Zunthlum hian coma a thlen thei em? (Diabetes-Related Coma) Hetiang dinhmun hlauhawm tak hi han sawi ila

Zunthlum vei mi pakhatin a hriatna a hloh thut a, eng ang pawhin i biak pawhin a harh thei lo a nih chuan engtin nge i tih ang? Hei hi a hlauhawm tak zet a ni. Hei hi coma a ni a, chu chu zunthlum natna hlauhawm ber pakhat a ni. A dik tak chuan mi pakhat mut thuk taka muthilh tir thei khawpa hriat lohna dinhmun a ni. Hei hi nunna atana hlauhawm hial a ni. Mahse, dik taka hriattir i nih chuan he dinhmun hi i veng thei a, mi nunna pawh i chhanhim thei a ni. Chuvangin vawiin hian he thu hi han sawi mai ila.

He diabetic coma hi eng nge ni?

A awlsam zawngin, zunthlum vei chuan thisen sugar level sang (hyperglycemia) emaw, thisen sugar level hniam (hypoglycemia) emaw a neih chuan thluak hnathawh direct-in a nghawng thei a, mi chu a hriatna a hloh thei a ni. Hei hi diabetic coma an ti a. Hei hi natna khirh tak a ni a, emergency medical treatment a ngai a ni.

Hetiang coma hi zunthlum nena inzawm natna lian pathum avanga lo awm thei a ni.

1. Diabetic Ketoacidosis (DKA): Hei hi thisenah acid chi khat ketones a pun chuan thisen a acidic a nih chuan a thleng thin.

2. Hyperosmolar Hyperglycemic State (HHS): Hei hi thisen sugar level sang lutuk leh taksa tui tlakchhamna nasa tak awmna a ni.

3. Severe Hypoglycemia: Hei hi thluaka chakna petu glucose a tlem hle a, thluak hnathawh a titawp a ni.

Coma awm chhan lian pathumte hi tlem tal chipchiar zawkin han thlir ila.

Heng dinhmun pathumte hi tlem tal hriat a pawimawh hle a, a chhan chu natna tinte chhinchhiahna hriat hmasak hian coma-a an kal theih loh nan a veng thei a ni.

1. Zunthlum vei ketoacidosis (DKA) .

Hetiang dinhmun hi Type 1 diabetes vei zingah a tam ber a, mahse Type 2 diabetes vei zingah a awm thei bawk.

A awlsam: Hormone insulin hi kan taksa cell-in chakna atan glucose (sugar) a lakluh theih nan a pawimawh hle. DKA-ah chuan taksain insulin a nei tlem hle. Tichuan, cell-te hian glucose an lakluh theih loh avangin taksa chuan chakna atan a thau chu a hal tan ta a ni. He thau hi hal a nih chuan , ketones chu byproduct angin a lo chhuak thin.Thisenah hian chemical pakhat ketones an tih chu a lo awm khawm a. Heng ketones te hi acid chi khat an ni. Thisenah an pungkhawm chuan thisen chu acidic a lo ni ta a ni. Hei hi DKA an ti a. He natna hi enkawl vat a nih loh chuan coma-ah i lut thei a ni.

A tlangpuiin DKA hi thisen sugar level 250 mg/dL aia sang a ni. Mahse hre reng ang che, DKA thlentu ber chu sugar sang vang chauh ni lovin, insulin tlakchhamna leh ketones tihpun vang a ni.

2. Hyperosmolar hyperglycemic state (HHS) a awm chuan a chhuak leh ta a ni.

Hei hi Type 2 Diabetes vei zingah a tam ber a ni . Hei hi thisen sugar level chu thunun theih loha a san ( 600 mg/dL aia tam a nih fo) hun a ni. Chutiang a nih chuan taksa chuan zun chhunga sugar tam lutuk chu paih chhuah tumin a bei thin. Chutih rual chuan taksaah tui tam tak a bo a, chu chuan tui tlakchhamna nasa tak a thlen a ni . Hei hian thluak a nghawng thei a, hriatna a hloh thei a, enkawl loh chuan coma a thlen thei bawk.

3. Hypoglycemia na tak

Hei hi thisen sugar level a tlahniam nasa hle a, a tlangpuiin 40 mg/dL hnuai lam a ni. Hei hi nunna atan pawh a hlauhawm hle.

Glucose hi kan taksa, a bik takin thluak tan chakna petu ber a ni. Thisenah glucose a awm loh chuan thluak hian a hnathawh theihna a hloh thin. Car engine fuel a tlakchham chuan a ding ang bawkin thluak pawh "shut down" in coma-ah a lut thei a ni. Hetiang dinhmun hi insulin injection emaw, zunthlum damdawi chi hrang hrang (e.g., sulfonylureas) ei thinte zingah a tam ber.

Coma-a i luh hmain warning signs

Mi chu coma-ah a lut thut lo. Chumi hma chuan ruang hian warning sign eng emaw zat a lantir thin. A pawimawh ber chu heng chhinchhiahnate hi hriat hmasak hi a ni. Heng natna pathum nena inzawm symptoms te hi a hranin han en ila.

Heng symptoms an neih hnu hian mi pakhat chu coma-ah a lut a nih chuan symptom lian pathum a lantir ang:

• Thil hriatna hloh vek: Mut thuk takah awm ang mai. Engti kawng mahin tihharh theih a ni lo.
• Mit chhanna nei lo: Mit chu a inkhar reng. Mit a meng chuan chhanna a awm lo.
• Taksa che thei lo: Kut emaw ke emaw hriatna neia inher loh. Mahse, reflex thenkhat chu a awm thei.

Mi pakhatin a rilru a buai a nih chuan kan tih nghal tur thil (first aid) .

I awmna hmuna zunthlum vei mi pakhat chu hetiang hian a muhil ta se han ngaihtuah teh. Thil tlemte tih theih a awm. Hei hian nunna pawh a chhanhim thei a ni.

1. 1990 call nghal rawh: Tih hmasak ber tur chu ambulance koh a ni. Call dawnin, "Diabetic mi chu a ni lo," ti rawh.

2. Ei leh in tur engmah pe suh: Mi hriat loh hnenah ei leh in i pek chuan thawkna kawngah a lo riak a, a hlauhawm zual thei bawk.

3. Mi chu a sir lamah hawitir: A sir lama mut tir ai chuan a sir khatah (an sir lamah) hawitir la, chu chuan a luak emaw, a chil emaw a veng ang.

4. Ambulance lo thlen hun nghak rawh: Kum 1990-a operator-in a pek angin zawm rawh.

Engvangin nge hetiang hi a lo awm? Risk factors te chu engte nge ni?

Sawi tawh ang khan DKA leh HHS-a awm ve ve, tui tlakchhamna nasa tak hian thluak a nghawng a, coma a thlen thin. Chutiang bawkin hypoglycemia lai hian thluak hian a mamawh chakna (glucose) a dawng lo va, thluak hnathawh a titawp a, coma-ah a hruai lut thin.

Zunthlum vei tu pawh hi an hlauhawm hle a, mahse thil thenkhat chuan he hlauhawmna hi a tipung thei a ni.

• Diabetes type: Type 1 diabetes vei te hi DKA leh hypoglycemia na tak vangin coma-ah an lut tam zawk. Type 2 diabetes vei te hi HHS vangin coma-ah an lut tam zawk.
• Natna dang: Khawsik leh infection ang chi natna kan neih lai hian taksaa sugar level control a harsa thin.
• Surgery emaw accident emaw: Heng thilte hian taksa a stress nasat em avangin thisen sugar level a tisang thei a ni.
• Insulin hman chungchanga harsatna: He natna hi insulin injection neih loh vang te, a dose dik lo vang te, insulin pump a hnathawh that loh vang te a ni thei.
• Zunthlum enkawl dan dik loh: damdawi ei dik loh, thisen sugar level enfiah fo loh.
• Zu in: Zu in hian thisen sugar level hlauhawm takin a tlahniam thei a ni.
• Hypoglycemia Unawareness: Mi thenkhat chuan thisen sugar tlahniam hmasa ber, khur leh thawk hah te hi an hre lo. An hriatna an hloh thut mai thei.

Damdawi inah eng nge an tih? (Diagnosis leh enkawl dan) .

Hei hi medical emergency a nih avangin enkawlna zawng zawng hi damdawi inah neih vek a ni. Doctor-te chuan damlo details leh thisen sugar level te enfiahin rang takin an hre thei a ni. Thisenah ketone awm leh awm loh an check bawk.

Enkawlna chu coma awm chhan a zirin a ni.

• DKA emaw HHS emaw avanga lo awm a nih chuan:
• IV fluids (saline): Saline hi vein kaltlangin pek a ni a, chu chu dehydration ven nan leh taksa chi (salts) balance turin a ni.
• Insulin: Insulin hi thisen sugar level control nan thisenah emaw, injection angin emaw pek thin a ni.
• Enkawlna dang: Hetiang natna thlentu underlying infection a awm chuan chu pawh chu enkawl a ni ang.

• Severe Hypoglycemia (thisen sugar tlahniam) hi a chhan chu:
• Glucagon Injection: Glucagon hi hormone a ni a, kan thin hian thisenah glucose a chhuah nghal vat thei a. Injection angin emaw, hnar spray (nasal powder) angin emaw pek theih a ni. Hei hi in lama mi hnenah i pe a nih pawhin, .Damdawi inah hruai i ngai ngei ang.

Hetiang dinhmun atang hian dam leh vek theih a ni em?

Awle. A rang leh dik taka enkawl a nih chuan diabetic coma hi a dam kim thei a ni. Mahse, a chang chuan enkawlna a tlai chuan thluak a tichhe vek thei a, a then phei chuan thihna pawh a thlen thei bawk.

Mi pakhatin coma-a a awm rei zawng chu enkawlna a dawn thuai danah a innghat a ni. Enkawlna tel lo chuan mi chu he dinhmun atang hian amah chauhin a harh chhuak lovang. Chuvang chuan a rang thei ang bera damdawi in panpui a pawimawh.

Engtin nge he dinhmun hlauhawm tak hi pumpelh theih ang?

He coma hi ven theih a ni fo . A pawimawh ber chu DKA, HHS, leh Hypoglycemia te hriattirna hmasa ber hriat chian a, a lo lan veleh hmalak a ni.

I zunthlum enkawl dan tur chu i doctor nen sawiho rawh. A hnuaia thilte hi i tawn chuan damdawi lam pan nghal rawh:

Zunthlum natna avanga harsatna awm thei te i hriat hian hlauhna i neih hi thil pangngai a ni. Mahse hriatna tha leh inbuatsaih hi chu an venna kawng tha ber a ni. I zunthlum enkawl dan tur chungchanga zawhna i neih apiang chu i doctor zawt hreh ngai suh.