Kan ramah hian zunthlum hi natna tlanglawn tak a lo ni ta tih kan hre vek. I chhungte zingah emaw, i thian emaw, nangmah ngei pawhin hetiang dinhmun hi i nei ve mai thei. Mahse, engvangin nge Type 2 Diabetes hi a hluar em em? Vawiin hian hei hi a nghawng chhan dik tak leh kan taksa chhunga thil thleng kan hriatthiam loh te kan sawi mai dawn a ni.
Engvangin nge zunthlum kan vei? Insulin hnathawh dan
Hei hi hrethiam tur chuan kan taksa hnathawh dan hi han thlir hmasa ila. Kan taksa hi motor ang maiin han ngaihtuah teh. He car hian a tlan theih nan gasoline a mamawh a ni. Chutiang bawkin kan taksaa cell maktaduai tam takte hian hna thawk turin chakna an mamawh a ni. He chakna hi kan ei tur kan ei chhuah atanga kan lo awm thin sugar, glucose , atanga lo chhuak a ni. He glucose hi thisenah a awm a.
Mahse he glucose hi cell chhungah a lut mai thei lo. "Key" a mamawh a ni. Chu key chu hormone insulin a ni . He insulin hi kan pum chhunga taksa peng pakhat, pancreas an tih atanga siam a ni. Kan ei hian thisenah glucose level a sang a, chuvangin pancreas hian insulin a siam chhuak a, thisenah a dah tel bawk. He insulin hian cells "kawngkhar" a hawng a, glucose chu a luh tir a, chutah chuan cell te chuan chakna an hmu a, thisen sugar level chu a control ta a ni.
Chuvangin, he thil kalphung hi a kal sual chuan zunthlum hi a lo awm thin. Kawngpui pathum hmangin a thleng thei a ni:
1. I pancreas hian insulin a siam tling lo .
2. Pancreas hian insulin siam mahse, taksa cell te hian chu insulin chu an chhang tha lo . Chabi nei chung pawha kawngkaa khar (tortoise) ang mai a ni. Damdawi lam hawi chuan hei hi insulin resistance kan ti a ni.
3. Heng thil pahnih hi a thleng dun a.
Type 2 diabetes vei te hian an taksaah insulin an siam chhuak thin. Mahse buaina chu a tling tawk lo emaw, cell te hian an hmang thei lo emaw a ni. Chuvang chuan glucose chu cell-ah a lut thei lo va, thisenah a pung khawm ta a ni. Chu chu ‘high blood sugar’ kan tih chu a ni.
Risk factor lian ber berte chu engte nge ni?
Zunthlum hi chhan pakhat chauh a awm lo va, thil tam tak inzawmkhawm a ni. A bulpui berte chu eng nge ni tih han en ila.
Taksa rihna leh exercise lak loh
Hei hi a chhan ber leh a tlangpui ber a ni . Taksa rihna a nih chuan zunthlum vei theihna a sang hle a, a bik takin san zawng atana rit tha ber aia sang a ni. Chu aia hlauhawm zawk chu pum chhunga thau (belly fat) a awm khawm hi a ni . Heng extra fat cells te hian insulin resistance a tipung nghal vek a ni.
Inactive lifestyle, ni tam zawk thut a, exercise engmah tih loh tihna hian he risk hi a tipung lehzual a ni. I taksa rih zawng 5% atanga 10% chauh tihtlem hian zunthlum vei theihna a ti tlem thei hle.
Ei leh in dan tha lo
Kan ei zawng zawng hian thisen sugar level a nghawng vek a ni. A bik takin, .
- Chaw thau (e.g., short-eats, kottu, buhfai hmin) .
- In tur leh ei tur thlum (cake, biscuit, toffee, in tur thlum) .
- Sa siam chhuah (processed sa) te
- Chhang var leh buhfai var ang chi carbohydrates ei tam lutuk
Hetiang ei leh in hian taksa rihna a tipung thei a, insulin resistance a thlen thei bawk.
Chhungkaw chanchin (lineage) .
Hei pawh hi thil pawimawh tak a ni. I nu, i pa, i unaupa emaw, i unaunu emaw hian zunthlum vei an neih chuan midang aiin i vei theihna a sang zawk a ni. Hei hi genetic link a awm a ni. Mahse i chhungkuaa mi pakhatin a neih vang mai mai chuan i tipung ngei ang tihna a ni lo. Mahse midang aiin i fimkhur zawk tur a ni.
Kum leh hnam
Kum 45 hnuah zunthlum vei theihna hi a pung zauh zauh a, khawvel hmun hrang hranga survey an neihah chuan hnam thenkhat tan chuan he hlauhawmna hi a sang zawk tih hmuhchhuah a ni bawk. Entirnan, keini Asia mite hian risk kan nei sang zawk hle.
Zunthlum nena inzawm hriselna lama harsatna dangte
Diabetes thlen thei natna thenkhat a awm a. Chung zinga pakhat emaw, a aia tam emaw i neih chuan Doctor nen inbia a, zunthlum test neih hi a finthlak hle ang.
| Hriselna dinhmun/risk factor | Hrilhfiahna awlsam tak |
|---|---|
| Thisen sang lutuk | Thisen sang leh zunthlum hi inzawmna nghet tak a nei a. |
| Thisen thau zat (Cholesterol) 1.1. | Thisenah cholesterol tha (HDL) a tlahniam a, thau chi khat triglycerides an tih a pung bawk. |
| A rilru a hah lutuk chuan a rilru a buai em em a, a rilru a hah lutuk chuan a rilru a buai em em bawk a. | Hei hi hormone condition a ni a, hmeichhiate a nghawng a ni. PCOS vei tam tak pawhin insulin resistance an nei ve bawk. |
| Naupai laia zunthlum vei | Gestational diabetes hi naupai lai chauha lo awm a, nau neih hnua bo vek tur a ni. Hetiang natna vei te hi an naupan laiin type 2 diabetes an vei theihna a sang hle. |
| Prediabetes a awm thei | Thisen sugar level pangngai aia sang, mahse zunthlum anga ngaih theih khawpa sang lo dinhmun. Hei hi vaukhânna ang a ni. |
Chhan dang
- Meizial zuk: Meizial zu mite hian zunthlum vei an tam zawk a, zu in lote aiin 30%-40% velin an sang zawk.
- Mut harsatna: Mut tam loh hian taksa hormone function leh insulin sensitivity a ti tlem a ni.
- Damdawi thenkhat: Thisen sang, rilru natna, leh cholesterol damdawi thenkhat (e.g., steroid, diuretics thenkhat) te hi hun rei tak hman a nih chuan thisen sugar level a tisang thei a ni. Mahse, hei vang hian i doctor-in damdawi a pek chu ei khap suh . Thil ngaihtuah tur i neih chuan doctor nen inbia ang che.
Engtin nge zunthlum i vei tih i hriat theih ang?
Doctor chuan thisen test result enin zunthlum i vei tih a nemnghet tlangpui. Diagnosis hi heng zinga pakhat emaw a aia tam emaw hmanga tih a ni.
- Fasting Blood Sugar (FBS): He test hi darkar 8-10 tal chaw nghei hnuah tih a ni a, a value chu 126 mg/dL aia sang a ni.
- HbA1c test: Hei hian thla 2-3 kalta chhunga i thisen sugar level average a teh a ni. A value chu 6.5% aia tam a nih chuan.
- OGTT (Oral Glucose Tolerance Test): Glucose solution in atanga darkar hnih hnuah thisen sugar level 200 mg/dL aia sang a nih chuan.
A tlangpuiin, Doctor chuan test pakhat chauh hmangin natna a hmuchhuak lo va, ni dangah enfiah lehin a nemnghet zawk thin.
A pawimawh ber chu heng risk factor pakhat emaw a aia tam emaw i neih chuan hlauthawng lo tur a ni. Zunthlum i vei tihna a ni lo va, i nunphung i enkawl a hun tawh tihna a ni.
Take-Home Thuchah a ni
- Type 2 diabetes thlentu ber chu taksa rihna tam lutuk (a bik takin pum thau) leh exercise neih loh vang a ni . Hengte hi kan thlak danglam thei a ni.
- I chhungkuaa tu emaw chuan zunthlum vei an neih chuan midang aiin i fimkhur a ngai hle.
- Damdawi lam thil dang, thisen sang leh cholesterol te hian zunthlum vei theihna a tipung a ni. Chuvangin, chutiang dinhmunte chu uluk taka control a pawimawh hle.
- Ei leh in hrisel, nitin exercise, leh i san zawng atana taksa rihna hrisel neih te hi zunthlum laka invenna tha ber a ni.
- Zunthlum vei theihna tur ngaihtuahna emaw, hlauhawmna emaw i neih chuan i doctor nen zalen takin sawi la , a tul anga thurawn leh test la rawh. A hriat hma poh leh control a awlsam zawk.











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