I te Rāpare whakamutunga, i haere mai a Sunil (52 tau te pakeke), he kaipakihi e whakahaere ana i tētahi toa iti, ki taku whare hauora. E rima tau ia e pāngia ana e te mate huka momo 2.
"E Tākuta Priya, kei te tango ahau i aku pire mate huka e ai ki te whakahaunga. Engari kei te piki haere tonu taku taumata huka. Ko te pūrongo HbA1c hou ko te 8.2%. E kī ana te katoa kia whakakorikori tinana ahau, engari e 92 kirokaramu taku taumaha, ā, he mate osteoarthritis tōku . He uaua ki ahau te hikoi nā te mea e mamae ana ōku waewae. Me pēhea taku whakakorikori tinana?" I whakamārama a Sunil i tōna kore āwhina.
I whakamārama atu ahau ki a Sunil: "E Sunil, he rite tonu te hiranga o te whakakorikori tinana mō te tangata mate huka ki te tango pire. Ina whakakorikori tinana tātou, ka piki ake te aro o te tinana ki te insulin . Ko te tikanga, ahakoa he iti te taumata o te homoni insulin, ka taea e ngā pūtau o te tinana te mimiti ngāwari i te huka i roto i te toto. Hei otinga mō te mamae o tō turi, ka taea e koe te mahi i ngā whakakorikori tinana ngāwari kāore e pēhi i ngā hononga (ngā whakakorikori tinana iti te pānga). I tēnei rā, me kōrero tātou mō te huarahi e taea ai e te hunga mate huka pērā i a koe, he raruraru hononga, he taumaha rawa rānei, te whiriwhiri haumaru i te whakakorikori tinana."
🚨 Ngā tohu whero me mutu tonu te whakakori tinana
Ahakoa he tino pai te whakakori tinana mō te hunga mate huka, me mutu tonu te whakakori tinana mēnā ka puta ngā tohu kino e whai ake nei i te wā e whakakori tinana ana:
- Te kikī nui, te kōpiri, te mamae rānei i waenganui o te uma (he tohu pea tēnei nō te mate manawa).
- Te uaua nui ki te manawa, te wiri rānei kāore e taea te whakahaere.
- Pōuriuri, ngoikore, pōhēhē, tirohanga pōuri rānei.
- Ngā tohu o te hypoglycemia (te werawera nui, te wiri, te hiakai, te kōrero pōturi rānei) i puta mai i te hekenga tere o ngā taumata huka toto.
💡 Ngā mahi hei mahi:
Ki te puta tētahi o ngā tohu o runga ake nei, noho ki raro, ka okioki tonu. Ki te mea kei raro iho i te 70 mg/dL te taumata o te huka i roto i tō toto, inu tonu i tētahi pūnetēpu huka, i tētahi wai hua rānei. Ki te roa ake i te 5 meneti te mamae o te uma, haere tonu ki te hōhipera tata.
Ngā painga matua o te whakakori tinana mō te hunga mate huka
- Te whakahaere i te huka toto: Ka whakahohehia e te korikori tinana ngā uaua, ka tahuna tika ai te huka toto hei pūngao.
- Te whakanui ake i te mahi a te insulin: Ka āwhina i te whakahaere i ngā horopeta rongoā mā te whakanui ake i te aro o ngā pūtau ki te insulin.
- Te whakaiti i te mōrearea o ngā raruraru: Kua tino whakaitihia te mōrearea o te mate ngakau me te whiu.
- Te Whakamarie i te Mate Huka: Kua whakaatuhia e ngā rangahau mā te whakakori tinana me te kai auau i ngā wāhanga tōmua o te mate ka āwhina i te whakahaere katoa, i te whakamutu rānei i te mate huka.
Te whakataurite i ngā mahi whakakori tinana māmā e tika ana mō te hunga mate huka
| Momo whakakori tinana | Pānga ki ngā hononga | Te painga hauora matua | Auautanga e taunakitia ana |
|---|---|---|---|
| Te Hīkoi Tere | Waenga | Ka whakapakari i te pūnaha manawa, ka whakaiti i te taumata o te HbA1c. | E rima ngā rā o te wiki, 30 meneti ia rā. |
| Pahikara Tūmau | Tino iti (Pānga iti) | Te whakapakari i ngā uaua o te huha me te kore e pēhi i ngā hononga. | 3-4 ngā rā i te wiki, 20-30 meneti i ia wā. |
| Kauhoe | Tino iti (Pānga iti) | Te whakanui ake i te mahi a ngā uaua me te ngāwari puta noa i te tinana. | E 2-3 ngā rā i te wiki, 30 meneti i ia wā. |
| Ngā Here Hiki Taumaha / Ātete | Iti iho | Whakanuia te papatipu uaua me te tere ake te tahu huka. | E rua ngā rā o te wiki (kotahi te rā hararei). |
| Yoga | Tino iti | Te whakahaere i te ahotea, te whakanui ake i te ngāwari me te taurite. | 15-20 meneti ia rā. |
Ngā Mea Me Mahi, Ngā Mea Kaua e Mahi
| ✔️ Ngā mea hei mahi (Mahi) | ❌ Ngā mea kāore e tika ana |
|---|---|
| Me tutuki ngā aratohu a te American Diabetes Association (ADA) mō te neke atu i te 150 meneti o te whakakori tinana ngawari ia wiki. | Kaua rawa e whakakorikori waewae tahanga, kaua hoki e mau i ngā hu e kore e tau pai mēnā he whara tō waewae, he mate pukupuku mate huka rānei. |
| Ārai i te mōrearea o te hypoglycemia mā te ine i ō taumata huka toto i mua atu, me muri hoki i te tīmatanga o te korikori tinana. | Kaua e tīmata i ngā mahi whakakori tinana kaha i te wā kotahi. Me tīmata tonu me te whakamahana māmā e rima meneti te roa. |
| Inuhia he iti noa te wai i ngā wā katoa hei ārai i te matewai i te wā e whakakorikori tinana ana. | Kaua e tīmata te whakakorikori tinana mēnā kei raro iho i te 70 mg/dL, kei runga ake rānei i te 250 mg/dL te taumata huka o tō toto. |
❓ Ētahi atu pātai pea āu (FAQ)
Me pēhea te ārai i te iti rawa o te huka toto (Hypoglycemia) i te wā e whakakorikori ana koe? ▼
Ki te tango koe i te insulin, i ngā rongoā whakaheke huka toto rānei, tirohia tō huka toto i mua i te whakakori tinana. Ki te mea kei raro iho i te 100 mg/dL, kai i tētahi kai iti kei roto ngā warowaihā (he panana, e rua pihikete rānei) i mua i te tīmatanga o te whakakori tinana. Me mau tonu i ngā papa huka, i tētahi mea reka rānei.
He aha me tupato te hunga whai mate pukupuku mate huka i te wā e whakakorikori tinana ana?
Ka mamae pea ngā waewae i te mate huka nā ngā patunga, ngā pupuhi rānei. Ka taea e tēnei te arahi ki te mate me ngā raruraru nui, nō reira mauhia he hu ngohengohe me ngā tōkena matotoru i a koe e whakakorikori tinana ana, ā, tirohia ō waewae i ia rā i muri i te whakakorikori tinana.
Ka taea e te nui ake o te whakakori tinana te whakaora i te mate huka ?
Ka taea te tautuhi wawe i te mate huka momo 2 me te whakahaere mā te whakakori tinana me te whakahaere taumaha kia hoki ai te taumata huka toto ki te āhua noa me te kore rongoā (Diabetes Remission). Heoi, nā te mea ehara i te mate e taea te whakaora katoa, ka piki anō te taumata huka toto mēnā ka hoki koe ki te noho noa.
Me pēhea te kimi wā mō te hunga pukumahi ki te whakakori tinana i ia rā ?
Ki te kore he wā hei whakakorikori tinana mō te 30 meneti i te wā kotahi, ka taea e koe te wehewehe kia toru ngā wā whakangungu, 10 meneti te roa i te rā. Kua whakaatuhia e ngā rangahau he rite tonu ngā painga o ngā wā poto o te whakakorikori tinana.
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