Zunthlum hi tun dinhmunah kan ramah mi tam takin an tawrh mek a, chu chu ngaihven a ngai hle a ni. Hei hi thunun nan hian damdawi chi hrang hrang a awm a. I doctor pawhin vun hnuaia pen ang chi injection hmang turin a hrilh che pawh a ni mai thei. Vawiin hian chutiang injection pakhat, ‘Dulaglutide’ chungchang kan sawi dawn a ni. Hei hi brand name Trulicity hmangin i hre mai thei. Chuvangin, he damdawi hi awlsam tak leh friendly takin i sawi dawn nia.
He damdawi hi eng nge thleng tak tak?
A awlsam zawngin sawi ila, he damdawi hian Type 2 Diabetes control turin a pui a ni. Kawng engemaw zatin hna a thawk a ni.
- Insulin Boost: He damdawi hian i taksain insulin a natural production a tichak a, he hormone hian thisen atanga sugar (glucose) chu cell-ah a sawn a, chakna ah a chantir thei a ni.
- Sugar siam chhuah tihtlem: He damdawi hian i thinin i thisenah sugar a dah zat a ti tlem a ni.
- Slow digestion: He damdawi hian i pum chhunga chaw ei zat a ti hniam a. Hei hian chaw ei hnua thisen sugar level sang nghal mai chu a control thei a ni. Hun rei zawk i chaw ei theih nan a pui bawk a, hei hian ei tam lutuk control turin a pui thei bawk.
Heng thil bakah hian zirchianna atanga a lan dan chuan he damdawi hian type 2 diabetes vei te heart attack leh stroke hlauhawmna a tihziaawm bawk.
Mahse, he damdawi ringawt hi a tawk lo tih hre reng ang che. Ei leh in dik leh exercise hi he enkawlna atana thil pawimawh tak pahnih a ni.
Damdawi ei tan hmaa doctor hnena i hrilh tur thilte
Dulaglutide i ei tan hmain doctor hnenah i hriselna chungchang i hrilh hmasak phawt a pawimawh. A bik takin nangmah emaw, i chhungte zinga tu emaw hian a hnuaia condition te hi i neih chuan:
| Situation i report tur a ni | Engvângin nge chu chu a pawimawh? |
|---|---|
| Nangmah emaw, i chhungte zinga tu emaw chuan thyroid cancer emaw MEN 2, endocrine glands cancer emaw i nei a. | He damdawi hi thyroid cancer chi thenkhat nen a inzawm thei tih hi a tlem hle a, chuvangin he thil hi i doctor hriattir a pawimawh hle. |
| Tun hmaa pancreatitis vei tawh a nih avangin. | He damdawi hian pancreatitis a thlen tam lo hle a, chuvangin a hmaa history hriat a pawimawh hle. |
| Kidney emaw liver emaw natna. | Heng dinhmunte hian i taksain damdawi a paih dan a nghawng thei a, chuvangin i dose siamrem emaw, ngaihven bik emaw i mamawh mai thei. |
| Mit lama harsatna (Diabetic Retinopathy) a awm. | Doctor hriattir a pawimawh a, a chhan chu a chang chuan zunthlum avanga mit lama harsatna awm hi a buaithlak thei hle. |
| Naupai lai te, nau pai tum te, nausen hnute pek te. | Chutiang hunah chuan he damdawi hi i doctor nen sawiho a, thutlukna siam a pawimawh hle. |
| Damdawi dang, ei tur dang emaw, thil dang emaw allergy nei. | Hei hi dulaglutide emaw a chhunga thil awm emaw i allergy tih finfiah nan a pawimawh hle. |
He vaccine hi engtin nge hman a nih?
Hei hi vun hnuai lama injection a ni. A tlangpuiin i doctor emaw nursing staff emaw chuan dik taka pek dan tur an entir ang che.
- Kar khatah vawi khat: He vaccine hi kar tin ni leh hun inangah pek tur a ni. Entirnan, Pathianni zing tin.
- Pen prime suh: He injection pen hi hman hmain prime a ngai lo. Hman theih tura inpeih tawhin a rawn thleng.
- Injection sites rotate: Injection site inang hmang apianga hman ai chuan injection site rotate. I pum, i kekawrte, emaw, kut chunglam hnunglam emaw ang chi hmun i hmang thei bawk.
- Insulin nen hian inhmeh lo la:Insulin injection pawh i ei a nih chuan damdawi pahnih hi pawlh khawm ngai lovin syringe khatah inject rawh. Injection pahnih hi a hranin, hmun hrang hrang pahnih ah inject rawh.
- Needle hman tawh: Needle hman tawh chu bawlhhlawh bawmah paih ngai suh. An hlauhawm hle mai. Sharps container bik, lakchhuah theih turah dah tur a ni. I neih loh chuan i doctor hnenah pakhat dil rawh.
Dose i miss a nih chuan engtin nge i tih ang?
I scheduled dose i miss a nih chuan i hriatreng veleh ei nghal rawh. Mahse, i dose lo awm tur chu ni 3 aia rei lo (i.e., ni 4 aia rei lo) a nih chuan, i dose loh chu skip la, a hun tur ruahman ni-ah chuan dose dang chu ei ve bawk ang che. Vawi khatah vawi hnih ei loh tur.
Damdawi ka ei tam lutuk chuan engtin nge ni ang?
He damdawi hi i ei tam lutuk nia rinhlelhna i neih chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh. A nih loh leh Colombo National Hospital-a National Poisons Information Center-ah thurawn dil turin phone la.
Damdawi ei huna fimkhur tur thil
- Thisen Sugar Testing: In lama thisen sugar test dan zir rawh. Hypoglycemia leh hyperglycemia symptoms leh a hmachhawn dan tur hriat.
- HbA1C test: I doctor chuan thla 3 atanga thla 6 danah thisen test HbA1C tih a ti ang. Hei hian thla 2-3 kalta chhunga i zunthlum i control that dan a teh a ni.
- I thisen sugar a tlahniam chuan: Sugar tlem (e.g. sugar cubes, glucose tablets, toffee) i bulah dah fo ang che. I thisen sugar a tlahniam lutuk a, i luak chhuak emaw, i khur emaw a nih chuan chutih lai chuan i ka chhungah engmah dah suh. Damdawi inah i kal nghal tur a ni.
- Luak emaw, luak chhuak emaw: I luak tam lutuk emaw, luak chhuak emaw i neih chuan emaw, i thawmhnaw tam lutuk chuan i taksa atanga tui tam tak i hloh a, tui i tlakchham phah thei a ni. Hei hi i kal tan a tha lo. Chutiang hunah chuan doctor nen inbia ang che.
- I pen hi share suh: I injection pen hi midang hnenah share ngai suh. Needle insem pawh nise, Hepatitis leh HIV ang chi virus hlauhawm tak tak i la darh thei tho a ni.
Damdawi hmansualna (side effects) te
Damdawi dang ang bawkin Dulaglutide hian mi thenkhatah side effect a nei thei a ni. Chûng zînga ṭhenkhat chu a pawi hle a, ṭhenkhat erawh chu a nêm hle thung.
| Side effect na tak tak, damdawi lam pan vat ngai | |
|---|---|
| Pancreatitis natna a ni | Pum natna nasa tak, hnungzang thlenga darh, a bik takin ei leh in, luak leh khawsik hnuah. |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring, thawk harsa. |
| Thyroid tumor a ni | Kawngkhar ah lump emaw swelling emaw hriat, ei harsa, aw inthlak danglam. |
| Kidney lama harsatna nei | Zun chhuah tlem, ke ruh, kut leh ke ruh hring. |
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Nausea leh luak chhuak | Hei hi mi tam takah a tir lamah a thleng thei a, hun kal zelah a tlahniam fo bawk. |
| Kawthalo | Hei pawh hi side effect awm fo a ni. |
| Pum na leh chaw ei chak lohna | Chungte chu taksain damdawi a insiamrem chuan a tlahniam thei bawk. |
Damdawi hi engtin nge kan dahkhawm ang?
Hei hi a pawimawh hle. Damdawi quality vawng reng tur chuan dik taka dah a ngai a ni.
- Refrigeration (a tha ber): Hman loh, pan thar chu refrigerator-ah dah la, kawngkaah ni lovin, a chhunga shelf-ah 2 leh 8 degree Celsius inkar ah dah rawh. An rawn luhna box-ah khan dah rawh.Freezer-ah dah ngai suh. Damdawi hi a vawt a nih chuan hmang suh.
- Room temperature: A tul chuan pen pakhat chu room temperature (30 degree Celsius hnuai lam)-ah ni 14 thleng dah theih a ni . Mahse ni 14 hnuah hman loh tur. Eng leh lum lutuk lakah venhim.
Damdawi expired hman loh tur. An paih dan tur dik tak chu doctor hnenah thurawn dil rawh.
Take-Home Thuchah a ni
- Dulaglutide hi kar khatah vawi khat injection a ni a, type 2 diabetes enkawlna atan hman a ni a, a kaihhnawih heart disease hlauhawmna a ti tlem bawk.
- Damdawi i ei tur dang zawng zawng leh i damdawi lam dinhmun zawng zawng chu i doctor hnenah i ei tan hmain hrilh hmasa phawt ang che.
- Injection pen hi midang hnenah share ngai suh. Needle hman tawhte chu him takin paih vek tur a ni.
- Thisen thlum hniam (mualpho, thawk hah) leh side effect na tak (ril na na tak, kawr chhunga lumps) te chu fimkhur hle ang che.
- Damdawi hi refrigerator-ah dik taka dah a pawimawh hle.
- He damdawi hi ei lai hian ei leh in mumal leh exercise tha tak hi a enkawlna hlawhtlinna atan a pawimawh hle.
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