Kia ako tātou i ngā mea katoa mō te Mate Huka Momo 1 i roto i tētahi huarahi māmā.

Kei te matewai ohorere tō tamaiti, ā, kei te mimi pinepine? Kua tīmata ia ki te mākū i te moenga i te pō? Kei te heke rānei tōna taumaha ahakoa te kai pai? Kaua e waiho ēnei mea hei mea noa. Koinei pea ngā tohu tuatahi o te mate e kiia nei ko te Mate Huka Momo 1. He mate tēnei mō te wā roa ka pā ki ngā tamariki nohinohi, ngā taiohi, me ngā pakeke i ētahi wā. Kaua e manukanuka, ka kōrerohia e mātou tēnei mea me ngā taipitopito.

He aha te mate huka momo 1?

Ko te mate huka momo 1 he mate e puta mai ana i tētahi raruraru o tō tātou ake pūnaha ārai mate. Hei whakamārama, he mate pūnaha ārai mate tēnei . I te nuinga o te wā, ka whawhai tō tātou pūnaha ārai mate ki ngā iroriki e puta ai te mate. Engari i tēnei wā, ka hē te pūnaha ārai mate, ka tīmata ki te whakangaro i ngā pūtau i roto i tō tātou ake repeure e hanga ana i te homoni insulin.

Whakaarohia te insulin hei kī e whakatuwhera ana i ngā tatau ki ngā pūtau o roto i tō tātou tinana. Kia uru ai te huka (glucose) i roto i te kai e kainga ana e tātou ki roto i ngā pūtau hei pūngao, he mea tino nui tēnei kī insulin. Nō reira, ina whakangaromia aua pūtau, ka mutu katoa te hanga o te insulin. Ko te mea ka tupu, kāore e taea e te huka i roto i te toto te uru ki roto i ngā pūtau, ā, ka kohia ki roto i te toto. Ka kiia tēnei he taumata huka toto tiketike (hyperglycemia). Ki te kore tēnei e whakahaeretia, ka pā he kino nui ki te tinana.

He aha ngā tohu o te mate huka momo 1? Me pēhea te mōhio ki tēnei mate?

I te nuinga o te wā ka tīmata mārire ēnei tohu, ā, ka kaha haere i roto i ētahi rā, wiki rānei. Mena kei a koe, kei tētahi rānei o tō whānau ēnei tohu, he mea nui kia toro atu koe ki te tākuta i te wā e taea ai, kia whiwhi tohutohu ai.

Ko ēnei tohu ohorere e tohu ana i tētahi mate e morearea ana ki te ora e kiia nei ko te Diabetic Ketoacidosis (DKA). Mēnā ka kite koe i tētahi mea pēnei, haere tonu ki te Tari Ohorere o te hōhipera (ETU).

He aha tēnei e tupu nei? He aha te take?

Kāore anō kia mōhiotia e ngā kaipūtaiao te tino pūtake o te mate huka momo 1, engari e whakapono ana rātou nā te huinga o ngā ira me ngā āhuatanga taiao i puta ai.

Hei whakarāpopototanga, tera pea he mate ira kei te tangata. Kātahi ka whakaohokia e te huaketo, e tētahi mea rānei i roto i te taiao te pūnaha parepare o te tinana ki te whakarewa i taua whakaeke hē.

Mena kei roto i te whānau tēnei mate, he paku teitei ake te tūponotanga ka pāngia ētahi atu.

• Mena kāore he tangata o te whānau e pāngia ana e tēnei mate, ko te mōrearea he 1 i roto i te 250.
• Mena kei te whaea tēnei mate, ko te mōrearea kei waenga i te 1 i roto i te 25 me te 1 i roto i te 100.
• Mena kei te pāpā tēnei, ko te mōrearea he 1 i roto i te 17.
• Mena kei ngā mātua e rua tēnei mate, ka eke te mōrearea ki waenga i te 1 i roto i te 10 me te 1 i roto i te 4.

He aha ngā raruraru pea ka pā mai i te mate huka momo 1?

Ka taea e ngā taumata huka toto tiketike kāore e taea te whakahaere mō te wā roa te kino ki ngā wāhanga rerekē o te tinana. Nō reira, he mea tino nui kia mau tonu ngā taumata huka toto ki roto i te awhe e tika ana.

Ngā raruraru pea:

• Ngā raruraru kanohi: ngā mea pēnei i te ngaronga o te tirohanga (retinopathy), te katarata.
• Ngā raruraru waewae: Te ngenge o ngā waewae, ngā patunga kāore e ora, ka kino haere.
• Te mate ngakau me te toto toto tiketike.
• Mate whatukuhu: Ka pakaru ngā whatukuhu i roto i te wā.
• Te kino o ngā io (Neuropathy): Ngā āhuatanga pēnei i te māuiui me te ngau o ngā peka.
• Ngā mate kiri: Kiri maroke, ngā mate pāwera pinepine.
• Te pikinga ake o te mōrearea o te whiu .

Kaua e wehi i ēnei mea, kia mahara ka taea e koe te tiaki i a koe anō i te nuinga o ēnei raruraru mā te whakahaere pai i ō taumata huka toto. Waihoki, ko te noho me tēnei mate ka puta te ahotea me te pouri. Nō reira, he mea nui kia tiakina tō hauora hinengaro me tō hauora tinana . Rapua he tohutohu hauora mēnā e tika ana.

Me pēhea te tautuhi tika a ngā tākuta i tēnei mate?

He māmā noa iho te tautuhi i te mate huka momo 1. Mā tō tākuta ēnei whakamātautau e mahi:

• Te whakamātautau huka toto: Ina tautuhia te mate, he tino tiketike te taumata huka.
• Whakamātautau A1c (whakamātautau hemoglobin glycosylated): Ka ine tēnei i tō taumata huka toto toharite mō ngā marama e toru kua hipa.
• Whakamātautau paturopi: Ka whakamahia tēnei hei whakaū mēnā he mate huka momo 1, he mate huka momo 2 rānei tōu. Mena kei roto i te toto ngā paturopi e pā ana ki te mate huka momo 1, ka whakaūtia ko te momo 1.

Hei tāpiritanga, ka taea hoki e koe te mahi i ngā mea pēnei i te whakamātautau mimi hei tirotiro i ngā ketone i roto i te mimi.

Me pēhea te rongoā me te whakahaere?

Ko te noho me te mate huka momo 1 ko te tikanga me tango koe i te insulin i ia rā kia ora ai. Kāore e taea tēnei me te pire. He whakaora ora te insulin mō ēnei tūroro. Ko te whāinga matua o te maimoatanga he pupuri i ngā taumata huka toto ki roto i te awhe hauora.

Ehara tēnei i te mea me mahi ko koe anake. Ka taea e te tohunga endocrinology me te tīma mate huka te āwhina i a koe. Engari me whakatau e koe i ia rā. E toru ngā wāhanga matua o te whakahaere:

1. Te rongoā insulin

2. Te aroturuki i te huka toto

3. Mātauranga me te Mōhiotanga e Hiahiatia ana (Mātauranga)

Ngā tikanga tango insulin

He maha ngā momo insulin. He rerekē te tere o tā rātou mahi me te roa o te noho ki roto i te tinana. Tērā pea me whakamahi koe i ngā momo neke atu i te kotahi. He maha ngā huarahi matua hei tiki insulin:

• Werohanga maha i ia rā (MDI): Te werohanga i te insulin ki roto i te paparanga ngako i raro i te kiri i ngā wā maha i te rā mā te whakamahi i te ngira.
• Pene Inirini: He taputapu rite ki te pene tēnei kua whakakīia ki te inirini. He māmā ake te whakamahi i tēnei i ngā werohanga.
• Papu insulin: He taputapu iti tēnei e tuku ana i te insulin ki te tinana i te nui e hiahiatia ana puta noa i te rā mā roto i tētahi ngongo iti e whakatakotoria ana ki raro i te kiri.
• Te insulin i manawahia:Tērā anō tētahi momo insulin e manawahia ana mā te waha, he rite ki te inhaler e whakamahia ana e ngā tūroro huango.

Ka rerekē pea te nui o te insulin e hiahiatia ana e koe i ia rā, i ia rā, i runga i te pakeketanga, i te wā e pāngia ai koe e te mate, i te wā rānei e hapu ana.

Te aro turuki i ngā taumata huka

Me tino aroturuki koe i te taumata o te huka toto i te roanga o te rā.

• Mita huka toto: He taputapu e ine ana i ngā taumata huka toto mā te tango i tētahi pata toto iti mai i te pito o te matimati.
• CGM (Continuous Glucose Monitoring - CGM): He tikanga e ine tonu ana i ngā taumata huka toto i ia meneti torutoru mā te whakamahi i tētahi pūoko iti kua whakatōkia ki raro i te kiri, ā, ka tukuna ngā raraunga ki tō waea pūkoro, ki tētahi atu taputapu rānei. Kei te wātea tēnei i Sri Lanka ināianei.

Ka hoatu e tō tākuta he taumata huka toto e hiahiatia ana. Ko te mea nui kia mau tonu ki taua taumata.

Ka taea te whakaora rawa i tēnei mate?

Engari, kāore anō kia kitea he rongoā mō te mate huka momo 1 i tēnei wā, engari kei te rangahau tonu ngā kaipūtaiao i ngā huarahi hei ārai i te mate, hei whakahaere rānei i tōna whanaketanga.

I ētahi whenua whakawhanake, e rua ngā momo maimoatanga whakawhitinga toto, engari he nui ake te mōrearea.

• Te whakawhitinga pūtau moutere: Te whakawhitinga o ngā pūtau e whakaputa ana i te insulin anake.
• Te whakawhitinga repeure: Ka mahia tēnei i te wā kotahi mō ngā tūroro e hiahia ana ki te whakawhitinga whatukuhu.

He maimoatanga rangahau tonu ēnei, kāore e wātea ana ki te katoa, ā, he morearea hoki.