Thawmhnaw vawt, kut inthlak, hlauthawng lutuk, luak chhuak tlem... Zunthlum vei hian hetiang thil hi i tawng tawh em? Hengte hi i thisen sugar level hlauhawm taka a tlahniam hian a thleng fo thin. Doctor te chuan he natna hi hypoglycemia an ti a . Insulin hmangtu pakhatah hetiang dinhmun hi a lo awm chhan ber chu an mamawh aia tam insulin an inject vang a ni.
Zunthlum vei tam tak chuan hypoglycemia an nei thin. A chang chuan a hlauhawm thei hle. Mahse thu lawmawm tak chu heng insulin kaihhnawih harsatna tam tak hi dan awlsam tlemte kan zawm chuan kan pumpelh theih a ni. Engtin nge tih i en ang u.
Engtin nge insulin tam lutuk i hmuh theih ang?
Kan taksaah insulin tam lutuk a thlen thei tihsual tenau tlemte kan nei thei. Heng thilte hi hetiang dinhmunah hian a thleng fo thin:
- Syringe emaw vial emaw-a tehna chhiar dik loh: Hei hi insulin chi thar i hman tan emaw, syringe thar i hman emaw hian a thleng tam zawk.
- Insulin chi dik lo hman: A tlangpuiin long-acting insulin unit 30 leh short-acting insulin unit 10 i ei tlangpui ang tih han ngaihtuah teh. Bottle pahnih hi a hmel a inang a nih chuan hmanhmawh takin pahnih inkarah hian i inthlak a rinawm hle.
- Chaw ei lova insulin ei: Rapid-acting leh short-acting insulin hi chaw ei hma lawk emaw, chaw ei rual hian ei tur a ni. Hei hi kan ei zawhah kan thisen sugar level a san vang a ni. Chuvangin he insulin chi hi ei lovin i ei chuan i thisen sugar level chu hlauhawm takin a tlahniam thei a ni.
- Exercise hmaa kut emaw ke emaw-a insulin inject: Taksa tihchakna, chu chu exercise tih hian kan thisen sugar level chu a pianphungah a tihniam a ni. Tin, taksain insulin a lakluh dan a tidanglam bawk. Chuvangin tlan emaw, kea kal emaw ang chi exercise i tih chuan chutih laia active ber tur kut emaw ke emaw-ah insulin inject loh tur a ni. Chu ai chuan exercise-in a nghawng tlem zawkna hmunah, pumpuiah te inject a tha zawk.
Insulin tam lutuk hian eng symptoms nge a neih?
Insulin tam lutuk avanga i thisen sugar a tlahniam (hypoglycemia) chuan heng symptoms zinga pakhat emaw a aia tam emaw i nei thei a ni. Hengte hi fimkhur a pawimawh hle.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Hlauhthawnna | Thil mak tak maia hahdam lohna leh hahdam lohna hriatna. |
| Rilru tibuai | Eng nge tih tur leh khawiah nge i awm tih ngaihtuah thiam loh, buai taka awm. |
| Riltam lutuk | Vawikhatmah tuar theih loh khawpa riltamna a awm. |
| Chau | Nunna nei lo anga inhriatna leh hah lutuk. |
| Thinrimna (Iritability) a awm | Chhan awm lova thinrim, thinrim thuai. |
| Thawmhnaw hak | Taksa chu a vawt a, a thawmhnaw a chhuak a, vun chu a clammy bawk. |
| Kut khur chhuak | Thunun theih loh khawpa kut inthlak. |
I thisen sugar level a tlahniam zel chuan seizures i nei thei a, i pass out pawh a ni thei . Chuvangin heng symptoms te hi hriatchhuah a, hmalak vat a pawimawh.
Insulin i ei tam lutuk chuan engtin nge i tih ang?
Lungngai suh. Insulin overdose tam zawk hi chuIn lamah i enkawl thei ang. I conscious a nih chuan heng step te hi zawm rawh.
| Eng nge tih tur | Hrilhfiahna |
|---|---|
| I conscious a nih chuan i tih tur thenkhat chu hetiang hi a ni: | |
| 1. Sugar teh rawh | A hmasa berin i thisen sugar level teh rawh. Tichuan, thil awmdan chu chiang takin i hre thei ang. |
| 2. Sugar la vat rawh | Fruit drink (cup chanve), toffee, glucose tablet, glucose gel emaw ei/in nghal rawh. |
| 3. Chaw ei rawh | Chaw i ei loh chuan tunah hian ei rawh. Carbohydrates gram 15-20 (e.g. chhangphut slice khat) awmna thil ei hian i thisen sugar a tisang nghal vat ang. |
| 4. Chawlh hahdam rawh | Thut emaw, mu emaw rei vak lo la, chawlh hahdam rawh. I taksa hi tibuai suh. |
| 5. Sugar chu teh leh rawh | Minute 15-20 hnuah i thisen sugar enfiah leh rawh. A la hniam chuan sugar tlem (glucose gram 15-20) la la, a theih chuan thil dang ei rawh. |
| 6. Darkar tlemte chhung chu ngaihtuahna seng reng rawh | Darkar engemaw zat chhung chu i taksa chu ngaithla rawh. Symptoms a la awm chuan darkar khat hnuah i thisen sugar enfiah leh tur a ni. I thisen sugar a hniam chuan snack ei chhunzawm zel ang che. |
| Emergency medical help i zawn hun tur chu: | |
| Damdawi inah kal nghal rawh. | Darkar 2 hnuah pawh i thisen sugar level a la hniam emaw, i natna lan chhuah dan a tha lo emaw a nih chuan doctor pan nghal tur emaw, damdawi in pan nghal tur a ni. |
| I faint a nih chuan... | I rilru a buai a, i buai a, i seizure i neih chuan i chhungte emaw, i thiante emaw chuan 1990 ambulance service chu call nghal tur a ni a, damdawi in hnai ber Emergency Department (ETU)-ah hruai tur che a ni. |
Thil pakhat hriat reng tur. I thisen sugar a hniam em em lai hian tlem tal tihsan hlau suh. Hun engemaw chen thisen sugar level sang neih hian harsatna lian tham a thlen lovang. Mahse thisen sugar level hniam tak neih hian a tichhe zawk thei hle.
I chhungte leh i thiante hnena pek tur thurawn
I hriatna i hloh chuan anmahni enkawltu tur che an ni. Chuvangin heng thupekte hi pe lawk rawh.
- I hriatna a hloh chuan 1990 ambulance service call nghal la, a nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU) ah hruai rawh .
- I doctor nen glucagon tih shot chungchang sawipui rawh . Hei hi insulin dotu hormone a ni. Thisen sugar hniam i neih fo chuan i doctor hnenah in lama pakhat dah chungchang zawt rawh.
- Thupek zawm thei tura i hriatna i neih chuan in tur thlum tak pe turin hrilh rawh.
- Darkar khat vel hnua i natna lan chhuah dan a ṭhat loh chuan damdawi lam ṭanpuina zawng nghal turin fuih rawh.
Hetiang dinhmun hi engtin nge kan ven theih ang?
Chutiang a nih loh nan thil awlsam tlemte i tih theih a awm.
- Schedule mumal tak nei rawh: Nitin i insulin chu a hun laia ei a, a hun laia ei thin kha tih dan phung la. Hei hian engkim a awlsam phah ang.
- Chaw ei khap suh: I ril a tam lo a nih pawhin chaw ei laiin thil te te ei thin ang che. Chhangphut hrual emaw, bawnghnute glass khat emaw, thei chi khat emaw ang chi thil ei rawh. Insulin i ei hnuah chaw ei kha skip ngai suh.
- Inbuatsaih rawh:Hetiang dinhmun hi ni khat chu a lo awm thei tih hre reng ang che. I bag, car leh suitcase-ah toffee ang chi thil dah la.
- Midangte hriattir: I chhungte leh i thiante hnai tak takte chu thisen sugar hniam laia i awm dan tur hrilh rawh. Hetiang hian i buai a nih pawhin hma an la nghal vat thei a ni.
- Medical Alert Bracelet bun rawh: Insulin hmangtu i nih thu a tarlang. Emergency-a i nunna chhanhimna kawngah a pui thei a ni.
Take-Home Thuchah a ni
- Insulin ei tam lutuk hian thisen sugar (hypoglycemia) hlauhawm takin a tihhniam thei a ni. Kut inher, thawk hah, leh lu hah ang chi symptoms te chu en reng ang che.
- Thisen thlum hniam symptoms i hriat veleh thil thlum (candy, sweet drink) ei nghal la, minute 15-20 hnuah i thisen sugar level enfiah leh rawh.
- Insulin i ei lai hian chaw ei kha skip ngai suh. Toffee ang chi thil hi i bulah dah fo ang che.
- I hriatna a hloh emaw, i dinhmun a chhe hle a nih chuan, damdawi in Emergency Treatment Unit (ETU)-a hruai nghal turin chhungte leh thiante hnenah thurawn pe hmasa phawt ang che.
- Insulin i hman dan tur, i hman dan tur leh emergency-a i tih tur chungchangte chu i doctor nen sawiho fo ang che.
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