Ina whakaaro koe ki te mate huka, ka puta ake te hinengaro ki ngā werohanga insulin, tika? He pono, he maha ngā tāngata e whakamahi ana i te insulin hei whakahaere i ō rātou mate huka. Engari i mōhio koe kei reira anō ngā rongoā werohanga, ngā pire ā-waha, tae atu ki ngā rongoā manawa hei whakahaere i te mate huka? Ka kiia ēnei he rongoā mate huka kāore e taea te werohanga. I tēnei rā, ka kōrero tātou mō ēnei rongoā kāore e taea te werohanga. Me titiro tātou ki tā rātou mahi, ngā painga me ngā huakore, me pēhea te whiriwhiri i te mea e tika ana māu.
He rerekē ngā mahi a ēnei pire!
Kāore e rite te mahi a ngā pire mate huka katoa. Ko ētahi pire ka whakanui ake i te hanga o te insulin i roto i ō tātou tinana. Ko ētahi ka whakahaere i te mimiti o te huka mai i ngā kai e kainga ana e tātou. Tērā tētahi atu momo, e āwhina ana i ngā pūtau o ō tātou tinana kia pai ake te urupare ki te insulin. Nō reira, ka arotakehia e tō tākuta tō āhua, ā, ka tūtohu i te momo rongoā, i ētahi momo rongoā rānei e tino pai ana māu.
Hei whakamāmā ake i te mārama, me titiro tātou ki ēnei momo rongoā matua me tā rātou mahi i roto i tētahi ripanga pēnei.
| Akomanga Tarukino | He māmā noa iho te āhua o tana mahi. | Ngā pānga taha noa |
|---|---|---|
| Ngā Pākiuanide (hei tauira, Metformin) | Koinei te rongoā e tino tohua ana mō te mate huka momo 2. Ka whakaiti i te hanga huka e te ate. Ka āwhina hoki i ngā pūtau o te tinana ki te whakamahi i te insulin. | Te puku pōuri (whakapaipai, ruaki), te reka konganuku i roto i te mangai. |
| Ngā sulfonylurea (hei tauira, Glimepiride, Gliclazide) | Ka whakaoho i te repe taiaki kia nui ake te hanga o te insulin. | Te iti o te huka toto (Hypoglycemia), te mamae o te puku, te mākūkū o te kiri, te piki o te taumaha. |
| Ngā Meglitinides (hei tauira, Repaglinide) | Ka whakanui ake hoki ēnei i te hanga insulin mai i te repe taiaki, engari ka tere te mahi, ā, he poto noa te wā. | Te iti o te huka toto, te mamae o te puku. |
| Ngā Ārai DPP-4 (hei tauira, Sitagliptin, Vildagliptin) | Ina piki ake ngā taumata huka toto, ka piki ake ngā taumata insulin. Ka āwhina hoki ki te whakaiti i te hanga huka e te ate. Kāore ēnei e whakapiki i te taumaha . | He iti noa iho ngā pānga taha. I ētahi wā ka pā te mamae o ngā hononga me ngā mate korokoro. |
| Ngā Ārai SGLT2 (hei tauira, Dapagliflozin, Empagliflozin) | Ka aukati i ngā whatukuhu ki te mimiti anō i te huka ki roto i te tinana, ka tukuna te huka nui ki roto i te mimi. He pai hoki ēnei mō te hunga whai mate manawa. | Ngā mate urutā o te ara mimi, ngā mate rewena o te tara, te hemonga o te ngākau. |
| Ngā Thiazolidinediones (TZDs) (hei tauira, Pioglitazone) | Ka āwhina i ngā kiko uaua me ngā kiko ngako kia pai ake te urupare ki te insulin, ā, ka whakaiti i te hanga huka e te ate. | Me kōrero ki tō tākuta te pupuri wai, te pikinga o te taumaha, me te mōrearea o te mate ngakau. |
| Ngā aukati Alpha-glucosidase (Hei tauira: Acarbose) | Ka nakunakuhia ngā māngaro me ngā huka e kainga ana e tātou i roto i ngā whekau, ā, ka mimitia e te tinana. | Hau, mamae o te puku, pupuhi. |
Pire Whakakotahi
I ētahi wā, kāore pea e taea te whakahaere pai i ngā taumata huka toto mā te rongoā kotahi anake. I ēnei āhuatanga, ka tohua pea e tō tākuta kia rua ngā rongoā. Kāore ianei e māmā ake te tango i te pire kotahi e whakakotahi ana i ngā rongoā e rua, kaua e tango i ngā pire e rua i ia rā? Koinei te mahi a ngā pire whakakotahi.
Hei tauira, ko ngā rongoā pēnei i te metformin me te Glimepiride, te metformin me te Sitagliptin rānei, kei roto i te pire kotahi. Mā tēnei ka whakaitihia te maha o ngā pire me tango e koe i ia rā, kia māmā ake ai te tango i te rongoā i ngā wā auau.
Insulin i manawahia
He mea hou tēnei. He momo insulin tere te mahi. Ka puta mai tēnei insulin i te āhua o te kāpūru, ā, ka manawahia mā roto i tētahi manawa motuhake. I te nuinga o te wā ka whakamahia i mua i te kai. Mā tēnei ka taea e te insulin te tere uru ki roto i te toto mā roto i ngā pukahukahu.
Engari kia maumahara, ehara tēnei i te mea mā te katoa. Mena he kaipaipa koe, he mate pūkahukahu rānei tōu pērā i te mate huango, te COPD rānei, ehara tēnei i te mea māu. Ehara hoki i te mea hei whakakapi mō te insulin roa-mahi.
Me pēhea te whiriwhiri i te rongoā tika māu?
Tērā pea kei te whakaaro koe, "Āe, he tini ngā rongoā kei waho, me pēhea taku whiriwhiri i te mea tika māku?" Ehara tēnei i te whakatau māu anake. He whakatau māu me tō tākuta e mahi tahi. I te wā e whakatau ana koe i tēnei, me whakaaro koe ki ēnei mea:
- Kei te pēhea te taumata o tō huka toto? Ka taea e ētahi tāngata te whakahaere pai i ō rātou huka toto mā te rongoā kotahi. Ko ētahi me maha ngā rongoā.
- E hia te utu mō ēnei rongoā? He nui ake te utu o ētahi o ngā rongoā hou. Kōrerohia hoki tēnei ki tō tākuta.
- He mate hauora anō ōu? Mena he mate manawa, he mate tākihi, he mate ate rānei tōu, tera pea he pai ake ētahi rongoā i ētahi atu. Hei tauira, kua kitea he pai ngā aukati SGLT2 mō ētahi mate manawa.
- Ka taea te whakamanawanui i ngā pānga taha? Kāore te rongoā kotahi e pā ki te katoa i te huarahi kotahi. Ka pāngia ētahi tāngata e ngā āhuatanga pēnei i te mamae o te puku me te taumaha. Mena he pānga taha tōu e uaua ana ki te whakamanawanui, me kōrero koe ki tō tākuta.
Kōrerohia ēnei mea katoa ki tō tākuta kia taea ai e kōrua te whiriwhiri tahi i te maimoatanga hauora, haumaru, me te whai hua mōu.
Karere Tangohia ki te Kāinga
- Kei reira ngā werohanga insulin mō te mate huka, me ngā pire ā-waha me ngā rongoā manawa.
- He rerekē ngā huarahi e whakahaere ai ia rongoā i ngā taumata huka o te tinana.
- Me whiriwhiri koe i te rongoā e tika ana māu i runga i te kōrero ki tō tākuta, me te whai whakaaro ki tō āhua hauora, ki tō momo noho, me ētahi atu āhuatanga.
- Kaua rawa e mutu te tango i tō rongoā, kaua e whakarerekē i te horopeta, kaua hoki e tīmata i tētahi rongoā hou me te kore he tohutohu hauora.
- Ki te pāngia koe e ngā pānga taha o te rongoā, kaua e mataku, ā, me whakamōhio tonu atu ki tō tākuta.
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