Created at:1/13/2025
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Ko te werohanga Glucagon he rongoā whakaora-ora e whakanui tere ana i ngā taumata huka toto i te wā o te hypoglycemia nui (te huka toto iti rawa te mōrearea). E mahi ana tēnei homoni pēnei i te pūnaha whakautu ohorere tūturu o tō tinana, e tuku tere ana i te huka kua rongoatia mai i tō ate i te wā e tino hiahia ana koe.
Whakaarohia te glucagon hei rōpū whakaora glucose i hangaia i roto i tō tinana. I te wā e heke ana te huka toto ki ngā taumata mōrearea, ā, kāore e taea e koe te kai, te inu rānei, ka uru mai tēnei werohanga ki te ārai i ngā raruraru nui pēnei i te hopu, te ngaro rānei o te māramatanga.
Ko te werohanga Glucagon he putanga waihanga o te homoni e whakaputaina ana e tō pancreas. I hangaia motuhake mō ngā tūāhuatanga ohorere i te wā e pā ana te tangata ki te mate huka ki te huka toto iti nui, ā, kāore e taea e rātou te kai, te inu rānei i te kai.
Ka tae mai tēnei rongoā i roto i ngā pene kua whakakiia i mua, ngā auto-injectors, ngā pūmua rānei e hiahia ana ki te whakaranu i mua i te whakamahi. E mahi ana te werohanga i roto i ngā meneti hei whakanui i ngā taumata glucose toto, e waiho ana hei taputapu ohorere nui mō ngā tāngata e mate huka ana me ō rātou whānau.
Kāore i rite ki ngā rongoā mate huka e whakaheke ana i te huka toto, ka mahi ke te glucagon. E kī ana ki tō ate kia tuku i te glucose kua rongoatia ki roto i tō toto, e whakarato ana i te whakanui tere i te pūngao e tino hiahia ana tō tinana i te wā o te ohorere hypoglycemic.
Ka rongoā te werohanga Glucagon i te hypoglycemia nui i te wā e kore ai e taea e te tangata te kai, te inu rānei kia whakanuia ai tō rātou huka toto i te haumaru. Ko te tikanga ka pā tēnei i te wā e heke ana ngā taumata glucose toto i raro i te 70 mg/dL, ā, kāore te tangata i te mārama, e hopu ana, e kore rānei e taea te horo.
Ko te rongoā te mea nui e tohua ana mō ngā tāngata e mate huka ana i te momo 1, ahakoa ko te hunga e mate huka ana i te momo 2 e whakamahi ana i te insulin ka hiahia pea. He mea nui mō ngā tāngata e pā ana ki ngā wāhanga huka toto iti auau, he hītori rānei o ngā tauhohenga hypoglycemic nui.
Ka whakamahia hoki e nga kaiwhakarato hauora nga werohanga glucagon i roto i nga waahi rongoa mo nga tikanga tātaritanga. I roto i etahi whakamatautau whakaahua pēnei i te CT scan o te puku, ka āwhina te glucagon ki te whakangā i ngā uaua whekau kia mārama ake ngā pikitia.
Ka mahi te werohanga Glucagon mā te here ki ngā kaiwhakawhiwhi motuhake i tō ate, ka whakaoho i te pakaru tere o te kūhuka kua rongoatia e kiia nei ko te glycogen. Ko tēnei tukanga, e mōhiotia ana ko te glycogenolysis, ka tuku kūhuka tika ki roto i tō toto i roto i te 5-10 meneti i muri i te werohanga.
E kiia ana ko tēnei rongoā he rongoā ohorere kaha me te tere. Kāore i rite ki ngā rongoā e puhoi ana te mahi, kāore te glucagon e whakawhirinaki ana ki tō pūnaha kūnatu kia mahi. Ka karo katoa i te puku, ka whai hua ahakoa kāore te tangata i te mōhiotanga, e ruaki ana rānei.
Ka whakahihiri hoki te werohanga i tō ate ki te hanga kūhuka hou mai i ētahi atu mea i tō tinana, ahakoa ka roa ake te whanaketanga o tēnei pānga tuarua. Ko tēnei mahi rua e whakarite ana i te pikinga o te huka toto i te wā tonu me te pumau i ngā wā tino nui.
Me hoatu anake te werohanga Glucagon i te wā e pā ana te tangata ki te hypoglycemia nui, e kore e taea te kai i te kai, te inu rānei. Ka werohia te rongoā ki roto i te kiko uaua, te nuinga i te huha, te ringa o runga, te papa rānei.
Kāore koe e hiahia ki te māharahara mō te wā kai me ngā werohanga glucagon i te mea e whakamahia ana i ngā ohorere ka kore e taea te kai. Heoi, i te wā ka hoki mai te mōhiotanga o te tangata, ka taea te horo i te haumaru, me kai e rātou ngā warowaihā tere pēnei i te wai, i ngā papa kūhuka rānei.
Me mā te wāhi werohanga, engari kaua e whakaroa i te rongoā ki te kimi i ngā wipes waipiro i te wā ohorere. Hurihia ngā wāhi werohanga mēnā e hiahiatia ana ngā horopeta maha, ahakoa he uaua tēnei. Waea tonu atu ki ngā ratonga ohorere i muri i te hoatutanga o te glucagon, ahakoa te ahua ka ora tere te tangata.
Kāore te werohanga glucagon e tangohia i runga i te hōtaka auau pēnei i ngā rongoā o ia rā. Engari, he rongoā whakaora ohorere e whakamahia ana i te wā e puta ana te hypoglycemia nui, ā, kāore e taea ngā rongoā tuku iho.
E whakarato ana ia werohanga i te horopeta kotahi mō te wāhanga hypoglycemia kotahi. Ko te nuinga o te tangata ka kite i te pikinga o te huka toto i roto i te 5-15 meneti i muri i te werohanga, ahakoa ka roa pea te pānga katoa ki te 30 meneti kia tino whanake.
Me whai tonu koe i te glucagon kāore anō kia pau mena kei te tūpono koe ki te hypoglycemia nui. Whakakapia ngā kete kua pau i runga i te rā paunga, te tikanga ia 12-24 marama i runga i te hua motuhake. Mā tō kaiwhakarato hauora e whakatau mēnā me pupuri e koe te glucagon i runga i te ringa i runga i tō whakahaere mate huka me te hītori.
Ka taea e te werohanga glucagon te pānga taha, engari kia mahara i te wā o te ohorere hypoglycemia nui, he nui ake ngā painga i ēnei raruraru rangitahi. Ko te nuinga o ngā pānga taha he ngawari, ā, ka ngaro noa iho i roto i ngā hāora torutoru.
Ko ngā pānga taha tino noa ka pā ki a koe ko te whakapairuaki me te ruaki, e pā ana ki te nuinga o te tangata e whiwhi ana i ngā werohanga glucagon. Ko ēnei tohu ka tīmata i roto i te 30 meneti o te werohanga, ā, ka ngaro i roto i te 2-3 hāora.
Anei ngā pānga taha ka tūtaki pea koe, kua whakarārangitia mai i te mea tino noa ki te mea iti:
Ko ēnei tauhohenga te nuinga o te wā te urupare a tō tinana ki te pikinga tere o te huka toto me te taumahatanga o te wāhanga hypoglycemia tonu. Ka pai ake te nuinga o te tangata i te wā e tū ana tō rātou huka toto, ahakoa ka mau tonu ētahi pānga taha ngawari.
He onge engari he kino nga paanga taha ka uru ki nga tauhohenga mate pāwera nui, ahakoa he tino onge enei. Ko nga tohu o te tauhohenga mate pāwera nui ko te uaua ki te manawa, te pupuhi nui, te pūhi whānui rānei. Ki te puta enei, rapua tonu te rongoā.
He tokoiti rawa nga tangata me karo te werohanga glucagon i te wa e pa ana ki te hypoglycemia nui, na te mea he haumaru ake te rongoā i te tuku i te huka toto iti morearea kia haere tonu. Heoi, he waahi motuhake etahi e hiahiatia ana he tupato atu.
Ko nga tangata e mohiotia ana he mate pāwera ki te glucagon, ki etahi atu kai ranei i roto i te werohanga me whakamohio ki o ratou kaiwhakarato hauora mo etahi atu rongoā ohorere. I tua atu, ko te hunga whai puku onge e kiia nei ko te pheochromocytomas me whakamahi i te glucagon me te tino tupato, na te mea ka puta pea nga pikinga toto toto morearea.
Ko nga tangata whai insulinomas (puku whakaputa insulin) ka raru pea i te huka toto iti mo te wa roa i muri i te paunga o te glucagon, e hiahia ana kia roa te aroturuki rongoā. Ko nga tangata he tino pau nga toa glycogen, penei i te hunga e nohopuku ana mo te wa roa, e mate waipiro ranei, kaore pea e whai hua ki te glucagon.
Ka taea e nga wahine hapu me te whakangote u te tango i nga werohanga glucagon i nga ohorere hypoglycemic, na te mea he nui ake nga tupono o te huka toto iti i nga tupono rongoā. Me matapaki tonu to hitori rongoā motuhake me to kaiwhakarato hauora i te wa e whakawhanake ana i to mahere ohorere mate huka.
He maha nga hua werohanga glucagon e waatea ana, he rereke nga tikanga tuku me nga whakaritenga whakarite. Ko nga ingoa waitohu tino noa ko Baqsimi (paura nasal), Gvoke (peni kua whakakiia), me Zegalogue (auto-injector).
He kōwhiringa rehu ihu ahurei a Baqsimi, kāore e hiahiatia he werohanga, he mea māmā ake mā ngā mema o te whānau, ngā kaitiaki rānei, e kore nei e pai ki te ngira. Ka tae mai a Gvoke me Zegalogue hei pene kua rite ki te whakamahi, kāore e hiahiatia he whakaranu, e māmā ai te whakamahi ohorere.
Ko ngā kete ohorere glucagon tuku iho pēnei i te Glucagon Emergency Kit e hiahia ana ki te whakaranu i te paura ki te wai i mua i te werohanga, ahakoa he maha o ēnei e whakakapia ana e ngā kōwhiringa hou, he pai ake te whakamahi. Māu e kōwhiri te kōwhiringa pai rawa atu i runga i tō oranga, te inihua, me ō hiahia ake.
Ahakoa te werohanga glucagon tonu te paerewa koura mō te rongoā i te hypoglycemia nui, he maha ngā kōwhiringa kē e noho ana i runga i te āhuatanga me te kaha o te huka toto iti. Mō te hypoglycemia ngawari ki te āhua, ina kei te mōhio te tangata, ā, ka taea te horo, ko ngā warowaihā tere te kōwhiringa tuatahi.
Ka tere te mahi a ngā papa glucose, ngā hēra, ngā wai rānei mō ngā tāngata mōhio e pā ana ki te hypoglycemia. Kei roto i ēnei kōwhiringa ngā hua pēnei i ngā papa glucose, te hukapapa keke, te houra rānei. Heoi, ka mahi noa ēnei kōwhiringa kē ina taea e te tangata te kai marie.
I ngā wāhi hōhipera, ka whakamahi ngā kaiwhakarato hauora i te dextrose (te otinga huka) i roto i te uaua hei whakanui tere i ngā taumata glucose toto. He tino whai hua tēnei tikanga ina wātea kē te uru IV, ina kore rānei e whai hua te glucagon nā te pau o ngā toa glycogen.
Ka tūhura ētahi tāngata i ngā aroturuki glucose tonu me ngā pūnaha tuku insulin aunoa hei ārai i ngā wāhanga hypoglycemia nui. Ahakoa kāore ēnei hangarau e whakakapi i te glucagon mō ngā ohorere, ka taea e rātou te whakaiti i te auau o ngā wāhanga huka toto iti.
He rerekē ngā whāinga o te werohanga glucagon me te kūhuka waha i roto i te whakahaere mate huka, he rite tonu te whakataurite ki te whakataurite i te pūwera ahi ki te pūao paowa. He tūranga motuhake tō ia mea ki te pupuri i a koe kia noho haumaru mai i te hypoglycemia.
He pai te mahi a ngā rongoā kūhuka waha pēnei i ngā papa, i ngā hēra rānei, ina kei te mōhio koe, ā, ka taea e koe te horo. He tere ake te whakamahi, kāore e hiahiatia he werohanga, ā, ka whakanui i te huka toto i roto i te hypoglycemia ngawari ki te pōturi. Me whakamātau te nuinga o te tangata i ngā rongoā waha i te tuatahi ina rongo ana rātou kei te heke te huka toto.
Heoi, ka noho kore e taea te whakakapi te werohanga glucagon ina kāore te tangata i te mōhio, kei te pā te hauhautanga, kāore rānei e taea te horo. I roto i ēnei āhuatanga kino, ka mōrearea te kūhuka waha nā te mea ka pā te kōpī, te urunga rānei ki roto i ngā pūkahukahu.
Whakaarohia te kūhuka waha hei rārangi tuatahi mō ngā wāhanga huka toto iti ka taea te whakahaere, i te wā e mahi ana te werohanga glucagon hei pūrua ohorere mō ngā āhuatanga e mōrearea ana te ora. Ko te whai i ngā kōwhiringa e rua ka whai wāhi koe ki te whakamarumaru whānui ki ngā taumata rerekē o te hypoglycemia.
He haumaru te werohanga glucagon mō te hunga e mate ngākau ana, ina koa ka whakaarohia ngā mōrearea nui o te hypoglycemia kino kāore i rongoatia. Ka whakanui pea te rongoā i te tere o te ngākau me te pēhanga toto, engari he ngawari noa iho ēnei pānga, ā, he poto te wā.
Ko te pēhanga ngākau mai i te hypoglycemia kino ake te mōrearea ki tō ngākau i te werohanga glucagon e whakamahia ana hei rongoā. Ka taea e te huka toto iti te pā i ngā hē o te manawataki ngākau, nō reira ko te rongoā tere ki te glucagon te kōwhiringa haumaru.
Mēnā he mate ngakau nui tō, kōrerohia tō āhuatanga motuhake ki tō tākuta ngākau me tō tākuta endocrinologist. Ka taea e rāua te āwhina ki te waihanga i tētahi mahere ohorere e whakaaro ana ki ō hiahia whakahaere mate huka me te hauora ngākau.
He onge te nui rawa o te glucagon i te mea he horopeta kotahi te nuinga o ngā hua, engari mēnā ka pēnei, tirohia ngā pānga taha nui, pēnei i te whakapairuaki nui, te ruaki, te taumata huka toto tiketike rawa rānei. Whakapā atu ki tō kaiwhakarato hauora, ki ngā ratonga ohorere rānei mō te tohutohu.
Ko te āwangawanga nui ki te nui rawa o te glucagon ko te mea ka piki rawa pea te huka toto, ka puta pea ngā tohumate pēnei i te matewai nui, te mimi auau, te hanga ketone rānei. Tirohia ngā taumata glucose toto i ngā wā katoa, me te whai i ngā tohutohu a tō kaiwhakarato hauora mō te whakahaere i te huka toto tiketike.
Ko te nuinga o ngā āhuatanga nui rawa o te glucagon ka whakatau i a rātou anō i te wā e tukatukahia ana te rongoā e tō tinana, i roto i ngā hāora ruarua. Heoi, he mea pai tonu te arotake hauora ngaio hei whakarite i te aroturuki tika me te rongoā mēnā e tika ana.
Kāore tēnei pātai e pā ana ki te werohanga glucagon i te mea ehara i te rongoā kua whakaritea pēnei i ngā rongoā mate huka o ia rā. Ka whakamahia te Glucagon i ngā wā ohorere anake ka puta te hypoglycemia nui, ā, kāore e taea ētahi atu rongoā.
Engari i te āwangawanga mō ngā horopeta kua ngaro, arotahi ki te whakarite kia mau tonu i a koe te glucagon kāore anō kia pau i te wā e hiahia ana koe. Tirohia ngā rā paunga i ngā wā katoa, me te whakakapi i ngā kete kua pau i runga i ngā tohutohu a tō kaiwhakarato hauora.
Mēnā ka pā ki a koe te hypoglycemia nui, ā, kāore he glucagon i a koe, waea atu ki ngā ratonga ohorere tonu. Ka mau ngā paramedika i te glucagon, ā, ka taea e rātou te whakarato i te rongoā e hiahia ana koe i te wā e kawe ana koe ki te tiaki hauora.
Me whakatau tonu te whakatau ki te whakamutu i te kawe i te glucagon i runga i te korero ki to kaiwhakarato hauora, i runga i to whakahaere mate huka takitahi me nga mea morearea hypoglycemia. I te nuinga o te wa, ka hiahia koe ki te glucagon i te wa e raru ana koe ki te hypoglycemia kino.
Ko nga tangata e mate huka momo 1 te tikanga e hiahia ana ki te uru atu ki te glucagon mo te wa katoa, i te mea kei te raru tonu ratou ki nga wahanga huka toto iti kino. Ko te hunga e mate huka momo 2 e whakamahi ana i te insulin ka hiahia ano ki te uru atu ki te glucagon mo te wa roa, i runga i ta ratou tikanga maimoatanga me te hitori o te hypoglycemia.
Ka whakaarohia e to kaiwhakarato hauora nga mea penei i to mana whakahaere huka toto, nga huringa rongoa, nga mea oranga, me te hitori o nga wahanga hypoglycemic i te wa e korero ana mehemea kei te hiahia tonu koe ki te glucagon ohorere.
Ae, ka taea e nga mema o te whanau, nga hoa, me nga kaitiaki te whakangungu me te whakangungu ki te hoatu werohanga glucagon i nga wa ohorere. Inaa, he mea nui kia mohio etahi atu ki te whakamahi i to glucagon, na te mea kaore pea koe i te mohio, kaore ranei e kaha ki te whakahaere i a koe ano i te wa o te hypoglycemia kino.
Ko te nuinga o nga hua glucagon ka tae mai me nga tohutohu ngawari, a he mea hanga mo te whakamahi e nga tangata ehara i te rongoa. Whakaarohia kia whakaatu to kaiwhakarato hauora i te tikanga werohanga ki o mema o te whanau, ki nga hoa tata ranei ka noho mai i te wa ohorere.
Whakamahia nga ahuatanga me to whatunga tautoko, kia maia ai te katoa ki te mohio ki nga tohu o te hypoglycemia kino me te whakahaere tika i te glucagon. Kia mahara ki te whakanui i te mea me waea tonu ratou ki nga ratonga ohorere i muri i te hoatu glucagon, ahakoa te ahua ka ora wawe koe.