Zunthlum i nei em? Tichuan i thisen sugar level leh thil dang tam tak i enkawl a ngai tih i hre mai thei. Mahse, i ke enkawl chu chutiang bawka pawimawh a ni tih i hria em? A chang chuan kan ngaihtuah vak lova, mahse zunthlum hian kan keah harsatna lian tak a thlen thei a. Chuvangin vawiinah hian he thu hi han sawi ila.
Engvangin nge zunthlum vei te hian ke lama harsatna an neih tam zawk?
Thil thleng inzawmkhawm (chain of events) ang mai a ni. A awlsam zawngin sawi ila, buaina hi hmun hnih atangin a intan a ni. Pakhat chu nerve tihchhiat (Neuropathy) a ni. A dang chu kea thisen kal tlem a ni.
I kekawrteah lungpui te tak te a lo awm ang tih han ngaihtuah teh. Diabetes nei lo chuan a hre nghal mai thei a, mahse neuropathy i neih chuan i hre lo mai thei. Chu pheikhawk chu nilengin i ha a nih chuan eng nge thleng ang? Pebble chuan i ke a ti na ang.
Tunah chuan buaina pahnihna a lo thleng ta. I ke hian thisen a kal tha lo a, chu chu thisen a kal tha lo tihna a ni a, hliam chu a dam awlsam lo tihna a ni . Tin, zunthlum i vei lai hian i taksain a dodalna a chak lo deuh a, chuvangin natna hrik te chu awlsam takin hliam chhungah a lut thei a ni .
Thil thleng kha i hmu em?
1. Ke hian sensation a nei tlem a, chuvangin hliam i hre thei lo .
2. Hliam ah hian natna hrik a lut a , natna hrik a thlen thin .
3. Thisen kal that loh avangin natna hi a dam lo va , a zual zel chauh a ni.
4. Hei hi ngaihthah a nih chuan ruh thlengin natna hi a darh thei a, kut zungtang emaw ke emaw tan pawh a thlen thei a ni .
Chuvang chuan zunthlum vei chuan an ke an enkawl tha hle tur a ni kan ti.
Zunthlum vanga ke lama harsatna awm tam berte chu engte nge ni?
Zunthlum vei tan chuan thil tenawm ber pawh harsatna lian tak a lo ni thei. Chung zinga ṭhenkhat chu:
- Cut, blisters, leh hliam dam lo.
- Vun vawt, chhe tawh tak.
- A dum, a hring (corns) a lo awm thin.
- Fungal infection, entirnan athlete ke leh nail-a fungal infection.
- Ke ruhro (toenails) a lo thang lian (ingrown toenails).
- Hammertoes leh bunions te pawh a awm.
Heng zingah hian ke ulcer hi a tam ber leh a na ber a ni. Kekawrte nena inzawm, a tight leh constricted hmunah an lo thang lian tlangpui. Enkawl vat loh chuan natna khirh tak tak an thlen thei a ni.
Eng symptom nge i ngaihtuah tur?
Heng inthlak danglamna te hi i ke te enfiah fo thin ang che. Hengte hi vaukhânna chhinchhiahnate chu a ni:
| Symptom a ni | Hrilhfiahna |
|---|---|
| Vun emaw nail emaw a inthlak danglam thin | Eng thil pawh, hliam, hliam, hliam, hliam ang chi. |
| Thisen chhuak fo thin | Hliam te tak te atang pawhin thisen chhuak. |
| Pus emaw discharge emaw a awm | Hliam atanga tui sen emaw var emaw lo chhuak. |
| A rimchhia | Hliam atanga rimchhia lo tak. |
| Na | Ke emaw ke ruh emaw natna danglam tak. |
| Vun rawng a danglam | Vun a sen, a sen emaw, a dum emaw. |
| Vung | Ke emaw ke ruh emaw hmuna hring (swelling) a awm. |
Hetiang symptom i hmuh chuan ngaihthah suh . I doctor hnenah entir ngei ang che.
Hei hi a pawi hle a nih chuan eng nge thleng ang?
Hun rei tak enkawl loh chuan he natna hi a zual sauh sauh thei a, harsatna lian tham pahnih a thlen thei bawk.
Gangrene natna a awm
Hei hi medical emergency a ni. Hei hi ke peng pakhata thisen kal chu a tawp vek a, chu chuan a hmun chu a ti hrual a ni.Tissue thihna a ni . Hei hi enkawl vat a nih loh chuan nunna atana hlauhawm hial a ni thei.
`Gangrene` natna lan chhuah dan:
- Vun rawng a inthlak (red atanga brown, purple, green, emaw black ah).
- Vun a hring chhuak.
- Natna nasa tak emaw, hriatna hloh vek emaw.
- Vun chu khawih chuan ice ang maiin a vawt tih hriat.
- Vun a press laiin "crackling" ri hriat.
- Hliam atanga thisen chhuak emaw, hliam rimchhia emaw.
- Chills, khawsik, thawk rang, luak chhuak.
Heng symptoms te hi i neih chuan tihkhawtlai suh. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.
Charcot Ke dinhmun a tha hle
Hei hi thil awm lo tak a ni. Nerve chhiatna avanga lo awm a ni a, chu chuan ke ruh leh ruhkawr a tichak lo va, a tikehsawm a ni . Hei hian ke pianzia a thlak danglam vek thei a ni.
Charcot Foot natna lan chhuah hmasak dan:
- Ke na a na.
- Vun a sen vek.
- Vung.
- Ke lum pangngai lo (ke pakhat chu a dang aiin a lum zawk tih hriat).
Heng symptoms te hi i neih chuan doctor pan nghal tur a ni.
Engtin nge heng harsatnate hi i pumpelh theih ang?
Thil tha ber chu harsatna a thlen hmaa ven hi a ni. Ṭanpui nân thil awlsam tak tak i tih theih tam tak a awm a. A pawimawh ber chu i thisen sugar level control reng hi a ni . Chu bâkah, heng thilte hi ti ngei ngei ang che.
| ✔️ Thil tih tur | ❌ Thil tih loh tur |
|---|---|
| Nitin i ke enfiah thin ang che: a hliam, a hring, a sen, leh a hring zawng zawng rawh. Darthlalang hmangin i kephah hnuai lam en rawh. | Nangmah ngeiin wart hi cut suh: Damdawi dawr-a hmanraw hrual emaw, patch emaw hman loh tur. Doctor hnen atangin thurawn la rawh. |
| I ke vawn fai rawh: Nitin tui lum hmangin silfai thin ang che. Ke ruh inkar ah uluk takin vawt la, vawt takin dah rawh. | Meizial zuk loh tur:Meizial zuk hian thisen kalna kawng a tichhe a, kea thisen kal a ti tlem bawk. |
| Kekawr leh socks tha tak ha rawh: Kekawr in fit tha leh ke khauh lo tur. I bun hmain a chhungah thil a awm em tih enfiah hmasa phawt ang che. | I ke chu tuiah hnim suh: Chutianga tih chuan i vun a ti vawt zual thei a ni. |
| I nail te chu uluk takin tan rawh: A sir zawng zawngah cut la, file hmangin file fel takin file la, a sir lam chu a hrual lo ang. | Kekawr bul lova kal kual suh: Sliper pahnih ha la, in chhungah pawh bun rawh. Hei hian hliam tenau tuar theihna a ti tlem dawn a ni. |
| I thisen kal dan tha takin vawng reng rawh: I thut laiin i ke chu sang takin dah la. I ke ruhte chu wiggle fo thin ang che. Kal leh tui chawi ang chi exercise te ti rawh. | I vunah moisturizer hnawih: Mahse i ke ruh inkar ah hnawih suh. |
Doctor hmuh hun tha ber berte chu engte nge ni?
Hetiang thil hi i hriat emaw i hmuh emaw chuan doctor pan nghal vat rawh:
- Ke ruh, kang emaw, na emaw.
- Hliam emaw, blister emaw dam lo.
- Vun vawt leh chhe tawh tak.
- Khua lum leh vawt hriat theihna tlahniam.
- Ke rawng emaw, a lumna emaw a inthlak danglam.
- Ke pianzia a inthlak danglam.
- Nail chu a sen a, a thim bawk.
- Ke, ke ruh emaw, kephah emawa sam tlakchham.
Zunthlum natna nena kan nun hian enkawl tur tam tak a awm. Sugar level zawng zawng, damdawi, ei leh in leh exercise zawng zawng nen chuan i ke ngaihtuah theihnghilh a awlsam thei. Mahse, theihnghilh ngai suh. I kein i nunah a phur ang che. Chuvangin enkawl that hi i mawhphurhna a ni.
Take-Home Thuchah a ni
- Zunthlum i vei chuan zan tin i mut hmain i ke uluk takin enfiah thin ang che. Hliam te te emaw, a sen emaw awm chuan zawng rawh.
- I ke ruh tliak, hriatna hloh, rawng danglam, emaw, i ke hliam te tak te pawh ngaihthah suh.
- I thisen sugar level kha control tha la.Chu chu i ke chu chhiatna thleng thei laka venhimna tha ber a ni.
- Ke lama harsatna i neih chuan in lamah enkawl tum suh la , doctor rawn nghal rawh. Enkawl vat chuan natna khirh tak tak a veng thei a ni.
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