Kua ngaro ohorere te taumaha o tāu tamāhine, tāu tama rānei, he mate huka momo 1 tōna? He nui rawa atu rānei ōna whakaaro mō te kai, te āhua o te tinana, me te taumaha? I ētahi wā, ka ohorere pea koe i te kitenga kāore ia e werohia ana e te insulin. Ehara tēnei i te kata, he mate tino morearea ka pā ki tō oranga. I roto i ngā kupu hauora, ka kiia tēnei ko te Diabulimia . Ahakoa he rerekē te ahua o te ingoa, me mārama tātou ki te hiranga o tēnei. Nō reira, me kōrero taipitopito tātou mō tēnei.
He aha te Diabulimia?
Ko te kupu 'diabulimia' ka hangaia mā te whakakotahi i ngā kupu e rua: te mate huka , ko tōna tikanga he mate huka , me te bulimia .
- E mōhio ana koe , he mate te mate huka e pā ana ki te whakahaere o te tinana i te huka. Ina koa i te Mate Huka Momo 1, kāore e taea e te tinana te whakaputa i te homoni insulin.
- Ko te Bulimia he mate kai e kainga ana e te tangata he nui te kai i te wā kotahi, kātahi ka tukuna te kai mā te ruaki, mā tētahi atu tikanga rānei, i te wehi kei piki te taumaha.
Kua mārama koe ki te hononga inaianei? Ki te kī māmā, ko te diabulimia te wā e karohia ai e te tangata he mate huka momo 1 te werohanga insulin e tika ana hei whakaiti i tōna taumaha.
Ahakoa kāore anō tēnei kia whakarōpūtia mana hei mate hinengaro, he tino kino te kino ka pā mai.
Ko wai te mea tino whakaraerae ki tēnei āhuatanga morearea?
Ko tēnei mate te mea tino kitea i roto i ngā wāhine me ngā kōtiro taitamariki. Inaa, e rua ngā wā ka pāngia ngā wāhine he mate kai e te mate huka momo 1. E whakaatu ana ngā rangahau e 30% o ngā taiohi he mate huka e whakaiti ana, e mutu ana rānei te tango i te insulin i roto i te ngana ki te whakaiti i te taumaha .
He uaua ki te tohu i tētahi take kotahi mō ēnei momo āhuatanga hinengaro. Tērā pea he pānga o te hītori whānau o ēnei āhuatanga. Waihoki, ko ngā āhuatanga pēnei i te ahotea me te whara o te whānau ka whai wāhi atu ki tēnei.
Ina koa i te wā taitamariki, ka tino aro te tangata ki te āhua o ō rātou tinana me ngā whakaaro o ō rātou hoa. Ko te whakaaro tonu ki te kai me te taumaha nā te mate huka ka whai wāhi atu ki tēnei mate.
He aha ngā mea ka pā ki te tinana ina mutu te mahi insulin? He pēhea te kino o tēnei?
Whakaarohia, kāore te tangata e pangia ana e te mate huka momo 1 e whakaputa ana i te insulin i roto i tōna tinana. Nō reira, he mea nui kia tangohia te insulin mai i waho. He rite te insulin ki te kī e whakatuwhera ana i te tatau ki ngā pūtau o roto i tō tātou tinana. Mēnā kei roto tēnei kī, ka taea e te huka (huka) i roto i te toto te tomo ki ngā pūtau ka huri hei pūngao.
Ki te kore tetahi e tango i te insulin,
1. Ka piki haere te taumata o te huka toto, ā, kāore e taea te whakahaere.
2. Nā te mea kāore e taea e ngā pūtau te tango i te huka, ka tīmata te whakaputa i tēnei huka nui ki roto i te mimi. Nā te mea ka puta tahi te wai me te huka, ka tere te heke o te taumaha o te tinana.
3. Koinei te tumanako a ēnei tāngata, arā, te whakaiti i te taumaha. Engari kāore rātou e kite i te whakangaromanga e pā mai ana. Ina kore e wātea te huka hei pūngao, ka tīmata te tinana ki te tahu i tōna ake ngako . I roto i tēnei tukanga, ka puta ngā matū paitini e kiia nei ko ngā ' ketones ' i roto i te tinana.
4. Ina nui haere ēnei ketone, ka nui rawa te waikawa o te toto, ka hua ake he mate e kiia nei ko te Diabetic Ketoacidosis (DKA) . He āhuatanga ohorere hauora tēnei. Ka taea e te tangata te taka ki te koma, te mate rānei.
He tino mōrearea ngā mōrearea wā-poto me ngā mōrearea wā-roa o tēnei āhuatanga.
| Ngā raruraru nui ka puta mai i te diabulimia | |
|---|---|
| Te huka toto tiketike | Te huka i roto i te mimi |
| Ketoacidosis Mate Huka (DKA) | Te maroketanga |
| Te ngaronga o te uaua | Te cholesterol teitei |
| Ngā mate huakita me ngā mate rewena maha | Te huringa paheketanga koretake, kua mutu rānei |
| Te pakaru o ngā oko toto i roto i ngā kanohi (Retinopathy) - ka arahi pea ki te matapo. | Te pakaru o ngā io - te ngoikore o ngā peka |
| Te matotoru o ngā pakitara o ngā oko toto (atherosclerosis) | Mate ate |
| Whiu | Koma me te Mate |
Kia maumahara, ko ngā mate kai te mea nui rawa atu te mate o ngā mate hinengaro katoa. Kua kitea e ngā rangahau ko ngā wāhine kāore e tango i te insulin hei whakaiti i te taumaha ka mate tata ki te 10 tau i mua atu i ngā wāhine e mate huka ana.
He aha ngā tohu hei tautuhi i tēnei mate?
Ki te whakapae koe kei te mahi tetahi i tēnei whanonga morearea, kia tūpato ki ēnei tohu. Ko te tohu matua ko te whakahekenga taumaha kāore i te whakamāramatia. Hei tāpiri, tera pea ka kite koe i ēnei mea:
| Ngā tohu whakatūpato o te Diabulimia | |
|---|---|
| Te ngenge i ngā wā katoa | Te tino matewai tonu |
| He nui rawa te kōrero, te whakaaro rānei mō te taumaha, te āhua rānei o te tinana | Te kai nui (ina koa ngā mea reka) |
| Te pūrongo whakamātautau HbA1c, kāore i te ōrite ki ngā taumata huka toto kāinga | Te karo i ngā wā whakarite tākuta |
| Te mahi puku mō ngā taumata huka, te kai insulin, me te kai | Te kore okiokinga, te pouri, te riri pinepine rānei |
| Te nui rawa o te whakakori tinana | Te manawa hua (he tohu o te pikinga o ngā ketones) |
| Te ngaro o te makawe me te kiri maroke | Te pakeketanga whakaroa i roto i te hunga rangatahi |
Me aha ahau mēnā kei te pāngia ahau, tetahi atu rānei e mōhiotia ana e au, e tēnei mate?
Koinei te mea tino nui. He mate hinengaro te diabulimia. Nō reira, me āwhina te hunga ngaio hei wikitoria i tēnei mate. Ki te kite koe i ēnei tohu i roto i a koe anō, i tētahi atu rānei e mōhio ana koe, kaua e warewaretia. Rapua tonutia he tohutohu hauora.
Ko te mea tuatahi me mahi e koe ko te kōrero ki tō tākuta mate huka (Endocrinologist). E mōhio ana ia ki tēnei mate, ā, ka taea e ia te tuku i a koe ki ētahi atu tohunga mēnā e tika ana. Ko te tikanga ka mahia tēnei e tētahi tīma. Kei roto pea i tēnei tīma:
- Tohunga Endocrinologist
- Kaitohutohu mate huka
- Kaimātai Kai
- Kaitohutohu hauora hinengaro, tohunga hinengaro rānei
Kāore e puta ngā hua i te pō kotahi. He roa te wā. Engari ki te tautoko tika, ka taea te whakaora. Ko ētahi o ngā maimoatanga matua ko:
Te Whakaora Whanoke Hinengaro (CBT)
Ki te kī ngāwari, ko te tautuhi i ō tātou whakaaro hē, pōhēhē hoki (hei tauira, "He momona ahau," "He pai te kore e tango i te insulin hei whakaiti i te taumaha"), te whakarerekē i aua whakaaro, ā, mā reira ka whakarerekē i ā tātou tauira whanonga kino.
Whakaora Rōpū
Ina kōrero koe ki ētahi atu tāngata e pāngia ana e ngā raruraru ōrite, ka rite koe ki te kore koe e mokemoke. He tino āwhina tēnei ki te ako i ngā wheako o ētahi atu, me te tautoko tetahi i tetahi.
Te Whakaora Whānau (FBT)
He tikanga tino whai hua tēnei, inā koa mēnā kei te pāngia tētahi tamaiti nohinohi e tēnei mate. I konei, ka whai wāhi te whānau katoa ki te tukanga maimoatanga. Mā tēnei ka āwhina i ngā mātua ki te mārama ki te tamaiti, me te whakarato hoki i te tautoko tika ki te tamaiti.
Karere Tangohia ki te Kāinga
- He tino morearea te diabulimia, ina kore te tangata mate huka momo 1 e tango i te insulin hei whakaiti i tōna taumaha.
- Mā te kore e werohanga insulin ka pā mai ngā raruraru whakamate pērā i te ketoacidosis mate huka (DKA), te matapo, te kino o ngā io, te whiu, me te mate.
- Ki te kite koe i ngā tohu pēnei i te whakahekenga taumaha kāore i te whakamāramatia, ngā whakaaro nui mō te kai me te taumaha, ngā whanonga huna rānei, kaua e warewaretia. He karanga āwhina pea tēnei.
- Ehara tēnei i te mea ka taea te whakahaere mā te kaha hinengaro, engari he mate hinengaro e hiahia ana ki te āwhina hauora ngaio.
- Mena kei te pāngia koe, tetahi atu rānei e mōhio ana koe e tēnei mate, kōrero tonu ki tō tākuta, ka rapu i te maimoatanga e tika ana. Kāore koe e hiahia ki te whawhai ko koe anake ki tēnei pakanga.
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