He tangata mate huka koe? Me noho tonu koe ki te āwangawanga mō ō taumata huka toto, tika? Kua rongo kē koe i tētahi mate tino kino ka taea te whakamate i te tangata e pāngia ana e te mate huka? Koinei tā tātou e kōrero nei i tēnei rā. Ko te ingoa hauora o tēnei ko te Diabetic Ketoacidosis , arā, ko te (DKA) te poto. He mea nui kia mōhio koe ki tēnei āhuatanga mō tō haumaru.
He aha te DKA?
Āe, me kī pēnei. Ko te insulin he homoni e āwhina ana i ngā pūtau o te tinana ki te whakamahi i te huka, te kūhuka rānei, hei pūngao. Ina kore e nui te insulin a te tangata mate huka, ina kore rānei e mahi tika te insulin kei a rātou, kāore e taea e ngā pūtau te whakamahi i te huka i roto i te toto.
Kātahi ka whakaaro te tinana, "Āe, kua pau te kaha." Nō reira, ka whakamahia e te tinana tētahi atu huarahi hei hanga kaha. Mā te tahu i te ngako i roto i te tinana. Ina tahuna te ngako i tēnei ara, ka tukuna he matū e kiia nei ko ngā ketone ki roto i te toto hei hua taha. He mea noa te whai ketone. Engari ki te kore e āraihia tēnei tukanga nā te mea kāore he insulin, he maha ngā ketone ka puta ki roto i te toto. He momo waikawa ēnei ketone. Nō reira, ina puta ki roto i te toto, ka waikawa ō tātou toto.
Koinei te mea e kiia nei e tātou ko te DKA, ko te Ketoacidosis rānei, ina ka waikawa te toto. He mate tino morearea tēnei. Ki te kore e rongoatia i te wā tika, ka mate pea.
Mena kei runga ake i te 240 mg/dL te taumata huka toto, he mea whakaaro nui kia tirohia ō taumata ketone i ia 4-6 hāora. Ko te taumata huka toto kei runga ake i te 250 mg/dL te tīmatanga o te DKA. Mena kei waho atu i te awhe noa te taumata huka toto, kōrero tonu ki tō tākuta .
Āhea koe me haere ki te hōhipera ohorere (ETU)?
Mena he 300 mg/dL, neke atu rānei te taumata huka toto, ā, kāore e heke iho, ka ruaki tonu rānei koe, ka tino ngenge koe, ka pāngia rānei koe e ngā tohu o te DKA pēnei i te uaua ki te manawa, haere tonu ki te Tari Ohotata (ETU) tata rawa atu.
He rerekē te Ketoacidosis me te Ketosis?
Āe, ahakoa he rite te tangi o ēnei kupu e rua, he tino rerekē ngā tukanga e rua.
- Ketosis: Ka puta tēnei ina kai koe i tētahi kai iti te warowaihā (pēnei i te taro, te raihi, te rimurapa) (hei tauira, te kai keto). Kātahi ka tahuna e te tinana te ngako hei pūngao. I konei anō hoki, ka puta ngā ketone, engari ka puta i roto i te tikanga whakahaere. Nā te mea he nui te insulin i roto i te tinana. Ehara te ketosis i te āhua morearea.
- Ketoacidosis (DKA):Nā te korenga o te insulin tēnei. Ka nui haere ngā ketone, ā, ka waikawa te toto. He mea mōrearea tēnei ki te ora.
He aha ngā tohu o te DKA?
Ka tere te puta mai o ngā tohu o te DKA. I ētahi wā, ka kitea tuatahitia te mate huka o te tangata i muri i te whanaketanga o te DKA. He mea nui kia mōhio ki ēnei tohu.
| Ngā tohu o te DKA - kia mataara! | |
|---|---|
| Ngā Tohu Tūatahi | |
| Te mimi i ngā wā maha atu i te wā noa | Te pikinga o ngā taumata ketone i roto i te mimi, i te toto rānei |
| Tino matewai te ngākau | Te maroketanga |
| Te nui o te huka toto (neke atu i te 250 mg/dL) | Te ānini nui |
| Ngā Tohu o Muri Mai/Nui | |
| Whakapairuaki me te ruaki | Mamae tinana, wiriwiri uaua, ngoikore te tinana |
| Waha maroke me te kiri | Ngenge rawa |
| Te pōhēhē, te ngaro o te māramatanga | Te uaua ki te manawa, te tere o te manawa |
| He kakara hua (reka) i te manawa | Mamae puku |
| Ki te puta mai ēnei tohu, me haere tonu ki te tākuta whānau! Mena he taurite, he teitei rānei ō taumata ketone, ā, kei a koe ngā tohu o runga ake nei, mena kei runga ake i te 300 te huka toto, ā, kāore anō kia heke, mena kua neke atu i te 2 hāora koe e ruaki ana, mena he kakara hua tō manawa, mena kei te tino ngenge koe, kei te pōuri rānei tō mahunga, mena he uaua ki a koe te manawa, kaua e whakaroa . | |
He aha ngā tino take o te DKA?
Ahakoa ko te kore o te insulin te tino take o te DKA, he maha ngā āhuatanga ka whai wāhi ki tēnei mate.
- Te kore e tango tika i te insulin: Ka piki ake tēnei mōrearea mēnā kāore koe e tango i te horopeta insulin i tohua e tō tākuta i te wā tika, mēnā rānei ka mahue i a koe tētahi horopeta. I ētahi wā, ko te whakamahi i te insulin kua pau te wā ka waiho hei take.
- Ngā Mate: Ina pāngia koe e te kirika, te makariri, te mate mimi (UTI), te niumōnia rānei, ka whakaputahia e tō tinana ngā homoni ahotea (pēnei i te cortisol me te adrenaline). Ka whakararuraru ēnei homoni i te mahi a te insulin. Nō reira, he nui ake te tūponotanga ka pāngia koe e te DKA i ngā rā e mate ana koe.
- Ētahi atu pānga ki te tinana: Ka piki ake hoki te mōrearea o te DKA nā te nui haere o te ahotea ki te tinana, pērā i te pokanga, te pāngia e te aituā, te pāngia rānei e te mate manawa, te whiu rānei.
- Mate huka kāore anō kia tautuhia: Ko te hunga kāore i te mōhio kei te pāngia rātou e te mate huka, inā koa ko te hunga he mate huka momo 1, ka pāngia e te DKA.
- Ētahi atu take: Ka taea hoki e te nui o te inu waipiro, te whakamahi i ētahi raau taero, te haputanga, me ētahi rongoā (hei tauira, corticosteroids) te take o te DKA. Mena he mate huka koe, he mea nui kia kōrero koe ki tō tākuta i mua i te tango i tētahi rongoā hou.
Me pēhea te ārai i te whanaketanga o te DKA?
Waimarie, he mate ka taea te ārai i te DKA, ā, ko te mea nui ko te whakahaere pai i tō mate huka.
Kia maumahara, ko koe te tangata e whakahaere ana i tō mate huka. He mea nui kia tiakina tō tinana me te whai i ngā tohutohu a tō tākuta.
Anei ētahi mea ka taea e koe te mahi mō tēnei:
- Tirohia ō taumata huka toto i ia wā: Tirohia ō taumata huka toto i ētahi wā i te rā, e ai ki ngā tohutohu a tō tākuta. Ngāna kia mau tonu i roto i te awhe kua tohua.
- Tangohia te rongoā kia tika:Tangohia te insulin, ētahi atu rongoā mate huka rānei i te wā tika, me te horopeta tika. Kaua rawa e mahue te horopeta.
- Kai tika: Whāia kia tika te mahere kai i hoatu ki a koe.
- Inumia he nui te wai: Inumia he nui ngā wai me ngā inu kāore he huka.
- Whakaritea he mahere mō ngā rā e māuiui ana: Kōrero ki tō tākuta i mua i te wā mō te tirotiro i tō huka toto me ngā taumata ketone ina pāngia koe e te kirika, e te makariri rānei, me te hiahia hoki kia whakarerekētia tō horopeta insulin.
- Tirohia mēnā he ketone: Tirohia mēnā he ketone ina teitei ake tō huka toto i te 240 mg/dL. Ka taea tēnei mā te whakamahi i ngā rīpene mimi, i ētahi mita huka toto rānei.
- Kia rite mō tētahi āhuatanga ohorere: Whakamaherehia i mua i te wā me aha me haere ki hea mēnā ka puta ngā tohumate o te DKA.
He aha ngā maimoatanga mō te DKA i te hōhipera?
Ina haere koe ki te ETU me ngā tohu o te DKA, ka tere te mahi a ngā tākuta ki te whakahaere i tō āhua. Ko te tikanga ka tukuna tēnei maimoatanga i te hōhipera.
1. Ngā wai i roto i te uaua: Ka hoatu he tote mā roto i te uaua hei whakahaere i te matewai me te whakatika i te taurite matū o te toto.
2. Insulin: Ka tukuna te insulin mā roto i te uaua hei aukati i te hanganga o ngā ketone me te whakahaere i ngā taumata huka toto.
3. Te Whakakapinga Irahiko: Ka ngaro i te tinana ngā kohuke matua (irahiko) pērā i te konutai me te pāhare pāporo nā te DKA. Nā te mea he mea nui ēnei mō te mahi a te ngākau, ngā uaua, me ngā io, ka whakakapia mā te tote.
4. Te rongoā mō ngā mate pāwera: Mena he mate pāwera te pūtake o te DKA, ka hoatu he paturopi.
I te nuinga o te wā ka taea te whakahaere i te āhua i roto i ngā hāora 24, engari ki te kino rawa te āhua, ka roa ake pea te wā.
Karere Tangohia ki te Kāinga
- He tino morearea, he mate hoki te mate Ketoacidosis Diabetic (DKA) o te mate huka.
- Ka puta tēnei nā te korenga o te insulin i roto i te tinana, te tahunga ngako hei pūngao, me te nui rawa o te kohi o ngā ketone (waikawa) i roto i te toto.
- Ko ngā tohu matua ko te matewai nui, te mimi pinepine, te kakara hua i te manawa, te pōhēhē, me te ngenge nui.
- Ki te pā mai ēnei tohu ki a koe, inā koa he teitei te taumata o te huka i roto i tō toto, haere tonu ki te rūma whawhati tata o te hōhipera (ETU).
- Ka taea e koe te ārai i te DKA mā te whakahaere pai i tō mate huka, te tango tika i ō rongoā, me te whai i tētahi momo oranga hauora. Kōrerohia tēnei ki tō tākuta i ia wā, i ia wā.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero