‘Diabetes’ tih thumal kan hriat hian sugar natna kan ngaihtuah thin a ni lawm ni? Mahse, ‘Diabetes’ an tih natna pahnih, inzawmna nei lo a awm tih i hria em? Heng pahnih hming chauh hi a inang a ni. A natna lan chhuah dan, a chhan leh a enkawl dan pawh a inang lo vek. Chuvang chuan a chang chuan heng hming pahnih hi a buaithlak thei hle. Chuvangin vawiinah hian heng natna pahnih hi dik taka thliar hran tur leh hriat chian theih nan kan sawiho ang u.
A awlsam zawngin sawi ila, heng natna pahnih hi eng nge an danglamna?
Heng natna pahnihte hian hming inang mah se, taksa a nghawng dan erawh a inang lo tak zet a ni. Engtin nge tih i en ang u.
Zunthlum natna - Zunthlum natna
He natna hi ‘diabetes’ emaw ‘sugar disease’ emaw tiin kan hre vek. Damdawi lamah chuan Diabetes Mellitus kan ti a ni. Hetiang dinhmunah hian kan pancreas-in hormone insulin a siam chu a tawk lo emaw, taksa cell-te pawhin an chhang tha lo emaw a ni. Insulin hnathawh ber chu kan ei tur atanga sugar, glucose chu cell-ah chakna pe turin a lut a ni. Chuvangin insulin hian hna a thawk tha tawh lo a nih chuan thisen sugar level chu hlauhawm takin a sang chho thin.
Diabetes Insipidus - Mi tam zawkin an hriat loh Diabetes
Hei hi mi tam takin an hriat ngai loh dinhmun a ni. Zunthlum nen hian inzawmna a nei lo. Diabetes Insipidus hi kan kal atanga zun chhuah tam lutuk hi thunun theih loh a ni. A tlangpuiin mi hrisel chuan ni khatah zun litre 1-2 vel a paih chhuak a, he natna vei erawh chuan ni khatah litre 3 atanga litre 20 vel a paih chhuak thei thung. Chutiang zat chu han ngaihtuah teh! Hei hi a tam zawk hi tui a ni. Chuvangin taksa atanga tui tam tak a chhuah hian tuihal lutuk a awm hi thil mak a ni lo. Hei hi thluak atanga chhuak hormone vasopressin an tih buai vang a ni.
Symptoms inang lo leh inang lo
A buaina chhan chu natna pahnih chhinchhiahna thenkhat chu a inang vek vang a ni. Mahse chutiang symptoms lo awm chhan chu a danglam vek a ni. Chu chu he table atang hian i hrethiam ang u.
| Symptom a ni | Zunthlum natna (Diabetes Mellitus) a ni | Zunthlum natna (Diabetes Insipidus) a ni |
|---|---|---|
| Tuihâl lutuk | Thisen glucose (sugar) level a sang hle. Taksa chuan he sugar tam lutuk hi zun hmanga paih chhuah nan tui tam zawk a dil a ni. | Tui tam lutuk hi zun hmanga taksa atanga chhuak a nih avangin taksain tui a tlakchham loh nan tui a mamawh reng a ni. |
| Chauh lutuk | Thisen sugar level a san emaw a hniam emaw chuan taksain a mamawh chakna a siam chhuak thei lo va, chu chuan hahdamna a siam thin. | Zun tam lutuk avanga tui tlakchhamna leh taksa atanga electrolyte sodium leh potassium te hloh hian hahna nasa tak a thlen thei a ni. |
| Mit hmuh a fiah lo | Thisen sugar level sang hian mit lens a nghawng thei a, hun eng emaw chen chu mit a fiah lo thei bawk. | Hun rei tak chhung taksaa tui tlakchhamna hian mit a ti vawt thei a, mit hmuhna a tichhe thei bawk. |
A pawimawh ber chu heng symptom pahnih hi i neih chuan a chhan dik tak hriat chhuah hi a ni. Chumi atan chuan doctor i pan ngei tur a ni.
Engtin nge heng natna pahnih hi i thliar hrang a, i hriat chian?
Doctor chuan test hrang hrang hmangin heng natna pahnih hi a thliar hrang a, a hriat theih nan a hmang thin.
Diabetes Mellitus hmuhchhuah dan:
Hei hi hriat theih nan thisen test lian ber ber engemaw zat a awm.
- Fasting Blood Sugar (FBS): Darkar 8 tal chaw nghei hnua thisen test thin a ni.
- HbA1c test: Hei hian thla 2-3 kalta chhunga i thisen sugar level zatve (average) hriat theihna a pe a ni. Hei hian chaw nghei a ngai lo.
Heng test result a\ang hian i doctor chuan zunthlum emaw prediabetes emaw i nei tih a hre thei ang.
Diabetes Insipidus hmuhchhuah dan:
Hei hi diagnose a buaithlak deuh. Chutiang ti tur chuan test eng emaw zat tih a ni.
- Thisen test: Hei hian i thisen sodium level a test a, sugar level a test lo. Dehydration hian sodium level a tisang thei a ni.
- Urinalysis: Hei hian i zun chu engtiang chiahin nge concentrated emaw dilute/watery emaw a nih tih a test thin. Darkar 24 chhunga zun lakkhawm leh zun i siam chhuah zat teh turin an ti thei bawk.
- Fluid tlakchhamna test: 1.1.Hei hi test bik a ni. I doctor chuan hun engemaw chen chu tui in tawh lo turin a hrilh ang che. Tichuan, darkar tin darkar engemaw zat chhung chu i rihna, thisen sang leh zun volume te enfiah a ni ang. Hei hi damdawi inah tih a ni tlangpui.
- MRI scan: MRI hian he natna hi i vei em tih chiang takin a hre thei lo. Mahse, thluaka pituitary gland emaw hypothalamus emaw-a harsatna (tumor emaw infection emaw ang chi) a awm leh awm loh a enfiah thei a, chu chu a thlen thei a ni.
Enkawlna kawng hrang hrangte chu engte nge ni?
Thu lawmawm tak chu heng natna pahnih zinga pakhat mah hi tihdam kim theih a nih loh laiin, a enkawl tha hle a, nun pangngai an hmang thei a ni.
Diabetes Mellitus enkawl dan tur
Type 1 emaw Type 2 emaw diabetes i nei emaw, enkawlna tum ber chu thisen sugar level control hi a ni.
- Damdawi: Insulin injection emaw, doctor-in a pek pill dang emaw.
- Nunphung: Ei leh in hrisel zawm , exercise neih fo , leh taksa rihna, cholesterol, leh thisen sang control hi a pawimawh hle.
- Regular check-up: Doctor pan a, regular check-up neih a pawimawh hle.
Diabetes Insipidus enkawl dan tur
Enkawlna chu Diabetes Insipidus chi hrang hrang i neih danah a innghat.
- Central DI: Hei hi thluaka hormone Vasopressin siam chhuah tlem vang a ni. Hei hi enkawlna chu chu hormone ang chiah, synthetic hormone, Desmopressin tih a ni. Hnar spray, pill, injection angin a lo thleng thin.
- Nephrogenic DI: Hetiang a nih chuan thluak hian hormone hi a siam chhuak a, mahse kal (kidney) hian a chhang let lo. A natna lan chhuah dan control nan damdawi chi hrang hrang, diuretics te pek thin a ni.
- Dipsogenic DI: Hei hi thluaka tuihalna thununtu part-ah harsatna a awm a, chuvangin tui i hloh lai pawhin tuihalna i nei lo. Hei hi enkawlna bik awm lo mahse, doctor-te chuan ice cube emaw sour candy emaw ei a, tuihalna thlen turin an rawt a ni.
- Gestational DI: Hei hi naupai laia lo awm thei a ni. Naute pian hnuah a bo vek fo thin.
Take-Home Thuchah a ni
- Diabetes Mellitus leh Diabetes Insipidus hi natna chi hnih, hming inang lo tak nei mah se, a inang lo tak zet a ni.
- Mellitus hi thisen sugar (glucose) sang tak nena inzawm natna a ni. Insipidus hi hormone problem a ni a, kidney atanga tui hloh tam lutuk vang a ni.
- Heng natna pahnihah hian tuihal lutuk leh zun tam lutuk ang chi symptoms hi a awm ve ve a, mahse a chhan erawh a inang lo.
- Hetiang symptoms i neih chuan guesswork hmanga thutlukna siam lo la, doctor pan ngei ngei tur a ni a, diagnosis dik tak hmu ngei ang che.
- Heng natna pahnihte hi hlawhtling taka thunun theih a ni a, enkawl dan dik leh nunphung thlak danglam a nih chuan nun hrisel tak kan nei thei a ni.
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