Zunthlum damdawi ei thin mi i ni em? Nge i chhungte emaw, thian emaw i nei em? Tichuan, rang taka i rilru hah, i thawmhnaw hah, i nghing, leh i thinlungah hriatna mak tak i neih hun te kha i hre tawh ngei ang. Nangmah ngei pawhin i tawng tawh pawh a ni mai thei. Hei hi kan ngai pawimawh ngai lo tur a ni a, emergency a ni thei bawk. Vawiin hian he natna hlauhawm tak, zunthlum vei te chunga lo awm thei hi kan sawi dawn a, chu chu ‘Insulin Shock’ emaw, damdawi lam atanga thlir chuan ‘Hypoglycemia’ emaw an ti a ni.
A awlsam zawngin, hypoglycemia chu eng nge ni?
A awlsam khawp mai. Chumi awmzia chu kan thisen sugar level chu a tlahniam tur aiin a tlahniam zawk tihna a ni. Tunah en teh, kan taksaa cell tin hian hna thawk turin chakna an mamawh a ni. Car tlan nan gasoline a mamawh ang bawkin. Kan cell-te hian he chakna hi kan ei tur a sugar, a nih loh leh glucose a\angin an hmu \hin.
Mahse, he sugar hi cell-ah a lut thei lo mai mai a ni. Chabi bik a mamawh a ni. Chu key chu hormone insulin a ni . Zunthlum vei chuan an taksaah insulin a siam tling lo emaw, a siam chhuah insulin hian hna a thawk tha lo emaw a ni thei. Chuvang chuan pawn lam atanga insulin injection emaw damdawi dang emaw an ei a ngai a ni.
Chuvangin, hypoglycemia tih awmzia chu eng emaw chhan vangin i thisen sugar control nana insulin mamawh zat a sang a, chu chuan i thisen sugar level chu hlauhawm takin a tlahniam tihna a ni.
Engvangin nge Insulin Shock kan neih? A chhante chu engte nge ni?
Hei hi a chhan ber chu inthlauhna (imbalance) vang a ni. Chu chu, insulin emaw, zunthlum damdawi emaw i ei zat, i ei zat leh i taksa tihchakna inthlauhna chu a tibuai tihna a ni.
A chhan tlangpui thenkhat chu hetiang hi a ni:
- A hma aia tam exercise: Nitin insulin i ei a, huan tihfai nan a hma aia nasa zawkin i thawk ang tih han ngaihtuah teh. Exercise kan tih hian kan cell-te hian sugar an hmang tam zawk avangin kan thisen sugar hi a tlahniam thuai thei a ni.
- Chaw ei loh emaw tihkhawtlai emaw: Zingah insulin injection i ei a, hnathawh avanga a hun taka chaw i ei theih loh chuan i taksain insulin i ei zat nena inmil tur sugar a dawng tlem thei a, chu chuan i thisen sugar level a ti tlahniam thei a ni.
- Chaw ei zat emaw, ei hun emaw thlak danglam: A tlangpui aia ei tlem hi a chhan a ni bawk.
- Damdawi hman tam lutuk: Doctor-in a pek aia tam insulin emaw damdawi ei tam.
- Pum ruak chunga zu in: Ei lova zu in hian thisen sugar level a ti tlahniam thut thei.
Hei hi eng symptoms nge ni? Engtin nge kan hriat chian?
Heng chhinchhiahnate hi a tir lamah chuan fiah lo tak tak a ni thei a, mahse ngaihthah a nih chuan a nasat phah thei a ni. Chuvang chuan nang leh i chhungte tan heng chhinchhiahnate hi hriat chian a pawimawh hle.
| Mihring ziarang category | Hriatna leh hmuh theih chhinchhiahna |
|---|---|
| Basic/soft features (a hmaa hriattirna chhinchhiahna) . | |
| Luak chhuak leh khur chhuak | Luak chhuak nghal, ke ruhte a khur. |
| Thawmhnaw hak | Chhan awm lovin cold sweats a ni. |
| Riltam nasa tak | Riltam nasa tak a lo chhuak nghal. |
| Lung na tak tak | I thinlungah mi hriat loh awmin i thinlung a na hle tih hriatna. |
| Thinrimna/lungkhamna | Thinrim thuai leh chhan awm lova lungawi lo. |
| Symptoms na tak/hlauhawm (enkawl vat ngai) . | |
| Buaina leh tawng harsa | Ngaihtuah thiam lohna, thu sawi uar lo, i thil tih tur dik taka tih theih loh. |
| Lu na na tak | Lu na tak, na tak. |
| Fainting a ni | I lu a buai chuan i hriatna i hloh thei. |
| Seizures a awm thin | Fit ang maia taksa chetna (convulsions) a awm. |
| Zan lama natna lan chhuah dan | |
| Mut/mumang tha lo tak takah au chhuak | I mut laiin au chhuak, mumang chhia neih. |
| Thawmhnaw leh mutna hnim hnim | Zanah thawk hah lutuk, thawmhnaw leh khum puan a hnim thin. |
| Zing lama i thawh chuan | Zing i thawh chuan hah lutuk, thinrim lutuk, luak chhuak nasa lutuk. |
Okay, chuti a nih chuan hetiang thil hi a thleng a nih chuan engtin nge kan tih ang?
Symptoms bulpui a awm chuan:
I theih chuan i thisen sugar level chu i glucometer hmangin enfiah hmasa phawt ang che. Chutiang chuan i chiang thei ang. Amaherawhchu, chutih laia check dan tur a awm lo a, symptoms i neih chuan enkawlna lak chu tihkhawtlai suh. Sugar hniam angin ngaihtuah la, a tul angin ti rawh.
Chumi atan chuan dan awlsam tak kan hmang a ni. Chu chu ‘15-15 rule’ a ni .
1. Pakhatna 15: Thil ei emaw in emaw, taksain a hip rang thei tur sugar gram 15-20 awmna ei emaw in emaw ei emaw in emaw a ni.
- Glucose tablet 3-4 ei tur a ni
- Thei tui (orange, apple) glass chanve vel ei tur a ni.
- Regular sugary drink (diet drink ni lo) glass chanve .
- Sugar tablespoon khat tuiah hmin la, in rawh.
- Honey emaw nectar emaw tablespoon khat
- Toffee tlemte a awm bawk
2. Deuteronomy 15-ah hian:Minute 15 vel nghak rawh. Tichuan i thisen sugar level enfiah leh rawh.
I thisen sugar a la hniam (a tlangpuiin 70 mg/dL aia tlem) a nih chuan a chunga kan tarlan ei tur pakhat hi ei leh la, minute 15 hnuah enfiah leh rawh. I thisen sugar chu a normal leh tawh chuan, i ei tur ber atanga darkar khat chuang a liam tawh chuan chhangphut chanve, cheese chi khat, leh cracker 4-5 ang chi snack ei rawh.
Condition a nasat chuan (memory a bo chuan):
Pawimawh tak: Mi pakhat chu nikhaw hre lo emaw, seizure a neih emaw chuan ei leh in tur chu ka hmanga pek tum ngai suh. Hei hian ei tur emaw tui emaw chu thawkna kawngah a tikhawlo thei a ni.
A hmasa ber tur chu 1990 call nghal a, ambulance lak a, a nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah a rang thei ang bera hruai a ni. Hospital-ah chuan thisen zam chhunga sugar pek ang chi enkawlna hmangin a dinhmun hi control a ni.
Glucagon rescue kit lak chungchang hi i doctor nen in inbia thei ang . Glucagon hi kan taksain a siam chhuah hormone a ni a, rang takin thisen sugar level a tisang a ni. Hei hi hriat lohnaah inject hian ambulance a lo thlen hma emaw, damdawi ina hruai theih emaw thlengin thil awmdan a tichhe lo thei lo. I chhungte leh i thawhpui te hman dan zirtir chu nunna chhanhimna a ni thei.
Take-Home Thuchah a ni
- Diabetes i vei chuan insulin shock symptoms bulpui (thaw hah, khur, luak chhuak, riltam) te hi hre reng ang che.
- I thisen sugar level rang taka tisang thei thil (glucose tablet, toffee, in tur thlum tak) chu i bulah dah fo ang che.
- He dinhmun hi i chhungte leh i thiante hnai tak takte hrilh la, emergency-a i tih tur te hrilh bawk ang che.
- Miin hriatna a hloh chuan eng thil vang pawh ni se, ei leh in tur engmah pe suh. Damdawi inah hruai nghal rawh.
- I damdawi leh insulin dose, ei leh in leh exercise te chu a inthlau thei ang bera awm theih nan doctor nen inbiakna neih fo thin ang che.
- I doctor hnenah glucagon rescue kit chungchang zawt rawh. Nunna chhanhimtu a ni thei.
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