I doctor-in Type 2 Diabetes i vei thu a hrilh che chuan i thisen sugar level control nan damdawi chi hrang hrang an lo pe tawh che a ni mai thei. Chumi zingah chuan damdawi pahnih Empagliflozin leh Metformin tih inzawmkhawm pill i dawng tawh mai thei. Sri Lanka ramah chuan he damdawi hi Synjardy XR ang chi brand hming hnuaiah a awm thei a ni. Chuvangin vawiinah hian he damdawi leh a hman laia fimkhur tur thilte, awlsam leh chiang takin sawi ila.
He damdawi hi eng nge thleng tak tak?
A awlsam zawngin sawi ila, hei hi i thisena sugar (glucose) level tihhniamtu damdawi a ni. Damdawi chi hnih inzawmkhawm a ni.
1. Empagliflozin: Hei hian i kal (kidney) in i taksa atanga sugar tam lutuk chu i zun kaltlangin a paih chhuak thei a ni.
2. Metformin: Hei hian i thin (liver) atanga sugar siam chhuah zat a ti tlem ber a, chubakah i taksa cell-te pawhin insulin an dawng tha zawk bawk.
A pawimawh ber chu he damdawi hi ei leh in tha leh exercise tha tak nena inzawm a pek thin a ni . Damdawi ei ringawt hi a tawk lo, i nunphung i thlak a ngai tak zet a ni.
Damdawi ei tan hmaa doctor hnena i hrilh tur thilte
He damdawi hi i ei tan hmain i doctor hnenah i hriselna chanchin kimchang i hrilh hmasak phawt a pawimawh hle a , a bik takin a hnuaia tarlan te hi i neih chuan.
| Thu hriat tur chi hrang hrang | Hrilhfiahna |
|---|---|
| Damdawi lam dinhmun awmsa | Kal natna, thin natna, lung natna, Cholesterol sang, thisen tlakchham (thisen tlem), thisen sang hniam, pancreas lama harsatna (Pancreatitis), Polycystic Ovary Syndrome (PCOS), Type 1 Diabetes. |
| Infection leh harsatna dangte | Urinary tract infection (UTIs) i neih fo chuan, i taksa peng hrang hrangah yeast infection i neih tawh chuan, zun harsatna i neih chuan, natna khirh tak i nei a, hliam i nei a nih chuan. |
| Nunphung leh ei leh in | Zu i in fo chuan, chi tlem ei tur i zawm a, natna vang emaw, operation vang emaw, thil dang avanga ei tlem emaw, luak chhuak emaw, tui tlakchhamna emaw i neih chuan. |
| Hun bik atan | Naupai emaw, naupai tum emaw, nau hnute pe lai emaw, operation lo awm tur emaw, damdawi emaw ei tur emaw allergy i neih chuan. |
Damdawi hi engtin nge dik taka hman ang?
Chûng thilte chu ṭha takin hre reng ang che.
- He damdawi hi tui glass khat nen ei tur a ni.
- Pill chu a pumin ei rawh. Tihchhiat suh, tikehsawm suh, chew suh. Hei hi a chhan chu hengte hi ‘Extended-Release’ atana siam a nih vang a ni a, chu chu damdawi chu hun kal zelah taksaah a chhuak tihna a ni. Pill i tihchhiat chuan damdawi chu vawi khatah taksaah a lut vek thei a, dinhmun hlauhawm tak a siam thei bawk.
- He damdawi hi chaw ei rualin ei thin ang che .
- Damdawi hi i doctor-in a sawi ang chiah chiah, a hun takah ei tur a ni. Doctor thurawn tel lo chuan eng thil vangin damdawi ei kha bansan suh.
Damdawi i ei tam lutuk chuan engtin nge i tih ang?
Overdose i tih i rin chuan Colombo National Hospital-a National Poisons Information Center (telephone number 0112686143) ah call nghal la, damdawi in hnai ber Emergency Treatment Unit (ETU) ah kal nghal rawh.
Damdawi dose khat ka ei loh chuan engtin nge ni ang?
Dose i miss a nih chuan i hriatreng veleh ei nghal rawh. Mahse i dose leh tur a hun tawh dawn a nih chuan missed dose kha skip la, i dose leh tur chu i ruahman angin ei rawh. Vawi khatah vawi hnih ei ngai suh.
He damdawi nena inzawm thei damdawi dang
Damdawi i ei zawng zawng (vitamin, herbal remedies, leh supplement te pawh tel) i doctor hnenah i hrilh a pawimawh hle. Damdawi thenkhat hi ei dun a nih chuan harsatna a thlen thei.
A bik takin ‘contrast’ damdawi chi thenkhat, test hmaa taksaa inject thin X-ray, CT scan, leh MRI te hi he damdawi nen hian ei loh tur a ni. Tin, Dofetilide an tih damdawi hi ei loh tur a ni.
I doctor hnenah damdawi i ei zawng zawng list pe rawh. Chu chu tih dan him ber a ni. Over-the-counter khuh leh khawsik damdawi thenkhatah chuan sugar leh zu a awm thei a, chu chuan i thisen sugar level a tichhe thei a ni.
Damdawi i ei dawna i fimkhur bik tur thilte
- Lactic Acidosis: Hei hi natna awm lo mahse na tak a ni. I rilru na, i luak chhuak, i pum na, i chau lutuk, emaw thawk harsa i neih chuan , damdawi ei kha bansan nghal la, i doctor ko rawh.
- Diabetic Ketoacidosis (DKA): Hei hi natna khirh tak dang a ni bawk. Kawng vawt, tuihal lutuk, zun tam, thei thaw rim, leh thawk harsa tih ang chi symptoms i neih chuan doctor pan nghal rawh.
- HbA1C test: He thisen test hi thla 2-3 kalta chhunga i thisen sugar control dan tehna a ni a, i doctor thupek angin a hun ruatah tih tur a ni.
- Thisen thlum zat tehna: Thisen thlum hniam (hypoglycemia) leh thisen thlum sang (hyperglycemia) natna lan chhuah dan zir rawh. I thisen sugar a tlahniam palh hlauh chuan ei tur engemaw zat, sugar cube emaw glucose tablet emaw dah la.
- Surgery leh test: Surgery emaw MRI emaw CT scan emaw i tih dawn a nih chuan he damdawi hi i ei tih medical team hnenah hrilh hmasa phawt ang che. I tih hmain damdawi ei kha i chawlhsan a ngai mai thei .
- Naupai: He damdawi hian naupai theihna a tipung thei a ni. Chuvangin, i doctor nen birth control \ha tak hman dan tur sawipui rawh. Nau i pai emaw, nau i pai mai thei nia i ngaih emaw chuan i doctor hnenah hrilh nghal rawh.
- Vitamin tlakchhamna: He damdawi hi hun rei tak hman chuan vitamin B12 leh folic acid a tlahniam thei. Chuvangin, ei leh in inthlau tak ei chungchang leh a tul chuan vitamin supplement ei chungchang doctor nen inbia ang che.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin he damdawi hian side effect a nei thei a ni. Tin, chi hnih ah then ila.
| Heng symptoms te hi i neih chuan doctor hnenah hrilh nghal rawh. | |
|---|---|
| Allergy na tak tak a awm | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. |
| Lactic Acidosis emaw DKA emaw natna lan chhuah dan | Pum na, thawk harsa, hah lutuk, luak chhuak, luak chhuak. |
| Infection awm thei te | Zun kawng infection, zun tam (UTI). Genital area chhungah emaw a chhehvelah emaw a sen, a hring, a hring, a na leh a rimchhia. |
| Symptom na tak dang a awm bawk | Dehydration chhinchhiahna (kawng vawt, tuihal lutuk, zun thim), vitamin B12 tlakchhamna chhinchhiahna (kut leh ke ruh, luak chhuak, taksa ruh chak lo). |
| Hengte hi a pawi lo tlangpui a, mahse a awm reng chuan doctor hnenah hrilh rawh. | |
| Digestive system lama harsatna awm thei | Diarrhea, luak chhuak, luak chhuak. |
| Natna tenau dangte | Lu na , ka chhunga metallic taste. |
Engtin nge damdawi hi him taka i vawn reng?
- Naupang leh ran vulhte hmuh theih lohna hmunah dah tur a ni.
- Room temperature (15-30 degree Celsius inkar) ah dah tur a ni.
- Damdawi expire tawh chu hmang lovin paih mai rawh.
Take-Home Thuchah a ni
- He damdawi hi doctor-in a pek ang chiah chiah, a hman dan tur dik tak leh a hun dik takah ei fo ang che.
- Tablet hi eng thil vang pawhin tichhia suh, tikehsawm suh, chew suh. A pumin ei rawh.
- Damdawi dang zawng zawng, vitamin leh supplement i ei tur zawng zawng chu i doctor hnenah hrilh rawh.
- Lactic acidosis ang chi side effect na tak tak symptoms te chu hre reng la, heng zinga pakhat tal i neih chuan doctor lam pan nghal rawh.
- I thisen sugar level enfiah fo la, i doctor hnenah test, HbA1c ang chi chu a hun takah tih tir rawh.
- Thil ngaihtuah leh rinhlelhna i neih chuan i doctor nen sawiho rawh.
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