Mena he mate huka tōu, tera pea ka tonoa e tō tākuta ētahi whakamātautau toto . I roto i ēnei, ka tonoa pea koe kia mahi i te " Whakamātautau C-Peptide". Ina rongo koe i tēnei ingoa, he maha ngā tāngata ka āwangawanga, "He aha tēnei whakamātautau hou?" Kāore he mea hei wehi. He whakamātautau tino nui tēnei e āwhina nui ana ki te whakahaere i te mate huka. Nō reira, i tēnei rā ka kōrero tātou mō tēnei Whakamātautau C-Peptide i roto i tētahi huarahi tino māmā.
He aha rawa te C-Peptide?
He tino māmā tēnei ki te mārama. Whakaarohia ko te repe taiaki i roto i tō tātou tinana he wheketere e hanga ana i te insulin . He homoni tino nui te insulin e āwhina ana i te huka (glucose) i roto i ō tātou toto kia tomo ki ngā pūtau me te hanga pūngao.
Ina hangaia e ēnei pūtau motuhake i roto i te repeure (ngā pūtau beta) te insulin, ka hangaia hoki e rātou tētahi wāhanga iti o taua insulin hei here ki taua insulin. Koinei te mea e kiia nei e mātou ko te C-peptide . He rite ki ngā mea e rua e haere mai ana i roto i te kete kotahi. Ka tukuna te insulin me te C-peptide ki roto i te toto i te wā kotahi, i te nui ōrite.
Ko te mea nui, kāore e taea e te C-peptide te whakahaere i ngā taumata huka toto. Heoi, mā te ine i te nui o te C-peptide i roto i te toto, ka taea e te tākuta te mōhio tika ki te nui o te insulin e hangaia ana i roto i tō tātou tinana.
Ki te werohia te insulin ki waho, kāore he C-peptide i roto i taua insulin. Nō reira, ka taea e tēnei whakamātautau te wehewehe i waenga i te insulin e tangohia ana e koe ki waho me te insulin e hangaia ana e tō tinana i roto.
He aha te take e taunaki ai te tākuta i tēnei whakamātautau?
Kāore te whakamātautau C-peptide e whakamahia hei tātaritanga i te mate huka. Ka whakamahia ngā whakamātautau pēnei i te FBS me te HbA1c mō tēnā. Heoi, ina whakaūtia te mate huka, he mea tino nui tēnei whakamātautau mō te maimoatanga tika.
Me titiro tātou ki te ripanga i raro nei kia kite ai he aha aua take.
| Te take mō te whakamātautau | He whakamārama ngāwari noa iho |
|---|---|
| Wehewehea te Momo 1 me te Momo 2 | I te mate huka momo 1, he iti noa iho, he kore rānei e puta te insulin i roto i te tinana. Nō reira, he tino iti ngā taumata o te C-peptide. I ngā wāhanga tōmua o te mate huka momo 2, he pai te hanga o te insulin e te tinana, nō reira, he noa, he teitei rānei ngā taumata o te C-peptide. |
| Tirohia te mahi a te repe taiaki i roto i te tūroro Momo 1 | Ahakoa he mate huka momo 1 tōu, ka taea tonu e koe te kite mēnā kei te whakaputa tonu te repe taiaki i te insulin. |
| Tirohia mēnā koinei te wā tika hei tīmata i te werohanga insulin mō te tūroro Momo 2 | I roto i te wā, ka heke pea te hanga insulin o ngā tūroro Momo 2. Mena he tino iti ngā taumata C-peptide, ko te tikanga kāore e ranea ngā pire anake, ā, kua tae ki te wā hei tīmata i te insulin. |
| Kimihia te pūtake o te huka toto iti (hypoglycemia) | Mena he iti tonu te huka i roto i tō toto, kāore he take, ka tirotirohia e tēnei whakamātautau mēnā ko te nui rawa o te insulin e hangaia ana e te tinana te take. |
| Mena kei te whakapaehia he pukupuku repeure (Insulinoma) | He tino onge te whakaputa a ētahi momo pukupuku i roto i te repe taiaki i te insulin. I tēnei wā, ka tino teitei rawa ngā taumata C-peptide. |
Me pēhea tāu whakarite i mua i te whakamātautau?
Ko te tikanga , me nohopuku (kaua e kai, kaua e inu) mō ngā haora 8 ki te 10 i mua i te whakamātautau. Nā te mea ka piki ake te hanga o te insulin me te C-peptide ina kai tātou, nō reira he mea nui te uara taketake i whiwhi mai i te whakamātautau nohopuku.
Heoi, i ētahi wā ka hiahia pea tō tākuta ki te kite i te urupare a tō tinana ki tētahi kai. I ēnei wā, ka tono pea rātou kia kai koe i tētahi kai, kātahi ka whakamātauria. Nō reira, me whai tonu i ngā tohutohu a tō tākuta.
He mea tino nui anō hoki kia whakamōhiotia tō tākuta mō ngā rongoā katoa e tangohia ana e koe (te rongoā o te Hauāuru, te Ayurveda, ngā huaora, te rongoā tuku iho).
He aha ngā kōrero a ngā uara o te pūrongo?
I roto i ngā rā torutoru ka taea e koe te whiwhi i tāu pūrongo. Ko te awhe noa mō te C-peptide kei waenga i te 0.5 me te 2.0 nanograms/milīrita (0.5 - 2.0 ng/mL) . Heoi, ka rerekē pea ēnei uara i ia taiwhanga.
Te taumata C-peptide teitei
He maha ngā mea ka taea te pānui mai i tēnei:
- He mate huka momo 2 tōu: Ina koa i ngā wāhanga tōmua o te mate, ka nui ake te insulin e whakaputaina ana e te repe taiaki nā te ātete o te tinana ki te insulin . Ka piki ake ngā taumata C-peptide.
- Mate whatukuhu : Ka tangohia te C-peptide mai i te tinana e ngā whatukuhu. Ina ngoikore te mahi a te whatukuhu, ka taea e te C-peptide te kohikohi i roto i te toto, ā, ka piki ake ngā taumata.
- Insulinoma: He momo pukupuku repeure i kōrerohia e tātou i mua ake nei.
- Ētahi rongoā mate huka: Ka whakaohokia e ngā sulfonylurea (hei tauira, Gliclazide, Glimepiride) te repe taiaki kia nui ake te hanga insulin, ka piki ake ai ngā taumata C-peptide.
Te taumata C-peptide iti
Ko te tikanga tēnei he iti iho te insulin e hangaia ana e tō tinana.
- He mate huka momo 1 tōu: I tēnei wā, he tino iti ngā taumata C-peptide nā te mea kua whakangaromia ngā pūtau whakaputa insulin i roto i te repeure.
- Te mate huka momo 2 kua roa e pāngia ana: Tērā pea ka "ngenge" te repeure o te tangata kua pāngia e te mate huka momo 2 mō ngā tau maha, ā, ka whakaitihia te hanga insulin.
- Te whakamahi i ngā werohanga insulin: Ki te werohia te insulin ki waho, ka whakaitihia e te repe taiaki te hanga insulin mō te wā poto i te mea ka tutuki i a ia ngā hiahia o te tinana mō te insulin.
- I muri i te maimoatanga mō te insulinoma: Ka heke te nui o te C-peptide i muri i te tango i te pukupuku , i te whakahaere rānei i te mate.
Kaua e wareware! Kaua e whakatau i ō ake whakatau i runga i ngā uara o tēnei pūrongo. Ko tō tākuta anake ka taea te whakamārama i te tikanga pono o tēnei pūrongo ki a koe, me te whai whakaaro ki ō tohu, ki ngā rongoā, me ngā hua whakamātautau kē atu.
He mōrearea kei roto i tēnei whakamātautau?
Kāore rawa. He whakamātautau toto tino haumaru tēnei, he whakamātautau noa iho. Pērā i ngā whakamātautau toto katoa, he iti noa iho ngā mōrearea.
- He toto iti e puta mai ana i te wāhi i werohia ai (ina koa kei te tango koe i te rongoā whakaheke toto)
- Te ahua he namu
- Te maru i te wāhi i tangohia ai te toto
- Mate tino onge
He iti noa iho ēnei mea, nō reira kāore he take e mataku ai.
Karere Tangohia ki te Kāinga
- He whakamātautau nui te whakamātautau C-peptide e ine ana i te nui o te insulin e hangaia ana i roto i tō tinana.
- Ma tenei ka tino awhina i to taakuta ki te wehewehe tika mena he mate huka Momo 1, he mate huka Momo 2 ranei to koe.
- He mea tino nui ngā hua o tēnei whakamātautau hei whakatau mēnā me tīmata te maimoatanga insulin, mēnā rānei he rawaka te rongoā e tangohia ana e koe i tēnei wā.
- Kia tae atu ki a koe tō pūrongo mō te C-peptide, me kōrero koe ki tō tākuta mō tōna tikanga tuturu me ngā mahi ka whai ake.
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