Diabulimia, zunthlum kaihhnawih natna hlauhawm tak hi i hria em?

Type 1 Diabetes vei i nih chuan a harsat theih zia i hria ang. Ei leh in, insulin leh thisen sugar level nena indo reng reng ang maiin a lang thei. Mahse heng harsatnate nen hian natna khirh tak dang a awm a, chu chuan a rawn rukbo thei che a, nunna atana hlauhawm tak a ni. Vawiin hian chutiang dinhmun pakhat, diabulimia chungchang kan sawi dawn a ni.

Diabulimia hi eng nge ni tak tak?

A awlsam zawngin sawi ila, Diabulimia hi Type 1 Diabetes vei chuan tumruh taka insulin a ei tlem emaw, a taksa rihna tihtlem nan insulin a ei tlem lutuk emaw a ni. Hei hi a takah chuan doctor-te chuan ei leh in lama harsatnaah an ngai a ni.

"Diabulimia" tih hming i hriat hian mi thenkhat chuan hei hi "bulimia nervosa" tih ang chi natna niin an ngai mai thei. Chu chu, ei tam a, chumi hnua ril\am leh ang mai a ni. Mahse diabulimia vei zawng zawng hian hetiang hian an ti vek lo. Mi thenkhat chuan insulin hman an tihtlem chauh a, ei leh in dang pawh a pangngai angin an vawng reng thei bawk. Chuvangin, "Diabetes Mellitus Type 1 (ED-DMT1)-a ei leh in lama harsatna" an ti \hin.

Insulin i tihtlem a, i taksa rihna i tihtlem hnuah, "A tawpah chuan ka taksa hi ka thunun thei ta" tih i ngaihtuah mai thei. Mahse thudik tak chu hei hi a hlauhawm hle a, nunna atana hlauhawm tak pawh a ni. Nangmah emaw i hriat miin emaw heng symptoms te hi i neih chuan doctor thurawn lak nghal a pawimawh hle.

Engvangin nge insulin a tlahniam hian taksa rihna a tlahniam? A hlauhawm em?

Kan taksa hian kan ei leh in atanga chakna a hmuh theih nan insulin an tih hormone a mamawh a. Insulin hi kan thisena glucose, a nih loh leh sugar chu taksa cell-ah a hruai lut a, chakna-ah a chantir a ni.

Tunah chuan han ngaihtuah teh, Type 1 Diabetes vei hian an taksaah insulin a siam chhuak tlem hle. Tichuan chu mi chuan pawn lam atangin insulin a lak a ngai ta a ni. Insulin i ei zat hi tumruh taka i tihtlem chuan eng nge thleng ang? Taksa cell te hian glucose hi an hmang thei lo. Tichuan taksa chuan chakna zawng turin kawng dang a hmang tan ta a ni. Chu chu thau leh thau halral a, chakna siam chhuah a tum tihna a ni.

Eng ang pawhin ei mah la, chu chaw atang chuan i taksa chuan chakna a hmu thei lo va, chuvangin thil thleng tak tak chu i taksa chu "riltam" a ni. Hei hi taksa rihna tihtlemtu a ni.

Mahse hetianga taksa rihna tihtlem hi a hlauhawm hle.Pakhat chu thisenah hian chemical tha lo, ketones an tih te a lo pungkhawm thei a, chu chuan thihna thlen thei dinhmun "Diabetic Ketoacidosis (DKA)) a thlen thei a ni. A dang leh chu insulin a tlem chuan taksa atanga tui tam tak a bo thei a, chu chuan tui tlakchhamna nasa tak a thlen thei a ni. He tui tlakchhamna hian i taksa rihna tihtlem nan a pui dawn niin a lang mai thei a, mahse taksa tan pawh a pawi hle bawk."

Diabulimia natna lan chhuah dan chu engte nge ni?

Hetiang dinhmunah hian taksa, rilru leh nungchang lama chhinchhiahna thenkhat hmuh theih a ni.

Taksa chhinchhiahna

• HbA1c value 9.0% aia sang: Hei hian thla thum kalta chhunga i thisen sugar level average chu a sang hle tih a tilang.
• Chhan awm lovin taksa rihna tihtlem.
• Luak chhuak leh muhil.
• Taksa electrolyte (sodium, potassium)-a electrolyte inthlauhna.
• Chau leh chau lutuk tih hriat reng reng.
• Nausea leh luak chhuak.
• Tuihal tam lutuk leh zun tam lutuk.
• Hmeichhiaah thlasik hun mumal lo.
• Mit a inthlak a, mit a fiah lo.

Emotional leh behavioral chhinchhiahna te

• Diabetes kaihhnawih damdawi lam appointment neih loh.
• Thisen thlum hniam (hypoglycemia) hlauhna chhan chu ei tur i neih vang a ni.
• "Insulin i ei hian i thau ang" tih hlauhna.
• Diabetes enkawl hi phurrit leh pressure lian tak (diabetes distress leh burnout) ang maiin a lang.
• Insulin prescription ei fo loh emaw, ei tlai emaw.
• Thinrimna rang tak, mood swing fo thin.
• I zunthlum i enkawl dan tur midang hnen atanga thuruk vawn.
• Diabetic ketoacidosis (DKA) lo awm fo emaw, a hnaih tawh emaw.
• Chaw ei tur atana insulin (bolus) mamawh zat pek loh emaw, pek tlem lutuk emaw.

Nangmah emaw i hriat miin emaw heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor thurawn lak nghal a pawimawh. Zirna pakhatah chuan diabulimia hian type 1 diabetes vei puitling 11 zinga 1 thlengin a vei tih hmuhchhuah a ni. Hei hian kan ngaihtuah aiin a tam zawk mai thei tihna a ni.

Diabulimia hi engte nge ni?

Diabulimia awm chhan pakhat chauh a awm lo. Hetiang ei leh in lama harsatna hi thil buaithlak tak a ni. Taksa, khawtlang leh rilru hriselna lam thil hrang hrang inzawmkhawm avanga lo awm thei an ni.

Diabetes enkawlna kawnga rilru hahna pawh a awm thei bawk. Ngaihtuah:

• Chaw ei tur ngaihtuah reng a ngai a, a bik takin carbohydrates chhiar tel a ngai.
• Nutrition label te uluk taka chhiar a pawimawh.
• Thisen sugar level, HbA1c level, leh taksa rih zawng te record leh enfiah fo a pawimawh.

Heng thilte bakah hian thil dang engemaw zatin diabulimia natna a thlen thei a ni:

• Thau tihtlem duhna nasa tak.
• Taksa lem chungchang.
• Diabetes natna avanga lungngaihna.
• Culture thenkhatah chuan taksa "skinny" chu mawi takah idealized a ni.
• Support nei lo ang maia inhriatna.
• Rilru lam harsatna, a bik takin clinical depression leh lungkhamna te.
• Thisen thlum a tlak hniam chuan ei a ngai a ni.
• Peer pressure a ni.
• Ei leh in lama harsatna i neih tawh chuan.
• Nunna atana thil thleng rapthlak tak takte.
• Nunnaah thil pakhat thunun duhna.
• Zunthlum hnua taksa rihna sang hi hmuhchhuah hmasak a ni a, enkawl tan a ni.

Nangmah emaw, i hnaih ber emaw hian heng symptoms te hi an neih chuan tanpuina zawn a pawimawh hle.

Hemi atanga harsatna lo awm thei te chu engte nge ni?

Diabulimia hian hun rei lote leh hun rei tak chhungin hriselna lama harsatna lian tak a thlen thei a ni.

Hun rei lote chhunga harsatna awm thei

Heng zinga a tam zawk hi thisen sugar level sang reng reng vang a ni.

• Diabetic Ketoacidosis (DKA): Hei hian thihna a thlen thei.
• Tui tlakchhamna nasa tak.
• Hliam dam rei lutuk.
• Bacteria infection te chu Staph ang chi te hi a ni.
• Yeast infection leh urinary tract infection (UTI) te a awm thei.
• Muscle atrophy a awm.

Hun rei tak chhunga harsatna awm thei

Hengte hi zunthlum natna avanga harsatna awm fo thin a ni a, mahse zunthlum vei te tan chuan a rang zawkin a na zawk thei a ni.

• Lung leh thisen zam natna.
• Mit chhunga nerve tihchhiat (Retinopathy) - Hei hian mitdelna hial a thlen thei.
• Ke ruh chhunga nerve tihchhiat (Neuropathy) - Hei hian hliam hnuah pawh rilru hahna, natna, leh hriatna hloh a thlen thei.
• Gastroparesis - Chaw ei hun sawn hlat.
• Kidney disease - Hei hian kidney failure a thlen thei a, dialysis pawh a mamawh thei bawk.
• Liver natna.

Heng harsatnate hian damdawi ina awm fo leh thih hma pawh a thlen thei a ni.

Engtin nge doctor-te hian he natna hi an hriat theih?

Ei leh in lama harsatna hi a tlangpuiin hriat a harsa hle a, a chhan chu thup a nih fo vang a ni. Hetiang natna vei tam tak hi enkawlna zawng turin an rawn lang lo. Hei hi diabulimia vei tan chuan a dik thei hle. Zunthlum vei te hian an zunthlum an enkawl that loh avangin an doctor emaw chhungte emaw chuan an mawhpuh an hlau fo thin.

Hei vang hian diabulimia vei tam tak chu hmuhchhuah lohvin an awm thin.

I hnaih bertu mi pakhatin HbA1c level 9.0% aia sang a neih chuan, emaw, sawifiahna dang awm lovin DKA a tawk fo a nih chuan, diabulimia a vei tih i ringhlel mai thei.

Thisen sugar sang reng reng chhan dik tak hriat a harsat avangin, a tam zawkah chuan, mi dangte’n he natna hi an hriat theih nan, chu mi ngei pawhin tumruh takin insulin hman a tihtlem tih a pawm a ngai a ni.

Diabulimia hi engtin nge enkawl a nih? (Tihdamna)

Diabulimia enkawlna tum berte chu:

• Insulin dik taka hman.
• Thisen sugar level leh taksa rih zawng hrisel taka enkawl.
• Hun rei lote leh hun rei tak chhunga zunthlum natna laka invenna.
• Diabulimia thlentu rilru lam harsatna enkawl.

Chumi atan chuan a hnuaia enkawlna hrang hrangte hi a inzawm khawm hman a ni tlangpui:

• Medical evaluation leh/ emaw damdawi ina dah: DKA ang chi natna i neih chuan damdawi inah dah leh enkawl i ngai ang. A nasat chuan insulin khap a nih loh nan leh ei leh in lama harsatna dangte enfiah nan damdawi inah dah a ngai mai thei. Doctor-te pawhin harsatna a awm leh awm loh enfiah turin test neih an rawt thei bawk.
• Psychotherapy (talk therapy): Hei hian harsatna nei ngaihtuahna leh nungchang kalphung a thlak danglam thei a ni. Zunthlum vei te hi a let hnih atanga a let thum velin depression an nei tam zawk a, 20% velin anxiety an nei tam zawk bawk. Psychotherapy hian heng natna te hi a enkawl thei a ni. Tin, zunthlum chungchanga i rilru put hmang sawi hian zunthlum burnout a tihziaawm thei bawk.
• Nutrition leh/ emaw zunthlum enkawl dan zirtirna: Zunthlum chungchang hriatthiamna tha tak neih hian enkawl dan tur inrintawkna a pe thei che a ni. Certified Diabetes Care and Education Specialist (CDCES) nen thawkdunin zunthlum biology leh enkawl dan tur i zir thei ang. Nutrition education hian ei tur thenkhat ("carbs a tha lo" ang chi) leh ei leh in hrisel lo dangte chungchanga rinna tha lo tak tak te chu a thlak danglam thei a ni.
• Depression leh anxiety control nana damdawi: A tul chuan doctor chuan hemi atan hian damdawi a pe thei bawk.

Diabulimia hi taksa leh rilru lam hawi zawnga natna a nih avangin enkawlna atan hian healthcare provider hrang hrangte puihna a ngai a ni. Entir nan:

• Zunthlum enkawlna leh zirna lama mithiam (CDCES) Certified an ni.
• Endocrinologists - Hormone lama tui tak doctor te.
• Psychologist te an ni.
• Dietitian registered te pawh an awm.

Hetiang dinhmun atanga dam leh theihna chance engzat nge awm? (Prognosis) tih a ni.

Diabulimia vei tan chuan thil engemaw zat a innghat a:

• Diabulimia natna hi eng chen nge a awm tawh.
• Insulin hi engzat nge tihkhawtlai a nih tih leh engzat nge tihkhawtlai a nih.
• Ei leh in lama harsatna dang a awm leh awm loh.
• Enkawlna i dawn chi leh chu enkawlna atana i inpekna chu.

Diabulimia hi enkawl loh chuan a na zual thei. Ṭanpuina i hmuh hma chuan a rah chhuah a ṭha zawk. Mahse, a tam zawkah chuan diabulimia vei te hian tumruh takin an insulin an tihtlem thu an sawi lo. Enkawlna an duh lo emaw, enkawlna ruahmanna an zawm lo emaw pawh a ni thei.

Diabulimia hi ei leh in lama harsatna a ni a, enkawl loh chuan a na hle thei a, nunna pawh a tichhe thei bawk. Zunthlum vei te hi mipui zahawmte aiin dam rei lo deuh mah se, zunthlum vei te hi zunthlum vei chauh aiin an thih hma zawk a ni.

Mahse thu lawmawm tak chu diabulimia hi enkawl theih a ni. Hmangaihte thlawpna hian he natna vei mi pakhat chu enkawlna lama inpekna nei reng turin a pui nasa hle thei a ni.

Diabulimia i vei chuan engtin nge i in enkawl ang? / Engtin nge tanpuina i hmuh theih ang?

Hei hi sawi harsa leh hlauhawm tak a ni thei a, mahse diabulimia i neih chuan mi hnenah hrilh a pawimawh hle.

Diabulimia i vei tih hmuhchhuah tawh i nih chuan i enkawlna ruahmannaah hian inpekna nei reng ang che:

• Insulin dose i pek chu a hun takah ei thin ang che.
• Damdawi dang i neih chuan uluk takin ei thin ang che.
• Talk therapy i dawng a nih chuan i therapist hmu fo ang che.
• Chhungte leh thiante hnen atangin tanpuina dil rawh.
• Diabetes leh/ emaw diabulimia vei te tan support group-a tel hi ngaihtuah rawh.
• Diabulimia nungchang (social media ang chi) tichhuak thei thilte chu hlat rawh.
• Doctor hmu fo ang che.
• I chungah ngilnei rawh. Nangmah kha han ngaihtuah teh.

Type 1 diabetes hi a buaithlak a, enkawl harsa tak a ni a, a chang chuan a buaithlak hle bawk. Mahse nangmah chauh i ni lo tih hria ang che – zunthlum vei zawng zawng hian nunah sang leh hniam an nei vek. Mahse diabulimia hi natna khirh tak a ni a, hriselna lamah nghawng na tak a nei thei a ni. He thil tha lo tak hi titawp a, nun hrisel zawk neih theihna tura hmalakna hmasa ber chu tanpuina dil hi a ni. I doctor te leh i hmangaih te tanpui turin an awm reng a ni.

Thu tawite hriat reng tur

Okay, chuvangin kan sawi tawh atanga kan hriat reng tur pawimawh tak tak te chu hetiang hi a ni:

• Diabulimia hi natna khirh tak a ni a, Type 1 Diabetes vei chuan a taksa rihna tihtlem nan tumruh takin insulin hman a khap tlat a ni.
• Hei hian hriselna lama harsatna lian tak, nunna atana hlauhawm, hun rei lote chhung leh hun rei tak chhung pawh a thlen thei a ni.
• A hmaa hriatchhuah a pawimawh hle a, damdawi lam, rilru lam, leh ei leh in lam hawia enkawlna kimchang tak dawng a pawimawh hle.
• He zinkawngah hian chhungte leh \hiante \anpuina a pawimawh hle.
• Hetiang harsatna i neih chuan tanpuina dil hi hlau ngai suh. Nangmah chauh i ni lo.

` Diabulimia, Diabetis, Type 1 Diabetes, Insulin, Ei leh in lama harsatna, Ei leh in lama harsatna, Rihna tlahniam, Rilru hriselna