Zunthlum i vei a nih chuan i thisen sugar level control a pawimawh zia i hre ngei ang. Nitin i thisen sugar level endik bakah, i thisen sugar level a san chuan i taksain a lan chhuah dan hriat a pawimawh bawk. A tlangpuiin i thisen sugar level a san chuan tuihal, chau, leh rilru hah i nei thei. Mahse, i thisen sugar level chu thunun theih loh a nih chuan thil awm lo chu i hmu tan thei a, i hre tan thei bawk. Hei hi thil awlsam tak a ni lo .
Engvangin nge thil hi a hmun dik lo ang maia a lan? A chhan i zawng chhuak ang u.
Hei hi damdawi lam tawngkam a ni a, thil awm lo hmuh leh hriatna a ni. Zunthlum vei miin he natna a neih chhan ber chu natna khirh tak Hyperosmolar Hyperglycemic Syndrome an tih vang a ni. A hming hi a buaithlak deuh nachungin, awlsam takin i hrethiam ang u.
A awlsam zawngin, he natna hi i thisen sugar level a san em em a, chu chu 600 mg/dL aia sang a nih chuan a lo awm thin. Chutiang a nih chuan kan taksa hian he sugar tam lutuk hi zun hmangin paih chhuah a tum thin. Amaherawhchu, he sugar hi kan paih bo chuan tui tam tak kan hloh bawk a, chu chu taksa tana pawimawh tak a ni.
Ngaihtuah teh, hei hi tuikhuah hnuai a leivut lak chhuah ang mai a ni a, tank chhunga tui tha zawng zawng pawh paih vek a ni.
Hetianga taksa atanga tui tam lutuk a bo chuan taksa chu nasa takin a tlakchham phah thin. Hetah hian buaina lian ber chu a intan a ni. Kan taksa hnathawh dan pangngai, a bik takin thluak leh nervous system hnathawhna atana pawimawh mineral chi khat a awm a. Heng electrolyte te hi ``Electrolytes`` kan ti thin. Dehydration a nasat chuan heng electrolyte te balance hi a buai vek a ni.
Kan thluak cell te hi electrical message te tak te ang maiin an inbiakpawhna a ni. Heng electrolyte te hian thuchah inthlengnaah a pui thin. An balance loh chuan thluak inbiakpawhna kalphung a tibuai a.
He buaina avang hian thil awm lo i hmu tan thei a, awm lo thawm i hre tan thei a, mi pakhatin a vuak che ang maiin i inhriat phah thei bawk. Mahse lungngai suh, heng hallucinations te hi i doctor-in damdawi inah rehydrate che a, i thisen sugar level a control hnuah a bo vek ang.
He natna khirh tak lan chhuahna dangte hi engte nge ni?
Thil awm lo hmuh bakah hian he natnaah hian symptom dang engemaw zat a awm thei bawk. Hengte hi hriat chian a pawimawh.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Tuihalna nasa tak | Tui engzat pawh in la, tihreh theih loh tuihalna tuar theih loh hriatna. |
| Zun chhuah fo thin | Taksain sugar tam lutuk tihbo a tum avangin bathroom kal a ngai fo thin. |
| Khawsik | Dehydration emaw infection emaw avanga taksa lumna sang. |
| Mit hmuh a fiah lo | Thisen sugar level sang hian mit lens a nghawng a, mit a ti fiah lo. |
| Taksa chak lohna | Taksa chhunga rilru hahna, a chang chuan taksa peng pakhat, kut emaw ke emaw tihchet theih lohna. |
| Thil hriatna hloh | I dinhmun a nasat chuan i hriatna i hloh thei a, i tlu thei bawk. Hei hi a hlauhawm hle mai. |
He natna hi tuin nge vei tam ber?
Hetiang dinhmun hi hyperosmolar hyperglycemic syndrome (HHS) an tih hi a awm vak lo. Mahse zunthlum chi hrang hrang neiah a lo awm thei. Mahse, type 2 diabetes vei te hi an hlauhawm ber a ni. A bik takin:
- Kum 60 chunglam tan chuan.
- Hun rei tak chhung natna dang, thinlung natna nei te tan.
- Hri kai theihna avanga damlote tan.
Hetiang thil hi mi chungah a thleng a nih chuan engtin nge kan tih ang?
I in chhunga zunthlum vei mi pakhat chu a buai nghal mai a, tumah an awm loh laiin pindan chhunga mi pakhat nen an inbia a, a nih loh leh bang-a thil awm lo chu a hmu tih a sawi ang tih han ngaihtuah teh. Chutih rual chuan an chau hle a, an tuihal hle tih an sawi bawk. Hei hi emergency medical attention mamawh tak a ni.
1. Thlamuang rawh: A hmasa berin, thlamuang rawh. I hlauthawng a nih chuan i ngaihtuah chiang thei lovang. Damlo chu thlamuan bawk ang che.
2. Damlo chu damdawi inah hruai nghal rawh: Hei hi in lama enkawl theih thil a ni lo. Damlo chu a rang thei ang bera damdawi inah hruai rawh. Emergency treatment unit (ETU) hi duhthlanna hmasa ber ni se. A theih chuan 1990 ambulance service biak a tha ber.
3. Tui pe: Damlo chu a fimkhur a, tui a in thei a nih chuan damdawi in an thlen hma chu tui tlem pe la.
Hetiang dinhmunah hian hun hi a pawimawh ber a ni. Chuvangin damlo chu a rang thei ang bera doctor hnena refer a pawimawh a, mahni damdawi hmanga inven ai chuan.
Damdawi inah eng enkawlna nge i dawn a, engtin nge hei hi i dam khawchhuah theih?
Damdawi inah i dah hnuah doctor-te chuan he natna hi control turin a tul angin enkawlna an tan ang.
- Intravenous fluids (IV fluids): Hei hi dehydration avanga tui hloh zat thlak nan a pawimawh hle.
- Electrolytes pek: Hengte hi taksaa mineral awmte balance siam that nan pek thin a ni.
- Insulin pek dan: Insulin hi thisen sugar level sang chu zawi zawiin control a, a normal level-a hruai kir leh turin pek a ni.
A tha ber chu he dinhmun hlauhawm tak hi a thlen loh nan ven hi a ni a, a thlen hun nghah ai chuan. Chutianga tih theih awmchhun leh tha ber chu i zunthlum hi uluk taka control hi a ni.
- I doctor thupek ang chiah kha zawm rawh.
- Damdawi chu a hun takah ei rawh.
- I thisen sugar level enfiah fo la, record siam rawh.
- Ei leh in hrisel ei rawh.
- Exercise hi thlahthlam suh.
- I damloh hian (khawsik emaw flu emaw ang chi) i thisen sugar level hi fimkhur zual la, natna i neih laiin i thisen sugar level a sang thei a ni.
Heng thilte hi dik taka i tih chuan heng harsatna lian tak takte hi a tam zawkah chuan i veng thei a ni.
Take-Home Thuchah a ni
- Zunthlum vei chuan thisen sugar a san chuan thil awm lo hmuh emaw hriat emaw (hallucinations) ang chi symptoms a nei thei.
- Hei hi natna khirh tak, nunna atana hlauhawm thei, hyperosmolar hyperglycemic syndrome (HHS) tih chhinchhiahna a ni.
- A lan chhuah dan dangte chu tuihal nasa tak, zun tam, khawsik, mit hmuh fiah lo, leh hah lutuk te hi a ni.
- Heng symptoms te hi a lo awm a nih chuan medical emergency anga ngaih tur a ni a, damlo chu damdawi in Emergency Treatment Unit (ETU)-ah hruai nghal tur a ni.
- He natna laka invenna tha ber chu i zunthlum hi uluk taka control a ni a, doctor thupek zawm a ni.
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