Zunthlum i nei em? DKA (Diabetic Ketoacidosis) tih natna hlauhawm tak hi i hriat a ngai a ni.

Zunthlum vei i ni em? Tichuan i thisen sugar level hi i ngaihtuah reng tur a ni, a dik em? Mahse, zunthlum nena lo awm, nunna atana hlauhawm tak, natna khirh tak tak i hre tawh em? Chu chu vawiina kan sawi tum chu a ni. Hei hi damdawi lam chuan Diabetic Ketoacidosis , a tawi zawngin (DKA) an ti a. Hemi chungchang hi i himna atan hriat chian a pawimawh hle.

A awlsam zawngin DKA chu eng nge ni?

Awle, hetiang hian han sawi ila. Insulin hi hormone a ni a, kan taksa cell-te chu chakna atan glucose, a nih loh leh sugar hmang turin a pui a ni. Zunthlum vei miin insulin a neih tlem chuan, a nih loh leh an neih insulin a thawk tha lo a nih chuan, thisen a sugar awm chu cell ten an hmang thei lo.

Tichuan kan taksa chuan, "Aw, ka chakna a tlachham a ni," tiin a ngaihtuah ta a. Chuvangin taksa chuan chakna siamna kawng dang a hmang a ni. Chu chu taksaa thau awmte halralna hmangin a ni. Chutianga thau hal a nih chuan chemical ketones an tih chu thisenah byproduct angin a chhuak thin. Keton engemaw zat neih hi thil pangngai a ni. Mahse insulin a awm loh avangin he process hi control loh a nih chuan thisenah ketone tam tak a pungkhawm thin. Heng ketones te hi acid chi khat an ni. Chuvangin, thisena an lo pungkhawm chuan kan thisen chu acidic a lo ni ta a ni.

I thisen sugar level chu 240 mg/dL aia sang a nih tlangpui chuan darkar 4-6 danah i ketone level enfiah thin hi a finthlak hle. Thisen sugar level 250 mg/dL aia sang chu DKA bul tanna anga ngaih a ni. I thisen sugar level chu a pangngai aia pawn a nih chuan i doctor nen inbia nghal rawh .

Engtikah nge emergency hospital (ETU) ah i kal ang?

I thisen sugar level 300 mg/dL aia sang a nih a, a tlahniam lo a nih chuan, emaw, i luak chhunzawm zel a nih chuan, i chau lutuk a nih chuan, DKA symptoms, thawk harsatna ang chi i neih chuan, Emergency Department (ETU) hnai ber pan nghal rawh.

Ketoacidosis leh Ketosis hi thil hrang hrang pahnih a ni em?

Ni e, heng thumal pahnih hi ri inang mahse, kalphung hrang hrang pahnih an ni.

• Ketosis: Hei hi carbohydrates tlem (chhang, buhfai, pasta ang chi) (e.g., keto diet) i ei hian a thleng thin. Tichuan taksain chakna atan thau a hal thin. Hetah pawh hian ketone siam a ni a, mahse controlled takin a thleng thin. A chhan chu taksaah insulin a awm tawk a ni. Ketosis hi state hlauhawm tak a ni lo.
• Ketoacidosis (DKA) avanga natna hrik (DKA):Hei hi insulin tlakchham vang a ni. Ketones hi thunun theih lohvin a pung a, thisen chu acidic a ni ta a ni. Hei hi nunna atana hlauhawm tak a ni.

DKA natna lan chhuah dan chu engte nge ni?

DKA symptoms hi a lo lang nghal vat thei. A chang chuan mi pakhatin DKA a vei hnuah zunthlum a vei tih hriat hmasak a ni. Heng symptoms te hi hriat chian a pawimawh hle.

DKA thlentu berte chu engte nge ni?

DKA thlentu ber chu insulin tlakchham vang ni mah se, he natna thlen thei thil engemaw zat a awm.

• Insulin dik taka ei loh: He hlauhawmna hi doctor-in insulin dose a pek chu a hun taka i ei loh emaw, dose pakhat i skip emaw chuan a sang hle. A chang chuan insulin expired hman pawh hi a chhan a ni thei bawk.
• Natna: Khawsik, khawsik, zun kawng (UTI), emaw pneumonia i neih chuan i taksa hian stress hormone (cortisol leh adrenaline ang chi) a siam chhuak thin. Heng hormone te hian insulin hnathawh a tibuai thin. Chuvangin, i damloh ni-ah DKA i vei tam zawk.
• Taksa chunga nghawng dang: DKA vei theihna hi taksaa stress nasa lutuk avang hian a pung bawk a, chu chu operation neih emaw, accident emaw, heart attack emaw stroke emaw neih te hi a ni.
• Zunthlum hriat loh: Zunthlum an vei tih hre lo, a bik takin Type 1 diabetes nei te chuan DKA an vei thei a ni.
• A chhan dang: Zu in tam lutuk, ruihhlo thenkhat hman, naupai, leh damdawi thenkhat (e.g. corticosteroids) te pawhin DKA a thlen thei bawk. Zunthlum i vei a nih chuan damdawi thar i ei hmain doctor hrilh hmasak a pawimawh.

Engtin nge DKA a lo awm loh nan i ven theih ang?

Vanneihthlak takin DKA hi ven theih a ni a, a pawimawh ber chu i zunthlum hi uluk taka enkawl hi a ni.

Hemi chungchangah hian i tih theih thenkhat chu hetiang hi a ni:

• I thisen sugar level enfiah fo ang che: Ni khatah vawi tam tak i thisen sugar level enfiah thin ang che, i doctor thupek angin. Recommanded range chhungah dah tum ang che.
• Damdawi hi ei dik rawh:Insulin emaw, zunthlum damdawi dang emaw chu a hun takah, a zat dik takah ei thin ang che. Dose hi skip ngai suh.
• Ei tur dik: Chaw ei tur ruahmanna pek che kha zawm dik rawh.
• Tui in tam: Sugar tel lo tui leh tui tam tak in thin ang che.
• Natna ni atan ruahmanna siam rawh: Khawsik emaw, khawsik emaw i neih huna i thisen sugar leh ketone level enfiah dan tur leh insulin dose thlak a ngai em tih te chu i doctor nen inbiakna neih hmasak phawt ang che.
• Ketones awm leh awm loh enfiah: I thisen sugar 240 mg/dL aia tam a nih apiangin ketone awm leh awm loh enfiah thin ang che. Hei hi urine strip emaw glucometer thenkhat hmangin i ti thei bawk.
• Emergency-ah inbuatsaih rawh: DKA symptoms a lo lang a nih chuan eng nge tih tur leh khawiah nge kal tur tih chu ruahman lawk rawh.

Damdawi inah DKA enkawl dan tur engte nge ni?

DKA symptoms neia ETU-a i kal chuan doctor-te chuan i dinhmun control turin hma an la nghal vat ang. Hetiang enkawlna hi damdawi inah pek a ni tlangpui.

1. Intravenous fluids: Saline hi thisen dehydration control nan leh thisen chemical balance siamthat nan thisenah pek thin a ni.

2. Insulin: Insulin hi thisenah pek a ni a, chu chu ketone siam chhuah tihtawp nan leh thisen sugar level control nan a ni.

3. Electrolyte Replacement: DKA hian taksain mineral pawimawh (electrolyte) Sodium leh potassium te a hloh tir thin. Chungte chu thinlung, ruh leh nerve hnathawhna atana pawimawh tak a nih avangin saline hmangin thlak a ni.

4. Infection enkawl dan: DKA thlentu chu infection a nih chuan antibiotics pek thin a ni.

He natna hi darkar 24 chhungin control theih a ni tlangpui a, mahse a nasat chuan a rei zawk thei.