He tangata mate huka pea koe, he mema whānau, he hoa rānei tōu e mate huka ana. Kua kite pea koe i ēnei tāngata e whakamahi ana i ngā werohanga insulin. Ki tā ētahi he rongoā noa iho te insulin mō te mate huka. Engari ko te mea pono, he mea hanga te insulin i roto i ō tātou tinana, ā, he mea nui ki a tātou. Nō reira, i tēnei rā, kia kitea he aha te insulin, he aha tāna mahi ki te tinana, me tōna whanaungatanga ki te mate huka.
He aha rawa te insulin?
He whakarāpopototanga noa iho, ko te insulin he homoni e hangaia ana i roto i tō tātou tinana. He mea hanga tēnei e tētahi okana e kiia nei ko tō tātou repeure. Hei whakamārama, he momo pūtau motuhake e kiia nei ko ngā 'pūtau beta' i roto i te repeure. He mea nui tēnei homoni mō ō tātou oranga. Nā te mea ko tēnei insulin te mea e āwhina ana i ngā pūtau ki te huri i te huka, te hukahuka rānei, e whiwhi ana tātou mai i te kai e kainga ana e tātou hei pūngao.
Whakaarohia pēnei. Ka whiwhi te tinana i te huka (glucose) mai i ngā kai whai warowaihā e kainga ana e tātou, pērā i te raihi, te taro, me te rīwai. Ko tēnei huka te pūtake matua o te pūngao kia mahi ai ngā pūtau o te tinana. He rite ki te penehīni mō te motuka. Kia tae tēnei huka ki roto i te toto, me haere ki roto i ngā pūtau hei hanga pūngao. Engari kua kati ngā tatau o ngā pūtau. Ko te insulin te kī e whakatuwhera ana i aua tatau.
Ina tāpirihia te insulin ki te toto, ka tukuna he tohu ki ngā pūtau, e mea ana, "Whakatuwheratia te tatau inaianei, kei te tomo mai te hukahuka." Kātahi ka uru te hukahuka ki roto i ngā pūtau ka whakaputa pūngao.
Whakaarohia, he aha te mea ka tupu mēnā kāore e nui te insulin e hangaia ana e tō repeure, mēnā rānei kāore ō pūtau e aro tika ki te insulin e hangaia ana e ia (e kiia ana tēnei he ātete insulin)? Kāore e taea e te hukahuka i roto i te toto te uru ki roto i ngā pūtau. Kātahi ka tino teitei te taumata huka toto. E kiia ana tēnei āhuatanga ko te hyperglycemia , ko te "huka teitei" rānei. Mēnā ka haere tonu tēnei āhuatanga, ka puta te mate huka.
Ka whakaiti, ka whakanui rānei te insulin i ngā taumata huka toto?
He raruraru tēnei e pā ana ki te tini tāngata. Ka whakamahia te insulin hei whakaheke i te taumata huka toto. Arā, ka tangohia te hukahuka e rere ana i roto i te toto ka tukuna ki roto i ngā pūtau, he rite ki te horoi i te toto.
He pūnaha whakamiharo tā ō tātou tinana e whakahaere ana i tēnei. Ahakoa ka whakaitihia e te insulin te huka toto, kei reira tētahi atu homoni e kiia nei ko te glucagon e whakanui ana i ngā taumata huka toto ina hiahiatia. Ka mahi ēnei e rua pērā i ngā taha e rua o te unahi, e pupuri ana i ngā taumata huka toto i roto i tētahi awhe.
Heoi, ina tangohia te insulin mai i waho hei werohanga e te tangata mate huka, i ētahi wā ka nui ake te nui i tangohia i te nui e hiahiatia ana. Mēnā ka tupu tēnā, ka tino iti rawa te taumata huka toto. Ka kiia tēnei ko te hypoglycemia . He āhuatanga morearea anō hoki tēnei. Mēnā he pēnei te āhua, me kai wawe koe i tētahi mea reka (he monamona, he pūnetēpu huka) hei whakahoki mai i te taumata huka. Mēnā ka tino iti rawa te huka, he āhuatanga ohorere tēnā. Tērā anō hoki ngā werohanga glucagon ka taea te hoatu i ēnei wā. Ka taea e koe te kōrero ki tō tākuta me te ako atu mō tēnei mea.
He aha ngā mate e pā ana ki te insulin?
Ka puta pea ngā āhuatanga hauora maha nā te korenga o te insulin i roto i te tinana, nā te korenga rānei o te tinana e whakamahi tika i te insulin, nā te nui rawa rānei o te insulin.
Ngā āhuatanga i puta mai i te korenga o te insulin, i te ngoikore rānei o te mahi a te insulin
Kei roto i tēnei wāhanga ngā momo mate huka.
- Mate Huka Momo 1: He mate pūnaha ārai mate tēnei. Ki te whakarapopototia, ka whakaekea e tō tātou ake pūnaha ārai mate ngā pūtau beta e whakaputa ana i te insulin i roto i te repeure, ā, ka whakangaromia. I roto i te wā, ka kore e taea e te tinana te whakaputa i te insulin. Me tango e ēnei tāngata te insulin mai i ngā pūtake o waho kia ora ai.
- Mate Huka Momo 3c: Ka puta tēnei ina ngoikore te hanga insulin nā te kino o te repe taiaki. Hei tauira, ko te mumura roa o te repe taiaki (Chronic Pancreatitis), te cystic fibrosis (Cystic Fibrosis), te tango pokanga rānei o te repe taiaki (Pancreatectomy) ka puta ai tēnei mate.
- Te Mate Huka Ā-Iwi Tūmatanui i roto i ngā Pakeke (LADA): He rite tēnei ki te momo 1, engari ka puta ngā tohu i muri tata mai. I te nuinga o te wā ka pā ki te hunga neke atu i te 30 tau te pakeke.
Ngā āhuatanga i puta mai i te ātete ki te insulin
Ko te mea ka tupu i roto i tēnei, ka whakaputa te tinana i te insulin, engari kāore ngā pūtau o te tinana (ina koa ko ngā pūtau uaua, ngako, me te ate) e aro tika ki taua insulin. He rite ki te ngana ki te whakatuwhera i tētahi tatau me te kī waikura.
- Te mate huka i mua i te mate huka: He āhuatanga tēnei e teitei ake ai te taumata huka toto i te mea noa, engari kāore i te tino teitei hei tautuhi i te mate huka. Ko te take matua o tēnei ko te ātete ki te insulin. Mā ngā huringa āhua noho ka āwhina i te aukati i te whanaketanga o te mate huka.
- Mate Huka Momo 2: Koinei te momo mate huka tino noa o te ao. Ka piki ake te ātete ki te insulin tae noa ki te wāhi e kore ai e taea e te repe taiaki te whakaputa i te insulin, ka hua ake he taumata huka toto teitei.
- Mate Huka Hāputanga: Ka puta tēnei mate i roto i ētahi wāhine i te wā e hapū ana. E whakaponohia ana nā ngā homoni e tukuna ana e te whenua whānau te take, e puta ai te ātete ki te insulin. I te nuinga o te wā ka memeha haere te mate i muri i te whānautanga o te pēpi.
Te nui rawa o te hanga insulin
He āhuatanga onge tēnei. Ko te Insulinoma he pukupuku e tupu ana i roto i te repe taiaki. Mā tēnei ka puta he nui o te insulin i te repe taiaki i te wā kāore e hiahiatia ana. Ka puta he taumata huka toto tino iti (hypoglycemia). Heoi, ka taea te whakaora katoa i ēnei pukupuku mā te tango pokanga.
He aha ngā momo insulin e hoatu ana mō te mate huka?
He maha ngā momo insulin e whakamahia ana hei rongoā i te mate huka. Ka whakarōpūtia ēnei i runga i te tere o te mahi me te roa o te noho ki roto i te tinana. Mena he mate huka tōu, mā tō tākuta e whakatau te momo me te horopeta e pai ana māu.
Anei ngā momo matua.
| Momo inihurini | Te wā i pau ki te mahi | Te wā i roto i te tinana |
|---|---|---|
| Tere te mahi | I waenganui i te 5 - 20 meneti | I waenganui i te 3 - 5 hāora. I te nuinga o te wā ka tangohia i mua i te kai. |
| He poto te mahi/He auau | I waenganui i te 30 - 45 meneti | I waenganui i te 5 - 8 hāora. |
| Mahi-waenga | Tata ki te 2 hāora | I waenganui i ngā hāora 14 - 24. |
| Mahi roa | Tata ki te haora | Tae atu ki te 24 hāora. Āwhina ki te pupuri i te taumata taketake puta noa i te rā. |
| Tino roa te mahi | Tata ki te 6 hāora | Tae atu ki te 48 hāora (2 rā). |
Ko ētahi o ēnei he insulin kua oti te whakaranu (kua oti te whakaranu). Mā tō tākuta ēnei katoa e whakarite kia rite ki ngā hiahia o tō tinana.
He pānga taha anō kei te werohanga insulin?
Pērā i ngā rongoā katoa, ka pā mai ētahi pānga taha o te insulin, engari he maha ngā wā ka taea te whakahaere i ēnei.
- Te iti o te huka toto (Hypoglycemia): Koinei te raruraru tino noa. Ka puta tēnei mēnā ka nui ake te insulin e tangohia ana e koe i tō tinana e hiahiatia ana. Ka taea e ia te whakaputa i te werawera, te wiri, te hiakai nui, te tere o te ngakau, tae atu ki te ngaro o te mohio.
- Ngā panonitanga kiri i te wāhi i werohia ai: Ki te werohia tonutia te insulin ki te wāhi kotahi, ka taea e te ngako te hanga i raro i te kiri, ka puta he puranga. Ka taea rānei e te ngako te rewa, ka puta he rua i roto i te kiri. Ka kiia tēnei ko te lipodystrophy ā-rohe . Koia te take he mea nui kia hurihia ngā wāhi i werohia ai.
- Te uruparenga mate pāwera: He tino onge tēnei. Ka pāngia ētahi tāngata e te mate pāwera ki ētahi momo insulin. Ko ngā tohu pea ko te whero, te mākūkū, me te pupuhi i te wāhi i werohia.
Ko te mea nui ko te whai i ngā tohutohu a tō tākuta. Kaua e whakarerekē i te horopeta i runga i tō whakaaro ake.
Ko ēhea ngā wāhi pai rawa atu hei werohanga i te insulin?
Ko te tikanga, ko ngā wāhi tino pai mō te werohanga insulin ko ngā wāhi kei reira te kiko ngako.
- Te wāhi o te puku (tata ki te 2 inihi mai i te pito)
- Te taha o mua, o ngā huha rānei
- Te tuara o te ringa o runga
- Te wāhanga o runga o te papa
Ko te mea nui ko te whakawhiti wāhi me te kore e mirimiri tonu i te wāhi kotahi. Mena i mirimiri koe i te taha maui o tō puku i tēnei ata, mirimirihia te taha matau i te pō. Whakawhiti ki ō huha āpōpō. Mā te mahi pēnā ka āwhina nui ki te ārai i ngā raruraru kiri kua whakahuatia ake nei.
Kia pēhea te roa ka taea e koe te ora me te kore insulin?
He take tino nui tēnei.Kāore e taea e te tangata mate huka e whakawhirinaki ana ki te insulin (ina koa ko te tangata he mate huka momo 1 tōna) te ora me te kore he insulin.
Ki te kore he insulin, ka piki haere te taumata huka toto, ā, kāore e taea te whakahaere. Nā te kore e taea te whakamahi i te hukahuka hei pūngao, ka tīmata ngā pūtau o te tinana ki te tahu ngako hei pūngao. Ka puta he hua taha e kiia nei ko ngā "ketones" i tēnei tukanga. Ka kohia ēnei ketone ki roto i te toto, ka waikawa. Ka kiia tēnei ko te Diabetic Ketoacidosis (DKA) .
He mate ohorere te DKA, he mate morearea hoki. Ka taea te whanake i roto i ngā haora 24 noa iho. Ka tere ake pea te puta mena kei te ruaki koe. Ko ngā tohu ko te matewai nui, te mimi pinepine, te mamae o te puku, te ruaki, te uaua ki te manawa, me te kakara hua ki te manawa. Mena ka pāngia koe e tētahi o ēnei tohu, me haere tonu koe ki te rūma ohorere o te hōhipera (ETU) . Ki te kore e rongoatia, ka mate pea koe.
Nō reira, ki te mea he kaiwhakamahi insulin koe, kia tino tupato ki te whakakī anō i tō putunga insulin i mua i te paunga.
Karere Tangohia ki te Kāinga
- Ehara te insulin i te rongoā mō te mate huka anake, engari he homoni e hangaia ana e ō tātou tinana, he mea nui hoki mō te ora.
- Ko te mahi matua a te insulin he āwhina i te neke i te huka (glucose) mai i te toto ki roto i ngā pūtau hei whakamahi mō te pūngao. Ka āwhina tēnei ki te whakahaere i ngā taumata huka toto.
- He maha ngā momo mate huka. Ko ētahi e puta mai ana i te korenga o te insulin, ko ētahi e puta mai ana i te korenga o te tinana e aro ki te insulin (ātete ki te insulin).
- He maha ngā momo insulin e tukuna ana ki waho. Ko tō tākuta anake ka taea te whakatau i te momo me te horopeta e tika ana māu.
- I te wā e werohia ana te insulin, hurihia ngā wāhi e werohia ana, kaua e werohia ki te wāhi kotahi. Mā tēnei ka āwhina i te ārai i ngā raruraru kiri.
- Mō te tangata e whakawhirinaki ana ki te insulin, he mea morearea te ngaronga o te insulin. Kia tūpato ki ngā āhuatanga morearea pēnei i te DKA. Mena kei te ruarua koe, rapua tonutia he tohutohu hauora.
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