Zunthlum vei i ni thei a, chhungte emaw, thian emaw zunthlum vei i nei thei bawk. Chutiang mite chuan insulin injection an hmang tih i hmu tawh mai thei. Mi thenkhat chuan insulin hi zunthlum damdawi mai niin an ngai. Mahse a nihna takah chuan insulin hi kan taksa chhunga siam chhuah a ni a, kan tan chuan a pawimawh hle. Chuvangin vawiinah hian insulin chu eng nge a nih chiang takin, taksaah eng nge a tih tih leh zunthlum nen eng nge a inzawmna tih hi i zawng chhuak ang u.
Insulin chu eng nge ni tak tak?
A awlsam zawngin sawi ila, insulin hi kan taksaa pianphung atanga lo chhuak hormone a ni. Kan pancreas an tih organ atanga siam a ni. A dik tak chuan pancreas chhunga cell chi khat ‘beta cells’ an tih atanga siam a ni. He hormone hi kan nun atan a pawimawh hle. A chhan chu he insulin hian kan ei tur atanga kan hmuh sugar, a nih loh leh glucose chu chakna ah a chantir thei a ni.
Hetiang hian han ngaihtuah teh. Kan taksa hian kan ei tur carbohydrate tamna, buhfai, chhang, leh alu atang hian glucose (sugar) a hmu thin. He glucose hi kan taksa cell te hnathawhna atana chakna petu ber a ni. Car tan gasoline ang mai a ni. He glucose hi thisenah a awm tawh chuan chakna siam turin cell chhungah a lut a ngai a ni. Mahse cell luhna kawngkhar chu a khar a ni. Insulin hi chu kawngkhar hawnsaktu chabi a ni.
Thisenah insulin dah a nih chuan a kal a, cell-te hnenah signal a thawn a, "Tunah hian kawngkhar hawng rawh, glucose a rawn lut ta," a ti. Tichuan glucose chu cell chhungah a lut a, chakna a siam chhuak ta a ni.
Chuvangin han ngaihtuah teh, i pancreas hian insulin a siam tling lo a nih chuan, a nih loh leh i cell-te hian a siam insulin (hei hi insulin resistance kan ti a) an chhang tha lo a nih chuan eng nge thleng ang? Thisen chhunga glucose awm chu cell chhungah a lut thei lo. Tichuan thisen sugar level chu a sang hle ta a ni. He dinhmun hi hyperglycemia , a nih loh leh "high sugar" kan ti mai mai a ni. Hetiang dinhmun hi a awm chhunzawm zel chuan zunthlum a lo awm ta a ni.
Insulin hian thisen sugar level a tihniam em, a tisang em?
Hei hi mi tam takin harsatna an neih a ni. Insulin hi thisen sugar level tihhniam nan hman a ni. Chu chu thisena glucose leng chu a la a, cell-ah a dah a, chu chu thisen tihfai ang mai a ni.
Kan taksa hian hei hi thunun theitu system mak tak a nei a. Insulin hian thisen sugar a tihhniam laiin, hormone dang glucagon tih a awm a, chu chuan a tul hunah thisen sugar level a tisang a ni. Heng pahnih hian scale sir hnih ang maiin hna an thawk a, kan thisen sugar level chu a bituk chhungah a awm reng a ni.
Amaherawhchu, zunthlum vei chuan pawn lam atanga insulin injection anga a ei hian a chang chuan a ei zat chu a mamawh aia tam a ni thei. Chutiang a nih chuan thisen sugar level a tlahniam lutuk ang. Hei hi hypoglycemia kan ti a ni . Hei pawh hi dinhmun hlauhawm tak a ni. Chutiang hunah chuan sugar level a lo awm leh theih nan thil thlum (candy chi khat, sugar spoon khat) ei vat a ngai a ni. Sugar a tlahniam lutuk chuan emergency a ni. Chutiang hunah chuan glucagon injection pek theih a awm bawk. I doctor nen in inbia a, a chungchang hi i hre belh thei bawk.
Insulin nena inzawm natnate chu engte nge ni?
Damdawi lam harsatna hrang hrang hi taksaa insulin tlem vang emaw, taksain insulin a hman dik loh vang emaw, insulin a tam lutuk vang emaw a ni thei.
Insulin tlakchham vang emaw insulin hnathawh tlem avanga lo awm thin
He category-ah hian zunthlum chi hrang hrang a tel ber a ni.
- Type 1 Diabetes: Hei hi autoimmune condition a ni. A awlsam zawngin kan taksa hriselna (immune system) ngei hian pancreas-a insulin siamtu beta cells te chu a bei sual a, a tichhia a ni. Hun a kal zel a, taksain insulin a siam chhuak thei tawh lo. Heng mite hian an dam khawchhuah theih nan pawn lam atanga insulin an lak a ngai a ni.
- Type 3c Diabetes: Hei hi pancreas chhiat avanga insulin siamchhuah a chhiat chuan a thleng thin. Entirnan, hun rei tak chhung pancreas inflammation (Chronic Pancreatitis), cystic fibrosis (Cystic Fibrosis), emaw surgery hmanga pancreas lakchhuah (Pancreatectomy) te hian he natna hi a thlen thei a ni.
- Latent Autoimmune Diabetes in Adults (LADA): Hei hi type 1 nen a inang a, mahse a natna lan chhuah dan chu a hnu deuh hlek a ni. Kum 30 chunglam ah a awm tlangpui.
Insulin resistance avanga awm dinhmun
Hemi a thil thleng chu taksain insulin a siam chhuak a, mahse taksaa cell (a bik takin muscle, fat, leh liver cell) te hian chu insulin chu an chhang tha lo hle. Chabi rusty hmanga kawngkhar hawn tum ang mai a ni.
- Prediabetes: Hei hi thisen sugar level pangngai aia sang, mahse zunthlum vei nia hriat theih khawpa sang lo a ni. Hei hi a chhan ber chu insulin resistance a ni. Nunphung thlak danglam hian zunthlum lo awm tur venna kawngah a pui thei a ni.
- Type 2 Diabetes: Hei hi khawvela zunthlum vei tam ber a ni. Insulin resistance a pung a, pancreas hian insulin a siam tling thei lo a, chu chuan thisen sugar level a tisang a ni.
- Gestational Diabetes: He natna hi hmeichhe thenkhatah naupai laiin a lo awm thin. Nausen (placenta) atanga hormone chhuak, insulin resistance siamtu nia rin a ni. He natna hi naute pian hnuah a reh tlangpui.
Insulin siam chhuah tam lutuk
Hei hi thil awm lo tak a ni. Insulinoma hi pancreas-a tumor lo awm thin a ni. Hei hian pancreas hian a mamawh loh hunah insulin tam tak a siam chhuak thin. Hei hian thisen sugar level hlauhawm takin a tihhniam (hypoglycemia). Mahse, heng tumor te hi surgical removal hmangin a tidam vek thei a ni.
Zunthlum tan hian eng ang insulin nge pek thin?
Zunthlum enkawlna atana hman tur insulin chi hrang hrang a awm a. Hnathawh chak dan leh taksaa an awm rei dan azirin an thliar hrang a ni. Zunthlum i vei chuan i doctor chuan i tana tha ber chi leh a dose a ruat ang.
Hetah hian a chi hrang hrang kan rawn tarlang e.
| Insulin chi hrang hrang | Operation atan hun hman a ni | Taksa chhunga hun |
|---|---|---|
| Rapid-acting a ni | Minute 5 - 20 inkar vel a ni | Darkar 3 - 5 inkar vel a ni. Chaw ei hmaa ei thin a ni. |
| Short-acting/Regular tak tak a ni | Minute 30 - 45 inkar vel a ni | Darkar 5 - 8 inkar a ni. |
| Intermediate-a thiltih a ni | Darkar 2 vel a ni | Darkar 14 - 24 inkarah. |
| Hun rei tak chhunga che thei | Darkar khat vel a ni | Darkar 24 thleng a ni. Nitin baseline vawng reng turin a pui. |
| Ultra long-acting a ni | Darkar 6 vel a ni | Darkar 48 (ni 2) thleng. |
Chung zinga ṭhenkhat chu pre-mixed (pre-mixed) insulin a lo thleng ṭhin. Heng zawng zawng hi i taksa mamawh ang zelin i doctor-in a buatsaih vek a ni.
Insulin injection hian side effect a nei em?
Damdawi dang ang bawkin insulin hian side effect engemaw zat a nei thei a, mahse hengte hi enkawl theih a ni fo.
- Thisen thlum hniam (Hypoglycemia): Hei hi harsatna awm tam ber a ni. Hei hi i taksa mamawh aia tam insulin i ei chuan a thleng thin. Thaw hah, khur, riltam lutuk, thinlung na rang, leh hriatna hloh hial a thlen thei a ni.
- Injection na hmuna vun a inthlak danglam: Insulin hmun khata i inject reng chuan vun hnuaiah thau a pungkhawm thei a, lumps a siam thei bawk. A nih loh leh thau chu a hmin thei a, vunah dimples a siam thei bawk. Hei hi localized lipodystrophy an ti a . Hei vang hian injection site te hi rotate a pawimawh hle.
- Allergic reaction: Hei hi a tlem hle. Mi thenkhat chuan insulin chi thenkhatah allergy an nei thei bawk. A lan chhuah dan chu injection na hmuna sen, a hring, leh a hring te a ni thei.
A pawimawh ber chu i doctor thupek dik taka zawm hi a ni. I duh angin dosage thlak tum suh.
Insulin inject theihna hmun tha ber berte chu engte nge ni?
A tlangpuiin insulin injectna hmun remchang ber chu thau awmna hmun a ni.
- Pum chhung (navel atanga inches 2 vel) .
- Hma lam emaw, a sir lam emaw
- A hnunglam chu a kut chunglam a ni
- A hnungzang chunglam chu
A pawimawh ber chu hmun khata massage chhunzawm lova hmun thlak hi a ni. Vawiin zing khan i pum veilam i massage a nih chuan zan lamah dinglam massage la. Naktuk hian i thighs ah switch rawh. Chutianga tih chuan a hmaa kan sawi tawh vun lama harsatna awmte venna kawngah kawng thui tak a zawh thei a ni.
Insulin tel lovin eng chen nge i awm theih ang?
Hei hi thil pawi tak a ni.Insulin-dependent diabetic (a bik takin type 1 diabetes nei) chu insulin tel lovin a nung thei lo.
Insulin tel lo chuan thisen sugar level chu thunun theih lohvin a sang chho thin. Glucose chu chakna atan an hmang thei lo va, taksa cell te chuan chakna atan thau an hal tan thin. Hetiang hian byproduct "ketones" tih a siam chhuak thin. Heng ketones te hi thisenah an pung khawm a, chu chuan acidic a siam a ni. Hei hi Diabetic Ketoacidosis (DKA) an ti a.
DKA hi a lo thleng nghal a, nunna atana hlauhawm tak a ni. Darkar 24 chhungin a lo thang lian thei a ni. I luak chhuak a nih chuan a thleng rang zawk thei. A lan chhuah dan chu tuihal lutuk, zun tam lutuk, pum na, luak chhuak, thawk harsa, thawk lama thei rimtui te a ni. Heng symptoms te hi i neih chuan damdawi in emergency room (ETU) ah i kal nghal tur a ni . Enkawl loh chuan thihna a thleng thei.
Chuvangin, insulin hmangtu i nih chuan a tawp hmain i insulin supply kha replenish turin fimkhur hle ang che.
Take-Home Thuchah a ni
- Insulin hi zunthlum damdawi mai a ni lo va, keimahni taksain a siam chhuah hormone a ni a, nunna atana pawimawh tak a ni.
- Insulin hnathawh ber chu thisen atanga sugar (glucose) chu chakna atana hman tur cell-ah a kal tir a ni. Hei hian thisen sugar level control turin a pui a ni.
- Zunthlum hi chi hrang hrang a awm a. Ṭhenkhat chu insulin tlakchham vang a ni a, ṭhenkhat erawh chu taksain insulin a chhan loh (insulin resistance) vang a ni.
- Pawn lam atanga pek thin insulin chi hrang hrang a awm a. I doctor chauh hian i tana tha tur chi leh dose a ruat thei ang.
- Insulin inject dawnin hmun khata inject ai chuan a hmunte chu rotate tur a ni. Hei hian vun natna a veng thei dawn a ni.
- Insulin dependent tan chuan insulin hloh hi nunna atana hlauhawm a ni. DKA ang chi dinhmun hlauhawm tak takte chu hre reng ang che. Ringhlelna i neih chuan doctor thurawn la nghal rawh.
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