Zunthlum i nei em? A nih loh leh, i chhungte emaw, i thian emaw zingah tu emaw chuan zunthlum a vei em? Tichuan in hriat vek tur pakhat chu taksa sugar level chu a tlahniam nghal vek tih hi a ni. Hei hi damdawi lam tawngin hypoglycemia kan ti a. Hei hi a nasat deuh chuan, chu chu sugar level a tlahniam lutuk chuan ‘severe hypoglycemia’ an ti a ni. Hei hi dinhmun hlauhawm tak leh nunna atana hlauhawm tak a ni. Chutiang hunah chuan hriatna hloh tawh hnenah chuan engmah i pe thei lo. Vawiin hian hetiang emergency-a nunna chhanhimna atana hman tur special injection kan sawi dawn a ni. Chu chu Dasiglucagon a ni.
A awlsam zawngin, Dasiglucagon chu eng nge ni?
Dasiglucagon hi damdawi a ni a, emergency-ah chauh hman a ni. A bik takin, zunthlum vei te thisen sugar level a hniam lutuk a, an hriatna a hloh (severe hypoglycemia) a injection pek thin a ni.
Ngaihtuah teh, kan thin hi sugar depot ang mai a ni. Sugar a khawlkhawm thin. Kan thisen sugar level a tlahniam chuan liver hian sugar tlem a chhuah a, thisenah a dah tel bawk. Mahse zunthlum vei tan chuan insulin ang chi damdawi vang emaw, chhan dang vang emaw chuan sugar chu a tlahniam nghal thei a ni. Chutih lai chuan he Dasiglucagon injection hi pek a nih chuan liver-ah direct-in a kal a, "a biak" a, "Emergency! Thisen chhunga i dah tawh sugar kha rang takin chhuah tir rawh," a ti a. Tichuan liver hian sugar a chhuah a, thisen sugar level pawh a sang zauh zauh a.
Thil pawimawh tak pakhat hre reng ang che: He injection hnu hian damlo chu a hriatna a lo let leh a, a dam tha ang tih pawh ni se, ambulance ko nghal tur a ni a, a nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah hruai tur a ni. Hei hi emergency control nana hun eng emaw chen atana solution chauh a ni. Chumi hnuah chuan damdawi lam pan a ngai ta a ni.
He damdawi hi i pek hmaa i doctor hnena i hrilh tur thilte:
Hei hi emergency damdawi ni mahse, i doctor-in a pek dawnin i medical history kimchang a hriat a pawimawh. A hnuaia tarlan te hi i neih chuan doctor hnenah hrilh ngei ang che.
| I dinhmun | Engvangin nge chu chu doctor hnenah i hrilh a ngai? |
|---|---|
| Pancreatic tumor a ni | Tumor chi thenkhat (e.g., insulinoma) hian he damdawi hnathawh dan hi a tidanglam thei a ni. Tin, he damdawi hi glucagonoma ang chi tumor nei tan pawh a tha lo. |
| Pheochromocytoma natna a ni | Hei hi tumor chi khat, adrenal glands-a lo awm thin a ni. He damdawi hian thisen sang a tisang nghal thei a ni. |
| Natna emaw, zai emaw, thil dang vang emawa ei leh in i tihtlem chuan | I ei leh in loh chuan i thin (liver) hian sugar a khawlkhawm tlem zawk ang. Tichuan, he damdawi hi i ei a nih pawhin i thin (liver) hian i thisen a belhchhah tur sugar a nei lo mai thei. |
| Adrenal gland hnathawh a tlahniam | Hetiang dinhmunah pawh hian damdawi hian a chhang tha lo mai thei. |
| Dasiglucagon, damdawi dang, ei tur, emaw latex emaw allergy i neih chuan | Damdawi avanga allergy na tak a awm theih avangin hei hi hriat a pawimawh hle. |
| Naupai emaw, nau pai tum emaw i nih chuan | Nausen chunga nghawng a neih theih dan tur chungchangah i doctor nen inbiakna neih a ngai a ni. |
| Nuin a fa hnute a pek chuan | Damdawi chu i naute hnenah hnute hnute hmangin a kal dawn nge dawn lo tih doctor nen sawiho rawh. |
Engtin nge he injection hi dik taka i pek theih ang?
He injection hi vun hnuaiah (subcutaneous injection) pek thin a ni. A tlangpuiin pre-filled pen (auto-injector pen) angin a rawn thleng a, chuvangin hman a awlsam hle. Mahse, i doctor emaw nurse emaw chuan nang leh i chhungte hnenah chiang takin a hman dan tur a hrilhfiah ang che.
- Dik takin hmang rawh: I thupek ang chiah khan hmang rawh. A hman dan practice hmasak a pawimawh hle a, emergency-ah chuan a buaithlak thei hle.
- Hmanraw hman tawhte paih dan: Injection pen hman tawh, zungbun, etc. chu bawlhhlawh bawmah paih ngai suh. Chumi atana ruahman bik container (sharps container)-ah dah tur a ni. I neih loh chuan i doctor hnenah dil theih a ni.
Hei hi emergency damdawi a nih avangin nangmah ngeiin i pe thei lo mai thei. Chuvangin , i chhungte, i kawppui, i thian tha ber, emaw, i enkawltu emaw chu a hman dan dik tak i zirtir a pawimawh hle. A dahna hmun pawh an hre tur a ni.
Doctor chuan thil engemaw takah naupang kum 6 chunglam hnenah he damdawi hi a pe thei a, mahse thupek bik zawm tur a ni.
I ei tam lutuk chuan engtin nge i tih ang? (A tam lutuk) .
He damdawi hi mi pakhatin a overdose nia i hriat chuan Colombo National Hospital-a National Poisons Information Center-ah phone nghal rawh. A nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal rawh.
He damdawi i hman hian heng thilte hi fimkhur hle ang che:
- Damdawi lam pan nghal: Kan sawi tawh ang khan injection hnu hian damlo chu a hriatna a lo let leh emaw, a dam leh emaw a nih pawhin damdawi in pan nghal tur a ni. Hei hi tih ngei ngei tur a ni.
- I kutah dah reng ang che: I kalna apiangah he damdawi kit hi keng la.
- Medical ID vuah: Zunthlum i vei tih ziakna bracelet emaw necklace emaw bun a pawimawh hle. Tin, i purse-ah i damdawi ei dan chipchiar taka tarlanna card dah bawk ang che.
- I chhungte hrilh rawh: I chhungte leh i thiante hnenah he damdawi hi khawiah nge a awm tih leh a hman dan tur hrilh rawh. Hei hi emergency a lo thlen hmaa an hriat chian a pawimawh hle.
- I thisen sugar level fimkhur rawh: Thisen sugar hniam (hypoglycemia) leh thisen sugar sang (hyperglycemia) natna lan chhuah dan leh enkawl dan tur zir rawh.
- Sugar tlem te chu i bulah dah la: I thisen sugar level tlahniam i hriat hunah ei tur thil thlum tak, glucose tablet ang chi chu i bulah dah fo ang che.
- Hriat lohna nei lo hnenah hmui hmanga pe suh:I hriatna i hloh chuan, seizure i neih lai ang chi, ei leh in tur ka ei hian choking a thlen thei a ni. Chuvangin injection hi pe hmasa la, damdawi lam tanpuina zawng rawh.
- Hriatna i neih leh hnuah: Injection i pek hnuah, hriatna i neih leh hnuah leh i ei theih hnuah, thisen sugar level a tlahniam leh tawh loh nan carbohydrates (e.g., thei tui, buhfai tlem) awmna ei tur emaw, in tur emaw i pe tur a ni.
- Driving pumpelh rawh: I hriat kim a, thil thlum i ei tawh a, i rilru a hahdam hma loh chuan lirthei khalh emaw, machinery emaw hmang lo la.
Hei hian eng side effect nge a neih theih?
Damdawi dang ang bawkin Dasiglucagon hian side effect engemaw zat a nei thei a ni. Ṭhenkhat chu hlauhawm tak an ni a, ṭhenkhat erawh chu a awm fo.
| Side effects te chu doctor hnenah report nghal tur a ni | |
|---|---|
| Allergy natna a awm thei |
|
| Side effects te chu a awm reng emaw, a buaithlak emaw a nih chuan doctor hnenah hriattir tur a ni | |
| Side effect awm fo thin |
|
He list-ah hian side effect zawng zawng a tel lo. Side effect dang i neih chuan i doctor nen sawiho rawh.
Engtin nge damdawi chu ka dahkhawm ang?
- Naupang lakah hlat rawh: Naupang leh ran vulhte hmuh theih lohna hmunah dah rawh.
- Refrigerated storage: Injection pen hman lohte chu an lo luhna original packaging-ah dah la, refrigerator-ah 2 leh 8 degree Celsius inkar temperature-ah dah rawh. Freeze suh.
- Room temperature-a dah: A tul chuan injection pen hawn loh chu room temperature (20 leh 25 degree Celsius inkar)-ah thla 12 thleng dah theih a ni. Mahse room temperature-a a awm hnuah refrigerator-ah dah leh suh. Thla 12 aia tam room temperature-a a awm tawh chuan paih mai tur a ni.
- Expiry date: Expiry date hi enfiah fo ang che. Damdawi a expiry date a pelh tawh zawng zawng chu paih vek rawh.
- Replacement: Damdawi hman tawh zawng zawng chu a tharin thlak nghal tur a ni. Tichuan emergency lo awm tur atan i inpeih tawh ang.
Damdawi hun kal tawh emaw, duh loh emaw paih dan him ber chu doctor zawt rawh.
Take-Home Thuchah a ni
- Dasiglucagon hi nunna chhanhim thei, emergency injection a ni a, zunthlum vei te chu an thisen sugar level a tlahniam lutuk a, an hriatna a hloh chuan an pe thin.
- He injection an pek hnuah hian damlo chu a rilru a hahdam a nih pawhin damdawi in Emergency Treatment Unit (ETU)-ah hruai nghal tur a ni a, a dik ngei ang .
- I chhungte leh enkawltute hnenah a hman dan tur leh khawiah nge i dah tih chiang takin hrilhfiah rawh.
- He damdawi kit hi i hnenah dah reng ang che. Diabetic i nihzia tilangtu medical ID ha la.
- Injection hnua mi chu a hriatna a lo let leh chuan hypoglycemia ven nan carbohydrate awmna ei tur emaw in tur emaw pe thin ang che.
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