Diabetes Mellitus natna vei kan nih hian insulin injection hi mi thenkhat tan nitin nunah a lo awm tawh a ni. Nitin ei hmaa needle lak leh a atana inbuatsaih hi a buaithlak deuh tak zet a ni. Mi thenkhat tan chuan heng zungbun hmuh pawh hian a ti hlauhawm hle. "Nitin insulin ngaihtuah buai ngai lovin hman dan awlsam zawk awm ta se a va nuam ang em?" Awle, vawiin hian a chinfelna ni thei tur thil kan sawi dawn a ni. Chu chu inhaled insulin, a nih loh leh Inhaled Insulin .
Inhaled Insulin hi eng nge ni?
A awlsam zawngin hei hi insulin ang chiah kha a ni. Mahse, injection angin ni lovin, powder angin . Asthma vei te hman thin inhaler ang chi hmanrua hmangin he insulin powder hi kan thawk ang maiin taksaah kan inhnim lut thin.
Ngaihtuah teh, injection i lak hian insulin chu vun hnuaia thau layer-ah a lut a, chuta tang chuan zawi zawiin thisenah a lut ta a ni. Minute 90 atanga 120 vel a ni. Mahse he insulin inhaled hi lungah a kal nghal vek a ni. Kan lung hi thisen kalna kawng te tak te tam tak awmna hmun a ni a, chutah chuan thil a insiam nghal vat thei a ni. Chuvangin he insulin powder hi thisenah a lut rang hle a, hna a thawk tan ta a ni. A tlangpuiin minute 45 chhungin a sang ber laiin hna a thawk tan thin.
Hei hi a thatna lian ber pakhat chu zunthlum vei lo taksaah insulin a pianphung anga hnathawh rate nen a inang hle a ni. Chuvangin thisen sugar control hi a pianphungah a thleng zawk a ni.
Engtin nge hei hi ka hman ang? leh engtin nge ka dahkhawm ang?
He enkawlna i tan hian i doctor chuan inhaler hman dan tur leh i mamawh tur dose dik tak a hrilh ang che. Chaw ei hmaa ei thin a ni tlangpui.
A hman dan tur: 1.1.
1. A hmasa berin i lung atanga boruak a tam thei ang ber thawk chhuak rawh .
2. Tichuan, inhaler hmui chu i hmuiah dah la, thawk la rawh .
3. Thâwk lak hnuah a rei thei ang bera thawk khap tum ang che.
4. Tichuan, a pangngaiin thawk la.
A pawimawh ber chu damdawi chu i doctor-in a sawi ang chiah, a hman dan tur ruahman angin i hmang tur a ni. Zawhna i neih chuan i doctor nen inbia ang che.
Thil dahkhawm dan: 1.1.
- Cartridge leh inhaler hman loh, sealed te chu fridge-ah emaw, room temperature-ah emaw dah theih a ni.
- Inhaler i hman tan chuan ni 15 hnuah i paih chhuak tur a ni.
- Cartridge pakhat chu room temperature-a dah a nih chuan, Ni 10 chhungin hman tur a ni. Refrigerator-a dah a nih chuan expiry date thleng hman theih a ni.
Hetiang hmanrua hi eng nge a thatna?
Hetiang method hian insulin injection aiin thatna engemaw zat a nei a. Eng nge an nih i en ang u.
| Chhawr tangkai | Hrilhfiahna |
|---|---|
| Holes poke a ngai lo. | Hei hi a thatna lian ber a ni. Hei hi zungbun hlau leh nitin a hliam harsa zawkte tan chuan thlamuanna ropui tak a ni. |
| Hmanhmawh taka kalpui theih a ni | Chaw ei hmaa ei chuan rang takin thisen sugar level a control tan thin. |
| Hman a awlsam | Inhaler hi a te a, chuvang chuan khawi hmunah pawh hruai a awlsam hle. Vaccine buatsaih angin inbuatsaihna tam tak a ngai lo. Tuman hmuh loha hman theih a ni. |
| Hypo risk a hniam | Vaccine chi thenkhat aiin hypoglycemia vei theihna a hniam zawk tih hmuhchhuah a ni. |
| Weight control-na kawngah a pui thei | Zirna thenkhatah chuan hei hian duh loh zawnga taksa rihna tihpunna control-na kawngah pawh a pui thei tih hmuhchhuah a ni. |
Side effect a awm em? I fimkhur ang u!
Damdawi dang ang bawkin he damdawi hian side effect tenau te a nei thei a, chubakah ngaihven ngai natna khirh tak tak a nei thei bawk.
| Side effect chi hrang hrang | Symptoms awm thei te |
|---|---|
| Side effect awm fo thin | Khuh, lu na, luak chhuak ( pum na), a tlangpui aia riltam zawka inhriatna, hah, khur, thawk hah. |
| Side effect na tak tak hriat tur | |
| Damdawi lam thurawn lak nghal ngai dinhmun | Thâwk harsa, ei harsa, vun rawng emaw, hrual emaw, thinlung na rang, kut leh ke emaw hmai emaw a hring, taksa rihna chak lutuk, hah lutuk, leh buai. Hetiang thil hi i tawk a nih chuan doctor hmu nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah kal rawh. |
Hei hi mi zawng zawng tan a inhmeh lo em ni?
Ni e, hei hi mi zawng zawng tan a ni lo. A bik takin ngaihtuah tur tlemte a awm.
- Hei hi Asthma vei tan chuan a tha lo.
- Hei hi lung natna dang , COPD (Chronic Obstructive Pulmonary Disease) nei tan pawh a tha lo hle.
A chhan chu he insulin powder hian a chang chuan lung chhunga thawkna kawng a tikhauh nghal thei (bronchospasm). Hei hi Asthma ang chi natna nei tan chuan a hlauhawm hle thei a ni. Chuvangin he damdawi hi i tan hmain i doctor chuan i lung hnathawh dan enfiah nan test a nei thei (spirometry).
Market-a type hrang hrang leh i hriat tur te
Tun hma chuan inhaled insulin `(Exubera)` tih a awm thin a, mahse a inhaler lian tak leh harsatna dang a neih avangin market atangin lakchhuah a ni. Tuna khawvela hman mek type chu `(Afrezza)` a ni.
Mahse, hemi chungchanga hriat tur pawimawh pahnih a awm a, chungte chu:
1. Emergency atan ni lo:Diabetic ketoacidosis (DKA) ang chi emergency, natna khirh takah pawh hman theih a ni lo va, chutih lai chuan fast-acting injectable insulin mamawh a ni.
2. Insulin hun rei tak thawk thei (basal insulin) aiah hman theih a ni lo: Type 1 Diabetes vei emaw, Type 2 Diabetes vei thenkhatte chuan nilengin hna thawk thei insulin injection (basal insulin) rei tak thawk thei an mamawh a ni. He inhaled insulin hian chaw ei ruala sugar level awmte chauh a khuh a ni. Chuvangin, hei vang hian i insulin injection rei tak chu tihtawp theih a ni lo.
A tawpah chuan hei hi i tan a tha em tih chu i doctor kutah a awm. I hriselna, i nunphung, leh i zunthlum control that dan azira thutlukna tha ber siam turin a pui ang che.
Take-Home Thuchah a ni
- Inhaled insulin hi insulin chi khat chak tak a ni a, powder angin a awm a, zunthlum tan injection ai chuan hman theih a ni.
- Hei hi a thatna lian ber chu pin engmah a mamawh lo va, hman a awlsam bawk.
- Hei hi lung natna, asthma emaw COPD emaw nei tan chuan a tha lo tak zet a ni.
- Hei hian chaw ei avanga insulin mamawh chauh a huam a ni. Hun rei tak (basal) insulin injection te chu i dawng chhunzawm zel tur a ni.
- Enkawlna thar dang ang bawkin, i hman tan hma leh i hman laiin i ngaihtuahna i neih apiang chu i doctor nen zalen taka inbiakna neih a pawimawh hle.
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