‘Diabetes’ tih thumal i hriat hian thisen sugar sang i ngaihtuah thin a ni lawm ni? Chu chu mi tam zawkin an hriat chu a ni. Mahse vawiinah hian natna danglam tak, a tlangpui lo zawk, hming inang nei kan sawi dawn a ni. Hei hi Diabetes Insipidus (DI) an ti a. Hetianga thil thleng hi thisen sugar level a san vang ni lovin, taksa tui thunun danah harsatna a awm tihna a ni.
Diabetes Insipidus (DI) hi eng nge ni tak tak?
A awlsam zawngin, hetah hian thil thleng hi kan kal (kidney) hnena thuchah thawntu hormone pakhat, "I taksa mamawh tui thenkhat chu dah la, zun angin chhuah tir suh," tih hi kan taksaah a tlahniam emaw, chu hormone chu kal hian a chhang lo emaw a ni.
Chumi avang chuan kal (kidney) hian taksaah tui a vawng thei lo. Chumi avang chuan taksaa tui tam tak chu zun nen a chhuak thin. Chuvangin i tuihal lutuk tih i inhria. He natna hian a hming a pu chhan chu zun chhuak hian thlum a nei lo va, tui ang a ni. Chuvangin mi thenkhat chuan "water diabetes" an ti thin.
Hei hi dinhmun hlauhawm tak a ni em?
Hei hi a tlangpuiin natna khirh tak, nunna atana hlauhawm tak a ni lo. Puitlingin tui a in tam chuan a thih a rinawm loh hle. Mahse, naupang tê tê, tar, rilru lam natna nei tan pawh a hlauhawm deuh thei. A chhan chu tuihalna an nei tha lo emaw, tui an dil thei lo emaw pawh a ni thei.
Ngaihtuah teh, mi hrisel chuan ni khatah zun litre 1-2 vel a paih chhuak thin. Mahse DI vei chuan ni khatah zun litre 3-20 vel a paih chhuak thei! Hetiang zun tam lutuk hi ``Polyuria`` an ti a. Hei hian taksaah tui hlauhawm tak a hloh a , tui a tlakchham phah thin . Chu mai ni lovin, kan nervous system hnathawhna atana pawimawh tak ``electrolytes``, ``sodium`` leh ``potassium`` te balance pawh a bo ta a ni.
Diabetes Insipidus (DI) chi hrang hrang pali te chu .
Hetiang dinhmun hi chi li a awm a. A chi tin hian chhan hrang hrang, enkawl dan leh hun rei tak chhunga nghawng hrang hrang an nei a. Mahse a tam zawkah chuan doctor thurawn angin i dinhmun hi i enkawl tha thei a ni.
1. Central Diabetes Insipidus (Central Diabetes Insipidus) 1. Zunthlum vei te hi a awm lo.
Hei hi a tam ber chi a ni. Heta thil thleng hi taksain kan taksaa fluid balance vawng reng tura puitu hormone ``vasopressin`` hi a siam chhuak tlem hle a ni.
Lu hliam hi a chhan ber a ni thei.. Hormone `vasopressin` siamtu thluak hmun emaw, a dahkhawmna pituitary gland emaw chhiatna. Hei hi infection, surgery, leh thluaka tumor ang chi thil vang pawh a ni thei. A châng chuan, naute tê tê pawh hi genetic reasons vangin he natna hi neiin an piang thei bawk.
Mild DI hi a chang chuan sodium tlem ei hian control theih a ni. Mahse, mi tam tak chuan synthetic hormone desmopressin an tih hi an ei a ngai a ni. Hei hi pill, hnar spray emaw, injection emaw angin ei theih a ni.
A pawimawh ber chu i doctor-in a tih ang chiah chiah ei a, tui i in zat pawh control hi a ni. Tui in tam lutuk hian lu na a thlen thei a, luak a ti na thei a, taksaa sodium level hlauhawm takin a tlahniam thei bawk.
2. Kal nena inzawm DI (Nephrogenic Diabetes Insipidus) .
Heta thil thleng chu thluak hian hormone `vasopressin` hi a siam chhuak tha viau nachungin, chu thuchah chu kal (kidney) hian a ‘hre thei lo’ tih hi a ni. Chu chu kal (kidney) hian a chhang lo tihna a ni. Hei hi pian tirh atangin a awm thei a, a hnuah pawh a lo awm thei bawk.
Hei hi a thlen thei thilte chu:
- Hun rei tak chhunga kal natna.
- Damdawi thenkhat. Entirnan, damdawi lithium, foscarnet, leh clozapine te.
- Thisenah calcium level a sang (hypercalcemia).
- Thisenah potassium level a tlahniam (hypokalemia).
- Urinary tract tihkhawtlai a ni.
He natna chhan bulpui ber hi enkawl a nih chuan a chang chuan he DI natna hi tihdam vek theih a ni.
3. DI (Dipsogenic Diabetes Insipidus) tuihal lutuk avanga lo awm
Hei hi thluaka tuihalna hmunpui, hypothalamus-a hnathawh that loh vang a ni a, chu chuan thunun theih loha tui in duhna a siam a ni. Hei hi rilru lam harsatna thenkhat vang pawh a ni thei. Hemi atan hian damdawi tha tak a la awm lo. Mahse, ice cube leh hmui silna ang chi thilte hian hmui vawt tihziaawmna kawngah a pui thei a ni. Hetah hian hlauhawm hlauhawm tak pakhat chu tui in tam lutuk hian tui in a thlen thei tih hi a ni .
4. Naupai laia lo awm thin Gestational Diabetes Insipidus (DI).
Hmeichhe tam tak chuan naupai thla 3 hnuhnung berah hian he natna hi an nei thei a ni. Hormone inthlak danglamna emaw, nausen chhunga enzyme awm, hormone vasopressin tichhe thei emaw avanga lo awm a ni. Twins kengtute chu an hlauhawmna a sang deuh hlek a ni. Mahse, a tlangpuiin natna na lo tak a ni a, naute pian hnu kar tlemte chhungin a bo vek a ni.
DI management leh features fimkhur tur te
DI chi hrang hrangah hian kan ngaihtuah ber tur pahnih chu dehydration leh electrolyte imbalance hi a ni . Hengte hi a lan chhuah dan hi i hre reng tur a ni.
| Warning feature a ni | Hei hian eng nge a awmzia? |
|---|---|
| Tuihalna nasa tak | Taksain tui a mamawh tam zawk tih signal chak ber. |
| Kawng, hmui leh vun vawt | Taksa tui level a tlahniam tih chhinchhiahna a ni. |
| Chauhna emaw, luak chhuak emaw | Thisen sang hniam vang emaw, thluaka thisen a lut tawk lo vang emaw a ni thei. |
| Zanah zun fo thin | DI natna langsar tak pakhat. |
| Zun rawng dum emaw, zun a tlahniam emaw | Hei hi tui tlakchhamna nasa tak chhinchhiahna a ni thei a, doctor lam pan nghal tur a ni. |
| Thinlung thawk chak emaw, mumal lo emaw | Taksa chhunga electrolytes inthlauhna avanga lo awm thei a ni. |
Heng symptoms te hi i neih chuan a tha ber chu a rang thei ang bera chhungkaw doctor pan hi a ni. Hetiang dinhmun hi i nei a, enkawlna dik leh damdawi lam kaihhruaina nen nun pangngai, hrisel tak i hmang thei a ni.
Take-Home Thuchah a ni
- Diabetes Insipidus (DI) hi zunthlum kan hriat vek a ni lo. Taksa tui inthlauhna nena inzawm harsatna a ni.
- A lan chhuah dan ber chu tuihal lutuk leh zun tam lutuk hi a ni.
- Hetiang dinhmun hi a hlauhawm lo tlangpui a, damdawi lam enkawlna tha tak nen pawh uluk taka enkawl theih a ni.
- Heng symptoms te hi i nei nia i hriat chuan ngaihtuah suh, mahse doctor pan ngei ang che.
- Damdawi hi Doctor-in a sawi ang chiah chiah ei a, a thupek anga tui in a pawimawh hle.
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