Zunthlum (Type 2 Diabetes) i nei em? Chutiang a nih chuan i doctor chuan Glipizide leh Metformin tih hming pu combination pill a pe che a ni mai thei. Hei hi kan rama zunthlum vei tam tak hnena pek thin damdawi pawimawh tak a ni a, thisen sugar level control nan a pui thin. Chuvangin vawiinah hian he damdawi leh i hman laia i fimkhur tur thilte, i hriatthiam theih tur awlsam takin i sawi dawn nia.
He damdawi hi eng nge thleng tak tak?
A awlsam zawngin, hei hi damdawi pahnih inzawmkhawm a ni. Chu chu Glipizide leh Metformin te hi pill khatah a awm vek tihna a ni. Heng pahnih hi an inzawm khawm chuan i taksa sugar level chu kawng engemaw zatin a tihhniam thei a ni.
- Glipizide: Hei hi damdawi chi khat sulfonylureas an tih zinga mi a ni. I taksa mamawh hormone insulin tam zawk siam turin i pancreas tichakin hna a thawk a ni.
- Metformin: Hei hian a thawk ber chu i liver-in a tul lo taka sugar a siam chhuah tihtlem nan a thawk a ni. Hei bakah hian taksa cell-te chu insulin an dawng tha zawk (insulin sensitivity a ti tha zawk) a pui bawk.
A pawimawh ber chu he damdawi ringawt hi a tawk lo tih hi a ni. He damdawi hi doctor thurawn angin ei leh in leh exercise dik tak nena ei dun a nih chauhvin result tha ber a awm thei ang
Damdawi ei tan hmaa doctor hnena i hrilh tur thilte
He damdawi hi i doctor-in a pek hmain i hriselna dinhmun a hriat chian a pawimawh hle. Chuvangin, a hnuaia dinhmunte hi i neih chuan i doctor hnenah hrilh ngei ngei tur a ni.
| I dinhmun emaw i tih dan emaw | Engvangin nge i hriattir ang? |
|---|---|
| Kidney emaw Liver natna emaw | Damdawi chu heng taksa peng hrang hrang kaltlangin taksa atanga paih chhuah a nih avangin an hnathawh a chhiat chuan damdawi hman dan tur siamrem a ngai mai thei. |
| Lung natna | He damdawi hi thinlung lam natna thenkhata hman hunah fimkhur bik tur a ni. |
| Zu in fo thin | Zu leh he damdawi hi inkawp hian natna khirh tak, lactic acidosis tih hi a tipung a ni. |
| Zunthlum vei ketoacidosis a awm | Hei hi zunthlum natna khirh tak a ni a, he damdawi hi a tan a tha lo hle. |
| Thisenah hemoglobin a tlahniam (Anemia) . | Anemia hi hriat a pawimawh a, he damdawi hian vitamin B12 lakluhna a nghawng thei a ni. |
| Naupai emaw, naupai tum emaw | He damdawi hi naupai lai hian a tha lo va, enkawl dan dang a ngai a ni. |
| Nu hnute pe thei nih | I doctor nen in sawiho tur a ni a, chu damdawi chu i naute hnenah hnute hnute hmangin a kal thei em tih i sawipui tur a ni. |
| Damdawi dang, sulfa damdawi, ei tur dang allergy nei | Allergy i neih apiang min hrilh hi himna atan a pawimawh hle. |
Engtin nge damdawi hi ka hman ang?
Hei hi a awlsam hle a, mahse zawm chiang tur a ni.
- He pill hi chaw ei rualin ei tur a ni . Pum ruak ah ei loh tur.
- Tablet chu tui glass khat nen a pumin ei rawh.
- I doctor-in a pek tur dose chu ei fo la, a pek hun dik takah ei thin ang che. I duh angin hun leh dose thlak suh.
- Kum 65 aia upa i nih chuan i doctor-in a dose tlem a pe thei che a ni.
- Damdawi i ei tam lutuk mai thei nia i ngaih chuan: I ngaihtuah chuan tihkhawtlai suh.Damdawi in hnai ber Emergency Department (ETU)-ah kal nghal la, Colombo National Hospital-a National Poisons Information Center-ah pawh biak rawh .
- Dose i miss a nih chuan: I hriatreng veleh ei nghal rawh. Mahse, 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. Eng thil vang pawhin double dose ei loh tur.
He damdawi nena inzawm thei damdawi dang
Warning: He damdawi hi test hmaa taksaa ‘contrast’ substance chi hrang hrang inject-a ei hi a hlauhawm hle a, chungte chu X-ray, CT scan, MRI, leh heart disease drug Dofetilide te hi a ni. Chutiang test i neih dawn chuan i doctor hnenah hrilh hmasa phawt ang che.
Tin, damdawi dang tam takin he damdawi nen hian a inzawm thei bawk. Entir nan:
- Aspirin leh natna tidamtu dang (NSAIDs) te .
- Thisen sang leh lung natna damdawi thenkhat
- Diuretics (a nih loh leh ‘tui pills’) .
- Steroid chi hrang hrang
- Hormone chi hrang hrang, naupai venna damdawi te pawh a tel
- Fungicide leh antibiotics thenkhat
- Rilru natna (MAOI) damdawi thenkhat .
- Thyroid natna damdawi
He list hi a kim lo. Chuvangin i doctor hnenah damdawi, vitamin, herbal remedies leh supplement i ei zawng zawng list chiang tak pe rawh. Tin, zu i in emaw, zu i in emaw pawh hrilh bawk ang che.
Damdawi i ei dawna i ngaihven tur thilte
- Regular check-up: I doctor-in a tih angin hun ruat saah clinic-ah kal la, i dinhmun enfiah rawh. Thla 3-6 danah thisen test HbA1C tih a ni ang a, i sugar chu engtiang chiahin nge a control theih tih hriat a ni ang.
- I thisen thlum test zir rawh: In lama glucometer hman dan zir rawh. Hypoglycemia leh hyperglycemia chhinchhiahna te, a lo awm a nih chuan eng nge tih tur tih te hre rawh.
- Sugar tlem te chu i bulah dah la: I sugar level a tlahniam nghal mai palh hlauh chuan sugar cube, toffee, glucose tablet ang chi hi i bag emaw pocket-ah emaw dah fo ang che.
- Chaw ei khap suh: A hun takah ei rawh. Chaw ei loh hian i thisen sugar level chu hlauhawm takin a tlahniam thei a ni.
- Ni eng lakah fimkhur rawh: He damdawi hian i vun chu ni êng lakah tlem a ti sensitive thei (photosensitivity). Chuvangin sunscreen hmang la , i taksa khuh thei thawmhnaw ha la, ni chhuahna hmuna i chhuah dawnin lukhum ha rawh.
- Vitamin chungchangah fimkhur rawh: He damdawi hi hun rei tak hman chuan mi thenkhatah vitamin B12 leh folic acid a tlahniam thei a ni. Chuvangin, ei leh in inthlau tak ei a pawimawh a, a tul chuan doctor-in a tih angin vitamin ei a pawimawh.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin he damdawi hian mi thenkhatah side effect a nei thei a ni. Ṭhenkhat chu serious an ni a, ṭhenkhat chu common tak an ni.
| Side effect awm dan (nature) a ni | Mizia leh tih tur te |
|---|---|
| Side effect na tak tak, doctor hnena hriattir nghal tur | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw, kawr emaw a hring. Inenkawl vat a ngai a ni. |
| 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 hah, hah lutuk. Hei hi emergency a nih avangin damdawi inah dah nghal a ngai a ni. |
| Hemolytic thisen tlakchhamna (hemolytic anemia) a awm | Chak lohna danglam tak, luak chhuak, thawk harsa, zun dum, vun emaw mit sen emaw. |
| Vitamin B12 tlakchhamna chhinchhiahna | Ke ruh natna, ke ruh natna, taksa ruh chak lohna, luak chhuak, hriatrengna hloh. |
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Pum natna, rilru hahna | Chungte chu chaw ei ruala damdawi ei hian a tihtlem fo thin. |
| Kawthalo | Hei hi damdawi i ei tan tirh atanga lo awm thei a ni. A awm reng chuan doctor hnenah hrilh rawh. |
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 hi chaw ei rualin, nitin hun khata ei thin tur a ni tih hre reng ang che.
- Hypoglycemia symptoms (luak, thawk hah, luak chhuak) te hi hre reng ang che. Sugar emaw, candy chi khat emaw chu i bulah dah fo ang che.
- Damdawi dang i ei lai, a bik takin natna tidamtu te chu i doctor hnenah hrilh theihnghilh suh.
- Damdawi i ei tam lutuk emaw, side effect na tak i neih emaw chuan ETU-ah kal nghal rawh.
- He damdawi hi i tan chauh a ni. I damdawi hi midang hnenah pe ngai suh.
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