Zunthlum vei nun hi a chang chuan harsatna tlem i ti em? Nitin thisen sugar level control hi thil awlsam a ni lo. Mahse, tunlai damdawi thar awm tawhte nen chuan nasa takin enkawl theih a ni. Vawiin hian type 2 diabetes control nan i doctor-in a pek theih tur special injection chungchang kan sawi dawn a ni.
A awlsam zawngin, he damdawi hi eng nge ni?
Hei hi a takah chuan damdawi pahnih inzawmkhawm a ni. Chu chu, he injection pakhatah hian insulin degludec leh liraglutide te hi a awm vek tihna a ni. I doctor hian hei hi `Xultophy` brand name hmangin a pe che a ni mai thei.
A awlsam zawngin sawi ila, he damdawi hnathawh ber chu i thisena sugar (glucose) level tihhniam leh control hi a ni. He damdawi i hman lai hian i ei leh in leh exercise regimen zawm a pawimawh hle. Heng pathumte hi an inzawm khawm chuan result tha ber a awm thei a ni.
He damdawi hi i ei tan hmaa i doctor hnena i hrilh tur thilte
I doctor-in he damdawi hi a pek hma che chuan i hriselna thlalak kimchang tak a neih a ngai a ni. Chuvangin, a hnuaia tarlan te hi i neih chuan i doctor hnenah hrilh ngei ang che . Heng thilte hi thup suh, nangmah himna tur a nih avangin.
| I hriselna dinhmun emaw harsatna emaw | Engvangin nge a chungchang hi awareness tihpun a pawimawh? |
|---|---|
| Tun hmain pancreatitis i vei tawh a nih chuan. | He damdawi hian natna lo awm leh theihna a tipung thei a ni. |
| Nangmah emaw, chhungkaw hnai tak emaw thyroid cancer emaw, MEN 2 tih hming pu, glands-a tumor siamtu emaw i neih chuan. | He thu hi a pawimawh hle a, a chhan chu he damdawi nena inzawm hian thyroid cancer vei theihna a tlem hle. |
| Kidney emaw liver natna i neih chuan. | He organ hian hna a thawk tha lo a nih chuan damdawi dose hi thlak a ngai mai thei. |
| Lung natna i neih chuan. | Lung natna vei te hian he damdawi hi an ei hian fimkhur hle tur a ni. |
| I thisen sugar level a hniam chuan (hypoglycemia). | He damdawi hian thisen sugar a tihhniam bawk avangin, thisen sugar hniam fo thin tan chuan a hlauhawmna a sang zawk thei. |
| Chaw ei lama harsatna emaw, pum emaw, intestinal lama harsatna i neih chuan. | He damdawi hian chaw ei kawng a nghawng thei a ni. |
| Naupai i nih chuan, nau pai tum i nih chuan, nau hnute i pe a nih chuan. | Hetiang hunah hian damdawi hman dan chungchangah doctor thurawn lak a pawimawh hle. |
| Damdawi dang, ei tur dang emaw, thil dang emaw allergy i neih chuan. | He damdawi hi allergic reaction neih theih a nih avangin hriat a pawimawh hle. |
Engtin nge he injection hi i hman?
Hei hi vun hnuaiah inject tur a ni. A tlangpuiin chumi atan chuan pum, kekawr, emaw kut chunglam emaw an hmang thin. I doctor emaw diabetic nurse emaw chuan hei hi inject dan tur dik tak a entir ang che.
Pawimawh tak: I injection pen emaw needle emaw chu midang hnenah share ngai suh. Needle i thlak pawhin ti suh. Chutianga tih chuan nangmah emaw, mi dang emaw tân natna khirh tak a thlen thei a ni. Pen pakhat chauh hi mi pakhat tan a ni!
- A hun takah ei rawh: I damdawi chu doctor-in a tih ang chiah chiah, a hun takah ei rawh. Dose hi skip suh.
- Needle te chu uluk takin paih rawh: Needle hman tawh chu bawlhhlawh bawmah paih suh. Sharps container-ah dah rawh. I neih loh chuan i doctor hnenah pakhat chungchang zawt la.
- Information leaflet chhiar: Damdawi pek i nih chuan a kaihhnawih information leaflet (MedGuide/Instructions for use) chu ngun takin chhiar la. Thu pawimawh tak tak a keng tel a ni.
Dose i miss a nih chuan engtin nge i tih ang?
He damdawi dose khat pawh skip hi a tha lo. Dose i miss a nih chuan eng nge i tih tur tih chu i doctor nen sawi la, chu chu ruahmanna siam rawh. Dose theihnghilh tawh chu siam that nan double dose ei ngai suh.
Damdawi dang nen a inzawm thei em?
Ni e, a ti thei ngei ang. Damdawi thenkhat i ei hian i thisen sugar level a tichhe thei a ni. Tin, thisen sugar tlahniam (hypoglycemia) chhinchhiahna khuh tu damdawi thenkhat pawh a awm bawk. Chumi awmzia chu i thisen sugar a hniam a nih pawhin i hre lo mai thei tihna a ni. Chu chu a hlauhawm khawp mai.
Chuvangin, i damdawi ei zawng zawng (vitamin leh hnam damdawi te pawh tel) i doctor hnenah hrilh rawh .
| A nghawng dan (nature) a ni | Damdawi entirnan |
|---|---|
| Thisen sugar level tichhe thei damdawi | |
| Zu | Zu chi hrang hrang. |
| Antibiotics thenkhat | Ciprofloxacin, Levofloxacin te ang chi te hi a ni. |
| Thisen sang emaw lung natna damdawi | Enalapril, Lisinopril, Losartan te ang chi te hi a ni. |
| Steroid chi hrang hrang | Prednisone, Cortisone ang bawkin. |
| Zunthlum damdawi dang, hormone | Thyroid hormone, naupai venna damdawi. |
| Hypoglycemia symptoms khuh thei damdawi | |
| Beta-blockers te pawh a awm | Atenolol, Metoprolol, Propranolol (thisen sang emaw heart rate control nan emaw pek fo) ang chi te. |
He damdawi ei huna fimkhur bik tur thilte:
- Thisen thlum hniam (hypoglycemia): Hei hi a pawimawh ber a ni. Thisen sugar tlahniam (khuh, thawk hah lutuk, rilru hah, rilru hah, muhil, thinlung na rang) chhinchhiahna te fimkhur hle ang che. Sugar (sugar cube, glucose tablet, toffee pakhat) tlem tal i bulah dah fo ang che. I damlo hle a, i hriatna i hloh chuan i chhungte hnenah i ka chhungah engmah dah lo turin hrilh rawh. Hetiang a nih chuan damdawi lam tanpuina i pan nghal tur a ni.
- I HbA1C level hre rawh: I doctor chuan i HbA1C thisen test chu a enfiah fo ang. Hei hian thla 2-3 chhunga i thisen sugar control a nih dan a tilang chiang hle.
- Chaw ei khap suh: A hun taka chaw ei hi a pawimawh hle.
- Medical ID vuah: Diabetic i nihzia tilangtu leh i damdawi ei dan chipchiar taka tarlanna medical ID bracelet emaw card emaw keng hi emergency-ah a pawimawh hle thei a ni.
- Stay hydrated: He damdawi ei lai hian dehydration hi a hlauhawm thei hle. Chuvangin tui tam tak in rawh. Khawsik, luak chhuak, luak chhuak ang chi symptoms i neih chuan doctor ko nghal rawh.
Warning sign: He damdawi i ei lai hian i kawngah lump emaw, swelling emaw i neih chuan, i aw a danglam (hoarseness) a, a awm reng a nih chuan, ei harsa i neih chuan, thawk harsa i tih chuan doctor pan nghal tur a ni.
Side effect awm thei te chu engte nge ni?
Damdawi zawng zawng ang bawkin he damdawi hian side effect a nei thei a ni. Ṭhenkhat chu a serious a, a then chu a common. A pawimawh ber chu hengte hi hriat chian a, a tul chuan hmalak vat hi a ni.
| Side effect na tak tak, damdawi lam pan vat ngai | |
|---|---|
| Allergy na tak a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei hring, thawk harsa emaw, ei harsa emaw. |
| Pancreatitis natna a ni | Pum natna nasa tak, hnungzang lam pan ang maia hriat, luak chhuak, leh khawsik. |
| Hypoglycemia na tak (thisen sugar tlahniam) . | Khing na tak, buai, muhil, tawng harsa. |
| Kidney hliam a awm | Zun chhuah tlem, ke leh ke ruh a hring. |
| Thyroid cancer natna lan chhuah dan | Kawr chhungah lump thar, ei harsa, aw inthlak danglam. |
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Pum natna, rilru hahna | Bloating, ei duh lohna |
| Lu na | Thlarau na, hnar luang chhuak |
He list-ah hian side effect awm thei zawng zawng a tel lo mai thei. Symptom danglam bik i neih chuan doctor hnenah hrilh rawh.
Damdawi ka ei tam lutuk chuan engtin nge ni ang?
I ngaihtuah aia tam damdawi i ei tawh nia i hriat chuan Colombo-a National Hospital-a National Poisons Information Center-ah phone nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh.
Damdawi hi engtin nge kan dahkhawm ang?
- Pan hawn loh: Hengte hi fridge kawngkaah dah la. Freezer-ah dah suh.
- In-use pen: Hman a nih veleh pin hi room temperature (30 degree Celsius hnuai lam)-ah emaw, refrigerator-ah ni 21 thleng dah theih a ni. Pen la awm zawng zawng chu ni 21 hnuah paih vek rawh.
- Freeze ngai suh. Damdawi hi a vawt a nih chuan hmang suh.
- Ni êng direct leh lum lutuk lakah hla takah awm rawh.
Take-Home Thuchah a ni
- He damdawi hi insulin leh zunthlum damdawi dang inkawp a ni. Type 2 diabetes control nan a pui thin.
- Damdawi i ei tan hmain i doctor hnenah i hriselna chanchin kimchang i hrilh hmasa tur a ni a, a bik takin pancreatitis emaw, chhungkaw history-a thyroid cancer i vei tawh emaw a nih chuan.
- I injection pen kha tumah share ngai suh.
- Thisen thlum hniam (hypoglycemia) natna lan chhuah dan fimkhur hle ang che. Sugar tlem tal keng fo ang che.
- I kawr ah lump emaw tumor thar emaw i hmu a, i aw a danglam emaw, ei harsa i tih emaw i hmuh chuan ngaihthah lo la, doctor pan nghal rawh.
- He damdawi chungchanga zawhna i neih chuan doctor zawt la.
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