Kei te nui ake te matewai o tāu tamaiti i ēnei rā? Me mimi pinepine ia? Kei te ahua kei te heke tōna taumaha ahakoa kei te kai pai ia? He mea ngāwari noa iho ēnei, engari i ētahi wā koinei ngā tohu tuatahi o te mate e kiia nei ko te mate huka Momo 1 i roto i ngā tamariki. He mate mau tonu tēnei e kitea whānuitia ana i waenga i ngā tamariki. Nō reira, hei mātua, he mea nui kia mōhio tātou ki tēnei, kaua hoki e mataku.
He aha te mate huka momo 1 i roto i ēnei tamariki?
He mate pūnaha ārai mate te mate huka momo 1. Ki te kī māmā noa, ka whakaekea e te pūnaha ārai mate o tō tātou tinana (te ope taua e tiaki ana i a tātou i te mate) ā, ka whakangaromia e ia ngā pūtau e whakaputa ana i te insulin (e kiia nei ko ngā pūtau beta) i roto i tō tātou ake repeure.
Whakaarohia, ko te insulin te kī e whakatuwhera ana i te tatau mō te huka (glucose) i roto i ō tātou toto kia tomo ki ngā pūtau o te tinana. Nō reira, ina whakangaromia ēnei pūtau whakaputa insulin, ka mutu te hanga a te tinana i te insulin e hiahiatia ana e ia. Kātahi ka piki te taumata huka toto ki te taumata mōrearea. Ka kiia tēnei ko te mate huka Momo 1.
He tokomaha te hunga e whakapoauau ana i te mate huka Momo 1 me te mate huka Momo 2. I te mate huka Momo 2, ka whakaputa te tinana i te insulin, engari kāore ngā pūtau e aro tika ki a ia (te ātete ki te insulin). Heoi, i te Momo 1, ka mutu te whakaputanga o te insulin. Nō reira, me hoatu te insulin ki te tamaiti he mate huka Momo 1 mai i waho i ia rā kia ora ai.
Ahakoa ka taea tēnei āhuatanga te puta i ngā tau katoa, ka kitea nuitia i te taha o te 5 tau te pakeke, i te wā tōmua rānei o te taiohitanga (10-14 tau).
He aha i pāngia ai ngā tamariki e tēnei mate?
Kāore he tino take mō tēnei, engari e whakapono ana ngā tākuta he huinga o ngā āhuatanga e rua:
1. Te Āhuatanga Ira: He āhua ira kei ētahi tamariki ki te whakawhanake i ngā mate pūnaha ārai mate. Ina koa, kua kitea he hononga ki tēnei ngā rerekētanga o te pūnaha ira e kiia nei ko te ``(HLA)``.
2. Ngā Whakaoho Taiao: Kāore tēnei mate e puta noa mai i te ira tangata. Me whakaoho e tētahi āhuatanga taiao. Ko ētahi o ēnei āhuatanga ko:
- Ko ētahi matū ka pāngia te whaea i mua i te whānautanga o te pēpi.
- Ko ētahi mate huaketo ka pā ki te tamaiti i te wā e tamariki ana.
- Te kai a te tamaiti.
- Te hapori o ngā huakita whai hua i roto i te tinana ('microbiome').
Nā ēnei take, ka pōhēhē te pūnaha ārai mate, ā, ka tīmata ki te whakaputa paturopi (‘autoantibodies’) hei ārai i ngā pūtau e hanga ana i te insulin. I roto i te wā, ina whakangaromia rawatia ēnei pūtau, ka tīmata te puta o ngā tohu o te mate huka.
Me pēhea te mōhio ki tēnei? - Ngā tohu matua me ngā āhuatanga ohorere
Kia mataara ki ēnei tohu i roto i tāu tamaiti. Ka kino haere pea i roto i ngā rā, i ngā wiki, i ngā marama rānei.
| Tohu | Whakaahuatanga |
|---|---|
| Te matewai nui | Te hiahia ki te inu wai nui atu i te tikanga. |
| He nui te mimi | Ahakoa he tamaiti kua mōhio ki te wharepaku, ka taea e ia te tīmata ki te mākū i te moenga i te pō. Ka tere te kī o ngā nāpi o ngā pēpi nohinohi. |
| Te ngaronga taumaha ahakoa te kai pai | Te ngaronga taumaha kāore i te mārama ahakoa te kai pai. |
| Te hiakai nui | Te tono kai, nui atu i te tikanga, me te kī kei te hiakai koe. |
| Ngenge | Kei te hiamoe tonu te tamaiti, ā, kāore he ora. |
| Te tirohanga pōuri | Tērā pea ka taea e te tamaiti te kōrero ki a koe mō ngā huringa katoa o te tirohanga. |
| Ngā āhuatanga ohorere e hiahia ana kia arohia wawetia: DKA (Ketoacidosis Mate Huka) | |
| Te manawa kakara hua | He kakara hua, waina, he kakara tango peita whao rānei te manawa. |
| Te ruaki me te mamae o te puku | Te ruaki pinepine me te mamae nui o te puku. |
| Te manawa tere | Te pikinga ake o te tere o te manawa. |
| Te pōhēhē me te hiamoe | Ka rerekē te whanonga o te tamaiti, ka pōhēhē, ka hiamoe nui, ka ngaro rānei te māramatanga. |
He mea tino nui: He mate urutā te DKA (`Diabetic Ketoacidosis`). Mena kei tō tamaiti tētahi o ngā tohumate DKA o runga ake nei, haria tonutia ia ki te Tari Urutā (ETU) o te hōhipera tata.
Me pēhea e taea ai e te tākuta te whakaū i tēnei?
Ina haria e koe tāu tamaiti ki te tākuta, ka whakahaerehia e rātou ētahi whakamātautau toto māmā hei whakaū i te mate huka.
- Whakamātautau Huka Toto: Ka inehia ngā taumata huka toto i te wā e nohopuku ana, i tētahi wā rānei (matapōkere).
- Whakamātautau A1c: Ka taea e tēnei whakamātautau te whakatau i te taumata huka toto toharite o te tamaiti i ngā marama e toru kua hipa.
- Whakamātautau Paturopi: Kia whakaūtia te mate, ka whakamātauria te toto mō te aroaro o ngā paturopi ('autoantibodies') e ārai ana i ngā pūtau e whakaputa ana i te insulin hei whakaū mēnā he mate huka Momo 1.
- Taumata C-peptide: Mā tēnei whakamātautau ka taea te whakatau i te nui o te insulin e hangaia ana e te tinana. I roto i te mate huka momo 1, he tino iti tēnei taumata.
Me pēhea te rongoā? - Me pēhea te whakahaere i tēnei
Kāore e taea te rongoā i te mate huka momo 1. Engari mā te whakahaere tika, ka taea e tāu tamaiti te noho ora, ora hoki. He maha ngā wā ka tukuna tāu tamaiti e tō tākuta ki tētahi tākuta tohunga mate huka (he tākuta endocrinologist tamariki). E toru ngā wāhanga matua o te whakahaere.
1. Tirohia auautia ngā taumata huka toto (Te aroturuki i te huka toto)
Me tirotiro te taumata huka toto o te tamaiti i ngā wā maha i te rā mā te whakamahi i te mita huka toto. Ka taea hoki e ngā taputapu Aroturuki Huka Toto Tonu (CGM) hou te aroturuki tonu i ngā taumata huka mā te whakamahi i tētahi pūoko iti e whakatakotoria ana i raro i te kiri.
2. Ngā werohanga insulin
Koinei te wāhanga tino nui o te whakahaere. Me werohia te insulin ki tāu tamaiti i ia rā, i ētahi wā i te rā. I ētahi wā ka whakamahia pea he papu insulin. Ka rerekē te nui o te insulin hei hoatu i runga i te kai a tāu tamaiti, te nui o te whakakori tinana e mahia ana e rātou, me te wā o te rā. Mā tō tākuta tēnei e whakamārama ki a koe.
3. Te tatau warowaihā me te kai
Me ako koe ki te tatau i te nui o ngā warowaihā i roto i te kai a tāu tamaiti, me te whakatau i te horopeta o te insulin. He mea tino nui kia rapu awhina koe i tētahi tohunga kai mō tēnei. Ko te arotahi i konei ko te whakarato i tētahi kai taurite, hauora hoki.
Me pēhea tātou e āwhina ai i te tamaiti he mate huka tōna?
He wero tēnei mā ngā mātua me te tamaiti. Engari ko tō tautoko me tō waiaro pai he kaha nui mō te tamaiti.
- Kia mau ki te whakaaro pai: Ko te nuinga o te hunga mate huka momo 1 he ora ora, he ora hihiko, nō reira kaua e mataku.
- Kaua e whakapae i tāu tamaiti: I ētahi wā, ahakoa kua tika āu mahi katoa, ka piki tonu, ka heke tonu rānei ō taumata huka toto. Kaua e riria tāu tamaiti, arotahi ki ngā mea e tika ana kia mahia i taua wā.
- Whakatū motuhaketia tāu tamaiti: Āta whakaakona tāu tamaiti ki te whakahaere i tōna āhua. Whakaharatauhia te tirotiro i ōna taumata huka toto me te tatau i te insulin.
- Whakamōhio atu ki ētahi atu: Me whakamōhio tonu te whānau, ngā kaiako, me ngā hoa o te tamaiti mō te āhuatanga. Whakamāramahia ki a rātou te mea hei mahi i roto i te āhuatanga ohorere.
- Kia rite mō ngā āhuatanga ohorere: He āhuatanga ohorere te iti rawa o te huka toto (hypoglycemia). Kia mau ki te ringa tetahi mea pēnei i te werohanga glucagon hei hoatu mēnā ka puta he āhuatanga ohorere. Pātai atu ki tō tākuta mō tēnei.
Karere Tangohia ki te Kāinga
- Ehara te mate huka momo 1 i te mea nā te tamaiti i puta ai. He mate pūnaha ārai mate tēnei e puta mai ana i te ngoikore o te pūnaha ārai mate o te tinana.
- He mate tēnei mō te wā katoa, engari ka taea te whakahaere pai mā te maimoatanga insulin, te kai tika, me te aroturuki i ngā taumata huka toto.
- Mena kei te whakaatuhia e tāu tamaiti ngā tohu pēnei i te nui o te matewai, te mimi pinepine, te hekenga rānei o tōna taumaha ahakoa te kai pai, me toro atu koe ki te tākuta i taua wā tonu.
- Ko te manawa hua, te ruaki, te mamae o te puku, me te hiamoe nui (ngā tohu o te DKA)He āhuatanga ohorere e hiahia ana kia haria wawetia ki te hōhipera.
- Mā te tautoko me te mātauranga tika, ka taea e te tamaiti he mate huka momo 1 te ora i te oranga harikoa, hauora, me te angitu.











💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero