He mate te mate huka e pāngia ana e te tini o te tangata i roto i tō tātou hapori i ēnei rā. Nō reira, kua kī atu pea tō tākuta kia whakamahia e koe he werohanga insulin. I roto i ēnei, ka kōrerohia e tātou te momo e kiia nei ko te Isophane Insulin, arā, ko te NPH, i tēnei rā. He maha ngā mea nui hei mōhio māu i te wā e whakamahia ana tēnei. Me kōrero tika, me te ngāwari.
He aha te Isophane Insulin (NPH)?
He kupu ngāwari noa iho, he rongoā te Isophane Insulin hei whakahaere i te mate huka. Mā te whakanui ake i te taumata o te insulin i roto i te tinana, me te whakaiti i te taumata o te huka (glucose) i roto i te toto, ka whakamahia hei 'insulin mahi-waenga' . Ko te tikanga, i muri i te hoatutanga ki te tinana, ka mahi mō ētahi haora, hei whakahaere i te taumata o te huka i roto i te toto.
I te nuinga o te wā, me tēnei rongoā, he mea tino nui hoki te whakahaere i tō kai me te whakakori tinana . Mā te whakakotahitanga o ēnei e toru ka taea ai te whakahaere pai i te mate huka.
Ngā mea me kōrero e koe ki tō tākuta i mua i te whakamahinga o te rongoā
I mua i te tukunga o tēnei rongoā, me mōhio tō tākuta ki tō hītori hauora katoa. Nō reira, ki te pāngia koe e tētahi o ngā mate kua whakarārangihia i raro nei, me whakamōhio atu koe ki a ia.
| Tō āhuatanga | He aha te mea nui? |
|---|---|
| Mena ka heke pinepine te taumata o te huka toto (Hypoglycemia) | He mea nui tēnei mō te whakarerekē i te horopeta, nā te mea ka taea e te insulin te whakaheke i ngā taumata huka toto. |
| Ngā mate kanohi, te ngoikore o te tirohanga | I te mea ka pāngia ngā kanohi e te mate huka, me mōhio te tākuta ki ngā āhuatanga o nāianei. |
| mate whatukuhu | Nā te mea ka tangohia te insulin i te tinana e ngā whatukuhu, me iti ake te horopeta e hiahiatia ana e ngā tūroro whatukuhu. |
| Mate ate | Ka pā te ate ki te mahi a te insulin, nō reira me whakarerekē pea te horopeta. |
| Mate pāwera ki te insulin, ki ētahi atu rongoā, kai, tae rānei | He mea nui tēnei hei ārai i ngā mate pāwera, hei whiriwhiri hoki i te rongoā tino tika. |
| Mena kei te hapu koe, kei te ngana rānei kia hapu | Ka rerekē ngā hiahia mō te insulin i te wā e hapu ana, nō reira me whai koe i ngā tohutohu a tō tākuta. |
| Mena he whaea whāngai u koe | Kia mārama ki te pānga o te nui o te insulin ki te whaea me te pēpi. |
Me pēhea te whakamahi tika i tēnei rongoā?
He werohanga tēnei ka tukuna i raro i te kiri. Mā tō tākuta, mā tō nēhi rānei koe e tohutohu tika ki te whakamahi. He mea tino nui kia whai tika koe i aua tohutohu .
- Tirohia te āhua: Me mārama, he rite ki te miraka te insulin, he mā te tae . Kaua e whakamahia mēnā kāore i te rite te kapua, i te rerekē rānei te tae.
- Whakaranua kia pai: I mua i te whakamahinga, whakaranua te pounamu, te pene rānei kia pai mā te hurihuri ki waenganui i ō ringaringa. Kaua e rūrūtia.
- Te Whakakore i ngā ngira: Kaua e maka ngā ngira me ngā ngira wero kua whakamahia ki roto i te para. Whakanohoia ki roto i tētahi ipu motuhake (ipu koi). Mēnā kāore āu, ka taea e koe te tono i tētahi ki tō tākuta.
- Ki te whakamahi i te pene: Ki te whakamahi i te pene insulin, kia mahara ki te tango i te taupoki o waho o te ngira i mua i te werohanga.
Whakatūpato: Ki te whakaaro koe kua nui atu i te horopeta kua tohua te horopeta i tangohia e koe, waea atu tonu ki te National Poisons Information Centre i te Colombo National Hospital, haere rānei ki te Emergency Treatment Unit (ETU) o te hōhipera tata.
A, mēnā ka ngaro i ahau tētahi horopeta rongoā?
He mea tēnei me kōrero koe ki tō tākuta. Māna koe e hoatu he mahere mō ngā mea hei mahi i tēnei wā. Me mahi pērā.Kaua rawa e tangohia kia rua ngā horopeta i te wā kotahi.
Ētahi atu mea ka taunekeneke pea me tēnei insulin
Ka pā pea ētahi atu rongoā, huaora, otaota rānei e tangohia ana e koe ki te mahi a tēnei insulin. Nō reira, hoatu ki tō tākuta he rārangi katoa o ngā mea katoa e whakamahia ana e koe. Kia tino tupato ki ēnei:
- Waipiro
- Ngā rongoā mamae pērā i te aspirin
- Ko ētahi rongoā mō te toto toto tiketike (hei tauira, Atenolol, Metoprolol)
- Ngā homoni wahine (tae atu ki ngā pire ārai whānau) me ngā homoni tāne
- Rongoā whakaiti taumaha
- Ngā rongoā mō te makariri, te mare, me ngā mate pāwera
- Ko ētahi rongoā mō te mate hinengaro
- Ētahi atu rongoā mate huka (hei tauira, Glyburide, Glipizide)
- Ngā rongoā kei roto he steroids (hei tauira, Prednisone)
- Rongoā homoni tairoi
- Ētahi tāpiringa otaota
Kāore i oti tēnei rārangi. Nō reira, he mea haumaru te kōrero ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe.
Ngā mea hei whakaaroaro māu i te wā e whakamahi ana i te insulin
- Whakamātautau HbA1C: Ka tono tō tākuta kia whakamātauria koe i tētahi whakamātautau toto e kīia nei ko te HbA1C (A1C) . Mā tēnei ka ine i te pai o tō whakahaere i tō huka toto i ngā marama 2-3 kua hipa.
- Whakamātauria tō huka toto: Akohia me pēhea te whakamātautau i tō huka toto i te kāinga. Akohia ngā tohu o te huka toto iti (hypoglycemia) me te huka toto tiketike (hyperglycemia) me pēhea te whakahaere i aua tohu.
- Puritia tetahi mea reka ki te taha: Me waiho tonu tetahi mea reka, pērā i te monamona, i te papa kūhuka rānei, kia tata ai koe ki te kai wawe mēnā ka pāngia koe e ngā tohu o te huka toto iti.
- Kaua e peke i ngā kai: Kai i ngā wā auau. Pātai atu ki tō tākuta mō te waipiro.
- Kaua e whakarerekē i ngā rongoā: Kaua e whakarerekē i te waitohu insulin, i te momo weronga rānei me te kore he tohutohu a tō tākuta.
- Kaua rawa e tohaina: Kaua rawa e tohaina tō pene insulin, tō kātere rānei ki tētahi atu. Ahakoa ka whakawhiti koe i te ngira, ka taea tonu e koe te hora i ngā huaketo pēnei i te HIV me te Hepatitis.
- Mauria he tohu tuakiri hauora: He mea tino nui kia mau i a koe he poroporo, he kāri rānei mō te tuakiri hauora mēnā ka puta he āhuatanga ohorere, kei roto ngā taipitopito mō tō āhua hauora me ngā rongoā.
Ngā pānga taha pea o te rongoā
Pērā i ngā rongoā katoa, ka pā mai ētahi pānga taha o te insulin, ko ētahi ka mate pea.
| Te āhua o te pānga taha | Ngā tohu |
|---|---|
| Ngā mea hei ripoata tonu atu ki tō tākuta | |
| Ngā uruparenga mate pāwera | He ponana kiri, he mākūkū, he pupuhi o te mata, o ngā ngutu, o te arero, o te korokoro rānei. |
| Te huka toto iti (Hypoglycemia) | Te wiri, te werawera nui, te manukanuka, te whanoke, te tere o te ngakau, te pōhēhē. |
| Te hekenga o te pāhare pāporo i roto i te toto | Mamae, māuiui rānei ngā uaua, ngoikore rerekē, pākarukaru te manawa. |
| Ki te mau tonu, ki te whakarihariha rānei, me kōrero ki tō tākuta. | |
| Ngā huringa i te wāhi werohanga (Liponistrofi) | Mā te werohanga anō i te wāhi kotahi ka matotoru te kiko i raro i te kiri, ka puta rānei he koha. |
| Te mamae, te whero rānei i te wāhi i werohia ai | He mamae iti, he whero, he pupuhi rānei i te wāhi i werohia ai. |
| Te pikinga o te taumaha | Ka piki te taumaha o ētahi tāngata nā te whakamahinga o te insulin. |
Me pēhea te penapena i te insulin?
He mea tino nui te penapena tika i te insulin. Ki te kore, ka ngaro pea tōna whai huatanga. Tērā pea ka rerekē ēnei tohutohu i runga i te waitohu e whakamahia ana e koe.
| Tūnga | Ngā tohutohu rokiroki |
|---|---|
| Ngā pounamu me ngā pene kāore anō kia whakatuwheratia | |
| Te wāhi hei penapena | Puritia ki roto i te pouaka whakamātao , engari kaua ki roto i te pouaka tio. Kaua e whakamahia te insulin tio. |
| Paunga | Kaua e whakamahia i muri i te rā paunga. |
| Ngā pounamu me ngā pene e whakamahia ana | |
| Te wāhi hei penapena | Penapenahia ki te pāmahana rūma. Kaua e waiho ki roto i te pouaka whakamātao i muri i te whakamahinga. Puritia kia matara atu i te wera nui me te rā tika. |
| Te wā hei maka atu | He rerekē tēnei i ia momo, i ia momo. Hei tauira, me maka atu ētahi pene i muri i ngā rā 14, ko ētahi i muri i ngā rā 28, ko ētahi pounamu i muri i ngā rā 31, 42 rānei. Pātai atu ki tō tākuta mō te rā paunga mō tō momo inihua. I muri i te rā paunga, maka atu te inihua e toe ana. |
Karere Tangohia ki te Kāinga
- Tangohia te insulin i te horopeta me te wā tika i tohua e tō tākuta. Kaua rawa e whakarerekē i te horopeta e koe anō.
- Kia tūpato ki ngā tohu o te huka toto iti (hypoglycemia) me te huka toto tiketike (hyperglycemia). Puritia tētahi mea reka i te taha mō ngā āhuatanga ohorere.
- Kaua e tohaina tō pene insulin, tō ngira werohanga, tō ngira rānei ki tētahi atu, ahakoa te take.
- Kōrerotia ki tō tākuta ngā rongoā katoa, ngā huaora, me ngā hua otaota e tangohia ana e koe.
- Rokirokihia te insulin kia tika. Āraia mai i te wera nui, te rā, me te hukapapa.
- Mena he āwangawanga, he ruarua rānei āu, kōrero tonu atu ki tō tākuta.
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