He mate noa te mate huka, engari he mate morearea pea i waenga i te tini o te tangata o tō tātou whenua. Tērā pea kei roto i tō whānau, i tō hoa, i a koe anō rānei tēnei mate. Engari i te nuinga o te wā, kāore tātou e aro nui ki ōna tohu tōmua. Ka whakahē tātou i tēnei mate hei "ngoikore noa iho," "matewai rawa," ā, ka whakahē. Engari tera pea kei te huna ēnei tohu iti i tētahi tūponotanga nui. Nō reira, i tēnei rā, me kōrero tātou mō ngā tohu tōmua o te mate huka, me te kōrero noa ki tētahi hoa.
He kupu ngāwari noa iho, he aha te mate huka?
Ko te mate huka he mate e nui rawa ai te huka, te hukahuka rānei, i roto i tō toto. Ko tēnei hukahuka te wahie matua e whakarato ana i te pūngao ki ngā pūtau o tō tātou tinana. Engari kia uru ai tēnei hukahuka ki roto i ngā pūtau, he mea nui te homoni e kiia nei ko te insulin, e hangaia ana e te repeure o tō tātou tinana.
E rua ngā momo matua o te mate huka:
- Mate huka momo 1: Koinei te wā kāore e taea e te tinana te whakaputa i te nui o te insulin. Ko te nuinga o te wā ka pā mai ki ngā tamariki me ngā taiohi, engari ka taea te pā mai i ngā tau katoa. Me werohia te insulin i ia rā mō te toenga o ō rātou oranga.
- Te Mate Huka Momo 2: Koinei te momo tino noa. Ko te mea e tupu ana i konei, ahakoa ka whakaputa te tinana i te insulin ('Insulin'), kāore e taea e ngā pūtau te whakamahi tika (Ātete Insulin). Ko te momona nui, ngā tikanga kai kino, me te hītori whānau o te mate huka ngā tino take mō te whakawhanake i tēnei momo.
Ngā tohu whakatūpato wawe o te mate huka
He tohu noa iho ēnei mō ngā momo mate huka e rua, ā, he tohu tōmua tonu. Me titiro tātou ki ēnei tohu.
- Te hiakai tonu: Ka huri te kai e kainga ana e koe hei hukahuka, ā, ka hoatu he pūngao ki ngā pūtau. Engari nā te mea kāore he insulin, kāore rānei e mahi tika ana, kāore tēnei hukahuka e uru ki ngā pūtau. Nō reira, kāore he pūngao o ngā pūtau, ko te tikanga ka tukuna tonutia e rātou he tohu ki te roro e "hiakai ana" rātou. Koia te take e hiakai ake ai koe i te tikanga.
- Te ngenge nui me te ngenge rawa: Nā te mea kāore ō pūtau e whiwhi i te pūngao e hiahiatia ana e rātou, tera pea ka ngenge tonu koe, ā, kāore e taea e koe te mahi i tetahi mea.
- Te mimi pinepine: I te toharite, e 4-7 ngā wā e mimi ai te tangata i te rā. Engari me mimi pinepine ake te tangata mate huka. He aha ai? I te nuinga o te wā, ka mimiti anō te hukahuka ki roto i te tinana i a rātou e tātari ana i te toto. Engari ina piki ake te taumata huka toto nā te mate huka, kāore e taea e ngā whatukuhu te mimiti anō i tēnei huka katoa. Nō reira, me nui ake te wai e hiahiatia ana e te tinana hei tango i te huka nui i roto i te mimi. Ko te mutunga mai, he maha ngā haerenga ki te wharepaku.
- Te nui rawa o te matewai:Ina nui rawa tō mimi, ka ngaro te wai i roto i tō tinana. Ka tere, ka nui rawa hoki te matewai o tō tinana. Ahakoa te inu wai, ka āhua kore pea koe e matewai ana.
- Waha maroke me te kiri maroke, mākūkū: I te whakamahinga o te wai e te tinana hei hanga mimi, ka whakaitihia te makuku e wātea ana mō ētahi atu mea. Nō reira, ka maroke te waha, ka tīmata te maroke me te mākūkū o te kiri.
- Te tirohanga pōuri: Ina rerekē te nui o te wai o tō tinana, ka pupuhi pea te karāhe o tō kanohi. Ka huri te āhua o te karāhe, ā, kāore e taea te arotahi tika. Koinei te take e pōuri ai te tirohanga.
- Te whakaheke taumaha tūpono kore: Ina kore e taea e tō tinana te tiki pūngao mai i te kai, ka tīmata te tahu i te uaua me te ngako hei pūngao. Tērā pea ka heke tō taumaha ahakoa kāore koe e whakarerekē i tō kai.
I ētahi wā, he tohu te mamae o te upoko i te mate huka. Tērā pea ka pā mai te mamae o te upoko ina tino iti te taumata o te huka toto (hypoglycemia).
Ngā rerekētanga o ngā tohu o te mate huka momo 1 me te mate huka momo 2
Ahakoa he rite tonu ēnei tohu ki ngā momo e rua, he rerekētanga kei te āhua o te putanga mai. Mā te ripanga i raro nei koe e āwhina ki te tautuhi i tēnei rerekētanga.
| Āhuatanga | Mate huka momo 1 | Mate huka momo 2 |
|---|---|---|
| Te tere o te tīmatanga o ngā tohu | Ka tino tere te puta mai o ngā tohu, i roto i ngā rā, i ngā wiki rānei. Ka tino kitea ngā tohu i roto i ngā tamariki. | He tino āta haere, he āta haere te whanaketanga. He tino ngawari ngā tohu. Tērā pea kāore koe e mōhio kei te mate huka koe mō ngā tau. |
| 4 ngā āhuatanga taketake matua | 1. Te mimi pinepine 2. Te matewai tonu 3. Te ngenge nui rawa 4. Te whakaheke taumaha | Tērā pea ka puta mārire, ka puta mārire rānei ngā tohu katoa, ētahi rānei o runga ake nei. |
Ngā rerekētanga i waenga i ngā wāhine me ngā tāne
Kāore he rerekētanga nui i roto i ngā tohu tōmua o te mate huka i waenga i ngā tāne me ngā wāhine. Heoi anō, tera pea ētahi rerekētanga. Ko ngā wāhine he mate huka te tūponotanga ka pāngia e ngā mate rewena tara me ngā mate mimi . Waihoki, ko ngā tāne he mate huka kāore i rongoatia, tera pea ka heke te kaha o ngā uaua .
Ka pāngia hoki ngā tamariki e te mate huka? Kia tūpato ki ēnei tohu
Ae, ka taea hoki e ngā tamariki te pāngia e te mate huka.
Ngā tohu tōmua o te mate huka momo 1 i roto i ngā tamariki
Ahakoa ka taea te pā te mate huka momo 1 i ngā tau katoa, ko te nuinga o te wā ka pāngia e te mate huka momo 1 i waenga i te 5-6 tau me te 11-13 tau.
- Te hiakai nui, te matewai rānei
- Te mimi pinepine (tae noa ki te mākū i te moenga i te pō)
- Ngenge rawa
- Te tirohanga pōuri
- Te riri kore whakamārama, te huringa whanonga rānei
- Ngā mate rewena tara i roto i ngā kōtiro kāore anō kia pakeke, kāore anō rānei kia pakeke
- Te ponana nui o te nāpi i roto i ngā pēpi
Ngā tohu tōmua o te mate huka momo 2 i roto i ngā tamariki
Ahakoa he mea noa te mate huka momo 2 i roto i ngā pakeke, kei te piki haere te maha o ngā tamariki , i te mea ka piki haere te momona o te tamarikitanga . Tērā pea kāore e kitea he tohu, engari kia tūpato ki ēnei:
- Te hiakai nui, te matewai rānei
- Te mimi pinepine
- Te tirohanga pōuri
- Te pōuriuri o te kiri huri noa i te kaki, i ngā kēkē, me te uma (Acanthosis Nigricans)
- Te whakahekenga taumaha (he nui ake te kitea o tēnei i roto i te Momo 1)
- Ngā mate urutā e hokihoki mai ana
Me ako anō hoki tātou mō te mate huka hapūtanga.
Ko te nui o te huka toto i te wā e hapu ana, kāore e puta he tohu nui. Tērā pea ka pāngia koe e te matewai, ka hiahia pea koe ki te mimi i ngā wā maha, ka maroke rānei tō waha. Mēnā he nui te mōrearea o te mate huka i te wā e hapu ana, ka whakamātauhia koe e tō tākuta i waenga i te 24 me te 28 wiki o te haputanga. Engari, ki te taumaha rawa koe, he hītori whānau mō te mate huka, kua pāngia rānei koe e te mate i tētahi haputanga o mua , tērā pea ka whakamātauhia koe i te tīmatanga o tō haputanga.
Ngā tohu whakatūpato o ngā raruraru mate huka
Ki te kore e whakahaeretia te mate huka, ka pā mai pea ngā raruraru nui i roto i te wā. Ko ngā tohu e whai ake nei he tohu pea mō tēnei mate:
- Te wā e ora ai ngā patunga
- Te mākūkū pinepine o te kiri (ina koa i te rohe tara, i te rohe uma rānei)
- Ngā mate rewena auau
- Te pikinga o te taumaha i ngā wā tata nei
- He kiri mangu maeneene i te kaki, i ngā kēkē, me te uma ('Acanthosis Nigricans')
- Te ngenge me te mākūkū i roto i ngā ringa me ngā waewae
- Te ngoikore o te tirohanga
- Te ngoikore o te ure (ED)
Āhea koe me toro atu ki te tākuta?
Mena kua neke atu i te 45 tau te pakeke o tōu pakeke, kei a koe rānei ētahi atu āhuatanga mōrearea mō te mate huka (momona, hītori whānau), he mea nui kia whakamātauria te toto i ia wā , ahakoa kāore he tohu. Mā te kitenga wawe ka ārai i te kino o ngā io, te mate ngakau, me te maha atu o ngā raruraru.
Hei tikanga whānui, me toro atu ki te tākuta tonu mēnā ka pāngia koe e ēnei e whai ake nei:
- Ki te mea kei te whakapairuaki koe, kei te ngenge, kei te tino matewai hoki
- Ki te nui rawa tō mimi
- Mena he mamae nui tō puku
- Mena he hohonu ake, he tere ake hoki te manawa i te mea noa
Ina koa, ki te kakara reka tō manawa, pērā i te tango peita whao, ko te tikanga he tino teitei ngā taumata matū e kiia nei ko ngā ketone i roto i tō toto. He mate tino morearea tēnei, ā, me tere tonu te aro atu ki te taote .
Karere Tangohia ki te Kāinga
- Kia tūpato ki ngā tohumate e kitea whānuitia ana pērā i te matewai pinepine, te mimi pinepine, te ngenge nui, te tirohanga pōuri, me te whakaheke taumaha.
- Ahakoa he tino ngawari ēnei tohu, kaua e warewaretia, ka pātai, "He aha tēnā?" Tērā pea koinei te tohu tuatahi o tētahi mate kino.
- Ka tere te puta mai o ngā tohu o te mate huka momo 1, ko te mate huka momo 2 ia ka tino puhoi te whanaketanga.
- Mena kei te mōrearea koe ki te mate huka (momona, hītori whānau), me tirotiro hauora tonu koe, ahakoa kāore he tohu.
- Mā te kite wawe i te mate huka me te whiwhi maimoatanga tika, ka taea e koe te noho hauora, noho noa. Mena he ruarua āu, kōrero ki tō tākuta.
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