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.
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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.
Chu chu thisen acidic a nih chuan DKA, a nih loh leh Ketoacidosis , kan tih chu a ni. Hei hi dinhmun hlauhawm tak a ni. A hun taka enkawl loh chuan thihna thlengin a thlen thei 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 symptoms - fimkhur takin awm rawh! | |
|---|---|
| Hrilhfiahna Hmasa | |
| A tlangpui aia zun tam zawk | Zun emaw thisen emaw a ketone level sang |
| Tuihalna nasa tak neiin ka hria | Tui tlakchhamna (dehydration). |
| Thisen sugar level sang (250 mg/dL aia tam) . | Lu na na tak |
| A hnu lama/Serious Signs te | |
| Nausea leh luak chhuak | Taksa na, taksa ruh a na a, a chak lo tih hriat a ni |
| Kawng leh vun a vawt | Chauhna nasa tak a awm |
| Buaina, hriatna hloh | Thâwk harsa, thawk rang |
| Thâwk chungah thei (sweet) rim a nam | Pum a na |
| Heng symptoms te hi i neih chuan ETU ah kal nghal rawh! I ketone level a hniam emaw, a sang emaw a nih a, a chunga kan sawi ang chite hi i neih chuan, i thisen sugar chu 300 aia tam a nih a, a tlahniam lo a nih chuan, darkar 2 aia rei i luak a nih chuan, i thawk chu thei rim a nam a nih chuan, i chau lutuk emaw, i lu a hah lutuk emaw, thawk harsa i tih chuan, tihkhawtlai suh | |
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Check Availability →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.
I zunthlum enkawltu tur chu nangmah i ni tih hre reng ang che. Doctor thupek zawm chungin i taksa enkawl a pawimawh.
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.
Take-Home Thuchah a ni
- Diabetic Ketoacidosis (DKA) hi zunthlum natna hlauhawm tak, nunna atana hlauhawm tak a ni.
- Hei hi taksaa insulin tlakchham vang te, chakna atana thau hal vang te, thisena ketones (acids) tam lutuk vang te a ni.
- A lan chhuah dan ber chu tuihal lutuk, zun tam lutuk, thawk lama thei rimtui, buai leh hah lutuk te hi a ni.
- Heng symptoms te hi i neih chuan, a bik takin i thisen sugar level a san chuan hospital emergency room (ETU) ah kal nghal tur a ni.
- DKA hi i veng thei a, i zunthlum hi i control tha thei a, i damdawi i ei tha a, nun hrisel i hmang thei bawk. Hemi chungchang hi i doctor nen inbia fo ang che.
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