rite ki tētahi raka tatau waikura. Kāore te kī e whakatuwhera tika i te tatau. Nō reira, ka tīmata te kurukose, e kore e taea te uru ki ngā pūtau, ki te kohikohi i roto i te toto.

I tēnei wā, ka whakaaro te roro, "Āe, he nui te huka i roto i te toto, me nui ake ngā kī." Nō reira, ka whiwhi te repe taiaki i tētahi karere e kī ana kia nui ake te hanga insulin. I roto i te wā, ka ngenge te repe taiaki, ka nui ake te hanga insulin, ā, i te mutunga ka heke iho tana mahi. Koinā te wā ka tīmata te piki o te taumata huka toto.

Te rerekētanga i waenga i te ātete ki te insulin, te mate huka, me te mate huka

Ahakoa he hononga ēnei e toru, ehara i te mea kotahi. Me titiro tātou mai i tētahi ripanga.

He aha ngā tohu o tēnei mate?

Ko te raruraru nui rawa atu i konei ko te ātete o te insulin he āhuatanga puku . Ka taea e koe te noho i roto i tō tinana mō ngā tau maha me te kore e mōhio. Ko te huarahi anake ki te tino mōhio ko te whakamātautau toto.

Heoi anō, kei reira ētahi tohu me ngā tohumate o waho e pā ana ki tēnei mate. Tirohia mēnā kei a koe ēnei mea anō hoki:

• Te rahinga hope kua piki ake: He rahinga hope neke atu i te 40 inihi i roto i ngā tāne, me te neke atu i te 35 inihi i roto i ngā wāhine.
• Te toto toto tiketike: Te toto toto 130/80 mmHg, neke atu rānei.
• Ngā āhuatanga rerekē o ngā whakamātautau toto:
• He nui ake te taumata huka toto nohopuku i te 100 mg/dL.
• He nui ake ngā taumata triglyceride i roto i te toto i te 150 mg/dL i te nohopuku.
• Ko te taumata o te cholesterol pai (HDL cholesterol) kei raro iho i te 40 mg/dL i roto i ngā tāne, ā, kei raro iho i te 50 mg/dL i roto i ngā wāhine.
• Ngā huringa kiri:
• Ka mangu, ka rite te kiri o te kaki me ngā kēkē ki te huruhuru. E mōhiotia ana tēnei i roto i te rongoā ko te Acanthosis Nigricans .
• Te putanga mai o ngā mole ririki (ngā tohu kiri) e āhua iri ana i te kiri.

He aha ngā take o te ātete ki te insulin?

He uaua ki te tohu i tētahi take kotahi mō tēnei, engari kua tautuhia e ngā tohunga ētahi āhuatanga e whakanui ana i te mōrearea.

• Te taumaha rawa o te tinana: Te kohikohinga ngako, inā koa ki te puku (ngako puku).
• Te kore whakakori tinana me te noho noa: Te kore e kaha ki te korikori tinana.
• Ngā kai he nui te warowaihā: Te kai nui i te taro, te raihi, ngā kai reka, me ngā inu reka.
• Hītori whānau: He mate huka tō tētahi o te whānau.
• Tau: Ka piki ake te mōrearea i muri i te 45 tau.
• Mate huka hāputanga: Ko ngā whaea e pāngia ana e te mate huka i te wā e hapū ana, ka nui ake te mōrearea ki te pāngia e tēnei mate i muri mai.
• Ētahi atu āhuatanga: Te mate ate momona kore-waipiro me te Polycystic Ovary Syndrome (PCOS).
• Te momi hikareti.
• Ngā rongoā motuhake: Te whakamahinga roa o ētahi rongoā, pērā i te steroids.
• Ngā raruraru moe: Ngā āhuatanga pēnei i te whakamomori i te wā e moe ana (sleep apnea).

Te whanaungatanga i waenga i te ātete insulin me te PCOS

He hononga kaha kei waenganui i te mate ovary polycystic (PCOS), he mate e pāngia ana e te tini o ngā wāhine, me te ātete ki te insulin. He maha hoki ngā wāhine whai PCOS e ātete ana ki te insulin. Kei te rangahauhia tonutia te hononga tuturu i waenganui i ngā mea e rua.

Me pēhea e kitea ai tēnei e koe, e Tākuta?

Kāore he whakamātautau kotahi e tika ana mō te ātete ki te insulin. Ka tirohia e tō tākuta he huinga o ngā āhuatanga hei tautuhi i te mate.

1. Te pātai atu ki a koe: Te pātai atu mō te hītori hauora o tō whānau me tō āhua noho.

2. Whakamātautau tinana: Ka inehia tō taumaha, tō teitei, me tō BMI. Ka inehia hoki tō toto toto.

3. Ngā whakamātautau toto: Koinei ngā mea tino nui.

• Te Huka Toto i roto i te Plasma Nohopuku (FPG): He whakamātautau toto e mahia ana i muri i te nohopuku mō te iti rawa 8 hāora.
• Whakamātautau Manawanui Huka Waha (OGTT): Tuatahi, ka tangohia te toto nohopuku, kātahi ka hoatu he wai huka hei inu, ā, ka whakamātauria anō te toto i muri i ngā haora e rua.
• Hemoglobin A1c (HbA1c): Mā tēnei ka kitea he aha te toharite o ngā taumata huka toto mō ngā marama 2-3 kua hipa.
• Paewhiri Ngako: Ka tirotiro i ngā taumata cholesterol me te triglyceride i roto i te toto.

Mā ēnei uara e āwhina koe ki te tautuhi mēnā kei a koe te prediabetes :

• FPG: 100-125 mg/dL
• OGTT (i muri i ngā hāora e 2): 140-199 mg/dL
• A1c: 5.7% - 6.4%

Me pēhea tā tātou whakahaere i tēnei āhuatanga?

Ko te rongo pai, he maha ngā wā ka taea te whakakore i te ātete ki te insulin! Ko te mea nui ki tēnā ko te whakarerekē i te āhua o te noho. He nui ake te kaha o ēnei mea i te rongoā.

1. Whakakorikori tinana

Ina kaha koe, me whai pūngao ō uaua. Ka nui ake te aro ki te insulin, ā, ka tīmata te whakamahi i te huka i roto i ō toto. Ahakoa he mahi whakakori tinana māmā pēnei i te hikoi tere mō te 30 meneti i te rā, kia 5 rā te iti rawa i te wiki, ka nui te rerekētanga.

2. Te pupuri i te taumaha hauora

Ahakoa te ngaronga o te 5% ki te 7% o tō taumaha tinana ka taea te whakaiti i te tūponotanga o te mate huka. Hei tauira, ki te 100 kg tō taumaha, he mea nui te ngaronga o te 5-7 kg. Me toro atu ki tō tākuta mō ētahi tohutohu mō tēnei.

3. Te whakarerekē i te kai

Kāore he kai "makutu" motuhake mō tēnei, engari he mea nui kia mōhio ki ētahi mea.

• Ngā kai muka-nui: Ko ngā kai pēnei i te witi katoa, ngā pīni, ngā huawhenua me ngā hua ka whakanui ake i te mākona me te whakaroa i te tere o te mimiti o te huka ki roto i te toto.
• Ngā kai he iti te taupū glycemic (GI): Ki te kī māmā noa, ko ēnei ngā kai kāore e piki tere te taumata huka toto i muri i te kai.
• Kai pinepine (Iti-GI): He nui ngā huawhenua me ngā hua, te raihi parauri, te pīni kikī, te pīni rēneti, te miraka kawa.
• Kai i ētahi wā (Waenga-GI): Parāoa witi katoa, panana, kānga.
• Whakaitihia te nui o ngā kai e kainga ana (GI teitei): taro mā, raihi mā, keke, pihikete, inu reka, rīwai.

4. Ētahi atu mea nui

• Kaua e kai hikareti.
• Te whakahaere i te ahotea.
• Kia nui te moe (kia whitu hāora te iti rawa i te rā).

Me ako anō hoki tātou mō ngā rongoā: Kāore he rongoā motuhake mō te ātete ki te insulin. Heoi, ki te mea he tino nui te mōrearea ki te whakawhanake i te mate huka, ka tohua pea e tō tākuta he rongoā pēnei i te Metformin . Engari ko te tākuta anake te mea hei whakatau.