Zunthlum i nei em? A nih loh leh i chhungte emaw, i thian emaw zingah tu emaw? Tichuan doctor-in a pek che pill leh insulin injection chungchangah zawhna tam tak i nei ngei ang. "Engvangin nge he damdawi hi min pek?", "He pill hian taksa chhungah eng nge a tih tak tak?", "Hei hi nitin ka ei a ngai em?" Chutiang thil chu i rilruah a lo lang mai thei. Hengte hi zawhna pangngai a ni a, lungngai suh. Vawiin hian heng zawng zawng hi awlsam takin i hrethiam ang u, kan thianpa nen kan inbia ang maiin.
I lo en hmasa phawt ang u, engvangin nge zunthlum damdawi kan mamawh?
A awlsam zawngin sawi ila, zunthlum hi kan taksain kan thisena sugar level a control tha thei lo tihna a ni. Kan taksa hian kan ei leh in atanga sugar (glucose) a hman theih nan insulin an tih hormone a mamawh a. Diabetes-ah chuan he hormone, insulin siam chhuah hi a tlahniam a, a nih loh leh taksain insulin a siam chhuah chu a chhân lêt ṭha lo a ni.
Thisen sugar level hi thunun theih loha rei tak a awm chuan kan mit, kal, thinlung leh nerve te a tichhe thei a ni. Doctor-te chuan heng dinhmun hlauhawm tak takte laka inven nan damdawi an pe thin. Heng damdawi te hnathawh ber chu thisen sugar level him taka awm theihna tura puih a ni.
Zunthlum damdawi hman berte chu engte nge ni?
Zunthlum damdawi hi chi hnihah then theih a ni.
1. Oral Medications: Hengte hi mi tam zawkin an tan hmasak ber a ni.
2. Injectable Medications: Chung zingah chuan insulin leh injection chi thar zawk dangte pawh a tel.
I doctor chuan pills emaw, injection emaw, a pahnih emaw pek che tur chu a rel ang. Hei hi thil tam takah a innghat ang a, chung zingah chuan i zunthlum chi (Type 1 emaw Type 2), i thisen sugar level, i kum leh damdawi lam harsatna dang i neih theih zawng zawng te pawh a tel ang.
Pill hman tlanglawn ber berte i zir dawn teh ang.
Sri Lanka leh khawvel hmun hrang hrangah zunthlum damdawi chi hrang hrang hman a ni. An taksaah hian an hnathawh dan a inang lo deuh vek a. A chi hrang hrang hi han thlir ila.
| Ruihhlo Class Hming | Taksa chhunga a hnathawh dan (a awlsam zawngin) . | Entirna hman tlanglawn tak tak |
|---|---|---|
| Biguanides a ni | Liver-in sugar a siam chhuah a ti tlem a, taksa cell-te insulin laka sensitivity a tipung bawk. | Metformin - Hei hi mi tam tak hnena damdawi pek hmasak ber a ni. |
| Sulfonylurea te pawh a awm | Kan pancreas nen inbiakna neiin "insulin siam belh leh rawh" tih hian a pui thin. | Glimepiride, Gliclazide hmanga siam a ni |
| DPP-4 Inhibitor te hi a awm a | Chaw ei zawha thisen sugar level a san chuan insulin siam chhuahnaah a pui thin. Thisen sugar level a hniam chuan insulin hi engmah lova siam chhuah a ni lo. | Sitagliptin, Linagliptin tih te hi a ni |
| SGLT2 Inhibitors te hi a awm bawk | Taksa chhunga sugar tam zawk thenkhat chu zun hmangin kal kaltlangin a paih chhuak thei a ni. | Empagliflozin, Dapagliflozin tih te hi a ni |
A pawimawh ber chu heng damdawi zawng zawng hian hna a thawk dan a inang lo vek a, chuvangin i thianpa damdawi ei mek hian i tan a thawk lo mai thei. I doctor-in a pek tur damdawi chauh ei la, a pek ang chiah chiah.
Insulin leh thil dang injection te
A chang chuan thisen sugar hi pill hmang chauha control a harsa thin. A bik takin Type 1 Diabetes vei te leh Type 2 Diabetes hun rei tak lo vei tawh te tan chuan insulin injection a ngai a ni.
Insulin injection hi chi hrang hrang a awm a:
- Fast-acting insulin: Hengte hi chaw ei hma minute 15 vel pek thin a ni tlangpui.
- Insulin rei tak thawk thei: Hengte hi ni khatah vawi khat inject a nih chuan darkar 24 vel an thawk thei.
Chu bakah, injection chi thar `GLP-1 agonists` tih te chu tunah chuan zunthlum tan hman a ni ta (`Semaglutide (Ozempic)`, `Liraglutide (Victoza)` te ang chi). Hengte hian insulin siamchhuahna kawngah a pui a, riltam tihziaawmna leh taksa rihna tihtlem nan a pui bawk.
Damdawi chungchanga hriat reng tur thilte
1. Side effects hlau suh, fimkhur rawh.
Damdawi dang ang bawkin zunthlum damdawi hian side effect tenau te a nei thei a ni. Entirnan, mi thenkhat chuan metformin an ei tan hnu ni engemaw zat chhungin an pum a na emaw, an rilru a na emaw a awm thei. Hengte hi ni engemaw zat chhungin a bo tlangpui.
2. A bik takin hypoglycemia chungchangah fimkhur hle ang che.
Hei hi a pawimawh hle. A bik takin insulin leh sulfonylurea ei thinte hian hei hi an hriat chian a ngai hle. Hypoglycemia chu thisen sugar level a tlahniam lutuk a ni. Chutiang a lo thlen chuan, .
- Thawmhnaw a chhuak nasa hle.
- Ka taksa chu a nghing a.
- Ka lu a luang (dizzy).
- Ka ril a tam hlein ka hria.
- Concentrate a harsa khawp mai.
Heng symptoms te hi i neih chuan thil thlum (sugar tuiah teaspoon 2-3, glucose tlem, in tur thlum, toffee chi khat) ei nghal tur a ni. Tichuan buhfai ang chi starchy food ei rawh. Hetiang hi a thleng fo a nih chuan doctor pan ngei ngei tur a ni. I damdawi ei tur chu siamrem a ngai mai thei.
3. Damdawi hi mahni chauhin chawlhsan ngai suh, thlak ngai suh
"Tun dinhmunah chuan ka thisen sugar hi a normal vek tawh a, chuvang chuan damdawi ka mamawh tawh lo" tih ngaihtuahin nangmah chauhin i damdawi ei kha bansan suh. Chu chu a hlauhawm hle mai. Damdawi i ei avangin i thisen sugar chu control theih a ni. I doctor chauh hian damdawi hman dan tur thlak danglam emaw, tihtawp emaw, damdawi thar ei tan theihna thuneihna a nei a ni.
4. Damdawi dang i ei a nih chuan i doctor hnenah hrilh rawh.
Damdawi dang, vitamin emaw, hnam damdawi dang emaw i ei a nih chuan heng zawng zawng hi i zunthlum doctor hnenah hrilh la. Damdawi thenkhat chu an inzawm khawm thei bawk.
Take-Home Thuchah a ni
- Zunthlum damdawi hi i hmelma a ni lo va, i thian tha ber a ni a, nun hrisel tak i neih theih nan a pui che a ni.
- I doctor-in damdawi a pek chu, a hun takah, a dose dik takah ei rawh. Dose hi skip ngai suh.
- Damdawi ei rual hian ei leh in dik leh exercise hi a pawimawh tak zet a ni. Damdawi ei mai mai a, heng thil pahnih hi tih loh theih a ni lo.
- Hypoglycemia symptoms te hi hre reng ang che. Hlauthawng lova a lo thlen chuan eng nge tih tur tih hre reng ang che.
- I damdawi ei leh side effect chungchangah zawhna emaw, ngaihtuahna emaw i neih chuan internet-ah zawng suh, doctor hnenah direct-in zawt rawh. Thurawn tha ber ber a pe ang che.
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