Chhungte emaw, thian emaw zunthlum vei i nei em? Mi pakhat thisen sugar level a tlahniam thut emaw, a sang lutuk emaw a nih chuan emergency situation i hre tawh em? Hetih lai hian an inenkawl thei lo mai thei. An nunna chhanhim turin i pui thei ang. Chuvangin, i hriat mi pakhatin zunthlum a vei a nih chuan emergency-a tih tur chungchang sawipui a pawimawh hle.
Diabetic emergency chu eng nge ni?
A awlsam zawngin sawi ila, zunthlum vei pakhatin thisen sugar level hlauhawm taka a hniam emaw, a sang emaw a nih chuan zunthlum emergency a ni. Hei hian natna lan chhuahna na tak a thlen thei a, nunna atana hlauhawm pawh a ni thei. Heng dinhmunte hi chi hnih a awm a.
| Emergency chi hrang hrang | Hrilhfiahna |
|---|---|
| Hypoglycemia (Hypoglycemia) a awm | Thisen sugar level a hniam hle. Mi thenkhat chuan hei hi "insulin shock" an ti bawk. |
| Hyperglycemia a awm | Thisen sugar level a sang thei hle. Hei hian DKA emaw HHS emaw ang chi natna khirh tak a thlen thei a ni. |
Chutiang thisen sugar level inthlak danglamna lian tak chuan kan taksa hnathawh danah nghawng lian tak a nei thei a, chuvangin damdawi lam pan vat a ngai a ni.
Thisen thlum hniam vanga emergency lo awm - "Insulin shock".
Hei hi natna hrik (severe hypoglycemia) an tih a ni. Hei hi thisen sugar level hniam takah a tlahniam a, a tlangpuiin 60 mg/dL hnuai lam a ni. "Insulin shock" tia sawi ni mah se, hei hi insulin ei thinte chauh ni lovin, zunthlum damdawi thenkhat (e.g., sulfonylureas) ei thinte zingah pawh a thleng thei a ni.
Engvangin nge hei hi emergency a nih?
Ngaihtuah teh, kan thluak hian hna a thawh theih nan glucose (sugar) a mamawh a ni. Sugar level a tlahniam lutuk chuan kan ngaihtuah chiang thei lo va, kan pass out thei bawk. Chumi awmzia chu he natna hi mahni chauhin kan enkawl thei lo tihna a ni. Tanpuitu kan neih loh chuan thihna thlengin a thlen thei a ni.
Mi thenkhat chuan an sugar a hniam tih an hre lo. Hei hi ``Hypoglycemia Unawareness'' kan ti a ni.
Sugar tlakchham chhan
- Chaw ei skip.
- Exercise tih dan pangngai aia tam.
- Chaw ei lova zu in.
- Insulin ei tam lutuk, chi dik lo hman emaw, inject dik lo emaw.
- Zunthlum damdawi dose dik lo ei.
Sugar tlahniam chhinchhiahna
A lan chhuah dan chu a tir lamah chuan khur leh riltamna a ni thei. Mahse, enkawl loh chuan a natna a zual thei a, a hnuaia symptoms te hi a thlen thei a ni:
- Rilru tibuai.
- Mit hmuh a fiah lo.
- Chak lohna nasa tak.
- Seizures a awm thin.
- Passing out a ni.
- Coma ah a awm.
Thisen sugar hniam nei mi engtin nge i tanpui ang?
Miin heng symptoms a neih chuan a thisen sugar level enfiah turin hrilh rawh. A dawtah chuan "15/15 dan" zawm turin tanpui rawh.
1. Carbohydrates rang taka ei theih gram 15 pe rawh:
- Glucose tablet 3-4 ei tur a ni.
- Thei tui mililiter 120 (cup chanve vel) emaw, in tur thlum (regular soda) emaw in tur a ni.
- Honey emaw sugar emaw tablespoon khat.
2. Minute 15 nghak rawh: Tichuan i thisen sugar chu enfiah leh rawh. A la hniam chuan carbohydrate portion gram 15 dang pe leh rawh.
Fimkhur tur: Mi pakhat chu nikhaw hre lo a nih chuan medical emergency a ni. Ka ei leh in tur pe ngai suh - a choke thei. Mi pakhat chu trained a nih chuan glucagon injection pe rawh. Thisen sugar level a tisang a ni. Insulin a ni lo! Tichuan 1990 call nghal la, damdawi in pakhat Emergency Department (ETU) ah hruai rawh.
Thisen sugar sang vanga emergency a awm
Thisen sugar level thunun loh chuan emergency pawi tak pahnih a thlen thei a ni.
1. Zunthlum vei Ketoacidosis (DKA) .
Glucose (sugar) chakna atana hman tur insulin a awm loh chuan kan taksa hian chakna atan thau a hal tan thin. Hetiang hian chemical ketone an tih a siam chhuak thin . Heng ketone te hi thisenah a lo awm khawm chuan thisen chu acidic a lo ni a, taksa tan toxic a ni thei. Hei hi DKA an ti a. Hei hi type 1 diabetes vei te zingah a awm fo thin a, mahse type 2 diabetes leh gestational diabetes nei te tan pawh a awm thei bawk.
Engvangin nge DKA hi emergency a nih?
Hei hi nunna atana hlauhawm tak a ni a, DKA hi thihna thlentu lian ber a ni a, a bik takin zunthlum vei naupang zingah chuan thihna thlentu lian ber a ni.
DKA awm chhan: 1.1.
- Insulin harsatna: insulin dose tlakchham, insulin expired hman, insulin pump hnathawh that loh.
- Natna: Infection thenkhat leh damdawi lam thil ten DKA a thlen thei.
- Stress: Rilru lama harsatna nasa tak, heart attack ang chi dinhmun.
- Damdawi thenkhat.
| DKA natna lan chhuah dan | |
|---|---|
| A lan chhuah hmasak ber | |
| |
| Symptom na zawk a awm | |
|
DKA a awm chuan engtin nge tanpui theih ang?
Miin natna lan chhuah hmasak a neih chuan ``ketone test kit hmangin an zun ketone level enfiah turin hrilh rawh.`` Ketone level a san chuan a doctor chu a ko nghal tur a ni. Amaherawhchu, natna lanchhuahna na tak an neih chuan damdawiin emergency room (ETU)-ah hruai nghal tur a ni.
2. Hyperosmolar hyperglycemic syndrome (HHS) natna a awm thei lo.
Hei hi thisen sugar level 600 mg/dL aia sang a nih a, chutiang level-a ni emaw kar tam tak emaw a awm chuan a thleng thin. Hei hian tui tlakchhamna nasa tak a thlen thei a, nunna atana hlauhawm tak a ni.
- HHS hi Type 2 Diabetes vei te zingah a awm fo thin.
- DKA angin a lo thang chak lo va, ni engemaw zat chhungin a lo thang zauh zauh thin.
- HHS-ah chuan DKA angin thisenah ketones a awm khawm lo.
HHS awm chhan: 1.1.
- Type 2 diabetes control tha lo.
- Infection, pneumonia leh zun kawng infection te.
- Heart attack leh stroke ang chi natna te.
- Damdawi thenkhat.
HHS natna lan chhuah dan:
A lan chhuah dan chu hmui a vawt, tuihal lutuk, zun tam, khawsik, thinlung na rang, buai, tawng inthlak danglam, taksa sir khata chak lohna, leh hriatna hloh te a ni thei.
Hetiang dinhmunah hian engtin nge HHS hian a puih theih ang?
An doctor chu ko nghal rawh. Tichuan rang takin damdawi in pakhat Emergency Treatment Unit (ETU)-ah hruai nghal rawh.
Zunthlum vei Coma a awm
Hei hi zunthlum vei emergency na ber a ni. Thisen sugar level sang lutuk (DKA emaw HHS vang) emaw, hniam lutuk (hypoglycemia na tak vang) avanga enkawl loha awm rei lutuk. Coma-a awm chuan thusawi emaw, khawih emaw a chhang lo vang.
Engvangin nge diabetic coma hi emergency a nih?
Hei hi nunna atana hlauhawm tak a ni a, a chhan chu a thlentu dinhmunte hian thisen rimchhia, taksa peng hrang hrang a tichhe thei a, thluak a tichhe vek a, thihna thlengin a thlen thei a ni.
Diabetic coma-a awm chu engtin nge i tanpui ang?
Zunthlum vei chu a rilru a buai a, a chhang let thei lo a nih chuan diabetic coma a ni thei.
- 1990 emaw emergency service number emaw call nghal rawh.
- Telephone operator-in a pek angin zawm rawh.
- I sugar a hniam mai thei tih ngaihtuahin i ka chhungah engmah (juice, sugar water) dah suh. Hei hian choking a thlen thei.
- Miin a luak chuan a luak loh nan a sir lamah hawitir thin ang che.
Zunthlum vei Emergency Kit a ni
Emergency atana inbuatsaih hian i nunna emaw, i hmangaih tak nunna emaw a chhanhim thei a ni. Heng thilte hi i bulah dah la, i in chhunga mi zawng zawngin an awmna hmun an hriat ngei ngei tur a ni.
- Insulin: Insulin i hman chuan supply thar expire loh chu dah reng tur a ni.
- Sugar a tlem huna thil pek tur: thei tui, sugary drinks, emaw glucose tablets emaw.
- Glucagon kit: I hriat loh chuan thisen sugar level tihsan nan. Zunthlum vei i enkawl a nih chuan hei hi hman dan tur hre rawh.
- Ketone test kit: DKA rinhlelh a nih leh nih loh test nan.
- Medical alert bracelet: Hei hian emergency a awm chuan zunthlum vei i nihzia hriat theih nan a pui thin.
- Damdawi i ei dan kimchang: Tunah hian hei atan hian phone `apps` pawh a awm tawh.
Take-Home Thuchah a ni
- Zunthlum vei chuan thisen sugar level hlauhawm takin a sang emaw, a hniam emaw thei. Chungte chu diabetic emergency an ti a.
- Thisen thlum hniam (khuh, khur) leh thisen sugar sang (tuihal tam lutuk, thei thaw thaw) te chu fimkhur hle ang che.
- Mi pakhat chu a hriat loh chuan ambulance ko nghal tur a ni (1990). An kâah engmah dah ngai suh.
- Zunthlum i neih chuan emergency-a i tih tur i mimal ruahmanna chungchang chu i doctor nen sawiho rawh.
- I ṭhian emaw, chhungte emaw zunthlum vei i neih chuan, anmahni ṭanpui dan hriat hian nunna a chhanhim thei a ni.











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