Type 2 Diabetes vei i nih chuan i thisen sugar level control hi a harsat zia i hre ngei ang. Doctor-in a sawi fo angin hemi atan hian ei leh in, exercise leh damdawi te hi a pawimawh hle. Vawiin hian special injection chungchang kan sawi dawn a, chu chu damdawi pahnih inzawmkhawma siam a ni a, chu chuan zunthlum dona kawngah a pui a ni.
He damdawi hi eng nge ni? A awlsam zawngin...
Hei hi a takah chuan damdawi pahnih inzawmkhawm a ni. Chu chu insulin glargine leh lixisenatide te inzawmkhawm a ni tihna a ni. Kan ramah chuan `SOLIQUA` tih ang chi brand hming hnuaiah a awm thei.
A awlsam zawngin, i thisen sugar (glucose) level tihhniam leh control-na hmangin hna a thawk a ni. Insulin glargine hi insulin chi khat, hun rei tak chhunga thawk thei a ni. Lixisenatide hi damdawi chi danglam tak a ni a, ei zawh hnua thisenah sugar a luh dan a control a, kan taksain insulin siam chhuah a tichak bawk.
A pawimawh ber chu he damdawi i hman lai hian i ei leh in leh exercise routine i vawng reng tur a ni. An pathumte hi an inzawm khawm chuan result tha ber a awm thei chauh a ni.
He damdawi hi i ei tan hmaa i doctor hnena i hrilh tur thilte
He damdawi hi i pek hma hian i doctor-in i hriselna chanchin kimchang a hriat a pawimawh hle. Hei hi a chhan chu hriselna lama harsatna thenkhatah hian he damdawi hman hian fimkhur bik a ngai a ni. Chuvangin, a hnuaia tarlan te hi i neih chuan i doctor hnenah hrilh ngei ang che .
- Thisen thlum hniam episode i neih fo chuan: He damdawi hian thisen sugar a tihhniam bawk a, chuvangin a bik takin i fimkhur a ngai a ni.
- Mit natna emaw, mitdelna emaw: I mit hi zunthlum natnain a nghawng a nih chuan fimkhur a pawimawh hle.
- Gallbladder disease: He damdawi hian a chang chuan gallstone ang chi natna a thlen thei.
- Pancreatitis i vei tawh a nih chuan: I history-ah he natna hi i nei tawh a nih chuan a lo lang leh theihna a awm thei.
- Kidney natna emaw, dialysis i neih chuan: He damdawi hi kal kaltlangin taksa atangin a chhuak a, chuvangin i hman dan tur pawh siam danglam a ngai mai thei.
- Liver natna: Doctor pawhin thin hnathawh dan a fimkhur tur a ni.
- Tun hmaa damdawi pakhata allergy na tak i neih tawh chuan: entirnan, lei, hmai emaw, hmui emaw a hring, thawk harsa, emaw, ei harsa emaw.
- Pum lama harsatna: Chaw ei tlai ang chi harsatna i neih chuan.
- Naupai emaw, nau pai tum emaw i nih chuan.
- Nu hnute pe mek i nih chuan.
- Zu ruihhlo ngawlvei nasa tak i nih chuan.
- Damdawi dang, ei tur dang emaw, dye dang emaw allergy i neih chuan.
Okay, tunah chuan engtin nge he injection hi i hman ang?
I doctor emaw nurse emaw chuan hei hi hman dan dik tak a zirtir ang che. Chu thupekte chu dik taka zawm a pawimawh hle.
- Injection site: Hei hi vun hnuaia injection a ni. A tlangpuiin pum chhungah, kawr chunglam emaw, kut chunglam emaw-ah pek thin a ni . Injection hmunte chu hmun khata awm reng ai chuan rotate a tha ber.
- Hun: Ni khatah vawi khat ei thin ang che. Chu pawh chu ni khata chaw ei ber hmasa ber hma minute 60 (darkar khat) hmain . Nitin hun khata i ei theih chuan a tha ber.
- Damdawi lan dan: I inject hmain pen chhunga tui awm chu en hmasa phawt ang che. Tui ang maia tui thianghlim, rawng nei lo a ni tur a ni . A chhum, a rawng, a thuk, a nih loh leh a chhunga thil chi hrang hrang a awm chuan hmang suh .
- Needles: Pen i hmang a nih chuan injection i pek hmain needle atanga pawn lam needle khuhna kha la chhuak thei lo ang che.
- Needle paih dan: Needle leh syringe hman tawhte chu bawlhhlawh bawmah paih ngai suh. Sharps container-ah dah tur a ni. I neih loh chuan i doctor hnenah i neih dan tur zawt la. Needle ang chiah kha hman nawn leh loh tur.
Damdawi i ei tam lutuk emaw, i ei loh emaw chuan engtin nge i tih ang?
Missed Dose a ni
Dose skip loh a pawimawh hle. Mahse, dose i miss a nih chuan doctor thupek zawm rawh. Dose hloh tawh chu tihpun nan double dose ei ngai suh. Hei hian thisen sugar hlauhawm takin a tihhniam thei a ni.
Overdose a ni
Damdawi i ei tam lutuk nia i hriat chuan damdawi in hnai ber Emergency Department (ETU) -ah kal nghal rawh . A nih loh leh Colombo National Hospital-a National Poisons Information Center-ah thurawn dil turin phone la.
He damdawi nena inzawm thei damdawi dang (Drug Interactions) .
He damdawi i ei lai hian i doctor hnenah damdawi dang i ei tur awm apiang hrilh a pawimawh hle. Damdawi thenkhat chuan a hnathawh dan a nghawng thei a ni. Tin, damdawi thenkhat hian i thisen sugar level a tidanglam thei bawk.
| Drug class / a nghawng dan | Entirna leh hriat tur |
|---|---|
| Damdawi direct effect nei thei | Acetaminophen, Digoxin, Warfarin, naupai venna damdawi, zunthlum damdawi dang. Hengte hi i ei a nih chuan doctor hnenah hrilh rawh. |
| Thisen sugar level tidanglam thei thil | Zu, aspirin, thisen sang damdawi thenkhat, steroid (Prednisone ang chi), khuh/khawsik damdawi thenkhat, rilru natna damdawi, antibiotics thenkhat, leh herbal supplement te. |
| Thisen sugar tlahniam chhinchhiahna khuh tu damdawi | Hei hi a pawimawh hle. Thisen sang emaw, thinlung natna emaw atana hman tur beta-blockers (e.g. Propranolol, Metoprolol) hian thisen sugar tlahniam hmaa hriattirna , khur leh thawk hah te chu a khuh thei a ni. Chuvangin hengte hi i ei a nih chuan i thisen sugar level i enfiah fo tur a ni. |
Chuvangin, damdawi, vitamin leh herbal product i ei zawng zawng list siam la, i doctor hnenah pe rawh. Tin, zu i in emaw, zu i in emaw chuan doctor hnenah hrilh bawk ang che.
Damdawi i ei dawna i fimkhur tur thilte
- Check-up neih fo: Doctor-in a tih angin hun ruat saah clinic-ah kal rawh. Thisen test HbA1C tih hi thla 2-3 danah vawi khat vel tih thin a ni. Thla engemaw zat kalta chhunga i sugar control that dan a tarlang a ni.
- Sugar level tehna tur:In lama thisen sugar level test dan zir rawh. Hypoglycemia leh hyperglycemia chhinchhiahna te hriat chian.
- I thisen sugar a tlahniam chuan: Sugar source rang tak, sugar candy emaw glucose tablet emaw chu i bulah dah fo ang che. I thisen thlum a tlahniam lutuk a, i luak chhuak emaw, i muhil emaw a nih chuan, chutih lai chuan i chhungte chu an ka chhungah engmah dah lo turin hrilh rawh. Chutiang hunah chuan damdawi lam pan vat tur a ni.
- Chaw ei khap suh: A hun takah ei rawh.
- I pen hi share suh: I injection pen hi midang hnenah share ngai suh, share ngai suh. A zung thlak pawh nise, Hepatitis leh HIV ang chi virus hlauhawm tak tak i kai darh thei tho a ni.
- Medical ID: Diabetic i nih thu leh damdawi i ei chi hrang hrang leh a dose te ziakna card emaw bracelet emaw ang chi hi i bulah bun/vawn fo ang.
Damdawi avanga side effect lo awm thei
Damdawi dang ang bawkin he damdawi hian side effect engemaw zat a nei thei a ni. Ṭhenkhat chu a serious a, a then chu a common.
| Side effects te chu doctor hnenah report nghal tur a ni | |
|---|---|
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei, thawk harsa. |
| Pancreatitis natna a ni | Pum natna nasa tak, hnungzang thlenga radiate, ei zawh hnua na zual, khawsik, rilru hahna, leh luak chhuak. |
| Kidney hliam a awm | Zun chhuah tlem, ke ruh, kut leh ke a hring. |
| Thisen thlum hniam (Hypoglycemia) . | Khur, lungkhamna, thawk hah lutuk, khawsik, buai, luak chhuak, thinlung thawk chak. |
| Gallbladder lama harsatna a awm | Pum natna nasa tak, luak chhuak, luak chhuak, khawsik. |
| Side effects a tlangpuiin a na lo (mahse a awm reng chuan doctor hnenah hriattir tur a ni) . | |
| |
Engtin nge pen chu dik taka vawn theih ang?
He damdawi hi uluk taka dahkhawm a pawimawh hle bawk.
- Pen hawn loh:
- Refrigerator-ah a hmun pangngai (2 leh 8 degree Celsius inkar)-ah dah tur a ni.
- Freezer-ah dah ngai suh. Damdawi vawt (frozen medicine) hmang suh.
- Expiry date a liam tawh chuan paih mai rawh.
- Pens i hman mekte chu:
- Hei hi room temperature (25 degree Celsius hnuaiah) ah dah la. Refrigerator-ah dah suh.
- Pen cap hi hman apiangin khar nghet takin khar la, êng lakah venhim rawh.
- Pen chu needle vuah chungin dah suh. Chutianga tih chuan damdawi chu a leak thei a ni.
- Ni 28 a hman hnuah pen chu paih la, a chhungah damdawi a la awm a nih pawhin paih mai tur a ni.
Take-Home Thuchah a ni
- He damdawi hi doctor-in a tih ang chiah, a dose tur leh a hun dik takah ei fo ang che.
- I injection pen hi eng vang pawhin midang hnenah share suh.
- Thisen thlum hniam (hypoglycemia) natna lan chhuah dan fimkhur hle ang che. Sugary candy ang chi thil chu i bulah dah fo ang che.
- Damdawi dang zawng zawng, vitamin leh herbal product i ei zawng zawng chu i doctor hnenah hrilh rawh.
- Side effect na tak i hmuh chuan doctor thurawn la nghal vat la, tihkhawtlai loh tur a ni.
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