He maha ngā mea ka puta ai te taumata huka toto tiketike, engari ko tā tātou e kai ana te mea nui rawa atu, te mea tino tika hoki ki te whakapiki i te huka toto. Ina kai tātou i ngā warowaihā, ka hurihia e te tinana aua warowaihā hei huka, ā, ka whai wāhi pea tēnei ki te whakapiki i te huka toto. Ka taea hoki e te pūmua, ki tētahi taumata, i roto i ngā rahinga nui, te whakapiki i ngā taumata huka toto. Kāore te ngako e whakapiki i ngā taumata huka toto. Ka taea hoki e te ahotea e hua ake ai te homoni cortisol te whakapiki i ngā taumata huka toto.
Ko te mate huka momo 1 he mate pūnaha ārai mate e hua ake ai te kore e taea e te tinana te whakaputa i te insulin. Ko te hunga e pāngia ana e te mate huka momo 1 me tango i te insulin kia mau tonu ai te taumata o te huka ki roto i ngā rohe noa. Ko te mate huka momo 2 he mate e taea ai e te tinana te whakaputa i te insulin engari kāore e taea te whakaputa i te nui, kāore rānei te tinana e aro ki te insulin e hangaia ana.
He maha ngā huarahi e taea ai te tātaritanga i te mate huka. Kei roto i ēnei ko te huka toto nohopuku he >, he = rānei 126 mg/dL, he 7mmol/L rānei, he hemoglobin a1c he 6.5%, he nui ake rānei, he huka toto teitei ake rānei i runga i te whakamātautau manawanui huka toto ā-waha (OGTT). Hei tāpiri, ko te huka toto matapōkere he >200 he tohu mō te mate huka.
Heoi anō, he maha ngā tohu me ngā āhuatanga e tohu ana i te mate huka, ā, me whakaaro koe ki te whakamātau toto. Kei roto i ēnei ko te matewai nui, te mimi pinepine, te tirohanga pōuri, te ngenge, te māuiui rānei o ngā peka, te taumaha me te ngenge. Ko ētahi atu tohu pea ko te ngoikore o te ure i roto i ngā tāne me te paheketanga koretake i roto i ngā wāhine.
Ko te auau o te whakamātautau i tō toto ka whakawhirinaki ki te tikanga maimoatanga e whai ana koe me ngā āhuatanga takitahi. E taunaki ana ngā aratohu NICE o te tau 2015 kia whakamātautauhia te huka toto o te hunga mate huka momo 1 i te iti rawa i te 4 ngā wā ia rā, tae atu ki mua i ia kai me mua i te moe.
Pātai atu ki tō tākuta mō te nui o te huka toto e tika ana māu, ā, mā ACCUGENCE koe e āwhina ki te whakatakoto i te awhe me tana āhuatanga Range Indicator. Ka whakatakotohia e tō tākuta ngā hua whakamātautau huka toto whainga i runga i ētahi āhuatanga, tae atu ki:
● Momo me te kaha o te mate huka
● Tau
● Kia pēhea te roa o tō mate huka
● Tūnga haputanga
● Te noho mai o ngā raruraru mate huka
● Te hauora whānui me te noho mai o ētahi atu mate hauora
Ko te American Diabetes Association (ADA) e taunaki ana i ngā taumata huka toto e whai ake nei:
I waenga i te 80 me te 130 mirikaramu ia teririta (mg/dL) me te 4.4 ki te 7.2 mirimiora ia rita (mmol/L) rānei i mua i te kai
I raro iho i te 180 mg/dL (10.0 mmol/L) e rua hāora i muri i te kai
Engari e kī ana te ADA he rerekē ēnei whāinga i runga i tō tau me tō hauora whaiaro, ā, me whakarite kia takitahi.
Ko ngā ketone he matū e hangaia ana i roto i tō ate, hei tauhohenga pākia ki te kai ketosis. Ko te tikanga ka hangaia e koe ngā ketone ina kore e nui te huka kua rongoatia hei pūngao. Ina kite tō tinana e hiahia ana koe ki tētahi atu mea hei whakakapi i te huka, ka hurihia te ngako hei ketone.
Ka taea e ō taumata ketone te noho mai i te kore ki te 3, neke atu rānei, ā, ka inehia i roto i ngā mirimiora ia rita (mmol/L). Kei raro nei ngā awhe whānui, engari kia maumahara ka rerekē pea ngā hua o te whakamātautau, i runga i tō kai, taumata mahi, me te roa o tō noho ki te ketosis.
He mate hauora nui te ketoacidosis diabetic (DKA rānei) ka puta mai i te nui rawa o ngā ketones i roto i te toto. Ki te kore e kitea, e rongoātia rānei i te wā tonu, ka taea e ia te arahi ki te koma, ki te mate rānei.
Ka puta tēnei āhuatanga ina kore e taea e ngā pūtau o te tinana te whakamahi i te hukahuka hei pūngao, ā, ka tīmata te tinana ki te wawahi i te ngako hei pūngao. Ka puta ngā ketone ina wawahi te tinana i te ngako, ā, ka taea e ngā taumata teitei rawa o ngā ketone te whakakawa i te toto. Koia te take he mea nui te whakamātautau Ketone.
Mō te taumata tika o te ketosis kai me ngā ketones i roto i te tinana, he mea nui te kai ketogenic tika. Mō te nuinga o te tangata, ko te tikanga he kai i waenga i te 20-50 karamu o te warowaihā ia rā. Ka rerekē te nui o ia matūkai nui (tae atu ki ngā warowaihā) e hiahia ana koe ki te kai, nō reira me whakamahi koe i tētahi tātaitai keto, me kōrero rānei ki tō kaiwhakarato hauora kia mōhio ai koe ki ō hiahia nui.
He para noa te Waikawa Uriki i roto i te tinana. Ka puta mai i te wā e pakaru ai ngā matū e kiia nei ko ngā purine. He matū tūturu ngā purine e kitea ana i roto i te tinana. Ka kitea hoki ēnei i roto i ngā kai maha pērā i te ate, te ika, me te waipiro.
Ko te nui o te waikawa uric i roto i te toto ka huri i te waikawa hei tioata urate, ka kohia ki ngā hononga me ngā kiko ngohengohe. Ko ngā putunga o ngā tioata urate rite ki te ngira te take o te mumura me ngā tohu mamae o te kauti.