Zunthlum damdawi: Glipizide tablet chungchang hi i zir dawn em ni?

Diabetes Mellitus natna pawh i vei em? Chutiang a nih chuan i doctor chuan Glipizide tih pill a pe che a ni mai thei. Hei hi Type 2 Diabetes Mellitus vei tan damdawi lian tak a ni. Chuvangin, vawiin hian heng Glipizide pills te hi kan sawi dawn a, an hnathawh dan te, an hman lai hian eng nge fimkhur tur tih te, leh thil pawimawh dang tam tak kan sawi dawn a ni. He damdawi hman dan dik tak hriat hi i hriselna atan a pawimawh hle.

He damdawi hi eng nge Glipizide an tih? Engtin nge a thawh?

A awlsam zawngin sawi ila, he damdawi Glipizide an tih hian i taksaa insulin level a tisang a ni. Insulin hi kan taksaa sugar, a nih loh leh glucose level control tu hormone pawimawh tak a ni. Kan eitur atanga sugar chu thisenah a luh chuan he insulin hian sugar awm zat a control a, cell chhunga a luh theih nan a pui bawk.

Type 2 Diabetes Mellitus hi taksain insulin a siam chhuah tlem emaw, taksain a siam chhuah insulin a hman dik loh emaw hian a awm thin. Chuvangin, he damdawi Glipizide hian a tih chu pancreas hi tlem a tichak a, insulin tam zawk siam turin a pui bawk. He damdawi hian insulin a tihpun chuan thisen a sugar awm zat a tlahniam thin. Tin, i taksain insulin a hman dik theih nan a pui bawk.

He damdawi hi damdawi pawl pakhat, sulfonylureas an tih zinga mi a ni. Mahse thil pakhat hi ngaihtuah reng tur a ni. He damdawi ei ringawt hian zunthlum hi a thunun theih loh . Ei leh in tha leh nitin exercise nen a inzawm tur a ni . Doctor chuan i ei leh in control dan tur leh eng exercise nge i tih tur tih a hrilh ang che.

He damdawi hi ka ei hmaa doctor hnena ka hrilh tur te chu engte nge ni?

Okay, tunah chuan heng Glipizide pills te hi i tan hmaa i doctor hnena i hrilh tur thilte chu eng nge ni tih kan en ang. Heng thilte hi thup loh a tha zawk a ni lawm ni? A chhan chu chutih hunah chauh chuan doctor chuan dik tak leh him takin a enkawl thei ang che.

Heng natna te hi i neih chuan i doctor hnenah i hrilh ngei tur a ni:

• Diabetic ketoacidosis i neih chuan, zunthlum avanga natna khirh tak , hei hian thisenah thil tha lo ketone an tih chu a ti khawm thin.
• Glucose-6-phosphate dehydrogenase tlakchhamna (G6PD tlakchhamna) tih hming pu genetic condition i neih chuan . Hei hian damdawi thenkhatah sensitivity a thlen thei a ni.
• Heart disease , chu chu thinlung natna i neih chuan a ni.
• Kidney disease , chu chu kal lama harsatna i neih chuan a ni.
• Liver disease , chu chu liver-a harsatna a awm chuan a ni.
• Natna hmuh tur awm lo porphyria tih i neih chuan .
• Infection na tak emaw hliam na tak i neih chuan .
• Thyroid natna i neih chuan .
• A hmaa glipizide, sulfa damdawi ( antibiotics thenkhat chu he pawla mi an ni), damdawi dang, ei tur, ei tur rawng, a nih loh leh preservatives te allergy i neih tawh chuan .
• Naupai emaw, nau pai tum emaw i nih chuan.
• Nu hnute pe lai i nih chuan.

Heng thu hi dik taka i sawi chuan i doctor chuan he damdawi hi i tan a tha em tih emaw, duhthlan tur dang i mamawh em tih emaw a rel thei ang.

He damdawi hi engtin nge ka hman ang?

He damdawi hi kain ei tur a ni. Tui glass khat nen ei la. A pawimawh ber chu hei hi ei tur nen la suh.Hei hi chaw ei hma minute 30 vel ei tur a ni. Chu chu damdawi chu taksaah dik taka a luh a, chaw ei zawha thisena sugar lo awm chu control-na atan a pui a ni.

Damdawi package-a thupek awmte chu doctor-in a hrilh angin zawm rawh. He damdawi hi ni khatah vawi khat i ei a nih chuan chawhmeh ei hma minute 30-ah ei tur a ni. I doctor-in ni khatah vawi tam tak ei turin a hrilh che a nih chuan chaw ei ber apiangin minute 30 vel ei hmasa phawt ang che. Nitin damdawi hi a ruala ei tum ang che. Hei hian damdawi chu a thawk chhunzawm zel theih nan a pui ang. I doctor-in a tih tur a tih aia tam ei suh.

Naupang tê tê leh puitling chungchâng

He damdawi hi naupang tê tête i pe a nih chuan i doctor nen in sawipui ngei ngei tur a ni. A bik taka enkawl leh a dose tihdanglam a ngai mai thei.

Tin, kum 65 chunglamte pawhin he damdawi hian a nghawng hi tlem a chak zawkin an hre thei bawk. Chuvangin, doctor chuan mi pangngai aiin an tan dose tlem zawk a pe thei a ni.

Damdawi i ei tam lutuk chuan engtin nge i tih ang?

He damdawi hi i ei tam lutuk emaw, i in chhung mi tu emaw chuan a ei sual niin han ngaihtuah teh. Chutiang a nih chuan , National Hospital-a Poison Control Center emaw, sorkar damdawi in emergency room-ah emaw call nghal rawh. A nih loh leh damdawi inah kal nghal mai rawh. Hei hi thil awlsam takah ngai suh, okay? A chhan chu Glipizide i ei tam lutuk chuan i thisen sugar chu hlauhawm takin a tlahniam thei a ni.

Hriat reng tur: He damdawi hi i tan chauh a ni. I thianpa pawh hian zunthlum an vei a nih chuan he damdawi hi a hmang tha ang tih ring suh. Mi zawng zawng tana damdawi leh dose dik tak chu a inang lo.

Ka damdawi ei tur appointment ka miss a nih chuan engtin nge ni ang?

Tunah chuan dose pakhat i miss ang u. Chutiang a nih chuan i hriatreng veleh pill chu ei nghal rawh . Mahse i dose leh tur a hun tawh dawn a nih chuan, entirnan, darkar tlemte hnua a pek tur a nih chuan, i missed dose kha skip la, a hnuaia dose chu a hma ang bawkin ei rawh. Vawi khatah pill pahnih ei ngai suh, chu chu double dose tihna a ni. Chutianga tih chuan i thisen sugar a tlahniam lutuk thei a ni.

He damdawi nena inzawm thei thil dang (Interactions) .

Glipizide hian damdawi dang leh thil dang nen a inzawm thei a ni. Chuvangin, i damdawi ei zawng zawng, vitamin, herbs, non-prescription drugs, leh dietary supplement te pawh tiamin, i doctor hnenah hrilh rawh. Tin, zu i in emaw, zu i in emaw, ruihhlo dang i hman emaw chuan i doctor hnenah hrilh bawk ang che. Thil thenkhat chu he damdawi nen hian a inzawm thei a, chu chuan a hnathawh that dan a tidanglam thei a, a side effect a tipung thei bawk.

Glipizide nena inzawm thei damdawi thenkhat chu hetiang hi a ni:

• Bosentan a ni
• Chloramphenicol hmanga siam a ni
• Cisapride chuan a rawn ti a
• Clarithromycin hmanga siam a ni
• Fungal emaw yeast emaw natna damdawi (e.g. Fluconazole, Miconazole) .
• Metoclopramide hmanga siam a ni
• Probenecid `(Probenecid)` tih a ni
• Warfarin (thisen zawrh tur venna damdawi) .

Tin, thisen sugar level tisang emaw tihhniam thei damdawi dang tam tak a awm bawk. Glipizide nen pawh an inzawm thei bawk. Entirna tlemte chu hetiang hi a ni:

• Zu in tur : Zu in hian thisen sugar a ti tlahniam nghal thei a.
• Aspirin leh aspirin ang chi damdawi te
• Chromium (a chang chuan supplement atan ei thin) .
• Diuretics – taksa atanga tui paih chhuaktu damdawi
• Hmeichhe hormone, estrogen emaw progestin emaw, naupai venna damdawi te
• Lung damdawi thenkhat (e.g., beta-blockers) .
• Isoniazid (TB natna damdawi) .
• Mipa hormone emaw anabolic steroid emaw a ni
• Damdawi te chu taksa rihna tihtlem nan
• Allergy, asthma, khawsik, khuh (a then chuan sugar a awm thei) damdawi .
• Rilru lama harsatna nei damdawi
• Damdawi chi hrang hrang `MAO Inhibitors` an tih, entirnan Nardil, Parnate, Marplan, Eldepryl
• Niacin a ni
• Natna tidamtu `NSAIDs` an tih, ibuprofen emaw naproxen emaw ang chi te.
• Pentamidine a ni
• Phenytoin `(Phenytoin)` tih a ni
• Quinolone antibiotics te hi ciprofloxacin, levofloxacin, leh ofloxacin te an ni.
• Herbal dietary supplement thenkhat
• Steroid damdawi, prednisone emaw cortisone emaw ang chi te
• Thyroid damdawi a ni

He list hi a kimchang lo hle mai, i hrethiam em? Chuvangin i ei zawng zawng doctor hnenah hrilh vek a him ber a, a tha ber bawk .

He damdawi hman huna fimkhur tur thilte

He damdawi hi i hman dawnin i doctor pan fo tur a ni a, i dinhmun en reng tur a ni. Chu chu i clinic ni ruat saah kal tihna a ni.

• HbA1C test: `HbA1C (A1C)` tih test hi i thisen sugar a control that dan hriat nan an ti thin. Hei hi thisen test awlsam tak a ni. Thla 2-3 kalta chhunga i sugar control that dan a lantir tlangpui. He test hi thla 3-6 danah tih thin a ni tlangpui a, i doctor-in a tih angin.
• Thisen thlum tehna: In lama thisen glucose level self-monitor dan zir a pawimawh hle. Hemi atan hian i doctor chuan glucometer a pe che a ni mai thei. Thisen thlum hniam (hypoglycemia) leh thisen sugar sang (hyperglycemia) chhinchhiahna leh control dan tur hre chiang rawh.
• Emergency Preparedness: I thisen sugar a tlahniam nghal (hypoglycemia) a nih chuan sugar source rang tak (e.g. sugar cube 2-3, glucose tablet, thei tui thenkhat) chu i bulah dah fo ang che. Thisen sugar tlahniam na tak i neih chuan, seizure ang chi emaw, i hriatna a hloh emaw chuan, chutih laia ei leh in tur pek i tum chuan i chhungte leh i thiante chu i chok mai thei tih hrilh rawh. Hetiang a nih chuan damdawi lam pan vat tur a ni.
• I doctor hnenah hrilh rawh : I thisen sugar level a sang reng tih i hriat chuan (e.g., tuihal fo, zun tam, chak lo tih i hriat chuan) doctor hnenah hrilh rawh. I damdawi ei tur chu tihdanglam a ngai mai thei. Khawsik emaw, khawsik emaw ang chi natna i neih chuan emaw, a tlangpui aia nasa zawka exercise i tih chuan i damdawi ei tur zat tihdanglam a ngai em tih doctor zawt la.
• Chaw leh zu: Chaw ei hi skip suh.Chutianga tih chuan i thisen sugar a tihniam thei a ni. Zu in loh tur em tih doctor zawt la. Zu in hi a tam zawkah chuan a tha lo. Damdawi dawr atanga i lei khuh leh khawsik syrup thenkhatah chuan sugar emaw zu emaw a awm thei. I thisen thlum a nghawng thei a, chuvangin i ei hmain doctor zawt hmasa phawt a tha.
• Ni laka invenna: He damdawi hian i vun chu ni êng lakah a ti sensitive thei (photosensitivity). Chuvangin, nilengin ni êng chak tak lakah fimkhur hle ang che. Ni chhuahna hmuna i chhuah a ngai a nih chuan i taksa khuh tu tur thawmhnaw ha la, lukhum ha la, `Sunscreen` tha tak (SPF 30 aia sang) hmang bawk ang che. `Sun lamp` emaw `Tanning bed/booth` emaw hmang suh.
• Medical ID: I dinhmun (zunthlum), damdawi i ei leh ei hun tur ziakna medical ID bracelet emaw chain emaw bun la, a nih loh leh chutiang chipchiar zawng zawng ziakna card chu i purse-ah engtik lai pawhin dah reng ang che. Hei hi emergency-ah chuan a pawimawh hle thei.

He damdawi hmanga side effect awm thei te

Damdawi zawng zawng ang bawkin Glipizide hian side effect a nei thei a ni. Ṭhenkhat chu a nasat em avangin doctor hnenah hriattir nghal tur a ni. Ṭhenkhat chu an serious lo va, ni rei lote hnuah an bo mai ang.

Side effects i doctor hnena i hrilh nghal tur:

• Allergic reaction: Hei hi a hlauhawm hle. Vun natna, vun na tak, hives, hmai, hmui, lei emaw, kawr emaw a hring ang chi i neih chuan doctor pan nghal rawh. Kawngkhar a hring hian thawk harsatna a thlen thei a ni.
• Hypoglycemia na tak: khur emaw, khur emaw, lungkhamna, thawk hah lutuk, vun lum emaw, vun hring emaw , buai, luak chhuak nasa, thinlung na rang, hriatna hloh, seizures. Hetiang a nih chuan damdawi in pan nghal tur a ni.
• Hemolytic Anemia: Hei hi thisen zam (red blood cells) a chhiat avanga thisen tlakchhamna (anemia) a ni. Hei hian chak lohna danglam tak emaw, hahna emaw, luak chhuak, lu na, thawk harsatna, zun dum, vun emaw mit sen emaw a thlen thei a ni.

Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur:

• Kawthalo
• Luak chhuak (mild) .
• Gas, pum chhunga natna
• Nausea, luak chhuak `(Nausea)`
• Khing emaw, nghing emaw (thisen sugar tlahniam nen a inzawm lo) .

He list-ah hian side effect awm thei zawng zawng a tel lo mai thei a, chuvangin thil thar emaw, thil danglam emaw i hmuh chuan i doctor nen inbiakna neih hlau suh.

Engtin nge i damdawi i dahkhawm ang?

• He damdawi hi naupangte hmuh theih lohna hmunah leh an thlen theih lohna hmunah dah tur a ni.
• Room temperature, 30 degree Celsius (86 degree Fahrenheit) hnuai lam, hmun vawt takah dah tur a ni. Bathroom ang chi hmun lumna hmunah dah loh tur.
• Damdawi expired hman loh tur. Anni chu uluk takin paih rawh. Damdawi paih dan tur dik tak i pharmacy hnenah i dil thei bawk.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Okay, chuti a nih chuan he zunthlum damdawi Glipizide tih hi kan sawi nasa hle a ni lawm ni? Hei hi thuziak thui deuh mahse, thu pawimawh tak tak i neih ka beisei.

Hriat reng tur pawimawh tak chu he damdawi hi doctor-in a sawi ang chiah, a hun takah leh a hman dan tur dik takah hman hi a ni. I ei leh in thunun leh nitin exercise neih pawh hi he damdawi hmanna atana thil pawimawh tak a ni. An tel lo chuan he damdawi hi ei ringawt hian i zunthlum hi i thunun tha a har.

Zawhna emaw, symptom thar emaw, lungkhamna emaw i neih chuan i doctor zawh chu hlau lo la, zak suh. A nih loh leh i damdawi dawr neitu zawt rawh. Zunthlum vei nun hi a chang chuan a harsa thei hle a, mahse i dinhmun dik taka hriattir i nih a, i doctor thupek i zawm a, i taksa i enkawl chuan nun hrisel, hlim tak i hmang thei ngei ang!