Diabetes-a emergency hlauhawm ber: HHS hi i hre chiang em? (Hyperosmolar Hyperglycemic State) a ni a, a chhuahna tur hmun leh a hmanna tur a awm lo.

Zunthlum i nei em? A nih loh leh i nu emaw, i pa emaw, i chhûngkaw zînga mi dangin zunthlum an vei em? Tichuan he thupui kan sawi tak hi i tan a pawimawh hle ang. Zunthlum hi uluk taka enkawl theih a ni a, nun pangngaiin i nung thei bawk. Mahse, uluk taka thunun a nih loh chuan emergency pawi tak, nunna atana hlauhawm hial a thlen thei a ni. Chu chu vawiina kan sawi mek emergency hlauhawm ber a ni. Hei hi Hyperosmolar Hyperglycemic State , a tawi zawngin HHS kan ti a.

A awlsam zawngin, HHS chu eng nge ni?

Okay, hei hi a awlsam zawngin han sawi ila. I thisen sugar level (thisen glucose) chu a sang lutuk a, control theih loh khawpin han ngaihtuah teh. I thisen sugar level 180 mg/dL aia sang a nih chuan kan kal hian chu sugar tam lutuk chu zunah a paih chhuak a ngai a ni. Mahse he sugar hi amah chauhin a chhuak lo va, taksa tui hlu tak pawh a keng tel bawk.

Tunah chuan, i thisen sugar level chu a sang hle a, 600 mg/dL ang chiah a ni a, chutiang chuan ni tam tak, kar tam tak pawh ni thei, a awm chuan eng nge thleng ang? I zun tam lutuk tan a, i taksaah tui a tlakchham nasa hle. I taksaa tui awm zat a tlem chuan i thisen chu a thim zauh zauh a. Honey kan siam dawn ang bawkin tui a thim thin. Damdawi lam hawi chuan hei hi thisen thickening hi hyperosmolarity kan ti a ni.

Chuvangin, HHS hi nunna atana hlauhawm emergency a ni a, heng thil pathumte hi a inzawm khawm chuan a thleng thin: thisen sugar level sang tak (hyperglycemia) , severe dehydration , leh hyperosmolarity. Hetiang dinhmun hi Type 2 Diabetes vei te zingah hmuh tur a awm ber. Hei hi damdawi ina dah nghal a ngai a, enkawl nghal a ngai a ni. Enkawl loh chuan thihna hial a thlen thei a ni.

HHS leh DKA: An pahnih hi eng nge an danglamna?

Zunthlum vei te tana emergency hlauhawm dang lo awm thei chu DKA (Diabetic Ketoacidosis) a ni. HHS leh DKA te hi thisen sugar sang vanga nunna atana hlauhawm tak an nih laiin, an pahnih inkarah hian danglamna chiang tak a awm. He danglamna hi hriat a pawimawh.

• DKA (Diabetic Ketoacidosis): Hei hi Type 1 Diabetes vei te zingah a awm tlangpui. Heta thil thleng hi taksa hian insulin hormone a nei lo tluk a ni. Insulin a tlakchham avangin taksa cell te hian sugar hmangin chakna an siam thei lo. Tichuan taksa chu chakna zawng turin kawng dangah a kal ta a ni. Chu chu taksaa thau awmte halralna hmangin a ni. Hetianga thau hal a nih chuan chemical substance ketones an tih chu thisenah byproduct angin a dah tel a ni. Heng ketone te hi acid an ni. Thisenah ketone a pun chuan thisen chu acidic a lo ni ta a ni. Hei hi DKA-a thil hlauhawm ber a ni.

• HHS (Hyperosmolar Hyperglycemic State) a ni a, a chhuahna tur hmun leh a hmanna tur a ni.Hei hi type 2 diabetes vei te zingah a thleng tlangpui. Hetah hian taksaah hian insulin a awm nual hle. Chutiang insulin tlemte avang chuan taksa chuan thau a hal a, ketone siam a veng bawk. Chuvangin thisen chu HHS ah acidic a lo ni lo. Mahse hetah hian buaina ber chu thunun theih loh khawpa sugar level sang leh chuta chhuak thisen dehydration leh thickening nasa tak hi a ni.

He inthlauhna hi chiang zawka hriat theih nan he table hi han en ila.

HHS natna lan chhuah dante chu engte nge ni? Hengte hi fimkhur rawh!

HHS hlauhawm ber chu a symptoms hi vawi khatah a lang vek lo . Zawi zawiin an lo thang lian a, ni emaw kar emaw chhungin an lo thang lian thin. Chuvangin mi pakhat chuan a pawi lutuk hma loh chuan a hre lo mai thei. Chuvang chuan heng symptoms te hi hriat chian a pawimawh hle.

• Thisen sugar level sang lutuk: In lama glucose meter reading 600 mg/dL (or 33 mmol/L) aia sang tak a ni.
• Rilru buai: Hriatthiamna hloh, ngaihtuahna fim thei lo, thusawi lama buai, hun, hmun leh mi hriat tawhte hloh.
• Thil awm lo hmuh emaw hriat emaw (Hallucinations): Thil awm lo tak tak i hmu emaw i hre emaw tih theih a ni.
• Thil hriatna hloh: A nasat chuan coma a awm thei.
• Kawng a vawt, lei a vawt a, tuihal lutuk: Tui i in tam pawhin a reh lo tih hriatna.
• Zun tam: A tir lamah chuan zun tam lutuk mah la, tui tlakchhamna a nasat avangin i zun tlem thei.
• Mit hmuh fiah lo emaw, mit hmuh loh emaw: Mit hmuh chu a fiah zauh zauh thei.
• Taksa chak lohna: Taksa chak lohna hriatna. A châng chuan taksa sir khat chu a paralyze thei a, stroke nei ang maiin a awm thei bawk.

Engvangin nge he HHS dinhmun hi a lo awm? A chhan berte chu engte nge ni?

Diabetes control tha tak nei chuan HHS a vei tlem hle. Mahse, zunthlum hi control tha lo tan chuan he natna hi "trigger" vang a ni thei. Chu chu thilthleng pakhat chuan thisen sugar level chu thunun theih lohvin a siam thei a, HHS a thlen thei tihna a ni.

HHS thlentu ber chu:

• Infection: HHS vei zinga 50% atanga 60% velin infection chi khat an nei a. A bik takin pneumonia , zun kawng natna (UTI ), leh sepsis .) infection te hi a bulpui ber a ni. Ngaihtuah teh, nu tar tak hian zunthlum a nei a, a rilruah natna a vei a, mucus a tam hle. He natna avanga stress hian thisen sugar level chu thunun theih loh khawpin a tisang thei a ni.
• I zunthlum damdawi a pek ang anga ei loh: Hei pawh hi a chhan awmze nei tak a ni. Mi \henkhat chu an bo a, an damdawi ei an chawlhsan a, a hun takah an ei lo. Insulin i ei chuan, i ei that loh chuan i thisen sugar level hlauhawm takin a sang thei a ni.
• Damdawi dang: Damdawi thenkhat, corticosteroids (Asthma leh arthritis enkawlna atana hman), thiazide diuretics ( thiazide diuretics (thisen sang enkawlna atana hman), leh rilru lam natna damdawi thenkhat te pawhin thisen sugar level sang a thlen thei a, HHS a thlen thei bawk.
• Cardiovascular emergencies: Stroke , heart attack , emaw pulmonary embolism ang chi thil pawi takah chuan taksa chu a buai hle a ni. Hetih lai hian taksain stress hormone a tihchhuah te hian thisen sugar level a tisang nghal thei a ni.

Tute nge HHS vei theihna sang zawk?

Sawi tawh ang khan zunthlum hi uluk taka control a nih chuan he hlauhawmna hi a tlem hle. Mahse, a hnuaia mite hi HHS vei theihna chance sang zawk an ni:

• Diabetes control tha lo mite.
• Kum 65 chunglam puitling: Kum an upat deuh deuh chuan tuihalna an hriat theihna a tlahniam thei a, chuvangin tui a tlakchham tih an hre lo mai thei.
• Natna dang (infection, natna) emaw thinlung lam harsatna nei te.

HHS vang hian eng harsatna nge thleng thei?

HHS hi a hun taka enkawl a nih loh chuan harsatna na tak tak a thlen thei a ni.

• Seizures a awm thin
• Coma ah a awm
• Organ a chhiat avangin
• Thihna

HHS vei zinga 10% leh 20% inkar an thi. Chumi awmzia chu mi 10 zinga pakhat emaw pahnih emaw an thi dawn tihna a ni. Chu chu he dinhmun hi a nasat zia chu a ni.

Damdawi inah engtin nge HHS hi hmuhchhuah leh enkawl a nih?

Emergency Department (ETU)-a i admit hunah doctor-in a enfiah ang che a, i natna lan chhuah dante a zawt ang che. Tichuan, thisen test eng emaw zat an order ang. Hengte hian i thisen sugar level , thisen osmolality, kidney function, leh i thisenah ketones a awm leh awm loh a enfiah ang.

Thisen sugar level chu 600 mg/dL aia tam a nih a, thisen ketone level a hniam chuan HHS a ni tih hmuhchhuah a ni.

Enkawlnaah chuan ward emaw intensive care unit (ICU)-ah dahin IV fluid pek che a ni.

Enkawlna atana thil tum lian pathum a awm a, chungte chu:

1. Rehydration: Saline hi dehydration tihbo nan thisenah pek thin a ni.

2. Balancing Electrolytes: Dehydration hian taksa atanga mineral hlu tak tak potassium ang chi tam tak a bo thin. Saline hmanga thlak an ni.

3. Thisen sugar level control: Insulin hi thisen sugar level zawi zawiin leh controlled taka tihhniam nan thisenah pek thin a ni.

Heng enkawlna bakah hian HHS natna thlentu infection hnuaia awm a awm chuan chu pawh chu enkawl a ni.

Enkawl laiin harsatna a awm thei em?

Ni e, a tlem hle nachungin, enkawlna atang hian harsatna a awm thei. Chu chu thisen sugar level a tihhniam thut a, rang taka tihhniam a nih chuan thluak cell te chu tuiin a khat nghal thei a, thluak chu a lo hring (cerebral edema) thei tihna a ni. Mahse hei hi a tlem hle. Doctor ten thisen sugar level hi him tak leh zawi zawia tihhniam dan an hre chiang hle. Chuvangin ngaihtuah buai a ngai lo.

HHS lakah engtin nge i inven theih ang?

Hetiang dinhmun hlauhawm tak laka invenna kawng tha ber leh awmchhun chu i zunthlum hi uluk taka enkawl hi a ni. Chutiang ti tur chuan heng thilte hi tih ngei ngei tur a ni.

• I thisen sugar level hi enfiah fo la, i doctor-in target range a pek che chhungah dah tum ang che.
• Damdawi (pills emaw insulin emaw) i doctor-in a pek chu a hun takah leh a hman dan tur dik takah ei la, ni khat pawh tlai lovin ei rawh.
• I zunthlum thunun harsa i tih chuan i doctor nen sawiho la, a tul anga thurawn la rawh.
• I duh ang ei leh in hrisel tak zawm rawh.
• Khawsik emaw flu emaw ang chi natna i neih chuan fimkhur zual rawh. Tui tam tak in la, chawlh hahdam la, i thisen sugar chu a hma aia tam en fo ang che. Hei hi a chhan chu i damloh laiin i taksa a stress hian i thisen sugar a tisang thei a ni.
• HHS symptoms te hi hre reng ang che. Heng symptoms te hi i hmuh chuan hma la nghal rawh.