E mōhio ana koe ki te mate huka momo 3c? Me kōrero māmā noa iho!

Ina whakaaro koe ki te mate huka, ko te momo 1, ko te momo 2 rānei te mea e whakaarohia ana e koe, tika? Engari i mōhio koe, kei reira tētahi atu momo mate huka, ko te momo 3c te ingoa. He rerekē tēnei, nā te mea e pā tika ana ki te kino o tō tātou repe taiaki. Kāore pea koe i rongo nui mō tēnei. Nō reira, me kōrero tātou mō tēnei i tēnei rā i roto i tētahi huarahi māmā e mārama ai koe.

He aha te mate huka momo 3c?

Ki te whakarapopoto, ka puta te mate huka momo 3c ina pakaru tō repe taiaki i tētahi mea, ā, ka kore e taea e ia te whakaputa i tētahi homoni e kiia nei ko te insulin. Whakaarohia, he okana iti engari he mea nui te repe taiaki kei te puku o runga. He rite tana mahi ki tētahi wheketere iti i roto i tō tātou tinana.

E rua ngā mahi matua a te pancreas:

1. Te mahi ā-waho: Koinei te whakaputanga o ngā whākōkī hei āwhina i a tātou ki te nakunaku i te kai e kainga ana e tātou. Ki te kore ēnei whākōkī, kāore e taea e tātou te nakunaku tika i te kai.

2. Te mahi a te endocrine: Koinei te wāhi e puta ai ngā homoni tino nui e whakahaere ana i ngā taumata huka toto, arā, te glucose, inā koa te insulin me te glucagon. Ko te insulin te mea e āwhina ana i te huka i roto i te toto ki te tomo ki ngā pūtau me te hanga pūngao.

Nā, ki te pakaru te repe taiaki mō tētahi take, tērā pea kāore e tika te hanga o te insulin. Koinei te wā ka puta te mate huka momo 3c. Ko te mea nui, i te nuinga o te wā, ina pakaru te repe taiaki pēnei, ka heke hoki te hanga o ngā whākōkī e āwhina ana ki te nakunaku kai. Ka kiia tēnei āhuatanga e ngā tākuta ko te Exocrine Pancreatic Insufficiency (EPI) . Arā, ko te tangata he mate huka momo 3c, tera pea he raruraru ki te whakahaere i te huka toto, me ngā raruraru nakunaku.

He maha atu anō ngā ingoa mō tēnei mate huka momo 3c, kua rongo pea koe i tētahi tākuta, i tētahi wāhi rānei:

• Te mate huka pancreatic, te mate huka pancreatic rānei
• Te mate huka repeure
• Te mate huka repeure

Ki te mea he ahua uaua tēnei, kia maumahara kei a koe te mate huka momo 3c.

He pēhea te noa o te mate huka momo 3c?

E ai ki ngā whakatau tata a ngā kairangahau kei waenganui i te 1% me te 9% o ngā tāngata katoa e pāngia ana e te mate huka he mate huka momo 3c. Tērā pea he nui te āhua o tēnei tau, engari ko te take he maha ngā tāngata, tae atu ki ngā tākuta, kāore i te mōhio ki te mate huka momo 3c. Nō reira, he maha ngā wā ka hē te tautuhi i te hunga e pāngia ana e tēnei mate he mate huka momo 2, koinei te momo mate huka tino noa.

He aha te rerekētanga i waenga i te mate huka momo 1, momo 2, me te momo 3c?

Ko te rerekētanga matua i waenga i ēnei momo mate huka e toru ko te take o tō rātou putanga mai. Me titiro tātou ki te āhua:

• Mate Huka Momo 1: He mate pūnaha ārai mate tēnei. Arā, ko te pūnaha ārai mate o tō tātou tinana, mō tētahi take kāore i te mōhiotia, ka whakaeke, ka whakangaro hoki i ngā pūtau whakaputa insulin i roto i te repeure. He rite ki tō tātou ake ope taua e whakaeke ana i ō tātou ake whekau nui. Me tango te hunga whai mate huka momo 1 i te insulin mō te toenga o ō rātou oranga.

• Mate Huka Momo 2: Ka puta tēnei nā te mea kāore e nui te insulin e whakaputaina ana e te repe taiaki, kāore rānei ngā pūtau o te tinana e aro tika ki te insulin e whakaputaina ana (e kiia ana tēnei ko te ātete insulin ). Ka taea e te hunga whai mate huka momo 2 te whakahaere i te mate mā te whakarerekē i te āhua noho, ngā rongoā ā-waha, te insulin rānei.

• Mate Huka Momo 3c: Ka puta tēnei i te kino o te repeure. Heoi, kāore tēnei kino i puta mai i tētahi take ārai mate pērā i te momo 1. He maha ngā wā kāore he whākōkī e āwhina ana i te repeure ki te nakunaku kai i roto i te hunga whai mate huka momo 3c. I roto i tēnei momo, ka rerekē te nui o te insulin e hangaia ana e te repeure. Ka taea e ētahi tāngata te whakahaere i tā rātou mate huka mā te whakamahi i ngā rongoā mate huka ā-waha, ko ētahi me tango insulin.

E mārama ana koe ki te rerekētanga? Ko te mea nui ko te take.

He aha ngā tohu o te mate huka momo 3c?

He rite ngā tohu o te mate huka momo 3c ki ērā o ētahi atu momo mate huka. Kei roto i ēnei:

• Te matewai nui (polydipsia) me te waha maroke.
• Te mimi pinepine.
• Ngenge, ngenge.
• Te tirohanga pōuri.
• Te whakahekenga taumaha kāore i te whakamāramatia.
• Te ngenge, te mākūkū rānei o ngā peka.
• He roa te wā e ora ai ngā patunga.
• Ngā mate rewena maha o te kiri me/ranei te tara.

Haunga ēnei tohu, ko te hunga mate huka momo 3c ka pāngia hoki e ngā tohu o te ngoikore o te pancreas exocrine (EPI) , arā:

• Te mamae o te puku, te pupuhi, me te hauhautanga.
• Te mate kōroke.
• Te korere.
• Ngā tūtae momona - He mā te tae o ēnei, he hinuhinu, he haunga kino, ā, e mānu ana i roto i te wai.
• Te hiroki noa iho, kāore he take.

Mena kei a koe tētahi, ētahi rānei o ēnei tohu, he mea nui kia toro atu koe ki te tākuta mō ētahi tohutohu, nā te mea ki te kore koe e aro ki ēnei tohu, ka kino ake pea te āhua.

He aha ngā take o te mate huka momo 3c?

Ka puta te mate huka momo 3c ina pakaru te repe taiaki tae noa ki te wāhi kāore e taea e ia te whakaputa i te insulin. Ka taea te whakaputa i tēnei kino e ētahi āhuatanga matua. He maha ngā āhuatanga matua e whai wāhi ana:

• Te mate pāwera mau tonu: Koinei te tino take.
• Pancreas whakapeka: He mumura ohorere, kino o te repeure.
• Matepukupuku repeure.
• Hemochromatosis: He mate e nui rawa ai te rino i roto i te tinana.
• Te mate pūkahukahu: He mate ira.
• Te tango pokanga o te repe taiaki (Pancreatectomy).

Kia tirohia tātou ia take me ētahi atu taipitopito.

Pankreatitis mau tonu

Koinei te tino take o te mate huka momo 3c. E 79% pea o ngā mate huka momo 3c katoa e pā ana ki tēnei mate. He āhua tēnei kua roa te mumura me te whara o te repe taiaki. Pērā i te patunga o te tinana e werohia tonutia ana, ka waiho he koha e te mumura tonu o te repe taiaki, ka puta he koha (fibrosis) i roto i tēnei mumura tonu i roto i te repe taiaki. I roto i te wā, ka ārai tēnei koha i te repe taiaki ki te mahi tika i tana mahi, arā, ki te hanga whākōkī me ngā homoni, inā koa ko te insulin. Whakaarohia kei waenganui i te 25% me te 80% o te hunga whai mate pancreatitis mau tonu ka pāngia e te mate huka momo 3c.

E rua ngā momo matua o te pancreatitis mau tonu:

• Te mate pāwera: Ko te tikanga o te "mate pāwera" ka puta i muri i te whānautanga. He maha ngā take. Ko ngā take e rua e tino kitea ana ko ngā kohatu o te pūkahukahu me te inu waipiro nui. Ka kino te mate pāwera o ētahi tāngata mā te kai i ngā kai raukikī i ngā wā katoa, te kore kai, te inu waipiro nui rānei. Ki te mau tonu ēnei āhuatanga, ka ngoikore te mate pāwera.
• Te mate pāwera tuku iho: Nā ngā whakarerekētanga ira tēnei i puta ai. Ko te tikanga he mea tuku iho mai i ngā mātua. Ahakoa he rerekētanga ira ēnei tāngata i te whānautanga, ka puta pea ngā tohu tuatahi o te mate pāwera i te taiohinga.

Matepukupuku repeure

He hononga kaha kei waenganui i te mate huka me te mate pukupuku repeure (ina koa he momo e kiia nei ko te pancreatic ductal adenocarcinoma). Tata ki te 50% o te hunga kua kitea he mate pukupuku repeure he mate huka anō hoki. Ka taea e ngā pukupuku i puta mai i te mate pukupuku repeure te kino i te repeure, ā, ka arahi ki te mate huka Momo 3c. E ai ki ngā kairangahau tata ki te 8% o te hunga he mate huka Momo 3c te take o te mate pukupuku repeure.

Te hemochromatosis

Ka kiia tēnei ko te taumaha rawa o te rino.Koinei te wā e nui rawa ai te rino e rongoatia ana e ō tātou tinana. I te nuinga o te wā, ko te nui anake o te rino e hiahiatia ana e tātou mai i te kai e kainga ana e ō tātou whekau ka mimitihia e tātou. Heoi, i roto i te hunga e pāngia ana e te hemochromatosis, ka nui rawa te rino e mimitihia ana e te tinana, ā, ka waiho ki roto i ngā whekau, inā koa te ngākau, te ate, me te repe taiaki. Ina nui te rino i roto i te repe taiaki, ka pakaru pea, ā, ka arahi ki te Mate Huka Momo 3c. Koinei te take o te 7% o ngā mate Huka Momo 3c katoa.

Te mate pukupuku kiriuhi (CF)

He mate tuku iho tēnei. Ka puta he hūpē matotoru, piri ki roto i ngā whekau pērā i ngā pukahukahu me te repe taiaki. Ka taea e tēnei hūpē te whara, te kino hoki i te repe taiaki. Kāore e taea e te repe taiaki te hanga i te nui o te insulin, ka hua ake te mate huka momo 3c. I ētahi wā ka pāngia te hunga whai cystic fibrosis e te ātete insulin, he rite ki te mate huka momo 2. He tino teitei tēnei mōrearea ina pāngia rātou e te mate, e tango ana i ngā steroids, i te wā e hapu ana rānei. Neke atu i te 35% o ngā pakeke whai cystic fibrosis (CF) he mate huka momo 3c. Ka kiia hoki tēnei he mate huka e pā ana ki te CF (CFRD) . Ko te cystic fibrosis te take o te 4% o ngā tūroro mate huka momo 3c.

Pancreatectomy (tango pokanga o te pancreas)

He tikanga pokanga tēnei hei tango i tētahi wāhanga, i te katoa rānei o te repe taiaki. He maha ngā take ka taea te mahi i tēnei pokanga, tae atu ki te mate pukupuku repe taiaki, ngā whēkau repe taiaki, te mate pāwera kino mau tonu rānei.

Ka taea te whakawhanake, te ngaro rānei te mate huka momo 3c ina tangohia te repe taiaki. Mēnā ka tangohia tetahi wāhanga o te repe taiaki (wāhanga tango repe taiaki), ka toe tonu ētahi pūtau e whakaputa ana i te insulin. I ētahi wā, ka taea e ēnei pūtau e toe ana te āwhina ki te whakahaere i ngā taumata huka toto.

Engari ki te tangohia katoatia tō pancreas, ka tino pāngia koe e te mate huka i muri mai, ki te kore e taea e te taote pokanga te whakaora i ētahi o ō pūtau e whakaputa ana i te insulin. I ētahi wā, ka taea e ngā taote pokanga te whakatō i ētahi o ēnei pūtau ki roto i tō ate. Ko tēnei momo pokanga te take o te 2% o ngā mate huka momo 3c.

Me pēhea te tautuhi i te mate huka momo 3c?

Ina hoki, he uaua pea ki ngā tākuta te tautuhi i te mate huka momo 3c. Ko te take o tēnei, ehara i te momo mate huka tino noa, kāore hoki i te mōhiotia whānuitia. He maha ngā wā ka pohehe ngā tākuta mō te mate huka momo 2, nā te mea he nui ake te kitea o te momo 2. Heoi, ki te mea kua pāngia koe e te mate e pā ana ki te repe taiaki (hei tauira, te pancreatitis mau tonu), he māmā ake te tautuhi i te momo 3c.

Hei tautuhi i te mate huka momo 3c, me whakaū e ngā tākuta ngā mea e toru:

1. Te whakaū kei a koe te mate huka.

2. Te whakaū kua pakaru tō repeure.

3. Te whakaū i te korenga o ētahi atu momo mate huka (ina koa ko te momo 1).

Hei mahi i tēnei, ka taea e ngā tākuta te tono i ngā whakamātautau e whai ake nei:

• Whakamātautau huka toto nohopuku: I tēnei, kāore e taea e koe te kai, te inu rānei i tētahi mea engari ko te wai anake mō te iti rawa e waru hāora i mua i te whakamātautau. Ko te hua o te 126 mg/dL, neke atu rānei, he tohu ia kei te mate huka koe.
• Whakamātautau A1C: E kiia ana hoki ko te whakamātautau HbA1C, ka ine tēnei whakamātautau i ō taumata huka toto toharite i roto i ngā marama e rua ki te toru kua hipa. Ko te hua o te 6.5%, neke atu rānei, he tohu ia kei te mate huka koe.
• Ngā whakamātautau whakaahua: Ka taea e ngā whakamātautau pēnei i te matawai CT te āwhina i te tākuta ki te kite i te kino o te repe taiaki.
• Ngā whakamātautau toto o te repe taiaki: Ka taea e ēnei whakamātautau te tirotiro i te mahi a te repe taiaki. Ka ine i ngā taumata o ētahi whākōkī nakunaku i hangaia e te repe taiaki. Mena he rerekē ngā hua, ka taea te āwhina ki te whakaū i te kino o te repe taiaki.
• Pānui autoantibodies mate huka: He whakamātautau toto tēnei. Ka tirohia mēnā kei te kitea ngā autoantibodies e hua ai te mate huka momo 1. Tērā pea ka tonoa e tō tākuta tēnei whakamātautau hei whakaū kāore koe i te mate huka momo 1.

Me pēhea te rongoā i te mate huka momo 3c?

Ko te maimoatanga mō te mate huka momo 3c e whakawhirinaki ana ki te mate taketake i puta ai, me te nui o te kino kua pā ki te repe taiaki (me te nui rānei o te mea kua tangohia mā te pokanga).

Ko te tikanga, ka tangohia e te hunga whai mate huka tēnei rongoā ā-waha (hei tauira, te metformin) me/ranei te insulin hangai (mā te werohanga, mā te papu insulin rānei).

I te mea ka kino haere tō repe taiaki, ka rerekē pea tō maimoatanga i roto i te wā. Hei tauira, i te tīmatanga ka taea e koe te whakahaere i ō taumata huka toto mā te rongoā ā-waha. Engari i te mea ka heke haere te nui o te insulin e hangaia ana e tō repe taiaki, ā tōna wā ka hiahia pea koe ki te tango i te insulin hei whakahaere i ō taumata huka toto.

Tērā atu anō ngā huarahi hei whakahaere i te mate huka momo 3c:

• Te aro turuki i te huka toto: He mea nui te tirotiro auau i ō taumata huka toto (huka) kia mōhio ai koe ki te pai o te mahi a tō mahere maimoatanga o nāianei. Mā tēnei ka hoatu he mōhiohio ki a koe i ia rā – i ētahi wā i ia hāora – hei āwhina i a koe ki te whakahaere i tō mate huka momo 3c. Ka taea e koe te tirotiro i tō huka toto i ia wā me te mita huka toto, ka taea rānei e koe te whakamahi i te aroturuki huka toto tonu (CGM) . Mā kōrua ko tō tākuta e whakatau ko tēhea taumata huka toto te mea pai mōu.
• Kai: He mea tino nui te whakarite kai me te whiriwhiri i tētahi kai hauora e tika ana māu i roto i te whakahaere mate huka. Nā te mea he nui te pānga o tāu kai ki ō taumata huka toto. Ka taea e tētahi tohunga kai rehita te āwhina i a koe ki te waihanga i te mahere kai pai rawa atu.
• Korikori Tinana: Mā te korikori tinana ka piki ake te aro o te tangata ki te insulin (ā, ka āwhina ki te whakaiti i te ātete ki te insulin), nō reira he wāhanga nui te korikori tinana hei whakahaere tika i te mate huka o te hunga katoa e pāngia ana e te mate huka.

He mate uaua te mate huka. Nō reira, he maha ngā huarahi hei whakahaere i tēnei mate. Waihoki, he rerekē te pānga o te mate huka ki te katoa. Nō reira, he rerekē ngā mahere whakahaere i waenga i te tangata me te tangata. Ka tino whai hua koe mā te hui tahi me tō tīma hauora i ia wā, kia kite ai koe i te pai o te mahi a tō mahere maimoatanga.

He aha te heke mai o te mate huka momo 3c? (Te matapae)

Ko te tirohanga mō te mate huka momo 3c e whakawhirinaki ana ki ētahi āhuatanga:

• Te āhua hauora taketake i puta ai.
• Te pai o tō whakahaere i tō mate huka momo 3c i roto i te wā, me tō urunga atu ki te tiaki mate huka.
• Te pai o te whakahaeretanga o te āhuatanga matua.
• Tō tau/te roa o tō mate huka i te wā i tāpaetia ai tō mate.
• Ahakoa he mate hauora kē atu āu.
• Mehemea ka pāngia koe e ngā raruraru mate huka.

Ka taea e ngā taumata huka toto tiketike te arahi ki ngā raruraru nui, he maha o ēnei e kore e taea te whakatika. He maha ngā rangahau kua whakaatu ko te kore rongoā i ngā taumata huka toto tiketike mō te wā roa ka whakapoto i te roanga o te oranga, ā, ka kino ake te kounga o te oranga .

Heoi, he mea nui kia mōhio koe ka taea e koe te noho ora me te mate huka. Ko ngā mea e whai ake nei he mea nui ki tētahi heke mai pai ake:

• Ngā huringa o te āhua noho.
• Te whakakori tinana auau.
• Ngā huringa o te kai.
• Te aro turuki pinepine i ngā taumata huka toto.

He aha ngā raruraru o te mate huka momo 3c?

Ki te noho teitei tonu ngā taumata huka toto mō te wā roa, ka taea e ia te kino i ngā kiko me ngā whekau o tō tinana. Ko te nuinga o tēnei ka puta mai i te kino o ngā uaua toto me ngā io e tautoko ana i ngā kiko o tō tinana.

Ko ngā raruraru o te pūnaha manawa (ngākau me ngā oko toto) te raruraru roa e tino kitea ana o te mate huka. Kei roto i ēnei:

• Te mate uaua o te ngakau (CAD).
• Te whakaekenga o te ngākau.
• Te whiu.
• Te toto toto tiketike (Atherosclerosis).

Ko ētahi atu raruraru o te mate huka ko:

• Te pakaru o ngā io (Neuropathy).
• Mate whatukuhu (Nephropathy).
• Te mate retina.
• Ngā mate waewae e pā ana ki te mate huka.

Ka taea e au te ārai i te mate huka momo 3c?

Ko te huarahi anake hei ārai i te mate huka momo 3c ko te ngana ki te ārai i ngā mate taketake e puta ai, ki te taea. Kāore e taea te ārai i ngā mate tuku iho pērā i te cystic fibrosis me te pancreatitis tuku iho. Heoi, he mahi anō kei reira hei ārai i te pancreatitis kua riro mai. Hei tauira, te whakawhāiti i te inu waipiro me te pupuri i ngā taumata triglyceride hauora.

Āhea ahau me toro atu ki taku tākuta mō te mate huka momo 3c?

Mena he mate tōu e pā ana ki te repe taiaki, pērā i te pancreatitis mau tonu, te hemochromatosis rānei, kōrero ki tō tākuta mō tō tūponotanga ki te whakawhanake i te Mate Huka Momo 3c. Tērā pea ka tūtohu ia kia tirotirohia tonutia koe mō te mate huka.

Mena kei a koe te mate huka momo 3c, me toro atu koe ki tō tīma hauora i ia wā, i ia wā, hei whakahaere i tō mate huka me te mate hauora i puta ai taua mate.

Ka waiho te rongonga he mate huka tōu nā te mate repeure hei pūtake o te pouri me te pōuri. Me tiaki tonu te mate huka momo 3c. Ahakoa he āhua taumaha pea i te tīmatanga, i roto i te wā ka pai ake tō māramatanga ki te whakahaere i te mate, ā, ka tīmata te pai ake o tō tinana.

Kia tino kite koe i tō tīma hauora i ia wā, i ia wā. He mahi tahi te whakahaere i te Mate Huka Momo 3c – me te mate taketake i puta ai – me mahi tahi. Me tautoko koe e ngā tohunga hauora, e ngā hoa, me te whānau. Kaua e wehi ki te tono āwhina i a rātou mēnā e hiahiatia ana.

Hei whakamutunga, kia maumahara ki tēnei (Karere hei tango ki te kāinga)

Ko te mate huka momo 3c he momo mate huka kāore i te tino kitea, e hua mai ana i te kino o te repeure.Ka puta pea tēnei i ngā āhuatanga pēnei i te pancreatitis mau tonu, te mate pukupuku pancreatic, me te cystic fibrosis.

He rite ngā tohu ki ētahi atu momo mate huka, engari ka pā pea hoki ngā raruraru nakunaku (hei tauira, ngā tūtae hinuhinu, te mamae o te puku).

He uaua pea te tautuhi i te mate, nā te mea he maha ngā wā ka pohehetia ai ko te mate huka momo 2.

He rerekē ngā tikanga maimoatanga i ia tangata, i ia tangata, tae atu ki te rongoā, te insulin, ngā huringa momo noho, me te rongoā i te pūtake.

Mena he raruraru tōu ki tō repe taiaki, kei te whakaatu rānei koe i ngā tohu o te mate huka, he mea nui kia rapu tohutohu hauora i te wā e taea ai. Ko te wawe o te kitenga, ko te pai ake o te whakahaere. Kaua e manukanuka, mā te whakahaere tika me te tautoko, ka taea e koe te ora pai me tēnei mate.

Mate Huka, Mate Huka Momo 3c, Pancreatitis, Insulin, Huka Toto, Pancreatitis, Cystic Fibrosis