Zunthlum natnaah hian emergency hlauhawm ber! DKA (Diabetic Ketoacidosis) hi i hrechiang ang u

Zunthlum i nei em? A nih loh leh i chhungte emaw, i thian emaw hian zunthlum a vei em? Tichuan vawiin a kan sawi tur hi i hriat a ngai tak zet a ni. Hei hi DKA (Diabetic Ketoacidosis) an ti a. Hei hi zunthlum vanga lo thleng thei emergency hlauhawm tak, nunna atana hlauhawm tak pawh a ni. Mahse lungngai suh u, hemi chungchang hi uluk taka hriattir kan nih chuan a laka kan inveng thei a, a lo thleng thut a nih chuan hma kan la nghal vat thei bawk.

A awlsam zawngin DKA chu eng nge ni?

Kan taksa chhunga cell awmte hi in te tak te angin ngaihtuah rawh. Heng in te hian hnathawh nan chakna an mamawh a ni. Chu chakna chu kan ei leh in atanga lo chhuak glucose, a nih loh leh sugar atanga lo chhuak a ni. Mahse he sugar hi cell an tih in chhunga a luh theih nan chuan kawngkhar hawn nan chabi a mamawh a ni. Chu key chu hormone insulin a ni .

Tunah chuan zunthlum vei taksaa thil thleng chu he key insulin an tih hi a tlem hle tih hi a ni. Chuti a nih chuan eng nge thleng? Sugar chu cell-ah a lut thei lo va, thisenin a khat a ni. Mahse cell te hian chakna an nei lo va, an "riltam" thin.

Chutiang a lo thlen chuan kan taksa chuan ei tur nei lovin kan riltam tak tak niin a ngai a. Chuvangin taksa chuan kawng dangin chakna a zawng tan ta a ni. Chu chu taksaa thau dahkhawmte halral a, chakna siam chhuahna hmangin a ni. Chutianga thau hal a nih chuan byproduct angin chemical ketones an tih chu a lo chhuak ta a ni.

Thisenah ketone tlemte neih hi harsatna a ni lo. Mahse insulin tel lova thau a hal chhunzawm zel chuan heng ketone te hi thisenah a tam lutuk thin. Heng ketones te hi acid chi khat an ni. Chuvangin thisena an pun chuan kan thisen hi zawi zawiin acidic a lo ni ta a ni. Tui glass khata vinegar dah ang mai a ni. Chu thisen acidosis leh a kaihhnawih dehydration chu DKA (Diabetic Ketoacidosis) kan tih chu a ni.

DKA vei theihna hlauhawm ber chu tute nge ni?

DKA hi zunthlum vei tu pawhah awm thei mahse, mi thenkhat chu an hlauhawm zawk.

• Type 1 Diabetes vei: Heng mite hian DKA an vei tam ber a, a chhan chu an taksain insulin a siam chhuah a chawlhsan vek tawh mai a ni.
• Zunthlum an vei tih hre lote tan: Mak tak maiin mi thenkhat chuan DKA an vei hnu leh damdawi ina an awm hnuah chauh type 1 diabetes an nei tih an hrechhuak thin. Hei hi DKA vei zinga 20% leh 40% inkar a ni.
• Type 2 Diabetes vei tan chuan:A tam lo hle nachungin, type 2 diabetes vei thenkhat chuan DKA an vei thei a, a bik takin natna khirh tak tak ang chi dinhmunah chuan an vei thei a ni.

He dinhmun hlauhawm tak hi eng chhinchhiahna nge ni? Engtin nge kan hriat chian?

DKA hi a lo thang nghal lo. Symptoms na lo tak tak atanga tan niin darkar 24 chhungin a na thei hle. I luak a nih chuan he hun chhung hi a tawi zawk mai thei. Chuvangin heng symptoms te hi hriat chian a pawimawh hle.

Heng symptom na tak tak te hi i neih chuan doctor ko nghal rawh. A nih loh leh, a theih chuan damdawi in hnai ber Emergency Department (ETU)-ah a rang thei ang bera kal rawh.

Engvangin nge he DKA condition hi a lo awm? A chhan berte chu engte nge ni?

DKA thlentu ber chu taksaa insulin a thlen tlem vang a ni. Heng thilte hian a pui thei a ni:

• Insulin injection tlachham: Zunthlum natna atana insulin ei thinin injection vawi khat emaw pahnih emaw a ei loh chuan DKA a awm thei.
• Insulin pump harsatna: Miin pump a hman chuan taksain insulin a dawng lo thei a, chu chu tube a khar emaw, taksa nena inzawmna loose vang emaw a ni.
• Insulin expired emaw spoiled emaw hman: Insulin hi damdawi a ni a, a lum lutuk emaw, a vawt lutuk emaw a do thei lo. Entirnan, refrigerator-a dah loh emaw, a hun tawp tawh emaw chuan a thawhrimna a hloh thei.
• Natna leh hri kai: Natna eng pawh, khawsik, pneumonia, urinary tract infection (UTI) te hi DKA thlentu lian ber a ni. Hei hi a chhan chu kan damloh hian kan taksa a stress a, insulin dodaltu hormone a siam chhuak thin. Tichuan a hma aia tam insulin kan mamawh a ni.
• A chhan dang: Taksa hliam na tak, trauma, surgery, heart attack, naupai, zu in tam lutuk leh damdawi thenkhat te pawhin DKA vei theihna a tipung bawk.

DKA hi enkawl vat a nih loh chuan eng nge thleng ang?

Hei hi kan zavaia kan hriat chian a tul ber chu a ni. DKA hi rang tak leh uluk taka enkawl loh chuan harsatna lian tak tak a thlen thei a ni.

• Thisenah potassium level a hniam hle.
• Thluak a hring chhuak.
• Lung chu tuiin a khat.
• Lung natna (Cardiac arrest) a awm.
• Kal leh taksa peng dangte chhiatna.
• Coma ah a awm.
• A tâwpah chuan thihna pawh a thleng thei a ni.

Engtin nge enkawl a nih?

DKA enkawlna hi damdawi inah tih reng tur a ni. DKA symptoms i neih chuan damdawi in pan nghal mai tur a ni.

Damdawi inah enkawlna pek a ni

1. IV fluids: A hmasa ber chu saline pek a ni. Hei hian tui tlakchhamna a veng a, thisena sugar leh ketone tam lutuk chu a paih chhuak a, taksa a tifai bawk.

2. Insulin: Insulin hi thisenah pek thin a ni. Hei hian thisen sugar level a control a, taksain chakna atan sugar a hmang tan leh ta a ni. Hei hian ketones siamna a titawp bawk.

3. Electrolytes pek: DKA hian taksain mineral pawimawh tak tak potassium ang chi a hloh tir thin. Hengte hi taksa balance siam that nan thisen kaltlangin pek thin a ni.

In lama enkawl (doctor thurawn chauh) .

DKA hi a hmaa hmuhchhuah a nih chuan i doctor chuan in lama enkawl a rawt thei ang. Mahse, hengte hi doctor enkawlna hnuaiah chauh tih tur a ni.

• Thisen sugar level enfiah fo (darkar khatah vawi khat pawh ni thei).
• Ketone level enfiah.
• Tui leh sugar tel lo tui tam tak in la, chu chuan dehydration a veng ang.
• Exercise tih loh tur.

DKA lo thang zel tur ven nan eng nge kan tih theih ang?

DKA hi kan ven theih fo thin condition a ni. Chûng thilte chuan a ṭanpui thei a ni.

• I thisen sugar level enfiah fo ang che: Ni khatah vawi eng emaw zat i thisen sugar enfiah thin ang che, a bik takin chaw ei hma leh ei zawhah te, mut hmain. I thisen sugar level a san chuan hma la nghal rawh.
• I insulin leh damdawi ei tur chu a hun takah ei rawh: I doctor-in insulin dose a pek chu skip ngai suh.
• Ketones awm leh awm loh enfiah rawh: I thisen sugar level chu 250 mg/dL aia sang reng reng a nih chuan, emaw, natna i neih chuan khawsik emaw, luak chhuak emaw i neih chuan i zun emaw thisenah ketone awm leh awm loh enfiah rawh.
• "Sick day plan" siam rawh: I doctor nen inbia la, insulin dose siamrem dan tur leh khawsik emaw, i luak chhuak emaw a nih chuan ei dan tur ruahmanna siam lawk rawh.
• Fimkhur rawh: DKA chungchang i hriat tam poh leh i damchhuah theihna chance a sang zawk. Hemi chungchang hi doctor zawt la.

A châng chuan eng ang pawhin fimkhur mah ila, DKA hi kan thunun theih loh chhan vangin a thleng thei a ni. Chutiang a nih chuan pawi ti suh la, i sualah ngai rawh. A pawimawh ber chu a natna lan chhuah dan hriat chian a, a rang thei ang bera damdawi lam thurawn lak hi a ni.