Zunthlum hi tuna kan khawtlang zinga mi tam takin kan tawn mek a ni. Chuvangin i doctor chuan insulin injection hmang turin a ti che a ni mai thei. Chung zingah chuan vawiin hian Isophane Insulin, a nih loh leh NPH tih chi hi kan sawi dawn a ni. Hemi hman hunah hian thil pawimawh tak tak hriat tur tam tak a awm a. A chiang takin, awlsam takin han sawi ila.
Isophane Insulin (NPH) hi eng nge ni?
A awlsam zawngin sawi ila, Isophane Insulin hi zunthlum venna atana hman thin damdawi a ni. Kan taksaa insulin level tihsan leh thisen a sugar (glucose) level tihhniamna hmangin hna a thawk a ni. ‘Intermediate-acting insulin’ category-ah a tel a ni. Chumi awmzia chu taksaa pek a nih hnuah darkar engemaw zat a thawk a, thisenah sugar level a control a ni.
A tam zawkah chuan he damdawi nen hian i ei leh in leh exercise control hi a pawimawh hle bawk . Heng pathumte hi an inzawm khawm chauhvin zunthlum hi a thunun theih ber a ni.
Damdawi i hman hmaa i doctor hnena i hrilh tur thilte
He damdawi hi i pek hmain i doctor hian i medical history kimchang a hriat a ngai ang. Chuvangin, a hnuaia condition tarlan te hi i neih chuan hrilh ngei ang che.
| I dinhmun | Engvangin nge a pawimawh? |
|---|---|
| Thisen sugar level a tlahniam fo chuan (Hypoglycemia) . | Hei hi a dose siamremna atan a pawimawh hle a, insulin hian thisen sugar level a ti tlahniam lehzual thei a ni. |
| Mit natna, mitdelna | Zunthlum hian mit a nghawng avangin doctor chuan a dinhmun awmsa chu a hriat chian a ngai a ni. |
| Kal natna | Insulin taksa atanga kal (kidney) atanga lakchhuah a nih avangin kal vei te hian a dose hniam zawk an mamawh thei a ni. |
| Liver natna | Liver hian insulin action a nghawng avangin a dose pawh tihdanglam a ngai mai thei. |
| Insulin emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy nei | Hei hi allergy venna atan leh damdawi tha ber thlan nan a pawimawh hle. |
| Naupai emaw, nau pai tum emaw i nih chuan | Naupai lai hian insulin hi tihdanglam a ngai a, chuvangin doctor thurawn zawm tur a ni. |
| Nu hnute pe lai i nih chuan | Insulin dose hian nu leh naute a nghawng dan ngaihtuah tur. |
Engtin chiah nge he damdawi hi i hman?
Hei hi vun hnuaia injection a ni. I doctor emaw nurse emaw chuan a hman dan tur dik tak a hrilh ang che. Chu thupekte chu dik taka zawm a pawimawh hle .
- A lan dan enfiah rawh: He insulin hi tui thianghlim, hnute ang mai, a tlangpuiin a rawng dum a ni tur a ni . A chhum inang lo emaw, a rawng danglam emaw a nih chuan hmang suh.
- Mix dik: Hman hmain vial emaw pen emaw chu i kutphah inkarah roll-in mix tha rawh. Ti nghing suh.
- Needle paih dan: Needle leh syringe hman tawhte chu bawlhhlawh bawmah paih suh. A bik takin container (sharps container) ah dah la. I neih loh chuan i doctor hnenah dil theih a ni.
- Pen hman a nih chuan: Insulin pen i hman chuan inject hmain needle pawn lam khuhna chu la chhuak hmasa tur a ni tih hre reng ang che.
Warning: Dose pek aia tam i ei nia i hriat chuan Colombo National Hospital-a National Poisons Information Center- ah phone nghal la, a nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal nghal rawh.
Damdawi dose khat ka ei loh chuan engtin nge ni ang?
Hei hi doctor nen in sawiho tur a ni. Hetiang hunah hian eng nge i tih tur tih ruahmanna a pe ang che. Chutiang chuan ti rawh.Vawi khatah vawi hnih ei ngai suh.
He insulin nena inzawm thei thil dang
Damdawi dang, vitamin emaw, herbal product emaw i ei mai thei te hian he insulin hnathawh dan hi a nghawng thei a ni. Chuvangin, i doctor hnenah i hman zawng zawng list kimchang pe rawh. A bik takin hengte hi fimkhur rawh:
- Zu
- Natna tidamtu aspirin ang chi te
- Thisen sang damdawi thenkhat (e.g. Atenolol, Metoprolol) .
- Hmeichhe hormone (birth control pill telin) leh mipa hormone te
- I taksa rihna tihtlem nan damdawi
- Khawsik, khuh, leh allergy damdawi
- Rilru natna damdawi thenkhat
- Zunthlum damdawi dang (e.g., Glyburide, Glipizide) .
- Steroid awmna damdawi (e.g. Prednisone) .
- Thyroid hormone damdawi a ni
- Herbal supplement thenkhat
He list hi a kim lo. Chuvangin, i ei zawng zawng doctor hnenah hrilh vek a him ber.
Insulin hman huna ngaihtuah tur thil
- HbA1C test: I doctor chuan thisen test HbA1C (A1C) tih chu nei turin a ti ang che. Hei hian thla 2-3 kalta chhunga i thisen sugar i control that dan a teh a ni.
- I thisen thlum test: In lama i thisen sugar test dan zir rawh. Thisen thlum hniam (hypoglycemia) leh thisen sugar sang (hyperglycemia) chhinchhiahna leh enkawl dan tur zir rawh.
- Thil thlum tak chu i bulah dah rawh: Thisen sugar tlahniam chhinchhiahna i neih chuan ei vat turin thil thlum tak tak, candy bar emaw glucose tablet emaw chu i bulah dah fo ang che.
- Chaw ei khap suh: A hun pangngaiah chaw ei thin ang che. I doctor hnenah zu chungchang zawt rawh.
- Damdawi thlak loh tur: Insulin brand emaw syringe type emaw hi doctor thurawn lo chuan thlak loh tur a ni.
- Share ngai suh: I insulin pen emaw cartridge emaw chu midang hnenah share ngai suh. A zung i thlak pawhin HIV leh Hepatitis ang chi virus i la kai thei tho a ni.
- Medical ID vuah: Thil pawimawh tak a nih chuan medical ID bracelet emaw card emaw i keng tel a pawimawh hle a, chutah chuan i damdawi lam dinhmun leh damdawi chungchang chipchiar takin a awm a ni.
Damdawi avanga side effect awm thei te
Damdawi dang ang bawkin insulin hian side effect engemaw zat a thlen thei a, a then chu nunna atana hlauhawm tak a ni.
| Side effect awm dan (nature) a ni | Natna |
|---|---|
| Doctor hnena report nghal tur thil | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. |
| Thisen thlum hniam (Hypoglycemia) . | Khur, thawk hah lutuk, hahdam lo, luak chhuak, thinlung na rang, buai. |
| Thisenah potassium a tlahniam | Muscle na emaw cramps emaw, chak lohna danglam tak, thinlung thawk mumal lo. |
| A awm reng emaw, a buaithlak emaw chuan doctor hnenah hrilh rawh. | |
| Injection na hmuna inthlak danglamna (Lipodystrophy) . | Hmun khata piercing nawn leh hian vun hnuaia tissue chu a thick emaw, scarring emaw a thlen thei. |
| Injection na hmuna natna emaw, sen emaw | Injection na hmunah natna tlem, sen, emaw, hring emaw a awm. |
| A taksa rihna a tipung | Mi thenkhat chuan insulin hman hian an taksa rihna a tipung thin. |
Insulin engtin nge kan dahkhawm ang?
Insulin uluk taka dahkhawm a pawimawh hle. Chutiang a nih loh chuan a thatna a hloh mai thei. Heng instruction te hi i brand hman dan azirin a danglam deuh thei.
| Nihna | Storage dan tur ruahmanna |
|---|---|
| Bottle leh pen hawn loh te | |
| Khawiah nge dah tur | Fridge-ah dah la , mahse freezer-ah dah suh. Frozen insulin hmang suh. |
| Expiration a ni tawh | Expiry date hnuah hman loh tur. |
| In-use bottle leh pen te | |
| Khawiah nge dah tur | Room temperature-ah dah tur a ni. Hman zawhah refrigerator-ah dah loh tur. Khua lum lutuk leh ni êng direct atanga hla takah awm rawh. |
| Thlawhna hun | Hei hi chi hrang hrangah a inang lo. Entirnan, pen thenkhat chu ni 14 hnuah paih tur a ni a, thenkhat chu ni 28 hnuah paih tur a ni a, bottle thenkhat chu ni 31 emaw 42 hnuah paih tur a ni. I insulin chi hrang hrang expiry date chungchang hi doctor zawt rawh. Expiry date hnuah insulin la awm zawng zawng chu paih vek tur a ni. |
Take-Home Thuchah a ni
- Insulin hi doctor-in a pek zat leh hun dik takah ei thin ang che. Nangmah ngeiin dose hi thlak ngai suh.
- Thisen thlum hniam (hypoglycemia) leh thisen thlum sang (hyperglycemia) natna lan chhuah dan fimkhur hle ang che. Emergency a awm chuan i bulah thil thlum tak dah la.
- I insulin pen, syringe, needle te chu eng vang pawhin midang hnenah share suh.
- Damdawi dang zawng zawng, vitamin leh herbal product i ei zawng zawng chu i doctor hnenah hrilh rawh.
- Insulin chu dik takin dah la. Khua lum lutuk, ni eng leh vawt lutuk lakah venghim rawh.
- Thil ngaihtuah leh rinhlelhna i neih chuan i doctor nen inbia nghal rawh.
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