He aha te Hyperglycemia? Ngā Tōmhanga, Ngā Take, me te Maimoatanga

Ko te hyperglycemia te piki ake o te huka o te toto i te taumata noa, i te nuinga atu i te 180 mg/dL i muri i te kai, i te 126 mg/dL rānei i te wa e nohopuku ana. Whakaarohia he whawhai tō tinana ki te whakahaere i te huka i roto i ō toto, rite tonu ki te kōtuinga waka kei reira ngā waka e kore e taea te neke tika i ngā rori.

Ko te tikanga tenei āhuatanga e pā ana ki te hunga e mate huka ana, engari ka taea te puta ki te tangata i raro i etahi āhuatanga. Ahakoa ka rongo pea koe i te wehi, ko te mārama ki te hyperglycemia ka āwhina i a koe ki te mohio wawe ki ngā tohu me te mahi tika hei tiaki i tō hauora.

He aha ngā tōmhanga o te hyperglycemia?

Ko ngā tohu o te hyperglycemia e tipu haere ana i te nuinga o te wā, no reira pea kaore koe e kite wawe. Ka hoatu e tō tinana ngā whakamārama ngawari ki a koe i mua i te nui haere o ngā mea.

Koinei ngā tōmhanga tino noa ka pā pea ki a koe:

• Te matewai nui e kore e ngaro
• Te mimi pinepine, ina koa i te pō
• Te ngenge koretake, te ngenge nui atu rānei i te noa
• Te tirohanga māre e haere mai ana, e haere atu ana rānei
• Ngā mamae o te upoko e rerekē ana i ō mamae noa
• Ngā kotinga, ngā whara rānei e whakaora puhoi ana
• Te waha maroke ahakoa te inu wai

I te piki haere o te huka o te toto, ka kite pea koe i ngā tōmhanga āwangawanga atu. Kei roto i ēnei te ruaki, te ruaki, te mamae o te kopu, te kakara hua rānei i tō manawa. Mena ka pā atu ēnei tōmhanga nui atu ki a koe, he mea nui kia rapu āwhina hauora tonu.

He aha ngā take o te hyperglycemia?

Ka puta te hyperglycemia ina kore e taea e tō tinana te whakaputa i te insulin e tika ana, te whakamahi tika rānei i te insulin. Ko te insulin te mahi rite ki te ki hei wewete i ō pūtau kia taea ai te tomo o te huka me te whakarato i te kaha.

He maha ngā take ka pā te huka toto teitei:

• Te kai i te nui o ngā kāreti i te mea ka taea e tō tinana te whakahaere
• Te kore kai rongoā huka, te ngaro rānei o ngā rāpoi
• Te ahotea tinana, te ahotea hinengaro rānei
• Te mate, te mate pukupuku rānei
• Te kore mahi tinana
• Etahi rongoā penei i ngā steroids
• Te ngauwai

I etahi wā ka puta te hyperglycemia ki te hunga kaore he mate huka i te wa o te mate kino, te pokanga nui, te ahotea nui rānei. Ka tukuna e tō tinana ngā homoni ahotea ka taea te whakaroa i te kaha o te insulin ki te mahi tika.

Kaore i te noa, ko ngā āhuatanga onge penei i te mate Cushing, ngā mate o te pancreas, ngā āhuatanga ira rānei e taea te puta i te hyperglycemia roa. Me whakamātautau hauora motuhake me te maimoatanga ēnei āhuatanga.

Nōhea te haere ki te taote mō te hyperglycemia?

Me whakapiri atu koe ki tō kaiwhakarato hauora mena ka pānui tonu tō huka toto i runga ake i te 250 mg/dL, mena kei te pāngia koe e ngā tōmhanga e awangawanga ana koe rānei. Kaua e tatari mena kei te mate koe, ahakoa he ngawari ngā tōmhanga.

Rapua te āwhina hauora tonu mena ka pā atu ngā tōmhanga nui ki a koe penei i te ruaki roa, te uaua o te manawa, te whakapohehe, te moe nui rānei. Ka taea e ēnei te tohu i te āhuatanga kino e kiia nei ko te ketoacidosis huka, e hiahia ana ki te maimoatanga āwangawanga.

Mena kaore koe e mate huka engari ka kite koe i ngā tōmhanga penei i te matewai nui, te mimi pinepine, me te ngenge kaore i te whakamārama mo ngā rā maha, whakaritea he hui ki tō taote. Ka taea e ēnei te tohu wawe o te mate huka e hiahia ana ki te whakamātautau.

He aha ngā take morearea mō te hyperglycemia?

Ko te mārama ki ō take morearea ka āwhina i a koe ki te tango i ngā mahi hei aukati i te huka toto teitei. Ko etahi take ka taea e koe te whakahaere, ko ētahi atu he wāhanga o tō hanganga.

Ko ngā take morearea tino nui ko:

• Te mate huka (momo 1, momo 2 rānei)
• Te hītori whānau o te mate huka
• Te taumaha nui, te momona rānei
• Te noho noa
• Te pakeke neke atu i te 45 tau
• Te toto teitei
• Te hītori o te mate huka i te wa hapu

Ko ētahi rōpū iwi, tae atu ki ngā Amerikana Āwherika, ngā Amerikana Hipānika, ngā Amerikana Taketake, me ngā Amerikana Āhia, he nui ake te morearea o te whanake i te mate huka me te hyperglycemia. I tua atu, ko ngā wāhine e mate ana i te mate polycystic ovary syndrome (PCOS) he nui ake te morearea.

Ko ngā āhuatanga onge penei i te acromegaly, te pheochromocytoma, ngā pūngāwerewere pancreas rānei ka taea te whakanui ake i tō morearea, ahakoa he torutoru noa ngā tangata e pā ana ki ēnei. Ka taea e tō taote te awhina i te aromatawai i tō kaupapa morearea takitahi i ngā tirotiro noa.

He aha ngā raruraru pea o te hyperglycemia?

Ina noho teitei te huka toto mo te wā roa, ka taea te pakaru haere i ngā wāhanga maha o tō tinana. Whakaarohia te huka toto teitei rite ki te pepa oneone e whakangū haere ana i ō oko toto me ō whekau.

Ka taea te whanake i ngā raruraru poto i roto i ngā haora, i ngā rā rānei:

• Ketoacidosis huka (DKA) - he āhuatanga kino kei reira te wawahi o tō tinana i te ngako hei kaha
• Hyperosmolar hyperglycemic state (HHS) - te ngauwai nui me te huka toto teitei rawa
• Te piki o te morearea o ngā mate pukupuku
• Te whakaora puhoi o ngā whara

Ka whanake ngā raruraru roa i roto i ngā marama ki ngā tau o te huka toto kaore i te whakahaere tika. Kei roto i ēnei te kino o ō kanohi (diabetic retinopathy), ngā whatukuhu (diabetic nephropathy), ngā io (diabetic neuropathy), me te piki o te morearea o te mate ngakau me te pōka.

Ko te rongo pai ko te pupuri i ngā taumata huka toto hauora ka whakaiti nui i tō morearea o ēnei raruraru. He tokomaha ngā tāngata e mate huka ana e ora ana i te ora roa, hauora mā te whakahaere tika i tō rātou āhuatanga.

Me pēhea te aukati i te hyperglycemia?

Ko te aukati e aro ana ki te pupuri i ngā taumata huka toto pumau mā ngā whiringa ora hauora me te whakahaere hauora tika. Ko ngā huringa iti, pumau te nuinga o te wā e hanga ana i te rerekētanga nui.

Koinei ngā rautaki aukati whai hua:

• Kai kai rite ki ngā wāhanga kāreti e tika ana
• Te mahi tinana, ahakoa he 30 meneti noa te hikoi i ia rā
• Tangohia ngā rongoā rite tonu ki te whakahau
• Te aroturuki i ngā taumata huka toto penei i te whakahau
• Noho makuku ki te wai i te rā katoa
• Whakahaerehia te ahotea mā ngā tikanga whakahaere
• Whiwhi moe e tika ana (7-9 haora i ia pō)

Mena kei a koe te mate huka, mahi tata atu ki tō rōpū hauora hei whakawhanake i te mahere whakahaere whaiaro. Kei roto i ēnei te mārama ki te pēhea te pānga o ngā kai rerekē ki tō huka toto me te mohio ki te wā hei whakarereke i ō rongoā.

Mō te hunga kaore he mate huka, ko te pupuri i te taumaha hauora, te noho mahi, me te kai kai rite ka whakaiti nui i tō morearea o te whanake i te hyperglycemia me te mate huka.

Me pēhea te whakamātautau i te hyperglycemia?

Ko te whakamātautau i te hyperglycemia e whakamahi ana i ngā whakamātautau toto ngāwari e ine ana i te nui o te huka i roto i ō toto. Ka taea e tō taote te whakamahi i ngā whakamātautau maha hei tiki i te whakaahua katoa.

Ko ngā whakamātautau whakamātautau tino noa ko te whakamātautau huka toto nohopuku (i tangohia i muri i te kore kai mo te 8-12 haora), te whakamātautau huka toto ngāwari (i tangohia i tetahi wā), te whakamātautau manawanui huka waha rānei. Ka taea hoki e tō taote te tono i te whakamātautau hemoglobin A1C, e whakaatu ana i tō huka toto toharite i ngā marama 2-3 kua pahure.

Mena kei a koe te mate huka, ka aroturuki pea koe i tō huka toto i te kāinga mā te whakamahi i te mīta huka. Ka hoatu e ēnei taputapu ngā korero tūturu ki a koe mo ō taumata huka toto i te rā katoa.

I etahi wā ka taea e tō taote te tūtohutia te aroturuki huka tonu, ina koa mena kei a koe ngā huringa huka toto pinepine. Kei roto i ēnei te kakahu i te pūoko iti e aroturuki tonu ana i ō taumata huka.

He aha te maimoatanga mō te hyperglycemia?

Ko te maimoatanga mō te hyperglycemia e whakawhirinaki ana ki te take take me te teitei o ō taumata huka toto. Ko te whāinga ko te kawe mai i tō huka toto ki te whānuitanga hauora kia ora ai, kia aukati ai hoki i ngā wāhanga o muri.

Mō te hunga e mate huka ana, ko te maimoatanga e whakamahi ana i te nuinga o te wā:

• Te whakarereke i ngā rāpoi insulin, rongoā rānei
• Te whakanui ake i te mahi tinana (mena he ora te mahi)
• Te inu i te nui o te wai hei aukati i te ngauwai
• Te whai i te mahere kai whakarite
• Te aroturuki huka toto noa

I ngā take kino, ka hiahiatia pea te noho whare hauora, ina koa mena ka whanake koe i te ketoacidosis huka, te hyperosmolar hyperglycemic state rānei. Kei roto i te maimoatanga whare hauora ngā wai intravenous, te rongoā insulin, me te aroturuki tika i ō taumata waipiro.

Mō te hunga kaore he mate huka e whanake ana i te hyperglycemia i te wa o te mate, te ahotea rānei, ko te maimoatanga e aro ana ki te whakahaere i te take take i te wa e tautoko ana i te kaha o tō tinana ki te whakahaere i te huka toto.

Me pēhea te whakahaere i te hyperglycemia i te kāinga?

Ko te whakahaere i te hyperglycemia i te kāinga e hiahia ana ki te whakakotahitanga o ngā mahi tonu me ngā rautaki roa. Ko te whai i te mahere marama ka āwhina i a koe ki te whakautu maia ina piki ake tō huka toto.

Ina kite koe i te huka toto teitei, tīmata mā te inu wai hei awhina i te horoi i te nui o te huka mā ō whatukuhu. Ko te mahi tinana māori, penei i te hikoi 10-15 meneti, ka taea te awhina i ō uaua ki te whakamahi i etahi o te nui o te huka, engari kaua e mahi whakakino mena he teitei rawa tō huka toto.

Aroturukihia tō huka toto i te maha atu i te noa, ā, pupurihia he rēkōta o ngā pānui. Mena kei te tango koe i te insulin, ka hiahia pea koe ki te hoatu ki a koe he rāpoi whakatikatika kia rite ki ngā tohutohu a tō taote.

Kaua e kai i ngā kai he nui te kāreti kia hoki mai tō huka toto ki te whānuitanga noa. Pupurihia ngā kai iti-kāreti mena ka hiahia koe ki te kai, ā, arotahi ki te noho makuku ki te wai, ki ngā inu kore huka rānei.

Whakapiri atu ki tō kaiwhakarato hauora mena ka noho tonu teitei tō huka toto ahakoa ēnei mahi, mena ka whanake koe i ngā tōmhanga penei i te ruaki, te ruaki, te uaua o te manawa rānei.

Me pēhea te whakarite mō tō hui taote?

Ko te whakarite mō tō hui ka āwhina i te whakarite kia whiwhi koe i ngā korero me ngā aratohu tino whai hua mai i tō kaiwhakarato hauora. Whakaarohia he kohikohi mōhiohio hei awhina i te whakatau i te mīti ngātahi.

Kawe mai tō rēkōta huka toto mena kei te aroturuki koe i te kāinga, tae atu ki ngā tuhi mo te wā i puta ai ngā piki me te aha pea i pā ai. Tuhia katoa ngā rongoā kei te tango koe, tae atu ki ngā taapiri i runga i te kaute, i te mea ka taea e etahi te pā ki te huka toto.

Hangaia he rārangi o ō tōmhanga, te wā i tīmata ai, me te aha e pai ake ai, e kino ake rānei. Kei roto ngā pātai mō tō āhuatanga, ngā whiringa maimoatanga, me te aha e tatari ana i mua.

Whakaarohia te kawe mai i te mema whānau, i te hoa rānei hei tautoko, ina koa mena kei te nui rawa te ahotea. Ka taea e rātou te awhina i a koe ki te mahara ki ngā korero nui me te whakarato tautoko hinengaro i te wa o te haerenga.

He aha te mea nui mō te hyperglycemia?

He āhuatanga taea te whakahaere te hyperglycemia e whakautu pai ana ki te tiaki tika me te aro. Ahakoa e hiahia ana ki te mataara tonu me etahi wā huringa ora, he tokomaha ngā tāngata e whai hua ana i te pupuri i tō rātou huka toto i roto i ngā whānuitanga hauora, ā, e ora ana i te ora roa, mahi.

Ko te mea nui rawa kia mahara ko te mohio wawe me te mahi tika ka hanga i te rerekētanga katoa. Ahakoa kei te whakahaere koe i te mate huka, kei te pāngia koe e te hyperglycemia mō te wā tuatahi rānei, ko te mahi tahi me tō rōpū hauora ka hoatu ki a koe te tupono pai mō ngā hua hauora pai.

Kia mahara ko te whakahaere i te huka toto he tukanga ako, ā, he noa te piki me te heke i te huarahi. Kia manawanui ki a koe ano i te wa e whakawhanake ana koe i ngā tikanga hou me ngā rautaki e mahi ana mō tō ora.

Ngā pātai e ui pinepinetia ana mō te hyperglycemia

Ka taea e te ahotea te tino pā te huka toto teitei?

Ae, ka taea e te ahotea tinana me te hinengaro te whakanui i ngā taumata huka toto. Ina kei te ahotea koe, ka tukuna e tō tinana ngā homoni penei i te cortisol me te adrenaline e korero ana ki tō ate kia tukuna te huka kua penapena hei kaha. Ka taea e tēnei whakautu "whawhai, rere rānei" te pēhi i te huka toto i runga ake i te noa, ina koa ki te hunga e mate huka ana.

Kia tere te huri o ngā taumata huka toto?

Ka taea te piki o te huka toto i roto i te 15-30 meneti i muri i te kai, e whakawhirinaki ana ki te mea kei te kai koe. Heoi, ko te nuinga o te wā e 2-4 haora te roa ki te kite i te pā katoa o te kai. Ko ngā take penei i te ahotea, te mate, ngā huringa rongoā rānei ka taea te puta i ngā huringa i roto i ngā haora, ko ngā huringa ora te nuinga o te wā e whakaatu ana i ngā hua i runga i ngā rā ki ngā wiki.

He noa te huka toto teitei i etahi wā?

Ka piki te huka toto o te katoa i muri i te kai, ā, he noa tenei. Heoi, i roto i ngā tāngata hauora, ka hoki te huka toto ki te whānuitanga noa i roto i te 2-3 haora. Ka taea te piki o te wā i runga ake i te noa i te wa o te mate, te ahotea nui rānei, engari ko te hyperglycemia pinepine, roa rānei e hiahia ana ki te whakamātautau hauora.

Ka taea e te ngauwai te pā ngā pānui huka toto teitei?

Ka taea e te ngauwai te whakanui ake i te huka toto i te mea he iti te wai hei whakaheke i te huka i roto i ō toto. I tua atu, ina kei te ngauwai koe, ka taea pea te whawhai o tō tinana ki te horoi i te nui o te huka mā ō whatukuhu. Ko te noho makuku pai ka āwhina i tō tinana ki te whakahaere i te huka toto nui atu.

He aha te rerekētanga i waenganui i te hyperglycemia me te mate huka?

Ko te hyperglycemia he tohu, he āhuatanga rānei kei reira te huka toto i runga ake i te noa, ko te mate huka he mate roa e tino pā ana ki te hyperglycemia. Ka taea e koe te whai i te hyperglycemia wā poto kaore he mate huka, penei i te wa o te mate, te ahotea rānei. Heoi, ko te hyperglycemia roa te tikanga he tohu o te mate huka, ā, e hiahia ana ki te whakamātautau hauora me te whakahaere tonu.