I doctor chuan zunthlum damdawi thar a rawn pe tawh em? Hming sei deuh a ni lawm ni? Damdawi pahnih Ertugliflozin leh Metformin te inzawmkhawm a ni. Brand name Segluromet hmangin i hre tawh mai thei. Chuvangin, kan thianpa nen kan inbia ang maiin tawi te tein, he damdawi hi eng nge a nih, kan taksaah engtin nge a hnathawh tih leh kan hman huna kan hriat chian a ngaih thu te hi han sawi ila.
A awlsam zawngin, he damdawi hi eng nge ni?
Hei hi
type 2 diabetes enkawlna atana hman thin damdawi a ni . Damdawi pahnih a inzawm khawm a ni. Ertugliflozin leh Metformin te hi a ni. Heng pahnih hi an inzawmkhawm chuan i taksaa sugar level, chu chu i thisena glucose level a control theih nan a pui a ni. Ertugliflozin hian i kal (kidney)-in i zun atanga sugar tam lutuk engemaw zat a paih chhuah tir hmangin hna a thawk niin han ngaihtuah teh. Metformin hian i liver-in sugar a siam chhuah a tihtlem bakah i taksa cell-te’n insulin an dawn theihna tura puitu berin hna a thawk ber a ni. Chutiang chuan i thisen sugar chu kawng hnih in control a ni.
Mahse thil pakhat chu kan rilruah kan vawng reng tur a ni. He damdawi ei ringawt pawh hi a tawk lo. Ei leh in tha leh exercise dik tak pawh hi he enkawlna atana thil pawimawh tak a ni. He damdawi hi doctor-in nunphung tihdanglamna a pek ruala ei a nih chauhvin result tha ber a awm thei.
He damdawi hi i ei tan hmaa i doctor hnena i hrilh tur thilte
I doctor-in he damdawi a pek hma hian i hriselna chungchang kimchang taka a hriat a ngai a ni. Chuvangin, a hnuaia tarlan te hi i neih chuan
i doctor hnenah hrilh ngei ang che . Hei hi i himna atan a pawimawh hle.
| Quality chi hrang hrang | Heng dinhmunte hi i nei em? (Khawngaihin i doctor hnenah hrilh rawh ) |
|---|
| Zunthlum kaihhnawih natna | - Type 1 diabetes nei a ni
- Tun hmaa Diabetic Ketoacidosis ( DKA ) natna vei tawh a ni.
- Zunthlum vanga ke natna
- Insulin hman dan tur thlak danglam
- Amputation (ke emaw a then emaw lak chhuah) .
|
| Natna dang | - Kidney natna emaw, thin natna emaw
- Lung natna , thinlung natna, emaw, stroke emaw neih
- Pancreatitis nei a ni
- Thisen kal dan a tichhe
- Urinary tract infection (UTI) emaw, serh natna emaw a awm fo thin
- Zun harsatna
|
| Nunphung leh thil dang | - Zu in fo thin
- Ei leh in lama inthlak danglamna lian tak siam (e.g. ei tlem) .
- Salt tlem ei leh in
- Taksa tui tlakchhamna
- Thisena calcium emaw vitamin B level hniam
- Nerve natna leh taksa peng hrang hranga natna (numbness) neih
|
| Nakin lawka ruahmanna leh allergy te | - Nakin lawkah operation emaw CT/X-ray scan emaw neih tura ruahman an ni
- Naupai tum emaw, naupai mek emaw
- Naute hnute pek
- Ertugliflozin, Metformin emaw damdawi dang, ei tur emaw, pigment dang emaw allergy nei
|
Engtin nge damdawi hi ka hman ang?
He damdawi hman dan hi a awlsam hle.
- He pill hi tui glass khat nen ei thin ang che .
- Try to take it at the same time every day , i doctor-in a tih ang chiah khan.
- He damdawi hi chaw ei tan tirh lamah ei a tha ber .
- Doctor rawn hmasa lovin i damdawi ei kha titawp ngai suh .
Damdawi i ei tam lutuk chuan engtin nge ni ang? (A tam lutuk) .
Damdawi i ei tam lutuk nia i inhriat chuan hlauthawng suh. Mahse, awlsam takin la bawk suh.
Hospital hnai ber Emergency Department (ETU)-ah kal nghal la ,
Colombo National Hospital-a National Poisons Information Center-ah thurawn dil rawh.
A pawimawh ber: He damdawi hi nangmah tan chauh pek a ni. Eng vangin pawh midang hnenah share suh.
Damdawi dose i ei loh chuan engtin nge i tih ang?
Kan damdawi ei hi a chang chuan kan theihnghilh vek. Chutiang a nih chuan i hriatreng veleh missed dose chu ei nghal rawh. Mahse, i hriatreng hunah i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, i dose leh tur chu a hun ruatah ei rawh.
Vawi khatah vawi hnih ei ngai suh. He damdawi nena inzawm thei damdawi dang
Damdawi i ei zawng zawng hian he damdawi hi a thawk tha vek dawn lo. Damdawi thenkhat chuan he damdawi hnathawh dan hi a tibuai thei a ni. Chuvangin, i damdawi ei zawng zawng, vitamin, leh herbal products thlengin i doctor hnenah hrilh vek a pawimawh hle.
He damdawi nen hian i ei loh tur thilte
He damdawi hian taksaa
contrast agents (dyes) inject thenkhat nen a inzawm thei a, a bik takin CT scan, MRI scan emaw X-ray emaw i tih dawn chuan a inzawm thei a ni. Chuvangin hetiang test hma hian he damdawi hi i ei tih medical staff te hnenah i hrilh hmasa tur a ni.
Damdawi dang inzawmkhawm thei
A hnuaia damdawi te hi Ertugliflozin/Metformin nen an inzawm thei a ni.
- Acetazolamide hmanga siam a ni
- Cimetidine a ni
- Dolutegravir a ni
- Lithium a ni
- Ranolazine a ni
- Topiramate a ni
- Vandetanib chuan a ti a
- Zonisamide hmanga siam a ni
- Dichlorphenamide hmanga siam a ni
- Zu
Thisen sugar level tichhe thei damdawi
Damdawi thenkhat chuan i thisen sugar level a tidanglam thei (tipung emaw tihhniam emaw). Tin, damdawi thenkhat chuan thisen sugar hniam (hypoglycemia) chhinchhiahna chu a khuh thei a, chu chu kan hre lo tihna a ni. Hei hi tlem a hlauhawm thei hle. Chuvangin heng damdawi te hi i ei a nih chuan i doctor chuan i thisen sugar level enfiah fo turin a hrilh ang che.
| A nghawng dan (nature) a ni | Damdawi entirnan |
|---|
| Thisen sugar level tichhe thei damdawi | - Thisen sang damdawi thenkhat (e.g., benazepril, lisinopril, losartan) .
- Diuretics (e.g. hydrochlorothiazide) te hi a chhuak thei lo.
- Steroid (e.g. prednisone, cortisone) te hi a tha hle.
- Hormone chi hrang hrang (Estrogen, progestin, Testosterone) 1.1.
- Thyroid hormone a awm a
- Antibiotics leh rilru lam natna damdawi thenkhat
|
| Hypoglycemia symptoms khuh thei damdawi | - Beta-blockers (e.g. atenolol, metoprolol, propranolol) te hi a tha hle.
- Clonidine, Guanethidine, Reserpine te a awm bawk
|
Damdawi ei huna fimkhur tur thil
He damdawi hi i ei dawnin tlem tal i fimkhur a ngai bawk.
- Hun ruat saah doctor hmu rawh. I hmasawnna enfiah a, test tul tak tak tihsak a pawimawh. Doctor chuan i HbA1C (thla 2-3 kalta chhunga i thisen sugar level averages test) level chu a enfiah ang.
- Thisen thlum hniam (hypoglycemia) chhinchhiahna hriat tur. Hriselna lama thawk hah, khur, riltam lutuk, leh thinlung thawk chak ang chi symptoms te tan inbuatsaih rawh. Glucose tablet emaw sugar packet emaw keng reng ang che.
- Dehydration tih loh tur . Tui tam tak in thin ang che. Khawsik, luak chhuak, riltam i neih chuan a bik takin fimkhur la, doctor hnenah hrilh rawh, a chhan chu taksa atanga tui tam tak a bo avangin.
- I doctor hnenah operation emaw scan emaw i tih hmain he damdawi hi i ei tih hrilh hmasa phawt ang che . Engtikah nge i ei tawh loh tur leh engtikah nge i tan leh tur tih an hrilh ang che.
- Vitamin B12 hi fimkhur rawh. He damdawi hi rei tak ei hian vitamin B12 level a ti tlahniam thei a ni. Hemi chungchang hi i doctor nen inbia ang che.
- Diabetic i nihzia tilangtu medical ID bracelet emaw card emaw bun hi emergency-ah a tangkai hle thei a ni.
Damdawi hian eng side effect nge a neih theih?
Damdawi dang ang bawkin hei hian mi thenkhatah side effect a thlen thei a ni. Mahse, mi zawng zawngin an hmu vek lo. A hnuaia symptoms te hi fimkhur rawh.
Side effects i doctor hnena hriattir nghal tur: Side effects nasat loh tlangpui, mahse a awm reng chuan
doctor hnenah report tur a ni.
| Side effect a awm thei | A sawifiahna leh a lan chhuah dan |
|---|
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. |
| Zunthlum vei ketoacidosis (DKA) a awm thei. | Tuihâl lutuk, zun tam, hmui ro, thawk harsa, thei thaw rim, pum na, luak. |
| Tui tlakchhamna (dehydration). | Tuihal tuihal lutuk, hmui vawt, muhil, zun dum emaw sen hring emaw. |
| Lactic acidosis (Lactic acid level sang) 10. A rilru a hah lutuk chuan a rilru a buai em em a. | Muscle na, pum na, thawk harsa, hah lutuk. |
| Infection awm thei te | Urinary tract infection (UTI) - zun kawng a na, zun tam, pum hnuai lam na. Genital area-a yeast infection - a hring, a sen, a hring. Severe area atanga anus thlenga natna nasa tak a awm. |
| Vitamin B12 tlakchham vang a ni | Ke ruh natna, ke ruh natna, taksa ruh chak lohna, luak chhuak, buai. |
| Digestive system lama harsatna awm thei | Diarrhea, gas, luak chhuak, luak chhuak, pum na. |
| Thildang | Lu na. |
Engtin nge damdawi chu ka dahkhawm ang? Engtin nge ka paih ang?
- He damdawi hi naupang leh ran vulhte hmuh theih lohna hmunah dah tur a ni .
- Room temperature (20-25 degree Celsius inkar) ah dah tur a ni.
- Damdawi expired hman loh tur. Anni chu uluk takin paih rawh.
- Damdawi tihbo dan tha ber chu damdawi dawr emaw damdawi in emaw enkawl damdawi take-back program-ah hlan hi a ni.
- Chutiang a nih loh chuan damdawi chu a bawm atang chuan la chhuakin, coffee ground hman tawh, lei, emaw, ui bawlhhlawh ang chi thil nen chawhpawlh la, bag khar nghet takah dah la, bawlhhlawh bawmah paih rawh. Toilet chhungah hian flush ngai suh.
Take-Home Thuchah a ni
- He damdawi hi zunthlum venna atana puitu chauh a ni. Ei leh in mumal leh exercise hi a pawimawh hle.
- Damdawi dang i ei zawng zawng leh i damdawi lam dinhmun eng pawh i doctor hnenah hrilh rawh.
- Thisen thlum hniam (hypoglycemia) leh tui tlakchhamna (dehydration) chhinchhiahna te fimkhur hle ang che.
- Urinary tract infection, genital infection, emaw side effect na tak tak dang i neih chuan doctor pan nghal tur a ni.
- He damdawi hi doctor thurawn tel lova hman tawh loh tur a ni.
- I zunthlum enkawlna chungchangah harsatna i neih chuan i doctor biak pawh hlau ngai suh.
Zunthlum, Ertugliflozin, Metformin, Segluromet, type 2 diabetes, thisen sugar, sugar control
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